Yu dɔn ɛva fil smɔl, yu nɔ fil fayn, ɔ yu de fil pen na yu lɛft say na yu bɛlɛ, jɔs dɔŋ yu rib dɛn? Sɔntɛm yu kin fil ful ivin afta yu dɔn it smɔl? Dis kin bi sayn dɛm fɔ yu splin we dɔn big, we yu de wok na yu bɔdi we nɔ de tɔk natin. Nɔ mek yu fred di nem. Bɔku tɛm dis na jɔs wan sayn fɔ ɔda mɛrɛsin. Lɛ wi kip am simpul frɔm di biginin.
Fɔs, lɛ wi si, wetin na dis splin?
Fɔ tɔk am simpul wan, di splin na pat pan wi bɔdi in imyun sistɛm ɛn di limfatik sistɛm. I tan lɛk ‘filta’ we de klin wi blɔd. i de na di כp lεft say na yu bכdi, jכs dכn yu lεft rib kεj. pan pɔsin we gɛt wɛlbɔdi, di splin na smɔl ɔgan we tan lɛk fist, i lɔng lɛk 12 sɛntimita, ɛn i we lɛk 70 gram.
In men wok dɛn na:
- Blɔd klin: I de pul ol ɛn damej rɛd blɔd sɛl dɛn na di blɔd ɛn pul dɔti tin dɛn.
- Fɔ fɛt infɛkshɔn: I de ɛp fɔ mek wayt blɔd sɛl dɛn we dɛn nid fɔ fɛt infɛkshɔn.
- Blɔd sɛl dɛn we dɛn kin kip: Dɛn kin kip sɛl dɛn lɛk pletlɛt ɛn wayt blɔd sɛl dɛn.
If fɔ sɔm rizin di blɔd we de pas na di splin ɔ di splin insɛf afɛkt, i kin bigin fɔ swel. Dɔn i kin gro lɛk 20 sɛntimita ɛn i kin we pas 1000 gram (1 kilogram). Bɔrku rizin de fɔ dis swel. Sɔm na fɔ shɔt tɛm nɔmɔ, bɔt ɔda wan dɛn kin bi sayn fɔ se pɔsin de sik fɔ lɔng tɛm.
Yu tink se we pɔsin in splin swel siriɔs?
Dis na di prɔblɛm we bɔku pipul dɛn gɛt. Spleen swel nɔto sik, na sayn fɔ ɔda sik. Jɔs lɛk we pɔsin gɛt fiva. Fiva nɔto sik, na sayn fɔ infekshɔn na di bɔdi. Na so i bi.
So, aw dis kin tranga kin dipen pan di ɔndalayn kɔz. Yu dɔktɔ go tray fɔs fɔ no di rayt tin we de mek di swel de swel. Sɔm tin dɛn we kin mek pɔsin sik nɔ kin rili siriɔs, bɔt ɔda wan dɛn nid fɔ trit wantɛm wantɛm.
Bɔt if dɛn nɔ trit am fɔ lɔng tɛm, di splin kin stɔp fɔ wok. Na smɔl tɛm nɔmɔ, wan splin we dɔn swel bad bad wan kin brok. Dis na imejensi we kin mek pɔsin in layf de pan denja.
Wetin na di sayn dɛm we de sho se pɔsin in splin dɔn swel?
Bɔrku tɛm, yu nɔr kin notis ɛni sayn ivin if yu splin dɔn swel smɔl. Bɔt as di swɛlin de bɔku, sɔm sayn dɛn kin sho. Lɛ wi sheb dɛn tin ya to tu pat.
| Tayp we gɛt kwaliti dɛn | Diskripshɔn ɛn fil |
|---|---|
| Simptom dɛm wae kin kam dairekt wan wae yu swel |
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| Di sayn dɛm we de sho se di splin nɔ de wok fayn |
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Wetin mek di splin kin swel? Sɔm pan di men rizin dɛn
Bɔku tin dɛn de we kin mek di splin swel. Lɛ wi tek wan luk pan di men wan dɛn.
