Splenomegaly - he aha te mea te reira? Tohu, take, maimoatanga o splenomegaly

Splenomegaly - he aha te mea te reira? Ko te whakahoki ki te pātai, te tiki koe i te iti o raro. I tua atu, ka matapaki i tatou he aha i puta i tenei mate, he aha ona tohu e, te tukanga o te te tātaritanga me te maimoatanga.

Overview

Splenomegaly - he aha te mea te reira? I roto i te mahi haumanu, tuku tenei wā ki te mate, āhuatanga nei i te te whakarahi nui o te kōateate. Tikanga, tenei puta ina he wāhi i roto i te tukanga pathological i te waho te māngai o te tinana. Heoi, kia tuhia te reira e taea te taimaha o te kōateate, ara i roto i te āhua noa kia nui rahi (2-puninga) atu i roto i tetahi atu okana. Ko Ko te aha te paepae i ai te hua o te tinana whakaaro te splenomegaly, tonu herenga. Na, i roto i te āhua tonu o te taimaha o te pakeke kōateate ko e pā ana ki 100-150 g runga palpation tinana hauora kore e nui 7 cm (whanganga hauroki). Ko te tātaritanga o "splenomegaly kōateate" hoatu tino onge. tupu tenei i raro i te tikanga e whai ake nei:

• ki te nui te rahi tinana uara mea;
• Ki te pakeke, splenic ohoreretia kaha;
• Ki te he mārama detectable i palpation te kōateate.

Ko te tūranga o te kōateate i roto i te tinana tangata

Splenomegaly - he aha te mea te reira? Ko te whakahoki ki te pātai kua matou whakaaro i runga. Ko te kōateate Ko te okana nui o te pūnaha ārai mate. Ka rite ki mohiotia te, kua reira fasoleobraznuyu te hanga me te kei i roto i te wahi maui o runga o te puku - ranei, kaua i raro i te HWM. Ko te kupu piko kōateate te i waenganui i te 9 me te rara 11. I roto i te pakeke te tinana tangata hauora kanohi e ata e pā ana ki 150 karamu. hipokina te reira i te wahi i roto i te kōhao puku ine āhua 11 henimita i te aronga poutū.

kōateate

tinana Vauvauhia whai wāhi faufaa i roto i te tinana tangata. Tona mahi, ko te ki te whakakore i te kaiao ke huakita ranei i te tohanga, me te ki te whakawhanake i paturopi mo te pūnaha ārai mate, me te tango i te pūtau toto rerekē.

Me kï reira e kia whakapiki ake i te kōateate i roto i te rahi noa, ka mahi i te reira ona mahi noa, i roto i te whakautu ki tetahi mate. Ko e tika ana ki te meka i etahi mate e pa ana i te pūtau toto, nehenehe o te whakanui ake i te rere toto i roto i te tinana tenei. E ai ki ngā tohunga, te mate e pā te kōateate, mahi tino maha te take o tona rahi nui. Heoi, ko te tātaritanga "splenomegaly" hoatu i roto i te wā onge. I muri i te hua o te tinana e kore e korero tonu e pā ana ki tona huru rerekē.

rahi kōateate rerekē

Splenomegaly - he aha te mea te reira? hanga ana tēnei tātaritanga te i te tomuri kōateate rahi. I roto i tenei take, ka taea e te tinana whakaaturia paunatia e pā ana ki 500 karamu, me ona taha nui - rerekē i 11 ki te 20 henimita. Splenomegaly, nga take o nei e whakaaro tatou i raro, haere tahi e te taimaha tinana neke atu i 1000 karamu, me te roa o neke atu i te 20 henimita, kua whakaaro reira he nui, me te taimaha. Hoki te maimoatanga o tenei mate kia hiahia te manawanui therapy adjuvant noa tafa ranei.

Splenomegaly: te take o te mate

He maha take o tenei huru pathological. He kanorau ratou, a maha rerekē i te pukupuku mārere (pukupuku), popoketanga (kaha rere te toto hua ranei) me mate o te tahi atu okana mate kookuhutanga ki mate inflammatory me mate o ngā pūtau toto.

A feruri i te take te nuinga noa o kōateate rahi, e ngā taua āhuatanga rite:

• toto pukupuku (hei tauira, kanisā, lymphoma myelofibrosis ranei);
• mate o ngā pūtau toto (pērā i spherocytosis, thalassemia toronaihi anemia pūtau ranei);
• mate ate (hei tauira, kakā C, cirrhosis tika ki kakā B, te whakamahi roa o te waipiro me te fatty ate) ;
• mate inflammatory (kaikōiwi me lupus erythematosus);
• mate Gaucher (ranei te mate o te lipid pākia);
• rere rerekē toto me te occlusion o oko toto, uaua (hei tauira, splenic Thrombosis rua, kore ngakau congestive me blockage o te rua tomokanga);
• te purapura thrombocytopenic idiopathic;
• ngā mate (endocarditis kitakita, mononucleosis, AIDS, malaria, Leishmania, Mycobacterium, etc. d.).

Splenomegaly: tohu

Ka rite ki mohiotia te, he ine pērā i splenomegaly, e kore tohu motuhake. Heoi, ko te tino noa i roto ia ratou he nuinga ki mamae puku, me te bloating. whakaaro nonspecific katoa o enei tohu o splenomegaly. Me kï reira e maha amuamu te tahi mau iwi ki kōateate nui rahi o te makona wawe me tohu Reflux pekitīlia.

Ko te tohu whakamutunga o te mate puta tika ki te meka e tika ana ki te pēhanga ki runga i te kōhao puku o te kopu tīmata ki te hūnuku.

I roto i te tahi atu te wā, nga tohu e kua e pā ana ki te hua o te tinana, ko te whai ake:

• sweats te po;
• kirika;
• mate taimaha;
• ngoikore whānui;
• ataahua;
• ngāwari bruising;
• ngenge.

A, no te a ki nei ki te rapu i tauturu a te taote?

Splenomegaly i roto i ngā tamariki me ngā pakeke titau te mātakitaki whakahauanga o te rata mātanga. Heoi, e kore te tangata katoa e he tu'unga pathological, e mohio ana kia tahuri ia ki tetahi tākuta. I roto i tenei whakaaro kia tuhia te reira e te pai rawa o te tohunga tei matua i runga i te mea kua mahi ki te whakawhanake i te mate. Ko te kupu, kia kōrero tūroro ki te hematologist (tākuta e tohunga ana i roto i te maimoatanga o mate toto), matepukupuku (pukupuku mate pukupuku mātanga) me te gastroenterologist (mātanga mate whēkau, tae atu ki ate). I muri i te haerenga whakamutunga ki te tākuta me whakahaere i te whakamātautau ki tonu i hauora, me te ka tautapa te maimoatanga whai hua.

Tei runga i te take o te mate ki te iwi ki tenei tātaritanga kia rapua e hohipera akiaki. Tikanga, tenei puta ina kua fuu mamae puku, me tohu o te toto, me te mate i te manawanui, e kore e ngohengohe ki te tiaki kāinga.

tirohanga

I muri maimoatanga te te manawanui ki te tohunga i roto i te wahi tuatahi tatari whakamātautau. Ki te mahi i tenei, te whakamahi i kaiwhakaako tikanga o palpation me percussion. Ki enei tikanga whakatau ratou te rahi o te kōateate. I roto i te āhua noa e pā ana ki 3% o te iwi i te tinana ngāwari nga korero. Heoi kia papatipu nga korero i roto i te puku o runga mahue kia tino rerekē e tika ana ki te take, a kahore e whakanui kōateate. Ko te aha ngaio whakamahi me ētahi atu tikanga tātaritanga.

Ki te kahore i kitea splenomegaly runga palpation, engari tohu tohu katoa ko reira e wātea ana, e taea te whakaritea te manawanui ki te whakamātautau toto noa. I roto i te akoranga o tenei rangahau, tata tohunga te hanganga, te āhua, me te maha o ngā pūtau toto ma, platelets me ngā pūtau toto whero. kia hoki whakakahore enei tohu whakaū i te aroaro o te mate ranei.

tātaritanga o te splenomegaly

Ki te te maha o ngā tohunga tātari i muri i te tirohanga, me te maka ana feaa i roto i te hua, ka kawea tātaritanga tika atu ultrasound, me te rorohiko me te tomography te kōwarotanga autō. Ka taea e ēnei tikanga whakarato whakapakoko taipitopito o whekau, me i konei, ki tika te whakatau i te aroaro ngaro ranei o te mate. Me mahara hoki käore te reira e te mea tino whai hua i roto i te faaotiraa o te Thrombosis rua splenic Thrombosis o te tomokanga ranei te atahanga te kōwarotanga autō.

