Ingabe isifuba sakho sizwakala sengathi sigcwele amanzi? Kungaba yi-chylothorax!

Ingabe ngezinye izikhathi uthola kunzima ukuphefumula ngokuzumayo? Noma uzwa okuthile okusindayo noma okuqinile esifubeni sakho? Kungase kube nesizathu salokhu ongasicabangi nakancane. Namuhla sizokhuluma ngesimo sezokwelapha esingavamile kodwa esibaluleke kakhulu okufanele usiqaphele. Leso yiChylothorax . Igama lingase lizwakale lingavamile, kodwa ungakhathazeki, ake sixoxe ngakho kalula.

Kuyini i-chylothorax? Ake sikuqonde kalula.

Kalula nje, i-chylothorax ukuvuza koketshezi olukhethekile oluvela ohlelweni lwethu lwe-lymphatic , olubizwa ngokuthi i-chyle , oluya endaweni engenalutho ezungeze amaphaphu ethu. Manje ungase uzibuze, luyini lolu hlelo lwe-lymphatic, luyini lolu chyle?

Cabanga nje, imizimba yethu inenethiwekhi yemithambo yegazi, kanye nolunye uhlelo lweziteshi ezincane. Yilokho esikubiza ngokuthi uhlelo lwe-lymphatic. Lolu hlelo lususa uketshezi oluningi oluqongelela ezicutshini zomzimba wethu. Futhi, kukhona amasosha afana namaseli amhlophe egazi kule lymph. Afuna futhi abhubhise amagciwane, njengebhaktheriya namagciwane, angena emizimbeni yethu.

Manje, i-chyle uhlobo olukhethekile lwe-lymph. Yenziwe emgudwini wethu wokugaya ukudla . Yakhiwe ngamaseli amhlophe egazi namafutha avela ekudleni esikudlayo, ngakho-ke inombala wobisi. Le chyle ihamba emizimbeni yethu ngepayipi elikhethekile elibizwa ngokuthi i-thoracic duct . Ifana nepayipi. Le payipi isuka esiswini sethu, ikhuphuke ngesifuba sethu, iphindele egazini lethu entanyeni.

Kodwa, uma lo msele wesifuba wonakele ngandlela thile, lolu ketshezi lwe-chyle luqala ukuvuza. Futhi uma luvuza kanjalo futhi luqoqana esikhaleni esizungeze amaphaphu ethu, yilokho esikubiza ngokuthi i-chylothorax. Uyitholile?

Yiziphi izinhlobo eziyinhloko zalesi simo?

I-Chylothorax ingahlukaniswa ngezinhlobo ezintathu eziyinhloko:

1. I-traumatic chylothorax: Lokhu kwenzeka lapho imithambo ye-lymphatic esiswini noma esifubeni yonakele, kungaba ngengozi noma ukuhlinzwa. Cabanga ngakho ngemuva kokuhlinzwa okukhulu esifubeni.

2. I-chylothorax engahlaseli/engazenzekeli: Lokhu kwenzeka ngenxa yokuvaleka kwemithambo yethu ye-lymphatic, ubuthakathaka bezindonga zayo, noma ukunqwabelana ngokweqile koketshezi lwe-chyle kanye nokuqhekeka kwemithambo. Ngezinye izikhathi, lesi simo singavela kubantu abazalwa benokukhubazeka okuthile esifubeni. Lokhu kubizwa ngokuthi i-chylothorax yokuzalwa . Futhi, ingakhula ngisho nasezinsukwini ezimbalwa zokuzalwa.

3. I -Idiopathic chylothorax:Kulesi simo, odokotela abakwazi ukuthola imbangela eqondile yalesi simo.

Wazi kanjani ukuthi unalokhu? Ziyini izimpawu?

Uphawu oluyinhloko lwalesi simo ukuphelelwa umoya . Ungase uzizwe sengathi uyacinana futhi awukwazi ukuphefumula. Ngaphandle kwalokho, kungase kube nezinye izimpawu eziningana:

• Ukuzwa ukucindezeleka, ukuqina, noma isisindo esifubeni .
• Ukuzizwa ukhathele kakhulu njalo.
• Ukwehlisa isisindo ngokungahlosile .

Uma unezimpawu ezinjengalezi, kungcono ukufuna iseluleko sezokwelapha.

Kungani kwenzeka i-chylothorax? Yiziphi izimbangela eziyinhloko?

