Kodi ndulu yanu ikugwira ntchito molimbika kwambiri? (Hypersplenism) Tiyeni tiphunzire za izi mosavuta!

Kodi nthawi zina mumamva kutopa? Kapena muli ndi bala laling'ono lomwe silimasiya kutuluka magazi? Mwina muli ndi madontho abuluu m'thupi lanu? Nthawi zina izi zingayambitsidwe ndi ndulu , chiwalo chaching'ono mkati mwa thupi lathu , chomwe chimagwira ntchito mopitirira muyeso . Lero, tiyeni tikambirane za vutoli (Hypersplenism), monga momwe timalankhulira ndi mnzanu.

Kodi ichi ndi chiyani (Hypersplenism)?

Mwachidule, hypersplenism ndi pamene ndulu yanu ikugwira ntchito molimbika kwambiri. Ntchito imodzi yayikulu ya ndulu ndikuchotsa maselo akale, owonongeka m'magazi athu. ndulu imagwira ntchito ngati chosonkhanitsira zinyalala m'nyumba mwathu. Koma nthawi zina, ndulu ikayamba kugwira ntchito molimbika kwambiri , imayamba kuchotsa maselo athanzi amagazi mwachangu kuposa momwe iyenera kukhalira. Pamenepo ndi pamene thupi lathu limakumana ndi kusowa kwa maselo amagazi, kapena "Cytopenia". Zili ngati kuti zinthu zabwino zikuchotsedwa mwachangu kwambiri.

Kodi vutoli limakhudza bwanji thupi lanu?

Kuchuluka kwa magazi m'thupi kungayambitse kuchepa kwa maselo ena kapena mitundu yonse ya magazi m'thupi lanu. Izi zingayambitse matenda monga:

• Kuchepa kwa magazi m'thupi : Uku ndi kuchepa kwa maselo ofiira a m'magazi . Maselo ofiira ndi omwe amanyamula mpweya m'thupi lonse. Choncho akakhala ochepa, mungamve kutopa nthawi zonse, kuzizira, nthawi zina kumva chizungulire, komanso kuvutika kupuma . Zili ngati thupi lanu likutha mafuta.
• Leukopenia: Uku ndi kuchepa kwa maselo oyera m'magazi. Maselo oyera ali ngati 'asilikali' m'thupi lathu omwe amalimbana ndi matenda. Choncho maselo oyera akachepa, chiopsezo chotenga matenda chimawonjezeka. Zinthu monga malungo ndi chimfine zimatha kuchitika pafupipafupi.
• Thrombocytopenia: Uku ndi kuchepa kwa ma platelet. Ma platelet amathandiza magazi kuundana. Ndi ofunikira poletsa kutuluka magazi, ngakhale pabala laling'ono. Chifukwa chake akakhala otsika , zimakhala zovuta kuletsa kutuluka magazi, mabala amatha kuwoneka pathupi, ndipo m'kamwa mumatha kutuluka magazi .

Matendawa (hypersplenism) akhoza kukhala ofatsa kwambiri kwa anthu ena, ndipo akhoza kukhala oopsa kwambiri kwa ena. Kuchepa kwa maselo a magazi kumasiyananso malinga ndi munthu. Anthu ena sangamve zotsatirapo zake ndipo sangafunike chithandizo. Komabe, makamaka ngati matendawa achitika ndi matenda ena akuluakulu, akhoza kukhala chinthu chofunikira chomwe chingakhudze thanzi lanu lonse.

Kodi hypersplenism imachitika bwanji?

Kuchuluka kwa magazi m'thupi nthawi zambiri kumachitika chifukwa chakuti ndulu yanu ikukula kwambiri (`(Splenomegaly)`). Taganizirani izi, pamene ndulu yanu ikukula, kuchuluka kwa magazi komwe ingakhale nako kumawonjezeka. Kenako, nduluyo imasunga maselo ambiri amagazi nthawi imodzi. Pamene ikugwira motere, imawonjezeranso kuchuluka kwa magazi omwe imasefa, pamapeto pake imayamba kuchotsa maselo ambiri athanzi kuposa momwe iyenera kukhalira.

