Ingabe ubhejane wakho usengozini? Namuhla sizoxoxa ngo (ubhejane oqhekekile)!

Wake wacabanga ngesitho esincane ohlangothini lwesobunxele lwesisu sakho, ngaphansi nje kwezimbambo zakho? Yilokhu esikubiza ngokuthi i-spleen. Ingangobukhulu besandla sakho. Kodwa yenza umsebenzi omuhle kakhulu. Kodwa ngezinye izikhathi le-spleen ingalimala futhi iqhume. Uma lokho kwenzeka, kungaba yinto embi kakhulu.

Iyini i-spleen? Kusho ukuthini uma iqhuma?

Kalula nje, i-spleen yakho iyisitho esincane, kodwa esibaluleke kakhulu esitholakala ohlangothini lwesobunxele lwesisu sakho esingaphezulu, cishe ngobukhulu benqindi. Isebenza njengesihlungi. Igcina cishe ingxenye yesine yegazi emzimbeni wethu nganoma yisiphi isikhathi, iyihlanze, futhi igcine amangqamuzana abomvu egazi nama-platelet. Iphinde isize ekwakheni amangqamuzana amhlophe egazi alwa nezifo. I-spleen iyisitho esifana nesikhwama ngaphakathi, esimbozwe ungqimba oluncane lwezicubu. Imithambo yegazi nayo idlula kuyo.

Kodwa-ke, ngokutholakala kwe-spleen, ikakhulukazi uma ithola ukushaywa okunzima, kungenzeka kakhulu ukuthi ilimale. Uma isembozo sangaphandle engikhulume ngaso sidabukile noma sidabukile, yilokho esikubiza ngokuthi 'ukugqashuka kwe-spleen' . Uma i-spleen igqabuka, uma kuqhathaniswa nezinye izitho ezingaphakathi kwesisu sethu, kunethuba elikhulu lokopha emzimbeni, okungaba yingozi empilweni. Ngakho-ke, ukugqashuka kwe-spleen kuyisimo esiphuthumayo esidinga ukunakekelwa kwezokwelapha ngokushesha. Ngezinye izikhathi, kungase kudingeke ukuhlinzwa.

Yiziphi izimbangela zokuqhekeka kwe-spleen?

Kulungile, manje ake sibone ukuthi kungani udende luqhuma kanje.

Esikhathini esiningi, isizathu esiyinhloko salokhu ukulimala okubangelwa ingozi. Cabanga, isibonelo, ngengozi yemoto. Cishe u-50% kuya ku-75% wezingozi ezinjalo zingabangela ukuqhekeka kwe-spleen. Kungokufanayo nangokulimala okwenzeka ngesikhathi udlala imidlalo. Lokhu kungenzeka ikakhulukazi emidlalweni ehilela ukuthintana komzimba nomzimba, njenge-rugby. Ngezinye izikhathi, i-spleen ingaqhekeka ngenxa yento engathi sína njengokushaywa kanzima, ukugwazwa ngommese, noma inxeba lokudutshulwa.

Into ebalulekile ukuthi ngezinye izikhathi udengezi lungaqhuma ngokushesha ngemva kwengozi. Kodwa ngezinye izikhathi, ngemva kwengozi, inxeba liyavuvukala futhi udengezi lungaqhuma. Lokhu kubizwa ngokuthi 'Ukuqhuma Okulibazisekile'.

Ingabe udende lungaqhuma ngaphandle kokulimaza?

Manje ungase ucabange ukuthi ngaphandle kokuba kube nengozi, akukho lutho oluzokwenzeka ku-spleen. Kodwa, nakuba kungavamile, i-spleen ingaqhuma ngokuzenzekelayo ngaphandle kwengozi. Lokhu kuyamangaza kancane ukuzwa, akunjalo?

Lokhu kwenzeka lapho udengezi luqala ukuvuvukala ngenxa yesinye isimo sezokwelapha esiyisisekelo emzimbeni. Njengoba luvuvukala, leso simbozo sangaphandle engikhulume ngaso ekuqaleni siyabuthaka kancane kancane, futhi ekugcineni singaqhuma.

Ezinye izimo ezingabangela lolu hlobo lokuvuvukala kwe-spleen yilezi:

• Izinhlobo zomdlavuza, isibonelo `(i-Lymphoma)`.
• Izifo,Njengo-`(Mononucleosis)` noma `(Malaria)`.
• Izifo ezingapheli zokuvuvukala , njenge-hepatitis, isifo sesibindi, noma i-pancreatitis.

Kuzwakala kanjani uma uboya bakho buqhuma?

Kulungile, manje ake sibone ukuthi kuzwakala kanjani uma umbende wakho uqhuma.

Ubende, njengoba ngishilo, lutholakala ohlangothini olungaphezulu kwesobunxele lwesisu sakho, ngaphansi nje kwesikhala sakho sembambo kwesobunxele kanye ne-diaphragm. Lapho ubende luqhuma, ungase uzwe ubuhlungu obukhulu kuleyo ndawo.

