Esimweni esivamile, i-spleen isisindo sika-600 g. Uma usayizi wayo udlula lezi zindinganiso, ukuxilongwa kwe-splenomegaly kwenziwa - izimbangela zalesi sifo ziningi. Ngesikhathi esifanayo lesi sifo asiyona eyinhloko, kodwa kancane kancane sibhekene nesimo sezinye izifo ngesimo esibucayi noma esingapheli ngesikhathi sokubuyela emuva.
Izifo ze-splenomegaly
Isimo esicatshangelwe sichazwa kanje:
- ukulinganisela;
- evezwe.
Esikhathini sokuqala, i-splenomegaly encane yenza kube nokwanda okulinganiselwe esitezini. Ufinyelela ku-1-1.5 kg ngesisindo futhi uhlolwe u-2-4 cm ngaphansi kwe-arch ebiza.
Ukubizwa ngokuthi i-splenomegaly kubangela ukwanda okunamandla kwesitho (kuya ku-6-8 kg). Kulolu cala, isilwane sinama-5-6 cm ngaphansi kwesibambiso sokugcina.
Izinto ezenza lesi sifo
Izimbangela eziyinhloko ze-splenomegaly - izifo zesilwane nesibindi:
- isifo sofuba semvelaphi ehlukahlukene, ikakhulukazi igciwane lesandulela ngculaza;
- i-cirrhosis yesiphakamiso;
- i-portal hypertension;
- izicubu nama-cysts;
- ukutholakala kwama-abscesses nama-abscesses emaqenjini we-spleen nesibindi;
- i-hyperlipidemia ebalulekile;
- i-glycogenosis;
- i-infringction ye-spleen;
- i-hemochromatosis ;
- Isifo sikaWilson;
- isifo sofuba sethleen.
Kanti futhi ukukhubazeka kungabangela amagciwane amaningi futhi angapheli kanye nokutheleleka ngegciwane:
- i-sepsis;
- izifo ze-typhoid-paratyphoid;
- i-mononucleosis esithathelwanayo;
- i-syphilis;
- isifo sofuba sezimayini;
- isingenisi;
- i-brucellosis;
- i-rubella.
Ngokuvamile, i-splenomegaly iqala ngokumelene nesizinda se-leishmaniasis, i-malaria kanye ne-toxoplasmosis (izifo ezibangelwa ama-microorganisms alula).
Futhi phakathi kwezizathu ezivamile ochwepheshe babiza izilonda ze-fungal (blastomycosis ne-histoplasmosis), kanye nama-helminthiases:
- i-echinococcosis;
- i-schistosomiasis.
Izifo ezingathí sina ezibangela i-splenomegaly zihlanganisa:
- i-hemolytic and annia anemia;
- purpura ye-thrombotic ne-thrombocytopenic;
- i-hemoglobinopathy;
- idiopathic purpura;
- i-agranulocytosis yama-cyclic;
- i-systemic lupus erythematosus;
- i-myelofibrosis;
- i-nodular periarteritis;
- i-leukemia ngesimo esibucayi nesiguli;
- i-arthritis ye-rheumatoid ;
- i-lymphoma emangalisa.
Kumele kuqaphele ukuthi ematokisini we-hematopoiesis nezifo ezizimele, isici se-splenomegaly senziwa ngisho naseziqenjini zokuqala zesifo. Isitho ngokushesha futhi sikhula kakhulu ngobukhulu, sifinyelela isisindo sika 3-4 kg, sitholakale kalula ngisho nalapho i-palpation yesifunda se-epigastric izwa ngokuzimela.