Uzizwa sengathi isifuba sakho sigcwele uketshezi? Kungaba yiChylothorax! | Nirogi Lanka

Ingabe ngezinye izikhathi ubhekana nobunzima bokuphefumula ngokuzumayo? Noma mhlawumbe uzizwa unzima noma ukuqina esifubeni sakho? Kungase kube nesizathu salokhu ongakaze usicabangele. Namuhla, sizokhuluma ngesimo, nakuba singavamile, esibalulekile ukuthi waziswe ngaso— i-Chylothorax . Igama lingase lizwakale lingajwayelekile, kodwa sicela ungakhathazeki; eNirogi Lanka, silapha ukuzochaza ngokucacile.

Iyini i-Chylothorax? Ake sikuchaze kalula.

Kalula nje, i-Chylothorax yenzeka lapho uketshezi olukhethekile oluvela ohlelweni lwakho lwe-lymphatic , olubizwa ngokuthi i-chyle , luvuza endaweni ezungeze amaphaphu akho. Ungase uzibuze: luyini ngempela uhlelo lwe-lymphatic, futhi luyini i-chyle?

Cabanga ngale ndlela: njengoba nje unenethiwekhi yemithambo yegazi, unesistimu yeziteshi eziyinkimbinkimbi nezithambile ezibizwa ngokuthi uhlelo lwe-lymphatic. Indima yalo eyinhloko ukuqoqa uketshezi oluningi ezicutshini zomzimba wakho bese lulubuyisela ekujikelezeni kwegazi. Okubaluleke kakhulu, lolu ketshezi lwe-lymph luphinde lugcine amangqamuzana amhlophe egazi —abavikeli bomugqa wangaphambili womzimba wakho abahlonza futhi babhubhise amagciwane ahlaselayo njengamabhaktheriya namagciwane.

Manje, i-chyle uhlobo oluhlukile loketshezi lwe-lymph oluvela emgudwini wakho wokugaya ukudla . Ngenxa yokuthi icebile ngamaseli amhlophe egazi kanye namafutha avela ekudleni okudlayo, ivame ukuba nokubukeka njengobisi. Le chyle ihamba emzimbeni wakho wonke ngomthambo omkhulu obizwa ngokuthi i- thoracic duct . Cabanga ngale duct njengomzila ophakathi othwala uketshezi oluvela esiswini sakho, olukhuphukela esifubeni sakho, bese ekugcineni lubuyela egazini lakho eduze kwentamo yakho.

Uma lo msele wesifuba ulimele noma uvalekile, i-chyle ingaqala ukuvuza. Lapho lolo ketshezi luqoqana esikhaleni esizungeze amaphaphu akho (umgodi we-pleural), isimo esibangelwa yilokhu saziwa ngokuthi i-Chylothorax. Ingabe lokho kuyasiza ekucaciseni lokho?

Yiziphi izinhlobo eziyinhloko zeChylothorax?

I-Chylothorax ngokuvamile ihlukaniswe ngezinhlobo ezintathu:

1. I-chylothorax ebuhlungu: Lokhu kwenzeka ngenxa yokulimala kwangaphandle noma, ngokuvamile, njengenkinga yokuhlinzwa okubandakanya isisu noma indawo yesifuba.

2. I-chylothorax engeyona ingozi (ezenzakalelayo): Lokhu kungenzeka lapho imithambo ye-lymphatic ivalekile, izindonga zayo ziba buthaka, noma umfutho woketshezi ubangela ukuqhekeka. Abanye abantu bazalwa benokwehluka kwesakhiwo esifubeni sabo okubenza babe nalokhu—okwaziwa ngokuthi i-chylothorax yokuzalwa —okungase kuvele ezinganeni ezisanda kuzalwa.

3. I-Idiopathic chylothorax: Leli gama lisetshenziswa lapho ochwepheshe bezokwelapha bengakwazi ukuthola imbangela ethile eyisisekelo yokuvuza koketshezi.

Wazi kanjani ukuthi unaso? Ziyini izimpawu?

Uphawu oluyinhloko lwe-Chylothorax ukuphelelwa umoya . Ungase uzizwe sengathi awukwazi ukuphefumula ngokugcwele noma ukuthi isifuba sakho sizizwa sinciphile. Ezinye izimpawu zingafaka:

• Umuzwa wokuqina, ukusinda, noma ukucindezeleka esifubeni sakho .
• Ukukhathala okuqhubekayo.
• Ukwehlisa isisindo okungachazeki .

Uma ubhekene nalezi zimpawu, sicela ubeke phambili ukufuna ukuhlolwa kochwepheshe bezokwelapha esibhedlela.

Kungani kwenzeka i-Chylothorax? Yiziphi izimbangela eziyinhloko?

