Ngaba wakha waziva ubunzima obuncinci, ukungakhululeki, okanye iintlungu kwicala lasekhohlo lesisu sakho, ngaphantsi nje kweembambo zakho? Mhlawumbi uziva uhluthi nasemva kokutya kancinci? Ezi zinokuba ziimpawu zepleen ekhulisiweyo, umsebenzi othuleyo emzimbeni wakho. Musa ukoyika igama. Oku kudla ngokuba luphawu nje lwenye imeko yezonyango. Masiyigcine ilula kwasekuqaleni.
Okokuqala, masibone, yintoni le spleen?
Ngamafutshane, i-spleen yinxalenye yenkqubo yomzimba wethu yokuzikhusela kunye nenkqubo ye-lymphatic. Ifana 'nesihluzo' esicoca igazi lethu. Ikwicala eliphezulu lasekhohlo lesisu sakho, ngaphantsi nje kwembambo yakho yasekhohlo. Kumntu ophilileyo, i-spleen sisitho esincinci esilingana nenqindi, malunga neesentimitha ezili-12 ubude, kwaye sinobunzima obumalunga neegram ezingama-70.
Imisebenzi yakhe ephambili yile:
- Ukucocwa kwegazi: Kususa iiseli ezibomvu zegazi ezindala nezonakaliswe egazini kwaye kususe nenkunkuma.
- Ukulwa nosulelo: Kunceda ekuveliseni iiseli ezimhlophe zegazi ezifunekayo ukulwa nosulelo.
- Ukugcinwa kweeseli zegazi: Iiseli ezifana neeplatelets kunye neeseli ezimhlophe zegazi ziyagcinwa.
Ukuba ngesizathu esithile igazi elidlula kwi-spleen okanye kwi-spleen ngokwalo liyachaphazeleka, liqala ukudumba. Linokukhula libe ziisentimitha ezingama-20 kwaye libe nobunzima obungaphezulu kwe-1000 grams (1 kilogram). Zininzi izizathu zokudumba. Ezinye zezokwexeshana, kodwa ezinye zinokuba luphawu lwesifo sexesha elide.
Ingaba i-spleen evuvukileyo iyingozi?
Le yingxaki abantu abaninzi abanayo. Ukudumba kwe-spleen akusisifo, luphawu lwesinye isifo. Njengokuba unesifo somkhuhlane. Umkhuhlane awusisifo, luphawu losulelo emzimbeni. Yiyo loo nto.
Ngoko ke, ubunzulu boku buxhomekeke kwisizathu esiyintloko. Ugqirha wakho uza kuqala azame ukufumanisa ukuba yintoni kanye kanye ebangela ukudumba. Ezinye izizathu azikho nzulu kangako, kodwa ezinye kufuneka zinyangwe ngoko nangoko.
Kodwa ukuba ayinyangwa ixesha elide, i-spleen inokuyeka ukusebenza. Kunqabile kakhulu ukuba i-spleen evuvukileyo kakhulu igqabhuke. Le yimeko engxamisekileyo esongela ubomi.
Zithini iimpawu zespleen evuvukileyo?
Ixesha elininzi, usenokungaziboni naziphi na iimpawu nokuba ipleen yakho idumbile kancinci. Nangona kunjalo, njengoko ukudumba kusanda, iimpawu ezithile zinokuvela. Masizihlukanise zibe ngamacandelo amabini.
| Uhlobo oluneempawu | Inkcazo kunye nokuvakalelwa |
|---|---|
| Iimpawu ezibangelwa ngqo kukudumba |
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| Iimpawu zokungasebenzi kakuhle kwepleen |
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Kutheni i-spleen idumba? Ezinye zezizathu eziphambili
Zininzi izinto ezinokubangela ukuba i-spleen idumbe. Makhe sijonge ezona ziphambili.
