Cia peb kawm txog lub qog me me tab sis tseem ceeb heev hauv koj lub cev.

Koj puas tau hnov ​​txog ib lub cev me me hauv koj lub cev hu ua Spleen? Tej zaum tsis yog, puas yog? Tab sis tus phooj ywg me me no ua haujlwm ntau rau peb. Zoo li ib tug tub qhe ntsiag to. Yog li hnub no peb yuav tham luv luv txog lub spleen yog dab tsi, nws ua dab tsi, yuav ua li cas yog tias nws muaj teeb meem, thiab peb yuav ua li cas saib xyuas nws.

Lub qhov ntswg yog dab tsi? Nws nyob qhov twg?

Hais yooj yim xwb, koj lub qhov zis yog ib lub cev me me nyob rau sab laug ntawm koj lub pob txha tav, nyob saum koj lub plab. Nws loj li lub txiv avocado hauv ib tug neeg laus. Nws yog ib feem ntawm koj lub cev lymphatic . Lub cev lymphatic kuj yog ib feem tseem ceeb ntawm koj lub cev tiv thaiv kab mob . Yog li nws ua ntau yam haujlwm tseem ceeb kom koj lub cev noj qab nyob zoo.

Xav txog seb, txawm tias nws me me los, txoj haujlwm uas nws ua tsis yog me me. Qee zaum, lub qhov ntswg zoo li ib tug neeg uas pab peb ntau yam yam tsis tau peb paub txog. Muaj ntau tus phab ej me me zoo li no hauv peb lub cev, thiab lub qhov ntswg yog ib tus neeg zoo li ntawd.

Yog li ntawd, lub hlwb muab kev pabcuam dab tsi rau lub cev?

Lub qhov zis muaj ntau yam ua. Cia peb saib qee yam ntawm nws cov haujlwm tseem ceeb.

• Khaws Cov Ntshav: Yog muaj xwm txheej ceev, piv txwv li, yog tias muaj kev raug mob loj thiab poob ntshav ntau, nws khaws cov ntshav nrog nws siv. Ib yam li lub thawv khoom siv thaum muaj xwm txheej ceev hauv peb lub tsev.
• Ua kom cov ntshav huv: Nws pab ua kom cov ntshav huv los ntawm kev tshem tawm cov khib nyiab tsis xav tau, cov qe ntshav qub, thiab cov qe ntshav puas tsuaj. Nws ua haujlwm zoo li lub tshuab sau khib nyiab hauv peb lub tsev, zoo li lub lim dej uas ntxuav cov ntshav hauv lub cev.
• Ua cov qe ntshav dawb thiab cov tshuaj tiv thaiv kab mob: Cov no yog cov tub rog uas tawm tsam cov kab mob uas ua rau koj lub cev mob. Yog li ntawd, lub qhov ntswg pab tsim thiab cob qhia cov tub rog no. Nws zoo li ib pab tub rog tiv thaiv.
• Tswj cov kua dej hauv lub cev: Nws kuj pab tswj kom muaj kev sib npaug ntawm cov kua dej hauv lub cev, suav nrog dej thiab lwm yam kua dej.
• Nws tsim cov tshuaj tiv thaiv kab mob los tiv thaiv kev kis kab mob: Nws yog lub cev no uas tsim cov tshuaj tiv thaiv kab mob, uas yog cov protein tshwj xeeb uas tiv thaiv koj ntawm ntau yam kab mob. Cov no paub txog cov kab mob thiab tawm tsam lawv.

Kuv pom tias nws txoj haujlwm loj thiab tseem ceeb npaum li cas, txawm tias nws me me los xij. Nws zoo li ib leej niam hauv peb lub tsev, zaum tsis pom, xyuas txhua yam thiab xyuas kom meej tias nws ua tiav raws li kev cai.

Cov feem ntawm lub qog ntshav yog dab tsi? Lawv ua dab tsi?

