Yu dɔn ɛva yɛri bɔt wan ɔgan we dɛn kɔl di splin? Sɔntɛm we di dɔktɔ we bin de chɛk yu bin se, "I tan lɛk se yu splin dɔn big smɔl," yu bin rili want fɔ no mɔ ɛn yu bin de fred smɔl bɔt dat. Bɔt nɔ wɔri. Bɔku tɛm, we di splin we dɔn swel na jɔs sayn fɔ sho se ɔda tin de apin insay wi bɔdi. Tide, wi go tɔk bɔt dis simpul ɛn klia we.
Lɛ wi si fɔs, wetin na dis splin?
Fɔ tɔk am simpul wan, di splin na impɔtant pat pan wi bɔdi in difɛns sistɛm. I de na di lɛft say na yu bɛlɛ, jɔs ɔp yu rib kech. I de lɛk di sayz we yu fist gɛt.
Dis smɔl ɔgan de du big wok.
- Blɔd klin: Dis kin wok lɛk filta we de trap ɛn pul ol rɛd blɔd sɛl dɛn we dɔn pwɛl na wi blɔd.
- Fɔ fɛt infɛkshɔn: Na dis say dɛn kin kip di wayt blɔd sɛl dɛn we de fɛt di jem dɛn we de kam insay di bɔdi. Dis min se i de gi big sɔpɔt to wi imyun sistɛm.
Nɔmal wan, we dɔktɔ fil yu bɛlɛ, dɛn nɔ go fil yu splin. I jɔs de insay, sef ɛn saful. Bɔt i kin swel ɛn big bikɔs ɔf sɔm infɛkshɔn, sik, ɔ aksidɛnt. Insay mɛrɛsin, wi kin kɔl dis splenomegaly .
Wetin na di tin dɛn we kin mek pɔsin in splin swel?
Spleen swɛlin nɔto wan ɔda sik. Na sayn fɔ ɔda sik. Imajin, we wi gɛt infɛkshɔn na wi bɔdi, di sayd dɛn na wi mɔt kin swel lɛk pimples, nɔto so? Na so i bi wit dis wan. Bɔku men rizin dɛn de we mek di splin kin swel.
| Kategori fɔ di tin dɛn we kin mek pɔsin gɛt dis sik | Ɛgzampul dɛn ɛn ɛksplen |
|---|---|
| Infεkshכn dεm | Di splin kin swel bikɔs i kin wok pasmak we i de fɛt di jem dɛn na di bɔdi. εgzampl: vayral infεkshכn (e.g., mononucleosis), baktriyal infεkshכn (e.g., εndokarditis), parasayt infεkshכn (e.g., toxoplasmosis). |
| Kansa dɛn we gɛt kansa | Insay kansa we gɛt fɔ du wit blɔd, di sɛl dɛn we nɔ fayn kin gɛda na di splin ɛn mek i big. Ɛgzampul dɛn: Lukimia (blɔd kansa), Limfoma (kansa na di limfatik sistɛm). |
| Liva Sik dɛn | Sik dɛm lɛk sirosis na di liva kin mek blɔd nɔ flɔ tru di liva. dis kin mek di prεshכn go כp na di vein dεm we de kכnekt to di splin (Portal Hypertension) εn mek di splin swel. |
| Ɔda rizin dɛn | bכku כda tin dεm kin afekt di imyun sistεm (e.g., lupus, rεumatoid arthritis), bכdi kin kכlכt (thrombosis), bad bad blow na di bכdi lεk sכpכt aksidεnt, εn sik dεm we de rilet to di bכdi in mεtabolism (e.g., Gaucher disease). |
Wetin na di sayn dɛm we de sho se pɔsin in splin dɔn swel?
De bɛst pat na dat, bɔrku pipul nɔr kin gɛt ɛni sayn . Dɛn kin no am bay we dɛn de du mɛdikal tɛst fɔ ɔda tin. Bɔt sɔm pipul dɛn kin gɛt sɔm sayn dɛn. If na so i bi, yu go si se:
- Pen ɔ diskɔmfɔt na di ɔp lɛft pat na di bɛlɛ: I kin fil lɛk se sɔntin de ful-ɔp yu bɛlɛ, lɛk se i ebi. Sɔntɛnde dis pen kin go na yu lɛft sholda.
- Fɔ fil ful ivin afta yu it smɔl: We di splin big, i kin prɛs pan di bɛlɛ, so yu kin fil ful ivin afta yu it smɔl. Dis kin mek bak i nɔ want fɔ it igen.
