Tus po nyob rau hauv tib neeg lub cev ua haujlwm tseem ceeb heev, tab sis tib neeg tsis muaj kev kawm kho mob paub me ntsis txog lawv. Cia peb sau qhov khoob. Ntau tus tau hnov txog kev ua haujlwm hu ua splenectomy. Tab sis nws txhais li cas? Thiab yuav ua li cas tom qab nws? Qhov no tsis paub rau lawv. Yog li lawv nug tus kws phais cov lus nug no.
Splenectomy yog ib txoj kev phais uas cuam tshuam nrog kev tshem tawm tus po. Txij li thaum peb tsis muaj qhov tsis tsim nyog ntawm lub cev, nws tau ua raws li cov lus qhia. Feem ntau, qhov ua rau muaj kev puas tsuaj rau lub cev raws li qhov tshwm sim ntawm kev sib tsoo, kev poob ntawm qhov siab, lossis muaj zog ua rau lub plab. Txij li thaum tus po tau muab cov ntshav zoo heev, nws cov ruptures yog qhov txaus ntshai rau qhov tshwm sim los ntshav hnyav. Kev tshem tawm ntawm lub cev yog xav tau rau idiopathic thrombocytopenic purpura, hlwv, abscesses, hlav ntawm tus po, pathologies ntawm nws cov hlab ntsha (arterial aneurysm, vascular thrombosis).
Thaum kawg, nrog cov kab mob ntshav xws li thalassemia, hereditary hemolytic anemia, lymphomas, leukemias, hereditary spherocytosis, thiab.kev tshem tawm ntawm tus po yog tsim nyog. Tau kawg, yuav muaj qhov tshwm sim, zoo li nrog kev cuam tshuam kev phais cuam tshuam nrog kev rho tawm ntawm lub cev. Thiab nws yog qhov zoo dua los xav txog lawv raws li kev faib ua ob pawg loj: cov teeb meem ntawm kev ua haujlwm ntawm nws tus kheej thiab cov kev mob tshwj xeeb uas tshwm sim los ntawm kev poob ntawm kev ua haujlwm ntawm lub cev.
Dab tsi yog qhov tshwm sim tom qab kev phais ntawm kev tshem tus po? Txhua qhov kev phais mob cuam tshuam nrog kev nkag mus rau hauv lub plab kab noj hniav tuaj yeem cuam tshuam los ntawm kab mob siab thrombosis, pancreatitis reactive, raug mob rau cov plab hnyuv siab raum (xws li plab, plab, pancreas), mob ntsws, los ntshav, lossis peritonitis. Kuj tseem muaj teeb meem nrog kev phais tom qab phais (kab mob, hernia, prolapse ntawm cov kabmob sab hauv).
Dab tsi yog qhov tshwm sim tshwj xeeb ntawm kev tshem tus po? Yuav kom tau txais cov lus teb rau lo lus nug no, koj yuav tsum nco ntsoov tias qhov haujlwm no ntawm peb lub cev ua haujlwm li cas. Tus po yog ib qho ntawm cov khoom siv tiv thaiv kab mob, muaj ntau cov qe ntshav dawb, thiab cov tshuaj tiv thaiv kab mob kuj tau tsim nyob rau hauv nws. Lub cev yog qhov chaw ntawm kev puas tsuaj ntawm cov qe ntshav liab thiab platelets.
Qhov tshwm sim ntawm kev tshem tawm ntawm tus po uas cuam tshuam nrog cov ntshav
Cov neeg mob Spleen-tshem tawm muaj qee qhov kev hloov ntshav uas yuav nyob mus ib txhis. Govell-Jolly thiab Heinz lub cev, cov ntaub ntawv nuclear ntawm erythrocytes tau sau tseg. Cov duab ntawm cov qe ntshav no kuj hloov. Vim muaj cov platelet suav ntau ntxiv thiab hypercoagulability (muaj peev xwm ua kom ntshav khov)thromboembolism ntawm pulmonary artery thiab cerebral hlab ntsha tuaj yeem pom.
Kev tiv thaiv kab mob raws li qhov tshwm sim ntawm kev tshem tawm spleen
Ib qho teeb meem loj tshaj plaws yog qhov nyiam ntawm cov neeg mob mus rau cov kab mob purulent. Txij li thaum lub cev tiv thaiv kab mob tsis muaj zog, txhua yam kab mob tuaj yeem ua rau sepsis thiab tuag. Kev tiv thaiv kab mob poob qis yog dab tsi? Kev txo qis hauv kev sib txuas ntawm immunoglobulins, kev cuam tshuam ntawm phagocytic kev ua haujlwm, txo qis ntawm cov khoom ntxiv thiab lwm yam kev tiv thaiv cov protein hauv plasma. Lub sijhawm nyob rau hauv ob xyoos tom qab kev ua haujlwm yog suav tias yog qhov txaus ntshai.
