Ua ʻike mākou a pau e pili ana i nā ʻōkana nui o ko mākou kino e like me ka puʻuwai, nā māmā, a me nā puʻupaʻa. Akā ke lohe ʻoe i ka huaʻōlelo "spleen," ʻaʻole paha ʻoe e loaʻa i kahi manaʻo nui. Akā he ʻōkana liʻiliʻi kēia e hana mālie ana i kahi hana koʻikoʻi loa i loko o ko mākou kino. Eia naʻe, ʻo kekahi pōʻino iā ia hiki ke lilo i mea hoʻoweliweli nui i ke ola. I kēia lā ke kamaʻilio nei mākou e pili ana i ka spleen i haki.
I ka ʻōlelo maʻalahi, he aha kēia ʻōpū?
Aia ka spleen ma ka ʻaoʻao hema o luna o kou ʻōpū, ma lalo pono o kou iwi ʻaoʻao. He ʻōkana liʻiliʻi loa ia e like me ka nui o kou lima. ʻO kāna hana nui ka mālama a me ke kānana ʻana i ke koko. Mālama ia ma kahi o 25% o nā hunaola koko ʻulaʻula a me nā platelets i loko o ko kākou kino i kēlā me kēia manawa. Kōkua pū ia i ka hana ʻana i nā hunaola koko keʻokeʻo e hakakā i nā maʻi.
E noʻonoʻo e like me ke kānana e hoʻomaʻemaʻe i ke koko. ʻO ka ʻāpana palupalu i loko o ka spleen e hana ana i kēia hana ua uhi ʻia e kahi papa lahilahi o nā ʻiʻo. Akā no ka mea he palupalu loa ia, hiki ke hōʻeha maʻalahi ʻia e kahi ulia liʻiliʻi loa.
No laila he aha ka haki ʻana o ka splenic?
Inā, ma muli o kekahi ulia a i ʻole kekahi kumu ʻē aʻe, ua haehae ʻia ka uhi lahilahi e hoʻopuni ana i ka spleen, kapa mākou ia he splenic rupture. Ke hana ʻia kēia, hoʻomaka ka nui o ke koko i loko o ka spleen e kahe i loko o ka ʻōpū. He pilikia olakino kēia e hiki ai ke hoʻoulu i ke kahe koko kūloko weliweli loa , a hiki ke hoʻoweliweli i ke ola. No laila, he mea nui e ʻike e pili ana i kēia a loaʻa ka lāʻau lapaʻau i ka wā hikiwawe loa.
He aha ke kumu o ka haki ʻana o ka spleen?
I ka hapanui o nā hihia, ʻo ke kumu nui o ka haki ʻana o ka spleen he trauma waho koʻikoʻi.
- Nā ulia kaʻa: Ma waena o kēia mau mea, 50% - 75% i hana ʻia e nā ulia kaʻa.
- Nā ulia haʻuki: Kiʻekiʻe loa kēia pilikia i nā haʻuki pili e like me ka rugby a me ka pôpeku.
- Nā Hoʻouka: Ke kīkē ʻana, ke hou ʻana, a i ʻole ke kī ʻana i ka ʻōpū me ka lima paʻakikī.
- Hāʻule: E like me ka hāʻule ʻana mai kahi kiʻekiʻe.
I kekahi manawa hiki ke haki koke ka ʻōpū ma hope o ka ulia. Akā i nā manawa ʻē aʻe, hiki i ka ʻōpū ke pehu ma hope o ka ulia a haki i nā hola ma hope.
Hiki i ka ʻōpū ke haki me ka ʻole o ka pilikia?
ʻAe, he mea kākaʻikahi loa ia, akā hiki ke hana. Ua kapa ʻia ʻo ia he splenic rupture spontaneous . Hana ʻia kēia i ka wā e hoʻonui ʻia ai ka spleen, pehu, a nāwaliwali kona uhi waho ma muli o kekahi maʻi ʻē aʻe i loko o ke kino, e kumu ai i ka haki ʻana me ka manaʻo ʻole. Eia kekahi mau kūlana hiki:
- Kanesa: Nā kūlana kanesa e like me ka lymphoma.
- Nā maʻi: Nā maʻi e like me ka mononucleosis a i ʻole malaria.