| Rizin | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Infεkshכn dεm | di tεm we di vayral (e.g. Dengue, Mononucleosis, HIV), baktriyal (e.g. Tuberculosis), εn parasayt (e.g. Malaria) infεkshכn de, di bכdi kin bigin fכ fכt di sik. Dɔn di splin sɛf gɛt big wok fɔ du. Dis kin mek i kin wok pasmak ɛn i kin swel. |
| Liva Sik we pɔsin kin gɛt | pan krεse sik dεm na di liva lεk sirosis, di prεshכn na di bכdi we de kכnεkt di liva εn splin de go כp. dis dεn kכl am ``Portal Hypertension.'' Dis prεshכn de mek bכdi de kכl insay di splin, we de mek i swel. |
| Kansa | Insay kansa we gɛt fɔ du wit blɔd lɛk lukimiya ɛn limfoma, di kansa sɛl dɛn kin go insay di splin ɛn bigin fɔ sheb de. Dis kin mek di splin kin big. |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | pan sik dεm lεk lupus εn rεumatoid at, di bכdi in imyun sistεm de atak in כwn sεl dεm. Dis ɔva aktiviti kin mek bak di splin swel. |
| Blɔd Dizayd | Insay sɔm kayn anemia (hemolytic anemia) ɛn sik dɛn lɛk thalassemia, di rɛd blɔd sɛl dɛn kin brok kwik kwik wan. Bikɔs na di splin in wok fɔ pul dɛn sɛl dɛn ya we dɔn brok, i kin wok pasmak ɛn swel. |
| Dizayd dɛn we pɔsin kin gɛt frɔm in mama ɛn papa | Insay sɔm sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa, lɛk Gaucher disease, sɔm tin dɛn kin gɛda na di bɔdi in ɔgan dɛn. We dɛn tin ya gɛda na di splin, i kin swel. |
Us prɔblɛm dɛn kin apin if dis kɔntinyu?
כltu, di splin kin kam bak to nכmal wans dεn dכn trit di כndalayn kכz. Bɔt if dɛn nɔ trit am fɔ lɔng tɛm, sɔm prɔblɛm dɛn kin kam.
- Hypersplenizm we pɔsin kin gɛt:di splin we swel de bigin fכ "wok" mכr pas aw i fכ wok. Dis min se i kin kech ɛn pwɛl mɔ wɛlbɔdi rɛd blɔd sɛl dɛn, wayt blɔd sɛl dɛn, ɛn ivin di pletlɛt dɛn. Dis kin mek pɔsin nɔ gɛt bɛtɛ blɔd, infɛkshɔn, ɛn blɔd kin kɔmɔt.
- Tisu day: If di splin big we yu nɔ go ebul fɔ bia, i nɔ go gɛt bɛtɛ blɔd. dis kin mek di tisu dεm day na sכm pat dεm na di splin bikoz fכ bכdi nכ de.
- Rupture: Dis na di prɔblɛm we siriɔs pas ɔl ɛn we kin apin wantɛm wantɛm . di splin we big bad bad wan kin brok if wan had blow de pan di bכdi (e.g., aksidεnt, fכl) כ, sכmtεm, i kin rכp fכ insεf. If dis apin, bɔku bɔku blɔd we de kɔmɔt na di bɛlɛ kin mek pɔsin in layf de pan denja.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit di sayn dɛm we yu bin dɔn tɔk bɔt, i go du bɔku tɛst fɔ no if yu gɛt di sik ɛn fɔ no di tin we mek yu gɛt am.
1. Fɔ chɛk yu bɔdi: Fɔs, di dɔktɔ go palpate yu bɛlɛ. Bɔku tɛm, dɛn kin fil wan splin we dɔn big.
2. Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:
- Ultrasound scan: Dɛn kin yuz dis fɔ chɛk di sayz ɛn shep fɔ di splin izi wan ɛn nɔ gɛt pen.
- CT skan: Dis kin gi mɔ dip infɔmeshɔn bɔt di splin ɛn di kɔndishɔn fɔ di ɔgan dɛn we de rawnd am.
- MRI skan: Dis kin ɛp fɔ si tin dɛn lɛk aw blɔd de flɔ na di splin.
3. Blɔd tɛst: Dɛn go du kɔmplit blɔd kɔnt (CBC) fɔ chɛk yu rɛd ɛn wayt blɔd sɛl ɛn pletlɛt kɔnt. Blɔd tɛst kin luk bak fɔ sayn dɛn we de sho se yu gɛt di sik, di liva we de wok, ɛn kansa.
4. bon mכro analisis: insay sכm kayn we dεn kin du bon mכro aspirashכn/bayopsi fכ tek sכm sכm sכm sכm pan di bon mכro, usay di bכdi sεl dεm de prodyuz. Dis kin gi bɔku infɔmeshɔn bɔt sik dɛn we gɛt fɔ du wit blɔd.
Aw dɛn kin trit we pɔsin in splin big?
Mɛmba se di tritmɛnt nɔto fɔ di splin we dɔn swel, bɔt na fɔ di ɔndalayn kɔndishɔn we mek di swel.
