Sɛ mogya a ɛkɔ akyi berɛmo no mu no gyae a, dɛn na ɛba? (Splenic Infarction) Ɛyɛ dɛn? Momma yɛnkasa!

So woanya ɛyaw a emu yɛ den mpofirim wɔ benkum atifi yafunu no mu pɛn? Ebia atiridii ne akisikuru ka ho? Ebia biribi wɔ saa sɛnkyerɛnne ahorow yi akyi a ɛtɔ mmere bi a yensusuw ho mpo. Ɛno yɛ saa tebea horow a ɛntaa nsi nanso ɛho hia a ɛsɛ sɛ wohu no mu biako, a ɛno ne nea yɛbɛka ho asɛm nnɛ (Splenic Infarction) . Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa.

Dɛn ne (Splenic Infarction)? Momma yɛnte ase kɛkɛ?

Okay, di kan ma yɛnhwɛ nea spleen no yɛ, baabi a ɛwɔ, ne nea ɛyɛ. Saa akwaa ketewaa a wɔfrɛ no akisikuru yi wɔ yɛn yafunu no benkum so, na ɛbɛn yafunu no kakra. Ɛwom sɛ ɛyɛ ketewaa de, nanso ne som no sõ. Ɛyɛ adwuma te sɛ nea wɔde yiyi mu . Ɛtew mogya a efi yɛn koma mu ba no ho, kyerɛ sɛ, eyi nneɛma te sɛ mogya mu nkwammoaa kɔkɔɔ dedaw fi mogya no mu. Ɛsan nso sie mogya bi. Ade foforo a ɛho hia ne sɛ ɛboa ma yɛbɔ yɛn nipadua ho ban fi nyarewa ho, kyerɛ sɛ, efi mmoawa ho . Ɛyɛ nipadua no mu tumi a ɛko tia nyarewa no fã titiriw. Enti susuw ho hwɛ, sɛ ahurututu a ɛyɛ adwuma a ɛho hia saa no nnya mogya a ɛdɔɔso a, dɛn na ɛba? Te sɛ dua anaa afifide bi hwere nsu no, ewu nkakrankakra. Sɛ mogya a ɛkɔ akyi berɛmo no afã horow bi gyae a, saa ntini ahorow no wuwu a mframa pa ne aduannuru nni mu. Ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu (Splenic Infarction) . Sɛ yɛbɛka no tiawa a, akyi berɛmo no fã bi ntumi nyɛ adwuma yiye, anaasɛ "asɛe." Eyi yɛ tebea a ɛntaa nsi koraa ankasa. Ɛnto obiara. Nanso sɛ ɛba saa a, ebetumi ayɛ aduruyɛ mu tebea foforo a ɛda adi ho sɛnkyerɛnne. Sɛ nhwɛso no, ebetumi ayɛ yare a emu yɛ den te sɛ mogya mu kokoram , komayare , anaa ɔhaw bi a ɛwɔ dwensɔtwaa mu ho sɛnkyerɛnne. Eyi a wobɛte no betumi ama wosuro kakra na woayɛ basaa. Nanso, saa yare a wohu yi ne ade a edi kan na ɛho hia sen biara a ɛbɛma woanya ayaresa a wuhia. Enti ɛho hia sɛ wommɔ hu.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya akisikuru?

Nsɛnkyerɛnne ahorow pii wɔ hɔ a ɛda adi wɔ tebea yi mu. Nanso, saa sɛnkyerɛnne ahorow yi mma obiara wɔ ɔkwan koro so.

• Nsɛnkyerɛnne titiriw: Eyi ho sɛnkyerɛnne titiriw ne mpɛn pii no nea edi kan ne yafunu mu yaw a emu yɛ den mpofirim. Wɔtaa te eyi nka wɔ yafunu no benkum so atifi. Wɔ nnipa binom mu no, ɛyaw yi tumi trɛw kɔ benkum mmati nso. Nnipa binom nso ka ho asɛm sɛ ɛyaw a ano yɛ nnam, te sɛ sekan a wɔde sekan.
• Atiridii: Nipadua no betumi ayɛ hyew na atiridii betumi aba.
• Akisikuru ne ɔfe : Ebia wobɛte nka sɛ wo yare akosi wo yafunu mu na woate nka sɛ wobɛfe.

