Kwimeko eqhelekileyo, i-pleen isisindo ukuya kuma-600 g. Ukuba ubukhulu bayo bugqithile kula maxabiso, ukuxilongwa kwe-splenomegaly kwenziwa - izimbangela zalesi sifo zininzi. Ngexesha elifanayo lesi sifo asiyintloko, kodwa ngokuthe ngcembe siphumela kwimvelaphi yezinye izifo kwisimo esichukumisayo okanye esingapheliyo ngexesha lokuphindaphinda.
Izifo zeplenomegaly
Umbuso ojongene nawo uhlelwe ngolu hlobo lulandelayo:
- i moderation;
- zichazwe.
Kwimeko yokuqala, i-splenomegaly encinci inokunyusa ukunyuka okulinganayo kwipeni. Ufikelela kwi-1-1.5 kg ngesisindo kwaye uphononongwa ngo-2-4 cm ngaphantsi kwe-arch yokubiza.
Ukubhengezwa kwe-splenomegaly kukhokelela ukwanda okomeleleyo kwilungu (ukuya kwi-6-8 kg). Kule meko, ityha iyahluma 5-6 cm ngaphantsi kombhobho wokugqibela.
Izinto ezibangela isifo
Izimbangela eziphambili ze-splenomegaly - izifo zestile kunye nesibindi:
- i-hepatitis yemvelaphi eyahlukeneyo, ngakumbi i-viral virus;
- i-cirrhosis yenqanaba;
- ukuxinzeleleka kwegazi;
- izicubu kunye nezikhwama;
- Ubukho bee-abscesses kunye nama-abscesses kwiimfucu zeestile kunye nesibindi;
- hyperlipidemia ebalulekileyo;
- glycogenosis;
- i-spleen infarction;
- hemochromatosis ;
- Isifo sikaWilson;
- isifo sesifo sofuba.
Kananjalo ukukhubazeka kunokususa i-bacterial acute kwaye engapheliyo kunye nezifo zentsholongwane:
- sepsis;
- izifo ze-typhoid-paratyphoid;
- mononucleosis;
- i-syphilis;
- isifo sofuba;
- imasisi;
- brucellosis;
- rubella.
Ngokuqhelekileyo, i-splenomegaly ivela kwimvelaphi ye-leishmaniasis, i-malaria kunye ne-toxoplasmosis (izifo ezibangelwa zizilwanyana ezincinci).
Kwakhona phakathi kwezizathu eziqhelekileyo iingcali zibiza izilonda zefungal (blastomycosis kunye ne-histoplasmosis), kunye ne-helminthiases:
- echinococcosis;
- scytosomiasis.
Izifo ezinzulu ezibangelwa i-splenomegaly ziquka:
- i-hemolytic ne-peremicious anemia;
- purpura ye-thrombotic and thrombocytopenic;
- hemoglobinopathy;
- idiopathic purpura;
- agranulocytosis cyclic;
- lupus erythematosus;
- myelofibrosis;
- periarteritis;
- i-leukemia kwifom ekhangayo kwaye engapheliyo;
- i-rheumatoid arthritis ;
- lymphoma ebulalayo.
Kubalulekile ukuba uqaphele ukuba kwi-pathologies ye-hematopoiesis kunye nezifo ezizimele, uphawu lwe-splenomegaly luya kwenzeka nakwiindawo zokuqala zesifo. Iqumrhu likhawuleza kwaye landa ngamandla, lifikelela kwisisindo se-3-4 kg, lubonakala lula nangona i-palpation yesigqeba se-epigastric ixhomekeke ngokuzimeleyo.