Isibindi esandisiwe

Isibindi esandisiwe sisho ukuvuvukala kwesibindi ngaphezu kobukhulu baso obujwayelekile. I-hepatomegaly elinye igama elichaza le nkinga.

Uma kokubili isibindi nobende kukhulisiwe, kubizwa ngokuthi yi-hepatosplenomegaly.

Umphetho ophansi wesibindi uvame ukufika emaphethelweni aphansi ezimbambo ohlangothini lwesokunene. Umphetho wesibindi uvame ukuba mncane futhi uqinile. Ayikwazi ukuzwakala ngeminwe ngaphansi komphetho wezimbambo, ngaphandle kwalapho udonsa umoya. Kungakhuliswa uma umhlinzeki wezokunakekelwa kwempilo ezwa kule ndawo.

Isibindi sithinteka emisebenzini eminingi yomzimba. Ithintwa yizimo eziningi ezingadala i-hepatomegaly, kufaka phakathi:

• Ukusetshenziswa kotshwala (ikakhulukazi ukusetshenziswa kabi kotshwala)
• I-Cancer metastases (ukusakazeka komdlavuza esibindini)
• Ukwehluleka kwenhliziyo yokubopha
• Isifo sokugcina i-Glycogen
• I-hepatitis A
• I-Hepatitis B
• I-Hepatitis C
• I-hepatocellular carcinoma
• Ukungabekezelelani okubangelwa ifa le-fructose
• I-mononucleosis ethathelwanayo
• Umdlavuza wegazi
• Isifo seNiemann-Pick
• I-primary biliary cholangitis
• I-Reye syndrome
• I-Sarcoidosis
• I-sclerosing cholangitis
• I-portal vein thrombosis
• I-Steatosis (amafutha asesibindini avela ezinkingeni zemetabolic ezifana nesifo sikashukela, ukukhuluphala ngokweqile, kanye ne-triglycerides ephezulu, ebizwa nangokuthi i-nonalcoholic steatohepatitis, noma i-NASH)

Lesi simo sivame ukutholwa ngumhlinzeki. Ungahle ungazi ngokuvuvukala kwesibindi noma ubende.

Umhlinzeki uzokuhlola abuze imibuzo efana nale:

• Uke wakubona ukugcwala noma isigaxa esiswini?
• Yiziphi ezinye izimpawu onazo?
• Ingabe bukhona ubuhlungu besisu?
• Ingabe kukhona ukuphuzi kwesikhumba (i-jaundice)?
• Ingabe kukhona ukuhlanza?
• Ngabe kukhona izitulo ezinemibala engajwayelekile noma ezinombala okhanyayo?
• Ngabe umchamo wakho ubonakale umnyama kunokujwayelekile (onsundu)?
• Wake waba nemfiva?
• Imiphi imishanguzo oyisebenzisayo ehlanganisa nemithi yamakhambi?
• Uphuza utshwala obungakanani?

Ukuhlolwa kokuthola imbangela ye-hepatomegaly kuyahlukahluka, kuya ngesizathu esisolwayo, kepha kungafaka:

• I-x-ray yesisu
• I-ultrasound yesisu (kungenziwa ukuqinisekisa isimo uma umhlinzeki ecabanga ukuthi isibindi sakho sizizwa sikhulisiwe ngesikhathi sokuhlolwa komzimba)
• I-CT scan yesisu
• Ukuhlolwa kokusebenza kwesibindi, kufaka phakathi ukuhlolwa kwegazi
• Ukuskena kwe-MRI kwesisu

I-hepatosplenomegaly; Isibindi esikhulisiwe; Ukwandiswa kwesibindi

• Isibindi esinamafutha - i-CT scan
• Isibindi nge-fatproportional fattening - CT scan
• I-hepatomegaly

UMartin P. Indlela eya esigulini esinesifo sesibindi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 146.

I-Plevris J, ama-Parks R. Uhlelo lwesisu. Ku: Innes JA, Dover AR, Fairhurst K, eds. Ukuhlolwa Kwemitholampilo iMacleod. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2018: isahluko 6.

UPomeranz AJ, uSabnis S, uBusey SL, uKliegman RM. I-hepatomegaly. Ku: Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM, ama-eds. Amasu Wokwenza Izinqumo Zabantwana. Okwesibili. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 27.