Ingaba i-spleen yakho isengozini? Namhlanje siza kuthetha nge-(Ruptured Spleen)!

Ngaba wakha wacinga ngesitho esincinci esikwicala lasekhohlo lesisu sakho, ngaphantsi nje kweembambo zakho? Le yinto esiyibiza ngokuba yi-spleen. Ilingana nesandla sakho ngobukhulu. Kodwa yenza umsebenzi omhle kakhulu. Kodwa ngamanye amaxesha le spleen inokwenzakala kwaye iqhekeke. Ukuba oko kuyenzeka, kunokuba yingozi kancinci.

Yintoni i-spleen? Kuthetha ukuthini ukuba iyagqabhuka?

Ngamafutshane, i-spleen yakho sisitho esincinci, kodwa esibaluleke kakhulu esikwicala lasekhohlo lesisu sakho esingaphezulu, malunga nobukhulu benqindi. Isebenza njengesihluzo. Igcina malunga nekota yegazi emzimbeni wethu nangaliphi na ixesha, iyicoca, kwaye igcina iiseli ezibomvu zegazi kunye neeplatelets. Ikwanceda ekwenzeni iiseli ezimhlophe zegazi ezilwa nezifo. I-spleen sisitho esifana nengxowa ngaphakathi, esigqunywe ngumaleko omncinci wezicubu. Imithambo yegazi nayo ihamba kuyo.

Nangona kunjalo, xa inendawo ekuyo i-spleen, ingakumbi ukuba ifumana ukubethwa okunzima, kusenokwenzeka ukuba yenzakale. Ukuba isigqubuthelo sangaphandle endisikhankanyileyo sikrazukile okanye siqhekekile, yiloo nto siyibiza ngokuba 'kuqhekeka kwe-spleen' . Ukuba i-spleen iyaqhekeka, xa ithelekiswa nezinye izitho ezingaphakathi kwesisu sethu, kukho ithuba elikhulu lokopha emzimbeni, nto leyo enokuba yingozi ebomini. Ke ngoko, ukuqhekeka kwe-spleen yimeko engxamisekileyo efuna unyango olukhawulezileyo. Ngamanye amaxesha, utyando lunokufuneka.

Zithini izizathu zokuqhekeka kwepleen?

Kulungile, masibone ukuba kutheni i-spleen iqhuma ngolu hlobo.

Ixesha elininzi, isizathu esiphambili soku kukwenzakala ngenxa yengozi. Umzekelo, khawucinge ngengozi yemoto. Malunga nama-50% ukuya kuma-75% eengozi ezinjalo zinokubangela ukuqhekeka kwepleen. Oku kuyafana nokwenzakala okwenzeka ngexesha lokudlala imidlalo. Oku kunokwenzeka ngakumbi kwimidlalo ebandakanya ukudibana komzimba nomzimba, njenge-rugby. Ngamanye amaxesha, ipleen inokuqhekeka ngenxa yento enzulu njengokubethwa kanzima, ukuhlatywa ngemela, okanye inxeba lokudutyulwa.

Into ebalulekileyo kukuba ngamanye amaxesha i-spleen ingagqabhuka kwangoko emva kwengozi. Kodwa ngamanye amaxesha, emva kwexesha elithile lengozi, inxeba liyadumba kwaye i-spleen ingagqabhuka. Oku kubizwa ngokuba yi-'Delayed Rupture'.

Ngaba i-spleen ingagqabhuka ngaphandle kokubangela monakalo?

Ngoku ungacinga ukuba ngaphandle kokuba kubekho ingozi, akukho nto iya kwenzeka kwi-spleen. Kodwa, nangona ingaqhelekanga, i-spleen inokuqhekeka ngokuzenzekelayo ngaphandle kwengozi. Oku kuyamangalisa ukuva, akunjalo?

Oku kwenzeka xa i-spleen iqala ukudumba ngenxa yesinye isifo esingabonakaliyo emzimbeni. Njengoko idumba, eso sigqubuthelo sangaphandle endisikhankanyileyo ekuqaleni siya sibuthathaka kancinci kancinci, size ekugqibeleni sidubule.

Ezinye zeemeko ezinokubangela olu hlobo lokudumba kwepleen zezi:

• Iintlobo zomhlaza, umzekelo `(iLymphoma)`.
• Iintsholongwane,Njenge-`(Mononucleosis)` okanye `(Malaria)`.
• Izifo ezingapheliyo zokudumba , ezifana ne-hepatitis, isifo sesibindi, okanye i-pancreatitis.

Uziva njani xa i-spleen yakho igqabhuka?

Kulungile, ngoku makhe sibone ukuba kunjani na ukuba i-spleen yakho iyagqabhuka.

I-spleen, njengoko benditshilo, ikwicala eliphezulu lasekhohlo lesisu sakho, ngaphantsi nje kwembambo yakho yasekhohlo kunye ne-diaphragm. Xa i-spleen igqabhuka, ungaziva intlungu ebukhali kuloo ndawo.

