Ke auwana nei kou ʻōpū? (Wandering Spleen) E kamaʻilio kākou e pili ana i kēia!

Ke manaʻo nei ʻoe i kekahi manawa i kahi manaʻo ʻē i loko o kou ʻōpū, kahi ʻeha hiki ʻole iā ʻoe ke hoʻomaopopo pono, a i ʻole kahi manaʻo o ka piha a me ke kaumaha? Malia paha ke manaʻo nei ʻoe e paʻa ana i kahi mea i loko o kou ʻōpū a ke neʻe nei ia a puni. Aia paha ke kumu no kēia, akā i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi laha ʻole i lohe ʻole ʻia e ka poʻe he nui. ʻO ia ke ʻano i kapa ʻia ʻo 'Wandering Spleen' , ʻo ia hoʻi ke neʻe nei ka spleen mai kahi a i kahi ma Sinhala.

I ka ʻōlelo maʻalahi, he aha ke ʻano o kēia ʻōpū ʻauwana?

ʻAe, e nānā mua kākou i ke ʻano o kēia 'Wandering Spleen'. ʻIke ʻoe, e like me nā ʻōpū āpau o ko kākou kino, ʻaʻole lākou i hoʻopaʻa wale ʻia ma kahi hoʻokahi. Loaʻa iā lākou nā kaula liʻiliʻi e kōkua ai e hoʻopaʻa iā lākou ma kahi, i kapa ʻia ʻo ligaments . He ʻōpū nō hoʻi ko kākou spleen . He ʻōpū liʻiliʻi ia e like me ka nui o ko kākou lima. Aia ma ka ʻaoʻao hema o ko kākou ʻōpū, ma loko pono o ka iwi ʻaoʻao, ma luna pono o ka ʻōpū.

No laila, inā nāwaliwali nā ligaments e kōkua ana e mālama i ka spleen ma kahi, a inā ʻaʻole i hoʻonohonoho pono ʻia kēlā mau ligaments mai ka hānau ʻana, a laila hiki i ka spleen ke neʻe a puni, "hele" a puni, mai kona kūlana maʻamau. ʻO ia ka mea a mākou e kapa nei he 'Wandering Spleen'.

I kēia manawa, e noʻonoʻo i ka mea e hiki ke hana ke neʻe ʻoe mai kēlā wahi a kēia wahi e like me kēia:

• Hiki i ka ʻōpū ke wili: E like me ka wā e ʻomi ai mākou i kahi lole pulu, hiki i ka ʻōpū ke wili koke. Ua kapa ʻia kēia ʻo 'Splenic Torsion' ma nā huaʻōlelo lapaʻau. Ke wili kēia, hiki ke hōʻeha nui i ka ʻōpū.
• Hiki ke kaomi ma luna o nā kino ʻē aʻe: Ke neʻe nei ka spleen, hiki iā ia ke kaomi a kaomi ma luna o nā kino ʻē aʻe kokoke.
• Hiki ke ʻoki ʻia ke kahe koko i ka spleen: I kekahi manawa, hiki ke wili ʻia ka spleen, a hiki ke wili ʻia nā kīʻaha koko e hoʻolako ana iā ia, e ʻoki loa ʻia ai ke kahe koko i ka spleen a hapa paha. Ke hana ʻia kēia, hoʻomaka ka make ʻana o nā ʻiʻo i loko o ka spleen. Ua kapa ʻia kēia ʻo 'Splenic Infarction' .

Eia nō naʻe, i kekahi manawa hiki ke loaʻa kēia ʻano 'Wandering Spleen' me ka ʻole o nā hōʻailona. Aia kekahi poʻe, i ka wā e hana ʻia ai kahi scan ʻōpū, no ka laʻana he CT scan , no kekahi maʻi ʻē aʻe, ʻike hewa lākou ʻaʻole i kahi e pono ai ko lākou spleen.

No laila, he aha ka lawelawe a ka spleen e hāʻawi ai i ko mākou kino?

Ke noʻonoʻo nei paha ʻoe, "No ke aha lā i loaʻa ai kēia spleen i loko o ko mākou kino?" ʻO ka spleen kekahi ʻāpana o kā mākou ʻōnaehana lymphatic . I ka ʻōlelo maʻalahi, ua like ia me kahi kiaʻi kino. He mau hana nui kāna:

• Mālama a kānana i ke koko: Mālama ka spleen i kekahi o ko mākou koko, a kōkua pū kekahi e hoʻomaʻemaʻe iā ia ma ka wehe ʻana i nā mea e like me nā hunaola koko ʻulaʻula kahiko mai ke koko.
• Pale i nā maʻi: ʻO kekahi hana koʻikoʻi o ka spleen ke kōkua i ka hakakā ʻana i nā germs e komo i loko o ko mākou kino. ʻO ia hoʻi, hāʻawi ia i ke kākoʻo nui i kā mākou ʻōnaehana pale.

