Wake wezwa ngesitho esibizwa ngokuthi i-spleen? Mhlawumbe lapho udokotela okuhlolile ethi, "I-spleen yakho ibonakala ikhuphukile kancane," wawunelukuluku kakhulu futhi wesaba kancane ngakho. Kodwa ungakhathazeki. I-spleen evuvukile ivame ukuba uphawu lokuthi kukhona okunye okwenzekayo emzimbeni wethu. Namuhla, sizoxoxa ngalokhu ngendlela elula necacile.
Ake siqale sibone, iyini le spleen?
Kalula nje, udengezi luyingxenye ebalulekile yesimiso sokuzivikela somzimba wethu. Lutholakala ohlangothini lwesobunxele lwesisu sakho, ngaphezu nje kwekheji lakho lezimbambo. Lucishe lube usayizi wesibhakela sakho.
Lesi sitho esincane senza umsebenzi omuhle kakhulu.
- Ukuhlanzwa kwegazi: Lokhu kusebenza njengesihlungi esibamba futhi sisuse amangqamuzana egazi abomvu amadala, onakele egazini lethu.
- Ukulwa nezifo: Yilapho kugcinwa khona amangqamuzana amhlophe egazi alwa namagciwane angena emzimbeni. Lokhu kusho ukuthi kunikeza ukwesekwa okukhulu ohlelweni lwethu lokuzivikela komzimba.
Ngokuvamile, uma udokotela ezwa isisu sakho, ngeke asizwe isinqe sakho. Singaphakathi nje, siphephile futhi siphilile. Kodwa singavuvukala futhi sikhule ngenxa yezifo ezithile, izifo, noma izingozi. Kwezokwelapha, lokhu sikubiza ngokuthi i-splenomegaly .
Yiziphi izimbangela zokuvuvukala kwe-spleen?
Ukuvuvukala kwe-spleen akusona isifo esihlukile. Kuwuphawu lwesinye isifo. Cabanga nje, uma sinesifo emzimbeni wethu, izinhlangothi zomlomo wethu ziyavuvukala njengezinduna, akunjalo? Yilokho okwenzekayo ngalesi sifo. Kunezizathu eziningana eziyinhloko zokuthi kungani i-spleen ingavuvukala.
| Isigaba sezimbangela | Izibonelo kanye nencazelo |
|---|---|
| Izifo | Ubende lungavuvukala ngoba lusebenza ngokweqile lapho lulwa namagciwane emzimbeni. Izibonelo: ukutheleleka ngamagciwane (isib. i-mononucleosis), ukutheleleka ngamagciwane (isib. i-endocarditis), ukutheleleka ngamagciwane (isib. i-toxoplasmosis). |
| Umdlavuza | Kumdlavuza ohlobene negazi, amangqamuzana angajwayelekile aqoqana embewini bese eyandisa. Izibonelo: I-Leukemia (umdlavuza wegazi), i-Lymphoma (umdlavuza wesistimu ye-lymphatic). |
| Izifo Zesibindi | Izifo ezifana ne-cirrhosis yesibindi zingavimba ukuhamba kwegazi esibindini. Lokhu kungabangela ukwanda kwengcindezi emithanjeni exhumanisa ne-spleen (Portal Hypertension) futhi kubangele ukuthi i-spleen ivuvuke. |
| Ezinye izizathu | Ezinye izimbangela eziningi zingathinta isimiso somzimba sokuzivikela (isib. i-lupus, i-rheumatoid arthritis), amahlule egazi (i-thrombosis), ukushaywa okukhulu esiswini njengezingozi zemidlalo, kanye nezifo ezihlobene nokusetshenziswa komzimba (isib. isifo se-Gaucher). |
Ziyini izimpawu zobende oluvuvukile?
Ingxenye engcono kakhulu ukuthi, abantu abaningi abanazo izimpawu . Ngokuvamile kutholakala ngengozi ngesikhathi sokuhlolwa kwezokwelapha okunye. Kodwa abanye abantu bangase babe nezimpawu. Uma kunjalo, ungase ubhekane nalokhu:
- Ubuhlungu noma ukungakhululeki engxenyeni ephezulu kwesobunxele sesisu: Kungase kuzwakale sengathi kukhona okugcwalisa isisu sakho, njengokungathi sinzima. Ngezinye izikhathi lobu buhlungu bungasakazekela ehlombe lakho lesobunxele.