Mma nnyɛ ntɛm nsusuw sɛ eyi yɛ (Splenic Infarction) bere a wuhu saa sɛnkyerɛnne ahorow yi no. Efisɛ saa sɛnkyerɛnne ahorow yi betumi aba wɔ nyarewa afoforo nso mu. Nanso, titiriwSɛ wowɔ ɛyaw a emu yɛ den mpofirim wɔ benkum so yafunu no mu a , ɛnyɛ papa sɛ wubebu w’ani agu so.

Dɛn nti na eyi (Splenic Infarction) ba? Dɛn na ɛde ba?

Afei ma yɛnhwɛ nea ebetumi ama mogya a ɛkɔ akyi berɛmo mu no so atew anaasɛ agyae. Ntease ahorow pii betumi aba:

• Mogya mu kokoram : Mogya mu kokoram ahorow bi betumi afi tebea yi mu aba . Sɛ nhwɛso no, kokoram te sɛ (Leukemia), (Lymphoma), (Myelofibrosis), ne ( Polycythemia Vera ) betumi aka mogya ntini a ɛde mogya kɔ ahurututu mu no.
• Mogya a ɛtwetwe : Nnipa binom wɔ tebea horow a ɛma wɔn mogya tu ntɛmntɛm. Sɛ nhwɛso no , tebea horow te sɛ Protein C a enni nipadua no mu, Protein S a enni nipadua no mu, ne Sickle Cell Anemia . Eyinom betumi ama mogya atɔw, na ebetumi atu kwan na asiw mogya ntini a ɛde mogya kɔ akyi berɛmo no mu no ano. Ɛte sɛ efĩ asinasin bi a ɛkyekyere nsu paipu mu.
• Koma mu yare: Koma mu nyarewa bi betumi ama mogya atɔ na akɔto mogya ntini a ɛkɔ akyi berɛmo no mu no mu. Nhwɛso ahorow bi ne atrial fibrillation (koma a ɛbɔ a ɛnteɛ), congestive heart failure (tebea a ɛma koma no yɛ mmerɛw), ne infective endocarditis (yare mmoawa a ɛwɔ koma no mu).
• Nyarewa a wɔde yare mmoawa ba: Splenic infarction nso betumi aba sɛ ɔhaw a efi nyarewa bi a emu yɛ den a ɛde ɔyare ba mu ba. Nhwɛsoɔ bi ne Babesiosis (yareɛ a ɛfiri ɔyare mmoawa bi mu), COVID-19 , Malaria, ne Mononucleosis (a wɔsan frɛ no "afew yareɛ").
• Pancreatic disorders: Pancreas yɛ akwaa foforo a ɛho hia wɔ yɛn yafunu mu. Nyarewa bi a ɛwɔ dwensɔtwaa mu, te sɛ dwensɔtwaa mu yare (dwensɔtwaa mu yare, a ɛyɛ tebea a ɛma obi hohoro) ne akisikuru bi a ɛwɔ dwensɔtwaa no mu nso betumi aka mogya a ɛkɔ akyi berɛmo no mu.
• Ahodwiriw: Fa no sɛ sɛ wupira w’akyi, sɛ́ efi asehwe, kar akwanhyia, anaa ɔhwe a emu yɛ den mu a, ebetumi nso ama woanya tebea bi a wɔfrɛ no splenic infarction.

Nea ɛho hia: Splenic infarction ba bere a mogya ntini bi a ɛkɔ ahurututu no mu no siw esiane nneɛma yi mu biako anaa nea ɛboro saa nti.

Nsɛnnennen a ebetumi aba esiane Splenic Infarction nti

Sɛ wɔanni tebea yi (Splenic Infarction) ho dwuma yiye a, nsɛnnennen bi betumi aba. Wɔne:

• Akisikuru a apaapae: Eyi ne ɔhaw a asiane wom sen biara. Akisikuru no mu paapae, na ɛma mogya tu kɛse na ebetumi de ne nkwa ato asiane mu. Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ.
• Akisikuru a ɛwɔ w’akyi berɛmo mu: Eyi ne bere a ntini a awuwu a ɛwɔ w’akyi berɛmo mu no nya ɔyare mmoawa na akisikuru boaboa ano na ɛyɛ kurukuruwa. Ɛsɛ sɛ wɔsa eyi nso.
• Pseudocyst: Eyi nyɛ kokoram, na mmom nsu a wɔaboaboa ano wɔ akyi berɛmo no mu. Ɛtɔ mmere bi a, eyinom ankasa betumi ayɛ yiye, nanso ɛtɔ mmere bi a, ebia ebehia sɛ wɔsa wɔn yare.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no a, ade a oduruyɛfo bɛyɛ ne sɛ ɔbɛhwehwɛ wo mu yiye.