Kodwa kukho enye into apha. Iingozi ezifanayo ezibangela ukugqabhuka kwepleen zinokubangela nezinye iingozi, akunjalo? Umzekelo, ungaphula ubambo. Emva koko, usenokungakwazi ukwahlula intlungu kwipleen egqabhukileyo kwintlungu kwezinye iingozi.

Emva kokuba i-spleen iqhumile, ungaziva iintlungu ziphuma esifubeni okanye egxalabeni lakho lasekhohlo. Oku kubizwa ngokuba luphawu lukaKehr . Oku kwenzeka kuba xa i-spleen iphuma igazi, igazi licinezela umthambo ohamba usuka entanyeni yakho uye esifubeni sakho sasekhohlo (umthambo we-phrenic wasekhohlo). Ungaziva iintlungu zisiba mandundu xa uphefumla.

Ngaba kukho ezinye iimpawu zespleen eqhumayo?

Ukongeza kwiintlungu, unokufumana ezinye iimpawu ezibangelwa kukopha ngaphakathi kunye nokwehla ngequbuliso koxinzelelo lwegazi. Jonga ukuba ezi zivakala ziqhelekile na:

• Isiyezi okanye ukuba nentloko ebuhlungu
• Ukudideka kwengqondo okanye ukudideka kwengqondo
• Umbono ofipheleyo
• Ubumhlophe kunye nobuthathaka
• Ukungazoli okanye ixhala
• Isicaphucaphu

Kwenzeka ntoni xa i-spleen igqabhuka? Kufuneka kwenziwe ntoni?

Khawuthelekelele unentlungu eqatha kwicala eliphezulu lasekhohlo lesisu sakho, okanye unempawu kaKehr endizikhankanyileyo. Ukuba ezi mpawu ziyenzeka nasemva kwexesha elifutshane emva kwengozi, kuya kufuneka uye ngqo kwiGumbi loNgxamiseko (ER). Fowunela i-ambulensi ukuba kuyimfuneko.

Apho, kuya kufuneka uxelele oogqirha ngeempawu zakho, naziphi na iingozi zamva nje, naluphi na usulelo onalo, okanye naziphi na izifo ezingapheliyo onazo. Iqela lezonyango liya kuvavanya imeko yakho kwaye lisebenzele ukuzinzisa, kubandakanya nokukunika igazi ukuba kuyimfuneko.

Uyazi njani ukuba i-spleen yakho iqhumile?

Kulungile, ngoku makhe sibone ukuba oogqirha baza kuyisombulula njani le nto.

Okokuqala, ukuba imeko yakho izinzile (oko kuthetha ukuba izinto ezifana noxinzelelo lwegazi kunye nesantya sentliziyo zisondele kwisiqhelo), iqela lezonyango liza kukuhlola inyathelo ngenyathelo.Okokuqala, kwenziwa uvavanyo lomzimba. Emva koko , kwenziwa uvavanyo lomfanekiso, olufana nokuskena.

Kodwa ukuba wonzakele kwingozi uze uye kwigumbi likaxakeka, iqela lezonyango liza kuqala lenze i-ultrasound ekhethekileyo ecaleni kwebhedi. Oku kubizwa ngokuba yi- "FAST ultrasound." Oku kujonga ukuba akukho nanye na into ephumayo esiswini sakho.

Ukuba i-FAST ultrasound iqinisekisa ukopha, kwaye iimpawu zakho ezibalulekileyo azizinzanga, iqela lezonyango liyazi ukuba i-spleen yakho iqhumile kwaye ifuna unyango olukhawulezileyo.

Nokuba imeko yakho izinzile, ukuba kukho urhanelwa lokuba unesilonda sepleen, badla ngokwenza i- "CT scan" . Oku kungajonga kakuhle isilonda kunye nobungakanani besilonda. Emva koko isilonda siyahlulwa ukusuka ku-I ukuya ku-V, kuxhomekeke kubukhulu besilonda.

Iphathwa njani i-spleen eqhekekileyo?

Unyango lwe-spleen eqhekekileyo luxhomekeke kubukhulu bengozi. Ezinye izilonda ezincinci zinokuyeka ukopha ngokwazo. Nangona kunjalo, ezinye zinokufuna unyango olungxamisekileyo. Izilonda ezinzima kakhulu (zeBanga lesi-5) zifuna i-spleenectomy ukuze kususwe i-spleen. Nangona kunjalo, ukwenzakala okukhulu kwe-spleen kusenokungabonakali kwangoko. Ngamanye amaxesha, isigulana esizinzileyo sisenokungazinzi emva kweeyure ezimbalwa ngenxa yokopha okungakumbi.

