I-spleen ingabhekwa ngokufanele njenge- lymph node enkulu emzimbeni wethu. Yenza imisebenzi ebalulekile ye-hematopoietic. Kodwa-ke, kuvame ukuthi kwenzeka ukuthi ngezinye izizathu i-spleen iyanda. Ngaphezu kwezinkinga zomzimba, lesi simo singathinta izitho ezingomakhelwane: isibindi, izinso, isisu namathumbu. Lesi sihloko sizokutshela lokho okushiwo i-pleen ekhulisiwe.
Izinga lokukhuliswa kwesipere
Ingakanani ipeni elikhulisiwe kakhulu linqunywa amadigri amane:
- Uma i-palpation ye-spleen inqunywa ngamapulangwe ayo aphansi, iphuma ngaphansi kombhande ongezansi ngomunwe munye.
- Isidumbu siqhubekela emkhatsini we-navel ne-hypochondrium.
- I-spleen ifinyelela emgqeni ophakathi.
- I-spleen ifinyelela ngakwesokudla kwesigxobo esiswini noma singena esifundeni se-pelvic.
Izimbangela zengubo ekhulisiwe kubantu abadala
Ukwanda kulo mzimba, yiqiniso, kuyisibonakaliso sezinkinga emzimbeni. Izizathu zokuthi i-spleen ikhulisiwe, zinezinto ezihlukahlukene futhi zihlotshaniswa nanoma yisiphi isifo esiqhubekayo. Kungenzeka ukuthi ubhale, yiziphi izifo ezithandwayo:
- izicubu nama-cysts we-spleen noma isibindi;
- izifo ezithathelwanayo noma izifo (isib, giardiasis );
- ukungakwazi ukujikeleza;
- i-leukemia, i-hematologic, i-granulomatous nezinye izifo zegazi.
Ngesinye sezizathu, isilwane singakhula futhi sivumelane, ngaleyo ndlela sigcine igazi noma siyikhulule emithanjeni yegazi. Uma uqonda ukuthi kungani ipeni likhulisiwe kulokhu noma lesi siguli, kuyacaca ukuthi okokuqala isitho senzelwe ukuze silondoloze umzimba. Kodwa-ke, uma ukuphazamiseka kwengubo kungabangeli imiphumela emibi, ukwanda kwawo kanye nomjovo wegazi elingaphezulu kuyo kungaholela ekubhujisweni ngokweqile kwamangqamuzana egazi abomvu, ama-leukocyte nama-platelets. Lokhu kuzokwehlisa izinga jikelele lala maseli egazini futhi liholele ngokungazelelwe, uma kungenjalo ekudleni kwegazi, bese kuthi kube nokweluleka okwenyuka komzimba ezithombeni.
Izindlela zokwelashwa kwengubo ekhulisiwe
Eqinisweni, izindlela zokwelapha ukhula uma kwenzeka ukwanda kwawo kungenjalo. Okokuqala, ukulwa nomthombo oyinhloko wesifo kuqala. Khona-ke lo mbuzo uvela: kuthiwani uma ipeni isandisiwe? Kulesi simo, ekuqaleni kwesifo ngokunyuka kancane emzimbeni, ungazama ukwelapha ngemithi. Kodwa-ke, le ndlela, njengombuso, ayinikezi iziqinisekiso futhi ayisizo zonke iziguli. Futhi, ngaphezu kwalokho, ukutakula kwesilwane kuthatha isikhathi eside ngokwanele ukuthi ngezinye izikhathi kwandisa ingozi yokulimala ezitho ezingomakhelwane. Ngakho-ke ngokuvamile isixazululo esisodwa esiyiqiniso ukususa i-spleen, futhi ngokushesha, kungcono. Yenziwe ngendlela yokuhlinzwa. Kunezindlela ezimbili zokufeza ukusebenza:
- Indlela yobudala ukukhipha isitho ngokusebenzisa ukucubungula okubanzi endaweni ye-peritoneal ngosizo lwezinsimbi ezijwayelekile zokuhlinza.
- I-laparoscopy - ukususwa kwepeni ngosizo lwezinsimbi ezimbalwa ezikhethekile (i-laparoscopy) ngekhamera ekupheleni. I-laparoscopes ifakwa ngaphansi kwesikhumba ngokusebenzisa izimbobo ezincane (ukucubungula).
Nakuba i-laparoscopy inenzuzo, uma sikhuluma ngemiphumela yokwelashwa kweziguli, kodwa, noma kunjalo, imisebenzi enjalo iyingozi kakhulu kunezigaba zakudala. Isizathu salokhu ukuthi udokotela ohlinzayo awuboni izicubu nezitho ngqo, kodwa futhi akasebenzi ngezandla, kodwa ngamathuluzi, ngakho kunzima kakhulu ukubala izenzo zakhe. Lokhu ngezinye izikhathi kubangela ukulimala ezitho ezingomakhelwane ngesikhathi sokuhlinzwa.