Zvichida wakanzwa nezvomunhu ane chirwere chakakudzwa paainge aine utachiona hwemono, kana kuti imwe yevamwe shamwari dzako yakakuvadza spleen yavo mumatambudziko emotokari. Vanhu vazhinji, zvisinei, havatombozivi kuti iri kupi.
Tsora yako iri munzvimbo yepamusoro yeboshwe yebamu rako. Dumbu uye imwe mugumo we pancreas (inonzi muswe) iri pedyo zvikuru nayo.
Kazhinji, chirwere chacho hachikwanisi kunzwika pamubvunzo, sezvo chakasvibira pasi pebhiriji. Zvisinei, kana spleen yako ichikura, inonzi splenomegaly, chiremba wako (kana iwe) anogona kukwanisa kunzwa.
Wako Spleen Anoitei?
Iyo spleen inhengo inokosha ine mabasa akawanda. Inonzi inhengo ye lymphatic system inosanganisira lymph nodes, tonsils, uye adenoids. Basa rayo guru nderokubvisa "junk" kubva muropa.
Iyo spleen yakafanana yakafanana nesiponji ine zvakawanda zviduku zviduku mairi (zvinonzi sinusoids). Yese yeropa redu inosvibiswa nekatete. Imwe yemabasa ayo ndeyekubvisa mabhakitiriya kubva muropa. Kunyanya, chirwere chakakosha pakubvisa izvo zvinonzi mabhakitiriya akachengetwa kubva muropa. Kana chirwere chisina kushanda zvakanaka kana chinofanira kubviswa chirwere, iwe uri pangozi yakawanda yehutachiona kubva kune mabhakitiriya aya.
Iyo spleen ndiyo nzvimbo iyo masero eropa akaratidzirwa kuparadzwa nemusununguko wemuviri anobviswa.
Izvi zvinoitika mumamiriro ezvinhu se autoimmune hemolytic anemia (masero matsvuku eropa) uye immune thrombocytopenia (platelets).
Nyoka yacho inoongororawo kunaka kwemasero edu matsvuku eropa. Kana sero rvuku reropa riri pedyo nekuguma kweupenyu hwayo kana kuti haikwanise kudarika nenzira yeropa nenzira yakakodzera, chirwere chacho chinochibvisa kubva pakuparadzirwa.
Uyewo kana pane zvinhu zviri mumasero matsvuku eropa izvo zvisingafaniri kunge zviripo, spleen inogona kubvisa zvinhu izvi.
Ndezvipi Zvokurapa Mamiriro Ezvinhu Anobatsira The Spleen?
Iyo spleen inogona kugadziriswa nehutano hwakawanda; ngationgororei zvishoma:
- Chirwere chechirwere chirwere : Muchirwere chechirwere chetachiona, masero matsvuku eropa haana kukwanisika uye anokwanisa kubatwa muchero, zvichiita kuti chirwere chiwedzere. Sezvo akawanda uye akawanda masero matsvuku eropa akabatanidzwa mu spleen, inowedzera uye yakawanda. Iko kunonzi "splenic sequestration crisis" uye kunogona kukonzera chirwere chemuviri chinogona kudirwa kuwedzerwa ropa. Kusvikwa masero matsvuku eropa kunokanganisa maronda epepleen, zvinotungamirira kune spleen isingagoni kushanda zvakanaka. Ichi ndicho chikonzero vanhu vane sickle cell chirwere vari pangozi yekutapukirwa.
- Thalassemia : Pakutanga mukugadzirwa (asati aberekwa), chirwere chacho chinokonzera kugadzira masero eropa. MuThalassemia, marrow bone ane dambudziko rokuita masero matsvuku eropa, saka spleen inowedzera mukuedza kubereka mamwe masero matsvuku eropa.