- Nā maʻi ʻē aʻe: Nā maʻi mau e like me ka maʻi akepaʻa (Hepatitis) a i ʻole pancreatitis.
He aha nā hōʻailona o ka haki ʻana o ka spleen?
ʻO ka mea nui āu e ʻike ai i ka wā e haki ai kou ʻōpū he ʻeha nui ma ka ʻaoʻao hema o luna o kou ʻōpū . Akā e noʻonoʻo inā loaʻa iā ʻoe kahi ulia a haki kahi iwi ʻaoʻao, he mea paʻakikī paha ke hoʻokaʻawale ma waena o kēlā ʻeha a me ka ʻeha mai kou ʻōpū.
ʻO kekahi ʻano ʻē aʻe, ʻo ia ka manaʻo o ka ʻeha e like me ka hele ʻana i kou poʻohiwi hema ma hope o kekahi manawa. Ua kapa ʻia kēia ʻo ka hōʻailona Kehr ma nā huaʻōlelo lapaʻau. I ka ʻōlelo maʻalahi, ke kahe ke koko o ka spleen, hoʻopaʻa ia i kahi aʻalolo e holo ana mai ka ʻāʻī a i ka umauma (phrenic nerve). ʻO ia ke kumu e like ai ka ʻeha me ka hele ʻana i kou poʻohiwi. Hiki iā ʻoe ke manaʻo e ʻoi aku ka ʻino o ka ʻeha ke hanu ʻoe.
Ma waho aʻe o kēia ʻeha nui, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe ma muli o ke kahe ʻana o ke koko i loko o ke kino a me ka emi koke ʻana o ke koko.
| Hōʻailona | Wehewehena |
|---|---|
| Pōʻino a me ka nawaliwali | Manaʻo puni a hiki ʻole ke kū. |
| Ka huikau | Ka hiki ʻole ke hoʻomaopopo i ka mea e hana nei, he manaʻo maopopo ʻole. |
| ʻIke pōwehiwehi | ʻIke pōwehiwehi. |
| Ka mae a me ka nalowale o ka ʻike | Lilo ka ʻili i ke keʻokeʻo a maeʻele hoʻi, a me he mea lā e nalowale ana kou ʻike. |
| Ka hoʻomaha ʻole a me ka hopohopo | He manaʻo ʻē o ka hopohopo a me ka makaʻu. |
| Ka luaʻi | Manaʻo e luaʻi ana. |
Inā kānalua ʻoe ua haki ka spleen, he aha ka mea e hana koke ai!
Inā loaʻa iā ʻoe ka ʻeha nui ma ka ʻaoʻao hema o luna o kou ʻōpū ma hope o kahi ulia, a inā paha e pālahalaha ana ka ʻeha i kou poʻohiwi hema, e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) me ka hoʻokaʻulua ʻole. E kāhea aku i kahi ambulance inā pono.
ʻAʻole kēia he mea hiki iā ʻoe ke kali wale ma ka home. Hiki i ke kahe koko kūloko ke lilo i kūlana ola a make paha. No laila he mea nui e ʻimi koke i ke kōkua lapaʻau.
Ke hele ʻoe i ka haukapila, e haʻi maopopo i nā kauka e pili ana i kāu mau hōʻailona, nā ʻeha i hala koke aku nei, a me nā kūlana olakino ʻē aʻe āu i loaʻa ai. Inā pono, e hāʻawi ke kime lapaʻau i ka saline a i ʻole nā hoʻoili koko e kāohi i ke koko haʻahaʻa ma muli o ke kahe ʻana o ke koko.
Pehea e ʻike ai nā kauka i kēia?
Inā maʻamau kou koko a me ka helu o ka puʻuwai, e nānā mua ke kauka iā ʻoe. A laila, e hana lākou i kahi scan ultrasound kūikawā (FAST ultrasound), kahi i hoʻohana pinepine ʻia i nā kūlana pilikia. Hiki i kēia ke ʻike koke i kekahi kahe koko i loko o ka ʻōpū.
Inā hōʻike ke kiʻi ʻana i ke kahe ʻana o ke koko a he koʻikoʻi kou kūlana, ʻike nā kauka he spleen i haki kēia a pono e mālama koke ʻia. Inā paʻa kou kūlana, akā aia kekahi kānalua ua hōʻino ʻia kou spleen, hiki ke hana ʻia kahi CT scan e ʻike pono i ke ʻano o ka ʻeha. Hoʻokaʻawale ia i ke koʻikoʻi o ka ʻeha mai I a V.
