Kubviswa kwepleen

Kubviswa kwepleen kuvhiya kubvisa chirwere kana chirwere chakakanganiswa. Uku kuvhiya kunonzi splenectomy.

Iyo spleen iri muchikamu chepamusoro chedumbu, kuruboshwe kuruboshwe pasi pembabvu. Iyo spleen inobatsira muviri kurwisa utachiona uye hutachiona. Inobatsirawo kusefa ropa.

Iyo spleen inobviswa paunenge uri pasi peanesthesia (kurara uye kusarwadziwa). Chiremba anovhiya anogona kuita yakavhurika splenectomy kana laparoscopic splenectomy.

Munguva yakavhurika spleen kubviswa:

• Chiremba anovhiya (cheka) pakati peguvhu kana kuruboshwe kwedumbu pazasi pembabvu chete.
• Iyo spleen inowanikwa uye yabviswa.
• Kana iwe uri kurapwawo kenza, lymph nodes mudumbu inoongororwa. Vanogona zvakare kubviswa.
• Iyo incision yakavharwa uchishandisa stitches kana staples.

Munguva yeparoscopic spleen kubvisa:

• Chiremba anovhiya 3 kana 4 akacheka mashoma mudumbu.
• Iye anovhiya anoisa chishandiso chinonzi laparoscope kuburikidza nechimwe chekucheka. Chiyero chine kamera diki uye mwenje kumagumo, izvo zvinoita kuti chiremba anovhiya aone mukati medumbu. Zvimwe zviridzwa zvinoiswa kuburikidza nekumwe kucheka.
• Gasi risingakuvadzi rinoputirwa mudumbu kuti riwedzere. Izvi zvinopa mukamuri wechiremba kuti ashande.
• Chiremba anovhiya anoshandisa chiyero uye zvimwe zviridzwa kubvisa tsinga.
• Chiyero nezvimwe zviridzwa zvinobviswa. Izvo zvakavharwa zvakavharwa uchishandisa stitches kana staples.

Nekuvhiyiwa kwepaparoscopic, kupora kunowanzo kumhanyisa uye kusarwadza kupfuura kuvhiya kwakavhurika. Taura nachiremba wako nezvekuti ndeupi rudzi rwekuvhiya rwakakodzera iwe kana mwana wako.

Mamiriro ezvinhu angangoda kubviswa kwepleen anosanganisira:

• Kusuruvara kana cyst mudumbu.
• Ropa rakavhara (thrombosis) mumidziyo yeropa yepleen.
• Cirrhosis yechiropa.
• Zvirwere kana kusagadzikana kwemasero eropa, senge idiopathic thrombocytopenia purpura (ITP), nhaka nhaka spherocytosis, thalassemia, hemolytic anemia, uye nhaka ye elliptocytosis. Aya ese mamiriro asingawanzo.
• Hypersplenism (yakanyanyisa spleen).
• Kenza yeiyo lymph system yakadai sehodgkin chirwere.
• Leukemia.
• Mamwe mamota kana kenza inokanganisa spleen.
• Sickle cell anemia.
• Splenic artery aneurysm (isingawanzo).
• Kushungurudzika kune spleen.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Ropa rinovhara mukati meiyo portal vein (yakakosha tsinga inotakura ropa kuchiropa)
• Mapapu akadonha
• Hernia panzvimbo yekuvhiya yakatemwa
• Kuwedzera njodzi yekutapukirwa mushure me splenectomy (vana vari panjodzi yakakura kupfuura vanhu vakuru kutapukirwa)
• Kukuvadza kune nhengo dziri pedyo, dzakadai sepancreas, mudumbu, uye colon
• Pus muunganidzwa pasi pechidimbu

Njodzi dzakafanana kune ese akavhurika uye laparoscopic spleen kubvisa.

Iwe kana mwana wako muchave nekushanya kwakawanda nevapi vezvehutano uye bvunzo dzinoverengeka usati wavhiyiwa. Unogona kuva:

• Bvunzo yakakwana yemuviri
• Majekiseni, akadai pneumococcal, meningococcal, Haemophilus influenzae, uye majekiseni emukoko
• Kuongorora kuongororwa kweropa, kwakakosha kuongororwa kwekufungidzira, uye kumwe kuyedza kuti uve nechokwadi chekuti une hutano zvakakwana kuti uvhiywe
• Kuwedzeredzwa kuti uwane mamwe masero matsvuku eropa uye maplatelet, kana uchizvida

Kana uchisvuta, unofanira kuedza kurega. Kusvuta kunowedzera njodzi yako kumatambudziko akadai sekunonoka kupora. Kumbira mupiki wako kuti abatsire kurega.

Udza mupi:

• Kana iwe uri, kana kuti ungave uine pamuviri.
• Ndeapi mishonga, mavitamini, uye zvimwe zvinowedzera iwe kana mwana wako zvauri kutora, kunyangwe izvo zvakatengwa pasina mushonga.

Pakati pevhiki pamberi pekuvhiyiwa:

• Iwe kana mwana wako mungangoda kumbomira kutora vatete veropa. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), vitamini E, uye warfarin (Coumadin).
• Kumbira chiremba anovhiya kuti ndeupi mushonga iwe kana mwana wako waunofanira kutora pazuva rekuvhiyiwa.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezvekuti iwe kana mwana wako munofanira kurega kudya kana kunwa.
• Tora mishonga iyo chiremba anovhiya akakuudza iwe kana mwana wako kuti atore nekamwe kadiki kemvura.
• Svika kuchipatara nenguva.

Iwe kana mwana wako muchapedza isingasviki vhiki muchipatara. Kugara kwechipatara kunogona kungova 1 kana maviri mazuva mushure meparaposipiki splenectomy. Kuporesa kungangotora mavhiki mana kusvika matanhatu.

Mushure mekuenda kumba, tevera mirairo yekuzvichengeta iwe kana mwana wako.

Mhedzisiro yekuvhiya uku zvinoenderana nechirwere kana kukuvara iwe kana mwana wako. Vanhu vasina zvimwe zvakakuvara zvakanyanya kana matambudziko ekurapa vanowanzopora mushure mekuvhiyiwa uku.

Mushure mokunge spleen yabviswa, munhu anowanzoita hutachiona. Taura nemupi mupi nezve kuwana majekiseni anodiwa, kunyanya iyo yegore nhomba yekudzivirira. Vana vangangoda kutora mishonga inorwisa mabhakitiriya kudzivirira hutachiona. Vazhinji vakuru havadi maantibayoti kwenguva refu.

Splenectomy; Laparoscopic splenectomy; Kubviswa kwepleen - laparoscopic

• Laparoscopic spleen kubviswa muvakuru - kubuda
• Vhura spleen kubviswa muvakuru - kubuda
• Kubviswa kwepleen - mwana - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika
• Paunenge uine kusvotwa uye kurutsa

• Masero matsvuku eropa
• Kubvisa kwepleen - akateedzana

Brandow AM, Camitta BM. Hyposplenism, splenic trauma, uye splenectomy. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 514.

Mier F, Muvhimi JG. Laparoscopic splenectomy. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 1505-1509.

Poulose BK, Holzman MD. Iyo spleen. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 56.