Eqinisweni, ukuhlinzwa kuyimbangela evame kakhulu yalokhu. Okungukuthi, i-chylothorax yangemva kokuhlinzwa. Kodwa-ke, noma yini engalimaza umgudu wesifuba, othwala uketshezi lwe-chyle, ingabangela lokho. Yilapho uketshezi lwe-chyle luvuza lusuka ohlelweni lwe-lymphatic luye esifubeni. Ezinye izimbangela yilezi:

• Ukulimala esifubeni noma emhlane: Lokhu kungaba ukulimala okungathi sína, noma ukulimala okubandakanya inxeba lesikhumba (njengenxeba lokugwazwa ngommese).
• Izimo zokuzalwa: Abanye abantu bangase babe nalesi simo lapho bezalwa, kungaba ngenxa yezinguquko ezithile zomzimba noma izimo zezokwelapha. Okusho ukuthi, kungaba ngesikhathi sokuzalwa (esizalwa) noma zingakapheli izinsuku ezimbalwa bezelwe.
• Izinhlobo ezahlukene zomdlavuza: Izinhlobo eziningi zomdlavuza zingabangela ukuvaleka noma ukulimala kwezakhiwo esifubeni, okungabangela ukuthi i-chyle ivuze. Izibonelo zifaka phakathi i-lymphoma , i-chronic lymphocytic leukemia , umdlavuza wamaphaphu , umdlavuza womphimbo , kanye ne-Kaposi sarcoma .
• Ukutheleleka: Ngezinye izikhathi ukutheleleka kungalimaza imigudu ethwala i-chyle, okubangela ukuthi uketshezi luvuze. Imbangela eyinhloko yalokhu isifo sofuba .
• Ukuvaleka: Noma yisiphi isimo esingavimba umgudu wesifuba singabangela lokhu. Izibonelo zifaka phakathi i-sarcoidosis , amahlule egazi, kanye ne-goiter .

Ubani osengozini enkulu yokuthuthukisa lokhu?

Ungase ube sengozini enkulu yokuthola i-chylothorax uma:

• Uma usanda kuhlinzwa esifubeni sakho, entanyeni, noma esiswini , ikakhulukazi emaphashini noma okuhlinzwa kwenhliziyo.
• Uma kukhona ukulimala esifubeni noma emhlane .
• Uma unomdlavuza noma isimo sezokwelapha esibangela ukuminyana kwesifuba noma ukwakheka koketshezi ohlelweni lwe-lymphatic.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Ngemva kokulalela izimpawu zakho kanye nomlando wezempilo, udokotela uzoqinisekisa ukutholakala kwe-chylothorax ngokwenza izivivinyo ezikhethekile zezithombe nokuhlola isampula yoketshezi oluvela esifubeni sakho.

Ezinye zezivivinyo ezenziwe ngalokhu yilezi:

• Ukuthwebula Izithombe: Ukuze kutholakale ukuthi izimpawu zakho zibangelwa uketshezi oluningi esifubeni sakho, udokotela wakho kuzodingeka athathe izithombe zengaphakathi lesifuba sakho. Lokhu kungafaka phakathi ama-X-ray , ama-ultrasound , noma ama-CT scan .
• I-Thoracentesis: Lokhu kuhilela udokotela wakho ukuthatha inani elincane loketshezi esifubeni sakho bese eluthumela elabhorethri ukuze afunde kabanzi ngokuthi uketshezi lubukeka kanjani nokuthi kungani luvuza.
• I-Lymphangiography noma i-lymphoscintigraphy: Lezi izivivinyo ezikhethekile zezithombe ezibheka uhlelo lwakho lwe-lymphatic.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungelapheka?

Ukwelashwa kwe-chylothorax kuncike embangela. Okokuqala, udokotela wakho angase akunikeze ukudla okukhethekile noma akhiphe uketshezi esifubeni sakho. Uma lokhu kungasebenzi, kungadingeka uhlinzwe ukuze kumiswe ukuvuza (i-lymphangiogram kanye ne-embolization) noma enye inqubo yokuvimba uketshezi ukuthi lungaphinde luqongelelane. Ukwelapha imbangela eyisisekelo kuyindlela engcono kakhulu yokuvimbela ukuthi luphinde lwenzeke.

Ezinye zezindlela ezikhethekile zokwelapha lokhu yilezi:

• Ukuphumula kwamathumbu: Uhlelo lwakho lwe-lymphatic, oluthwala i-chyle, ludinga ukuphumula ukuze luphulukiswe. Ngenxa yalokhu, udokotela wakho uzoyeka ukukunika ukudla okunempilo ngokuphelele futhi akunike ukudla okunomsoco okudingekayo ngendlela ye-saline (`IV`). Lokhu kuzovumela uhlelo lwakho lokugaya ukudla ukuthi lusebenze kanzima ukugaya ukudla.
• Izinguquko ekudleni: Ukuze unciphise inani lamafutha okufanele umzimba wakho ugaye, isazi sokudla singakufaka ekudleni okunamafutha aphansi kakhulu noma okunamafutha ashintshiwe . Lokhu kungokwesikhashana nje. Ukunciphisa amafutha anempilo ngale ndlela isikhathi eside kakhulu kungaholela ekungondleki kahle.
• Ukukhipha uketshezi: Udokotela angasusa uketshezi esifubeni sakho esebenzisa i-thoracentesis . Lokhu kungenziwa ngesikhathi esisodwa, noma ipayipi lesifuba lingafakwa isikhathi esifushane. Nakuba lokhu kukodwa kungeke kuphulukise umonakalo, kungasiza ekunciphiseni izimpawu ngenkathi umzimba wakho ululama.
• Imithi ye-Somatostatin noma i-octreotide: Le yimithi enikezwa nge-IV. Isebenza ngokushintsha indlela umzimba wakho omunca ngayo amafutha nezakhamzimba. Ngezinye izikhathi odokotela bayayisebenzisa kanye nezinye izindlela zokwelapha, njengokushintsha ukudla, ukusiza umzimba wakho ululame ngokushesha.
• Ukubopha noma ukubopha i-Thoracic duct: Uma i-thoracic duct yakho yonakele noma ingasebenzi kahle, udokotela angayibopha ngokuhlinzwa (ukubopha) noma ayivale ngamabomu (ukubopha). Lokhu kungalungisa umonakalo noma kuqondise kabusha uketshezi ukuze lungavuzi.
• I-Pleurodesis: I-Pleurodesis inqubo yokuhlinzwa enamathisela amaphaphu akho odongeni lwesifuba, isusa isikhala esifubeni sakho lapho uketshezi luqoqana khona.

Ingabe lesi simo siyingozi kangakanani? Ingabe sisongela ukuphila?

I-Chylothorax ingaba yingozi empilweni uma ingelashwa kahle . Ingabangelwa nayizimo zezempilo ezingathi sína. Ngakho-ke, ukwelashwa okuqhubekayo kwalesi simo esiyisisekelo kungadingeka.

Ingabe udinga ukuqaphela ngokudla nokuphuza?

Yebo, uma une-chylothorax, udokotela wakho angase akunike ukudla okukhethekile. Lokhu kusho ukudla ukudla okunamafutha aphansi kakhulu noma okuqukethe izinhlobo ezithile zamafutha .

Ungase ucelwe ukuthi uyeke ukudla ngokuphelele. Uma lokho kwenzeka, uzothola umsoco owudingayo nge-IV. Lokhu kuzonikeza umzimba wakho isikhathi sokululama. Kodwa-ke, kufanele ukwazi ukudla ngendlela evamile futhi cishe ngesonto elilodwa noma amabili.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma uphelelwa umoya ngendlela engachazeki, bona udokotela. Ikakhulukazi uma:

• Uma usanda kuhlinzwa.
• Uma usanda kulimala esifubeni noma emhlane.
• Uma unesimo sezempilo esibangela ukuvaleka kwesifuba noma intamo.
• Uma unesifo esithinta uhlelo lwakho lwe-lymphatic.

Nini ukuya e-Emergency Treatment Unit (ETU) :

Uma unenkinga yokuphefumula, ikakhulukazi uma uzwa ubuhlungu esifubeni, hamba uye ekamelweni lezimo eziphuthumayo eliseduze ngokushesha . Lokhu kungaba uphawu lwesimo esisongela ukuphila.

Imibuzo ebalulekile okufanele uyibuze udokotela

Kungaba usizo ukubuza udokotela wakho le mibuzo:

• Yini ebangela lesi simo kimi?
• Yiziphi izindlela zokwelapha enginazo?
• Yikuphi ukudla neziphuzo okufanele ngikudle/ngingakudli?
• Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki futhi?
• Kuzongithatha isikhathi esingakanani ukuthi ngilulame?

Uyini umehluko phakathi kwe-Chylothorax ne-Pleural Effusion?

I-Pleural effusion yinoma yikuphi ukuqongelela koketshezi esikhaleni se-pleural (isikhala esiphakathi kwamaphaphu nodonga lwesifuba). I -Chylothorax uhlobo olukhethekile lwe-pleural effusion. Kuwukuvuza kwe-chyle esikhaleni se-pleural.

Umyalezo Wokugcina Wokuya Nasekhaya

I-Chylothorax yisimo esingavamile kodwa esingasongela impilo uma singalashwa. Ukuhlinzwa kuyimbangela evame kakhulu. Kodwa-ke, kungabangelwa yinoma yini evimba noma elimaza umgudu wesifuba. Iningi labantu lingasilapha ngempumelelo lesi simo ngokushintsha ukudla kwesikhashana, ukudla okunomsoco we-IV, kanye nemithi. Abanye abantu bangadinga ukwelashwa ngokuhlinzwa. Udokotela wakho uzokhuluma nawe ngezinketho zokwelapha ezikulungele. Ngakho-ke, ungesabi, futhi ulandele imiyalelo kadokotela wakho. Ngikufisela ukululama okusheshayo!

I- Chylothorax, amanzi esifubeni, uketshezi lwe-lymph, ubunzima bokuphefumula, ukuhlinzwa, amaphaphu, umsele wesifuba