Splenomegaly - He aha ka mea? Symptoms, kumu, hana maikaʻiʻole o ka splenomegaly

Splenomegaly - He aha ka mea? I ka pane i ka nīnau, e kiʻi i ka apana uuku na kumuwai. Eia hou kekahi, mākou e kūkākūkā ke kumu i kēia maʻi i, ka mea a kona symptoms mea, i ke kaʻina o kaʻike, a me ka lapaau.

Overview

Splenomegaly - He aha ka mea? Ma lapaʻau hana, i kēia makahiki haawiia keia i ka maʻi, a ua wehewehe aku ma ka nui hoʻonui o ka spleen. Nō kāu, keia ia lŘlŘ ka wā o ka hoohalike ai o ke kino o ke komo pū o loko o ka pathological kaʻina mai ka waho. Naʻe, ka mea e e hoʻomaopopo i ke kaumaha o ka spleen, a hiki ma ka maʻamau moku'āina hiki e nui oi aku (2-pa) ma mua i loko o kekahi 'ē hui,. Ia mea ke kumu o ka paepae puka i i ka hua o ke kino ua manaoia splenomegaly, manawa conditional. No laila, i loko o ka maʻamau noho ana o ka spleen ke kaupaonaʻana o ka makua mea e pili ana i 100-150 g. Ma palpation ola kino,ʻaʻole e oi aku mamua o 7 knm (ana diagonally). I kaʻike, o "spleen splenomegaly" i he pohihihi keia. Kēia ka hana ma lalo o ke ana ma lalo nei:

• ina ke kino nui aku i olelo mai waiwai;
• Inā splenic dullness abnormally, pili;
• Inā ka spleen mea pono detectable ma palpation.

Ke kūlana o ka spleen i loko o ke kanaka kino

Splenomegaly - He aha ka mea? Ka pane ana i ka ninau mākou i manaoia ma luna. Ke spleen mea nui ka hui, o ka'ōnaehana paleʻea nenoaiu. E like me uaʻikeʻia, ka mea, ua fasoleobraznuyu 'ano, a ua aia i loko o ka luna hema hapa o ka abdomen - oia hoi, ma lalo o ka diaphragm. Pela spleen ua lena ma waena o ka 9th a me 11th iwiʻaoʻao. Ma ke olakino makua kanaka kino poe kaupaona ma kahi o 150 nā huna. Ua uhi i ke kuleana i loko o ka abdominal lua ana o ka hola 11 kenimika ma ka vertical kuhikuhi.

spleen

A hooku iho la ke kino Radio he nui kūlana i loko o ke kanaka kino. Kona 'oihana ka mea e hoʻopau i nā meaola haole paha koʻohune mai i ka holo, e like me ka hoʻomōhala nā mea'aʻaʻa no ka'ōnaehana paleʻea'ōnaehana, a wehe i ka'āno'ē koko keena.

It E e kaulana ia i mahuahua ka spleen ma ka nui a hiki i ka wa e hanaʻia kona maʻamau oihana, ma ka pane ana i kekahi maʻi. O ke kumu ho i ka mea i kekahi nā mea palahēhē ka heluna na keena, hiki ke hoʻoulu koko pele i loko o ke kino i ke koko. E like me ka poe akamai, i ka maʻi i aloha ia ka spleen, he pinepine malama i ke kumu o kona nui nui. Naʻe, i kaʻike, "splenomegaly" i loko o pohihihi keia hihia. Ma hope iho o ka hua o ke kino, aole ia e mau olelo e pili ana i kona'āno'ē kulana.

'āno'ē spleen nui

Splenomegaly - He aha ka mea? Uaʻike, ua i ma ka abnormally hoonee aku spleen. Ma keia hihia, no ka hōʻike kino ke kaumaha ma kahi o 500 nā huna, a me kona nui Ana - lauwili mai ka 11 a hiki i 20 mau kenimika. Splenomegaly, ke kumu o ka a mākou e noʻonoʻo lalo, pu ma ke kino kaumaha oi ma mua o 1000 nā huna, a me ka lōʻihi o ka oi ma mua o 20 mau kenimika, ka mea, ua manaoia he nunui a kaumaha. No ka iapaau ana o keia maʻi i ka hoʻomanawanui i Pono adjuvant Inc aʻoki kino.

