Yu splin dɔn swel bak? Lɛ wi tɔk bɔt dis (Splenomegaly)!

yu don eva yehri boht "enlarged spleen"? Sɔntɛm yu go want fɔ no bɔt am smɔl. Ɔ, dɔktɔ go dɔn tɛl yu ɔ pɔsin we yu sabi bɔt am. Tide, lɛ wi tɔk bɔt wetin dis splin we dɔn big, ɔ lɛk aw dɔktɔ dɛn kin kɔl am (Splenomegaly) , na, wetin mek i kin apin, ɛn wetin dɛn kin du bɔt am.

Wetin na dis splin? Wetin kin apin to am?

Fɔ tɔk am simpul wan, di splin na smɔl pat pan wi bɔdi bɔt we rili impɔtant. Imajin am na di lɛft say na yu bɛlɛ, na di ɔp pat, jɔs ɔnda yu rib dɛn, we tan lɛk fist. Na pat pan wi limfatik sistɛm ɛn di imyun sistɛm .

di splin gεt sεvεra men wok dεm:

• Fɔ klin blɔd: Lɛk filta, i de pul ol rɛd blɔd sɛl ɛn jem dɛn na wi blɔd.
• Fɔ pul dɔti: I de ɛp fɔ pul dɔti tin dɛn we de na di blɔd ɛn pul am na di bɔdi.
• Fɔ mek wayt blɔd sɛl dɛn: Wan ɔda impɔtant wok we di splin de du na fɔ mek wayt blɔd sɛl dɛn we wi bɔdi nid fɔ fɛt sik.

di splin we gεt hεlth kin lכng lεk 12 sεntimita εn i kin we lεk 70 gram. Bɔt we di splin big, i kin gro te i rich lɛk 20 sɛntimita ɛn i kin we pas 1,000 gram. I at fɔ imajin, nɔto so?

Wetin mek dis splin dɔn swel? Wetin na di tin dɛn we kin mek i apin?

Difrɛn rizin kin de fɔ mek yu splin swel. Sɔm pan dɛn na fɔ shɔt tɛm nɔmɔ ɛn dɛn go go fɔ dɛnsɛf. Bɔt sɔm pan dɛn kin bi sayn fɔ sik dɛn we rili siriɔs ɛn we kin te fɔ lɔng tɛm.

Lɛ wi luk sɔm pan di men rizin dɛn:

• Infɛkshɔn: Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl.
• Vayral infεkshכn: εgzampl dεm na `(Mononucleosis)` (dεn kin kכl am bak Keesin in sik) εn `(HIV)`.
• baktriyal infεkshכn dεm: lεk `(Tuberculosis)` (tuberculosis), `(Endocarditis)` (infεkshכn na di insay layt na di at).
• Parasayt infεkshכn: Infεkshכn dεm lεk `(Malaria)` εn `(Toxoplasmosis)` de put prεshכn pan di imyun sistεm na di splin. afta dat di splin de stat fכ prodyuz mכr antibodi dεm εn imyun sεl dεm pas aw i nid, dεn kכl dis `(Hyperplasia)` . Dis kin mek di splin swel.

• Liva sik: Pipul wae gɛt liva sik, lɛk krɛse sik ɔr sirosis, kin gɛt prɛshɔn na di blɔd vesel dɛm wae de rɔn tru di liva ɛn splin. Dɛn kɔl dis pɔtal haypatɛnshɔn . Dis prɛshɔn kin mek di blɔd gɛda ɛn mek di splin swel. Tink bɔt am lɛk wata paip we dɔn lɔk we ful-ɔp wit wata.

• Kansa:
• Kansa dεm we de divεlכp na di bכdi, lεk lukimiya εn myeloproliferative neoplasms (MPNs).
• Kansa na di limf gland dɛm, dat na, limfoma.

we di kεnsar sεl dεm lεk dis de go insay di splin εn bigin fכ bכku de, di splin de swel.

