Ðe wò dɔgbo hã vuvua? Mina míaƒo nu tso esia (Splenomegaly) ŋu!

Èse "aɖuɖɔtoe si lolo" ŋu nya kpɔa? Ðewohĩ àdi be yeanya nu tso eŋu vie. Alo, ɖewohĩ ɖɔkta aɖe gblɔe na wò alo ame aɖe si nènya. Egbea, mina míaƒo nu tso nusi dɔgbo sia si lolo, alo abe alesi ɖɔktawo yɔnae ene (Splenomegaly) , nye, nusita wòdzɔna, kple nusi woate ŋu awɔ tso eŋu ŋu.

Nukae nye aɖuɖɔtoe sia? Nukae dzɔna ɖe edzi?

Kpuie ko la, dɔgbo nye ŋutinu sue aɖe gake wòle vevie ŋutɔ le míaƒe ŋutilã me. Kpɔe ɖa le susu me be ele wò ƒodo ƒe miame, le etame, le wò akɔta te tututu, si lolo abe asibide ene. Enye míaƒe ʋukawo ƒe dɔwɔwɔ kple dɔlélenutsiŋutete ƒe akpa aɖe .

Dɔ vevi geɖe le aɖuɖɔtoea ŋu:

• Ʋukɔklɔ: Abe ʋumemi ene la, eɖea ʋumenugbagbevi dzĩ xoxowo kple dɔlékuiwo ɖa le míaƒe ʋu me.
• Gbeɖuɖɔ ɖeɖeɖa: Ekpena ɖe ame ŋu wòɖea gbeɖuɖɔwo ɖa le ʋua me eye wòɖea wo ɖa le ŋutilãa me.
• Ʋumenugbagbevi ɣiwo wɔwɔ: Dɔ vevi bubu si dɔgboa wɔnae nye be wòawɔ ʋumenugbagbevi ɣi siwo míaƒe ŋutilã hiã be wòawɔ avu kple dɔléle.

Zi geɖe la, aɖuɖɔtoe si le lãmesẽ me didi abe sentimeta 12 ene eye eƒe kpekpeme anɔ abe gram 70 ene. Gake ne aɖuɖɔa lolo la, ate ŋu adzi anɔ abe sentimeta 20 ene eye eƒe kpekpeme wu gram 1,000. Esesẽ be woasusui, alo?

Nukatae aɖuɖɔ sia vuvu? Nukawoe gbɔ wòtsona?

Susu vovovowo ate ŋu anɔ anyi si tae aɖuɖɔtoe vuvu ɖo. Wo dometɔ aɖewo nyea ɣeyiɣi kpui aɖe ko eye woadzo le wo ɖokui si. Gake wo dometɔ aɖewo ate ŋu anye dɔléle siwo nu sẽ wu, siwo nɔa anyi didi wu ƒe dzesiwo.

Na míalé ŋku ɖe susu vevi aɖewo ŋu:

• Dɔlékuiwo: Esiae nye nusi gbɔ wòtsona wu.
• Dɔlékui ƒe dɔlélewo: Kpɔɖeŋu aɖewoe nye `(Mononucleosis)` (si woyɔna hã be Keesin ƒe dɔléle) kple `(HIV)`.
• Dɔlékuiwo ƒe dɔlékuiwo: abe `(Yɔmekpe)` (yɔmekpe), `(Endocarditis)` (dzitodzito ƒe akpa si le eme ƒe dɔlékuiwo).
• Dɔlékui siwo tsoa dɔlékuiwo gbɔ: Dɔlékuiwo abe `(Asrã)` kple `(Toxoplasmosis)` dea nyaƒoɖeamenu ɖe ​​dɔlélenutsiŋutete si le dɔgboa me dzi. Emegbe lãkusia dzea dɔlékuiwutikewo kple dɔlélenutsiŋutete ƒe lãmenugbagbevi geɖe wɔwɔ gɔme wu alesi wòhiã, woyɔa esia be `(Hyperplasia)` . Esia wɔnɛ be dɔgboa vuvu.

