I spleen pawh a lo hring tawh em? Hemi (Splenomegaly) chungchang hi han sawi ila!

"Elarged spleen" tih hi i hre tawh em? Tlem chuan i hre duh deuh mai thei. A nih loh leh, doctor pakhatin nangmah emaw, i hriat mi emaw hnenah a hrilh che pawh a ni thei. Vawiin hian he spleen lian tak, emaw doctor-te’n an tih angin (Splenomegaly) , hi eng nge a nih, engvangin nge a lo awm tih leh eng nge tih theih tih te hi han sawi ila.

He spleen hi eng nge ni? Eng thil nge thleng?

A awlsam zawngin sawi ila, kan taksaah hian kan taksa peng te tak te, mahse pawimawh tak a ni. I pum veilam, a chung lam, i ruh hnuai chiah, kutphah ang maia lianah han mitthla teh. Kan lymphatic system leh immune system ah a tel ve a ni .

Spleen hian hna pawimawh engemaw zat a nei a:

• Thisen tihthianghlimna: Filter ang maiin kan thisen atanga thisen sen hlui leh hrik te a paih chhuak thin.
• Bawlhhlawh paih: Thisen atanga bawlhhlawh paih chhuakin taksa atanga paih chhuak turin a pui thin.
• Thisen var (white blood cells) siam chhuah: Kan taksain natna dona atana a mamawh thisen var (white blood cells) siam chhuah hi a ni.

Spleen hrisel tak hi a tlangpuiin centimetre 12 vel a sei a ni a, gram 70 vel a rit a ni. Mahse, a zung a lo lian chuan centimetre 20 vel a lian thei a, gram 1,000 chuang a rit thei bawk. Ngaihtuah thiam a har khawp mai, a dik em?

Engvangin nge he spleen hi a lo hring? A chhante chu engte nge ni?

A rilru a buai em em a, a chhan hrang hrang a awm thei. Ṭhenkhat chu hun eng emaw chen atan an ni a, anmahni chauhin an kal bo ang. Mahse a then chu natna khirh zawk, hun rei tak awm thei chhinchhiahna a ni thei.

A chhan lian tak tak thenkhat han thlir ila:

• Infection: Hei hi a chhan tam ber a ni.
• Viral infection: Entirna atan `(Mononucleosis)` (Keesin natna an ti bawk) leh `(HIV)` te hi a ni.
• Bacterial infection: `(Tuberculosis)` (tuberculosis), `(Endocarditis)` (thinlung chhungril layer infection) ang chi te.
• Parasitic infection: `(Malaria)` leh `(Toxoplasmosis)` ang chi natna hian rilru natna (immune system) a tichhe thin. Tichuan, spleen hian a mamawh aia tam antibodies leh immune cells a siam tan a, hei hi `(Hyperplasia)` an ti a. Hei hian spleen a ti hring chhuak thin.

• Liver natna: Liver natna nei, chronic hepatitis emaw cirrhosis emaw nei te hian thisen kalna thisen kalna kawng leh thisen kalna kawngah pressure a tisang thei a ni. Hei hi portal hypertension an ti a . He pressure hian thisen a tipung thei a, spleen a ti hring thei bawk. Tui pipe khar, tuiin a khat ang maiin han ngaihtuah teh.

• Ngawt:
• Thisen a cancer lo awm, leukemia leh myeloproliferative neoplasms (MPNs) te hi a ni.
• Lymph glands cancer, chu chu lymphoma tihna a ni.

Hetiang cancer cell hi spleen-ah an lut a, chutah chuan an lo pung tan chuan spleen chu a lo hring chhuak thin.

• A chhan dangte chu:
• Focal lesions in the spleen: Cyst, abscess emaw metastatic cancer emaw, spleen-a darh avanga spleen hi a lian thei hle.
• Autoimmune diseases: Entirnan, hun rei tak chhunga inflammatory conditions lupus, sarcoidosis, leh rheumatoid arthritis te hian immune system a tichak lutuk a, spleen a ti hring thei bawk.
• Thisen lama harsatna: Hemolytic anemia (thisen sen rang taka a chhe) leh neutropenia (thisen var chi khat tlahniam) ang chi dinhmunah chuan heng cell te hi paih chhuah nan nasa zawka a thawh a ngaih avangin spleen hi a lo hring thei a ni.
• Inherited metabolic disorders: Niemann-Pick disease, Gaucher disease, leh sickle cell disease ang chi natna te hian taksa chhunga thil chi hrang hrang thisenah a khawlkhawm a, taksa peng hrang hrangah a dah khawm thin. Heng thilte hi rilruah a lo awm khawm chuan a hring chhuak thin.
• Thrombosis: Thisen zam chu liver emaw spleen emaw-a thisen kalna kawngah a lo awm chuan pressure a sang a, thisen a inzawm khawm thei a, chu chuan spleen a ti hring chhuak thin.

