Ingabe umpenge wakho uyazulazula? (Umpenge Ozulazulayo) Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa umuzwa ongajwayelekile esiswini sakho, ubuhlungu ongakwazi ukubuqonda kahle, noma umuzwa wokugcwala nokusinda? Mhlawumbe uzizwa sengathi ubambe okuthile esiswini sakho futhi kuyahambahamba. Kungaba nesizathu salokhu, kodwa namuhla sizokhuluma ngesimo esingavamile abantu abaningi abangakaze bezwe ngaso. Leso yisimo esibizwa ngokuthi 'i-Wandering Spleen' , okusho ukuthi i-spleen isuka kwenye indawo iye kwenye ngesiSinhala.

Kalula nje, kusho ukuthini lokhu kuzulazula kwe-spleen?

Kulungile, ake siqale sibheke ukuthi iyini le 'Wandering Spleen'. Uyazi, njengazo zonke izitho zomzimba wethu, azigcini nje ngokunamathela endaweni eyodwa. Zinemicu emincane esiza ukuzibamba endaweni yazo, ebizwa ngokuthi ama-ligaments . I-spleen yethu nayo iyisitho. Yisitho esincane esilingana nesibhakela sethu. Ngokuvamile sitholakala ohlangothini lwesobunxele lwesisu sethu, ngaphakathi nje kwekheji lezimbambo, ngaphezu kwesisu.

Ngakho-ke, uma imisipha esiza ukugcina i-spleen isendaweni yayo iba buthakathaka, noma uma leyo misipha ingakabekwa kahle kusukela ekuzalweni, khona-ke i-spleen ingahambahamba, "ihambe", isuka endaweni yayo evamile. Yilokho esikubiza ngokuthi 'i-Wandering Spleen'.

Manje cabanga ukuthi kungenzekani uma usuka kwenye indawo uye kwenye kanje:

• Ubende bungasonteka: Njengoba nje sicindezela indwangu emanzi, ubende bungasonteka ngokuzumayo. Lokhu kubizwa ngokuthi 'i-Splenic Torsion' ngokwezokwelapha. Uma lokhu kusonta, kungabangela ubuhlungu obukhulu besisu.
• Ingacindezela ezinye izitho zomzimba: Njengoba udende luhamba, lungacindezela futhi lucindezele ezinye izitho eziseduze.
• Ukugeleza kwegazi eliya e-spleen kunganqanyulwa: Ngezinye izikhathi, i-spleen ingasontwa, futhi imithambo yegazi eyinikezayo ingasontwa, okwenza ukugeleza kwegazi eliya e-spleen kunqanyulwe ngokuphelele noma ngokwengxenye. Uma lokhu kwenzeka, izicubu eziku-spleen ziqala ukufa. Lokhu kubizwa ngokuthi 'i-Splenic Infarction' .

Kodwa-ke, ngezinye izikhathi lesi simo 'sokuzulazula' singaba khona ngaphandle kwezimpawu. Kukhona abanye abantu, lapho behlolwa isisu, isibonelo i-CT scan , ngenxa yesinye isifo, bathole ngephutha ukuthi i-spleen yabo ayikho lapho kufanele ibe khona.

Ngakho-ke, iyiphi inkonzo enikezwa yi-spleen emizimbeni yethu?

Ungase uzibuze, "Kungani sinalo lolu hlobo lwe-spleen emizimbeni yethu?" Uhlu luyingxenye yesimiso sethu se-lymphatic . Kalula nje, lufana nomlindi womzimba. Lunemisebenzi embalwa eyinhloko:

• Igcina futhi ihlunge igazi: Ubende lugcina elinye legazi lethu, futhi lusiza ekulihlanzeni ngokususa izinto ezifana namaseli egazi abomvu amadala egazini.
• Kuvikela ezifweni: Omunye umsebenzi obalulekile we-spleen ukusiza ekulweni namagciwane angena emizimbeni yethu. Okusho ukuthi, inikeza ukwesekwa okukhulu ohlelweni lwethu lokuzivikela komzimba.

