Mawallafi: Lewis Jackson
Ranar Halitta: 13 Yiwu 2021
Sabuntawa: 18 Nuwamba 2024
Anonim
Hepatosplenomegaly: Abin da kuke Bukatar Ku sani - Kiwon Lafiya
Hepatosplenomegaly: Abin da kuke Bukatar Ku sani - Kiwon Lafiya

Wadatacce

Bayani

Hepatosplenomegaly (HPM) cuta ce ta cuta inda hanta da kumburin ciki suka kumbura fiye da yadda suka saba, saboda daya daga cikin dalilai da dama.

Sunan wannan yanayin - hepatosplenomegaly - ya fito ne daga kalmomi biyu da suka ƙunsa shi:

  • hepatomegaly: kumburi ko faɗaɗa hanta
  • spplenomegaly: kumburi ko fadada girman ciki

Ba duk shari'ar HPM bace mai tsanani. Wasu za a iya share su da ƙaramar shiga tsakani. Koyaya, HPM na iya nuna babbar matsala, kamar cuta ta lysosomal ko kuma cutar kansa.

Matsayi na hanta da saifa

Hanta yana da matsayi daban-daban ciki har da lalata jini, hada sunadarai, da yaƙi da cututtuka. Hakanan yana da mahimmin bangare wajen samar da amino acid da gishirin bile.

Jikinka yana buƙatar baƙin ƙarfe don samar da jajayen ƙwayoyin jini, kuma hanta yana sarrafawa da kuma adana baƙin ƙarfe. Wataƙila mafi sanannun matsayin hanta shi ne sarrafa kayan ɓarnar jikinka, wanda sannan za a iya fitar da shi.


Spleen shine ɗayan gabobin jikinka wanda yake, gabaɗaya, ba a fahimta ga yawancin mutane. Saifa yana da mahimmin wuri a cikin garkuwar jikinka. Yana taimaka mata gano ƙwayoyin cuta, waɗanda ke cikin ƙwayoyin cuta, ƙwayoyin cuta, ko ƙananan ƙwayoyin cuta da ke iya haifar da cututtuka. Sannan yana haifar da kwayoyi don yaƙar su.

Maganin ku kuma yana tsarkake jini kuma yana da ja da fari ɓangaren litattafan almara da ake buƙata don samarwa da tsarkake ƙwayoyin jini. Ara koyo game da saifa.

Kwayar cututtuka

Mutanen da ke da cutar hepatosplenomegaly na iya ba da rahoton ɗaya ko fiye na waɗannan alamun:

  • gajiya
  • zafi

Sauran alamun, waɗanda na iya zama masu tsanani, sun haɗa da:

  • ciwon ciki a cikin yankin dama-dama
  • taushi a yankin dama na ciki
  • tashin zuciya da amai
  • kumburin ciki
  • zazzaɓi
  • m itching
  • jaundice, wanda aka nuna ta rawaya idanu da fata
  • fitsari mai ruwan kasa
  • sandar mai yumbu

Dalili da abubuwan haɗari

Hanyoyin haɗarin Hepatomegaly sun haɗa da:


  • kiba
  • shan barasa
  • ciwon hanta
  • ciwon hanta
  • ciwon sukari
  • babban cholesterol

Splenomegaly yana haifar da hepatomegaly kimanin kashi 30 na lokacin. Akwai dalilai daban-daban da ke haifar da cutar hanta:

Cututtuka

  • m kwayar hepatitis
  • mai cutar mononucleosis, wanda aka fi sani da zazzabi na glandular ko kuma “cutar sumba” kuma cutar ta Epstein-Barr ce ta haifar da ita.
  • cytomegalovirus, wani yanayi a cikin dangin kwayar cutar ta herpes
  • brucellosis, kwayar cutar da ake yadawa ta gurbataccen abinci ko saduwa da dabba mai cutar
  • zazzabin cizon sauro, kamuwa da sauro wanda ke iya zama barazanar rai
  • leishmaniasis, cutar da ke kamuwa da m Leishmania kuma yadawo ta cizon yashi tashi
  • schistosomiasis, wanda ke haifar da tsutsa mai larurar da ke cutar da fitsari ko hanji
  • cututtukan septicemic, wanda ke haifar da a Kwayar Yersinia kamuwa da cuta kuma yana iya zama barazanar rai

Cututtukan Hematological

  • cututtukan myeloproliferative, wanda ɓarin kashi ke samar da ƙwayoyin jiki da yawa
  • cutar sankarar bargo, ko kuma cutar sankarar kashi
  • lymphoma, ko ƙwayar ƙwayar ƙwayar ƙwayar cuta ta asali a cikin ƙwayoyin lymphatic
  • cutar sikila, cututtukan jini na gado wanda aka samo a cikin yara wanda ƙwayoyin haemoglobin ba sa iya canja wurin oxygen
  • thalassaemia, cuta ta jini da aka gada wanda ake samun haemoglobin ba daidai ba
  • myelofibrosis, cutar sankara mai kasusuwa