• Nipadua mu nhwehwɛmu: Oduruyɛfo no bɛte wo yafunu nka, titiriw benkum so atifi, de ahwɛ sɛ ɛyaw anaa ɛyɛ mmerɛw anaa. Wobebisa wo sɛnkyerɛnne afoforo nso ho asɛm.
• Aduruyɛ ho abakɔsɛm: Wobebisa wo nyarewa a woadi kan anya, nnuru a wonom, ne sɛ ebia obi wɔ w’abusua mu anya nyarewa a ɛte saa ara anaa.
• Mogya mu nhwehwɛmu: Wobetumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu bi nso. Eyinom betumi ama wɔanya nneɛma te sɛ ɔyare mmoawa ne mogya a ɛtwetwe ho haw ahorow ho adwene bi.
• Mfoniniyɛ mu nhwehwɛmu: Nanso, sɛnea ɛbɛyɛ a wobehu sɛ obi anya akyi berɛmo mu akisikuru no, wɔtaa yɛ kɔmputa so tomography (CT) scan anaa ultrasound scan. Saa mfonini ahorow yi betumi akyerɛ sɛnea akyi berɛmo no te ne mmeae a mogya no so atew no pefee.

Dɛn ne ayaresa ahorow a wɔde sa Splenic Infarction?

Ayaresa a wubenya no begyina nea ɛde wo akyi berɛmo mu yare no ba no so. Ɛne sɛ, nea ɛde ba no a wɔbɛsa no ne ade a ɛho hia sen biara.

• Yare a ɛhyɛ wo ase no ayaresa: Fa no sɛ wowɔ yare bi a emu yɛ den a ɛhyɛ wo ase, te sɛ mogya mu kokoram. Afei oduruyɛfo no befi ase ayɛ saa kokoram no ayaresa, ebia nnuru a wɔde sa yare anaasɛ nipadua no mu tumi a ɛko tia nyarewa . Anaasɛ, sɛ mogya a ɛtwetwe ho haw bi wɔ hɔ a, ɔbɛma wo aduru a ɛfata ama wo.
• Ɔhwɛ a ɛboa: Nea ɛka ho no, ayaresa ahorow bi wɔ hɔ a wobetumi de ama wɔ ɔkwan a ɛkɔ akyiri so de atew akyi berɛmo mu yare ho sɛnkyerɛnne ahorow so:
• Sɛ nyarewa bi wɔ hɔ a , wɔde nnuru a ekum ɔyare mmoawa ma de siw ano.
• Gyae nsu a ɛho ayɛ fĩ, a ɛkyerɛ sɛ wobɛma nipadua no mu nsu dodow akɔ soro denam nsu a wɔde fa IV mu anaa nkyene a wode bɛma denam syringe so no so.Betumi ama.
• Wɔma ɛyaw nnuru de siw ɛyaw no so.
• Wobetumi ama nnuru a wɔkyerɛw ama obi a ɔde sa akisikuru de asiw akisikuru ne ɔfe ano.

• Splenectomy: Sɛnea yɛadi kan aka no, sɛ ɔhaw bi a emu yɛ den te sɛ akisikuru a apaapae anaasɛ akisikuru a wontumi nni so a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ oprehyɛn bi a wɔfrɛ no splenectomy de ayi akisikuru no afi hɔ koraa. Nanso, sɛ ɛho hia koraa nkutoo a, wɔyɛ eyi.

Dɛn na yebetumi ahwɛ kwan wɔ tebea yi akyi? (Nkɔmhyɛ) .

Eyi yɛ asɛm a nnipa pii bisa. "Oduruyɛfo, me ho bɛtɔ me? So metumi atra ase sɛnea na meyɛ kan no da bi?" Asɛmmisa yi ho mmuae gyina nea ɛde wo splenic infarction bae no so koraa. Sɛ nhwɛso no, sɛ bere tiaa mu biribi te sɛ ɔyare mmoawa na ɛde bae a, nnuru a ekum ɔyare mmoawa ne ayaresa afoforo a ɛboa betumi ama yare no ho sɛnkyerɛnne no afi hɔ koraa na ebia wo ho bɛtɔ wo ntɛm. Nanso, wɔ obi a ɔwɔ yare a emu yɛ den a ɛkyɛ te sɛ mogya mu kokoram fam no, tebea no betumi ayɛ soronko. Sɛ ɛba saa a, akyi berɛmo mu akisikuru yɛ saa yare kɛse no ho sɛnkyerɛnne anaa ɔhaw bi kɛkɛ. Afei ahoɔden a wobenya no gyina sɛnea wobetumi adi yare a ɛde ba no so yiye no so.

