I pum veilam, i ruh hnuai lam chiahah hian a rit deuh, a nuam lo emaw, a na emaw i nei tawh em? Tlemte ei hnuah pawh i rilru a hah mai thei em? Chûngte chu i taksaa thawktu ngawi renga awm, i rilru natna (spleen) lian tak chhinchhiahna a ni thei. A hming avang hian hlauthawng suh. Hei hi damdawi lam dinhmun dang chhinchhiahna mai a ni fo thin. A tir atang khan awlsam takin i dah ang u.
Pakhatnaah chuan, he spleen hi eng nge ni?
A awlsam zawngin sawi ila, kan taksa hriselna leh lymphatic system-a tel ve a ni. Kan thisen tifaitu ‘filter’ ang mai a ni. I pum veilam chunglam, i veilam rib cage hnuai chiahah a awm a ni. Mi hrisel takah chuan spleen hi taksa peng te tak te, kutphah ang vela lian, centimetre 12 vel a sei, gram 70 vel a rit a ni.
A hna lian ber berte chu:
- Thisen tihthianghlimna: Thisen atanga thisen sen hlui leh chhe tawh te a paih chhuak a, bawlhhlawh a paih chhuak bawk.
- Infection dona: Infection dona atana mamawh thisen var siam chhuahnaah a pui.
- Thisen cell dahkhawmna: Platelet leh thisen var ang chi cell te hi a khawlkhawm a.
Eng emaw chhan vanga thisen kal tlang emaw, ril chhung ngei emaw a nghawng chuan a hring tan thin. Chumi hnuah chuan centimetre 20 vel a lian thei a, gram 1000 (kilogram 1) aia rit a ni thei bawk. Hetianga a hring hi chhan tam tak a awm. Ṭhenkhat chu hun rei lote chhûnga awm ni mah se, ṭhenkhat chu hun rei tak chhûnga awm tawhna chhinchhiahna a ni thei bawk.
Spleen hring hi a pawi em?
Hei hi mi tam takin harsatna an neih chu a ni. Spleen swelling hi natna a ni lo, natna dang chhinchhiahna a ni. Khawsik nei ang maiin. Khawsik hi natna a ni lova, taksaa natna hrik awm chhinchhiahna a ni. Chutiang chu a ni.
Chuvangin, hei hi a nasat dan chu a chhan bulpuiah a innghat a ni. I doctor chuan eng thil nge a hring chhuak tih chiang taka hriat a tum hmasa ang. A chhan thenkhat chu chutiang chuan a na lo hle a, a then erawh chu enkawl vat a ngai a ni.
Mahse hun rei tak enkawl loha dah a nih chuan spleen hian hna a thawk tawh lo thei a ni. A tlem hle a, spleen na tak chu a hring chhuak thei. Hei hi nunna atana hlauhawm emergency a ni.
A rilru a buai em em a, a natna lan chhuah dan chu engte nge ni?
A tam zawkah chuan i spleen chu a hring deuh a nih pawhin symptom i hmu lo mai thei. Mahse, a hring a san chuan symptom thenkhat a lang thei. Hengte hi hmun hnih ah then ila.
| Mihring ziarang chi khat | Description leh feel |
|---|---|
| Symptoms direct atanga lo chhuak a ni |
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| Spleen dysfunction natna lan chhuah dan |
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Engvangin nge spleen hi a lo hring chhuak? A chhan ber thenkhat
Thil tam tak a awm a, chu chuan ril a ti na thei a ni. A bulpui berte han thlir ila.