Ezimweni eziningi, ukuhlinzwa kuyimbangela evame kakhulu, ikakhulukazi i-chylothorax yangemva kokuhlinzwa. Empeleni, noma yikuphi ukulimala komgudu wesifuba okuvimbela ukugeleza okuvamile kwe-chyle kungabangela ukuthi ivuze esifubeni. Ezinye izimbangela ezibalulekile zifaka:

• Ukulimala esifubeni noma emhlane: Lokhu kungasukela ekulimaleni okubukhali kwamandla kuya emanxebeni angena ngaphakathi (njengokulimala okubukhali kwamandla).
• Izimo zokuzalwa: Abantu abathile bazalwa benezimo ezithinta i-lymphatic anatomy, okuholela ku-chylothorax ngemuva nje kokuzalwa.
• Umdlavuza (Umdlavuza): Umdlavuza ohlukahlukene ungavimba noma wonakalise izakhiwo zesifuba. Izibonelo zifaka phakathi i-lymphoma , i-leukemia ye-lymphocytic engapheli , umdlavuza wamaphaphu , umdlavuza womphimbo , kanye ne-Kaposi sarcoma .
• Ukutheleleka: Ukutheleleka okungapheli kungalimaza imigudu yokuphefumula, kanti isifo sofuba siyisibonelo esiphawulekayo.
• Ukuvaleka: Noma yisiphi isimo esicindezela noma esivimba umgudu wesifuba—njenge- sarcoidosis , amahlule egazi , noma i -goiter enkulu—singaholela kulesi simo.

Ubani osengozini enkulu yokuthola i-Chylothorax?

KwaNirogi Lanka , sikweluleka ukuthi ungase ube sengozini enkulu yokuthola iChylothorax ngaphansi kwezimo ezilandelayo:

• Uma usanda kuhlinzwa esifubeni sakho, entanyeni, noma esiswini , ikakhulukazi izinqubo ezihilela amaphaphu, inhliziyo, noma imithambo yegazi (ukuhlinzwa kwenhliziyo).
• Uma ulimele esifubeni noma emhlane .
• Uma unesifo esinjengomdlavuza esidala ukuvinjelwa esifubeni noma okuholela ekuqongeleleni koketshezi ohlelweni lwe-lymphatic.

Odokotela bakuthola kanjani lesi simo?

Ngemva kokubukeza izimpawu zakho kanye nomlando wezempilo, udokotela wakho uzoqinisekisa ukuxilongwa kwe-Chylothorax esebenzisa izivivinyo ezikhethekile zezithombe kanye nokuhlaziya isampula yoketshezi oluvela esifubeni sakho.

Izinqubo zokuxilonga ezivamile zifaka:

• Ukuthwebula Izithombe: Ukuze anqume ukuthi izimpawu zakho zibangelwa uketshezi oluningi esifubeni sakho, udokotela wakho kuzodingeka akubone ngeso lengqondo ingaphakathi lesifuba sakho esebenzisa i -X-ray , i-ultrasound , noma i-CT scan .
• I-Thoracentesis: Kule nqubo, udokotela ukhipha inani elincane loketshezi esifubeni sakho ukuze alithumele elabhorethri. Lokhu kusiza ekuboneni uhlobo loketshezi kanye nembangela eyisisekelo yokuvuza.
• I-Lymphangiography noma i-Lymphoscintigraphy: Lezi izivivinyo ezikhethekile ze-imaging ezisetshenziselwa ukumaka nokuhlola uhlelo lwakho lwe-lymphatic.

Yiziphi izindlela zokwelapha, futhi ingabe ziyalapheka?

Ukwelashwa kwe-Chylothorax kuncike embangela eyinhloko. Ekuqaleni, udokotela wakho angase ancome ukudla okukhethekile noma enze inqubo yokukhipha uketshezi oluningi. Uma lezi zindlela zinganele, angase alandele ukungenelela kokuhlinzwa okufana ne-'lymphangiogram kanye ne-embolization' noma ezinye izinyathelo zokuvimbela ukunqwabelana koketshezi okwengeziwe. Ukwelapha imbangela eyinhloko kuyindlela ephumelela kakhulu yokuvimbela ukuphinda kuvele.

Amasu okwelapha avamile ahlanganisa:

• Ukuphumula kwamathumbu: Ukuze imithambo ye-lymphatic (ethwala i-chyle) iphole, udokotela wakho angase anciphise ukudla ngomlomo, akunikeze ukudla okunomsoco okudingekayo nge- IV esikhundleni salokho. Lokhu kunciphisa umthwalo wokugaya ukudla emzimbeni wakho.
• Izinguquko ekudleni: Ukuze kuncishiswe umthwalo wokugaya amafutha, isazi sokudla singase sinikeze ukudla okunamafutha aphansi kakhulu noma okunamafutha ashintshiwe . Lesi yisinyathelo sesikhashana, njengoba ukuncishiswa kwamafutha anempilo isikhathi eside kungaholela ekungondleki kahle.
• Ukukhipha uketshezi: Udokotela angenza i -thoracentesisukukhipha uketshezi esifubeni sakho. Lokhu kungenziwa kanye noma kungase kuhilele ukubeka ipayipi lesifuba isikhashana. Nakuba lokhu kulawula izimpawu futhi kukusiza uzizwe ungcono ngenkathi welulama, akulungisi umonakalo ongaphansi.
• Imithi ye-Somatostatin noma i-octreotide: Le mithi inikezwa nge- IV futhi isiza ukushintsha indlela umzimba wakho omunca ngayo amafutha nezakhamzimba. Odokotela bavame ukusebenzisa lokhu kanye nezinye izindlela zokwelapha, njengokulungisa ukudla, ukuze basheshise ukululama kwakho.
• Ukubopha noma ukubopha i-Thoracic duct: Uma i-thoracic duct yakho yonakele noma ingasebenzi kahle, udokotela ohlinzayo angayibopha (ukubopha) noma ayivale ngamabomu (ukubopha). Lokhu kungalungisa umonakalo noma kuqondise kabusha uketshezi.
• I-Pleurodesis: Le nqubo yokuhlinzwa ihilela ukunamathela emaphashini akho odongeni lwangaphakathi lwesifuba, kususa ngempumelelo isikhala esingenalutho lapho uketshezi lungaqongelela khona.