Ngokuvamile, i-spleen ixhunywe esiswini nasezinso zethu ngemisipha. Uma lokho kuxhumana kulahlekile, kuvela isimo 'se-Wandering Spleen' okukhulunywe ngaso ngaphambilini.

Sivame kangakanani lesi simo?

Eqinisweni, lesi simo esibizwa ngokuthi 'i-Wandering Spleen' asivamile kakhulu . Ngokwemibiko yezokwelapha, cishe iziguli ezinjengalezi ezingama-500 kuphela ezibikiwe emhlabeni wonke. Lokho kusho ukuthi kuyangatshazwa ukuthi ngisho nomuntu oyedwa kwabayisigidi uzosithola yini lesi sifo. Ngokusho kocwaningo, cishe ingxenye yesithathu yalezi ziguli ezibikiwe yizingane ezingaphansi kweminyaka eyi-10, ezazalwa zinalesi simo. Kuthiwa futhi ngezinye izikhathi lesi simo singavela ngemva kokukhulelwa.

Ziyini izimpawu zalokhu?

Kunezimpawu eziningana ezivamile ezingabonakala endabeni 'ye-Wandering Spleen'. Kodwa khumbula, lezi zimpawu aziveli kuwo wonke umuntu, futhi abanye abantu bangase bangabi nazo nhlobo izimpawu.

• Ukuqunjelwa: Ukuzizwa sengathi isisu sakho siqunjelwe, njengebhaluni.
• Ubuhlungu besisu obuphindaphindayo: Lobuhlungu bungaba bufushane, bube bukhulu kancane, noma bungabekezeleleki. Bungase bufike budlule, buphele, bese bubuya.
• Isicanucanu nokuhlanza: Isicanucanu nokuhlanza kungase kwenzeke kanye nokuphazamiseka kwesisu.
• Iqhubu elihambahamba esiswini: Abanye abantu bangase bezwe okuthile okufana nebhola elincane noma insipho uma bethinta isisu sabo. Uma usicindezela, kungase kuzwakale sengathi siyahamba kancane.
• Ubuhlungu esiswini esingaphezulu kwesobunxele: Lokhu kungaba uphawu lokwanda kwe-spleen.

Cabanga nje, mngani wakho, ake sithi uNimalini. Ubelokhu enobuhlungu obuncane ohlangothini lwesobunxele lwesisu sakhe izinyanga eziningi. Ngezinye izinsuku kunzima ukubekezelela, aze ahlanze. Lapho ebona udokotela futhi enza i-ultrasound yesisu sakhe, uthola ukuthi ulwelwesi lwakhe alukho lapho kufanele lube khona, kodwa luphansi kancane futhi lugobile kancane. Yilokho okuhlangenwe nakho okungaba yikho.

Yini ebangela lokhu?

Kunezimbangela ezimbili eziyinhloko zesimo 'se-Wandering Spleen':

1. Ukuzalwa: Uma ingane ikhula esibelethweni, imisipha ebamba udengezi ingase ingakhuli kahle. Uma lokho kwenzeka, lesi simo sizalwa naso.

2. Okuthile okwenzeka kamuva:

• Ukukhulelwa: Kwabanye besifazane, ngesikhathi sokukhulelwa, ngenxa yezinguquko zamahomoni kanye nokwelula kwesisu, imisipha ebamba i-spleen ingase ikhululeke. Uma lokhu kuxega kuqhubeka ngemva kokubeletha, kungase kuvele 'i-Wandering Spleen'.
• Ingozi noma ukulimala:Lesi simo singase senzeke uma udende lonakaliswe yingozi enkulu noma ukulimala esiswini, kanye nemisipha nayo yonakele.

Yiziphi izinkinga ezingabangelwa yilokhu?

Nakuba 'i-Wandering Spleen' kuyisimo esingavamile, ngezinye izikhathi singaholela ezinkingeni ezinkulu. Njengoba kushiwo ngaphambili, eziyinhloko yi-splenic torsion kanye ne-splenic infarction.