Impɔtant: If di splin bigin fɔ wok fayn, sɔm sayn dɛn lɛk taya, wik , izi fɔ brus , ɛn infekshɔn ɔltɛm lɛk kol kin apin bikɔs ɔf anemia.
Aw yu go fɛn dis, Dɔktɔ?
If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt ɔ if dɛn tink se yu splin fɔ ɛni ɔda rizin, di fɔs tin we yu dɔktɔ go du na fɔ aks yu kwɛstyɔn dɛn ɛn du yu bɔdi ɛgzam. Insay dis, i go tek tɛm palpate yu bɛlɛ fɔ chɛk fɔ si if yu splin dɔn big.
Dɔn, dɛn go ɔda fɔ du bɔku tɛst fɔ no di rayt tin we mek dɛn du am.
- Blɔd tɛst dɛn:Dis kin ɛp fɔ si aw yu rɛd blɔd sɛl, wayt blɔd sɛl, ɛn pletlɛt kɔnt de, ɛn aw yu liva de wok.
- Skan: We dɛn yuz ɔltra saund ɔ CT skan, i kin no di rayt sayz we di splin gɛt ɛn if i de prɛs ɔda ɔgan dɛn we de rawnd am.
- MRI skan: Dis kin ɛp fɔ si klia wan aw blɔd de flɔ tru di splin.
Aw dɛn kin trit am? Ɛn wetin na di prɔblɛm dɛn we kin apin?
Di impɔtant tin fɔ ɔndastand ya na dat wi nɔ de trit di splin we dɔn swel insɛf, bɔt wi de trit di ɔndalayn kɔndishɔn we mek i swel . fכ egzampl, if di splin swεla bikoz fכ baktri infεkshכn, antibaytik go εp di infεkshכn fכ hεl εn di splin go kam bak to nכmal saiz.
Bɔt if dɛn nɔ trit am, prɔblɛm dɛn we denja kin apin.
1. Splin Rupture: If di splin big pasmak, i kin bɔs wit smɔl aksidɛnt, bad bad blo, ɔ ivin fɔ no rizin atɔl. Dis kin mek bɔku bɔku blɔd lik insay di bɔdi ɛn i kin ivin mek pɔsin in layf de pan denja. Dis na mɛdikal imejensi.
2. Hypersplenism: Di splin kin wok pasmak ɛn bigin fɔ pwɛl tumɔs gud blɔd sɛl dɛn (rɛd, wayt, ɛn pletlɛt dɛn). Dis kin mek pɔsin nɔ gɛt bɛtɛ blɔd, infɛkshɔn, ɛn blɔd.
Yu tink se dɛn fɔ pul di splin?
Bɔrku tɛm, dɛn nɔ nid fɔ pul di splin wans dɛn dɔn trit di ɔndalayn kɔndishɔn. Bɔt if dɛn nɔ ebul fɔ fɛn di tin we mek di sik, dɛn nɔ go ebul fɔ trit di sik, ɔ if i gɛt bɔku risk fɔ mek di splin bɔs, di dɔktɔ kin disayd fɔ ɔpreshɔn fɔ pul di splin (splenectomy) .
I pɔsibul fɔ liv we yu nɔ gɛt splin. Bɔt afta dat, di bɔdi in imyun sistɛm kin wik smɔl. So, pɔsin we dɛn dɔn pul in splin go gɛt fɔ tek spɛshal vaysin ɛn mɛrɛsin ɔlsay na in layf fɔ protɛkt insɛf frɔm sɔm infɛkshɔn dɛn.
Mɛsej we dɛn kin kɛr go na os
- Splenomegaly nɔto sik, bɔt na sayn fɔ ɔda sik.
- Bikɔs bɔku pipul dɛn nɔ kin gɛt ɛni sik, dɛn kin no dis we dɛn de du dɔktɔ ɛgzam.
- If yu gɛt pen ɔltɛm, yu nɔ de fil fayn, ɔ yu de fil se yu ful-ɔp na di ɔp lɛft pat na yu bɛlɛ, ivin afta yu dɔn it smɔl, nɔ ignore am. Si yu dɔktɔ wantɛm wantɛm.
- Di tin we impɔtant pas ɔl na fɔ fɛn di rayt tin we mek di splin de swel ɛn trit di sik.
- di rayt tritmɛnt kin mek di splin kam bak to nɔmal ɛn i kin mek i nɔ gɛt siriɔs prɔblɛm dɛn.
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