Uyazi ngaleli payipi elide elingaphakathi esifubeni sethu? (Ipayipi Lesifuba) - Ake sifunde imininingwane!

Namuhla sizokhuluma ngomsele omncane emzimbeni wethu esingakhulumi kakhulu ngawo, kodwa udlala indima ebaluleke kakhulu. Ufana nendlela eyimfihlo emzimbeni wethu, eyenza umsebenzi wayo buthule. Wake wezwa ngaleli gama elithi `(Thracic Duct)`? Mhlawumbe akunjalo. Kodwa uzomangala ukwazi ukuthi libaluleke kangakanani emzimbeni wethu!

Iyini i-Thoracic Duct?

Kalula nje, i-Thracic Duct yakho iyisitsha esikhulu se-lymphatic emzimbeni wakho . Cabanga ngayo njengesakhiwo eside esifana ne-tube esisuka esiswini sakho sikhuphukele esifubeni sakho. Njengomnyango omkhulu, le Thoracic Duct ixhuma emithanjeni emikhulu entanyeni yakho. Yilokhu okuvumela i-lymph, uketshezi olubizwa ngokuthi i-lymph, ukuthi lubuyele egazini lethu futhi luhambe emzimbeni wethu wonke.

Kunezindlela ezimbili eziyinhloko ezisiza ukubuyisela uketshezi lwe-lymph egazini. Enye yi-Thoracic Duct. Enye yi -Right Lymphatic Duct . Uketshezi lwe-lymph oluvela engalweni yakho yesokudla, ohlangothini lwesokudla lwentamo yakho, ohlangothini lwesokudla lwekhanda lakho, kanye nohlangothi lwesokudla lwesifuba sakho lubuyela egazini nge-Right Lymphatic Duct. Ukusuka kwenye indawo, okungukuthi:

• Ngakwesobunxele sekhanda lakho, intamo, kanye nesifuba
• Kusukela endaweni yakho yonke yesisu
• Ngemilenze yakho yomibili

Uketshezi lwe-lymph oluqoqiwe luthwalwa yilo `(i-Thoracic Duct)`. Bheka ukuthi lo mzila umboza indawo enkulu kangakanani!

Kwenzekani kulo msele wesifuba?

I-Thracic Duct yakho iqoqa uketshezi lwe-lymph oluvela eziteshini eziningi ezincane ze-lymph emzimbeni wakho. Bese ihambisa lolu ketshezi lwe-lymph oluqoqiwe ohlelweni lwakho lokujikeleza kwegazi. Lokhu kusiza ukugcina amazinga oketshezi anempilo emzimbeni wakho futhi kusiza nokuhlunga imikhiqizo engcolile.

Indlela I-Lymph Ehamba Ngayo

Cabanga ukuthi lokhu kwenzeka kanjani.

1. Okokuqala, i-lymph igeleza isuka 'emithanjeni ye-lymphatic' emincane kakhulu iye emithanjeni ye-lymph emikhudlwana kancane.

2. Le mithambo emikhulu ye-lymph - ngezinye izikhathi ebizwa ngokuthi "imifula" - ihlangana ndawonye "emgudwini wakho we-Thoracic". Kufana nochungechunge lwezindlela ezincane ezihlangana ndawonye ukuze zakhe umgwaqo omkhulu. "I-Thoracic Duct" yakho yileyo ndlela.

3. Okulandelayo, i-Thoracic Duct ithwala lolu ketshezi lwe-lymph phezulu ize ifike endaweni ebizwa ngokuthi i-Lymphovenous Junction (LVJ) . Yilapho i-Thoracic Duct ixhuma khona nomthambo noma imithambo ohlangothini lwesobunxele lwentamo yakho.

4. Njengomgwaqo omkhulu, i-lymph igeleza isuka ku-Thoracic Duct iye emithanjeni. Ukusuka lapho, ihamba emzimbeni wakho wonke njengengxenye ye -Plasma yakho.