• Aklãdɔ: Amesiwo ŋu aklãdɔ le, abe aklãdɔléle si nɔa anyi didi alo aklãdɔ ene, ate ŋu akpɔ ʋuka siwo to aklã kple aklã me ƒe nyaƒoɖeamenu geɖe wu. Woyɔa esia be ʋusɔgbɔdɔ si woyɔna be portal hypertension . Nyaƒoɖeamenu sia ate ŋu ana ʋu naƒo ƒu eye wòana dɔgboa navuvu. Bu eŋu abe tsi ƒe pɔmpi si xe si me tsi yɔ fũ ene.

• Kansa:
• Kansa siwo dona le ʋu me, abe ʋumenugbagbeviɣidɔ kple myeloproliferative neoplasms (MPNs) ene.
• Kansa si le ʋumenugbagbeviɣiwo me, si nye ʋumenugbagbeviɣidɔ.

Ne kansa lãmenugbagbeviwo abe esiawo ene ge ɖe dɔgboa me eye wodze dzidziɖedzi gɔme le afima la, dɔgboa vuvu.

• Susu bubuwo tae:
• Focal lesions in the spleen: Aɖuɖɔtoea ate ŋu alolo le cyst, abscess, alo metastatic cancer si kaka ɖe aɖuɖɔtoea me ta.
• Dɔlélenutsiŋutete ƒe dɔlélewo: Le kpɔɖeŋu me, dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi abe lupus, sarcoidosis, kple ƒunukpeƒetetedɔ ene ate ŋu ana dɔlélenutsiŋutete nawɔ dɔ akpa eye wòana dɔgboa navuvu.
• Ʋumenugbagbeviɣidɔ: Le nɔnɔmewo abe ʋumenugbagbeviɣidɔ (ʋumenugbagbevi dzĩwo ƒe gbagbã kabakaba) kple neutropenia (ʋumenugbagbevi ɣi ƒomevi aɖe ƒe ɖiɖi) ene me la, dɔgboa ate ŋu avuvu elabena ele be wòawɔ dɔ sesĩe wu be wòaɖe lãmenugbagbevi siawo ɖa.
• Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie siwo ƒe dome míenyi: Dɔlélewo abe Niemann-Pick dɔléle, Gaucher ƒe dɔléle, kple sickle cell dɔléle ene nana nu vovovo siwo le ŋutilãa me ƒoa ƒu ɖe ʋua me eye wova nɔa ŋutinuwo me. Ne nu siawo ƒo ƒu ɖe dɔgboa me la, evuvuna.
• Ʋuka me ʋu ƒe sisi: Ne ʋuka aɖe va ge ɖe ʋuka aɖe me le aklã alo aklã me la, nyaƒoɖeamenua dzina ɖe edzi eye ʋu ate ŋu aƒo ƒu, si ana ʋukaa vuvu.

Ðe dɔgbo si vuvu la nye nu sesẽa?

Aɖuɖɔtoe si vuvu nye atikewɔwɔ me nɔnɔme vovovo geɖe ƒe dzesi. Ðewohĩ wo dometɔ aɖewo matsɔ ɖeke le eme o, gake bubuwo ya ate ŋu anye nya veviwo kura. Nu vevitɔ kekeakee nye be nàyi ɖɔkta gbɔ be nànya nusi tututu gbɔ wòtso. Ema ko hafi nàte ŋu atso nya me nenye be atikewɔwɔ hiã, kple atike ka ƒomevie.

Ðo ŋku edzi be ne womewɔ atike na dɔgbo si lolo o la, ate ŋu adze dɔwɔwɔ gɔme. Le go siwo mebɔ o me la, dɔgbo si lolo vevie ate ŋu agbã. Ne edzɔ alea la, ʋu si le dodom le ememe ate ŋu adze egɔme eye ate ŋu ade ame ƒe agbe afɔku me.