Nazi zina mwa zifukwa zazikulu zomwe zimayambitsa ndulu kukula (hypersplenism):

• Matenda a chiwindi : Matenda omwe amakhudza chiwindi chanu, monga matenda a chiwindi kapena matenda a chiwindi, angayambitse kupanikizika kwakukulu m'mitsempha yamagazi yomwe imanyamula magazi kudzera m'chiwindi ndi ndulu . Izi zimatchedwa portal hypertension. Izi zimapangitsa kuti kuchuluka kwa magazi mu ndulu kuchuluke, zomwe zimapangitsa kuti ndulu itukuke, kapena kukulirakulira.
• Matenda: Matenda ena opatsirana ndi mavairasi, monga mononucleosis (yomwe imadziwikanso kuti matenda a kissing) ndi HIV, matenda a bakiteriya (monga chifuwa chachikulu, endocarditis, matenda a mkati mwa mtima), ndi matenda opatsirana ndi tizilombo toyambitsa matenda (monga malungo, toxoplasmosis) amatha kuvutitsa chitetezo cha mthupi cha ndulu. Izi zimapangitsa ndulu kupanga ma antibodies ambiri ndi maselo oteteza chitetezo cha mthupi kuposa momwe imafunira. Kuchuluka kwa maselo kumeneku (hyperplasia) kumatha kuwonjezera kukula kwa ndulu yonse.
• Matenda a Autoimmune: Matenda otupa kwa nthawi yayitali monga lupus, sarcoidosis, ndi rheumatoid arthritis angayambitse chitetezo chamthupi kugwira ntchito mopitirira muyeso, zomwe zimapangitsa kuti maselo a ndulu achuluke kwambiri. Apa ndi pamene chitetezo chamthupi chathu chimaukira maselo athu.
• Khansa: Mu khansa yokhudzana ndi magazi monga khansa ya m'magazi kapena myeloproliferative neoplasms (MPNs) ndi ma lymphomas, maselo a khansa amalowa mu ndulu ndikuyamba kuchulukana pamenepo. Izi zimapangitsanso kuti ndulu ikule.
• Matenda a magazi: Matenda omwe amachititsa kuti maselo ofiira a magazi awonongeke mwachangu, monga kuchepa kwa magazi m'thupi (momwe maselo ofiira amawonongeka mwachangu) ndi neutropenia, zimaika mtolo wolemera pa ndulu, womwe umayambitsa kuwachotsa. Monga momwe timatopa tikamagwira ntchito molimbika.
• Matenda a metabolic omwe amayambitsidwa ndi cholowa:Matenda omwe amachititsa kuti zinthu zosiyanasiyana zisonkhanitsidwe m'magazi ndikusungidwa m'ziwalo monga matenda a Niemann-Pick, matenda a Gaucher, ndi matenda a sickle cell, amathanso kukhudza ndulu, zomwe zimapangitsa kuti ikule.

Kodi zizindikiro za (Hypersplenism) ndi ziti?

Nthawi zina simungakhale ndi zizindikiro zilizonse ngakhale muli ndi hypersplenism. Vuto ndi limeneli. Komabe, ngati zizindikiro zikuwonekera, zingaphatikizepo:

• Zizindikiro za ndulu yokulira:
• Mungamve kupweteka kapena kusasangalala m'mimba mwanu chakumtunda kumanzere . Kwa ena, izi zingamveke ngati kulemera.
• Nthawi zina mumatha kumva ndulu mukaigwira. Nthawi zambiri, sitimamva ndulu m'manja mwathu choncho.
• Popeza ndulu yokulira imakanikiza mimba pansi pake, mungamve kukhuta ngakhale mutadya chakudya chochepa . Izi zingayambitsenso kulephera kudya.
• Zizindikiro za Kuchepa kwa Magazi: Monga tafotokozera kale, maselo ofiira a magazi ndi omwe amanyamula mpweya kupita ku minofu ya thupi lathu. Choncho akasowa mokwanira, minofuyo imasowa mpweya. Zotsatira zake:
• Mungamve chizungulire, kufooka, komanso kutopa (kumva kutopa ngakhale mutagwira ntchito pang'ono).
• Mungamve kuzizira komanso mutu umapweteka pafupipafupi .
• Khungu lanu likhoza kuoneka lofiirira . Ena angayang'ane nkhope yanu ndikufunsa kuti, "N'chifukwa chiyani muli lofiirira?"