Cututtuka na rayuwa

  • Niemann-Pick cuta, cuta mai rikitarwa mai rikitarwa game da tattara kitse a cikin sel
  • Ciwon Gaucher, yanayin dabi’ar halitta wanda ke haifar da tarin kitse a cikin gabobi da sel daban-daban
  • Ciwon Hurler, cuta ta kwayar halitta tare da haɗarin mutuwa ta farko ta lalacewar gabobi

Sauran yanayi

  • cutar hanta mai haɗari, gami da ciwon hanta mai saurin aiki
  • amyloidosis, wani abu ne mai matukar wahala, tara rikitarwa na narkar da sunadarai
  • systemic lupus erythematosus, mafi yawan nau'ikan cutar lubus na autoimmune
  • sarcoidosis, yanayin da ake ganin ƙwayoyin ƙwayoyin cuta a cikin gabobi daban-daban
  • trypanosomiasis, cutar da ke yaduwa ta hanyar cizon ƙuda mai cutar
  • rashi sulfatase da yawa, rashi enzyme wanda ba safai ba
  • osteopetrosis, cuta ce ta gado wacce ba kasafai ake samun ta ba wanda kasusuwa suke da ƙarfi da yawa fiye da yadda suke

A cikin yara

Ana iya taƙaita abubuwan da ke haifar da cutar hepatosplenomegaly a cikin yara kamar haka:


  • jarirai: cututtukan ajiya da thalassaemia
  • jarirai: hanta wanda ba zai iya aiwatar da cutar da ke ciki ba, wanda zai iya haifar da mummunan lahani ga tsarin juyayi na tsakiya
  • manyan yara: zazzabin cizon sauro, kala azar, zazzabin ciki, da kuma sepsis

Ganewar asali

Waɗannan su ne yawan gwaje-gwajen da likitanka zai iya ba da umarni don taimakawa wajen tabbatar da cikakkiyar ganewar cutar hepatosplenomegaly. Wadannan su ne:

  • duban dan tayi, wanda yawanci ana bada shawara bayan an sami tarin ciki yayin gwajin jiki
  • CT scan, wanda zai iya bayyana hanta mai girma ko baƙin ciki da kuma gabobin kewaye
  • gwajin jini, gami da gwajin aikin hanta da gwajin daskarewar jini
  • MRI dubawa don tabbatar da ganewar asali bayan binciken jiki

Rikitarwa

Babban rikitarwa na yau da kullun na hepatosplenomegaly sune:

  • zub da jini
  • jini a cikin buta
  • jini a cikin amai
  • gazawar hanta
  • tabin hankali

Jiyya

Magunguna don hepatosplenomegaly na iya bambanta daga mutum zuwa mutum dangane da dalilin yanayin.

A sakamakon haka, hanya mafi kyau a gare ku ita ce yin magana da likitanku game da ganewar ku da kuma shawarar magani.

Suna iya ba da shawara:

  • Yin canje-canje na rayuwa cikin shawarwari tare da likitanka. Manufofin ku gaba daya ya kamata su daina shan giya ko kuma, aƙalla, rage yawan shan giya gwargwadon iko; motsa jiki kamar yadda zaka iya; kuma a more cin abinci mai kyau. Anan akwai wasu nasihu don tsayawa tare da lafiyayyen abinci.
  • Sauran, hydration, da magani. Wasu ƙananan cututtukan da ke haifar da cutar hepatosplenomegaly za a iya bi da su kawai tare da magunguna masu dacewa da hutawa yayin tabbatar da cewa ba ku da ruwa. Idan kana da yanayin cutar, maganin ka zai ninka biyu: magani don sauƙaƙe alamomin da takamaiman magani don cire ƙwayoyin cuta.
  • Magungunan daji Lokacin da asalin dalilin shine ciwon daji, kuna buƙatar dacewa da jiyya wanda zai iya haɗawa da cutar sankara, radiotherapy, da tiyata don cire kumburin.
  • Sanya hantar mutum. Idan harka ta kasance mai tsanani, kamar kasancewa a matakin karshe na cirrhosis, zaka iya buƙatar dashen hanta. Koyi gaskiya game da dashen hanta.

Outlook

Saboda dalilai da yawa, hepatosplenomegaly ba shi da wani takamaiman sakamako. Yanayinku ya dogara da dalilai daban-daban, ciki har da abin da ya jawo hakan, da muhimmancinsa, da kuma yadda ake karɓa.

An gano cutar HPM ta farko kuma anyi magani, mafi kyau. Duba likitanka idan ka lura da alamomin da ba a saba gani ba ko kuma ka yi tsammanin wani abu ba daidai bane.

Rigakafin

Saboda dalilan cututtukan hepatosplenomegaly suna da yawa sosai, ba koyaushe za'a iya hana shi ba. Koyaya, rayuwa mai kyau zata iya taimakawa. Guji shan barasa, samun motsa jiki da yawa, da kuma cin abinci mai ƙoshin lafiya don taimakawa rage mafi yawan abubuwan haɗarin gama gari.

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