Pehea e mālama ʻia ai?
Aia ka lāʻau lapaʻau i ke koʻikoʻi o ka ʻeha. Hiki i kekahi mau ʻeha liʻiliʻi ke ho'ōla iā lākou iho. Eia nō naʻe, pono ka lāʻau lapaʻau koke no nā ʻeha nui. ʻO nā ʻeha koʻikoʻi loa (papa V) e pono ai ke wehe ʻia ka spleen.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Hoʻopili ʻana | ʻAʻole kēia he ʻoki kino. Hoʻokomo ke kauka loea, me ke kōkua o kahi scanner, i kahi ʻōmole lahilahi ma o kekahi o kou mau kīʻaha koko i loko o kou spleen a hoʻokomo i kahi mea liʻiliʻi e like me ka bead i loko o kahi e kahe ai ke koko e hoʻōki i ke kahe ʻana. |
| ʻO ka splenorrhaphia | He hana ʻoki kino kēia. ʻO ke kaʻina hana e pili ana i ka humuhumu ʻana i ka ʻōpū i haki, ke puhi ʻana iā ia me kahi mea uila (electrocautery), a i ʻole ke kau ʻana i kahi wai kūikawā e hoʻōki i ke kahe ʻana o ke koko. Inā holomua kēia, hiki ke hoʻōla ʻia ka ʻōpū me ka ʻole o ka wehe ʻia. |
| Splenectomy | Inā ʻaʻole hiki ke hoʻōki ʻia ke kahe ʻana o ke koko ma kekahi ʻano, a ʻaʻole hiki ke hoʻōla ʻia ka spleen, e wehe ʻia kekahi hapa a i ʻole kekahi hapa ma ke ʻoki ʻana. Ma kahi o 20% o nā haki splenic e pau i kēia ala. |
Hiki iā ʻoe ke ola ma hope o ka wehe ʻana i kou ʻōpū?
ʻAe, hiki nō ia. Hiki iā ʻoe ke ola me ka ʻole o ka spleen. Akā hoʻopilikia ia i kāu ʻōnaehana pale . ʻOiai ʻo ka spleen e pale iā mākou mai nā maʻi, ʻo ka wehe ʻana iā ia e hoʻonui iki i ka pilikia o ka loaʻa ʻana o nā maʻi.
No laila, ma hope o ke ʻoki ʻana, e aʻo aku ke kauka iā ʻoe e kiʻi i kekahi mau lāʻau pale kūikawā. Eia kekahi, inā ulu kahi maʻi, e aʻo aku ʻo ia iā ʻoe e lawe koke i nā antibiotics me ka hoʻokaʻulua ʻole.
Hiki ke loli ka manawa ho'ōla mai 3 a 12 mau pule ma muli o ke koʻikoʻi o ka ʻeha. Inā hana ʻia ʻoe i ke ʻoki kino, pono paha ʻoe e noho i ka haukapila no kekahi mau lā.
Leka Lawe-Home
- He mea koʻikoʻi ka ʻōpū i haki ʻia, a he mea hoʻoweliweli paha i ke ola e pono ai ka mālama olakino koke.
- Inā loaʻa iā ʻoe ka ʻeha nui ma ka ʻaoʻao hema o luna o kou ʻōpū ma hope o kahi ulia, a inā paha e like ka ʻeha me he mea lā e pālahalaha ana i kou poʻohiwi hema, he hōʻailona paha ia o ka haki ʻana o ka spleen.
- Inā loaʻa iā ʻoe kēlā mau hōʻailona, mai hoʻokaʻulua a hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā ʻike ʻia a mālama ʻia ka maʻi i ka wā mua, hiki pinepine ke hoʻopakele i ka spleen me ka ʻole o ka wehe ʻana.
- Inā paha e wehe ʻia ka ʻōpū, hiki iā ʻoe ke ola i kahi ola maʻamau. Eia nō naʻe, pono e mālama pono ʻia e like me ke aʻo ʻana a ke kauka e pale iā ʻoe iho mai nā maʻi.
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