Ingabe lesi simo sibi kangakanani? Ingabe singasongela ukuphila?

Uma ingelashwa, i-Chylothorax ingaba yingozi empilweni . Ngaphezu kwalokho, ngoba ivame ukuvela ezimweni zezokwelapha ezingathi sína, kubalulekile ukuhlala ngaphansi kokunakekelwa okuqhubekayo kochwepheshe bezokwelapha ukuze kuxazululwe lezo zimbangela.

Ingabe kufanele ngiqaphele ukudla engikudlayo?

Yebo. Uma une-Chylothorax, udokotela wakho angase akunike ukudla okuthile okudinga ukuthi udle kuphela ukudla okunamafutha aphansi kakhulu noma izinhlobo ezithile zamafutha .

Kwezinye izimo, ungase utshelwe ukuthi uyeke ukudla ngokuphelele isikhathi esithile, lapho uzothola khona ukwesekwa kokudla okunempilo nge- IV ukuze umzimba wakho ululame. Ngokuvamile, ungalindela ukubuyela ekudleni okuvamile phakathi nesonto noma amabili.

Kufanele ngimbone nini udokotela?

Sicela uxhumane nodokotela uma uzizwa uphelelwa umoya ngendlela engachazeki, ikakhulukazi uma une:

• Umlando wokuhlinzwa kwamuva nje.
• Ukulimala kwamuva esifubeni noma emhlane.
• Isimo sezokwelapha esaziwayo esibangela ukuvinjelwa esifubeni noma entanyeni yakho.
• Isimo esithinta uhlelo lwakho lwe-lymphatic.

Nini ukuya eGumbini Lezimo Eziphuthumayo:

Uma unenkinga yokuphefumula, ikakhulukazi uma kuhambisana nobuhlungu besifuba, hamba uye emnyangweni wezimo eziphuthumayo oseduze ngokushesha . Lokhu kungaba izimpawu zesimo esiphuthumayo sezokwelapha esisongela ukuphila.

Imibuzo Ebalulekile Okufanele Uyibuze Udokotela Wakho

Kungaba usizo kakhulu ukuxoxa ngalokhu okulandelayo nomhlinzeki wakho wezempilo:

• Iyini imbangela eyinhloko yalesi simo?
• Yiziphi izindlela zami zokwelapha ezitholakalayo?
• Ingabe kukhona izinguquko ezithile zokudla okufanele ngizilandele noma ngizigweme?
• Ingabe ikhona indlela yokuvimbela lokhu ukuthi kuphinde kwenzeke?
• Yisiphi isikhathi esilindelwe sokululama kwami?

Uyini umehluko phakathi kwe-Chylothorax ne-Pleural Effusion?

I-Pleural Effusion ibhekisela ekuqongeleleni koketshezi oluningi esikhaleni se-pleural, okuyindawo encane phakathi kwamaphaphu akho nodonga lwesifuba sakho. I-Chylothorax uhlobo oluthile lwe-pleural effusion lapho uketshezi oluvuza kulesi sikhala lubizwa ngokuthi "chyle" - uketshezi olufana nobisi, olunamafutha.

Umlayezo Wokuya Nawe Ekhaya

I-Chylothorax yisimo esingavamile kodwa esibucayi esidinga ukunakekelwa kwezokwelapha okusheshayo. Nakuba kuvame ukuba yinkinga yokuhlinzwa, noma yikuphi ukulimala noma ukuvaleka komsele wesifuba kungayibangela. Iziguli eziningi ziyalulama kahle ngokuguqulwa kokudla kwesikhashana, ukudla okunomjovo (IV), kanye nemithi. Kwezinye izimo, ukungenelela kokuhlinzwa kungadingeka. Udokotela wakho uzosebenza nawe ukuze anqume uhlelo lokwelashwa olungcono kakhulu lwezidingo zakho ezithile. Hlala unethemba, landela iseluleko sakho sezokwelapha eduze, futhi iNirogi Lanka ikufisela ukululama okusheshayo!

Amagama angukhiye: I-Chylothorax, uketshezi lwe-pleural, uketshezi lwe-lymphatic, ukuphefumula okufushane, ukuhlinzwa, amaphaphu, umsele wesifuba