- Ukuzizwa usuthi ngisho nangemva kokudla kancane: Lapho ubande lukhula, lucindezela isisu, ngakho ungase uzizwe usuthi ngisho nangemva kokudla kancane. Lokhu kungase kubangele nokulahlekelwa yisifiso sokudla.
Okubalulekile: Uma udevu luqala ukusebenza kabi, izimpawu ezifana nokukhathala, ubuthakathaka , ukuphuka kalula , kanye nokutheleleka okuvamile njengomkhuhlane kungavela ngenxa ye-anemia.
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ezingenhla noma uma ubhejane wakho usolwa nganoma yisiphi esinye isizathu, into yokuqala udokotela wakho azokwenza ukukubuza imibuzo nokwenza ukuhlolwa ngokomzimba. Phakathi nalokhu, uzothinta isisu sakho ngokucophelela ukuze ahlole ukuthi ubhejane ukhuphukile yini.
Ngemuva kwalokho, bazoyala izivivinyo eziningana ukuze bathole imbangela eqondile.
- Ukuhlolwa kwegazi:Lokhu kusiza ukubona ukuthi amangqamuzana akho abomvu egazi, amangqamuzana amhlophe egazi, kanye nama-platelet angakanani, nokuthi isibindi sakho sisebenza kanjani.
- Ukuskena: I-ultrasound noma i-CT scan inganquma ubukhulu obuqondile be-spleen nokuthi ngabe icindezela ezinye izitho ezizungezile.
- I-MRI scan: Lokhu kusiza ukubona ngokucacile ukuthi igazi ligeleza kanjani ebhodweni.
Iphathwa kanjani? Futhi yiziphi izinkinga?
Into ebalulekile okufanele uyiqonde lapha ukuthi asilaphi udende oluvuvukele ngokwalo, kodwa isimo esiyisisekelo esibangele ukuthi luvuvukele . Isibonelo, uma udende luvuvukele ngenxa yokutheleleka ngamagciwane, ama-antibiotic azosiza ukutheleleka ukuthi kuphulukiswe futhi udende lubuyele esilinganisweni esijwayelekile.
Kodwa-ke, uma ingelashwa, izinkinga eziyingozi zingavela.
1. Ukuqhuma kwe-spleen: Uma i-spleen iba nkulu kakhulu, ingaqhuma ngengozi encane, ukushaywa okukhulu, noma ngaphandle kwesizathu nhlobo. Lokhu kungabangela ukuthi igazi eliningi livuze emzimbeni futhi kungaba yingozi ngisho nokuphila. Lesi yisimo esiphuthumayo sezokwelapha.
2. I-Hypersplenism: I-spleen iba matasa kakhulu futhi iqala ukubhubhisa amangqamuzana amaningi egazi amahle (abomvu, amhlophe, nama-platelet). Lokhu kungabangela i-anemia, izifo, kanye nokopha.
Ingabe kufanele kususwe udengezi?
Ezimweni eziningi, i-spleen ayidingi ukususwa uma isimo esiyisisekelo seselashwe. Kodwa-ke, uma imbangela ingatholakali, isimo singelapheki, noma kunengozi enkulu yokuqhuma kwe-spleen, udokotela angase anqume ukususa i-spleen ngokuhlinzwa (i-spleenectomy) .
Kungenzeka ukuphila ngaphandle kwe-spleen. Kodwa-ke amasosha omzimba abuthakathaka kancane. Ngakho-ke, umuntu osusiwe i-spleen kuzodingeka athathe imijovo ekhethekile kanye nemithi impilo yakhe yonke ukuze azivikele ezifweni ezithile.
Umlayezo Wokuya Nawe Ekhaya
- I-splenomegaly ayisona isifo, kodwa uphawu lwesinye isifo.
- Njengoba abantu abaningi bengenazo izimpawu, lokhu kungabonakala ngesikhathi sokuhlolwa kwezokwelapha.
- Uma unobuhlungu obungapheli, ukungakhululeki, noma umuzwa wokugcwala engxenyeni ephezulu kwesobunxele yesisu sakho, ngisho nangemva kokudla okuncane, ungakushayi indiva. Bona udokotela wakho ngokushesha.
- Into ebaluleke kakhulu ukuthola imbangela eqondile yokuvuvukala kwe-spleen nokwelapha lesi sifo.
- Ukwelashwa okufanele kungabuyisela ubende esimweni esijwayelekile futhi kuvimbele izinkinga ezinkulu.
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