Ua manaʻo paha ʻoe i kahi kaumaha iki, ʻoluʻolu ʻole, a ʻeha paha ma ka ʻaoʻao hema o kou ʻōpū, ma lalo pono o kou mau iwi ʻaoʻao? Malia paha ua piha ʻoe ma hope o ka ʻai ʻana i kahi mea liʻiliʻi? He mau hōʻailona paha kēia o ka spleen i hoʻonui ʻia, kahi mea hana mālie i loko o kou kino. Mai hopohopo i ka inoa. He hōʻailona pinepine kēia o kahi maʻi ʻē aʻe. E mālama kākou i ka maʻalahi mai ka hoʻomaka ʻana.
ʻO ka mea mua, e nānā kākou, he aha kēia ʻōpū?
I ka ʻōlelo maʻalahi, ʻo ka spleen kekahi ʻāpana o ka ʻōnaehana pale o ko mākou kino a me ka ʻōnaehana lymphatic. Ua like ia me kahi 'kānana' e hoʻomaʻemaʻe i ko mākou koko. Aia ia ma ka ʻaoʻao hema o luna o kou ʻōpū, ma lalo pono o kou iwi ʻaoʻao hema. I ke kanaka olakino, he ʻōkana liʻiliʻi ka spleen e like me ka nui o ka lima, ma kahi o 12 kenimika ka lōʻihi, a he 70 grams ke kaumaha.
ʻO kāna mau hana nui:
- Hoʻomaʻemaʻe koko: Wehe i nā hunaola koko ʻulaʻula kahiko a hōʻino ʻia mai ke koko a wehe i nā mea ʻōpala.
- Ke kaua ʻana i nā maʻi: Kōkua i ka hana ʻana i nā hunaola koko keʻokeʻo e pono ai e kaua aku i nā maʻi.
- Ka mālama ʻana i nā keena koko: Mālama ʻia nā keena e like me nā platelets a me nā keena koko keʻokeʻo.
Inā no kekahi kumu e hoʻopilikia ʻia ai ke koko e hele ana ma o ka spleen a i ʻole ka spleen ponoʻī, hoʻomaka ia e pehu. A laila hiki iā ia ke ulu a hiki i ka 20 kenimika a kaupaona ma luna o 1000 grams (1 kilogram). Nui nā kumu no kēia pehu. He manawa pōkole kekahi, akā hiki i kekahi ke lilo i hōʻailona o kahi maʻi lōʻihi.
He mea koʻikoʻi anei ka pehu ʻana o ka ʻōpū?
ʻO kēia ka pilikia i loaʻa i nā kānaka he nui. ʻAʻole he maʻi ka pehu ʻana o ka spleen, he hōʻailona ia o kahi maʻi ʻē aʻe. E like me ke kuni. ʻAʻole he maʻi ke kuni, he hōʻailona ia o kahi maʻi i loko o ke kino. Pēlā nō ia.
No laila, ʻo ke koʻikoʻi o kēia ma muli o ke kumu kumu. E hoʻāʻo mua kāu kauka e ʻike pono i ke kumu o ka pehu ʻana. ʻAʻole koʻikoʻi kekahi mau kumu, akā pono e mālama koke ʻia kekahi.
Akā inā waiho ʻole ʻia no ka manawa lōʻihi, hiki i ka spleen ke oki i ka hana. He mea kākaʻikahi loa, hiki i kahi spleen pehu nui ke haki. He pilikia hoʻoweliweli kēia i ke ola.
He aha nā hōʻailona o ka ʻōpū pehu?
I ka hapanui o ka manawa, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona ʻoiai inā ua pehu iki kou ʻōpū. Eia nō naʻe, i ka piʻi ʻana o ka pehu, hiki ke ʻike ʻia kekahi mau hōʻailona. E hoʻokaʻawale kākou i kēia i ʻelua ʻāpana.
| ʻAno hiʻohiʻona | Ka wehewehe a me ka manaʻo |
|---|---|
| Nā hōʻailona i hoʻokumu pololei ʻia e ka pehu ʻana |
|
| Nā hōʻailona o ka hana ʻole o ka spleen |
|
No ke aha e pehu ai ka ʻōpū? ʻO kekahi o nā kumu nui
Nui nā mea e hiki ai ke hoʻopū i ka ʻōpū. E nānā kākou i nā mea nui.