Kodwa kukhona okunye lapha. Izingozi ezifanayo ezibangela ukuqhekeka kwe-spleen zingabangela nezinye ukulimala, akunjalo? Isibonelo, ungaphula ubambo. Ngemuva kwalokho, ungase ungakwazi ukuhlukanisa ubuhlungu ne-spleen eqhekekile nobuhlungu nokulimala okunye.

Ngemva kokuqhekeka kwe-spleen, ungase uzwe ubuhlungu buphuma esifubeni sakho sobunxele noma ehlombe. Lokhu kubizwa ngokuthi uphawu lukaKehr . Lokhu kwenzeka ngoba lapho i-spleen iphuma igazi, igazi licindezela i-nerve egeleza isuka entanyeni yakho yehle ngesifuba sakho sobunxele (i-nerve ye-phrenic yesobunxele). Ungase uzizwe ubuhlungu buba bubi nakakhulu lapho uphefumula.

Zikhona yini ezinye izimpawu zokuqhekeka kwe-spleen?

Ngaphezu kobuhlungu, ungase ube nezinye izimpawu ezibangelwa ukopha kwangaphakathi kanye nokwehla okungazelelwe komfutho wegazi. Bheka ukuthi lezi zizwakala zijwayelekile yini:

• Ukuzizwa udidekile noma unekhanda elibuhlungu
• Ukudideka kwengqondo noma ukudideka
• Umbono ofiphele
• Ubuthakathaka kanye nokucasuka
• Ukungaphumuli noma ukukhathazeka
• Isicanucanu

Kwenzekani uma udende luqhuma? Yini okufanele yenziwe?

Cabanga ukuthi unobuhlungu obukhulu engxenyeni ephezulu kwesobunxele yesisu sakho, noma unesibonakaliso sikaKehr engisishilo. Uma lezi zimpawu zenzeka ngisho nangemva kwesikhathi esifushane ngemuva kwengozi, kufanele uye ngqo eGumbini Eliphuthumayo (ER). Shayela i-ambulensi uma kudingeka.

Lapho, kuzodingeka utshele odokotela ngezimpawu zakho, noma yiziphi izingozi zakamuva, noma yiziphi izifo onazo, noma yiziphi izifo ezingamahlalakhona onazo. Ithimba lezokwelapha lizohlola isimo sakho futhi lisebenzele ukukuzinzisa, okuhlanganisa nokukufaka igazi uma kudingeka.

Wazi kanjani ukuthi udende lwakho luqhumile?

Kulungile, ake sibone ukuthi odokotela bakuthola kanjani lokhu.

Okokuqala, uma isimo sakho sizinzile (okusho ukuthi izinto ezifana nomfutho wegazi kanye nokushaya kwenhliziyo kuseduze nokujwayelekile), ithimba lezokwelapha lizokuhlola isinyathelo ngesinyathelo.Okokuqala, kwenziwa ukuhlolwa ngokomzimba. Ngemuva kwalokho , kwenziwa izivivinyo zokuthwebula izithombe, njengokuskena.

Kodwa uma ulimele engozini bese uza egumbini lezimo eziphuthumayo, ithimba lezokwelapha lizoqala ngokwenza i-ultrasound ekhethekile eseceleni kombhede. Lokhu kubizwa ngokuthi "i-ultrasound esheshayo." Lokhu kuhlola ukuthi kukhona yini ukopha ngaphakathi esiswini sakho.

Uma i-FAST ultrasound iqinisekisa ukuphuma kwegazi, futhi izimpawu zakho ezibalulekile zingazinzile, ithimba lezokwelapha liyazi ukuthi ubende wakho uqhumile futhi udinga ukwelashwa ngokushesha.

Ngisho noma isimo sakho sizinzile, uma kukhona okusolakala ukuthi unesifo sokulimala kolwelwesi, bavame ukwenza i- "CT scan" . Lokhu kungabheka kahle ulwelwesi kanye nobukhulu bokulimala. Ukulimala kube sekulinganiswa kusukela ku-1 kuya ku-V, kuye ngokuthi ukulimala kungakanani.

Iphathwa kanjani i-spleen eqhumile?

Ukwelashwa kwe-spleen ephukile kuncike ebunzimeni bokulimala. Amanye amanxeba amancane angase ayeke ukuphuma kwegazi ngokwawo. Kodwa-ke, amanye angadinga ukwelashwa okuphuthumayo. Amanxeba anzima kakhulu (eBangeni V) adinga i-spleenectomy ukuze kususwe i-spleen. Kodwa-ke, ukulimala okukhulu kwe-spleen kungase kungabonakali ngokushesha. Ngezinye izikhathi, isiguli esizinzile singase singabi namandla ngemva kwamahora ambalwa ngenxa yokopha okwengeziwe.