Spleen hring hi a pawi em?

Spleen hring hi damdawi lam harsatna hrang hrang chhinchhiahna a ni. Ṭhenkhat chu an serious lo mai thei a, mahse ṭhenkhat erawh chu an serious hle thei. A pawimawh ber chu Doctor pan a, a chhan dik tak hriat chian hi a ni. Chutah chauh chuan enkawlna a ngai em tih i rel thei ang a, eng ang nge tih pawh i rel thei ang.

Spleen lian tak chu enkawl loh chuan a hnathawh a hloh tan thei tih hre reng ang che. A tlem berah chuan spleen lian tham tak chu a chhe thei a ni. Chutiang a nih chuan chhungril thisen chhuak a intan thei a, nunna atana hlauhawm tak a ni thei bawk.

Ka ril a hring a nih chuan eng symptom nge a awm ang?

A tam zawkah chuan i spleen a hring tih i hre lo ang. Mahse, symptoms a awm tak tak a nih chuan:

• Pum veilam chunglam a na. He natna hi ke veilam emaw hnungzang emaw thlengin a radiate thei bawk.
• Palpable spleen: A tlangpuiin kan kut hmangin spleen hi kan hre thei lo. Amaherawhchu, a hring a nih chuan doctor-in a pum a enfiah hunah a hre thei mai thei.
• Tlemte ei hnuah pawh ei duhna hloh emaw, chaw ei kham emaw: Hei hi a hnuaia pumpui lian zawkin a press vang a ni thei.

Spleen hian hna a thawk tha lo tan a nih chuan a symptoms te chu:

• Anemia chhinchhiahna: Chung zingah chuan chak lo, chau, leh vun sen hring tih te pawh a tel.
• Khawsik emaw natna dang emaw a awm fo thin.
• Bruising leh thisen chhuah awlsam.

Spleen lian lutuk hian eng side effect nge a neih theih?

Spleen a hring hian harsatna dang a thlen thei bawk.

• Tissue thihna: Spleen na tak chuan thisen a dawng tlem thei. Chumi hnuah chuan tissue te chu oxygen leh nutrients te an tlachham a, an thi tan ta a ni.
• Hypersplenism: Spleen lian zawk chu a thawk nasa lutuk thei a, thisen cell tam lutuk (red blood cells, white blood cells, leh platelets) a tichhia tan thei bawk. Hei hian thisen tlakchhamna, thisen var tlahniam, platelet tlahniam ang chi dinhmun a thlen thei a ni.
• Spleen Rupture: Hei hi thil awm lo tak a ni. Mahse, spleen lian tak chu thil pakhatin pum a rawn deng emaw, i tlu nasat emaw chuan a chhe thei a ni. A châng chuan chhan hriat lohvin a chhe thei bawk. Spleen a rupture chuan nunna atana hlauhawm tak a ni.

Engtin nge doctor-te chuan spleen lian zawk chu an hriat theih?

Pum natna engemaw zat nei chungin doctor hnenah i kal mai thei. A nih loh leh, natna dang nena inzawm symptoms nen i kal thei bawk. A châng chuan doctor-te chuan checkup pangngai an neih lai emaw, thil dang an zawn laiin emaw, a rilru a buai hle tih an hmu ṭhîn.

Doctor chuan i pum a enfiah hian i rilru a lian tih a hre thei. Hei hi test hrang hrang hmangin a finfiah theih bawk:

• Imaging test hrang hrang:
• Abdominal ultrasound emaw CT scan emaw hmangin riltam a hring em tih te, engtiang chiahin nge a hring tih te, tumor a awm em tih te, taksa peng dang pressure a awm em tih te hriat theih a ni.
• MRI scan hian thisen kal dan chu a hmu thei a ni.
• Thisen test: A chhan a chiang lo a nih chuan i doctor chuan thisen test eng emaw zat a ti thei ang. Chûngte chuan natna chi hrang hrang, cancer, thisen lama harsatna, leh thin hnathawh ang chite an zawng thei a ni.
• Bone marrow analysis: A chang chuan i doctor chuan i ruhro sample tlemte (bone marrow aspiration leh/ emaw bone marrow biopsy) a la thei bawk. Hei hian i spleen hnathawh dan tur a hriattir thei a, natna thenkhat hriatchhuahna kawngah pawh a pui thei bawk.

Chuti a nih chuan, i spleen a lo hring chhuah hian eng nge i tih thin? Enkawlnate chu engte nge ni?

