Wi ɔl no bɔt di men pat dɛn na wi bɔdi lɛk di at, di lɔng, ɛn di kidni. Bɔt we yu yɛri di wɔd "spleen," yu nɔ go gɛt bɔku aidia. Bɔt dis na smɔl ɔgan we de du wan rili impɔtant wok na wi bɔdi kwayɛt wan. Bɔt, ɛni denja we de pan am kin rili ambɔg layf. Tide wi de tɔk bɔt wan splin we dɔn brok.
Fɔ tɔk am simpul wan, wetin na dis splin?
di splin de na di כp lεft say na yu bכdi, jכs dכn yu rib kεj. Na wan rili smɔl ɔgan we tan lɛk yu fist. Di men wok we i de du na fɔ kip ɛn filta blɔd. i de stכr lεk 25% pan di rεd bכdi sεl dεm εn di pletlεt dεm na wi bכdi eni wan tεm. I de ɛp bak fɔ mek wayt blɔd sɛl dɛn we de fɛt sik.
Tink bɔt am lɛk filta we de klin di blɔd. di sכft pat insay di splin we de du dis wok na wan tכn mכsul de kכba am. Bɔt bikɔs i rili dilik, i kin izi fɔ wund if ivin di smɔl aksidɛnt.
So wetin na splenic rupture?
If, bikɔs ɔf sɔm aksidɛnt ɔ ɔda rizin, di tin we de kɔba di splin dɔn rɔtin, wi kin kɔl am splin rɔp. we dis apin, bכku bכku bכdi we de insay di splin de bigin fכ lik insay di bכdi. Dis na mɛdikal imejensi we kin mek pɔsin blɔd insay pɔsin in bɔdi we rili denja , ivin i kin mek i day. So, i impɔtant fɔ no bɔt dis ɛn gɛt tritmɛnt kwik kwik wan.
Wetin kin mek di splin brok?
Bɔku tɛm, di men tin we kin mek di splin brok na di bad bad tin we kin apin na do.
- Kar aksidɛnt: Fɔ dɛn wan ya, 50% - 75% na motoka aksidɛnt.
- Spɔt aksidɛnt: Dis risk kin bɔku mɔ pan kɔntakt spɔt lɛk rɔgbi ɛn futbɔl.
- Asɔlt: Kik, chuk, ɔ shot na yu bɛlɛ wit had an.
- Fɔdɔm: I tan lɛk we yu fɔdɔm frɔm ay ay ples.
Sɔntɛnde, di splin kin brok wantɛm wantɛm afta di aksidɛnt. Bɔt ɔda tɛm dɛn, di splin kin swel afta di aksidɛnt ɛn i kin brok ivin afta sɔm awa.
Yu tink se pɔsin we gɛt splin kin brok ɛn nɔ gɛt ɛni denja?
Yɛs, i nɔ kin apin so ɔltɛm, bɔt i kin apin. Dɛn kɔl am spontaneous splenic rupture . dis kin apin we di splin big, swel, εn di כta kכva we i de kכva wik bikoz fכ כda mεdikal kכndyushכn na di bכdi, we de mek i rכp fכ insεf. Na sɔm tin dɛn we kin apin:
- Kansa: Kansa sik lɛk lymphoma.
- Infεkshכn: Infεkshכn lεk mononucleosis כ malaria.
- Ɔda sik dɛn: Na sik dɛn we nɔ de mɛn lɛk liva sik (Epatitis) ɔ pankrias.
Wetin na di sayn dɛm we de sho se pɔsin in splin brok?
Di men tin we yu kin fil we yu splin brok na shap pen na di ɔp lɛft pat na yu bɛlɛ . Bɔt imajin if yu gɛt aksidɛnt ɛn yu rib brok, i go at fɔ no difrɛns bitwin da pen de ɛn di pen we de kɔmɔt na yu splin.
Wan ɔda tin na dat, de pen kin fil lɛk se i de go na yu lɛft sholda afta sɔm tɛm. Dɛn kɔl dis Kehr in sayn insay mɛrɛsin. Fɔ tɔk am simpul wan, we di splin de blɔd, i de kɔmprɛs wan nɛv we de kɔmɔt na di nɛk to di chɛst (phrenic nerve). Na dat mek di pen kin fil lɛk se i de go na yu sholda. Yu kin fil bak se de pen de wɔs we yu de blo.
Apat frɔm dis men pen, ɔda sayn dɛn kin apin bikɔs blɔd de kɔmɔt insay di bɔdi ɛn di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Diziz ɛn fɔdɔm | Fɔ fil se yu ed de tɔn ɛn yu nɔ ebul fɔ tinap. |
| Kɔnfyus | Nɔ ebul fɔ ɔndastand wetin de apin, fɔ gɛt maynd we nɔ klia. |
| Di vishɔn we nɔ klia | Di vishɔn we nɔ klia. |
| Paleness ɛn lɔs kɔnshɛns | Skin kɔlɔ kin bi pale ɛn pale, ɛn i kin tan lɛk se yu de lɔs kɔnshɛns. |
| Nɔ rɛst ɛn wɔri | Wan strenj filin fɔ nɔ fil fayn ɛn fɔ fred. |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit. |
If yu sɔprayz se yu splin dɔn brok, wetin fɔ du wantɛm wantɛm!