• Ɔda rizin dɛn:
• di fכkal lεsin dεm na di splin: di splin kin big bikoz fכ wan sist, absεs, כ mεtastas kεnsar we dεn spre to di splin.
• Di sik dɛm we pɔsin kin gɛt we i de fɛt insɛf: Fɔ ɛgzampul, we pɔsin kin gɛt lɔng tɛm inflammatory conditions lɛk lupus, sarcoidosis, ɛn rheumatoid arthritis kin mek di imyun sistɛm wok pasmak ɛn mek di splin swel.
• Blɔd dizayd: Insay tin dɛn lɛk ɛmolaytik anemia (di rɛd blɔd sɛl dɛn kin brok kwik kwik wan) ɛn nyutropenia (we kin go dɔŋ wan kayn wayt blɔd sɛl), di splin kin swel bikɔs i fɔ wok tranga wan fɔ pul dɛn sɛl ya.
• di mεtabolik dizכrd dεm we dεn kin gεt fכ mεtabolik dεm: Sik dεm lεk Niemann-Pick disease, Gaucher disease, εn sikl sεl sik kin mek difrεn tin dεm na di bכdi kin gɛda na di bכdi εn dεn kin de na di כgan dεm. We dɛn tin ya gɛda na di splin, i kin swel.
• Trombosis: If blɔd klɔt lod insay blɔd vesel na di liva ɔ splin, di prɛshɔn go go ɔp ɛn blɔd kin gɛda, we kin mek di splin swel.

Yu tink se we pɔsin in splin swel siriɔs?

Spleen we swel na sayn fɔ bɔku difrɛn mɛrɛsin dɛn. Sɔm pan dɛn nɔ kin siriɔs, bɔt ɔda wan dɛn kin rili siriɔs. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ fɔ no ustɛm de mek i gɛt am. Na da tɛm de nɔmɔ yu go disayd if dɛn nid fɔ gɛt tritmɛnt, ɛn us kayn tritmɛnt.

Mɛmba se if dɛn nɔ trit di splin we dɔn big, i kin bigin fɔ lɛf fɔ wok igen. Sɔntɛm, di splin we dɔn big bad bad wan kin brok. If dis apin, di blɔd we de kɔmɔt insay di bɔdi kin bigin ɛn i kin mek pɔsin in layf de pan denja.

If mi splin swel, us sayn dɛn go apin?

Bɔku tɛm, yu nɔ go notis se yu splin dɔn swel. Bɔt if di sayn dɛn kin apin, dɛn kin gɛt:

• Pen na di ɔp lɛft say na di bɛlɛ. Dis pen kin kɔmɔt bak to di lɛft sholda ɔ bak.
• Palpable spleen: Nɔmal wan, wi nɔ kin ebul fɔ fil di splin wit wi an. Bɔt if i swel, dɔktɔ kin ebul fɔ fil am we i de chɛk di bɛlɛ.
• I nɔ kin want fɔ it ɔ fil ful ivin afta yu it smɔl: Dis kin apin bikɔs di splin we dɔn big de prɛs di bɛlɛ we de ɔnda.

If di splin bigin fɔ wok fayn, di sayn dɛm lɛk:

• Di sayn dɛm fɔ Anemia: Dɛn tin ya na fɔ fil wik, taya, ɛn fɔ fil lɛk se yu nɔ gɛt bɛtɛ blɔd.
• Kɔl ɔltɛm ɔ ɔda infɛkshɔn.
• I izi fɔ brus ɛn blɔd.

Wetin na di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i splin big?

If yu splin swel, dat kin mek yu gɛt ɔda prɔblɛm dɛn.