Afta di dɔktɔ dɔn fɛn di rizin, i go gi yu di rayt tritmɛnt.
- If infekshɔn de, dɛn go gi am antibayɔtik ɔ ɔda mɛrɛsin fɔ trit am.
- If na kansa, i de tɔk bɔt di tritmɛnt dɛn we nid fɔ de (e.g. kemotɛrapi).
- If na liva sik, i go sho se yu fɔ tek di rayt tritmɛnt ɛn fɔ chenj di we aw yu de liv yu layf.
Bɔrku tɛm, we dɛn trit di ɔndalayn kɔz, di splin kin smɔl smɔl to nɔmal saiz.
Bɔt pan sɔm sik dɛn we nɔ de mɛn, if di splin kɔntinyu fɔ swel ɔ if i mek pɔsin gɛt siriɔs sik, di dɔktɔ kin tink bɔt ɔda tin dɛn we i go du.
- Rεdyushכn tεrapi: dεn kin gi lכw dכz rεdyushכn fכ ridyus di sayz fכ di splin.
- Splenectomy: If no ɔda we fɔ kɔntrol di sik nɔ pɔsibul, dɛn kin nid fɔ du ɔpreshɔn fɔ pul di spleen kpatakpata.
Yu tink se i pɔsibul fɔ liv we yu nɔ gɛt splin?
Yɛs, i rili pɔsibul. Yu kin liv fayn if yu nɔ gɛt splin. Bɔt di bɔdi in immunity kin ridyus smɔl. Na mɔtalman, di risk fɔ gɛt sɔm baktri infɛkshɔn kin bɔku. So, di dɔktɔ se pɔsin we dɛn dɔn pul in splin fɔ gɛt sɔm spɛshal vaysin dɛn. Dɔn bak, i rili impɔtant fɔ wɛr mɛdikal ID kad ɔ breslɛt we de sho se yu nɔ gɛt splin, ɛn fɔ tɛl di dɔktɔ if yu sik.
If yu gɛt swɛlin na yu splin, aw yu go kia fɔ yusɛf?
If yu dɔktɔ dɔn kɔnfyus se yu gɛt splin we dɔn big, sɔm tin dɛn de we yu fɔ no bɔt.
- Nɔ wund yu bɛlɛ: If yu splin big, i kin brok. So , nɔ de fa frɔm kɔntakt spɔt lɛk rɔgbi ɛn futbɔl. Dɔn bak, nɔ du tin dɛn we go mek di bɛlɛ prɛshɔ.
- Wach fɔ di sayn dɛm: Wach fɔ sayn dɛm we de sho se yu nɔ gɛt blɔd, lɛk fɔ taya ɛn fɔ mek yu bɔdi nɔ gɛt bɛtɛ blɔd. Tek yu blɔd tɛst ɔltɛm, lɛk aw yu dɔktɔ se.
- Fɔ it fayn fayn it: Pan ɔl we no it nɔ de we go afɛkt di splin dairekt wan, i impɔtant fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi ɛn fɔ mek yu nɔ ebul fɔ fɛt di sik. Ridyus di it dɛn we dɛn pak, we dɛn dɔn prosɛs ɛn we dɛn kin it fast fast as mɔ as yu ebul. Dɛn tin ya kin mek di bɔdi inflamɛns. Bifo dat, ad fresh vɛjitebul, frut, ɔyl, ɛn fish to yu it.
Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?
Dis rili impɔtant. If yu gɛt dɛn sayn ya, i kin bi imejensi.
If yu gɛt bad bad pen na yu bɛlɛ na di lɛft say, mɔ we yu de blo, we yu de ed, yu de swet kol, ɔ yu nɔ de no natin, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) we yu nɔ de te. Dis kin bi sayn fɔ se yu splin dɔn brok, so i impɔtant fɔ mek yu trit yu kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Splenomegaly nɔto sik, bɔt na sayn fɔ ɔda ɔndalayn kɔndishɔn.
- Di tin we impɔtant pas ɔl na fɔ no kɔrɛkt wan wetin mek di swel ɛn trit am.
- If yu de fil pen ɔltɛm, yu nɔ de fil fayn, ɔ yu de fil se yu ful-ɔp na di ɔp lɛft pat na yu bɛlɛ, nɔ ignore am ɛn go to yu dɔktɔ.
- If dɛn dɔn no se yu gɛt swɛlin na yu bɛlɛ, nɔ du spɔt ɛn tin dɛn we go mek yu bɛlɛ wund.
- Bɔrku pen na di lɛft say na di bɛlɛ, we kin kam wit diziz, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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