| Chhan | A awlsam zawngin, eng nge thleng? |
|---|---|
| Infection awm thei te | Viral (e.g. Dengue, Mononucleosis, HIV), bacterial (e.g. Tuberculosis), leh parasitic (e.g. Malaria) infection lai hian taksain natna a do tan thin. Tichuan, spleen pawh hian hna lian tak a nei a ni. Chuvang chuan a overactive a, a hring chhuak thin. |
| Liver Natna a awm | Liver natna rei tak, cirrhosis ang chiah chuan liver leh spleen inzawmkhawmtu thisen kalna kawngah pressure a sang chho thin. Hei hi ``Portal Hypertension'' an ti a, he pressure hian thisen chu a tipung a, chu chuan a ti hring chhuak thin. |
| Ngawt | Thisen kaihhnawih cancer, leukemia leh lymphoma-ah te hian cancer cell te chu spleen-ah an lut a, chutah chuan an inthen tan thin. Chuvang chuan spleen chu a lian ta hle a ni. |
| Autoimmune Natna te | Lupus leh rheumatoid arthritis ang natnaah te hian taksa invenna (immune system) hian a cell te a bei thin. Hetianga overactivity hian spleen a ti na thei bawk. |
| Thisen lama harsatna awm thei | Anemia chi thenkhat (hemolytic anemia) leh thalassemia ang chi natnaah chuan thisen sen (red blood cells) hi a chhe nghal vat thin. Heng cell chhe tawhte hi paih chhuah hi spleen hna a nih avangin a thawk nasa lutuk a, a hring chhuak thin. |
| Inherited Disorders te chu a awm thei | Hriselna atanga lo piang natna thenkhat, Gaucher natna ang chiah hian taksa peng hrang hrangah thil engemaw zat a awm khawm thin. Chungte chu spleen-ah an pung khawm chuan a hring chhuak thin. |
Hei hi a kal zel chuan eng harsatna nge a awm theih ang?
A tlangpuiin, a chhan bulpui enkawl a nih veleh spleen chu a normal leh ta thin. Mahse, rei tak enkawl loh chuan harsatna eng emaw zat a awm thei.
- Hypersplenism tih hi a awm lo.Spleen hring chuan a tih tur aia tam "a thawk" tan thin. Hei hian thisen sen hrisel zawk, thisen var, leh platelet thlengin a man a, a tichhia tihna a ni. Hei hian thisen tlakchhamna a thlen thei a, natna hrik a kai thei a, thisen a chhuak thei bawk.
- Tissue thihna: Spleen chu tuar theih loh khawpa lian a nih chuan thisen supply a nei tlem thei. Hei hian thisen tlakchham vangin spleen hmun thenkhatah tissue thihna a thlen thei a ni.
- Rupture: Hei hi harsatna lian ber leh a rang ber a ni . Spleen lian tham tak chu pum chhunga vuakna nasa tak a awm chuan (e.g., accident, tlu) emaw, a tlem berah chuan a takin a puak thei a ni. Chutiang a nih chuan pum chhunga thisen chhuak nasa tak chu nunna atana hlauhawm tak a ni.
Engtin nge hei hi i hmuh theih, Doctor?
A chunga i sawi ang symptoms nei doctor i hmuh chuan test eng emaw zat a ti ang a, a natna chu a finfiah ang a, a chhan a hmu ang.
1. Taksa enfiahna: A hmasa berin doctor in i pum a palpate ang. Spleen lian zawk chu hriat a ni tlangpui.
2. Imaging test hrang hrang: 1.1.
- Ultrasound scan: Hei hi awlsam tak leh hrehawm lo takin a lian leh a pianzia enfiah nan hman theih a ni.
- CT scan: Hei hian spleen chungchang leh a chhehvela taksa peng hrang hrangte dinhmun thuk zawk a pe thei a ni.
- MRI scan: Hei hian thisen kal dan ang chi thil te chu a hmu thei a ni.
3. Thisen test: I thisen sen leh var leh platelet count te enfiah nan complete blood count (CBC) tih a ni ang. Thisen test-ah hian natna hrik kai chhinchhiahna te, thin (liver function) te, cancer te pawh a awm thei bawk.
4. Bone marrow analysis: A then phei chuan bone marrow aspiration/biopsy tih hian bone marrow sample tlemte lak theih a ni a, chutah chuan thisen cell a lo piang chhuak thin. Hei hian thisen kaihhnawih natna chungchangah thu tam tak a pe thei a ni.
Engtin nge spleen enlargement hi enkawl a nih?