• Tisu day: If yu splin swel bad bad wan, yu nɔ go gɛt inof blɔd. Dɔn di tisu dɛn nɔ gɛt ɔksijɛn ɛn tin dɛn we de mek dɛn gɛt tin fɔ it ɛn dɛn kin bigin fɔ day.
• Hypersplenism: We di splin big kin wok pasmak ɛn bigin fɔ pwɛl bɔku blɔd sɛl dɛn (rɛd blɔd sɛl dɛn, wayt blɔd sɛl dɛn, ɛn pletlɛt dɛn). Dis kin mek yu gɛt tin dɛn lɛk we yu nɔ gɛt bɛtɛ blɔd, yu wayt blɔd sɛl dɛn nɔ de bɔku, ɔ yu pletlɛt dɛn nɔ bɔku.
• Spleen Rupture: Dis na tin we nɔ kin apin so ɔltɛm. Bɔt di splin we dɔn big kin brok if sɔntin nak di bɛlɛ ɔ if yu fɔdɔm tranga wan. Sɔntɛnde, i kin brok fɔ no rizin. If di splin brok, na tin we kin mek pɔsin in layf de pan denja.

Aw dɔktɔ dɛn kin no if pɔsin in splin dɔn big?

Yu kin go to dɔktɔ wit sɔm bɛlɛ diskɔmfɔt. Ɔ, yu kin go wit sayn dɛm wae gɛt fɔ du wit ɔda sik. Sɔntɛnde, dɔktɔ dɛn kin fɛn wan splin we dɔn big bay chans, ilɛksɛf dɛn de chɛk dɛn ɔltɛm ɔ we dɛn de luk fɔ ɔda tin.

Dɔktɔ kin fil se yu spleen dɔn big we i de chɛk yu bɛlɛ. Dis kin bi bak bay difrɛn tɛst dɛn:

• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:
• Dɛn kin du ɔltra saund ɔ CT skan na di bɛlɛ fɔ si if di splin dɔn swel, aw i swel, if tumbu de, ɛn if prɛshɔn de pan ɔda ɔgan dɛn.
• MRI skan kin sho aw blɔd de flɔ tru di splin.
• Blɔd tɛst: If yu nɔ no klia wan bɔt di tin we mek yu gɛt am, yu dɔktɔ kin tɛl yu fɔ du bɔku blɔd tɛst. Dɛn tin ya kin luk fɔ sɔm patikyula tin dɛn lɛk kansa, blɔd prɔblɛm, ɛn di liva we de wok.
• Bon mכro analisis: sכmtεm yu dכkta kin tek sכm sכm sεmpl fכ yu bon mכro (bon mכro aspirεshכn εn/כ bon mכro bayopsi). Dis kin gi infɔmeshɔn bɔt aw yu splin de wok ɛn i kin ɛp bak fɔ no sɔm sik dɛn.

So, wetin yu kin du we yu splin swel? Wetin na di tritmɛnt dɛn?

bכku tεm, di splin kin kam bak to nכmal saiz wans dεn trit di כndalayn kכndyushכn we mek di splin swel. Sɔm tin dɛn lɛk infɛkshɔn kin bɛtɛ fɔ dɛnsɛf. Dɛn kin trit ɔda sik dɛn wit mɛrɛsin, blɔd transfyushɔn, ɔ ɔpreshɔn.

Sɔm sik dɛn nɔ gɛt ɛni mɛrɛsin. If na so i bi, dɔktɔ dɛn kin disayd fɔ gi smɔl doz redyushɔn tɛrapi fɔ ridyus di swɛlin na di splin, ɔ fɔ ɔpreshɔn fɔ pul di splin (splenectomy).

Wetin kin apin if dɛn pul di splin?

Yu kin liv fayn if yu nɔ gɛt splin. Bɔt yu imyuniti, dat na, yu ebul fɔ fɛt sik, go ridyus smɔl.

• Yu dɔktɔ kin se yu fɔ gɛt sɔm vaysin fɔ protɛkt yu frɔm sɔm pan di kɔmɔn infɛkshɔn dɛn we yu go gɛt mɔ.
• Dɛn go aks yu fɔ wɛr mɛdikal ID breslɛt so dat di mɛdikal pɔblisha dɛn go no se dɛn dɔn pul yu splin.
• If yu sik, dɛn kin gi yu strɔng antibayɔtik pas aw dɛn kin gi yu.