Muaj ob feem tseem ceeb hauv lub qog ntshav. Ob qho no ua haujlwm sib txawv. Zoo li ob lub chaw haujlwm hauv tib lub chaw ua haujlwm.

1. Cov nqaij dawb: Qhov no yog qhov tseem ceeb ntawm lub cev tiv thaiv kab mob. Qhov no yog qhov chaw uas cov qe ntshav dawb, tshwj xeeb tshaj yog cov lymphocytes, raug tsim tawm. Cov qe ntshav dawb no ua cov tshuaj tiv thaiv thiab tawm tsam kev kis kab mob. Xav txog nws zoo li lub chaw haujlwm txawj ntse ntawm lub hauv paus tub rog, txheeb xyuas cov yeeb ncuab thiab npaj tawm tsam lawv.

2. Cov kua liab: Qhov no ua haujlwm zoo li lub lim dej. Nws tshem tawm cov khoom pov tseg ntawm cov ntshav, thiab tshem tawm cov qe ntshav liab qub lossis tsis ua haujlwm zoo. Tsis yog li ntawd xwb, cov kua liab no kuj pab ntes thiab rhuav tshem cov kab mob xws li cov kab mob thiab cov kab mob. Nws kuj pab khaws cov khoom xws li cov qe ntshav liab thiab cov ntshav platelets.

Yog li ntawd, ob feem no ua haujlwm ua ke kom lub qhov ntswg ua nws txoj haujlwm tseem ceeb, zoo li ib pab neeg zoo.

Cov kab mob thiab tej yam mob twg uas cuam tshuam rau lub qhov ntswg?

Tu siab kawg li, qee yam kab mob, kev tsis zoo, thiab kev raug mob kuj tuaj yeem ua rau muaj teeb meem nrog lub qhov ncauj. Cia peb saib qee qhov teeb meem tseem ceeb.

Splenomegaly

Qhov no yog Splenomegaly . Lub qhov zis tuaj yeem loj dua li qub vim muaj ntau yam ua rau. Thaum qhov no tshwm sim, koj yuav hnov ​​​​​​mob rau sab laug ntawm koj lub plab, xav tias hnyav, thiab xav tias puv txawm tias tom qab noj me me. Splenomegaly yog ib qho mob txaus ntshai, vim tias qee zaum lub qhov zis tuaj yeem tawg lossis los ntshav.

Tseem Ceeb: Yog tias koj pom tias koj lub qhov ncauj o, koj yuav tsum tsis txhob ua tej yam xws li nqa khoom hnyav thiab ua si nawv hnyav, vim tias tej yam no yuav ua rau lub qhov ncauj puas tsuaj ntau dua.

Qee qhov ua rau mob qog nqaij hlav yog:

• Mob qog ntshav: Piv txwv li, mob qog ntshav xws li mob leukemia thiab Hodgkin's lymphoma. Nws kuj tseem tuaj yeem tshwm sim yog tias mob qog ntshav uas pib nyob rau lwm qhov hauv lub cev kis mus rau lub qog (metastasizes) mus rau lub qog po.
• Cov ntshav txhaws hauv lub pores lossis lub siab .
• Qee hom mob ntshav tsis txaus: tshwj xeeb yog mob ntshav tsis txaus , uas yog ib yam mob uas cov qe ntshav liab tawg sai.
• Cystic Fibrosis (CF) yog ib yam kab mob uas tau los ntawm noob caj noob ces.
• Cov kab mob: Piv txwv li suav nrog 'mononucleosis (mono)' (tseem hu ua glandular fever), 'syphilis' , 'malaria' , thiab ' endocarditis', uas yog kev kis kab mob rau sab hauv ntawm lub plawv.
• Teeb meem siab: Cov kab mob uas ua rau siab tawv, xws li cirrhosis .
• Cov kab mob metabolic uas tau txais los ntawm noob caj noob ces: Cov kab mob uas qee yam khoom hauv lub cev tsis tau zom kom zoo, xws li kab mob Gaucher .
• Cov kab mob o: xws li sarcoidosis .
• Cov kab mob ntsig txog protein: Cov kab mob uas cov protein txawv txav tau tso rau hauv qee qhov ntawm lub cev, xws li amyloidosis .