Ngaphezu kwalokho, akuvamile kakhulu , lesi simo singadala isimo esibizwa ngokuthi i-pancreatic tail necrosis . Lokhu kungenxa yokuthi i-spleen iseduze kakhulu ne-pancreas. Ngakho-ke uma kunenkinga nge-spleen, ngezinye izikhathi ingathinta ne-pancreas.

Odokotela bakuthola kanjani lokhu?

Uma unezimpawu ezishiwo ngenhla, into yokuqala udokotela angayenza uma ekubona ukukuhlola kahle. Bazokuzwa isisu sakho ikakhulukazi, bahlole noma yiziphi izigaxa noma ubuhlungu obungavamile uma usicindezela.

Ngemuva kwalokho, bazo-oda izivivinyo ezingabheka ngaphakathi esiswini ukuze babone ukuthi kwenzekani ngempela. Okubaluleke kakhulu kulezi yilokhu:

• I-CT scan (i-Computed Tomography - i-CT scan): Lokhu kuhlolwa kungathatha izithombe ezicacile zezitho ezingaphakathi kwesisu.
• I-ultrasound yesisu: Lokhu kungasetshenziswa futhi ukubona isimo sezitho ezingaphakathi kwesisu.

Lokhu kuhlolwa kungaveza izinto eziningi, njengendawo lapho udende lukhona, ubukhulu balo, ukuthi luvuvukele yini, nokuthi ukujikeleza kwegazi kusebenza kahle yini.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa okuyinhloko nokuvame kakhulu kwe-Wandering Spleen ukususwa kwe-spleen ngokuhlinzwa (i-Splenectomy) . Yebo, ungase ucabange, "O, ukususa i-spleen? Yindaba enkulu leyo, akunjalo?" Sizoxoxa ngalokho kafushane.

Ngokuvamile, lokhu kuhlinzwa kwenziwa nge-laparoscopically . Okusho ukuthi, ukuhlinzwa okuhilela ukufaka ikhamera kanye namathuluzi abucayi ngokusebenzisa izimbobo ezimbalwa ezincane, kunokwenza isimbozo esikhulu esiswini. Inzuzo yale ndlela ukuthi amanxeba aphola ngokushesha futhi ukuhlala esibhedlela kufushane.

Ngezinye izikhathi, uma i-spleen ingasontekile noma yonakele, ingabuyiselwa endaweni yayo yokuqala bese ibekwa lapho (i-splenopexy). Kodwa lokhu kwenziwa ezimweni ezingavamile kakhulu. Inqubo evame kakhulu ukususa i-spleen.

Ungaphila ngaphandle kwe-spleen? / Kwenzekani ngemva kokuba i-spleen isusiwe?

Lona umbuzo omkhulu abantu abaningi abanawo. Kuvamile ukucabanga izinto ezinjengokuthi, "Kuzokwenzekani kimi uma udende lwami lususwa? Ngeke ngikwazi yini ukuphila impilo evamile?"

Kodwa into eyodwa engakududuza ukuthi udengezi aluyona into ebalulekile emizimbeni yethu. Lokhu kusho ukuthi ungaphila impilo evamile nenempilo ngaphandle kwalo. Abantu abaningi baphila ngempumelelo ngaphandle kodengezi.

Kodwa, kukhona into eyodwa. Omunye wemisebenzi eyinhloko ye-spleen ukuvikela ezifweni. Ngakho-ke uma i-spleen isusiwe, umzimba wakho ungaba sengozini encane yokutheleleka okuthile. Lokho kusho ukuthi amathuba akho okugula aphezulu kancane. Yingakho izinyathelo zokuphepha esizokhuluma ngazo ngokulandelayo zibalulekile.

Uzinakekela kanjani ngemva kokususwa kwe-spleen yakho?