If a gɛt splin we dɔn swel, aw a go kia fɔ misɛf?

If yu gɛt splin we dɔn swel fɔ lɔng tɛm, yu fɔ tek tɛm mek yu nɔ wund yu bɛlɛ. Bikɔs di splin we dɔn big kin brok, i go fayn fɔ mek yu de fa frɔm spɔt dɛn we pipul dɛn kin gɛt bɔku kɔntakt.

Dɔn bak, yu splin kin nɔ de wok fayn ɔ i kin wok pasmak. So, no bɔt sayn dɛm fɔ anemia (palɔr, taya). Yu dɔktɔ kin chɛk yu blɔd lɛvɛl bak wan wan tɛm.

Ɛni it de we nɔ fayn fɔ it we di splin dɔn swel?

Dɔktɔ dɛn nɔ rili shɔ if di it we wi de it de afɛkt wi splin dairekt wan. Bɔt di it we wi de it kin afɛkt wi ɔl wi wɛlbɔdi. If yu gɛt big splin, yu kin tink se yu imyun sistɛm wik. So, it fayn it na wan pan di izi we fɔ protɛkt yu imyun sistɛm.

Apat frɔm dat, di it we yu de it kin afɛkt bak di ɔndalayn mɛrɛsin kɔndishɔn dɛn we kin mek yu splin swel (espɛshali di tin dɛn we kin mek yu bɔdi wam ɛn di sik we de mek yu liva).

Dɔktɔ dɛn kin tɛl yu ɔltɛm se:

• Nɔ it ɔ ridyus di it dɛn we yu de it fast ɛn we dɛn dɔn prosɛs (snek we dɛn pak, swit, sosish, ɛn ɔda tin dɛn). Dɛn it ya kin mek di bɔdi inflamɛns ɛn mek di LDL kɔlɔstrel bɔku, we kin ambɔg di liva ɛn di mɛtabolism.
• It wan tin we nɔ de mek yu bɔdi wam . Dis min se yu fɔ it mɔ fresh, ful it (vɛjitebul, frut, ɛn vɛjitebul) ɛn fat we nɔ gɛt sɛtyuret (we de na fish ɛn nɛt).

Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm fɔ wan splin we dɔn swel?

If yu fil se yu de fil pen mɔ ɛn mɔ na di say we yu splin de, dat na, na di ɔp lɛft say na yu bɛlɛ ɔ na yu lɛft sholda, mɔ if di pen de wɔs we yu de blo, go to dɔktɔ wantɛm wantɛm.

di splin we brok kin apin mɔ we sɔntin hit di bɛlɛ. Bɔt sɔntɛnde i kin jɔs bɔs. Ivin smɔl rɔp kin mek yu blɔd kɔmɔt smɔl, bɔt if dɛn nɔ trit am kwik, di sik kin siriɔs kwik kwik wan. If dɛn trit yu kwik kwik wan, yu go ebul fɔ avɔyd fɔ mek dɛn nɔ gɛt ɔpreshɔn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, frɔm wetin wi dɔn tɔk bɔt tide, yu kin si se splin we swel nɔto sɔntin fɔ tek am layt. I kin bi sayn fɔ wan ɔndalayn wɛlbɔdi prɔblɛm. If na fɔ shɔt tɛm, i nɔ kin bi big tin fɔ yu ɔl yu wɛlbɔdi. Bɔt if i nɔ de chenj, i kin pwɛl yu splin ɛn i kin denja.

So, if yu tink se yu splin dɔn big, ɔ if yu gɛt sɔm sayn dɛn we gɛt fɔ du wit am, di bɛst tin fɔ du na fɔ go to dɔktɔ ɛn chɛk yu. Di dɔktɔ go fɛn di tin we mek i apin ɛn trit am di we aw i de. Nɔ panik, bɔt nɔ ignore am bak!

Splenomegaly , Spleen, Abdominal Pen, Simptom, Tritmɛnt, Kɔz