Enti, onipa a oye sen biara a obehu nea wo tebea no te ankasa ne nea wubetumi ahwɛ kwan ne wo duruyɛfo a ɔresa wo yare no. Ɔbɛhwɛ w’ayaresa ho kyerɛwtohɔ a edi mũ no mu na watu wo fo sɛnea ɛfata.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Dɛn ne nneɛma a egye ntɛmpɛ?

Bere a nhwehwɛmu ahorow akyerɛ sɛ wowɔ splenic infarction akyi no, nneɛma bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a woasa wo yare mpo akyi.

• Sɛ sɛnkyerɛnne ahorow no san ba bio wɔ ayaresa akyi (e.g. yafunu mu yaw, atiridii), anaasɛ sɛ sɛnkyerɛnne no mu yɛ den a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ntɛm ara.
• Akisikuru a apaapae yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Ebetumi de nkwa ato asiane mu. Sɛ wuhu saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a , ɛsɛ sɛ wokɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu ntɛm ara, a wontwentwɛn wo nan ase:
• Sɛ ɛyaw a ɛwɔ yafunu no benkum atifi no mu yɛ den na ɛyɛ nea wontumi nnyina ano a.
• Sɛ wo ho yɛ wo yaw a .
• Sɛ wote nka sɛ wo ti ayɛ hare anaasɛ wo ho ayɛ mmerɛw, a wuntumi nnyina hɔ .
• Sɛ wo ho yɛ wo yaw na wofe (eyinom betumi ayɛ mogya a ɛretu wo mu ho sɛnkyerɛnne, a ɛkyerɛ sɛ wo nipadua no rehwere mogya ).
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm, anaasɛ wote nka sɛ ɛyɛ den sɛ wobɛhome a.

Wɔ tebea a egye ntɛmpɛ te sɛ eyi mu no, nea ɛho hia sen biara ne sɛ wobɛyɛ ho biribi ntɛm.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Mewɔ anidaso sɛ seesei woanya nea yɛaka ho asɛm (Splenic Infarction) no ho adwene pa. Ɛwom sɛ eyi betumi ayɛ asɛmti a ɛyɛ hu de, nanso ɛho hia sɛ wuhu. Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae ni:

• Sɛ mpofirim ara wote ɛyaw a emu yɛ den wɔ wo yafunu benkum atifi, a atiridii ne akisikuru ka ho a, mmu w’ani ngu so, na wususuw sɛ ɛyɛ gas ho haw anaa yafunu mu yaw ketewaa bi kɛkɛ.
• Ebetumi ayɛ eyi (Splenic Infarction) a yɛkaa ho asɛm no. Ɛwom sɛ eyi ntaa mma de, nanso ebetumi aba.
• Ɛtɔ mmere bi a, splenic infarction betumi ayɛ yare foforo a emu yɛ den a ɛwɔ ase ho sɛnkyerɛnne (e.g., mogya mu kokoram, komayare).
• Enti, ɛho hia yiye sɛ wunya yare no ho nhwehwɛmu a edi mu. Sɛ wobɛyɛ eyi a, kɔ oduruyɛfo nkyɛn na kɔyɛ nhwehwɛmu a ɛho hia.
• Ayaresa no gyina nea ɛde yare no ba so.
• Sɛ yare no ho sɛnkyerɛnne no mu yɛ den, titiriw sɛ ɛyaw no mu yɛ den anaasɛ w’adwene tu fra a, hwehwɛ aduruyɛfo afotu ntɛm ara. Eyi betumi ayɛ tebea a egye ntɛmpɛ.

Yɛwɔ anidaso sɛ ɛho nhia sɛ wudi biribi a ɛte sɛɛ ho dwuma da! Nanso, saa nneɛma yi ho nimdeɛ a wubehu no betumi ayɛ nea mfaso wɔ so ama wo ne w’adɔfo bere biara. Kɔ so nya apɔwmuden! Spleen, Splenic Infarction, Yafunu mu Ɛyaw, Mogya a Ɛtu, Nsɛnkyerɛnne, Ayaresa, Akisikuru a Ɛnyɛ Nea Ɛdɔɔso