- Hereditary spherocytosis : Muhedheni spherocytosis, masero matsvuku eropa ane chimiro chisina kujairika uye anobata muchero. Izvi zvingaguma ne splenomegaly. Uyezve, nekuda kwechimiro chisina kujairika, vanobviswa nguva isati yasvika ne spleen. Mune vamwe varwere vane chirwere chakanyanya kuora ropa, kubviswa kwepleen kungave kurapa kunorumbidzwa.
- Zvirwere: Hazvisi zvisinganzwisisiki muhutachiona hwehutachiona hwepleen kuti dziwedzere. Izvi zvakafanana kana apo lymph nodes mumutsipa wako yakawedzerwa panguva yekurwara. Chirwere chinowanzobatanidzwa nekuwedzera kwepleen "mono" kana kuti mononucleosis, inokonzerwa ne Epstein Barr virus. Uyezve, kunze kweUnited States, marariya ndiyo chikonzero chikuru cheplenomegaly.
- Kanzira: Tsanga inonzi inonzi lymph chiremera, uye inogona kubatanidzwa mumakirini (kenza ye lymphatic system). Inogonawo kuwedzerwa muuropaemia, kenza yemasero machena eropa.
- Myeloproliferative neoplasms : Vanhu vane myelofibrosis yekutanga kana polycythemia vera vanowanzova splenomegaly sechikamu chemamiriro avo.
- Pachirwere cheupfungwa : Muhutachiona hwehutachiona, ropa haigoni kutenderera nyore nyore kubva pane chirwere kusvika muchiropa, zvichiita kubatwa kweropa mumutsara unobereka splenomegaly.
- Kutambudza: Trauma kune spleen, sezvinogona kuonekwa mumatambudziko emotokari, inogona kukuvadza kana kudzvora spleen.
- Zvinokonzera kuvhiringidzika: Mamiriro ekuvhiringidza akaita sarumatoid arthritis, lupus, uye sarcoidosis inogona kukonzera kupera mu spleen inoita kuti splenomegaly.
Unogona Sei Kurarama Pasina Pamba Yako?
Pasinei nekukosha kwebasa, iwe unogona kurarama usina imwe. Mune dzimwe mamiriro ezvehutano, kubviswa kushandiswa kwepleen (splenectomy) kunogona kuva kurapwa kwesarudzo. Mushure mokunge splenectomy, iwe uri pangozi yakakura yekutapukirwa kwebhakitiriya. Iyi njodzi inogona kuderedzwa nemishonga uye kuongororwa kwezvehutano kana iwe uine chirwere. Kana chirwere ichibviswa, chiropa chinogona kutora kubvisa kukwegura kana masero matsvuku eropa. Mabatsiro uye njodzi dze splenectomy dzinofanira kukurukurwa pamwe nemupi wako wehutano wehutano asati asvika.
Shoko Rinobva
Iyo spleen chikamu chinokosha nemabasa akawanda. Splenomegaly, kuwedzera kwepleen, kazhinji chiratidzo chemwe humwe hwehutano. Kazhinji, inorapwa nekubata mamiriro ezvinhu. Kunyange zvazvo splenectomy inogona kuva kurapa kunobatsira mune zvakawanda zvezvipatara, haisi nguva dzose inodiwa. Kana splenectomy yakakurudzirwa, ona kuti iwe unokurukura nachiremba wako zvikonzero nei iwe uchifanira kuve nekuvhiyiwa uku uye izvo zvinogona kuipa. Pakuguma, vanhu vazhinji vanogara hupenyu hwakakwana uye hune hutano kunze kwekufamba kwavo.
> Sources:
> Schrier SL. (2017). Nzira kumunhu mukuru ane chirwere cheplenomeagaly nedzimwe zvirwere zveplenic. Mu TW Post, WC Mentzer naJS Tirnauer (eds.) UpToDate .
> McClain KL. (2017). Nzira kumwana ane pete yakakura. Mu TW Post, DH Mahoney, uye C Armbsy (eds.) UpToDate .