Nazi ezinye zeendlela eziphambili zokunyanga i-spleen eqhumileyo:

• Ukufakelwa kwegazi: Le nkqubo inokunceda ekulawuleni ukopha kwegazi kwiBanga lesi-3 nelesi-4 lokwenzakala kwe-splenic, nokuba ngaphambi okanye endaweni yotyando. Ukufakelwa kwegazi yindlela engeyoyotyando. Yenziwa yingcali ye-radiology. Kusetyenziswa iindlela zokujonga nge-radiology, kufakwa ityhubhu encinci (i-catheter) kwimithambo yegazi kwaye kufakwa i-bead encinci efana nesiponji kuyo ukuze kumiswe ukopha kwegazi.
• I-Splenorrhaphy: Kwizilima zeBanga lesi-3 okanye lesi-IV, oku kungenziwa ukongeza kwi-embolization. I-Splenorrhaphy yinkqubo yotyando yokulungisa i-spleen. Oku kunokubandakanya ukuthungwa kwenxeba, ukusebenzisa i-electrocautery, okanye ukusebenzisa ii-topical agents ukunqanda ukopha. Ukuba iphumelele, oku kunokuthintela imfuneko yokususa inxalenye okanye yonke i-spleen.
• Utyando lwe-Splenectomy: Ukuba ukopha kakhulu akunakulawulwa nangayiphi na indlela, kwaye kungekho ndlela yokusindisa i-spleen, inxalenye okanye yonke i-spleen inokufuneka isuswe.Malunga ne-20% yokuqhekeka kwe-splenic kuphela ngale ndlela. Ekubeni olu lutyando olungxamisekileyo, kusenokwenzeka ukuba lwenziwa njengotyando oluvulekileyo lwesisu. Oku kwenza kube lula kugqirha otyandayo ukulawula imeko yakho engxamisekileyo.

Zithini amathuba okusinda xa ulusu luqhekekile?

Oku kuxhomekeke ekubeni inxeba lakho libi kangakanani kwaye ulifumana kwaye ulinyange ngokukhawuleza kangakanani. Inxeba elincinci liza kopha kancinci kancinci. Ngoko ke unexesha elithile, kodwa linokuphoswa lula. Ukuba liphuma igazi kakhulu, iimpawu ziya kubonakala, kodwa liyingozi kakhulu. Ukuba liphuma igazi kakhulu emzimbeni, ukufa kunokuvela kwiiyure ezimbalwa ukuba alinyangwa ngoko nangoko. Ngoko ke oku akuyonto yokuthatha lula.

Kuthatha ixesha elingakanani ukuphola kwi-spleen eqhekekileyo?

Ngokuxhomekeke kubukhulu benxeba lakho kunye nonyango olufumeneyo, kunokuthatha naphi na ukusuka kwiiveki ezintathu ukuya kwezilishumi elinesibini ukuphola. Ukuba ukhe watyandwa, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva koko. Emva kotyando oluvulekileyo, kukho umngxuma omkhulu wokuphola. Usenokunikwa amayeza entlungu xa ubuyela ekhaya. Kwelinye icala, ukukruquka okuncinci kuyaphola ngokukhawuleza.

Ndingazinyamekela njani ngoxa ndiphila ngaphandle kwepleen?

Ewe, ungaphila ngaphandle kwe-spleen yakho. Kodwa ichaphazela inkqubo yakho yomzimba yokuzikhusela. Ngenxa yokuba i-spleen sisitho esibalulekileyo esikhusela kwiintsholongwane, usenokuba sesichengeni sokugula emva kokuba i-spleen yakho isusiwe (i-spleenectomy).

Ugqirha wakho uza kucebisa iindlela ezahlukeneyo zokugonya ukuze akukhusele kwizifo esibhedlele nasemva kokuba ubuyele ekhaya. Uza kukwacebisa ukuba uthathe amayeza okubulala iintsholongwane ngoko nangoko ukuba unesifo.

Ngamafutshane, oko kufuneka sikukhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke lo ngumyalezo obalulekileyo ekufuneka siwuthathe siwuthathe siwuthathe siwuthathele ekhaya kuyo yonke le ntetho.

Nokuba i-spleen eqhekekileyo incinci okanye inkulu, yingxaki enkulu. Ukopha ngaphakathi kunokuba yingozi ebomini ukuba akulawulwa kakuhle.

Nangona kunjalo, iindaba ezimnandi zezokuba uninzi lokuqhekeka kwe-splenic, ukuba kuqatshelwe kwaye kunyangwe kwangethuba, kunokulawulwa ngamanyathelo alula anokusindisa i-spleen. Kodwa oku kuxhomekeke ekubeni uqaphela kwaye unyanga ngokukhawuleza kangakanani ukwenzakala kwakho.

Ukuba unesikrokro sokuba unesilonda kwi-spleen yakho, eyona nto ilungileyo onokuyenza kukufuna ingcebiso kagqirha ngokukhawuleza uze uyihlole ukuba ayophi na.

I - spleen, Ukuqhekeka kwe-spleen, I-spleen eqhekekileyo, Ukopha ngaphakathi, Intlungu yesisu, Unyango olungxamisekileyo, uphawu lukaKehr