Splenomegaly: na kumu o ka maʻi

Ua nui kumu o keia pathological kulana. Ka mea, e like me ka pinepine lauwili mai malignant hikoko (Ka maʻi 'aʻai), congestion (a ikaika mahuahua koko) a me nā mea palahēhē o nā hui, mai infiltration i ka hoʻoʻino maʻi a me nā maʻi o ke koko keena.

E noonoo oe i ka loa e like me ka kumu o ka hoonee spleen, i loaʻa ia aʻe e like me:

• koko Ka maʻi 'aʻai (e laʻa me, leukemia, lymphoma paha myelofibrosis);
• maʻi o aeee (e like me spherocytosis, thalassemia a aeea pahikakiwi anaemia) ke koko;
• ake maʻi (e laʻa me, maʻi hepatitis C, cirrhosis ma muli o ka maʻi hepatitis B, hooloihi ae i pono o ka waiʻona, a momoma ake) ;
• hoʻoʻino maʻi (rheumatoid arthritis a me ka lupus erythematosus);
• Gaucher maʻi ( 'ole ka maʻi o ka lipid pūnao);
• 'āno'ē koko a me ka occlusion o na moku koko, aa koko (e laʻa me, splenic aa koko thrombosis, congestive naʻau e hemahema a me blockage o ka nū aa koko);
• idiopathic thrombocytopenic purpura;
• likeʻole nā mea palahēhē (mea koʻohune endocarditis, mononucleosis, kōkua iā ia,, malaria, Leishmania, Mycobacterium, etc. d.).

Splenomegaly: symptoms

E like me ua ikeia, e like me ka haiahū kūmau like splenomegaly,ʻaʻohe kekahi symptoms. Naʻe, i ka loa a pau mawaena o lakou, i vague abdominalʻeha a me ka bloating. A pau o kēia mau hoailona o ka splenomegaly noʻonoʻo nonspecific. It E e kaulana i kekahi kanaka me ka loa hoonee aku spleen pinepine ohumu o kakahiaka satiety a me gastric reflux symptoms.

Ka hope hoailona o ka maʻi ia lŘlŘ aie i ka mea i aie i ka puʻe ma ka abdominal lua o ka'ōpū hoʻomaka e hoʻololi.

Ma nā hihia, na symptoms mea i pili i ka hua o ke kino, i ka mea i kēia:

• po kaheʻana;
• kuni;
• ke kaupaona poho;
• mau nawaliwali;
• pallor;
• oluolu i pēpē;
• luhi.

I ka wa a me ka mea e imi 'inikua kōkua?

Splenomegaly i loko o nā keiki a me nā mākua pono i ka OAXA kilo o ka hoao ana i ka kauka. Naʻe, i kela kanaka i loaʻa i ka pathological ana, ike mai la oia e huli i kekahi kauka. Ma keia manao ia e hoʻomaopopo i ke koho ana o ka akamai hilinaʻi nui kuhikuhi ma luna o nā mea i malama ia e kūkulu i ka maʻi. Penei, e hoomanawanui i keʻano i ka hematologist (kauka i specializes ma ka iapaau ana o ka maʻi koko), oncology (Ka maʻi 'aʻai hikoko hoʻomalu) a me ka gastroenterologist (hoʻomalu liʻiliʻi maʻi, me ake). Ma hope o ka mea hope aku a hiki i ke kauka pono alakai i ka piha 'inikua keia hookolokolo ana, a laila, hāʻawi aku i ka hoʻokō lapaau.

