Ua lohe paha ʻoe i kahi ʻōkana i kapa ʻia ʻo ka spleen? Malia paha i ka wā i ʻōlelo ai ke kauka nāna ʻoe i nānā, "Me he mea lā ua hoʻonui iki ʻia kou spleen," ua hoihoi loa ʻoe a makaʻu iki hoʻi no ia mea. Akā, mai hopohopo. ʻO ka spleen pehu pinepine he hōʻailona wale nō ia e hana ana kekahi mea ʻē aʻe i loko o ko mākou kino. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi a maopopo.
E nānā mua kākou, he aha kēia ʻōpū?
I ka ʻōlelo maʻalahi, he ʻāpana koʻikoʻi ka spleen o ka ʻōnaehana pale o ko mākou kino. Aia ia ma ka ʻaoʻao hema o kou ʻōpū, ma luna pono o kou iwi ʻaoʻao. Ua like ia me ka nui o kou lima.
Hana maikaʻi loa kēia ʻokana liʻiliʻi.
- Hoʻomaʻemaʻe koko: Hana kēia e like me ke kānana e hoʻopaʻa a wehe i nā hunaola koko ʻulaʻula kahiko a hōʻino ʻia mai ko kākou koko.
- Ke Kaua ʻana i nā maʻi: ʻO kēia kahi e mālama ʻia ai nā hunaola koko keʻokeʻo e hakakā ana i nā germs e komo i ke kino. ʻO ia hoʻi, hāʻawi ia i ke kākoʻo nui i kā mākou ʻōnaehana pale.
ʻO ka maʻamau, ke hoʻopā ke kauka i kou ʻōpū, ʻaʻole lākou e hoʻopā i kou spleen. Aia wale nō ia i loko, palekana a maikaʻi. Akā hiki ke pehu a hoʻonui ʻia ma muli o kekahi mau maʻi, nā maʻi, a i ʻole nā ulia. I ka lāʻau lapaʻau, kapa mākou i kēia he splenomegaly .
He aha nā kumu o ka pehu ʻana o ka spleen?
ʻAʻole he maʻi ʻokoʻa ka pehu ʻana o ka spleen. He hōʻailona ia o kahi maʻi ʻē aʻe. E noʻonoʻo, i ka wā e loaʻa ai iā mākou kahi maʻi i loko o ko mākou kino, pehu nā ʻaoʻao o ko mākou waha e like me nā pimples, ʻeā? Pēlā nō kēia me kēia. Aia kekahi mau kumu nui e pehu ai ka spleen.
| Māhele o nā kumu | Nā laʻana a me ka wehewehe ʻana |
|---|---|
| Nā maʻi | Hiki i ka spleen ke pehu no ka mea he hana nui loa ia i ka wā e hakakā ai i nā germs i loko o ke kino. Nā laʻana: nā maʻi viral (e.g., mononucleosis), nā maʻi bacteria (e.g., endocarditis), nā maʻi parasitic (e.g., toxoplasmosis). |
| Nā maʻi kanesa | I nā maʻi ʻaʻai e pili ana i ke koko, hōʻiliʻili nā ʻāpana ʻē i loko o ka spleen a hoʻonui iā ia. Nā Laʻana: Leukemia (maʻi ʻaʻai koko), Lymphoma (maʻi ʻaʻai o ka ʻōnaehana lymphatic). |
| Nā maʻi ate | Hiki i nā maʻi e like me ka cirrhosis o ke akepaʻa ke ālai i ke kahe koko ma o ke akepaʻa. Hiki i kēia ke hoʻonui i ke kaomi i loko o nā aa koko e pili ana i ka spleen (Portal Hypertension) a hoʻoulu i ka pehu ʻana o ka spleen. |
| Nā kumu ʻē aʻe | Hiki i nā kumu ʻē aʻe he nui ke hoʻopilikia i ka ʻōnaehana pale (e.g., lupus, rheumatoid arthritis), nā ʻōpū koko (thrombosis), nā hahau koʻikoʻi i ka ʻōpū e like me nā ulia haʻuki, a me nā maʻi e pili ana i ka metabolism o ke kino (e.g., ka maʻi Gaucher). |
He aha nā hōʻailona o ka ʻōpū pehu?
ʻO ka mea maikaʻi loa, ʻaʻohe o ka hapa nui o ka poʻe i loaʻa i kekahi mau hōʻailona . ʻIke pinepine ʻia ia i ka wā o kahi hoʻokolohua lapaʻau no kekahi mea ʻē aʻe. Akā, loaʻa paha i kekahi poʻe nā hōʻailona. Inā pēlā, hiki iā ʻoe ke ʻike:
- ʻEha a ʻoluʻolu ʻole paha ma ka ʻaoʻao hema o luna o ka ʻōpū: Hiki ke manaʻo ʻia he mea e hoʻopiha ana i kou ʻōpū, me he mea lā he kaumaha. I kekahi manawa hiki i kēia ʻeha ke laha i kou poʻohiwi hema.
- Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana: Ke hoʻonui ʻia ka spleen, kaomi ia ma ka ʻōpū, no laila e piha paha ʻoe ma hope o ka ʻai iki ʻana. Hiki paha i kēia ke kumu o ka nalowale ʻana o ka makemake.
Mea nui: Inā hoʻomaka ka spleen e hana maikaʻi ʻole, hiki ke loaʻa nā hōʻailona e like me ka luhi, ka nāwaliwali , ka maʻalahi o ka palapū , a me nā maʻi pinepine e like me ke anu ma muli o ka anemia.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe nā hōʻailona i luna a inā paha e kānalua ʻia kou ʻōpū no kekahi kumu ʻē aʻe, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke nīnau iā ʻoe i nā nīnau a hana i kahi hoʻokolokolo kino. I loko o kēia, e pā pono ʻo ia i kou ʻōpū e nānā i kahi ʻōpū i hoʻonui ʻia.
A laila, e kauoha lākou i kekahi mau hoʻokolohua e ʻike ai i ke kumu pololei.
- Nā hoʻāʻo koko:Kōkua kēia i ka ʻike ʻana i ke ʻano o kāu mau kele koko ʻulaʻula, nā kele koko keʻokeʻo, a me ka helu o nā platelet, a pehea hoʻi e hana ai kou ake.
- Nā Scans: Hiki i kahi ultrasound a i ʻole CT scan ke hoʻoholo i ka nui pololei o ka spleen a inā paha e kaomi ana i nā ʻāpana ʻē aʻe a puni ia.
- MRI scan: Kōkua kēia i ka ʻike maopopo ʻana i ke kahe ʻana o ke koko ma o ka spleen.
Pehea e mālama ʻia ai? A he aha nā pilikia?
ʻO ka mea nui e hoʻomaopopo ai ma ʻaneʻi, ʻaʻole mākou e mālama nei i ka ʻōpū pehu ponoʻī, akā, ʻo ke kūlana kumu i hoʻoulu ai i kona pehu ʻana . Eia kekahi laʻana, inā pehu ka ʻōpū ma muli o kahi maʻi bacteria, e kōkua nā lāʻau antibiotic i ka ho'ōla ʻana o ka maʻi a e hoʻi ka ʻōpū i ka nui maʻamau.
Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia weliweli.
1. Ka haki ʻana o ka spleen: Inā nui loa ka spleen, hiki ke pahū me kahi ulia liʻiliʻi, kahi hahau nui, a i ʻole no ke kumu ʻole. Hiki i kēia ke hoʻoheheʻe i ka nui o ke koko i loko o ke kino a hiki ke hoʻoweliweli i ke ola. He pilikia olakino kēia.
2. Hypersplenism: Lilo ka spleen i mea hana nui a hoʻomaka e luku i nā hunaola koko maikaʻi he nui (ʻulaʻula, keʻokeʻo, a me nā platelets). Hiki i kēia ke hana i ka anemia, nā maʻi, a me ke kahe ʻana o ke koko.
Pono anei e wehe ʻia ka ʻōpū?
I ka hapanui o nā hihia, ʻaʻole pono e wehe ʻia ka ʻōpū ke mālama ʻia ke ʻano kumu. Eia nō naʻe, inā ʻaʻole hiki ke loaʻa ke kumu, ʻaʻole hiki ke mālama ʻia ke ʻano, a i ʻole he nui ka pilikia o ka pahū ʻana o ka ʻōpū, hiki i ke kauka ke hoʻoholo e wehe i ka ʻōpū ma ke ʻoki kino (splenectomy) .
Hiki ke ola me ka ʻole o ka spleen. Akā, ua nāwaliwali iki ka ʻōnaehana pale o ke kino. No laila, pono i ke kanaka i wehe ʻia kona spleen ke lawe i nā lāʻau pale kūikawā a me nā lāʻau lapaʻau i ko lākou ola a pau e pale aku iā lākou iho mai kekahi mau maʻi.
Leka Lawe-Home
- ʻAʻole maʻi ka Splenomegaly, akā he hōʻailona ia o kahi maʻi ʻē aʻe.
- Ma muli o ka ʻike ʻole ʻana o ka nui o ka poʻe i kekahi mau hōʻailona, hiki ke ʻike ʻia kēia i ka wā o ka hoʻokolokolo lapaʻau.
- 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, ʻoiai ma hope o ka ʻai ʻana i kahi liʻiliʻi, mai hoʻowahāwahā. E ʻike koke i kāu kauka.
- ʻO ka mea nui loa, ʻo ia ke ʻike i ke kumu maoli o ka pehu ʻana o ka spleen a mālama i ke ʻano o ka maʻi.
- Hiki i ka mālama kūpono ke hoʻihoʻi i ka spleen i ka maʻamau a pale i nā pilikia koʻikoʻi.
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