Ne nye dɔgbo vuvu la, dzesi kawoe ado mo ɖa?

Zi geɖe la, màde dzesii be wò dɔgbo vuvu o. Gake ne dzesiawo dze la, woate ŋu anye:

• Vevesese le ƒodoa ƒe miame ƒe akpa si le etame. Vevesese sia ate ŋu akeke ɖe miame abɔta alo akɔta hã.
• Aɖuɖɔtoe si woate ŋu asi: Zi geɖe la, míete ŋu tsɔa míaƒe asiwo sea aɖuɖɔtoea gɔme o. Gake ne evuvu la, ɖɔkta ate ŋu ase egɔme ne ele ƒodoa dom kpɔ.
• Nuɖuɖu megadzroa ame o alo ne yeɖu nu vie gɔ̃ hã: Esia ate ŋu adzɔ le esi dɔgbo si lolo la le tetem ɖe dɔgboa si le ete ŋu ta.

Ne dɔgboa te dɔwɔwɔ nyuie o la, dzesiwo abe:

• Ʋusɔgbɔdɔ ƒe Dzesiwo: Esiawo dometɔ aɖewoe nye gbɔdzɔgbɔdzɔ, ɖeɖiteameŋu, kple blɔ.
• Vuvɔ alo dɔlékui bubuwo xɔxɔ enuenu.
• Abi kple ʋu si dona le ame ŋu bɔbɔe.

Nukawoe ate ŋu ado tso dɔgbo si lolo me?

Aɖuɖɔtoe si vuvu ate ŋu ahe kuxi bubuwo vɛ.

• Lãmetsiwo ƒe ku: Ðewohĩ ʋu maxɔ dɔgbo si vuvu vevie o. Emegbe ɔksidzin kple nunyiamewo meganɔa lãkusiawo si o eye wodzea kuku gɔme.
• Hypersplenism: Aɖuɖɔtoe si lolo ate ŋu awɔ dɔ akpa eye wòadze ʋumenugbagbevi geɖe (ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo) tsɔtsrɔ̃ gɔme. Esia ate ŋu ahe nɔnɔmewo abe ʋusɔgbɔdɔ, ʋumenugbagbevi ɣiwo ƒe ɖiɖi, alo ʋumenugbagbevi dzĩwo ƒe ɖiɖi ene vɛ.
• Aɖuɖɔtoe ƒe Ʋuʋu: Esia nye nusi mebɔ kura o. Gake dɔgbo si lolo ate ŋu agbã ne nane ƒo ƒodoa alo ne èdze anyi sesĩe. Ɣeaɖewoɣi la, ate ŋu agbã le susu aɖeke manɔmee. Ne dɔgboa gbã la, enye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me.

Aleke ɖɔktawo wɔa dea dzesi aɖuɖɔtoe si lolo?

Àte ŋu ayi ɖɔkta gbɔ kple dɔgbo ƒe vevesese aɖe. Alo, àte ŋu ayi kple dzesi siwo do ƒome kple dɔléle bubu. Ɣeaɖewoɣi la, ɖɔktawo kpɔa aɖuɖɔtoe si lolo le vome, le dodokpɔ si wowɔna edziedzi me alo ne wole nu bubu dim.

Ðɔkta ate ŋu ase le eɖokui me be yeƒe dɔgbo lolo ne ele wò ƒodo dom kpɔ. Woate ŋu aɖo kpe esia dzi to dodokpɔ vovovowo hã me:

• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo:
• Woate ŋu awɔ ƒodo ƒe ultrasound alo CT scan atsɔ akpɔe ɖa be dɔgboa vuvu, alesi wòvuvui, ne dɔdzẽ aɖe le eŋu, kple nenye be nyaƒoɖeamenu le ŋutinu bubuwo ŋu hã.
• MRI-dɔdamɔnu ate ŋu afia alesi ʋu toa aɖuɖɔtoea me.
• Ʋudodokpɔ: Ne nusi gbɔ wòtso me mekɔ o la, wò ɖɔkta ate ŋu aɖe gbe be woado ʋu kpɔ zi geɖe. Amesiawo ate ŋu adi nɔnɔme aɖewo koŋ, abe kansa, ʋu ƒe dɔmawɔmawɔ nyuie, kple aklã ƒe dɔwɔwɔ ene.
• Ƒumeŋuɖui me dzodzro: Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu axɔ wò ƒumeŋuɖui sue aɖe (ƒumeŋuɖui ƒe ʋuʋu kple/alo ƒumeŋuɖui ƒe lãmenugbagbeviwo ɖeɖe). Esia ate ŋu ana nyatakaka tso alesi wò dɔgbo le dɔ wɔm ŋu eye ate ŋu akpe ɖe ŋuwò hã be nànya dɔléle aɖewo.

Eyata nukae nèwɔna ne wò dɔgbo vuvu? Nukawoe nye atikewɔmɔnuawo?

Zi geɖe la, aɖuɖɔa gatrɔna vaa eƒe lolome si sɔ gbɔ ne wonya da dɔ na nɔnɔme si gbɔ wòtso si na aɖuɖɔa vuvu ko. Nɔnɔme aɖewo, abe dɔlékuiwo ene, nyona ɖe edzi le wo ɖokui si. Woate ŋu atsɔ atikewo, ʋudodo, alo amekoko ada dɔléle bubuwo.

Dɔléle aɖewo ƒe atike aɖeke meli o. Le nɔnɔme mawo me la, ɖɔktawo ate ŋu atso nya me be yewoana keklẽŋusẽtike si mebɔ o atsɔ aɖe aɖuɖɔtoea ƒe vuvu dzi akpɔtɔ, alo awɔ dɔ na yewo aɖe aɖuɖɔtoea ɖa (splenectomy).

Nukae dzɔna ne woɖe aɖuɖɔtoea ɖa?

Àte ŋu anɔ agbe nyuie aɖuɖɔtoe manɔmee. Gake wò dɔlélenutsiŋutete, si fia be ŋutete si le asiwò be nàtsi dɔléle nu, dzi aɖe akpɔtɔ vie.

• Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdo atike aɖewo atsɔ akpɔ tawò tso dɔlékui siwo bɔ siwo ate ŋu axɔ wò wu la dometɔ aɖewo me.
• Woabia tso asiwò be nàdo atikewɔgbalẽvi ƒe asigɛ ale be atikewɔlawo nanya be woɖe wò dɔgbo ɖa.
• Ne èdze dɔ la, woate ŋu ana dɔlékuiwutike sesẽwo wò wu alesi wònɔna ɖaa.

Ne dɔgbo vuvu la, aleke mawɔ akpɔ ɖokuinye dzii?

Ne dɔgbo vuvu ɣeyiɣi didi aɖe la, ele be nàkpɔ nyuie be màgade abi wò ƒodo ŋu o. Esi wònye be aɖuɖɔtoe si lolo la ate ŋu agbã ta la, anyo wu be nànɔ adzɔge tso kamedefefe siwo me amewo doa ka kple ame geɖe le la gbɔ.

Azɔ hã, wò dɔgbo ate ŋu awɔ dɔ nyuie o alo wòawɔ dɔ akpa. Eyata, nɔ ŋudzɔ ɖe ʋusɔgbɔdɔ ƒe dzesiwo ŋu (blɔ, ɖeɖiteameŋu). Wò ɖɔkta ate ŋu alé ŋku ɖe wò ʋu ƒe agbɔsɔsɔ hã ŋu ɣeaɖewoɣi.

Ðe nuɖuɖu aɖewo li siwo menyo be woaɖu ne dɔgboa vuvu oa?

