Wake wazizwa unesisindo esincane, ukungakhululeki, noma ubuhlungu ohlangothini lwesobunxele lwesisu sakho, ngaphansi nje kwezimbambo zakho? Mhlawumbe uzizwa usuthi ngisho nangemva kokudla kancane? Lezi kungaba izimpawu zokwanda kwe-spleen, isisebenzi esithule emzimbeni wakho. Ungakhathazeki ngegama. Lokhu kuvame ukuba uphawu lwesinye isimo sezokwelapha. Masigcine izinto zilula kusukela ekuqaleni.
Okokuqala, ake sibone, iyini le spleen?
Kalula nje, i-spleen iyingxenye yesimiso somzimba wethu sokuzivikela kanye nesistimu ye-lymphatic. Ifana 'nesihlungi' esihlanza igazi lethu. Itholakala ohlangothini olungaphezulu kwesobunxele lwesisu sakho, ngaphansi nje kwekheji lakho lesobunxele lembambo. Kumuntu ophilile, i-spleen iyisitho esincane esingangesibhakela, esingamasentimitha angu-12 ubude, futhi sinesisindo esingamagremu angu-70.
Imisebenzi yakhe eyinhloko yile:
- Ukuhlanzwa kwegazi: Kususa amangqamuzana abomvu egazi amadala nawonakele egazini futhi kususe nemfucuza.
- Ukulwa nokutheleleka: Kusiza ekukhiqizeni amangqamuzana amhlophe egazi adingekayo ukulwa nokutheleleka.
- Ukugcinwa kwamaseli egazi: Amaseli afana nama-platelet namaseli amhlophe egazi ayagcinwa.
Uma ngesizathu esithile igazi elidlula ebhodweni noma ebhodweni ngokwalo lithintekile, liqala ukuvuvukala. Lingakhula libe ngamasentimitha angu-20 futhi libe nesisindo esingaphezu kwamagremu ayi-1000 (ikhilogremu eli-1). Kunezizathu eziningi zalokhu kuvuvukala. Ezinye zingezesikhashana, kodwa ezinye zingaba uphawu lwesifo sesikhathi eside.
Ingabe ukuvuvukala kwe-spleen kuyingozi?
Lena inkinga abantu abaningi abanayo. Ukuvuvukala kwe-spleen akusona isifo, kuyisibonakaliso sesinye isifo. Njengoba nje unomkhuhlane. Umkhuhlane awusona isifo, uyisibonakaliso sokutheleleka emzimbeni. Kunjalo-ke.
Ngakho-ke, ubucayi balokhu buxhomeke embangela eyinhloko. Udokotela wakho uzoqala azame ukuthola ukuthi yini ngempela ebangela ukuvuvukala. Ezinye izimbangela azizimbi kangako, kodwa ezinye zidinga ukwelashwa ngokushesha.
Kodwa uma ingelashwa isikhathi eside, i-bell ingayeka ukusebenza. Akuvamile kakhulu ukuthi i-bell evuvukele kakhulu iqhume. Lesi yisimo esiphuthumayo esisongela ukuphila.
Ziyini izimpawu zobende oluvuvukile?
Esikhathini esiningi, ungase ungaziboni izimpawu noma ngabe ulwelwesi lwakho luvuvukele kancane. Kodwa-ke, njengoba ukuvuvukala kukhula, izimpawu ezithile zingase zivele. Ake sizihlukanise zibe izingxenye ezimbili.
| Uhlobo oluyisici | Incazelo kanye nomuzwa |
|---|---|
| Izimpawu ezibangelwa ngqo ukuvuvukala |
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| Izimpawu zokungasebenzi kahle kwe-spleen |
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Kungani udende luvuvukala? Ezinye zezizathu eziyinhloko
Kunezinto eziningi ezingabangela ukuthi udengezi luvuvuke. Ake sibheke eziyinhloko.