| Isizathu | Kalula nje, kwenzeka ntoni? |
|---|---|
| Iintsholongwane | Ngexesha lentsholongwane (umz. iDengue, iMononucleosis, iHIV), iintsholongwane (umz. iTuberculosis), kunye nosulelo olubangelwa zizinambuzane (umz. iMalaria), umzimba uqala ukulwa nesifo. Emva koko i-spleen nayo inomsebenzi omkhulu ekufuneka iwenze. Ngenxa yoko, iba nomdla kakhulu kwaye idumbe. |
| Isifo sesibindi | Kwizifo zesibindi ezingapheliyo ezifana ne-cirrhosis, uxinzelelo kwimithambo yegazi edibanisa isibindi kunye ne-spleen luyanda. Oku kubizwa ngokuba yi-"Portal Hypertension." Olu xinzelelo lubangela ukuba igazi lihlangane ngaphakathi kwi-spleen, nto leyo ebangela ukuba idumbe. |
| Umhlaza | Kwimihlaza enxulumene negazi efana ne-leukemia kunye ne-lymphoma, iiseli zomhlaza zingena kwi-spleen zize ziqale ukwahlukana apho. Ngenxa yoko, i-spleen iyakhula. |
| Izifo ezichaphazela umzimba | Kwizifo ezifana ne-lupus kunye ne-rheumatoid arthritis, inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo. Oku kusebenza kakhulu kunokubangela ukuba i-spleen idumbe. |
| Izifo Zegazi | Kwezinye iintlobo ze-anemia (i-hemolytic anemia) kunye nezifo ezifana ne-thalassemia, iiseli ezibomvu zegazi ziyaqhekeka ngokukhawuleza. Ekubeni ngumsebenzi wespleen ukususa ezi seli ziphukileyo, iba nzima kakhulu kwaye idumbe. |
| Iingxaki Ezizuzwe Njengelifa | Kwezinye izifo ezizuzwe njengelifa, njengesifo seGaucher, izinto ezithile ziyaqokelelana kwizitho zomzimba. Xa ezi zinto ziqokelelana kwi-spleen, ziyadumba. |
Zeziphi iingxaki ezinokuvela ukuba oku kuyaqhubeka?
Ngokwesiqhelo, i-spleen ibuyela esiqhelweni xa unobangela unyangiwe. Nangona kunjalo, ukuba ayinyangwa ixesha elide, iingxaki ezininzi zinokuvela.
- I-Hypersplenism:I-spleen evuvukileyo iqala "ukusebenza" ngaphezu kokuba kufanele. Oku kuthetha ukuba ibamba kwaye itshabalalise iiseli ezibomvu zegazi ezisempilweni, iiseli ezimhlophe zegazi, kwaneeplatelets. Oku kunokukhokelela kwi-anemia, usulelo, kunye nokopha.
- Ukufa kwezicubu: Ukuba i-spleen iba nkulu ngendlela enganyamezelekiyo, isenokungabi nagazi laneleyo. Oku kunokubangela ukufa kwezicubu kwezinye iindawo ze-spleen ngenxa yokunqongophala kwegazi.
- Ukuqhekeka: Le yeyona ngxaki inzima nekhawulezileyo . I-spleen ekhuliswe kakhulu inokuqhekeka ukuba kukho ukubetheka okuqinileyo esiswini (umz., ingozi, ukuwa) okanye, ngokungaqhelekanga, ngokungacwangciswanga. Ukuba oku kuyenzeka, ukopha okukhulu esiswini kunokuba yingozi ebomini.
Uyifumana njani le nto, Gqirha?
Xa ubona ugqirha oneempawu ozikhankanyileyo apha ngasentla, uya kwenza iimvavanyo ezininzi ukuqinisekisa imeko kunye nokufumanisa unobangela.
1. Uvavanyo lomzimba: Okokuqala, ugqirha uza kukuchukumisa isisu. I-spleen ekhulisiweyo idla ngokuvakala.
2. Uvavanyo lomfanekiso:
- Iskeni ye-ultrasound: Oku kungasetyenziselwa ukujonga ubungakanani kunye nokuma kwespleen ngokulula nangokungenabuhlungu.
- I-CT scan: Oku kunokubonelela ngolwazi oluthe kratya malunga ne-spleen kunye nemeko yamalungu angqongileyo.
- I-MRI scan: Oku kunceda ukubona izinto ezifana nendlela igazi elihamba ngayo kwi-spleen.
3. Uvavanyo lwegazi: Kuya kwenziwa ubalo lwegazi olupheleleyo (i-CBC) ukujonga ukubala kweeseli zakho ezibomvu nezimhlophe kunye neeplatelet. Uvavanyo lwegazi lunokujonga neempawu zosulelo, ukusebenza kwesibindi kunye nomhlaza.
4. Uhlalutyo lomongo wethambo: Kwezinye iimeko, kunokwenziwa i-bone marrow aspiration/biopsy ukuze kuthathwe isampuli encinci yomongo wethambo, apho kuveliswa khona iiseli zegazi. Oku kunokubonelela ngolwazi oluninzi malunga nezifo ezinxulumene negazi.
Iphathwa njani i-spleen expansion?
Khumbula, unyango alulolwesinqe esidumbileyo, kodwa lulolwemeko ebangela ukudumba.
Emva kokufumanisa unobangela, ugqirha uya kumisela unyango olufanelekileyo.