Kev ua haujlwm ntawm asplenia

Hauv qhov xwm txheej no, lub qhov zis tseem muaj tab sis tsis ua haujlwm zoo. Nws tuaj yeem ua haujlwm ntau dhau (hypersplenism) thiab rhuav tshem cov qe ntshav liab, cov qe ntshav dawb, thiab txawm tias cov platelets. Qhov kev rhuav tshem cov qe ntshav ntau dhau no ua rau muaj kev pheej hmoo ntawm kev kis kab mob, thiab tseem tuaj yeem ua rau mob thiab los ntshav. Kev ua haujlwm tsis zoo tuaj yeem tshwm sim los ntawm:

• Ib qho xwm txheej lossis kev raug mob uas ua rau lub qhov ntswg puas tsuaj.
• Kab mob Celiac .
• Kab mob hlwb sickle cell .

Lub qhov ntswg puas lawm los yog tawg lawm

Kev sib tsoo thiab kev raug mob tuaj yeem ua rau koj lub qhov ntswg puas lossis tawg. Cov laj thawj feem ntau suav nrog kev sib tsoo tsheb, poob ntawm qhov siab, thiab raug ntaus rau lub plab. Qhov no tuaj yeem yog ib qho mob txaus ntshai rau lub neej , vim nws tuaj yeem ua rau los ntshav sab hauv hnyav.

Cov tsos mob ntawm tus po tawg muaj xws li:

• Lub plawv dhia nce ntxiv.
• Xeev siab thiab ntuav.
• Kiv taub hau, zoo li koj tsis nco qab lawm.
• Mob ntse hauv qab cov tav ntawm sab laug, qee zaum qhov mob no kuj tuaj yeem kis mus rau sab laug xub pwg.

Xav txog, ib tug tub hluas hu ua Nimal raug lub pob ntaus rau hauv plab thaum nws tab tom ua si cricket. Thaum xub thawj, nws tsis hnov ​​​​​​dab tsi loj, tsuas yog mob me ntsis xwb. Tab sis tom qab ib pliag, sab laug ntawm nws lub plab pib mob heev, nws kiv taub hau, thiab nws tawm hws. Thaum nws cov phooj ywg coj nws mus rau tsev kho mob sai sai, cov kws kho mob hais tias nws lub qhov ntswg tau raug mob me ntsis thiab los ntshav sab hauv. Hmoov zoo, nws tau txais kev kho mob sai sai, yog li nws tsis dhau los ua teeb meem loj. Yog li ntawd , yog tias koj raug ntaus hnyav rau hauv plab, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas cov tsos mob.

Kuv yuav ua li cas kom kuv lub qhov zis noj qab nyob zoo?

Yuav kom koj lub qhov zis, lub cev lymphatic, thiab lub cev tiv thaiv kab mob ua haujlwm tau zoo, koj yuav tsum haus dej ntau, tawm dag zog tsis tu ncua , thiab tswj koj qhov hnyav kom noj qab nyob zoo. Noj zaub mov kom sib npaug nrog ntau yam txiv hmab txiv ntoo thiab zaub. Cov no yog tej yam uas peb txhua tus yuav tsum ua kom noj qab nyob zoo.

• Nyob kom muaj kev nyab xeeb: Tsis txhob muaj xwm txheej. Hnav txoj siv sia thaum tsav tsheb, thiab hnav cov khoom siv tiv thaiv thaum ua si kis las. Cov no zoo rau tag nrho lub cev, tsis yog rau lub qog xwb.
• Txwv kev haus dej cawv: Haus dej cawv ntau dhau tuaj yeem ua rau lub siab puas tsuaj, uas kuj tseem tuaj yeem cuam tshuam rau lub po.
• Tau txais kev txhaj tshuaj tiv thaiv kab mob kom raug: Kev tau txais cov tshuaj tiv thaiv kab mob uas tiv thaiv tau qee yam kab mob (piv txwv li mob ntsws, mob hlwb meningitis) yog qhov tseem ceeb rau cov neeg uas muaj lub qhov ntswg tsis muaj zog.

