A splenectomy ndiko kuvhiyiwa kubvisa spleen uye vamwe varwere vane lymphoma vangada splenectomy? Tinogona kurarama pasina spleen zvisinei, pasina spleen, muviri haukwanisi kurwisa zvirwere. Pasina spleen, matanho ekuzvidzivirira anodiwa kuderedza njodzi yekubatwa nehutachiona.
Chii chinonzi spleen?
Tsvina inhengo yakaita sechibhakera, yakaomarara ine ruvara rwepepuru, uye inorema magiramu zana nemakumi manomwe muvanhu vane hutano. Inowanikwa kuseri kwembabvu, pasi pe diaphragm, uye kumusoro uye kuseri kwedumbu kuruboshwe-kuruboshwe rwemuviri.
Iyo spleen inotamba akawanda anotsigira mabasa mumuviri anosanganisira:
- Inoshanda sesefa yeropa sechikamu chekudzivirira kwemuviri
- Masero matsvuku eropa akare anodzokororwa muspleen
- Inogadzira masoja ekudzivirira chirwere
- Maplatelets nemasero machena eropa anochengetwa muspleen
- Kuchengeta rimwe ropa kana risingadiwi
- Iyo spleen inobatsirawo kurwisa mamwe marudzi ebhakitiriya anokonzera mabayo uye meningitis
Zviratidzo zvespleen yakakura
Zviratidzo zvinowanzouya zvishoma nezvishoma uye dzimwe nguva zvinogona kutanga kusajeka kusvika zvanyanya. Zviratidzo zvinosanganisira:
- Marwadzo kana pfungwa yekuzara kuruboshwe kwedumbu rako
- Kunzwa kuguta mushure mekudya
- Kuneta
- Kupfupika kwemhepo
- Kakawanda zvirwere
- Kubuda ropa kana kupwanya zviri nyore pane zvakajairwa
- Anemia
- Jaundice
Lymphoma uye spleen
Lymphoma inogona kukanganisa spleen yako nenzira dzakawanda uye inosanganisira:
- Masero eLymphoma anogona kuungana mukati mespleen inoita kuti iwedzere kana kukura. Dzimwe nguva spleen yakakura inogona kunge iri chiratidzo chete chokuti mumwe munhu ane lymphoma. Spleen yakakura inonziwo splenomegaly. Splenomegaly inogona kuitika mumhando dzinoverengeka dze lymphoma dzinosanganisira:
- Hodgkin's lymphoma
- Chronic lymphocytic leukemia
- Kuparadzira hombe B-cell lymphoma
- Mantle cell lymphoma
- Hary cell leukemia
- Splenic marginal zone lymphoma
- Waldenstroms macroglobulinemia
- Lymphoma zvakare inogona kuita kuti spleen ishande nesimba kupfuura zvakajairika uye spleen inogona kukonzera autoimmune. hemolytic anemia or immune thrombocytopenia. Iyo spleen ipapo inofanirwa kushanda nesimba kuti iparadze masero matsvuku eropa kana maplatelet akavharwa nemasoja. Kana lymphoma iri mumapfupa emapfupa, spleen inogona kuedza kubatsira kugadzira masero matsva eropa. Kana spleen ikashanda nesimba, inogona kuzvimba.
- Kana spleen yakazvimba, masero matsvuku eropa akawanda uye maplatelet anokwana mukati maro. Inobvisawo masero matsvuku eropa uye maplatelet muropa nokukurumidza kupfuura zvazvinofanira kuita. Izvi zvinoderedza huwandu hwemasero aya muropa uye zvinogona kukonzera anemia (yakaderera masero matsvuku eropa) kana thrombocytopenia (yakaderera platelet count). Zviratidzo izvi zvichawedzera kana iwe uchitova nazvo.
Chii chinonzi splenectomy?
A splenectomy inzira yekuvhiya inobvisa spleen. Kubvisa chikamu chespleen kunonzi partial splenectomy. Kubvisa spleen yese inonzi total splenectomy.
The oparesheni inogona kuitwa kana se laparoscopic oparesheni (keyhole oparesheni) kana kuvhiyiwa pachena. Kuvhiya kwese kunoitwa pasi peanesthetic.
Kuvhiya kwepaparoscopic
Kuvhiyiwa kweLaparoscopic hakunyanyi kukuvadza pane kuvhiyiwa pachena. Chiremba anoita 3 kana 4 incisions mudumbu uye laparoscope inoiswa mu 1 yezvinyorwa. Kumwe kuchekwa kunoshandiswa kupinza midziyo uye kubvisa spleen. Panguva yekuvhiyiwa, dumbu rinopomba rizere necarbon dioxide gasi kuti kuvhiya kuve nyore uye maburi anosonwa mushure mekuvhiyiwa. Varwere vanogona kuenda kumba zuva rimwechete kana zuva mushure mekuvhiyiwa.
Vhura kuvhiya
Kucheka kunowanzoitwa pasi pezasi pembabvu kuruboshwe kana kudzika pasi pakati pedumbu. Tsvina inobva yabviswa, uye kuchekwa kunoiswa sutured uye kuvharwa nechipfeko. Varwere vanowanzogara muchipatara kwemazuva mashoma uye vanobvisa sutures kana zvimedu mavhiki mashoma gare gare.
Ndezvipi zvikonzero nei vamwe vanhu vachida splenectomy?
Pane zvikonzero zvinoverengeka izvo vanhu vangangoda kuita splenectomy, uye izvi zvinogona kusanganisira:
- Magomarara ekutanga embeu nemagomarara akapararira kuspleen
- Varwere veLymphoma vanoda spleen kuti vaongorore rudzi rwe lymphoma yavanayo
- Anemia kana thrombocytopenia uko pasina mhinduro kune kurapwa
- Idiopathic thrombocytopenic purpura (ITP)
- Viral, bacteria, kana parasitic zvirwere
- Trauma, sekukuvara nekuda kwetsaona yemotokari
- Spleen ine abscess
- Kurwara sero chirwere
- Thalassemia
Kurarama pasina spleen
Iwo immune system haishande zvakare mushure me splenectomy. Dzimwe nhengo dzakaita sechiropa, bone marrow uye lymph nodes dzichatora mamwe emabasa espleen. Chero munhu asina spleen ane njodzi huru yekutapukirwa.
Mamwe matanho ekutora kuderedza mukana wekutapukirwa ndeaya:
- Bata vechikwata chezvehutano nekukurumidza kana paine zviratidzo uye zviratidzo zvehutachiona
- Kana ukarumwa kana kukweshwa nemhuka batai vehutano nekukasika
- Ita shuwa kuti majekiseni ese ari emazuvano asati avhiyiwa. Majekiseni edzihwa anodiwa gore rega rega uye majekiseni epneumococcal makore mashanu ega ega. Majekiseni ekuwedzera anogona kudiwa kana uchifamba mhiri kwemakungwa.
- Tora mishonga inorwisa mabhakitiriya post splenectomy sezvakarayirwa. Vamwe varwere vanova navo kwemakore maviri kana vamwe vanogona kuva navo kwehupenyu hwose
- Chengetedza zvakanyanya paunenge uchifamba mhiri kwemakungwa. Takura mishonga inorwisa mabhakitiriya kana uchifamba. Dzivisa kuenda kunyika dzine malaria.
- Pfeka magirovhosi neshangu paunenge uchirima gadheni uye uchishanda kunze kudzivirira kukuvara
- Ita shuwa kuti Chiremba wezvirwere zvese nana chiremba wemazino vaziva kana usina spleen
- Pfeka bracelet yekurapa-yekuzivisa