Ubuwazi ukuthi nsuku zonke, cishe amalitha amathathu oketshezi lwe-lymph ayengezwa ohlelweni lokujikeleza kwegazi nge-`(Thoracic Duct)` yakho. Lokhu futhi kunohlobo olukhethekile lwe-lymph olubizwa ngokuthi `(Chyle)` . Le `(Chyle)` yenziwe ngamafutha (ama-lipid).Uhlobo lwe-lymph olucebile ngezakhamzimba. Luvela ohlelweni lwakho lokugaya ukudla. Nakuba uketshezi lwe-lymph kwezinye izingxenye zomzimba luvame ukucaca, lolu `(Chyle)` lumhlophe njengobisi.

Ikuphi i-thoracic duct?

I-Thracic Duct yakho itholakala phakathi kwesifuba sakho. Iseduze ne-Aorta yakho, i-Esophagus , kanye ne-Spine . Iqala phezulu komgogodla wakho we-lumbar (phakathi kwe-T12 kanye ne-L2 vertebrae kubantu abaningi). Yilapho iziteshi eziningana ze-lymph, okuhlanganisa nalezo ezithwala i-lymph kusuka emilenzeni nasemathunjini akho, zihlangana khona. Ngezinye izikhathi lezi ziteshi zihlangana ndawonye ukuze zakhe isakhiwo esifana nesikhwama esibizwa ngokuthi i-cisterna chyli .

Ukusuka lapho, i-Thoracic Duct iya phezulu. Njengoba ihamba esifubeni sakho (esifubeni), ilandela indlela efanayo nentambo yomgogodla. Endleleni, ihlanganiswa neminye imigudu ye-lymphatic. Njengoba isondela entanyeni yakho, iyagoba futhi yakhe i-arch ehamba ngaphezu kwe -collarbone yakho. Bese igoba phansi futhi ijoyine umthambo noma imithambo esifubeni sakho esingaphezulu.

Umgodi wesifuba uvaleka futhi uqoqeka kuphi?

Indawo eqondile yalolu ketshezi lwe-lymph ingahluka kuye ngomuntu nomuntu. I-Thoracic Duct yakho ingase ixhumeke ekuhlanganeni kwe -Left Subclavian Vein yakho kanye ne-Left Internal Jugular Vein . Noma, ingase ixhumeke komunye wale mithambo eduze kakhulu, lapho ihlangana khona. Ngezinye izikhathi, ingase ixhumeke ku-Left External Jugular Vein .

Kwabaningi abantu, i-Thoracic Duct ixhumana ngqo nomthambo. Kodwa-ke, kunezindlela ezahlukene. I-Thoracic Duct ingahluma futhi ibuye ihlangane ukuze yakhe umsele owodwa wokugcina. Noma, ingahlukana ibe imisele emibili evulekela emithanjeni yakho ngokwehlukana.

Ungase ungadingi ukwazi yonke imininingwane mayelana `(ne-Thoracic Duct)`. Kodwa-ke, abahlinzeki bezempilo, okungukuthi, odokotela, bakhathazekile ngalokhu lapho benza izinqubo ezithile zezokwelapha kanye nokuhlinzwa.

Yakhiwa kanjani i-thoracic duct?

I-Thracic Duct yakho ibunjwe njengepayipi. Ineziteshi eziningi ezincane ze-lymph ezixhunywe kuyo. Izindonga ze-Thracic Duct zakhiwe ngezingqimba ezintathu. Lezi zibizwa ngokuthi i-Intima , i-Media, kanye ne-Adventitia . Ingqimba ephakathi (i-media) inezicubu zemisipha ezibushelelezi ezifinyela ngendlela elawulwayo . Yilokhu okugcina i-lymph ihamba ngendlela efanele.

Njengoba i-lymph igeleza kulo msele, ihlangana nama-valve ezindaweni ezahlukene. Ukuvulwa nokuvalwa kwala ma-valve kusiza kakhulu ukuthi i-lymph igeleze endleleni yayo.

