Ngati muli ndi matenda opatsirana kwambiri ndipo mumatumizidwa ku katswiri wa zamagazi, mungadabwe kuti chifukwa chiyani dokotala wamagazi amasamalira vuto lanu la chiwindi. Anthu omwe ali ndi matenda opatsirana mofulumira amatha kutsutsa kukhetsa mwazi m'modzi mwa mitsempha ya m'mitsempha (mitsempha yomwe imatulutsa magazi kuchokera m'matumbo a m'mimba). Izi zawonjezeka kukana kuthamanga kwa magazi nthawi zambiri zimakhalabe zozizwitsa mpaka zovuta zikuchitika.
Zovuta izi zikuphatikizapo splenomegaly, kukulitsa kwa nthata. Splenomegaly kawirikawiri sikhala ndi zizindikiro zapadera. Anthu omwe ali ndi splenomegaly akhoza kufotokoza chidzalo kwa mimba, makamaka kumanzere komwe mphuno ili. Iwo angadandaule kuti amamva bwino atadya chakudya chochepa chabe. Izi zimayambitsidwa ndi ntchentche yowonjezera m'mimba.
Splenomegaly ingamveke pakapita kafukufuku ndi dokotala wanu koma ngati kufunikira ultrasound kungatsimikizire kuti matendawa ndi otani.
Mphuno ndi Magazi Amagazi
The splenomegaly mu portal hypertension angayambe kuchepetsa magazi. Ntchito imodzi yamatope ndiyo kufuta maselo onse a magazi kuti kukalamba kapena kuwononga maselo a magazi kungachotsedwe. Choncho nthawi ina iliyonse maselo ofiira ofiira, maselo oyera a magazi, ndi mapuloletiti amakhala pamatope.
Monga nthenda ikukulitsa, maselo ena ambiri atsekedwa mu ntchentche.
Kuonjezerapo, izi zingayambitse kuchotsa maselo a magazi mofulumira kuposa momwe amachitira. Izi zingachititse kuti magazi asapitirire kuchepa kwa magazi (nambala yochepa ya maselo ofiira a m'magazi), thrombocytopenia (chiwerengero chochepa cha mapaleti), ndi leukopenia (kuchepa kwa maselo oyera a magazi).
Kusintha uku kumawoneka pa ntchito yamagazi yowonongeka yomwe imaphatikizapo kuchuluka kwa magazi (CBC).
Kawirikawiri, kuchuluka kwa kuchepa kwa magazi m'thupi, thrombocytopenia, ndi / kapena leukopenia kumawona ndi ofatsa kupitirira malire ndi zizindikiro zochepa. Osati mitundu yonse itatu ya maselo a magazi ayenera kukhudza. Kuonjezerapo, kuuma kwake kumapangidwira pang'ono ndi kukula kwa mpeni. Monga kukula kwa nthonje kumawonjezeka, kuwerengera kwa magazi kungapite mochepa kapena mosiyana, ziwerengero za magazi zikhoza kuwonjezeka ngati nthenda imachepa kukula.
Kodi Kuchiza Kukufunika?
Kuopsa kwake kwa magazi m'thupi lanu / thrombocytopenia / leukopenia kumatsimikizira ngati muyenera kuchiritsidwa kapena ayi. Mwamwayi, anthu ambiri amakhala ndi kusintha kochepa m'magazi ndipo samafuna chithandizo.
Kuchiza kwa matenda opatsirana pang'onopang'ono kumatha kusintha nthawi zina magazi. Ngati kusintha kuli koopsa, splenectomy (kuchotsa opaleshoni ya mpeni) ikhoza kutonthozedwa. Kusankha ngati mukufunikira splenectomy kuyenera kuyesedwa mosamala pangozi za mankhwalawa , makamaka kuopsa kwa matenda opatsirana a magazi.
Ngati mukufuna kupatsidwa splenectomy, nkofunika kuti muteteze mabakiteriya omwe amachititsa kuti matendawa akhale: Streptococcus pneumoniae , Neisseria meningitidis , ndi Haemophilus influenzae mtundu b (kuti asasokonezedwe ndi kachilombo koyambitsa matendawa).
Pofuna kuyanjanitsa ma katemerawa, ayenera kupatsidwa masiku osachepera 14 isanadze splenectomy. Ngati opaleshoniyi ndi yofunika ndipo katemera sungaperekedwe, akhoza kuperekedwa tsiku lachisanu ndi chiwiri.
Pambuyo pake, mwinamwake mudzaikidwa penicillin kwa chaka chimodzi, nthawi zina. Fungo lonse limafuna kuyeza kwa mankhwala kuti athetse matenda a bakiteriya. Mwamwayi, katemera watseketsa mwayi wa matendawa.
Mawu Ochokera
Kumva kuti chiopsezo chanu chapachipatala ndi splenomegaly chakuchititsani kuti mukhale ndi malipiro ochepa amagazi angakuvuteni.
Mwamwayi, nthawi zambiri kusintha kumeneku kuli kochepa ndipo samafuna chithandizo. Kukambirana zakukhosi kwanu ndi gulu lanu lachipatala kungakuthandizeni kuthetsa nkhaŵa yanu ponena za vutoli.
> Zotsatira:
> Schrier SL. Kufikira kwa wodwala wamkuluyo ndi splenomegaly ndi mavuto ena a splenic, Extrinsic osimmune hemolytic anemia chifukwa chowonongeka: Kugawidwa kwa hemolysis ndi hypersplenism. Mu: UpToDate, Post TW (Ed), UpToDate, Waltham, MA.
> McClain KL. Njira kwa mwanayo ali ndi phala lofutukuka. Mu: UpToDate, Post TW (Ed), UpToDate, Waltham, MA.