| Isizathu | Kalula nje, kwenzekani? |
|---|---|
| Izifo | Ngesikhathi sokutheleleka ngamagciwane (isib. iDengue, iMononucleosis, i-HIV), amagciwane (isib. iTuberculosis), kanye nezifo ezibangelwa amagciwane (isib. iMalaria), umzimba uqala ukulwa nalesi sifo. Bese kuthi i-spleen nayo ibe nomsebenzi omkhulu okufanele iwenze. Ngenxa yalokho, iba matasa kakhulu futhi ivuvuke. |
| Isifo Sesibindi | Ezifweni zesibindi ezingamahlalakhona njenge-cirrhosis, ingcindezi emithanjeni yegazi exhumanisa isibindi kanye ne-spleen iyanda. Lokhu kubizwa ngokuthi "i-Portal Hypertension." Lokhu kucindezela kubangela ukuthi igazi lihlangane ngaphakathi kwe-spleen, okubangela ukuthi livuvuke. |
| Umdlavuza | Emidlavuzeni ehlobene negazi efana ne-leukemia kanye ne-lymphoma, amangqamuzana omdlavuza angena embendeni bese eqala ukuhlukana lapho. Ngenxa yalokho, imbendeni iyakhula. |
| Izifo Zokuzivikela Ngokuzenzakalelayo | Ezifweni ezifana ne-lupus kanye ne-rheumatoid arthritis, amasosha omzimba ahlasela amangqamuzana awo. Lokhu kusebenza ngokweqile kungabangela nokuthi ubende luvuvuke. |
| Izinkinga Zegazi | Kwezinye izinhlobo ze-anemia (i-hemolytic anemia) kanye nezifo ezifana ne-thalassemia, amangqamuzana abomvu egazi ayaphuka ngokushesha. Njengoba kungumsebenzi we-spleen ukususa lawa maseli aphukile, asebenza kakhulu futhi avuvukale. |
| Izinkinga Ezizuzwe Njengefa | Kwezinye izifo ezizuzwe njengefa, njengesifo seGaucher, izinto ezithile ziqongelela ezithweni zomzimba. Uma lezi ziqongelela ebhodweni, ziyavuvukala. |
Yiziphi izinkinga ezingavela uma lokhu kuqhubeka?
Ngokuvamile, udengezi lubuyela esimweni esijwayelekile uma imbangela eyinhloko seyelashwe. Kodwa-ke, uma lungelashwa isikhathi eside, kungavela izinkinga eziningana.
- I-Hypersplenism:Ubende obuvuvukile buqala "ukusebenza" kakhulu kunalokho okufanele. Lokhu kusho ukuthi bubamba futhi bubhubhise amangqamuzana egazi abomvu anempilo engeziwe, amangqamuzana egazi amhlophe, ngisho nama-platelet. Lokhu kungaholela ekulahlekelweni kwegazi, ekuthelelekeni, nasekuphumeni kwegazi.
- Ukufa kwezicubu: Uma i-spleen iba nkulu ngendlela engabekezeleleki, ingase ingabi negazi elanele. Lokhu kungabangela ukufa kwezicubu kwezinye izingxenye ze-spleen ngenxa yokuntuleka kwegazi.
- Ukuqhekeka: Lena yinkinga enkulu kakhulu futhi eshesha kakhulu . Ubende obukhulu kakhulu bungaqhuma uma kukhona ukushaywa kanzima esiswini (isb., ingozi, ukuwa) noma, ngokungajwayelekile, ngokuzumayo. Uma lokhu kwenzeka, ukopha okukhulu esiswini kungaba yingozi empilweni.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela onezimpawu ozishilo ngenhla, uzokwenza izivivinyo eziningana ukuqinisekisa isimo nokuthola imbangela.
1. Ukuhlolwa komzimba: Okokuqala, udokotela uzokushaya isisu. Ngokuvamile kuzwakala ukuthi kukhona udende olukhulu.
2. Ukuhlolwa kwezithombe:
- Ukuskena nge-ultrasound: Lokhu kungasetshenziswa ukuhlola kalula nangokungenabuhlungu usayizi nesimo se-spleen.
- I-CT scan: Lokhu kunganikeza ulwazi olujulile mayelana nobende kanye nesimo sezitho ezizungezile.
- I-MRI scan: Lokhu kusiza ukubona izinto ezifana nendlela igazi eligeleza ngayo ebhodweni.
3. Ukuhlolwa kwegazi: Kuzokwenziwa ukubalwa kwegazi okuphelele (i-CBC) ukuhlola amaseli akho abomvu namhlophe egazi kanye nokubalwa kwama-platelet. Ukuhlolwa kwegazi kungabheka nezimpawu zokutheleleka, ukusebenza kwesibindi kanye nomdlavuza.
4. Ukuhlaziywa komnkantsha: Kwezinye izimo, kungenziwa ukuhlolwa komnkantsha/i-biopsy ukuze kuthathwe isampula encane yomnkantsha, lapho kukhiqizwa khona amaseli egazi. Lokhu kunganikeza ulwazi oluningi mayelana nezifo ezihlobene negazi.
Kuphathwa kanjani ukukhulisa udende?