Cabanga ngakho njengepayipi elivumela amanzi ukuthi ageleze ohlangothini olulodwa kuphela. Ivalvu iyalivala futhi ivimbele uketshezi ukuthi lugeleze emuva.

Umsele wakho wesifuba uphakathi kwamasentimitha angu-38 no-45 ubude. Ububanzi bawo, noma ububanzi bomsele, buyahlukahluka phakathi kwamasentimitha angu-2 no-5 ubude bawo.

Yiziphi izifo ezingathinta i-thoracic duct?

Kunezimo ezithile ezingabangela ukuthi i-Thracic Duct yakho ingasebenzi kahle. Lezi zifaka:

• Ukuvuza kwe-Chyle: Lokhu kwenzeka lapho uketshezi lwe-lymph olunamafutha (i-Chyle) luphuma ku-Thoracic Duct lungene ezicutshini ezizungezile. Lolu hlobo lokuvuza lungenzeka njengenkinga yokuhlinzwa noma ngenxa yokulimala .
• I-Chylothorax: Lolu uhlobo oluthile lokuvuza. Yilapho uketshezi (chyle) lungena khona esikhaleni esizungeze amaphaphu akho. Lolu uhlobo lwesimo esibizwa ngokuthi i-pleural effusion . Lokhu kungabangela ukuphelelwa umoya, ukuqina kwesifuba, kanye nokukhathala.
• Ukuvaleka Kwamathumbu: Ngezinye izikhathi i-Thracic Duct ingase ingakhuli kahle ekuzalweni. I-duct ingase ivaleke ngaphambi kwesikhathi noma ingavuleki iye emthanjeni. Lokhu kuvimbela ukugeleza kwegazi. Lesi simo sivame ukubonakala ezinganeni ezinesifo senhliziyo esibi sokuzalwa.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kuncike esimweni, kodwa kungafaka:

• Ukwenza izinguquko zesikhashana ekudleni okudlayo.
• Imithi.
• Inqubo yokususa uketshezi (isibonelo , i-thoracentesis ).
• Ukubopha Amapayipi Esifuba (DLL)
• Inqubo yokuvimba ngamabomu umsele (i-Thoracic Duct Embolization) .

Udokotela wakho uzokutshela okwengeziwe ngalokho ongakulindela kuye ngesimo sakho.

Uma uhlinzwa esifubeni noma esiswini sakho, udokotela wakho uzokutshela uma kungenzeka ukuthi umgudu wakho wesifuba ungase wonakale. Bazochaza nokuthi yiziphi izimpawu okufanele uziqaphele ngesikhathi ululama.

Into ebaluleke kakhulu okudingeka siyifunde kulokhu

I-Thracic Duct yakho ingenye nje yezingxenye eziningi zomzimba wakho ezisebenza buthule ngemuva kwezigcawu, zisiza umzimba wakho ukuthi usebenze nsuku zonke. Uma ufuna ukukhombisa i-Thracic Duct yakho, kuzodingeka udwebe umugqa osuka esiswini sakho uye esifubeni sakho esingaphezulu. Ibukeka njengepayipi elide, kodwa idlala indima ebaluleke kakhulu ohlelweni lwakho lwe-lymphatic.

Ngenxa yokuthi ihamba ibanga elide kangaka, kungase kubonakale sengathi kunethuba elikhulu lokulimala ku-`(Thoracic Duct)`, kodwa umonakalo onjalo empeleni awuvamile kangako. Uma kwenzeka into efana naleyo, odokotela bakho bakulungele ukuyelapha.

Ngakho-ke, ukuqaphela leli payipi elincane, kodwa elinamandla kakhulu kuzokusiza uqonde esinye isici sokusebenza okumangalisayo kwemizimba yethu!

Uhlelo lwe-lymphatic, i-thoracic duct, isakhiwo somzimba, ama-gill, imithambo ye-lymphatic, ukujikeleza kwegazi, ama-lymph node