Ðɔktawo meka ɖe edzi bliboe nenye be nuɖuɖu si míeɖuna kpɔa ŋusẽ ɖe míaƒe dɔgbo dzi tẽ o. Gake míaƒe nuɖuɖu kpɔa ŋusẽ gã aɖe ɖe míaƒe lãmesẽ bliboa dzi. Ne wò dɔgbo lolo la, àte ŋu atsɔe be wò dɔlélenutsiŋutete gbɔdzɔ. Eyata nuɖuɖu si naa lãmesẽ nye mɔ bɔbɔetɔ kekeake siwo dzi nàto akpɔ wò dɔlélenutsiŋutete ta la dometɔ ɖeka.

Tsɔ kpe ɖe eŋu la, wò nuɖuɖu ate ŋu akpɔ ŋusẽ ɖe atikewɔwɔ me nɔnɔme siwo gbɔ wòtso siwo nana wò dɔgbo vuvu hã dzi (vevietɔ dɔléle siwo me dɔdzẽ le kple aklãdɔ).

Ðɔktawo kafui ɣesiaɣi be:

• Ƒo asa na nuɖuɖu siwo woɖana kabakaba kple esiwo ŋu wotrɔ asi le (numeɖenu siwo wobla ɖe agba me, nu viviwo, sosetiwo, kple bubuawo) ɖuɖu alo ɖe wo dzi kpɔtɔ. Nuɖuɖu siawo dzia dɔdzẽ ɖe edzi le ŋutilã me eye wodzia LDL ʋumemi si gblẽa nu le aklã kple lãmenugbagbeviwo ƒe dɔwɔwɔ ŋu ɖe edzi.
• Ƒo nuɖuɖu si tsia dzodzodzoetsitsi nu . Esia fia be woaɖu nuɖuɖu yeye, blibo (amagbewo, atikutsetsewo, kple amagbewo) kple ami siwo me ami mele o (siwo le tɔmelã kple nukuwo me) geɖe wu.

Ɣekaɣie wòle be madi atikewɔƒe enumake ne dɔgbo vuvu?

Ne èse veve si le dzidzim ɖe edzi le teƒe si wò dɔgbo le, si fia be le wò ƒodo ƒe miame ƒe akpa si le etame alo le wò miame abɔta, vevietɔ ne vevesesea nu sẽna ɖe edzi ne èle gbɔgbɔm la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Anɔ eme be dɔgbo ƒe gbagbã ate ŋu adzɔ ne nane ƒo ƒodoa. Gake ɣeaɖewoɣi la, ate ŋu agbã ko. Ʋuka sue aɖe gɔ̃ hã ate ŋu ana ʋu nado le ame ŋu vie, gake ne womedae enumake o la, nɔnɔmea ate ŋu asẽ kaba. Ne wowɔ atike na wò kaba la, àte ŋu aƒo asa na amekoko ƒe hiahiã.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata le nusi me míedzro egbea me la, àte ŋu akpɔe be dɔgbo si vuvu menye nusi woabu nu tsɛe o. Ate ŋu anye lãmesẽkuxi aɖe si gbɔ wòtso ƒe dzesi. Ne ɣeyiɣi kpui aɖe koe wònye la, ɖewohĩ manye nu gã aɖeke na wò lãmesẽ bliboa o. Gake ne enɔa anyi ɖaa la, ate ŋu agblẽ nu le wò dɔgbo ŋu eye ate ŋu anye afɔku.

Eyata ne èsusu be yeƒe dɔgbo lolo, alo ne dzesi siwo do ƒome kplii le ye ŋu la, nu nyuitɔ si nàwɔe nye be nàyi ɖɔkta gbɔ eye nàdo ye kpɔ. Ðɔktaa ake ɖe nusi gbɔ wòtso ŋu eye wòadae ɖe edzi. Mègatsi dzodzodzoe o, gake mègaŋe aɖaba ƒu edzi hã o!

Splenomegaly , Aɖuɖɔtoe, Ƒodo ƒe Vevesese, Dzesiwo, Atikewɔwɔ, Nusiwo gbɔ wòtso