| Kumu | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| Nā maʻi | I ka wā o nā maʻi viral (e.g. Dengue, Mononucleosis, HIV), bacterial (e.g. Tuberculosis), a me nā parasitic (e.g. Malaria), hoʻomaka ke kino e hakakā i ka maʻi. A laila he hana nui ko ka spleen. ʻO ka hopena, lilo ia i mea hana nui a pehu. |
| Maʻi ʻAke | I nā maʻi akepaʻa mau loa e like me ka cirrhosis, piʻi ke kaomi i loko o nā kīʻaha koko e hoʻopili ana i ke akepaʻa a me ka spleen. Ua kapa ʻia kēia ʻo "Portal Hypertension." ʻO kēia kaomi ke kumu o ka hōʻiliʻili ʻana o ke koko i loko o ka spleen, e pehu ai. |
| Ka maʻi ʻaʻai | I nā maʻi ʻaʻai e pili ana i ke koko e like me ka leukemia a me ka lymphoma, komo nā hunaola kanesa i loko o ka spleen a hoʻomaka e māhele ma laila. ʻO ka hopena, hoʻonui ʻia ka spleen. |
| Nā maʻi Autoimmune | I nā maʻi e like me ka lupus a me ka rheumatoid arthritis, hoʻouka ka ʻōnaehana pale o ke kino i kona mau hunaola ponoʻī. Hiki i kēia hana nui ke hoʻoulu i ka pehu ʻana o ka spleen. |
| Nā maʻi koko | I kekahi mau ʻano anemia (hemolytic anemia) a me nā maʻi e like me ka thalassemia, haki koke nā hunaola koko ʻulaʻula. ʻOiai ʻo ia ka hana a ka spleen e wehe i kēia mau hunaola haki, lilo ia i mea hana nui a pehu. |
| Nā maʻi hoʻoilina | I kekahi mau maʻi hoʻoilina, e like me ka maʻi Gaucher, hōʻiliʻili kekahi mau mea i loko o nā ʻōkana o ke kino. Ke hōʻiliʻili kēia mau mea i loko o ka spleen, pehu ia. |
He aha nā pilikia e hiki ke kū mai inā hoʻomau kēia?
ʻO ka maʻamau, hoʻi ka spleen i ka maʻamau ke mālama ʻia ke kumu kumu. Eia nō naʻe, inā waiho ʻole ʻia no ka manawa lōʻihi, hiki ke kū mai kekahi mau pilikia.
- ʻO ka Hypersplenism:Hoʻomaka ka ʻōpū pehu e "hana" ma mua o ka mea e pono ai. ʻO ke ʻano kēia e hopu a luku i nā hunaola koko ʻulaʻula olakino, nā hunaola koko keʻokeʻo, a me nā platelets. Hiki i kēia ke alakaʻi i ka anemia, nā maʻi, a me ke kahe ʻana o ke koko.
- Make ʻana o nā ʻiʻo: Inā nui loa ka ʻōpū, ʻaʻole paha lawa ke koko. Hiki i kēia ke make ai nā ʻiʻo ma kekahi mau wahi o ka ʻōpū ma muli o ka nele o ke koko.
- Ka haki ʻana: ʻO kēia ka pilikia koʻikoʻi loa a koke loa . Hiki i kahi spleen i hoʻonui nui ʻia ke haki inā he hahau ikaika i ka ʻōpū (e.g., kahi ulia, hāʻule) a i ʻole, kākaʻikahi, me ka manawa ʻole. Inā hana ʻia kēia, hiki i ke kahe nui ʻana i loko o ka ʻōpū ke hoʻoweliweli i ke ola.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke ʻike ʻoe i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, e hana ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ke kūlana a loaʻa ke kumu.
1. Hoʻokolokolo kino: ʻO ka mea mua, e pā ka kauka i kou ʻōpū. ʻIke pinepine ʻia kahi spleen i hoʻonui ʻia.
2. Nā hoʻāʻo kiʻi:
- ʻO ke scan Ultrasound: Hiki ke hoʻohana ʻia kēia e nānā maʻalahi a me ka ʻeha ʻole i ka nui a me ke ʻano o ka spleen.
- CT scan: Hiki i kēia ke hāʻawi i ka ʻike hohonu e pili ana i ka spleen a me ke kūlana o nā ʻōpū a puni.
- MRI scan: Kōkua kēia i ka ʻike ʻana i nā mea e like me ke kahe ʻana o ke koko ma o ka spleen.
3. Nā hoʻāʻo koko: E hana ʻia kahi helu koko piha (CBC) e nānā i kāu mau hunaola koko ʻulaʻula a me keʻokeʻo a me ka helu platelet. Hiki i nā hoʻāʻo koko ke nānā i nā hōʻailona o ka maʻi, ka hana o ke akepaʻa, a me ke kanesa.
4. Ka nānā ʻana i ka iwi iwi: I kekahi mau hihia, hiki ke hana ʻia kahi ʻimi ʻana/biopsy o ka iwi iwi e lawe i kahi hāpana liʻiliʻi o ka iwi iwi, kahi e hana ʻia ai nā hunaola koko. Hiki i kēia ke hāʻawi i ka ʻike he nui e pili ana i nā maʻi e pili ana i ke koko.
Pehea e mālama ʻia ai ka hoʻonui ʻia ʻana o ka spleen?
E hoʻomanaʻo, ʻaʻole no ka ʻōpū pehu ka lāʻau lapaʻau, akā, no ke kūlana kumu i hoʻoulu ai i ka pehu.
