Uma unesifo somfutho wegazi futhi udluliselwa ku-hematologist, ungase uzibuze ukuthi kungani udokotela wegazi ekhathalela inkinga yakho yesibindi. Abantu abane-hypertension ye-portal banomthelela okhuphuka ekugezeni kwegazi kwesinye sezintanjeni zamasango (imithanjeni egazini igazi kusukela emathangeni emathunjini). Lokhu kukhuphuka ukuphikisana nokugeleza kwegazi ngokuvamile kungenayo izimpawu kuze kube khona izinkinga.
Lezi zinkinga zihlanganisa i-splenomegaly, ukukhuliswa kwesipere. I-splenomegaly ngokuvamile ayinayo izimpawu ezithile. Abantu abane-splenomegaly bangachaza ukugcwala kwesisu, ikakhulukazi ngakwesobunxele lapho uhlangothi lukhona khona. Bangase bakhononde ngokuthi bazizwa begcwele ngemva kokudla ukudla okuncane kuphela. Lokhu kubangelwa ukucindezela kwamaphini okwehlisiwe esiswini.
I-splenomegaly ingavame ukuzwa ngokuhlolwa kodokotela wakho kodwa uma kudingeka i-ultrasound ingase iqinisekise ukutholakala.
I-Spleen ne-Blood Counts
I-splenomegaly e-portal hypertension ingase ibe nomphumela ophansi wegazi. Omunye wemisebenzi ka-pleen ukuhlunga zonke amaseli wegazi ukuze ukuguga noma ukulimaza amaseli egazi kungasuswa ekujikelezeni. Ngakho nganoma yisiphi isikhathi ngesikhathi esithile isibalo esithile segazi elibomvu, amangqamuzana egazi amhlophe, namaplatelets atholakala ngepeni.
Njengoba isilwane sanda, amanye alawa maseli abanjwe ngepeni.
Ngaphezu kwalokho, lokhu kungaholela ekususweni kwamaseli egazi ngokushesha kunokuvamile. Lokhu kungaholela ekudleni kwegazi (inombolo ephansi yamaseli abomvu obomvu), i- thrombocytopenia (inombolo ephansi yamaplatelet), ne-leukopenia (inombolo ephansi yamangqamuzana egazi amhlophe).
Lezi zinguquko zivame ukutholakala ngesikhathi somsebenzi wegazi ojwayelekile ohlanganisa inani eliphelele legazi (CBC).
Ngokuvamile, inani le-anemia, thrombocytopenia, kanye / noma i-leukopenia elibonayo lumnene ukulinganisa ngezimpawu ezincane. Akuzona zonke izinhlobo ezintathu zamaseli egazi okufanele zithinteke. Ukwengeza, ubukhulu bunqunywe kancane ngosayizi wepen. Njengoba usayizi we-spleen ukwandisa, ukubala kwegazi kungase kuhambe kancane noma ngokuphambene nalokho, ukubala kwegazi kungakhula uma isiteji sinciphisa usayizi.
Ingabe Kudingeka Ukwelashwa?
Ubukhulu be-anemia / thrombocytopenia / i-leukopenia yakho inquma ukuthi kufanele uphathwe noma cha. Ngenhlanhla, abantu abaningi banezinguquko ezincane kuphela ezibalweni zegazi futhi abadingi ukwelashwa.
Ukwelashwa kwesifo somfutho wegazi ophezulu kungase kuthuthukiswe ukubala kwegazi. Uma izinguquko zinzima, i- splenectomy (ukususwa kokuhlinzwa kwe-spleen) kunganconywa. Ukunquma ukuthi udinga i- splenectomy kumele kulinganiswe ngokucophelela mayelana nezingozi zalezi zonyango , ikakhulukazi ingozi enkulu ye-sepsis (ukutheleleka okukhulu kwegciwane legazi).
Uma kufanele utholakale nge-splenectomy, kubalulekile kuwe ukuthi ugonywe ngokumelene nama-bacteria okuvame ukubangela lezi zifo: Streptococcus pneumoniae , i- Neisseria meningitidis , ne- Haemophilus influenzae uhlobo b (okungenakudideka negciwane le-influenza ejwayelekile).
Ukuze ukwandise impendulo kulezi zinkompilo, kufanele zinikezwe okungenani izinsuku ezingu-14 ngaphambi kwe-splenectomy. Uma ukuhlinzwa kuphuthumayo futhi ukugoma angeke kunikezwe ngaphambili, kungenziwa ukuphathwa ngosuku 14 ngemuva kokusebenza.
Emva kwalokho, cishe uzobekwa ku-penicillin okungenani unyaka owodwa, ngezinye izikhathi kuze kube phakade. Zonke izifo zidinga ukuhlolwa kwezokwelapha ukulawula ukutheleleka kwama-bacteria. Ngenhlanhla, ukugoma kuncishise amathuba okutheleleka.
Izwi elivela
Ukuzwa ukuthi isifo sakho somfutho wegazi ophezulu kanye ne-splenomegaly senze ukuthi ube nokubala okuphansi kwegazi kungakusiza.
Ngenhlanhla, isikhathi esiningi lezi zinguquko zincane futhi azidingi ukwelashwa. Ukuxoxa ngokukhathazeka kwakho nethimba lakho lezokwelapha kungasiza ekunciphiseni ukukhathazeka kwakho ngale nkinga ethile.
> Imithombo:
> Schrier SL. Indlela yokuthola isiguli esingumdala nge-splenomegaly nezinye izinkinga ze-splenic, i-Extemins nonimmune i-hemolytic anemia ngenxa yokulimala komshini: Ukuhlukaniswa kwe-hemolysis kanye ne-hypersplenism. Ku: Phezulu, I-post TW (Ed), UpToDate, Waltham, MA.
> McClain KL. Indlela eya kwengane ene-pleen ekhulisiwe. Ku: Phezulu, I-post TW (Ed), UpToDate, Waltham, MA.