- Ukuba kukho usulelo, amayeza okubulala iintsholongwane okanye amanye amayeza aya kunikwa ukunyanga.
- Ukuba ngumhlaza, kubhekisele kunyango olufunekayo (umz. i-chemotherapy).
- Ukuba sisifo sesibindi, siya kubonisa unyango olufanelekileyo kunye notshintsho kwindlela yokuphila.
Kwiimeko ezininzi, xa unobangela oyintloko unyangwa, i-spleen iyancipha kancinci kancinci ibe nkulu ngendlela eqhelekileyo.
Nangona kunjalo, kwezinye iimeko ezingapheliyo, ukuba i-spleen iyaqhubeka nokudumba okanye ukuba ibangela iimpawu ezinzima, ugqirha unokujonga ezinye iindlela.
- Unyango ngemitha: Kunokunikwa imitha yedosi ephantsi ukunciphisa ubukhulu bespleen.
- I-Splenectomy: Ukuba akukho ndlela yimbi yokulawula imeko enokwenzeka, kunokufuneka utyando ukuze kususwe ngokupheleleyo i-spleen.
Ngaba kunokwenzeka ukuphila ngaphandle kwepleen?
Ewe, ngokuqinisekileyo kunokwenzeka. Ungaphila kakuhle ngaphandle kwe-spleen. Nangona kunjalo, amasosha omzimba ayancipha kancinci. Ngokukodwa, umngcipheko wokosulelwa ziintsholongwane ezithile uyanda. Ke ngoko, umntu osuswe i-spleen yakhe ucetyiswa ngugqirha wakhe ukuba afumane imigonyo eyahlukeneyo ekhethekileyo. Kwakhona, kubaluleke kakhulu ukunxiba ikhadi lesazisi okanye isongo sezonyango esichaza ukuba akanayo i-spleen, kwaye uxelele ugqirha ukuba uyagula.
Ukuba une-spleen evuvukileyo, uzinyamekela njani?
Ukuba ugqirha wakho uqinisekisile ukuba une-spleen ekhulisiweyo, kukho izinto ezimbalwa ekufuneka uzazi.
- Kuphephe ukwenzakala esiswini: I-spleen ekhulisiweyo inokwenzeka ukuba iqhume. Ngoko ke , hlala kude nemidlalo efana ne-rugby kunye nebhola ekhatywayo. Kwakhona, phepha imisebenzi ebeka uxinzelelo esiswini.
- Lumka kwiimpawu: Lumka iimpawu ze-anemia, ezinje ngokudinwa kunye nokukhanya. Hlola igazi lakho rhoqo, njengoko ugqirha wakho ecebisa.
- Ukutya okunempilo: Nangona kungekho kutya kuthile okuchaphazela ngqo i-spleen, kubalulekile ukugcina impilo iyonke kunye nokuzikhusela komzimba. Nciphisa ukutya okupakishwe kwiipakethe, okucutshungulweyo kunye nokutya okukhawulezayo kangangoko kunokwenzeka. Oku kubangela ukudumba emzimbeni. Endaweni yoko, yongeza imifuno emitsha, iziqhamo, iimbotyi kunye neentlanzi ekutyeni kwakho.
Kunini apho kufuneka ubone ugqirha ngokukhawuleza?
Oku kubaluleke kakhulu. Ukuba ufumana ezi mpawu zilandelayo, kusenokwenzeka ukuba yingxaki engxamisekileyo.
Ukuba ufumana iintlungu eziqatha kwicala lasekhohlo lesisu sakho, ingakumbi xa uphefumla, kunye nesiyezi, ukubila okubandayo, okanye ukulahlekelwa zingqondo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngaphandle kokulibazisa. Oku kungaba luphawu lokuba ulusu luqhekekile, ngoko ke unyango olukhawulezileyo lubalulekile.
Umyalezo Wokuya Ekhaya
- I-splenomegaly ayisosifo, kodwa luphawu lwenye imeko engaphantsi.
- Eyona nto ibalulekileyo kukuchonga ngokuchanekileyo unobangela wokudumba nokunyanga.
- Ukuba unentlungu engapheliyo, ukungakhululeki, okanye uzive ugcwele kwinxalenye ephezulu yasekhohlo yesisu sakho, musa ukuyityeshela uze ubone ugqirha wakho.
- Ukuba ufunyaniswe ukuba une-spleen evuvukileyo, kuphephe imidlalo kunye nemisebenzi enokulimaza isisu sakho.
- Intlungu ebuhlungu kwicala lasekhohlo lesisu, ehamba nesiyezi, yimeko engxamisekileyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
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