Ngemva kokuhlinzwa kwe-splenectomy, udinga ukuqaphela kakhulu ukuze uzivikele ezifweni. Nazi ezinye izinto ongazenza:

• Thola imijovo yakho ngendlela efanele: Ngaphandle kwe-spleen, ukuzivikela komzimba wakho ezifweni ezithile zamagciwane kanye namagciwane kuphansi. Ngakho-ke, udokotela wakho uzokunikeza imijovo ekhethekile (isibonelo, yokulwa ne-pneumonia, i-meningitis, i-influenza). Kubaluleke kakhulu ukuthola le mijovo ngendlela efanele nangesikhathi.
• Uma unikezwe ama-antibiotic, wasebenzise ngendlela efanele: Uma unesimiso somzimba esibuthakathaka ngenxa yesinye isifo, udokotela wakho angase akunike ama-antibiotic okufanele uwathathe nsuku zonke. Wasebenzise ngendlela efanele. Futhi, uma unomkhuhlane noma umkhuhlane, udokotela wakho angase akutshele ukuthi uqale ama-antibiotic ngokushesha.
• Qaphela lapho uhamba: Amanye amazwe athambekele ezifweni ezifana nomalaleveva . Uma umuntu ongenawo umbende egula ngalesi sifo, kungaba kubi kakhulu. Ngakho-ke, ngaphambi kokuba uhambe uye phesheya, qiniseka ukuthi ukhuluma nodokotela futhi uthole iseluleko esidingekayo kanye nemithi yokugoma eyengeziwe.
• Qaphela izilwane ezifuywayo kanye nokulunywa yizilwane: Ungase futhi ube nomuzwa wokuzwela kwamanye amagciwane avela ezilwaneni.
• Gqoka Isongo Sesaziso Sezokwelapha: Kungumqondo omuhle ukuphatha isongo esincane noma ikhadi elikutshela ukuthi ubende lwakho lususiwe. Lokhu kuzosiza odokotela uma kwenzeka isimo esiphuthumayo.

Kunini lapho udinga ukubonana nodokotela ngokushesha?

Uma uthola izimpawu zokutheleleka ngemva kokususwa kwe-beetle yakho, kufanele ubonane nodokotela ngokushesha. Ungalibali. Yiya esibhedlela ngokushesha okukhulu, ikakhulukazi uma unezinye zalezi zimpawu:

• Ukugodola.
• Umkhuhlane ophezulu (izinga lokushisa lingaphezu kuka-103°F Fahrenheit noma u-39.4°C Celsius).
• Ukuhlanza okungayeki futhi kuya ngokuya kuba kubi kakhulu.
• Ikhanda elibuhlungu kakhulu, intamo eqinile, kanye nokungaboni kahle (lokhu kungaba izimpawu ze-meningitis).
• Ubunzima bokuphefumula, ukukhwehlela okukhulu.

Izinto ezinjengalezi zingaba izimpawu zokutheleleka, ngakho-ke ukwelashwa okusheshayo kubaluleke kakhulu.

Ekugcineni, kufanele ngithi...

Uma uthola ukuthi unesifo esibizwa ngokuthi 'i-Wandering Spleen', ungase uzizwe ukhululekile ngakolunye uhlangothi, ucabanga ukuthi, "O, lokhu kuyimbangela yalobu buhlungu obungavamile kanye nokungakhululeki engibe nakho isikhathi eside kangaka." Ngakolunye uhlangothi, kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma utshelwa ukuthi kufanele uhlinzwe, ukuthi i-spleen yakho izosuswa.

Kodwa khumbula, noma ngabe udevu luyisitho esibalulekile, aluyona into ongaphila ngaphandle kwayo. Ungaphila impilo enempilo nejwayelekile. Into ebaluleke kakhulu ukulandela izinyathelo ezidingekayo zokuzivikela ezifweni ngemva kokuhlinzwa. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe. Uma unemibuzo noma ukungabaza, ungesabi ukubuza. Bazokujabulela ukukusiza.

Ungakhathazeki! Isayensi yezokwelapha isithuthuke kakhulu namuhla. Abantu abaningi namuhla bayakwazi ukwelapha lezi zimo ngempumelelo futhi baphile impilo enempilo ngemva kwalokho.

Ubende , Ubende Ozulazulayo, Ubuhlungu besisu, Ukuvuvukala Kwe-Splenic, Ukuvuvukala Kwe-Splenic, Ukususwa Kwe-Spleen, Ukuhlinzwa