Ua pehu pū kou ʻōpū? E kamaʻilio kākou e pili ana i kēia (Splenomegaly)!

Ua lohe paha ʻoe i kahi "spleenlarged spleen"? Malia paha he mea hoihoi iki ʻoe e pili ana i ia mea. A i ʻole, ua haʻi aku paha kekahi kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pili ana i ia mea. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia spleen i hoʻonui ʻia, a i ʻole e like me ke kapa ʻana o nā kauka (Splenomegaly) , no ke aha e hana ʻia ai, a me nā mea hiki ke hana ʻia e pili ana i ia mea.

He aha kēia ʻōpū? He aha ka mea e hana ʻia iā ia?

I ka ʻōlelo maʻalahi, he ʻōkana liʻiliʻi akā koʻikoʻi loa ka spleen i loko o ko kākou kino. E noʻonoʻo iā ia ma ka ʻaoʻao hema o kou ʻōpū, ma ka ʻaoʻao luna, ma lalo pono o kou mau iwi ʻaoʻao, e like me ka nui o ka lima. He ʻāpana ia o kā mākou ʻōnaehana lymphatic a me ka ʻōnaehana pale .

He nui nā hana nui a ka spleen:

• Hoʻomaʻemaʻe koko: E like me ke kānana, wehe ia i nā hunaola koko ʻulaʻula kahiko a me nā germs mai ko kākou koko.
• Ka wehe ʻana i nā ʻōpala: Kōkua i ka wehe ʻana i nā huahana ʻōpala mai ke koko a hoʻoneʻe iā lākou mai ke kino.
• Ka hana ʻana o nā hunaola koko keʻokeʻo: ʻO kekahi hana koʻikoʻi o ka spleen, ʻo ia ka hana ʻana i nā hunaola koko keʻokeʻo e pono ai ko mākou kino e hakakā i nā maʻi.

ʻO ka maʻamau, he 12 kenimika ka lōʻihi o kahi ʻōpū olakino a he 70 grams ke kaumaha. Eia nō naʻe, i ka wā e hoʻonui ʻia ai ka ʻōpū, hiki iā ia ke ulu a hiki i 20 kenimika a ʻoi aku ke kaumaha ma mua o 1,000 grams. He mea paʻakikī ke noʻonoʻo, ʻeā?

No ke aha i pehu ai kēia ʻōpū? He aha nā kumu?

Nui nā kumu no ka pehu ʻana o ka ʻōpū. He manawa pōkole kekahi o lākou a e nalo wale aku. Akā, hiki i kekahi o lākou ke lilo i mau hōʻailona o nā maʻi koʻikoʻi a lōʻihi.

E nānā kākou i kekahi o nā kumu nui:

• Nā maʻi: ʻO kēia ke kumu maʻamau.
• Nā maʻi viral: ʻO nā hiʻohiʻona e komo pū me ka `(Mononucleosis)` (i kapa ʻia hoʻi ʻo Keesin's disease) a me ka `(HIV)`.
• Nā maʻi bacteria: e like me `(Tuberculosis)` (tuberculosis), `(Endocarditis)` (maʻi o ka papa o loko o ka puʻuwai).
• Nā maʻi parasitic: ʻO nā maʻi e like me ka `(Malaria)` a me ka `(Toxoplasmosis)` e kau i ke kaomi ma luna o ka ʻōnaehana pale o ka spleen. A laila hoʻomaka ka spleen e hana i nā antibodies a me nā cell immune ma mua o ka mea e pono ai, ua kapa ʻia kēia ʻo `(Hyperplasia)` . ʻO kēia ke kumu o ka pehu ʻana o ka spleen.

• Maʻi akepaʻa: Hiki i ka poʻe me nā maʻi akepaʻa, e like me ka hepatitis mau a i ʻole ka cirrhosis, ke loaʻa i ke kaomi nui i loko o nā kīʻaha koko e holo ana ma o ke akepaʻa a me ka spleen. Ua kapa ʻia kēia he portal hypertension . Hiki i kēia kaomi ke hoʻoulu i ke koko e hōʻiliʻili a hoʻoulu i ka spleen e pehu. E noʻonoʻo e like me kahi paipu wai i paʻa i ka wai.

• Ka maʻi ʻaʻai:
• ʻO nā maʻi kanesa e ulu ana i loko o ke koko, e like me ka leukemia a me nā myeloproliferative neoplasms (MPNs).
• ʻO ke kanesa o nā kelepa lymph, ʻo ia hoʻi, lymphoma.

Ke komo nā hunaola kanesa e like me kēia i loko o ka ʻōpū a hoʻomaka e hoʻonui ma laila, pehu ka ʻōpū.

• Nā kumu ʻē aʻe:
• Nā ʻeha koʻikoʻi i loko o ka spleen: Hiki ke hoʻonui ʻia ka spleen ma muli o kahi cyst, abscess, a i ʻole ka maʻi kanesa metastatic i pālahalaha i ka spleen.
• Nā maʻi Autoimmune: No ka laʻana, ʻo nā maʻi mumū lōʻihi e like me lupus, sarcoidosis, a me ka rheumatoid arthritis hiki ke hoʻoulu i ka ʻōnaehana pale e lilo i mea hana nui a hoʻoulu i ka pehu o ka spleen.
• Nā maʻi koko: I nā kūlana e like me ka anemia hemolytic (ka haki wikiwiki ʻana o nā keena koko ʻulaʻula) a me ka neutropenia (ka emi ʻana o kahi ʻano keena koko keʻokeʻo), hiki i ka spleen ke pehu no ka mea e pono ai ke hana ikaika e wehe i kēia mau keena.
• Nā maʻi metabolic hoʻoilina: ʻO nā maʻi e like me ka maʻi Niemann-Pick, ka maʻi Gaucher, a me ka maʻi sickle cell ke kumu o ka hōʻiliʻili ʻana o nā mea like ʻole i loko o ke kino i loko o ke koko a waiho ʻia i loko o nā ʻōpū. Ke hōʻiliʻili kēia mau mea i loko o ka spleen, e pehu ia.
• Thrombosis: Inā hoʻopaʻa ʻia kahi ʻōpū koko i loko o kahi kīʻaha koko i loko o ke akepaʻa a i ʻole ka spleen, piʻi ke kaomi a hiki ke hōʻiliʻili ke koko, e hoʻoulu ai i ka pehu ʻana o ka spleen.

He mea koʻikoʻi anei ka pehu ʻana o ka ʻōpū?

ʻO ka ʻōpū pehu he hōʻailona ia o kekahi mau maʻi like ʻole. ʻAʻole paha he koʻikoʻi kekahi, akā hiki i kekahi ke koʻikoʻi loa. ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka e ʻike pono i ke kumu o ia mea. A laila hiki iā ʻoe ke hoʻoholo inā pono ka lāʻau lapaʻau, a me ke ʻano.

E hoʻomanaʻo, inā ʻaʻole mālama ʻia kahi ʻōpū nui i hoʻonui ʻia, hiki iā ia ke hoʻomaka e nalowale kāna hana. I nā hihia kakaikahi, hiki i kahi ʻōpū nui i hoʻonui ʻia ke haki. Inā hana ʻia kēia, hiki ke hoʻomaka ke kahe koko i loko a hiki ke hoʻoweliweli i ke ola.

Inā pehu koʻu ʻōpū, he aha nā hōʻailona e kū mai?

I ka hapanui o ka manawa, ʻaʻole ʻoe e ʻike ua pehu kou ʻōpū. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​​​hiki ke komo pū me:

• ʻEha ma ka ʻaoʻao hema o luna o ka ʻōpū. Hiki i kēia ʻeha ke pālahalaha i ka poʻohiwi hema a i ʻole ke kua.
• ʻŌpū hiki ke hoʻopā ʻia: ʻO ka maʻamau, ʻaʻole hiki iā mākou ke hoʻopā i ka ʻōpū me ko mākou mau lima. Eia nō naʻe, inā pehu, hiki paha i ke kauka ke hoʻopā iā ia i ka wā e nānā ai i ka ʻōpū.
• ʻO ka nalowale o ka makemake a i ʻole ka manaʻo piha ma hope o ka ʻai iki ʻana: Hiki ke hana kēia no ka mea ke kaomi nei ka spleen i hoʻonui ʻia i ka ʻōpū ma lalo.

Inā hoʻomaka ka spleen e hana maikaʻi ʻole, nā hōʻailona e like me:

• Nā Hōʻailona o ka Anemia: Hoʻokomo pū ʻia kēia me ka nāwaliwali, ka luhi, a me ke keʻokeʻo.
• Anuanu pinepine a i ʻole nā ​​maʻi ʻē aʻe.
• ʻO ka maʻalahi o ka palapū a me ke kahe ʻana o ke koko.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka spleen i hoʻonui ʻia?

Hiki i ka ʻōpū pehu ke hana i nā pilikia ʻē aʻe.

• Make ʻana o nā ʻiʻo: ʻAʻole paha e loaʻa i kahi ʻōpū pehu nui ka lako koko lawa. A laila e nele nā ​​ʻiʻo i ka oxygen a me nā meaʻai a hoʻomaka e make.
• Hypersplenism: Hiki i kahi spleen i hoʻonui ʻia ke lilo i overactive a hoʻomaka e luku i nā hunaola koko he nui (nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets). Hiki i kēia ke alakaʻi i nā kūlana e like me ka anemia, nā hunaola koko keʻokeʻo haʻahaʻa, a i ʻole nā ​​platelets haʻahaʻa.
• Ka haki ʻana o ka spleen: He mea laha ʻole kēia. Eia nō naʻe, hiki i kahi spleen i hoʻonui ʻia ke haki inā paʻi kekahi mea i ka ʻōpū a i ʻole inā hāʻule ʻoe me ka ikaika. I kekahi manawa hiki ke haki me ke kumu ʻole. Inā haki ka spleen, he kūlana hoʻoweliweli ia i ke ola.

Pehea e ʻike ai nā kauka i ka spleen i hoʻonui ʻia?

Hiki paha iā ʻoe ke hele i ke kauka me kekahi ʻeha ʻōpū. A i ʻole, hiki paha iā ʻoe ke hele me nā hōʻailona e pili ana i kahi maʻi ʻē aʻe. I kekahi manawa, ʻike nā kauka i kahi spleen i hoʻonui ʻia ma kahi hanana, i ka wā o ka nānā maʻamau a i ʻole ke ʻimi nei i kahi mea ʻē aʻe.

Hiki paha i ke kauka ke ʻike i kahi spleen i hoʻonui ʻia i ka wā e nānā ai i kou ʻōpū. Hiki ke hōʻoia ʻia kēia e nā hoʻokolohua like ʻole:

• Nā hoʻāʻo kiʻi:
• Hiki ke hana i kahi ultrasound ʻōpū a i ʻole CT scan e ʻike ai inā ua pehu ka spleen, pehea kona pehu ʻana, inā he puʻupuʻu, a inā he kaomi ma luna o nā ʻōpū ʻē aʻe.
• Hiki i ka MRI scan ke hōʻike i ke kahe ʻana o ke koko ma o ka spleen.
• Nā hoʻāʻo koko: Inā ʻaʻole maopopo ke kumu, hiki i kāu kauka ke kauoha i kekahi mau hoʻāʻo koko. Hiki i kēia ke nānā i nā kūlana kikoʻī, e like me ke kanesa, nā maʻi koko, a me ka hana o ke ake.
• Ka nānā ʻana i ka iwi iwi: I kekahi manawa e lawe paha kāu kauka i kahi hāpana liʻiliʻi o kou iwi iwi (kahi ʻimi ʻana i ka iwi iwi a/a i ʻole kahi biopsy iwi iwi). Hiki i kēia ke hāʻawi i ka ʻike e pili ana i ke ʻano o ka hana ʻana o kou spleen a hiki ke kōkua i ka ʻike ʻana i kekahi mau maʻi.

No laila, he aha kāu e hana ai ke pehu kou ʻōpū? He aha nā lāʻau lapaʻau?

I ka hapanui o nā hihia, hoʻi ka ʻōpū i ka nui maʻamau ke mālama ʻia ke kūlana kumu i hoʻoulu ai i ka pehu ʻana o ka ʻōpū. ʻO kekahi mau kūlana, e like me nā maʻi, e hoʻomaikaʻi iā lākou iho. Hiki ke mālama ʻia nā kūlana ʻē aʻe me nā lāʻau lapaʻau, nā hoʻoili koko, a i ʻole ke ʻoki kino.

ʻAʻohe lāʻau lapaʻau o kekahi mau maʻi. I ia mau hihia, hiki i nā kauka ke hoʻoholo e hāʻawi i ka radiation therapy haʻahaʻa e hōʻemi i ka pehu ʻana o ka spleen, a i ʻole e wehe i ka spleen ma ke ʻoki ʻana (splenectomy).

He aha ka mea e hana ai inā wehe ʻia ka spleen?

Hiki iā ʻoe ke ola maikaʻi me ka ʻole o ka spleen. Eia nō naʻe, e emi iki ana kou palekana, ʻo ia hoʻi kou hiki ke pale aku i nā maʻi.

• Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e kiʻi i kekahi mau lāʻau pale e pale aku iā ʻoe mai kekahi o nā maʻi maʻamau āu e loaʻa pinepine ai.
• E noi ʻia ʻoe e ʻaʻahu i kahi kūpeʻe lima ID lapaʻau i ʻike ai nā kauka lapaʻau ua wehe ʻia kou spleen.
• Inā maʻi ʻoe, e hāʻawi ʻia paha iā ʻoe nā lāʻau antibiotic ikaika aʻe ma mua o ka maʻamau.

Inā he ʻōpū pehu koʻu, pehea lā wau e mālama ai iaʻu iho?

Inā he ʻōpū pehu kou no ka manawa lōʻihi, pono ʻoe e makaʻala ʻaʻole e hōʻeha i kou ʻōpū. No ka mea, ʻoi aku ka nui o ka haki ʻana o ka ʻōpū nui, ʻoi aku ka maikaʻi o ka noho mamao aku mai nā haʻuki pili kiʻekiʻe.

Eia kekahi, ʻaʻole paha e hana nui a ʻoi aku paha kou spleen. No laila, e makaʻala i nā hōʻailona o ka anemia (pallor, luhi). Hiki i kāu kauka ke nānā i kou pae koko i kēlā me kēia manawa.

Aia kekahi mau meaʻai maikaʻi ʻole ke ʻai ʻia i ka wā e pehu ai ka ʻōpū?

ʻAʻole maopopo loa i nā kauka inā pili pololei ka meaʻai a mākou e ʻai ai i ko mākou ʻōpū. Eia nō naʻe, he hopena nui ko kā mākou ʻai i ko mākou olakino holoʻokoʻa. Inā he ʻōpū nui kou, hiki iā ʻoe ke manaʻo ua nāwaliwali kou ʻōnaehana pale. No laila, ʻo ka ʻai olakino kekahi o nā ala maʻalahi loa e pale aku ai i kou ʻōnaehana pale.

Eia kekahi, hiki i kāu meaʻai ke hoʻopili i nā kūlana olakino kumu e hoʻoulu ai i kou spleen e pehu (ʻoiai nā kūlana mumū a me nā maʻi ate).

Paipai mau nā kauka:

• E hōʻalo a hōʻemi paha i kāu ʻai ʻana i nā meaʻai wikiwiki a me nā meaʻai i hana ʻia (nā meaʻai māmā i hoʻopaʻa ʻia, nā mea ʻono, nā sausage, a pēlā aku). Hoʻonui kēia mau meaʻai i ka mumū i loko o ke kino a hoʻonui i ka cholesterol LDL, kahi mea ʻino i ke akepaʻa a me ka metabolism.
• E ʻai i ka papaʻai anti-inflammatory . ʻO ke ʻano kēia o ka ʻai ʻana i nā meaʻai hou aʻe, nā meaʻai holoʻokoʻa (nā mea kanu, nā huaʻai, a me nā mea kanu) a me nā momona unsaturated (i loaʻa i loko o ka iʻa a me nā nati).

Āhea wau e ʻimi koke ai i ke kōkua lapaʻau no ka ʻōpū pehu?

Inā ʻoe e ʻike i ka ʻeha e hoʻonui ana ma kahi o kou spleen, ʻo ia hoʻi, ma ka ʻaoʻao hema o luna o kou ʻōpū a i ʻole ma kou poʻohiwi hema, ʻoiai inā ʻoi aku ka ʻeha i kou hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.

ʻO ka mea maʻamau, hiki ke haki ka ʻōpū ke pā kekahi mea i ka ʻōpū. Akā i kekahi manawa hiki ke pahū wale. ʻOiai kahi haki liʻiliʻi hiki ke hoʻoulu i kahi kahe koko liʻiliʻi, akā inā ʻaʻole mālama koke ʻia, hiki i ke kūlana ke lilo koke i mea koʻikoʻi. Inā mālama koke ʻia, hiki paha iā ʻoe ke pale aku i ka pono o ke ʻoki kino.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, mai nā mea a mākou i kūkākūkā ai i kēia lā, hiki iā ʻoe ke ʻike ʻaʻole he mea e lawe māmā ʻia ka ʻōpū pehu. He hōʻailona paha ia o kahi pilikia olakino. Inā he manawa pōkole ia, ʻaʻole paha he mea nui i kou olakino holoʻokoʻa. Eia nō naʻe, inā hoʻomau ia, hiki ke hōʻino i kou ʻōpū a he mea weliweli paha.

No laila, inā manaʻo ʻoe he nui kou ʻōpū, a inā he mau hōʻailona paha kāu e pili ana i ia mea, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka a nānā ʻia. E ʻike ke kauka i ke kumu a mālama iā ia e like me ia. Mai hopohopo, akā, mai hoʻowahāwahā pū kekahi!

Splenomegaly , Spleen, ʻEha ʻōpū, Nā hōʻailona, ​​​​Lāʻau lapaʻau, Nā kumu