He aha ka Chylothorax a he aha nā kumu nui

Anter

• He aha nā kumu
• Pehea e hana ai i ka lāʻau
• Pehea e ʻike ai

Kū aʻe ʻo Chylothorax ke loaʻa kahi hōʻiliʻili o ka lymph ma waena o nā papa e kau i nā māmā, i kapa ʻia ʻo pleurae. Hoʻokomo pinepine ka lymph i kēia wahi ma muli o kahi leona i loko o nā kīʻaha lymphatic o ka umauma, i hiki ke hana ʻia ma muli o nā kumu e like me trauma, ʻeha, maʻi ʻaʻa a ma muli paha o ka hoʻololi kūlohelohe i ka anatomy o ka hānau hou.

Hiki i ka Chylothorax ke hana i nā hōʻailona a me nā ʻōuli e like me ka pōkole o ka hanu, ka ʻeha o ka umauma a me ka uha paha, a ua hana ʻia ka lapaʻau e ka pulmonologist a i ʻole ke kauka lāʻau, ʻo ia ka mea e hoʻopili ai i ka hoʻokēʻai ʻana a i ʻole ka hoʻohana ʻana i nā lāʻau e hōʻemi ai i ka hana o ka wai i nā kīʻaha lymphatic, i hoʻohui i ka kahe. o ka wai a me ka ʻoki kino o ka ʻāina e hoʻoponopono i ke kumu.

ʻO ka hōʻiliʻili o kekahi mea i waena o ka pleura i kapa ʻia he pleural effusion, a ʻo ka chylothorax ka mea liʻiliʻi loa o kēia pilikia, a hiki ke hana ʻia ma muli o ka hōʻiliʻili ʻana o nā wai, ke koko, ka pus a me ka ea, no ka laʻana. Maopopo ka maikaʻi o ke ʻano o ka pleural effusion a pehea e hana ai.

He aha nā kumu

ʻO ka maʻamau, kū mai kahi chylothorax ma muli o ka ālai a i ʻole ka paʻakikī me ke kahe o ka lymph i loko o nā kīʻaha lymphatic, a me nā liona i loko o kēia mau moku a i ʻole nā ​​malformations congenital o kāna anatomy. ʻO nā kumu nui:

• ʻO ka hōʻeha i ka umauma, ma muli o nā ulia pōpilikia, hāʻule, ʻeha mau mea kaua a i ʻole ʻoki kino;
• ʻO nā kumu kūlohelohe, e like me ka atresia o ke kīʻaha kūpikipiki, fistula congenital o ke kīʻaha kūpona, deformities i loko o nā kīʻaha lymph a i ʻole kahi hahau i ka wā o ka hānau ʻana o ka pēpē;
• ʻO nā Tumign Benign a malignant paha. E nānā pehea e ʻike ai i ka maʻi ʻaʻai lymphatic;
• Trombosis Venous;
• Nā maʻi e hoʻopili i nā ala lymphatic, e like me ka filariasis, lymphadenitis tuberculous a i ʻole lymphangitis. Hoʻomaopopo i ke ʻano o ka filariasis, kahi maʻi i ʻike ʻia he elephantiasis;
• Aneurysm ʻaʻano;
• Nā maʻi e hōʻiliʻili i nā kinona e like me amyloidosis a i ʻole sarcoidosis,

ʻO nā kumu ʻē aʻe e pili ana i ka pancreatitis, ka cirrhosis o ke ake a i ʻole nā ​​syndrome ʻē aʻe e hoʻopilikia i ke koko a me ka holo ʻana o ka lymphatic.

Loaʻa ka inoa chylothorax mai ka waiū waiū i loaʻa i ka wai o nā kīʻaha lymphatic, kahi hopena o ka momona nui i loaʻa i loko o kāna haku ʻana, ʻoiai e komo ana nā ipu lymphatic i ka ʻāpana o ka momona mai ka meaʻai i loko o nā ʻōpū.

He mau hana nui ko nā moku Lymphatic i loko o ke kino, mai ke komo ʻana o ka wai kahe mai nā kino o ke kino, ke komo ʻana o ka pane pale a me ka lawe ʻana i nā momona. ʻO nā moku nui a nui loa o kēia ʻano ka aʻa o ka thoracic, aia ma ka hema a me ke kaula lymphatic ma ka ʻākau o ka umauma. E aʻo hou e pili ana i ka hana a me ke koʻikoʻi o ka ʻōnaehana lymphatic.

Pehea e hana ai i ka lāʻau

Hōʻike ʻia ka lapaʻau Chylothorax e ka pulmonologist a komo pū me nā ala e hōʻemi ai i ka hana o nā wai i nā kīʻaha lymphatic, e like me ka ʻai momona momona, ka hoʻokē ʻai ʻana, ma o nā catheters wale nō i nā uaua a hoʻohana ʻana paha i nā lāʻau e like me Somatostatin a i ʻole Octreotide. hoʻēmi i nā huna digestive.

Hōʻike ʻia ka Chemotherapy a i ʻole ka radiation therapy e mālama i nā tumors a i ʻole nā ​​nodule e ālai ana i ke kahe o nā kīʻaha lymphatic. Hana ʻia ke kaha me ke kahe wai a me nā hoʻoponopono i nā loli i nā kahe lymphatic e pono ai i nā hihia kahi i lawa ʻole ai ka lāʻau lapaʻau.

Pehea e ʻike ai

Nā ʻōuli i hiki ke ala aʻe ma muli o kahi pneumothorax e komo pū ana:

• Ka pōkole o ka hanu;
• ʻEha o ka umauma;
• Hanu wikiwiki;
• Cough;
• Puʻuwai wikiwiki;
• E kulu i ke kaomi koko.

Hiki i kahi X-ray umauma ke hōʻike i kahi o ka hōʻiliʻili wai, akā naʻe, hōʻoia wale ʻia ka chylothorax ma hope o ka ninini ʻia ʻana o kahi wai o kēia wai, i kahi hana olakino i kapa ʻia ʻo thoracentesis, e hōʻike ana i kahi wai waiū a e nānā ʻia i ka hale hana hoʻokolohua.

ʻO nā hoʻokolohua ʻē aʻe i hiki ke hana ʻia e kōkua i ke kuhi ʻana me ka ultrasound umauma, MRI, a i ʻole lymphography duct thoracic, e laʻa me nā mea ʻē aʻe e ʻimi i ka leona a hoʻokaʻawale iā ia mai nā kumu ʻē aʻe.