Enkawlna chu a hring hring tan ni lovin, a natna chhan bulpui (underlying condition) a ni tih hre reng ang che.
A chhan a hmuh hnu chuan Doctor chuan a enkawl dan tur dik tak a pe ang.
- Infection a awm chuan a enkawl nan antibiotics emaw damdawi dang emaw pek a ni ang.
- Cancer a nih chuan enkawlna tul (e.g. chemotherapy) a kawk a ni.
- Liver natna a nih chuan enkawl dan tur dik tak leh nunphung thlak danglam dan tur a rawt ang.
A tam zawkah chuan a chhan bulpui ber enkawl a nih chuan, a zung chu zawi zawiin a lian pangngaiah a tlahniam ta a ni.
Mahse, natna khirh tak tak thenkhatah chuan, a hliam chhunzawm zel emaw, a natna lan chhuahna na tak a awm emaw chuan, doctor chuan duhthlan tur dang a ngaihtuah thei a ni.
- Radiation therapy: Radiation dose hniam tak pek theih a ni a, chu chuan a taksa a ti tlem thei a ni.
- Splenectomy: He natna hi control dan dang a awm loh chuan, a taksa chu a chhuah vek theih nan operation neih a ngai mai thei.
Spleen tel lova nun theih a ni em?
Ni e, a theih ngei ang. Spleen tel lovin i nung tha thei. Amaherawhchu, taksa invenna hi eng emaw chen a tlahniam a ni. A bik takin bacteria thenkhat kai theihna a sang hle. Chuvangin, mi pakhatin a spleen laksak tawh chu an doctor chuan special vaccine vawi engemawzat lak turin a rawt a ni. Tin, an rilru a na lo tih ziakna medical ID card emaw bracelet emaw bun a pawimawh hle a, an damloh chuan doctor hnena hrilh a pawimawh hle bawk.
I rilru a na a nih chuan engtin nge i in enkawl ang?
I doctor chuan i rilru a lian tih a nemnghet a nih chuan i hriat tur tlemte a awm.
- Pum chhunga hliam tuar lo tur: Spleen lian zawk chu a chhe thei zawk. Chuvangin , contact sports rugby leh football atang hian inthiarfihlim rawh. Tin, pum chhunga pressure awm thei thil tih loh tur.
- A lan chhuah dan en rawh: Thisen tlakchhamna chhinchhiahna, hahna leh vun rawng hring (paleness) te chu en reng ang che. I thisen test fo la, i doctor-in a rawt angin.
- Ei leh in hrisel: Chaw chi khat direct-a nghawng thei tur awm lo mah se, hriselna leh taksa hriselna zawng zawng vawng reng a pawimawh. A theih ang anga packaged, processed leh fast foods ei tlem zawk tur a ni. Hengte hian taksaah inflammation a thlen thin. Chu ai chuan thlai thar, thei thar, legumes leh sangha te chu i eitur ah te dah la.
Engtikah nge doctor pan vat a ngaih?
Hei hi a pawimawh hle. A hnuaia symptoms te hi i tawn chuan emergency a ni thei.
I pum veilam, a bik takin i thawk laiin natna nasa tak i neih a, chu chu luak chhuak, thawk hah, emaw hriatna hloh emaw nen a inzawm chuan damdawi in Emergency Department (ETU)-ah tihkhawtlai lohvin kal rawh. Hei hi spleen ruptured chhinchhiahna a ni thei a, chuvangin enkawl vat a pawimawh hle.
Take-Home Thuchah a ni
- Splenomegaly hi natna a ni lo va, a hnuaia awm natna dang chhinchhiahna a ni zawk.
- A pawimawh ber chu a hring chhan dik taka hriatchhuah a, enkawl hi a ni.
- I pum veilam chunglam ah natna awm reng, nuam lo, emaw, i khat tih hriatna i neih chuan ngaihthah suh la, i doctor hmu rawh.
- I rilru a na tih hmuhchhuah a nih chuan infiamna leh i pum hliam thei thil tih loh tur a ni.
- Pum veilam natna nasa tak, luak chhuak nena inzawm hi emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
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