Pholoso le Tlhokomelo li Hlokahala Joang Kamora ho Tlosoa ha Spleen

Litaba

• Mokhoa oa ho itokisetsa ho buuoa
• Ha ho buuoa ho bontšoa
• Mokhoa oo spleen o tlosoang ka oona
• Likotsi le mathata a ka bang teng a ho buuoa
• Hlokomela ba tlositseng spleen

Splenectomy ke ho buuoa ho tlosa spleen eohle kapa karolo ea eona, e leng setho se ka mpeng ea mpa mme e ikarabella ho hlahiseng, ho boloka le ho felisa lintho tse ling maling, ntle le ho hlahisa li-antibodies le ho boloka botsitso ba mmele, ho qoba tšoaetso.

Pontšo e kholo ea splenectomy ke ha ho na le tšenyo kapa ho robeha hoa letsoho, leha ho le joalo, ho buuoa hona ho ka buelloa le maemong a mathata a mali, mefuta e meng ea mofets'e kapa ka lebaka la boteng ba li-cysts kapa lihlahala tse seng kotsi. Ts'ebetso ena hangata e etsoa ke laparoscopy, eo ho eona ho etsoang masoba a manyane ka mpeng ho tlosa setho, se etsang lebali le lenyane haholo mme ho fola kapele.

Mokhoa oa ho itokisetsa ho buuoa

Pele ho splenectomy, ngaka e khothaletsa ho etsa liteko tsa mali le ultrasound kapa tomography molemong oa ho lekola boemo ba motho ka kakaretso le boteng ba liphetoho tse ling, joalo ka li-gallstones. Ntle le moo, tsamaiso ea liente le lithibela-mafu e ka khothaletsoa libeke pele ho ts'ebetso, ho fokotsa kotsi ea tšoaetso.

Ha ho buuoa ho bontšoa

Pontšo e kholo ea ho tlosoa ha spleen ke ha ho phatloha hoa setho sena ho netefalitsoe ka lebaka la khatello ea mpa. Leha ho le joalo, matšoao a mang a splenectomy ke:

• Kankere ka spleen;
• Ho phatloha ho itlhahelang ha spleen, haeba ho na le kankere ea mali, haholo-holo;
• Spherocytosis;
• Phokolo ea mali ea sele;
• Morero oa li-thrombocytopenic purpura;
• Splenic abscess;
• Phokolo ea mali ea tlhaho ea hemolytic;
• Sethaleng sa Hodgkin's lymphoma.

Ho latela boholo ba phetoho ea spleen le kotsi ea hore phetoho ena e ka emela motho, ngaka e ka bonts'a ho tlosoa hoa setho kapa karolo e felletseng.

Mokhoa oo spleen o tlosoang ka oona

Maemong a mangata, ho bontšoa laparoscopy ea video, e nang le masoba a mararo a manyane ka mpeng, ao lipeipi le lisebelisoa tse hlokahalang bakeng sa ho tlosa spleen pass, ntle le ho etsa khaola e kholo. Mokuli o hloka thethebatso e akaretsang mme ho buuoa ho nka karolelano ea lihora tse 3, ho kena sepetlele matsatsi a ka bang 2 ho isa ho a 5.

Mokhoa ona oa ho buoa ha o na tšenyo e kholo, ka hona, o baka bohloko bo fokolang mme leqeba le lenyane, le hlaphoheloa mme le khutlela mesebetsing ea letsatsi le letsatsi kapele. Leha ho le joalo, maemong a mang, ho kanna ha hlokahala hore ho etsoe opereishene e bulehileng, e sehiloeng haholo.

Likotsi le mathata a ka bang teng a ho buuoa

Kamora ho buuoa ho tlosa spleen, ho tloaelehile hore mokuli a utloe bohloko le meeli e meng ho etsa mesebetsi ea letsatsi le letsatsi a le mong, a hloka thuso ho setho sa lelapa ho etsa tlhokomelo ea bohloeki, mohlala. Ho buuoa ka laparoscopy, leha ho nkuoa ho bolokehile, ho ka lebisa ho mathata a kang hematoma, ho tsoa mali kapa pleural effusion. Leha ho le joalo, ho buuoa ka bolokolohi ho ka baka likotsi tse ling.

Hlokomela ba tlositseng spleen

Kamora ho tlosoa ha spleen, matla a 'mele a ho loants'a mafu a fokotseha mme litho tse ling, haholo sebete, li eketsa bokhoni ba tsona ba ho hlahisa lithibela-mafu ho loants'oa mafu le ho sireletsa' mele. Kahoo, letlalo le sekametse habonolo ho tšoaetsong mafu kaPneumococcus, meningococcus le Haemophilus influenzae, kahoo ho lokela:

• Fumana liente ho ikemisetsa khahlanong le Pneumococcus le ente ea conjugate bakeng sa Haemophilus influenzaemofuta B le meningococcus mofuta C, lipakeng tsa libeke tse 2 pele le libeke tse peli kamora ho buuoa;
• Fumana vaksine ea pneumococci lilemo tse ling le tse ling tse 5 (kapa ka linako tse khuts'oane ha ho na le anemia ea mali ea sekele kapa mafu a lymphoproliferative);
• Ho nka lithibela-mafu tekanyetso e tlase ea bophelo kapa ho nka benzathine penicillin libeke tse ling le tse ling tse 3.

Ntle le moo, ho bohlokoa hape ho ja tse phetseng hantle, ho qoba lijo tse nang le tsoekere le mafura a mangata, ho ikoetlisa khafetsa, ho qoba ho fetoha ha mocheso ka tšohanyetso ho qoba sefuba le ntaramane, le ho se noe meriana ntle le boeletsi ba bongaka.