Nazi ezinye zezindlela eziyinhloko zokwelapha ubende oqhumile:

• Ukufakwa kwe-Embolization: Le nqubo ingasiza ekulawuleni ukopha ekulimaleni kwe-splenic yeBanga lesi-3 nelesi-IV, kungaba ngaphambi noma esikhundleni sokuhlinzwa. Ukufakwa kwe-Embolization kuyindlela engeyona eyokuhlinzwa. Yenziwa yi-interventional radiologist. Kusetshenziswa amasu okuthwebula izithombe ze-radiology, kufakwa ithubhu elincane (i-catheter) emthanjeni wegazi bese kufakwa ubhontshisi omncane ofana nesiponji kuwo ukuze kumiswe ukopha.
• I-Splenorrhaphy: Uma ulimele eBangeni lesi-3 noma lesi-IV, lokhu kungenziwa ngaphezu kokufakwa kwe-embolization. I-Splenorrhaphy inqubo yokuhlinzwa yokulungisa i-spleen. Lokhu kungafaka ukugoba inxeba, ukusebenzisa i-electrocautery, noma ukufaka izinto zokugcoba ukuze kumiswe ukopha. Uma kuphumelele, lokhu kungagwema isidingo sokususa ingxenye noma yonke i-spleen.
• Ukususwa kwe-spleenectomy: Uma ukopha okukhulu kungenakukwazi ukulawulwa nganoma iyiphi enye indlela, futhi kungekho ndlela yokusindisa i-spleen, ingxenye noma yonke i-spleen kungadingeka isuswe.Cishe u-20% wokuqhekeka kwe-splenic kuphela ngale ndlela. Njengoba lokhu kuwukuhlinzwa okuphuthumayo, kungenzeka kakhulu ukuthi kwenziwa ngokuhlinzwa kwesisu okuvulekile. Lokhu kwenza kube lula ngodokotela ohlinzayo ukuphatha isimo sakho esiphuthumayo.

Angakanani amathuba okusinda ekulimaleni kwe-spleen?

Lokhu kuncike kakhulu ekutheni inxeba lakho libi kangakanani nokuthi ulithola futhi uliphathe ngokushesha kangakanani. Ukulimala okuncane kuzophuma igazi kancane kancane. Ngakho-ke unesikhathi, kodwa kungaphuthelwa kalula. Uma kuphuma igazi kakhulu, izimpawu zizobonakala, kodwa kuyingozi kakhulu. Uma kuphuma igazi kakhulu emzimbeni, ukufa kungavela emahoreni ambalwa uma kungelashwa ngokushesha. Ngakho-ke lokhu akuyona into okufanele uyithathe kalula.

Kuthatha isikhathi esingakanani ukuphulukiswa ekubeni ne-spleen eqhumile?

Kuye ngobukhulu bokulimala kwakho kanye nokwelashwa okutholile, kungathatha noma yikuphi amasonto amathathu kuya kwayishumi nambili ukuphulukiswa. Uma uke wahlinzwa, cishe kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kwalokho. Ngemva kokuhlinzwa okuvulekile, kuba nokusikeka okukhulu okufanele kuphole. Ungase unikezwe imithi yobuhlungu uma uya ekhaya. Ngakolunye uhlangothi, ukuklwebheka okuncane kuphola ngokushesha.

Ngingazinakekela kanjani ngiphila ngaphandle kwe-spleen?

Yebo, ungaphila ngaphandle kwe-spleen yakho. Kodwa kuthinta amasosha omzimba wakho. Ngenxa yokuthi i-spleen iyisitho esibalulekile esivikela ezifweni, ungase ube sengozini encane yokugula ngemva kokususwa kwe-spleen yakho (i-spleenectomy).

Udokotela wakho ohlinzayo uzoncoma imithi yokugoma eminingana ekhethekile ukuze ikuvikele ezifweni kokubili esibhedlela kanye nangemva kokuya ekhaya. Uzokweluleka nokuthi uthathe ama-antibiotic ngokushesha uma uthola ukutheleleka.

Ngamafuphi, lokho okudingeka sikukhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke lo myalezo obaluleke kakhulu okudingeka siwuthathe ...

Kungakhathaliseki ukuthi udende oluqhekekile luluncane noma lukhulu, kuyisimo esiphuthumayo. Ukopha ngaphakathi kungaba yingozi empilweni uma kungaphathwa kahle.

Kodwa-ke, izindaba ezinhle ukuthi ukuqhekeka okuningi kwe-splenic, uma kuqashelwa futhi kwelashwa kusenesikhathi, kungalawulwa ngezinyathelo ezilula ezingasindisa i-spleen. Kodwa lokhu kuncike ekutheni uqaphela futhi welapha ngokushesha kangakanani ukulimala kwakho.

Uma usola ngisho nokuncane ukuthi ulimele ubende lakho, into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha bese sihlolwa ukuthi asiboni yini igazi.

Ubende , Ukuqhekeka kobende, Ubende oqhekekile, Ukopha kwangaphakathi, Ubuhlungu besisu, Ukwelashwa okuphuthumayo, uphawu lukaKehr