Spleen rupture: mgbaàmà, akpata na ọgwụgwọ

Ndinaya

• Ọgwụgwọ maka mgbawa mgbawa
• Ihe na-ebute mgbawa

Ihe mgbaàmà kachasị nke mgbawa nke splin bụ ihe mgbu n'akụkụ aka ekpe nke afọ, nke a na-ejikarị enwekwu uche na mpaghara ahụ nke nwere ike ịmịpụta n'ubu. Na mgbakwunye, enwere ike ịdaba na ọbara mgbali, nju anya, mgbagwoju anya nke uche na ịda mba nwere ike ime mgbe oke ọbara ọgbụgba.

Ọ dị mkpa na onye ahụ gawara ụlọ ọgwụ ozugbo ka e wee mee nnwale nke nwere ike ịchọpụta ọnya nke splin ahụ, na-achọ nyocha ihe onyonyo, dịka igwe onyonyo eserese na afọ ultrasound. Na mgbakwunye, mgbe dọkịta na-enyo enyo na ọ na-agba ọbara, enwere ike ịwa ahụ ịwa ahụ iji kwụsị ọbara ọgbụgba ahụ na iji mezue nchoputa.

Mgbapu nke splin na-eme tumadi n'ihi nhụjuanya n'ime afọ, na-emekarị na ndị na-eme egwuregwu na-akpọtụrụ ma ọ bụ n'ihi ihe mberede ụgbọ ala, dịka ọmụmaatụ.

Ọgwụgwọ maka mgbawa mgbawa

Mgbe o kwusịrị ikewa mgbawa ahụ, dọkịta ahụ nwere ike ime ka usoro ọgwụgwọ kacha mma ka ọ ghara itinye ndụ onye ahụ n'ihe egwu. Imirikiti oge, ịwa ahụ ngwa ngwa ka akwadoro iji wepu spple ahụ ma gbochie ọbara ọgbụgba ọzọ, ujo hypovolemic na ọnwụ. Ọzọkwa, a na-atụ aro mmịnye ọbara, ebe ọ bụ na onye ahụ nwere ike ịda ọtụtụ ọbara.

N’ọnọdụ ndị na-adịchaghị njọ, nke mmerụ ahụ na-adịchaghị njọ na nke na-emebi ndụ mmadụ, dọkịta nwere ike igosi mmịnye ọbara yana iwepụ naanị akụkụ nke spple ahụ merụrụ ahụ. Nke a bụ n'ihi na mkpochapụ nke splin nwere ike ime ka onye ahụ nwee ike ibute ọrịa, ebe ọ bụ na akụkụ a bụ ọrụ maka ịmepụta sel ndị na-enweghị nchekwa maka nchekwa nke ahụ megide ọrịa.

Hụ ihe banyere ịwa ahụ iji wepụ splin.

Ihe na-ebute mgbawa

Mgbapu nke splin na-eme tumadi n'ihi trauma na mpaghara afọ, ọ na-abụkarị nsonaazụ nke:

• Direct trauma gaa n'aka ekpe abdominal mpaghara;
• Ihe mberede ụgbọala;
• Ihe mberede egwuregwu;
• N'ihi ịwa ahụ bariatric na ndị ọrịa buru oke ibu.

Ọ dịkwa mkpa ịkọwa na enwere ohere dị ukwuu nke mgbaji sppleen n'ihe banyere splenomegaly, ya bụ, mgbe a na-ebuwanye ibu.