Ma hope o ka loaʻa ʻana o ke kumu, e kuhikuhi ke kauka i ka lāʻau kūpono.
- Inā he maʻi, e hāʻawi ʻia nā antibiotics a i ʻole nā lāʻau lapaʻau ʻē aʻe e mālama ai.
- Inā he maʻi ʻaʻai ia, e pili ana i nā lāʻau lapaʻau e pono ai (e like me ka chemotherapy).
- Inā he maʻi akepaʻa ia, e hōʻike ana i ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona.
I ka hapanui o nā hihia, ke mālama ʻia ke kumu kumu, e emi mālie ka spleen i ka nui maʻamau.
Eia nō naʻe, i kekahi mau maʻi maʻi, inā hoʻomau ka pehu ʻana o ka spleen a inā paha e hoʻoulu ia i nā hōʻailona koʻikoʻi, e noʻonoʻo paha ke kauka i nā koho ʻē aʻe.
- Lapaʻau radiation: Hiki ke hāʻawi ʻia ka radiation haʻahaʻa e hōʻemi i ka nui o ka spleen.
- Splenectomy: Inā ʻaʻohe ala ʻē aʻe e hiki ai ke kaohi i ke kūlana, pono paha ke ʻoki ʻana e hoʻopau loa i ka spleen.
Hiki ke ola me ka ʻole o ka spleen?
ʻAe, hiki nō ia. Hiki iā ʻoe ke ola maikaʻi me ka ʻole o ka spleen. Eia nō naʻe, ua emi iki ka pale ʻana o ke kino. ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o kekahi mau maʻi bacteria. No laila, ke ʻōlelo nei ke kauka i ka mea i wehe ʻia kona spleen e loaʻa i kekahi mau lāʻau pale kūikawā. Eia kekahi, he mea nui loa ke komo ʻana i kahi kāleka ID lapaʻau a i ʻole ke kūpeʻe lima e hōʻike ana ʻaʻohe ou spleen, a e haʻi i ke kauka inā maʻi ʻoe.
Inā he ʻōpū pehu kou, pehea ʻoe e mālama ai iā ʻoe iho?
Inā ua hōʻoia kāu kauka he nui kou spleen, aia kekahi mau mea āu e makaʻala ai.
- E pale i nā ʻeha ma ka ʻōpū: ʻOi aku ka nui o ka haki ʻana o ka spleen i hoʻonui ʻia. No laila , e noho mamao aku mai nā haʻuki pili e like me ka rugby a me ka pôpeku. Eia kekahi, e pale i nā hana e kau ai i ke kaomi ma ka ʻōpū.
- E nānā i nā hōʻailona: E nānā i nā hōʻailona o ka anemia, e like me ka luhi a me ka mae. E hoʻāʻo pinepine i kou koko, e like me ka ʻōlelo a kāu kauka.
- ʻAi olakino: ʻOiai ʻaʻohe meaʻai kikoʻī e hoʻopilikia pololei i ka ʻōpū, he mea nui e mālama i ke olakino holoʻokoʻa a me ka pale ʻana. E hōʻemi i ka ʻai ʻana i nā meaʻai i hoʻopaʻa ʻia, i hana ʻia a me nā meaʻai wikiwiki e like me ka hiki. Hoʻoulu kēia i ka mumū i loko o ke kino. Akā, e hoʻohui i nā mea kanu hou, nā huaʻai, nā legumes, a me nā iʻa i kāu meaʻai.
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
He mea nui loa kēia. Inā ʻike ʻoe i nā hōʻailona ma lalo nei, he pilikia paha ia.
Inā ʻike ʻoe i ka ʻeha nui ma ka ʻaoʻao hema o kou ʻōpū, ʻoiai ke hanu ʻoe, me ka poniuniu, ka hou anu, a i ʻole ka nalowale o ka ʻike, e hele koke i ka Emergency Department (ETU) o ka haukapila. He hōʻailona paha kēia o ka haki ʻana o ka spleen, no laila he mea nui ka mālama koke ʻana.
Leka Lawe-Home
- ʻAʻole maʻi ka Splenomegaly, akā he hōʻailona ia o kahi maʻi ʻē aʻe.
- ʻO ka mea nui, ʻo ke koho pololei i ke kumu o ka pehu ʻana a mālama iā ia.
- Inā loaʻa iā ʻoe ka ʻeha mau, ka ʻoluʻolu ʻole, a i ʻole ka manaʻo o ka piha ma ka ʻaoʻao hema o luna o kou ʻōpū, mai hoʻowahāwahā iā ia a e ʻike i kāu kauka.
- Inā ua ʻike ʻia ʻoe me ka spleen pehu, e pale i nā haʻuki a me nā hana e hiki ke hōʻeha i kou ʻōpū.
- He pilikia ka ʻeha nui ma ka ʻaoʻao hema o ka ʻōpū, me ka puni ʻana o ka poniuniu. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo