Ke hana ikaika nei anei kou spleen? (Hypersplenism) E aʻo maʻalahi kākou e pili ana i ia mea!

Ke luhi nei ʻoe i kekahi manawa? A i ʻole he ʻeha liʻiliʻi kou e pau ʻole ai ke kahe ʻana o ke koko? Malia paha he mau kiko polū kou ma kou kino? I kekahi manawa hiki ke hana ʻia kēia e ka spleen , kahi ʻāpana liʻiliʻi i loko o ko mākou kino , e hana nui ana . I kēia lā, e kamaʻilio kākou e pili ana i kēia kūlana (Hypersplenism), e like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha kēia (Hypersplenism)?

I ka ʻōlelo maʻalahi, ʻo ka hypersplenism ka wā e hana nui ai kou spleen. ʻO kekahi o nā hana nui o ka spleen, ʻo ia ka wehe ʻana i nā cell kahiko a hōʻino ʻia mai ko mākou koko. Hana ka spleen e like me ka mea hōʻiliʻili ʻōpala i loko o ko mākou hale. Akā i kekahi manawa, ke hoʻomaka ka spleen e hana nui , hoʻomaka ia e wehe i nā cell koko olakino ma mua o ka mea e pono ai. ʻO ia ka manawa e loaʻa ai i ko mākou kino ka nele o nā cell koko, a i ʻole "Cytopenia". Me he mea lā e wehe koke ʻia ana nā mea maikaʻi.

Pehea ka hopena o kēia maʻi i kou kino?

Hiki i ka Hypersplenism ke hoʻemi i kekahi a i ʻole nā ​​ʻano āpau o nā hunaola koko i loko o kou kino. Hiki i kēia ke alakaʻi i nā kūlana e like me:

• Anemia : He emi kēia o nā hunaola koko ʻulaʻula. ʻO nā hunaola koko ʻulaʻula ka mea e lawe i ka oxygen ma o ko kākou kino. No laila, ke haʻahaʻa lākou, hiki iā ʻoe ke luhi i nā manawa a pau, ke anu, i kekahi manawa ke poniuniu, a paʻakikī ke hanu . Me he mea lā e pau ana ka wahie o kou kino.
• Leukopenia: He emi kēia o nā hunaola koko keʻokeʻo. Ua like nā hunaola keʻokeʻo me nā 'koa' i loko o ko kākou kino e hakakā ana i nā maʻi. No laila, ke emi nā hunaola keʻokeʻo, piʻi ka pilikia o ka loaʻa ʻana o nā maʻi. Hiki ke hana pinepine ʻia nā mea e like me ke kuni a me ke anu .
• Thrombocytopenia: He emi kēia o nā platelets. Kōkua nā platelets i ke kāpili ʻana o ke koko. He mea nui lākou no ka hoʻōki ʻana i ke kahe ʻana o ke koko, ʻoiai mai kahi ʻeha liʻiliʻi. No laila, ke haʻahaʻa lākou , hiki ke paʻakikī ke hoʻōki i ke kahe ʻana o ke koko, hiki ke ʻike ʻia nā palapū ma ke kino, a hiki ke kahe ke koko o nā ʻāʻī .

Hiki i kēia kūlana (hypersplenism) ke lilo i mea akahai loa no kekahi poʻe, a hiki ke koʻikoʻi loa no kekahi. ʻOkoʻa nō hoʻi ke ʻano o ka emi ʻana o nā hunaola koko mai kēlā kanaka a kēia kanaka. ʻAʻole paha e ʻike kekahi poʻe i kekahi hopena koʻikoʻi a ʻaʻole pono paha ka mālama ʻana. Eia nō naʻe, ʻoiai inā loaʻa kēia kūlana me kahi maʻi koʻikoʻi ʻē aʻe, hiki iā ia ke lilo i mea nui e hoʻopilikia ai i kou olakino holoʻokoʻa.

Pehea e hana ʻia ai ka hypersplenism?

Hoʻokumu pinepine ʻia ka Hypersplenism e ka nui o kou spleen (`(Splenomegaly)`). E noʻonoʻo e pili ana i ia mea, i ka nui ʻana o kou spleen, piʻi ka nui o ke koko hiki iā ia ke paʻa. A laila, paʻa ka spleen i nā hunaola koko hou aʻe i ka manawa hoʻokahi. Ke paʻa nei ia e like me kēia, hoʻonui pū ia i ka nui o ke koko āna e kānana ai, a i ka hopena e hoʻomaka ana e wehe i nā hunaola olakino ma mua o ka mea e pono ai.

Eia kekahi o nā kumu nui o ka hoʻonui ʻia ʻana o ka spleen (hypersplenism):

• Maʻi akepaʻa : ʻO nā kūlana e hoʻopilikia ai i kou akepaʻa, e like me ka hepatitis mau a i ʻole ka cirrhosis, hiki ke hoʻonui i ke kaomi i loko o nā kīʻaha koko e lawe ana i ke koko ma o ke akepaʻa a me ka spleen . Ua kapa ʻia kēia he portal hypertension. Hoʻonui kēia i ka nui o ke koko i loko o ka spleen, e hoʻoulu ai i ka pehu ʻana o ka spleen, a i ʻole e hoʻonui ʻia.
• Nā maʻi: ʻO kekahi mau maʻi viral, e like me ka mononucleosis (i ʻike ʻia hoʻi he maʻi honi) a me ka maʻi HIV, nā maʻi bacteria (e like me ka maʻi tuberculosis, endocarditis, kahi maʻi o ka uhi o ka puʻuwai), a me nā maʻi parasitic (e like me ka malaria, toxoplasmosis) hiki ke kau i ka nui o ke kaumaha ma ka ʻōnaehana pale o ka spleen. ʻO kēia ke kumu o ka spleen e hana i nā antibodies a me nā cell immune ma mua o ka mea e pono ai. ʻO kēia hana nui ʻana o nā cell (hyperplasia) hiki ke hoʻonui i ka nui o ka spleen.
• Nā maʻi Autoimmune: ʻO nā maʻi mumū lōʻihi e like me ka lupus, sarcoidosis, a me ka rheumatoid arthritis hiki ke hoʻoulu i ka ʻōnaehana pale e lilo i mea hana nui, e alakaʻi ana i ka hyperplasia (ka hana nui ʻana o nā cell spleen). ʻO kēia ka manawa e hoʻouka ai kā mākou ʻōnaehana pale ponoʻī i kā mākou mau cell ponoʻī.
• Kanesa: I nā maʻi kanesa e pili ana i ke koko e like me ka leukemia a i ʻole nā ​​myeloproliferative neoplasms (MPNs) a me nā lymphomas, komo nā hunaola kanesa i loko o ka spleen a hoʻomaka e hoʻonui ma laila. ʻO kēia kekahi e hoʻonui ai i ka spleen.
• Nā maʻi koko: ʻO nā kūlana e hoʻopau koke ai i nā hunaola koko ʻulaʻula, e like me ka anemia hemolytic (kahi e luku koke ʻia ai nā hunaola koko ʻulaʻula) a me ka neutropenia, e kau ana i kahi kaumaha ma luna o ka spleen, ka mea nāna e wehe iā lākou. E like me ko kākou luhi ke hana nui kākou.
• Nā maʻi metabolic hoʻoilina:ʻO nā kūlana e hōʻiliʻili ai nā mea like ʻole i loko o ke koko a waiho i loko o nā ʻōpū, e like me ka maʻi Niemann-Pick, ka maʻi Gaucher, a me ka maʻi sickle cell, hiki ke hoʻopilikia i ka spleen, e hoʻonui ai.

He aha nā hōʻailona o (Hypersplenism)?

I kekahi manawa ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona ʻoiai he hypersplenism kou. ʻO ia ka pilikia me kēia. Eia naʻe, inā ʻike ʻia nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• Nā hōʻailona o ka spleen i hoʻonui ʻia:
• E ʻeha paha ʻoe a ʻoluʻolu ʻole paha ma kou ʻōpū hema luna . No kekahi poʻe, he kaumaha wale nō paha kēia.
• I kekahi manawa hiki iā ʻoe ke ʻike i ka ʻōpū ke hoʻopā ʻoe iā ia me kou lima. ʻO ka maʻamau, ʻaʻole mākou e ʻike i ka ʻōpū e like me kēlā.
• Ma muli o ke kaomi ʻana o ka spleen i hoʻonui ʻia ma ka ʻōpū ma lalo ona, hiki iā ʻoe ke manaʻo ua piha ʻoe ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi . Hiki i kēia ke alakaʻi i ka nalowale o ka makemake.
• Nā Hōʻailona o ka Anemia: E like me kā mākou i kūkākūkā ai, ʻo nā hunaola koko ʻulaʻula ka mea e lawe i ka oxygen i nā ʻiʻo o ko mākou kino. No laila, inā ʻaʻole lawa lākou, e nele nā ​​ʻiʻo i ka oxygen. ʻO ka hopena:
• Hiki paha iā ʻoe ke manaʻo i ka poniuniu, nāwaliwali, a me ka luhi (manaʻo luhi ʻoiai ma hope o ka hana ʻana i kahi hana liʻiliʻi).
• Hiki paha iā ʻoe ke anu a loaʻa pinepine ka ʻeha poʻo .
• Hiki ke nānā aku kou ʻili i ke keʻokeʻo . E nānā paha kekahi i kou helehelena a nīnau, "No ke aha ʻoe i keʻokeʻo ai?"

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike i ke kauka no ka ʻōlelo aʻo.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka hypersplenism?

E nānā mua ke kauka e ʻike inā ua hoʻonui ʻia kou spleen (`(Splenomegaly)`) a e ana pū i ka helu o nā cell i loko o kou koko.

• I kekahi manawa, e ʻike paha kāu kauka i kou spleen i hoʻonui ʻia i ka wā o ka hoʻokolokolo kino . E ʻike ke kauka i ka ʻaoʻao hema o kou ʻōpū.
• Hiki ke hana ʻia kahi ultrasound e hōʻoia i kēia. Hiki i kēia ke ana pololei i ka nui o ka spleen.
• Hiki i kahi hoʻāʻo helu koko piha (CBC) ke haʻi pololei i nā ʻano o nā cell (nā cell ʻulaʻula, nā cell keʻokeʻo, nā platelets) i haʻahaʻa i loko o kou koko a pehea ko lākou haʻahaʻa. ʻO kēia ka hoʻāʻo koʻikoʻi loa.

Pehea e mālama ʻia ai ka Hypersplenism?

ʻO ka Hypersplenism pinepine kahi hopena ʻaoʻao a he hōʻailona o kekahi maʻi ʻē aʻe, ʻoi aku ka koʻikoʻi. No laila, inā ʻaʻole ʻoe i ʻike ʻia me ke ʻano kumu a ʻaʻole paha i hoʻomaka i ka mālama ʻana no ia mea, e kālele ana kāu kauka ma ia mea mua. Pono nō hoʻi kāu kauka e hana i nā hoʻokolohua hou aʻe e ʻike i ke kumu pololei. Ke mālama ʻia ke kumu kumu, e hoʻi pinepine ka hana o ka spleen i ka maʻamau.

ʻO ka lāʻau no ka hypersplenism e pili ana i kona koʻikoʻi. Hiki ke komo pū me:

• Hoʻoili koko: Hoʻihoʻi ʻia kou helu koko haʻahaʻa me ke koko i hāʻawi ʻia. Hiki ke hana ʻia kēia ma ka hāʻawi ʻana i nā hunaola koko ʻulaʻula inā haʻahaʻa kou mau hunaola koko ʻulaʻula, a i ʻole nā ​​platelet inā haʻahaʻa kou mau platelet.
• ʻO ka radiation therapy haʻahaʻa a i ʻole ka radiofrequency ablation: Hoʻohana ʻia kēia mau ʻano ʻelua e nā kauka e kuhikuhi a luku i nā ʻiʻo i loko o ke kino, e like me nā puʻupuʻu kanesa. Hiki ke hoʻohana ʻia kēia mau ʻano e mālama i ka hypersplenism a hoʻemi i kou spleen i hoʻonui ʻia i kona nui maʻamau. Hiki i kāu kauka ke ʻōlelo aku i kēia inā koʻikoʻi kāu hypersplenism a ʻaʻole hiki ke mālama ʻia ke kūlana kumu e hoʻemi i ka spleen.
• Splenectomy: I kekahi mau hihia koʻikoʻi, inā ʻaʻole i holo pono nā lāʻau ʻē aʻe, hiki i kāu kauka ke kuhikuhi e wehe i kahi hapa a i ʻole kou spleen āpau. Hiki iā ʻoe ke ola me ka ʻole o ka spleen, akā hoʻonāwaliwali ia i kāu ʻōnaehana pale. Ma muli o kou kūlana olakino ma lalo, hiki i kēia ke hana i ka ʻino ma mua o ka maikaʻi. No laila, hana pinepine ʻia ka splenectomy ma ke ʻano he koho hope loa. Inā loaʻa iā ʻoe kēia ʻoki kino, hiki i kāu kauka ke kuhikuhi iā ʻoe e loaʻa i kekahi mau lāʻau pale kūikawā e pale aku iā ʻoe mai nā maʻi maʻamau. I kekahi mau hihia, hiki ke kuhikuhi ʻia ʻoe i nā antibiotics prophylactic e lawe i kēlā me kēia lā ma hope o ka wehe ʻia ʻana o kou spleen.

He aha kaʻu e manaʻo ai me kēia kūlana?

He maʻi hiki ke mālama ʻia ka Hypersplenism. Eia nō naʻe, pili kou prognosis i ke ʻano kumu āu i loaʻa ai. He manawa pōkole kekahi mau maʻi (e.g., kekahi mau maʻi), he mau maʻi mau kekahi (e.g., cirrhosis, kekahi mau maʻi autoimmune), a he holomua kekahi (e.g., kekahi mau maʻi kanesa). Inā hoʻohaʻahaʻa ka hypersplenism i ka helu o nā cell koko (e.g., cytopenia), hiki i ka hoʻoili koko ke kōkua i ka hoʻihoʻi ʻana i ka helu o kāu mau cell koko. ʻO ka mea nui loa, ʻo ia ke hana pū me kāu kauka a hahai pono i kāu hoʻolālā lapaʻau.

He aha ka ʻokoʻa ma waena o (Hypersplenism) a me (Splenomegaly)?

Hiki ke loaʻa kahi huikau iki i ke kamaʻilio ʻana e pili ana i kēia mau mea ʻelua, no laila e wehewehe pū kākou i kēlā.

• ʻO ka Splenomegaly ke ʻano o kou spleen he nui loa ia .
• ʻO ka Hypersplenism ka wā e hana nui ai ka spleen i hoʻonui ʻia a wehe i nā hunaola koko he nui loa.

I ka ʻōlelo maʻalahi, ʻo Hypersplenism kahi hopena ʻaoʻao o Splenomegaly. Hiki i nā mea like ʻole ke hoʻonui a hoʻonui i ka spleen. Eia naʻe,ʻAʻole i loaʻa mau ka hypersplenism no ka mea ua hoʻonui ʻia ka spleen. ʻO ia hoʻi, ʻaʻole i hoʻonui ʻia nā spleen āpau i hana nui ʻia, akā ʻaʻole i hana nui ʻia nā spleen āpau i hoʻonui ʻia. Maopopo iā ʻoe? Me he mea lā ʻaʻole holo wikiwiki nā mea a pau nona ke kaʻa nui, akā ʻo ka mea e holo wikiwiki ana, ʻoi aku ka nui o ke koho ʻana i kahi kaʻa nui a ikaika.

ʻO ka Hypersplenism he hōʻailona ia o kekahi maʻi ʻē aʻe. Aia paha kahi maʻi i loko o kou spleen ponoʻī, a i ʻole e hoʻomaka paha ma kahi ʻē aʻe o kou kino. No ka mea, pili kou spleen i ka mālama ʻana a me ke kānana ʻana i ke koko, hiki i nā maʻi e hoʻopilikia iā ia ke pili pinepine i kou koko a i ʻole nā ​​​​​​kīʻaha koko.

ʻO ka mālama ʻana i ka hypersplenism maʻamau e pili ana i ka mālama ʻana i ke kūlana kumu. I ka hapanui o nā hihia, hiki ke hoʻihoʻi ʻia ka spleen i ka hana maʻamau. Eia nō naʻe, inā hoʻomau kou kūlana, pono paha ʻoe i nā hoʻoili koko e hoʻihoʻi i ka helu o kāu mau cell koko, a i ʻole e hoʻoholo paha kāu kauka e mālama pololei i kāu spleen.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau? (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka hypersplenism. Eia kekahi mau mea maʻalahi e hoʻomanaʻo ai:

• ʻO ka Hypersplenism ka wā e hana nui ai kou spleen a wehe i nā hunaola koko he nui (nā hunaola koko ʻulaʻula, nā hunaola keʻokeʻo, nā platelets) ma mua o ka mea e pono ai.
• ʻO ke kumu nui o kēia, ʻo ia ka nui o ka spleen (`(Splenomegaly)`) . Hiki ke hoʻonui ʻia ka spleen e nā maʻi like ʻole e like me ke akepaʻa, ka maʻi ʻaʻai, a me ke kanesa.
• Inā ʻike ʻoe i nā hōʻailona e like me ka luhi pinepine, ka maʻi maʻalahi, ke kahe ʻana o ke koko e lōʻihi ka manawa e pau ai mai kahi ʻeha liʻiliʻi, ka ʻeha ma ka ʻaoʻao hema o luna o kou ʻōpū, a me ka māʻona ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, he mea nui e ʻimi i ke kōkua lapaʻau.
• Hoʻōla ʻia ka Hypersplenism ma ka mālama ʻana i ke kūlana kumu. I kekahi manawa, pono paha nā hoʻoili koko, nā lāʻau lapaʻau e hōʻemi i ka nui o ka spleen, a i ʻole, ma ke ʻano he koho hope loa, ka wehe ʻana i ka spleen.
• He maʻi hiki ke mālama ʻia kēia. No laila he mea nui e pale aku i ka hopohopo a hahai pono i nā ʻōlelo a kāu kauka.

E hoʻomanaʻo, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka me ka makaʻu ʻole. A laila hiki iā lākou ke hana i nā hoʻokolohua e pono ai, e ʻike pono i ka mea i pilikia, a hāʻawi i ka lāʻau lapaʻau e pono ai. ʻO ka wikiwiki o kou ʻike ʻia ʻana, ʻoi aku ka maʻalahi o ka lāʻau lapaʻau a ʻoi aku ka maikaʻi o ka hopena.