ʻO ka maʻamau, ua pili ka spleen i ko kākou ʻōpū a me nā puʻupaʻa e nā ligaments. Ke nalowale kēlā pilina, e kū mai ke ʻano 'Wandering Spleen' i ʻōlelo mua ʻia.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, he mea kakaikahi loa kēia maʻi i kapa ʻia ʻo 'Wandering Spleen'. Wahi a nā hōʻike lapaʻau, ua hōʻike ʻia he 500 wale nō o ia mau maʻi ma ka honua holoʻokoʻa. ʻO ia hoʻi, he mea kānalua inā paha e loaʻa i hoʻokahi o ka miliona mau kānaka. Wahi a ka noiʻi, ma kahi o ka hapakolu o kēia mau maʻi i hōʻike ʻia he mau keiki ma lalo o 10 mau makahiki, i hānau ʻia me kēia maʻi. Ua ʻōlelo ʻia hoʻi i kekahi manawa hiki ke loaʻa kēia maʻi ma hope o ka hāpai ʻana.

He aha nā hōʻailona o kēia?

Aia kekahi mau hōʻailona maʻamau e ʻike ʻia ma ka hihia o 'Wandering Spleen'. Akā e hoʻomanaʻo, ʻaʻole loaʻa kēia mau hōʻailona i nā kānaka a pau, a ʻaʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona.

• Pehu: Manaʻo e like me ka pehu ʻana o kou ʻōpū, e like me ka pōpō pehu.
• ʻEha ʻōpū hou: Hiki ke hoʻokaʻawale ʻia kēia ʻeha, ikaika iki, a hiki ʻole ke hoʻomanawanui. Hiki ke hele mai a hele aku, emi iho, a laila hoʻi mai.
• Ka luaʻi a me ka luaʻi ʻana: Hiki ke hana pū ʻia ka luaʻi a me ka luaʻi ʻana me ka ʻeha o ka ʻōpū.
• He puʻu e neʻe ana a puni i loko o ka ʻōpū: Hiki i kekahi poʻe ke manaʻo i kahi mea e like me kahi pōpō liʻiliʻi a i ʻole kahi ʻāpana kopa ke hoʻopā lākou i ko lākou ʻōpū. Ke ʻomi ʻoe iā ia, manaʻo paha ia e neʻe iki ana.
• ʻEha ma ka ʻōpū hema hema: He hōʻailona paha kēia o kahi spleen i hoʻonui ʻia.

E noʻonoʻo, he hoaaloha kou, e ʻōlelo kākou ʻo Nimalini. Ua ʻeha iki ʻo ia ma ka ʻaoʻao hema o kona ʻōpū no nā mahina. I kekahi mau lā, ʻaʻole hiki ke hoʻomanawanui, a luaʻi pū ʻo ia. Ke ʻike ʻo ia i ke kauka a hana i kahi ultrasound o kona ʻōpū, ʻike ʻo ia ʻaʻole kona spleen ma kahi e pono ai, akā, ua haʻahaʻa iki a ua wili iki. Pēlā ke ʻano o kahi ʻike.

He aha ke kumu o kēia?

ʻElua mau kumu nui o ke ʻano 'Wandering Spleen':

1. Hānau ʻia: Ke ulu nei kahi fetus i loko o ka ʻōpū, ʻaʻole paha e ulu pono nā ligaments e paʻa ana i ka spleen. Inā hana ʻia kēlā, he hānau ʻia kēia maʻi.

2. Kekahi mea e hana ʻia ma hope:

• Hāpai: No kekahi mau wāhine, i ka wā hāpai, ma muli o nā loli hormonal a me ke kīkoʻo ʻana o ka ʻōpū, hiki ke palupalu nā ligaments e paʻa ana i ka spleen. Inā hoʻomau kēia palupalu ma hope o ka hānau ʻana, hiki ke ulu kahi 'Wandering Spleen'.
• Ulia a ʻeha paha:Hiki ke hana ʻia kēia kūlana inā ua hōʻino ʻia ka spleen e kahi ulia koʻikoʻi a i ʻole ka ʻeha i ka ʻōpū, a ua hōʻino ʻia hoʻi nā ligaments.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻOiai he maʻi kakaikahi ka 'Wandering Spleen', hiki i kekahi manawa ke alakaʻi i nā pilikia koʻikoʻi. E like me ka mea i ʻōlelo ʻia ma mua, ʻo nā mea nui ka splenic torsion a me ka splenic infarction.