I tua atu i nga etahi katoa, mo te tātaritanga o taua mate te whakamahi i ako ehu iratuke. Tenei tikanga tino tika i te mea e taea ki te mārama te tāutu i te wahi o nga kopa kōateate. Heoi, ko te tikanga hakari uaua ki te whakatinana me te tino utu.

momo mate

Tei runga i te take mo te taua huru pathological o tona maimoatanga e taea e rerekē. Me kï reira e teie mahana rawa pinepine tūroro mea e pā ana ki tenei tātaritanga rite "ate splenomegaly." Ahakoa kore te mea katoa pono te wā, engari i roto i te hono mo'oní, ko maha haere tahi whakarahi o te kōateate i te hua i roto i te tahi atu whekau. tino taea te tauira taua kē huru o te manawanui, me tona maimoatanga.

1. splenomegaly āhua - he aha te mea te reira? Tenei whakarahi o te kōateate, i whakatika rite ki te hua o tetahi ari pathological i te taha.
2. Hepatomegaly - Ko te ahua o te whakarahi o te ate, ngā nei ki te hua i roto i te mana i runga ake-whakahuatia.
3. Banti syndrome - he hua tukutahi, me te kōateate, me ate.

maimoatanga o te mate

He aha te ki te pāngia te manawanui rite "splenomegaly"? kia whakahaua maimoatanga o te okana ki te take tuatahi o te mate. Ka rite ki mohiotia te, tenei mate ko te faaiteraa o tetahi mate. Me mahara hoki käore te reira e te kōateate rahi he kore hiahia ki te hamani rite te roa rite kore e te tinana o te manawanui whakawhanake hypersplenism nui.

E mea pinepine i roto i te whakarara ki te maimoatanga o te tohunga mate whāriki kawe i te raupapa o mehua ki te whakapai ake i te huru o te manawanui me te maimoatanga o te splenomegaly. kia ngā taua ngā tukanga i te whai ake:

• huhu leukocyte taimaha;
• huhu mōtepe;
• maimoatanga glucocorticoid o te manawanui (te faataahia tarukino "prednisolone" i roto i te nui o 20-40 mg ia mo 4-6 marama);
• te tango i te tinana rahi splenectomy ranei.

wawaotanga hāparapara

Splenectomy whakamana e mātanga kaua onge. Ka rite ki te tikanga, e hāngai ana te mahi taua i tohe nui mate. Tikanga splenectomy whakamana i taua tikanga pathological pērā i thalassemia, occlusion rua splenic, mate a Gaucher, me kanisā. ki te tango i te whakatau kōateate rahi e hanga e te rata takitahi mo ia manawanui. Tei te reira i runga i te āhuatanga me te tūpono pea ki te ora o te manawanui. I muri i te kino okana kaha e taea puta whaturama splenic, e titauhia i te toto ā-. E te ara, hoki tenei take, tūroro e pāngia ki "splenomegaly" tino rāhuitia ki te whai wāhi i roto i hākinakina me tetahi mahi tinana.

He aha fakamanamana'i te tango o te kōateate?

Ko te ngaro o tenei tinana, pera-ka karanga asplenia ranei, whakarato mōrea nui teitei o mate ki te kaiao e te tahi mau wheori ora-whakawehi, e ngā te whai ake: Neisseria meningitidis, Hemophilus influenzae ko streptococcus pneumoniae. Ko Ko te aha i muri i te mahi o te splenectomy kia tonu kia werohia ki te katoa o enei huakita.

whakaora

Splenomegaly iho e kore e mahu. I muri i te katoa, ko reira anake te whakautu kōateate ki tetahi atu mate i roto i te tinana tangata. I roto i te anemia, whakaritea te manawanui te rino-waha, me te ateneke. Ki te haere tahi tenei ine e thrombocytopenia me leukopenia, tango kaiwhakaako te okana matia. Me kï reira e muri i te mahi tohua tonu te manawanui hua i roto i te maha o platelets me leukocytes, memeha tohu o hemorrhagic diathesis, tāpiri tino te manawanui ki te taimaha, me te whakapai ake i tona huru whānui. Ki te he taiohi ki tenei tātaritanga reira ko he roa i roto i te tupu, i muri i splenectomy, katoa mai hoki ki noa. Ki te i te wa o te pokanga, ko te manawanui kahore kēkeno o te tinana, a kahore e kitea huringa i roto i te okana, me wheua, ka reira kaua hohoro ki te murunga.

Hei whakarāpopoto

I roto i te whānui, he splenomegaly he tātaritanga taua e kore e rite kino rite ko reira te mate whāriki. Me kï reira e he maha take i roto i te mahi hauora hou, ara, no te nui whakanui hoki kōateate ki tona rahi noa i muri i te therapy ngā o te mate whāriki. Ko tetahi wahi e tika ana ki te meka e tukua nga tikanga tātaritanga ngā ki te tautuhi i hohoro te take pono o te splenomegaly me te tīmata i tona maimoatanga tauine-tonu tenei.