Splenomegaly: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo
Zamkati
Splenomegaly imakhala ndi kukula kwakukula kwa ndulu komwe kumatha kuyambitsidwa ndi matenda angapo ndipo kumafunikira chithandizo kuti tipewe kuphulika komwe kungachitike, kuti tipewe kutayika kwa magazi komwe kumatha kupha.
Ntchito ya ndulu ndikuwongolera, kutulutsa ndikusunga ma cell amwazi ndikuwononga ma cell amwazi, komabe chifukwa chakutha kusunga maselo amwazi, mu splenomegaly, magwiridwe antchito a chiwalo ichi amakhudzidwa ndipo kuchuluka kwa ma cell amwazi kumachepa kuyambitsa kuchepa magazi m'thupi, matenda opatsirana pafupipafupi komanso zovuta zamagazi.
Zizindikiro zake ndi ziti
Splenomegaly imatha kutsagana ndi zizindikiro zotsatirazi:
- Mikwingwirima;
- Kutuluka magazi m'matumbo, monga m'mphuno ndi m'kamwa;
- Kusowa magazi;
- Kutopa;
- Kuchuluka kwa matenda;
- Kulephera kudya chakudya chachikulu;
- Zowawa kumtunda chakumanzere kwa pamimba zomwe zimawonjezeka mukamapuma kwambiri.
Pamaso pazizindikirozi komanso ngati ululu ukulu kwambiri, muyenera kupita mwachangu kwa dokotala.
Zomwe zingayambitse
Zomwe zimatha kubweretsa kukulira kwa nthata ndi matenda amtundu wa ma virus, monga mononucleosis, matenda a bakiteriya monga syphilis kapena endocarditis, kapena matenda opatsirana monga malungo kapena kala azar, mwachitsanzo.
Kuphatikiza apo, splenomegaly amathanso kuyambitsidwa ndi chiwindi ndi matenda ena omwe amakhudza chiwindi, mitundu ingapo ya kuchepa kwa magazi m'thupi, khansa yamagazi, monga leukemia kapena lymphoma, zovuta zama metabolic, kuthamanga kwa magazi kapena zotsekemera zamagazi m'mitsempha ya ndulu.
Ziwopsezo zake ndi ziti
Splenomegaly itha kubweretsa zovuta chifukwa cha kuchepa kwa maselo ofiira, maselo oyera am'magazi ndi ma platelets m'magazi omwe amapangitsa kuti thupi lizitha kutenga matenda, kuchepa magazi komanso magazi.
Kuphatikiza apo, kutha kwa ndulu kumathanso kuchitika, chifukwa ikakulitsidwa imakhalanso yofooka komanso yovuta.
Momwe mankhwalawa amachitikira
Splenomegaly imachiritsidwa ndipo chithandizo choyenera cha splenomegaly chimadalira chifukwa chomwe chimayambira. Chifukwa chake, pamaso pa matenda, chithandizo chimaphatikizapo kugwiritsa ntchito mankhwala othandizira, monga maantibayotiki, ma antivirals kapena antiparasitic. Mwachitsanzo, matenda a khansa ya m'mimba ndi magazi, komwe mankhwala amakhala ataliatali, splenomegaly imayendetsedwa ndipo choyambirira ndichachiritso matendawa.
Pazovuta kwambiri, pomwe ndulu yotukuka imayambitsa zovuta zazikulu kapena chifukwa chake sichingazindikiridwe kapena kuthandizidwa, kungakhale kofunikira kuchotsa nduluyo kudzera mu opaleshoni, popeza ndizotheka kukhala athanzi popanda chiwalo ichi, chiopsezo Matenda atha kuwonjezeka.