Gịnị bụ Chylothorax na ihe bụ isi na-akpata

Ndinaya

• Kedu ihe kpatara ya
• Otu esi eme ọgwụgwọ ahụ
• Otu esi amata

Chylothorax na-ebilite mgbe enwere lymph n'etiti ngwakọta nke na-eme ka ngụgụ, nke a na-akpọ pleurae. Lymph na-agbakọtakarị na mpaghara a n'ihi ọnya dị na arịa lymphatic nke obi, nke nwere ike ime n'ihi ihe kpatara ya dịka trauma, tumor, ọrịa ma ọ bụ n'ihi mgbanwe mgbanwe mmekọrịta na anatomi nke nwa amụrụ ọhụrụ.

Chylothorax nwere ike ibute ihe ịrịba ama na mgbaàmà dịka mkpụmkpụ ume, mgbu obi ma ọ bụ ụkwara, na ọgwụgwọ ahụ bụ site na pulmonologist ma ọ bụ dọkịta na-awa ahụ, nke nwere ike ịgụnye ibu ọnụ ma ọ bụ iji ọgwụ eme ihe iji belata mmepụta nke mmiri n'ime arịa lymphatic, na nke mmiri na ịwa ahụ nke mpaghara ahụ iji dozie ihe kpatara ya.

A na-akpọ nchịkọta nke ihe ọ bụla dị n'etiti pleura a pleural effusion, na chylothorax bụ obere ụdị nsogbu a, nke nwekwara ike ime n'ihi nchịkọta nke mmiri, ọbara, pus ma ọ bụ ikuku, dịka ọmụmaatụ. Ghọta nke ọma ihe nkwanye ụda bụ na otu o si eme.

Kedu ihe kpatara ya

N'ozuzu, chylothorax na-ebili n'ihi mgbochi ma ọ bụ ihe isi ike na nsị nke lymph na arịa lymphatic, yana ọnya na arịa ndị a ma ọ bụ nkwarụ congenital nke anatomy. Ihe kpatara ya gụnyere:

• Nsogbu na obi, n'ihi ihe ọghọm, ọdịda, mmerụ ọgụ ma ọ bụ ịwa ahụ;
• Ihe na-ebute ọrịa, dịka atresia nke eriri thoracic, fistula congenital nke eriri thoracic, nrụrụ na arịa lymph ma ọ bụ ọbụlagodi ịfụfụ mgbe a na-amụ nwa ahụ;
• Ọrịa ma ọ bụ ajọ njọ. Lelee otu esi amata ọria kansa lymphatic;
• Ọkpụkpụ Venous;
• Ọrịa na-emetụta ụzọ lymphatic, dị ka filariasis, tuberculous lymphadenitis ma ọ bụ lymphangitis. Ghọta otú filariasis si apụta, ọrịa a makwaara dị ka elephantiasis;
• Aortic ọbara;
• Ọrịa nke na-akpata nchịkọta nke anụ ahụ dịka amyloidosis ma ọ bụ sarcoidosis,

Ihe ndị ọzọ gụnyere pancreatitis, imeju cirrhosis ma ọ bụ syndromes ndị ọzọ na-emebi ọbara ma ọ bụ mgbasa lymphatic.

Aha chylothorax sitere na mmiri ara ehi nke mmiri mmiri nke arịa lymphatic nwere, nke bụ n'ihi oke abụba dị na ngwakọta ya, ebe ọ bụ na arịa lymphatic na-enweta akụkụ nke abụba site na nri n'ime eriri afọ.

Arịa Lymphatic nwere ọrụ dị mkpa na ahụ, sitere na nmịnye nke oke mmiri site na anụ ahụ, ntinye nke nzaghachi na mbubata abụba. Vesselsgbọ ndị bụ isi na ndị kachasị ukwuu nke ụdị a bụ eriri thoracic, nke dị n'aka ekpe na eriri lymphatic nke dị n'aka nri nke obi. Mụtakwuo banyere otu o si arụ ọrụ na mkpa sistemụ lymph.

Otu esi eme ọgwụgwọ ahụ

Ọrịa pulmonologist gosipụtara ọgwụgwọ Chylothorax ma gụnye ụzọ iji belata mmepụta nke mmiri mmiri na arịa lymphatic, dịka site na nri na-abụchaghị abụba, na-ebu ọnụ, na-eri nri naanị site na catheters na veins ma ọ bụ na-eji ọgwụ ndị dị ka Somatostatin ma ọ bụ Octreotide, nke na-eme ihe na-emelata ihe ndozi nri.

A pụrụ igosi ọgwụgwọ ma ọ bụ ọgwụgwọ radieshon iji gwọọ etuto ma ọ bụ nodules nke na-egbochi mmụba nke arịa lymphatic. Surwa ahụ nke ejiri mmiri drainage ma ọ bụ mmezi na mgbanwe nke eriri lymphatic nwere ike ịdị mkpa na ikpe ebe ọgwụgwọ na-ezughị ezu.

Otu esi amata

Mgbaàmà ndị nwere ike ibilite n'ihi pneumothorax gụnyere:

• Iku ume dị mkpụmkpụ;
• Obi mgbu;
• Na-eku ume ngwa ngwa;
• Kwara;
• Heartgba obi ngwa ngwa;
• Idebe na ọbara mgbali.

Igwe X-ray nwere ike igosi mpaghara nke mmiri mmiri, Otú ọ dị, a na-egosi chylothorax nanị mgbe a mụsịrị ihe atụ nke mmiri a, na usoro ọgwụgwọ a na-akpọ thoracentesis, nke na-egosi mmiri mmiri ara ehi ma a ga-enyocha ya laabu.

Nyocha ndị ọzọ enwere ike ịme iji nyere aka nchoputa gụnyere obi ultrasound, MRI, ma ọ bụ thoracic duct lymphography, dịka ọmụmaatụ, nke na-enyere aka ịchọta ọnya ahụ na iche ya na ihe ndị ọzọ.