Eia kekahi, he mea kākaʻikahi loa , hiki i kēia kūlana ke hana i kahi kūlana i kapa ʻia ʻo ka pancreatic tail necrosis . ʻO kēia no ka mea kokoke loa ka spleen i ka pancreas. No laila, i ka wā e loaʻa ai kahi pilikia me ka spleen, hiki iā ia ke hoʻopilikia i ka pancreas i kekahi manawa.

Pehea e ʻike ai nā kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea mua a ke kauka e hana ai ke ʻike ʻoe iā ʻoe, ʻo ia ke nānā pono iā ʻoe. E hoʻopā pono lākou i kou ʻōpū, e nānā ana i nā puʻupuʻu a i ʻole ka ʻeha ke kaomi ʻoe iā ia.

A laila, e kauoha lākou i nā hoʻokolohua e hiki ke nānā i loko o ka ʻōpū e ʻike pono i ka mea e hana nei. ʻO nā mea nui o kēia mau mea:

• CT scan (Computed Tomography - CT scan): Hiki i kēia hoʻāʻo ke kiʻi i nā kiʻi maopopo o nā ʻōpū i loko o ka ʻōpū.
• ʻO ka ultrasound ʻōpū: Hiki ke hoʻohana ʻia kēia e ʻike i ke kūlana o nā ʻōpū i loko o ka ʻōpū.

Hiki i kēia mau hoʻokolohua ke hōʻike i nā mea he nui, e like me kahi o ka spleen, kona nui, inā ua pehu, a inā paha e hana pono ana ke kahe koko.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka lāʻau lapaʻau nui a maʻamau no ka Wandering Spleen he wehe ʻoki ʻana i ka spleen (Splenectomy) . ʻAe, ke noʻonoʻo nei paha ʻoe, "ʻĀ, wehe i ka spleen? He mea nui kēlā, ʻeā?" E kamaʻilio mākou e pili ana i kēlā ma hope iki.

ʻO ka hapa pinepine, hana ʻia kēia ʻoki laparoscopically . ʻO ia hoʻi, he ʻoki e pili ana i ke komo ʻana i kahi kāmela a me nā mea hana palupalu ma o kekahi mau ʻoki liʻiliʻi, ma mua o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū. ʻO ka pōmaikaʻi o kēia ʻano hana, ʻo ia ka wikiwiki o ka ho'ōla ʻana o nā ʻeha a ʻoi aku ka pōkole o ka noho ʻana ma ka haukapila.

I kekahi manawa, inā ʻaʻole i wili ʻia a hōʻino ʻia paha ka spleen, hiki ke hoʻihoʻi ʻia i kona kūlana mua a hoʻopaʻa ʻia ma laila (splenepoxy). Akā hana ʻia kēia i nā hihia kakaikahi loa. ʻO ke kaʻina hana maʻamau ka wehe ʻana i ka spleen.

Hiki iā ʻoe ke ola me ka ʻole o ka spleen? / He aha ka mea e hana ʻia ma hope o ka wehe ʻia ʻana o ka spleen?

ʻO kēia ka nīnau nui loa a ka poʻe he nui. He mea maʻamau ka noʻonoʻo ʻana i nā mea e like me, "He aha ka mea e hiki mai ana iaʻu inā e wehe ʻia koʻu ʻōpū? ʻAʻole anei e hiki iaʻu ke ola i ke ola maʻamau?"

Akā, hoʻokahi mea e hōʻoluʻolu paha iā ʻoe, ʻo ia ka mea ʻaʻole he ʻōkana koʻikoʻi ka spleen i loko o ko kākou kino. ʻO ia hoʻi, hiki iā ʻoe ke ola i kahi ola maʻamau a olakino me ka ʻole o ia mea. He nui ka poʻe e ola holomua me ka ʻole o ka spleen.

Akā, hoʻokahi mea. ʻO kekahi o nā hana nui o ka spleen ka pale ʻana i nā maʻi. No laila, ke wehe ʻia ka spleen, hiki i kou kino ke lilo i mea maʻalahi iki i kekahi mau maʻi. ʻO ia hoʻi, ʻoi aku ka kiʻekiʻe o kou manawa e maʻi ai. No laila he mea nui nā hana palekana a mākou e kamaʻilio ai ma hope.

Pehea ʻoe e mālama ai iā ʻoe iho ma hope o ka wehe ʻana i kou ʻōpū?