Hais yooj yim xwb, thaum peb saib xyuas peb lub cev tag nrho zoo, lub qog kuj tseem noj qab nyob zoo.

Puas ua tau kom nyob tsis muaj tus po?

Txawm hais tias tus po ua ntau yam haujlwm tseem ceeb rau lub cev los xij, nws muaj peev xwm ua neej nyob yam tsis muaj nws. Cov kws kho mob hu qhov mob no tias 'asplenia' , lossis nyob yam tsis muaj tus po.

Tsis tshua muaj neeg yug los tsis muaj lub qhov ntswg. Qee zaum, thaum lub qhov ntswg puas tsuaj loj heev lossis thaum muaj kab mob (xws li qee yam mob qog ntshav lossis lub qhov ntswg tawg), cov kws kho mob yuav phais lub qhov ntswg tawm. Qhov kev phais no hu ua splenectomy . Thaum lub qhov ntswg ploj mus, lub siab yuav ua ntau yam haujlwm ntawm lub qhov ntswg, tshwj xeeb tshaj yog tshem tawm cov qe ntshav qub. Cov pob txha thiab cov qog ntshav kuj ua qee yam haujlwm.

Tsis tas li ntawd xwb, tus po yuav raug tshem tawm ua kev kho rau qee hom mob thrombocytopenia , xws li mob immune thrombocytopenia (ITP) . Cov kab mob no ua rau cov platelets hauv lub cev txo qis. Cov platelets yog ib hom qe ntshav uas pab koj cov ntshav txhaws. Hauv ITP, lub cev tiv thaiv kab mob ua yuam kev rhuav tshem nws cov platelets, thiab tus po yog qhov chaw tseem ceeb ntawm kev puas tsuaj. Yog li ntawd, kev tshem tawm tus po tuaj yeem pab kho cov platelets.

Cov teeb meem ntawm kev puas tsuaj lossis poob ntawm lub qhov ntswg yog dab tsi?

Cov neeg uas tsis muaj lub qhov ncauj, lossis lawv lub qhov ncauj tsis ua haujlwm zoo , muaj feem yuav kis tau kab mob ntau dua, tshwj xeeb yog cov kab mob bacterial. Qhov no hu ua Overwhelming Post-Splenectomy Infection (OPSI) . Txawm hais tias qhov no tsis tshua muaj, nws tuaj yeem ua rau muaj kev phom sij. Thaum lub qhov ncauj ploj lossis puas lawm, lub cev lub peev xwm los tawm tsam qee hom kab mob (tshwj xeeb tshaj yog Streptococcus pneumoniae, Haemophilus influenzae type b, thiab Neisseria meningitidis) raug txo qis. Qhov kev pheej hmoo no tseem siab dua rau cov neeg uas muaj lwm yam kab mob uas cuam tshuam rau lub cev tiv thaiv kab mob, xws li mob qog noj ntshav lossis HIV .

Yog tias koj tsis muaj tus po, lossis yog tias koj tus po tsis ua haujlwm zoo, nco ntsoov mus ntsib koj tus kws kho mob kom tau txais lus qhia. Xyuas kom tseeb tias koj tau txhaj tshuaj tiv thaiv kab mob kom tiv thaiv koj tus kheej kom tsis txhob muaj mob. Koj tus kws kho mob kuj tseem yuav pom zoo kom koj noj tshuaj tua kab mob txhua hnub los tiv thaiv cov kab mob bacterial, tshwj xeeb tshaj yog thaum ntxov ntawm koj qhov kev tshem tawm tus po lossis rau cov menyuam yaus. Qhov no tseem ceeb heev yog tias koj muaj lwm yam mob uas cuam tshuam rau koj lub cev tiv thaiv kab mob. Nws tseem yog ib lub tswv yim zoo kom mus ntsib kws kho mob tam sim ntawd, txawm tias koj muaj mob me me xws li mob khaub thuas lossis mob ntsws.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj cov tsos mob uas qhia tias koj lub qhov ntswg o lossis tawg, mus ntsib kws kho mob tam sim ntawd. Cov tsos mob no suav nrog:

• Txawm tias noj me ntsis los kuj xav tias puv plab lawm (thaum noj tas).
• Mob los yog los ntshav tsis muaj laj thawj.
• Mob hauv qab lub tav sab laug lossis mob ntse thaum kov.
• Ib qho kev qaug zog uas tsis piav qhia tau.
• Yog koj kis tau tus kab mob ntau zaus.
• Kub taub hau thiab cov tsos mob zoo li mob khaub thuas (tshwj xeeb tshaj yog rau cov neeg uas tsis muaj lub qhov ntswg).

Yog koj xav li no cesMus ntsib kws kho mob yam tsis ncua sijhawm, vim qee yam mob tuaj yeem ua rau muaj kev phom sij. Tus kws kho mob yuav kuaj koj thiab, yog tias tsim nyog, ua qhov kev soj ntsuam (xws li ultrasound lossis CT scan) kom nrhiav tau qhov ua rau.

Kuv yuav paub li cas yog tias kuv muaj feem yuav muaj teeb meem ntawm lub zais zis?

Tej zaum koj yuav muaj feem yuav muaj teeb meem ntawm tus po yog tias koj muaj tej yam mob. Piv txwv li, qee yam mob qog ntshav, kab mob Gaucher, lossis cystic fibrosis . Tsis tas li ntawd, cov neeg uas muaj ib yam mob tsis tshua muaj hu ua hereditary spherocytosis muaj feem yuav muaj mob ntshav tsis txaus thiab tej zaum yuav tsum tau muab lawv tus po tshem tawm. Yog tias leej twg hauv koj tsev neeg muaj cov mob no, nrog koj tus kws kho mob tham txog qhov no.

Tsis tas li ntawd xwb, cov neeg uas ua si qee yam kev ua si (piv txwv li hockey, football, rugby) muaj feem yuav raug mob rau lub qhov ncauj ntau dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ceev faj thaum ua si cov kev ua si no.

Thaum kawg, ob peb yam uas yuav tsum nco ntsoov

Koj lub qhov ntswg yog ib lub cev me me tab sis tseem ceeb heev. Nws ua haujlwm hnyav los tawm tsam cov kab mob, tshem tawm cov qe ntshav qub, thiab ua kom koj cov kua dej hauv lub cev ntws zoo. Ntau yam kab mob, kev kis kab mob, thiab kev raug mob tuaj yeem ua rau muaj teeb meem nrog koj lub qhov ntswg. Yog tias koj muaj mob, hnyav, lossis lwm yam tsos mob txawv txawv hauv koj lub tav sab laug, mus ntsib kws kho mob tam sim ntawd. Nws tuaj yeem yog ib qho cim ntawm tus mob uas yuav ua rau tuag taus, xws li lub qhov ntswg tawg, lossis nws tuaj yeem yog ib qho cim ntawm lwm yam mob uas xav tau kev kho mob.

Yog li ntawd, saib xyuas koj lub cev thiab ua raws li kev noj qab haus huv. Ces koj lub qhov ntswg yuav zoo siab thiab! Xav txog tus neeg ua haujlwm ntsiag to no hauv koj lub cev.

` Tus kab mob spleen, tus kab mob spleen o, tus kab mob spleen loj heev, lub cev tiv thaiv kab mob, kev phais tus kab mob spleen, cov kab mob spleen