If yu gɛt bad bad pen na di ɔp lɛft pat na yu bɛlɛ afta aksidɛnt, ɔ if i tan lɛk se di pen de go na yu lɛft sholda, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɛn nɔ de te. Kɔl ambulans if nid de.
Dis nɔto sɔntin we yu kin jɔs wet na os. Blɔd we de kɔmɔt insay pɔsin in bɔdi kin bi layf ɔ day. So i impɔtant fɔ go to dɔktɔ kwik kwik wan.
We yu go na ɔspitul, tɛl di dɔktɔ dɛn klia wan bɔt di sayn dɛn we yu gɛt, di bad bad tin dɛn we yu jɔs dɔn wund, ɛn ɛni ɔda sik we yu gɛt. If nid de, di mɛdikal tim go gi salin ɔ blɔd transfyushɔn fɔ kɔntrol di lɔw blɔd prɛshɔn bikɔs blɔd de kɔmɔt.
Aw dɔktɔ dɛn kin fɛn dis?
If yu blɔd prɛshɔn ɛn yu at rit nɔmal, di dɔktɔ go chɛk yu fɔs. Dɔn, dɛn go du spɛshal ɔltrasɔund skan (FAST ɔltrasɔund), we dɛn kin yuz bɔku tɛm we tin nɔ izi fɔ dɛn. Dis kin no kwik kwik wan ɛni blɔd we de kɔmɔt insay di bɛlɛ.
If di skan sho se yu de blɔd ɛn yu sik rili bad, dɔktɔ dɛn no se dis na splin we dɔn brok ɛn i nid fɔ gɛt tritmɛnt wantɛm wantɛm. If yu sik nɔ de chenj, bɔt dɛn de tink se yu splin dɔn pwɛl, dɛn kin du CT skan fɔ si ustɛm di injuri bad. I de gred di kayn bad bad injuri frɔm I to V.
Aw dɛn kin trit am?
Di tritmɛnt dipen pan aw di injury siriɔs. Sɔm smɔl smɔl lacerations kin wɛl fɔ dɛnsɛf. Bɔt di big big lacerations nid fɔ gɛt tritmɛnt kwik kwik wan. di mכst siriכs (grεd V) lasereshכn dεm kin nid fכ pul di splin.
| Di we aw dɛn kin trit am | Fɔ tɔk am simpul wan... |
|---|---|
| Embolization | Dis nɔto ɔpreshɔn. Wan spɛshal dɔktɔ, wit di ɛp we wan skan mashin de ɛp, kin pas wan tint tiub tru wan pan yu blɔd vesel dɛn insay yu splin ɛn put wan smɔl tin we tan lɛk bidz insay di say we di blɔd de kɔmɔt fɔ stɔp di blɔd. |
| Splenɔrafi we dɛn kɔl Splenorrhaphy | Dis na ɔpreshɔn we dɛn kin du. Di we aw dɛn kin du am na fɔ stich di splin we dɔn brok, fɔ bɔn am wit ilɛktrik tin (ilɛktrokɔtiri), ɔ fɔ put spɛshal wata fɔ mek di blɔd nɔ kɔmɔt. If dis wok fayn, dɛn kin sev di splin we dɛn nɔ nid fɔ pul am. |
| Dɛn kin pul di splɛn | If dɛn nɔ ebul fɔ stɔp di blɔd bay ɛni we, ɛn dɛn nɔ ebul fɔ sev di blɔd, dɛn kin ɔpreshɔn ɔl ɔ pat pan am. bכt 20% pan di spεlin rכpchכ dεm de dכn dis we. |
Yu kin liv afta dɛn dɔn pul yu splin?
Yɛs, i rili pɔsibul. Yu kin liv witout spleen. Bɔt i kin afɛkt yu imyun sistɛm . Bikɔs di splin de protɛkt wi frɔm infɛkshɔn, if wi pul am smɔl, dat kin mek wi gɛt sik dɛn.
So, afta dɛn dɔn du di ɔpreshɔn, di dɔktɔ go advays yu fɔ gɛt sɔm spɛshal vaysin dɛn. Dɔn bak, if infekshɔn kam, i go advays yu fɔ tek antibayɔtik wantɛm wantɛm ɛn nɔ de te.
Di tɛm fɔ wɛl kin difrɛn frɔm 3 to 12 wiks dipen pan aw di injuri siriɔs. If dɛn du yu ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez.
Mɛsej we dɛn kin kɛr go na os
- Spleen we brok na siriɔs sik we kin mek pɔsin in layf de pan denja ɛn we nid fɔ gɛt mɛrɛsin kwik kwik wan.
- If yu gɛt siriɔs pen na di ɔp lɛft pat na yu bɛlɛ afta aksidɛnt, ɔ if di pen fil lɛk se i de rayt to yu lɛft sholda, i kin bi sayn fɔ se yu splin dɔn brok.
- If yu gɛt dɛn kayn sik ya, nɔ de te ɛn go wantɛm wantɛm na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
- If dɛn no di sik ɛn trit am kwik, bɔku tɛm i pɔsibul fɔ sev di splin we dɛn nɔ pul am.
- Ivin if dɛn pul di splin, yu kin liv nɔmal layf. Bɔt yu fɔ tek spɛshal kia lɛk aw dɔktɔ advays se fɔ protɛkt yusɛf frɔm infɛkshɔn.
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