Kana iwe uine hutachiona hwehutachiona uye uchitumirwa kune hematologist, unganetseka kuti nei chiremba weropa ane hanya nechinetso chako cheropa. Vanhu vane chirwere chekuwedzera kwehutachiona vanowedzera kukurudzira kuwedzerwa kweropa mune imwe yemakumbo emasuo (mitsipa inodurura ropa kubva pamatomu emimba). Izvi zvakaramba zvichidzivirira kubuda kweropa zvinowanzova zvisina zviratidzo kusvikira zvinetso zvaitika.
Izvi zvinetso zvinosanganisira splenomegaly, kuwedzera kwepleen. Splenomegaly kazhinji haina zviratidzo zvakananga. Vanhu vane splenomegaly vanogona kurondedzera kuzadza kumimba, zvikurukuru kuruboshwe rwesimba. Vanogonawo kunyunyutira kuti vanonzwa vakaguta mushure mekudya zvokudya zvishoma chete. Izvi zvinokonzerwa nehuwandu hwepleen huchidzvinyirira mudumbu.
Splenomegaly inogona kunzwika paunongororwa nachiremba wako asi kana zvichidiwa ultrasound inogona kusimbisa kuongororwa.
The Spleen uye Blood Counts
Iyo splenomegaly muhutachiona hwehutachiona inogona kukonzera kuderera kweropa. Imwe yebasa repleen ndeyekusvina yese masero eropa kuitira kuti kukwegura kana kuparadza masero eropa kunogona kubviswa kubva pakuparadzirwa. Saka panguva ipi neipi imwe nhamba yemasero matsvuku eropa, masero eropa, uye maplatelets ari mumuviri wepleen.
Sezvo chirwere chinowedzera, mamwe emasero aya akabatanidzwa mupleen.
Uyezve, izvi zvinogona kutungamirira kubviswa kwemasero eropa nekukurumidza kudarika zvakajairika. Izvi zvinogona kukonzera kupera ropa (nhamba shoma yemasero matsvuku eropa), thrombocytopenia (yakaderera nhamba yemaplatelets), uye leukopenia (yakaderera nhamba yemasero machena eropa).
Iko kushandurwa kunowanzowanikwa panguva yebasa rega rega iro rinosanganisira ropa rakazara (CBC).
Nenzira yakawanda, chiyero cheanemia, thrombocytopenia, uye / kana leukopenia inoonekwa inononoka kuenzanisa nezviratidzo zvishoma. Haasi yose mitatu yemasero eropa inofanira kuchinjwa. Uyezve, kuoma kwacho kwakagadzirirwa zvishoma nechimiro chepleen. Sezvo uwandu hwepeni hunowedzera, ropa rinogona kuenderera mberi kana kuti zvishoma, kuverenga kweropa kunogona kuwedzera kana chirwere chinoderera pakukura.
Inorapwa Inodiwa Here?
Kuoma kweanemia / thrombocytopenia / leukopenia inosarudza kana iwe unofanirwa kurapwa kana kwete. Nenzira yakanaka, vanhu vazhinji chete vanongova nokuchinja kwakanyanyisa muhuwandu hweropa uye havadi kurapwa.
Kurapa kwehutachiona hwehutachiona pachako pachako kunogona kuwedzera kuwedzerwa ropa. Kana kuchinja kuri kwakanyanya, splenectomy (kubvisa kushandiswa kwepleen) inogona kukurudzirwa. Kusarudza kana iwe uchida splenectomy inofanira kuyerwa zvakaringana nezvisungo zvekurapa uku , kunyanya kuwedzerwa njodzi yehuputi (hutachiona hwehutachiona hweropa).
Kana iwe uine chirwere chinonzi splenectomy, zvinokosha kuti iwe ugororwe nemaBhakitiriya ayo anonyanya kukonzera kutapurika uku: Streptococcus pneumoniae , Neisseria meningitidis , uye Haemophilus influenzae rudzi b (kwete kuti irege kuvhiringidzika neine inowanzozivikanwa nehutachiona hwehutachiona).
Kuti kuwedzere kugadzirisa majekiseni aya, vanofanirwa kupiwa kwemazuva gumi nemasere vasati vasvika kune splenectomy. Kana chirwere chacho chiri kukurumidza uye zvirwere hazvikwanisi kupiwa kare, zvinogona kutarisirwa musi we14 mushure mekushandisa.
Mushure mekunge, iwe unogona kuiswa pa penicillin kwechinguva chegore, dzimwe nguva nokusingaperi. Zvose mapepa zvinoda kurapwa kwechiremba kutonga kunze kwehutachiona hwehutachiona. Nenzira, majekiseni akadzikisa mikana yezvirwere izvi.
Shoko Rinobva
Kunzwa kuti nhengo yako yepamusoro yehutachiona uye splenomegaly yakakonzera kuti iwe uine dambudziko rekushaya ropa rinokurudzira iwe.
Nenzira yakanaka, nguva yakawanda yenguva idzi shanduko hadzina kudarika uye haitore kurapwa. Kukurukurirana nezvekunetseka kwako neboka rako rezvechiremba kunogona kubatsira kubvisa kuzvidya mwoyo kwako pamusoro pezvinetso izvi.
> Sources:
> Schrier SL. Nzira kumunhu murefu ane chirwere cheplenomegaly nedzimwe zvirwere zveplenic, Extrinsic nonimmune hemolytic anemia nekuda kwekugadzirisa mitambo: Kupatsanurwa hemolysis uye hypersplenism. Mu: UpToDate, Post TW (Ed), UpToDate, Waltham, MA.
> McClain KL. Nzira kumwana ane pete yakakura. Mu: UpToDate, Post TW (Ed), UpToDate, Waltham, MA.