Khumbula, ukwelashwa akusikho okwe-spleen evuvukile, kodwa kwesimo esiyisisekelo esibangele ukuvuvukala.
Ngemva kokuthola imbangela, udokotela uzokunikeza ukwelashwa okufanele.
- Uma kukhona ukutheleleka, kuzonikezwa ama-antibiotic noma eminye imithi yokwelapha.
- Uma kungumdlavuza, kusho ukwelashwa okudingekayo (isib. i-chemotherapy).
- Uma kuyisifo sesibindi, kuzosikisela ukwelashwa okufanele kanye nokushintsha indlela yokuphila.
Ezimweni eziningi, lapho imbangela eyinhloko yelashwa, i-spleen iyancipha kancane kancane ibe usayizi ojwayelekile.
Kodwa-ke, kwezinye izimo ezingamahlalakhona, uma udende luqhubeka nokuvuvukala noma uma lubangela izimpawu ezinzima, udokotela angase acabangele ezinye izindlela.
- Ukwelashwa ngemisebe: Kunganikezwa imisebe ephansi ukuze kuncishiswe ubukhulu be-spleen.
- Ukususwa kwe-spleenectomy: Uma kungekho enye indlela yokulawula lesi simo engenzeka, kungase kudingeke ukuhlinzwa ukuze kususwe ngokuphelele i-spleen.
Kungenzeka yini ukuphila ngaphandle kwe-spleen?
Yebo, kungenzeka nakanjani. Ungaphila kahle ngaphandle kwe-spleen. Kodwa-ke, amasosha omzimba ancishisiwe kancane. Ikakhulukazi, ingozi yokutheleleka ngamagciwane athile iyanda. Ngakho-ke, umuntu osuswe i-spleen yakhe unconywa udokotela wakhe ukuthi athole imijovo eminingana ekhethekile. Futhi, kubaluleke kakhulu ukugqoka ikhadi le-ID yezokwelapha noma isongo elichaza ukuthi akanayo i-spleen, nokutshela udokotela uma egula.
Uma une-spleen evuvukele, uzinakekela kanjani?
Uma udokotela wakho eqinisekisile ukuthi une-spleen ekhulisiwe, kunezinto ezimbalwa okufanele uzazi.
- Gwema ukulimala esiswini: Ubende obukhulu bungase buqhume. Ngakho-ke , gwema imidlalo yokuthintana efana ne-rugby nebhola. Futhi, gwema imisebenzi ebeka ingcindezi esiswini.
- Qaphela izimpawu: Qaphela izimpawu ze-anemia, njengokukhathala kanye nokukhanya. Hlola igazi lakho njalo, njengoba udokotela wakho encoma.
- Ukudla okunempilo: Nakuba kungekho ukudla okuqondile okuthinta ngqo udengezi, kubalulekile ukugcina impilo yonke kanye nokuzivikela komzimba. Nciphisa ukudla okupakishwe, okucutshungulwe kanye nokudla okusheshayo ngangokunokwenzeka. Lokhu kubangela ukuvuvukala emzimbeni. Esikhundleni salokho, engeza imifino emisha, izithelo, ubhontshisi kanye nenhlanzi ekudleni kwakho.
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Lokhu kubaluleke kakhulu. Uma uhlangabezana nezimpawu ezilandelayo, kungaba yisimo esiphuthumayo.
Uma uzwa ubuhlungu obukhulu ohlangothini lwesobunxele lwesisu sakho, ikakhulukazi uma uphefumula, okuhambisana nesiyezi, ukujuluka okubandayo, noma ukulahlekelwa ukwazi, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. Lokhu kungaba uphawu lokuqhuma kwe-bend, ngakho-ke ukwelashwa okusheshayo kubalulekile.
Umlayezo Wokuya Nawe Ekhaya
- I-splenomegaly ayisona isifo, kodwa iwuphawu lwesinye isimo esiyisisekelo.
- Into ebaluleke kakhulu ukuhlonza kahle imbangela yokuvuvukala bese uyelapha.
- Uma unobuhlungu obungapheli, ukungakhululeki, noma umuzwa wokugcwala engxenyeni ephezulu kwesobunxele yesisu sakho, ungakushayi indiva bese ubona udokotela wakho.
- Uma kutholakale ukuthi une-spleen evuvukele, gwema ezemidlalo nemisebenzi engalimaza isisu sakho.
- Ubuhlungu obukhulu ohlangothini lwesobunxele lwesisu, obuhambisana nesiyezi, buyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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