I-Splenomegaly: kuyini, izimpawu, izimbangela kanye nokwelashwa
-Delile
I-Splenomegaly iqukethe ukwanda kosayizi wobende ongabangelwa izifo eziningana futhi odinga ukwelashwa ukugwema ukuqhekeka okungenzeka, ukuze kugwenywe ukopha kwangaphakathi okungaba yingozi.
Umsebenzi wobende ukulawula, ukukhiqiza nokugcina amangqamuzana egazi nokucekela phansi amaseli egazi angajwayelekile, kepha ngenxa yamandla amakhulu okugcina amaseli egazi, ku-splenomegaly, ukusebenza kwalesi sitho kuyathinteka futhi nenani lamaseli egazi ajikelezayo liyancipha i-anemia, ukutheleleka njalo nokuphazamiseka kokopha.
Ziyini izimpawu
Yize ingahle ibe ne-asymptomatic, i-splenomegaly ingahambisana nezimpawu ezilandelayo:
- Imihuzuko;
- Ukopha ezinhlakeni zomlomo, njengasemakhaleni nasezinsinini;
- Ukushoda kwegazi;
- Ukukhathala;
- Ukwanda imvamisa izifo;
- Ukungakwazi ukudla isidlo esikhulu;
- Ubuhlungu ohlangothini olungenhla kwesobunxele besisu obuba sibi lapho uthatha umoya ojulile.
Lapho kukhona lezi zimpawu futhi uma ubuhlungu bukhulu kakhulu, kufanele uphuthume uye kudokotela.
Izimbangela ezingaba khona
Izici ezingaholela esikhaleni esikhulisiwe ukutheleleka ngegciwane, njenge-mononucleosis, ukutheleleka kwamagciwane njenge-syphilis noma i-endocarditis, noma ukutheleleka kwezifo ezifana ne-malaria noma i-kala azar, ngokwesibonelo.
Ngaphezu kwalokho, i-splenomegaly nayo ingabangelwa yi-cirrhosis nezinye izifo ezithinta isibindi, izinhlobo ezahlukahlukene ze-hemolytic anemia, umdlavuza wegazi, njenge-leukemia noma i-lymphoma, ukuphazamiseka komzimba, i-portal hypertension noma amahlule egazini emithanjeni yobende.
Ziyini izingozi
Uma ingelashwa ngesikhathi esifanele, i-splenomegaly ingaholela ezinkingeni ngenxa yokwehla kwesibalo samaseli abomvu egazi, amaseli amhlophe egazi nama-platelets egazini elenza ukuthi umzimba ungenwe kalula yizifo, i-anemia kanye nokopha.
Ngaphezu kwalokho, ukuqhuma kobende nakho kungenzeka, ngoba lapho kukhuliswa nakho kuba buthakathaka kakhudlwana nokuzwela.
Yelashwa kanjani
I-Splenomegaly iyelapheka futhi ukwelashwa okufanelekile kwe-splenomegaly kuncike kwisizathu esisuselwe kuso. Ngakho-ke, lapho kukhona ukutheleleka, ukwelashwa kufaka ukusetshenziswa kwemithi yokwenziwa ngcono, njengama-antibiotic, ama-antivirals noma imishanguzo yokulwa nezifo. Ezimweni zesifo sokuqina kwesibindi nomdlavuza wegazi, ngokwesibonelo, lapho ukwelashwa kukude, i-splenomegaly ilawulwa futhi okubaluleke kakhulu ukwelapha lesi sifo.
Ezimweni ezibucayi kakhulu, lapho ubende obukhulisiwe budala izinkinga ezinkulu noma imbangela yazo ingakhonjwa noma yelashwe, kungadingeka ukususa ubende ngokuhlinzwa, ngoba kungenzeka ukuthi uphile kahle ngaphandle kwalesi sitho, kepha izifo zingakhuphuka.