Ma hope o ka splenectomy, pono ʻoe e mālama pono e pale iā ʻoe iho mai nā maʻi. Eia kekahi mau mea hiki iā ʻoe ke hana:

• E kiʻi pololei i kāu mau lāʻau pale: Me ka ʻole o ka spleen, haʻahaʻa nā pale o kou kino e kūʻē i kekahi mau maʻi bacteria a me viral. No laila, e kuhikuhi kāu kauka iā ʻoe i kekahi mau lāʻau pale kūikawā (no ka laʻana, e kūʻē i ka pneumonia, meningitis, influenza). He mea nui loa ka loaʻa ʻana o kēia mau lāʻau pale i ka manawa kūpono.
• Inā ua kuhikuhi ʻia ʻoe i nā lāʻau antibiotic, e hoʻohana pono iā lākou: Inā he nāwaliwali kou ʻōnaehana pale ma muli o kekahi maʻi ʻē aʻe, hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic e lawe i kēlā me kēia lā. E hoʻohana pono iā lākou. Eia kekahi, inā loaʻa iā ʻoe ke kuni a i ʻole ke anu, hiki i kāu kauka ke haʻi aku iā ʻoe e hoʻomaka koke i nā lāʻau antibiotic.
• E makaʻala i ka wā e hele ai: Loaʻa i kekahi mau ʻāina nā maʻi e like me ka malaria . Inā loaʻa i kahi kanaka me ka ʻole o ka spleen kēia maʻi, hiki ke lilo i mea koʻikoʻi loa. No laila, ma mua o kou hele ʻana i nā ʻāina ʻē, e kamaʻilio me ke kauka a loaʻa i nā ʻōlelo aʻoaʻo e pono ai a me nā lāʻau pale hou aʻe.
• E makaʻala me nā holoholona a me nā nahu holoholona: Hiki paha iā ʻoe ke maʻalahi i kekahi mau germs mai nā holoholona.
• E komo i kahi kūpeʻe lima makaʻala lapaʻau: He manaʻo maikaʻi ke lawe i kahi kūpeʻe lima liʻiliʻi a i ʻole kāleka e haʻi ana iā ʻoe ua wehe ʻia kou spleen. E kōkua kēia i nā kauka inā loaʻa kahi pilikia.

I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi ma hope o ka wehe ʻia ʻana o kou ʻōpū, pono ʻoe e ʻike koke i ke kauka. Mai hoʻokaʻulua. E hele i ka haukapila i ka wā hikiwawe loa, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Nā anu.
• Ke kuni nui (ʻoi aku ka mahana ma mua o 103°F Fahrenheit a i ʻole 39.4°C Celsius).
• ʻO ka luaʻi ʻana ʻaʻole e pau a ke hele nei e ʻino aʻe.
• ʻEha nui ka ʻeha, ka ʻāʻī ʻoʻoleʻa, a me ka ʻike pohihihi (hiki i kēia ke lilo i mau hōʻailona o ka meningitis).
• Paʻakikī ka hanu ʻana, ʻū nui.

Hiki i nā mea e like me kēia ke lilo i mau hōʻailona o kahi maʻi, no laila he mea nui loa ka mālama koke ʻana.

ʻO ka mea hope loa, pono wau e ʻōlelo ...

Ke ʻike ʻoe he maʻi kou i kapa ʻia ʻo 'Wandering Spleen', e manaʻo paha ʻoe he mea hōʻoluʻolu ia ma kekahi ʻaoʻao, me ka noʻonoʻo ʻana, "ʻAuē, ʻo kēia ke kumu o kēia ʻeha a me ka ʻoluʻolu ʻole aʻu i loaʻa ai no ka manawa lōʻihi." Ma ka ʻaoʻao ʻē aʻe, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi ʻia aku iā ʻoe e pono ʻoe e hana i ke ʻoki kino, e wehe ʻia ana kou spleen.

Akā e hoʻomanaʻo, ʻoiai he ʻōkana koʻikoʻi ka spleen, ʻaʻole ia he mea hiki iā ʻoe ke ola me ka ʻole. Hiki iā ʻoe ke ola i kahi ola olakino a maʻamau. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻanuʻu e pono ai e pale iā ʻoe iho mai nā maʻi ma hope o ke ʻoki ʻana. E wehewehe kāu kauka i kēia iā ʻoe me nā kikoʻī hou aku. Inā he mau nīnau a kānalua paha kāu, mai makaʻu e nīnau. E hauʻoli lākou e kōkua iā ʻoe.

Mai hopohopo! Ua holomua nui ka ʻepekema lapaʻau i kēia lā. Hiki i ka poʻe he nui i kēia lā ke mālama pono i kēia mau maʻi a ola i ke ola olakino ma hope.

ʻO ka ʻōpū liʻiliʻi, ʻōpū liʻiliʻi e hele wale ana, ʻeha ʻōpū, ʻōpū liʻiliʻi e hoʻohuli ʻia, ʻōpū ʻeha e hoʻopau ʻia, ʻōpū ʻeha e hoʻopau ʻia, ʻōpū ʻeha e hoʻopau ʻia, ʻōpū ʻeha e hoʻopau ʻia, ʻoki kino e hoʻopau ʻia