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kwambiri kuonana ndi dokotala kuti akupatseni upangiri.

Kodi mungadziwe bwanji ngati muli ndi vuto la hypersplenism?

Dokotala adzayamba kaye wayang'ana ngati ndulu yanu yakula (`(Splenomegaly)`) ndipo adzayesanso kuchuluka kwa maselo m'magazi anu.

• Nthawi zina, dokotala wanu angakhudze ndulu yanu yotupa pamene akukuyezani thupi . Dokotalayo angakhudze mbali yakumanzere ya mimba yanu.
• Kuyeza kwa ultrasound kungachitike kuti kutsimikizire izi. Izi zitha kuyeza molondola kukula kwa ndulu.
• Kuyeza magazi mokwanira (CBC) kungathe kudziwa bwino mitundu ya maselo (maselo ofiira, maselo oyera, ma platelet) omwe ali otsika m'magazi anu komanso momwe alili otsika. Iyi ndiye mayeso ofunikira kwambiri.

Kodi Hypersplenism imachiritsidwa bwanji?

Kuchuluka kwa shuga m'magazi nthawi zambiri kumakhala zotsatira zoyipa komanso chizindikiro cha vuto lina lalikulu kwambiri. Chifukwa chake, ngati simunapezeke ndi vuto lomwe lili mkati mwake kapena simunayambe kulandira chithandizo, dokotala wanu adzayang'ana kwambiri zimenezo. Dokotala wanu adzafunikanso kuchita mayeso ambiri kuti apeze chomwe chimayambitsa vutoli. Pamene vutolo lachiritsidwa, ntchito ya ndulu nthawi zambiri imabwerera mwakale.

Chithandizo cha hypersplenism chimadalira kuopsa kwake. Chingaphatikizepo:

• Kuika magazi: Kuchuluka kwa maselo m'magazi anu kumabwezeretsedwa ndi magazi operekedwa. Izi zitha kuchitika popereka maselo ofiira ngati maselo ofiira anu ali ochepa, kapena ma platelet ngati ma platelet anu ali ochepa.
• Chithandizo cha radiation chotsika kapena radiofrequency ablation: Njira zonsezi zimagwiritsidwa ntchito ndi madokotala kuti awononge minofu m'thupi, monga zotupa za khansa. Njirazi zingagwiritsidwe ntchito pochiza hypersplenism ndikuchepetsa ndulu yanu yokulirapo kubwerera kukula kwake kwabwinobwino. Dokotala wanu angakulimbikitseni izi ngati hypersplenism yanu ndi yayikulu ndipo vuto lomwe limayambitsa vutoli silingathe kuchiritsidwa kuti lichepetse ndulu.
• Kuchotsa splenectomy: Nthawi zina zoopsa, ngati njira zina sizinagwire ntchito, dokotala wanu angakulangizeni kuchotsa gawo lina la ndulu yanu kapena ndulu yanu yonse. Mutha kukhala popanda ndulu, koma zimafooketsa chitetezo chanu cha mthupi. Popeza muli ndi vuto la matenda, izi zitha kuwononga kwambiri kuposa zabwino. Chifukwa chake, kuchotsa splenectomy nthawi zambiri kumachitika ngati njira yomaliza. Ngati mukuchita opaleshoni iyi, dokotala wanu angakulangizeni kuti mupeze katemera wapadera kuti akutetezeni ku matenda ofala. Nthawi zina, mungapatsidwenso mankhwala oletsa maantibayotiki kuti mumwe tsiku lililonse ndulu yanu ikachotsedwa.

Kodi ndingayembekezere chiyani ndi vutoli?

Hypersplenism ndi matenda ochiritsika. Komabe, nthawi yomwe mukuyembekezera imadalira matenda omwe muli nawo. Matenda ena ndi akanthawi kochepa (monga matenda ena), ena ndi osatha (monga cirrhosis, matenda ena odziteteza ku matenda ena), ndipo ena amapitirira (monga khansa). Ngati hypersplenism imayambitsa kuchepa kwa maselo amagazi (monga cytopenia), kuikidwa magazi kungathandize kubwezeretsa kuchuluka kwa maselo amagazi anu. Chofunika kwambiri ndikugwira ntchito limodzi ndi dokotala wanu ndikutsatira dongosolo lanu la chithandizo mosamala.