Ke kaumaha ma muli o nā kumu o ka maʻi a hiki i kanaka me iaʻike, e koi kaʻenaʻena hospitalization. Nō kāu, keia ia lŘlŘ ka wā o ka hoʻomanawanui i unbearable abdominalʻeha a me symptoms o ke kahe ana ke koko a me ka maʻiʻaʻai, mea e malama i ka hale malama.

nana

Ma hope o lapaau i ka hoʻomanawanui i ke hoʻomalu i loko o ka wahi mua ua kali ninaninau. E hana i kēia, kauka hana epekema o palpation a me ka percussion. Me kēia mau kiʻina hana ka mea, ho oholo i ka nui o ka spleen. Ma ka maʻamau moku'āina ma kahi o 3% o kanaka i hoopuni palpable kino. Eia naʻe palpable nuipa i loko o ka lima hema ma luna abdomen i e kokoke okoa no i ke kumu, a me ka spleen mea e hoonee aku. I mea no ke aha 'Oihana ke hoʻohana' ia a me nā PalekanaEND_LINK ki ina hana like.

Inā splenomegaly ma palpation iʻaʻole loaʻa, akā, a pau na hoailona hoike ia mea loaʻa, i ka hoʻomanawanui hiki ke hāʻawi i kekahi mau koko hōʻike. I ka papa o kēia noiʻi, kilo'ōlelo manaʻo i ka haku mele, ke kinona, a me ka helu o keʻokeʻo koko keena, platelets a me ka ula koko keena. Mau nā hoailona hiki hoi ia e hoole paha hoʻokūpaʻa i ke alo o ka maʻi.

ʻike, o ka splenomegaly

Inā i ka helu o ka poe akamai i kālailai ma hope o nana, a kau aku la i kanalua i loko o nā hualoaʻa, laila hou pololeiʻike, lawe ultrasound, like hoʻi me kamepiula a me kaʻume mākenēki resonance tomography. Kēia mau kiʻina hana hiki i piha i nā kiʻi o na nā loko, a me keia wahi aku, i ka pololei hooholo i ke alo a kaawale o ka maʻi. It E e hoʻomaopopo pū i kaʻume mākenēki resonance kiʻi mea pakahi aku la ia mana iloko o ka manao paa o splenic aa koko thrombosis paha thrombosis o ka nū.

Kaawale mai na mea e ae a pau, no ka meaʻike, o ia mau maʻi ka hoʻohana radioisotope mahele. He lahui pololei iaoia i mea hiki ke moakāka e hōʻike ana i ka hapa o ka spleen nā'aʻaʻa. Naʻe, ka mea keia hana paʻakikī ia? A loa pipiʻi.

maʻi? ueo

Ke kaumaha ma muli o nā kumu no ia i pathological ke ano o kona mau'āpana hana hiki e okoa. It E e kaulana ia i kēia lā loa pinepine nā mea maʻi e olelo aku nei no keiaʻike, e like me "splenomegaly ake." ʻOiai ka manawa mea,ʻaʻole loaʻoiaʻiʻo, akā, ma ka ike maopopo, hoʻonui o ka spleen ua pinepine pu ma ka hoomahuahua i loko o nā na nā loko. Oia kekahi kumu hiki me ka nui loa worsen i ka hoʻomanawanui ka ana a me kona nohoʻana.

1. Pae lōpū splenomegaly - He aha ka mea? Kēia hoʻonui o ka spleen, a kū aʻela ia i ka hopena o kekahi pathologicalʻike manaʻo, mai kaʻaoʻao.
2. Hepatomegaly - mea heʻano o ka hoʻonui o ke akepaa, a ua hui ia me ka hoomahuahua i loko o ka luna-i oleloia ka mana.
3. Banti maʻi pale - he i ka wā hoʻokahi mahuahua ana a me ka spleen, a me ka akepaʻa.

lapaau ana i ka maʻi

He aha ina ke hoomanawanui diagnosed like "splenomegaly"? Lapaau ana o ka hui, e kauoha ana i ka iniiaiie kumu o ka maʻi. E like me uaʻikeʻia, i kēia maʻi mea he kīnā o kekahi maʻi. It E e kaulana no hoi i ka hoonee spleen mea i pono, e hana like loa me ka hoʻomanawanui i ka ke kino, aole ia e hoʻomōhala loa hypersplenism.

Pinepine ma laua me ka lapaau ana i ka nń ku maʻi hoʻomalu lawe mai i ka moʻo o ana, e hoʻoikaika i ka ano o ke ahonui, a me ka hana o ka splenomegaly. Oia kaʻina hana e loaʻa i ke kēia:

• leukocyte transfusions ke kaupaona;
• platelet transfusions;
• glucocorticoid lapaau o ka hoʻomanawanui (ka mea ia lāʻau "prednisolone" i loko o ka nui o 20-40 mg kela la i keia no 4-6 mahina);
• wehe i ke hoonee aku i ke kino a me ka splenectomy.

ʻoki lāʻau lapaʻau 'uao

Splenectomy hana ma ka hoʻomaluʻano pohihihi keia. E like me ka rula, e like me ka hana nona ka paioʻana nui ka maʻi. Nō kāu splenectomy hana ma ia pathological aku ana e like me thalassemia, splenic aa koko occlusion, Gaucher ka maʻi, a me ka leukemia. e wehe i ka hooakea aku spleen hoʻoholo 'ua i ia e ke kahuna lapaau e pono pākahi no kēlā me kēia hoʻomanawanui. Ua hilinaʻi nui ma luna o ka pilikia, a me ka ia paha kamepiula a hiki i ka hoʻomanawanui ka ola. Hope i ka ikaika hui, pōʻino hiki i hoʻomaka ai splenic rupture, a makemake entail i na hemorrhage. Ma ke alanui, no keia mea, e hoomanawanui i ka poe i diagnosed me "splenomegaly" pololei ole e komo i loko o haʻuki a me kekahi physical hana.

He aha Hoʻoweliweli 'o ia i ka wehe' ana o ka spleen?

I ka wa e kaawale aku o keia kino, a no laila,-kapa asplenia, hoakaka nui kiekie pilikia o ka maʻiʻaʻai me ka meaola ma kekahi ola-hooweliweli nā mea hoʻomaʻi, i loaʻa ka mea kēia: Neisseria meningitidis, Hemophilus influenzae a me Streptococcus pneumoniae. Ia mea ke kumu ma hope o ka hana o ka splenectomy E manawa e vaccinated e kū'ē i nā mea a pau o kēia mau koʻohune.

ke ola

Splenomegaly iho ka maʻi. Ma hope o nā mea a pau, e mea wale nō ke spleen pane i kekahi'ē aʻe mai i loko o ke kanaka kino. I anemia, ka hoʻomanawanui ua kuhikuhi ku una hao a me ka arsenic. Inā keia haiahū kūmau ua pu ma ka thrombocytopenia a me ka leukopenia, kauka wehe i ka wela ai hui. It E e kaulana ia ma hope o ka hana o ka hoʻomanawanui koke ia mea ulu i loko o ka helu ana o platelets a me leukocytes, mae na hoailona o ka hemorrhagic diathesis, i ka hoʻomanawanui kō nunui i ke kaumaha a me ka hoonui ae i kona mau kulana. Inā he teenager me keiaʻike, ua he kali hou aku i loko o ka ulu, ma hope o splenectomy, a pau ke hele mai hoʻi i ka maʻamau. Inā ma ka manawa o keʻoki kino, i ka hoʻomanawanui i ole depletion o ke kino, a me ka mea i malama i loli ma na nā loko, a iwi, a laila ka mea, e aho koke aku i loko o ke kala.

e hōʻuluʻulu

Ma mau, e like me kaʻike, mea splenomegalyʻaʻole like pilikia me ka mea o ka nń ku maʻi. It E e kaulana ia mea, ua nui na hihia i loko o ke kālā no 'inikua hana, a hiki i ka wā nui ho'ākea spleen hoike i kona maʻamau nui ma hope o ka hoʻohui pū' ia Inc o ka nń ku maʻi. ʻO kekahi kumu ku pono ana i ka mea i na kanawai PalekanaEND_LINK ki ina hana like ae e koke kuhikuhi i ke kumu oiaio o ka splenomegaly, a hoʻomaka kona piha-me ka unahiʻole lapaau.