A tam zawkah chuan spleen chu a lo hring chhuaktu underlying condition chu enkawl a nih veleh a normal size-ah a kir leh thin. Condition thenkhat, infection ang chi te hi a mah chauhin a tha chho thin. Thil dang chu damdawi hmanga enkawl emaw, thisen pek emaw, zai emaw hmanga enkawl theih a ni.

Natna thenkhat chuan damdawi an nei lo. Chutiang hunah chuan doctor-te chuan ruh hring hring tihziaawmna turin radiation therapy dose tlemte pek an rel thei a, a nih loh leh surgery hmanga chhum (spleenctomy) lakchhuah an rel thei bawk.

Spleen hi lakchhuah a nih chuan eng nge thleng ang?

Spleen tel lovin i nung tha thei. Mahse, i immunity, chu chu natna laka i do theihna chu tlem a tlahniam ang.

• I doctor chuan i vei theihna tur natna tlanglawn thenkhat laka venhimna tur vaccine thenkhat laksak turin a rawt thei che a ni.
• Medical professional-te’n i spleen lakchhuah a nih thu an hriat theih nan medical ID bracelet vuah turin an ti ang che.
• I damloh chuan a hma aia nasa zawk antibiotics pek i ni mai thei.

Ka rilru a na a nih chuan engtin nge ka in enkawl ang?

Hun rei tak chhung i ril a hring a nih chuan i pum hliam lo turin i fimkhur tur a ni. Spleen lian zawk chu a chhe tam zawk avangin high-contact sports atanga inthiarfihlim a tha ber.

Tin, i spleen chu underactive emaw overactive emaw a ni thei bawk. Chuvangin, thisen tlakchhamna (pallor, fatigue) chhinchhiahna te chu fimkhur rawh. I doctor pawhin a hun hunah i thisen level a enfiah thei bawk.

Spleen a lo hring chhuah lai hian ei tur tha lo tak tak a awm em?

Doctor-te chuan kan ei tur hian kan spleen direct-in a nghawng em tih hi an hre chiang lo. Mahse, kan ei leh in hian kan hriselna zawng zawngah nghawng lian tak a nei a ni. I spleen lian zawk i neih chuan i immune system a chak lo niin i ngai thei. Chuvangin, ei leh in hrisel hi i immune system venhimna awlsam ber pakhat a ni.

Tin, i ei leh in hian i spleen a ti na thei (a bik takin inflammatory conditions leh liver disease) te pawh a nghawng thei bawk.

Doctor-te chuan hetiang hian an rawt fo thin:

• Chaw rang leh processed (packaged snacks, sweets, sausage, etc.) ei loh emaw tihtlem emaw rawh. Heng chawte hian taksaah inflammation a tipung a, LDL cholesterol a tipung bawk a, hei hian thin leh metabolism tan a tichhe hle.
• Anti-inflammatory diet ei rawh . Hei hian ei tur thar, pum pui (thlai, thei leh thlai) leh unsaturated fats (nga leh nut-a awm) ei tam tihna a ni.

Engtikah nge ka rilru natna (spleen) a hring a nih chuan damdawi lam pan nghal tur?

I ril awmna hmunah, chu chu i pum veilam chunglam emaw, i ke veilam emaw-ah emaw, a bik takin i thawk laiin a na zual a nih chuan, doctor lam pan nghal rawh.

Ruptured spleen hi thil pakhatin pum chhunga a tlak chuan a awm tam ber. Mahse, a chang chuan a puak mai thei. A rupture tlemte pawh hian thisen tlem a chhuah thei a, mahse enkawl vat loh chuan natna chu a na nghal vat thei a ni. Enkawl vat a nih chuan zai ngai lo i pumpelh thei mai thei.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvangin, vawiin a kan sawiho atang hian, spleen hring hi thil awlsam taka ngaih tur a ni lo tih i hmu thei ang. Hriselna lama harsatna awm thei chhinchhiahna a ni thei bawk. Hun eng emaw chen atan a nih chuan i hriselna zawng zawng tan thil lian tak a ni lo mai thei. Mahse, a awm reng chuan i spleen a tichhe thei a, a hlauhawm thei bawk.

Chuvangin, i rilru a lian tawh nia i hriat chuan, emaw, a kaihhnawih symptom i neih chuan, a tha ber chu doctor pan a, check out hi a ni. Doctor chuan a chhan a zawng chhuak ang a, chumi ang chuan a enkawl ang. Hlauthawng suh, mahse ngaihthah bawk suh!

Splenomegaly , Spleen, Pum natna, A lan chhuah dan, Enkawl dan, A chhan