Kodi kusiyana pakati pa (Hypersplenism) ndi (Splenomegaly) ndi kotani?

Pakhoza kukhala chisokonezo pang'ono polankhula za awiriwa, choncho tiyeni tifotokoze bwino zimenezo.

• Splenomegaly imatanthauza kuti ndulu yanu ndi yayikulu kwambiri .
• Hypersplenism ndi pamene ndulu yokulirapo imayamba kugwira ntchito mopitirira muyeso ndikuchotsa maselo ambiri amagazi.

Mwachidule, Hypersplenism ndi zotsatira zoyipa za Splenomegaly. Zinthu zosiyanasiyana zingayambitse ndulu kukula ndi kugwira ntchito mopitirira muyeso. Komabe,Kuchuluka kwa shuga m'magazi sikumachitika nthawi zonse chifukwa chakuti ndulu imakula. Izi zikutanthauza kuti, ndulu iliyonse yomwe imagwira ntchito mopitirira muyeso imakula, koma ndulu iliyonse yomwe imagwira ntchito mopitirira muyeso sigwira ntchito mopitirira muyeso. Mwamvetsa? Zili ngati si aliyense amene ali ndi galimoto yayikulu amayendetsa mofulumira, koma munthu amene amayendetsa mofulumira nthawi zambiri amakhala ndi mwayi wosankha galimoto yayikulu komanso yamphamvu kwambiri.

Hypersplenism kwenikweni ndi chizindikiro cha matenda ena. Pakhoza kukhala matenda mu ndulu yanu yokha, kapena angayambe kwina m'thupi lanu. Chifukwa ndulu yanu imagwira ntchito yosungira ndikusefa magazi, matenda omwe amakhudza nthawi zambiri amakhala okhudzana ndi magazi anu kapena mitsempha yamagazi.

Kuchiza hypersplenism nthawi zambiri kumaphatikizapo kuchiza vuto lomwe limayambitsa vutoli. Nthawi zambiri, ndulu yokha imatha kubwezeretsedwanso kuntchito yake. Komabe, ngati vuto lanu likupitirira, mungafunike kuikidwa magazi kuti mubwezeretse kuchuluka kwa maselo a magazi anu, kapena dokotala wanu angasankhe kuchiza ndulu yanu mwachindunji.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi? (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri zokhudza hypersplenism. Nazi zinthu zosavuta zomwe muyenera kukumbukira:

• Hypersplenism imachitika pamene ndulu yanu imagwira ntchito mopitirira muyeso ndikuchotsa maselo ambiri amagazi (maselo ofiira, maselo oyera, ma platelet) kuposa momwe zimafunikira.
• Chifukwa chachikulu cha izi ndi kukula kwa ndulu (`(Splenomegaly)`) . Kukula kwa ndulu kumatha kuchitika chifukwa cha matenda osiyanasiyana monga matenda a chiwindi, matenda, ndi khansa.
• Ngati mukumva zizindikiro monga kutopa pafupipafupi, kudwala mosavuta, kutuluka magazi komwe kumatenga nthawi yayitali kuti kuthe ngakhale kuchokera pachilonda chaching'ono, kupweteka kumtunda kumanzere kwa m'mimba mwanu, komanso kumva kukhuta ngakhale mutadya chakudya chochepa, ndikofunikira kufunafuna upangiri wa dokotala.
• Hypersplenism imachiritsidwa pochiza vuto lomwe limayambitsa vutoli. Nthawi zina, kuikidwa magazi, kuchepetsa kukula kwa ndulu, kapena, ngati njira yomaliza, kuchotsa ndulu kungakhale kofunikira.
• Uwu ndi matenda ochiritsika. Choncho ndikofunikira kuti musachite mantha ndikutsatira malangizo a dokotala wanu mosamala.

Kumbukirani, ngati muli ndi zizindikiro izi, ndi bwino kulankhula ndi dokotala popanda mantha. Kenako amatha kuchita mayeso ofunikira, kupeza chomwe chikuvuta, ndikukupatsani chithandizo chofunikira. Mukapezeka msanga, chithandizocho chidzakhala chosavuta komanso zotsatira zake zimakhala zabwino.