Munyika inowanzogara, chirwere chacho chinorema kusvika ku-600 g.Kana ukuru hwahwo huri kupfuura hutsika idzi, chirwere cheplenomegaly chinogadzirwa - zvikonzero zvehutano huzhinji. Panguva imwechete iyo chirwere hachisi chikuru, asi zvishoma nezvishoma chinopesana nechekuita kweimwe zvirwere muhutachiwana kana husingaperi panguva yekudzokerazve.
Denda re splenomegaly
Nyaya inofungidzirwa inotsanangurwa seinotevera:
- moderate;
- akarondedzerwa.
Muchiitiko chekutanga, zvishoma zvishoma zvinonzi splenomegaly zvinokonzera kuwedzera kusinganzwisisiki muchero. Anosvika 1-1.5 kg muhupamhi uye anoshandiswa 2-4 cm pasi pechitsiko chemari.
Zvinonzi splenomegaly inotungamirira kukura kwakasimba kwechirongwa (kusvika pa 6-8 kg). Muchiitiko ichi, chirwere chinoputika 5-6 cm pasi pebvu rekupedzisira.
Zvimwe zvinokonzera chirwere ichi
Zvinonyanya kukonzera zveplenomegaly - zvirwere zvepleen uye chiropa:
- hepatitis yakasiyana-siyana, kunyanya chirwere chetachiona;
- cirrhosis ye peak;
- portal hypertension;
- matumbo nemakristi;
- kuvapo kwevasiki nemakumbo mumatumbu espleen nechiropa;
- inokosha hyperlipidemia;
- glycogenosis;
- spleen infarction;
- hemochromatosis ;
- Chirwere chaWilson;
- tuberculosis wepleen.
Uyewo hutachiona hunogona kukanganisa bhakitiriya yakaoma uye isingaperi uye zvirwere zvehutachiona:
- sepsis;
- zvirwere zve typhoid-paratyphoid;
- infectious mononucleosis;
- syphilis;
- miliary tuberculosis;
- masero;
- brucellosis;
- rubella.
Kakawanda, splenomegaly inorwisana nechetmeniasis, malaria uye toxoplasmosis (zvirwere zvinokonzerwa nema microorganism).
Uyewo pakati pezvikonzero zvinowanzozivikanwa nevadzidzisi vanonzi fungal zilonda (blastomycosis uye histoplasmosis), pamwe ne helminthiases:
- echinococcosis;
- schistosomiasis.
Zvirwere zvakakomba zvinokonzera splenomegaly dzinosanganisira:
- hemolytic and pernicious anemia;
- thrombotic uye thrombocytopenic purpura;
- hemoglobinopathy;
- idiopathic purpura;
- cyclic agranulocytosis;
- systemic lupus erythematosus;
- myelofibrosis;
- nodular periarteritis;
- kemukemia mumuviri wakaoma uye asingagumi;
- rheumatoid arthritis ;
- malignant lymphoma.
Zvakakosha kuziva kuti muhutachiona hwe hematopoiesis uye zvirwere zvekudzivirira muviri, unhu hunonzi splenomegaly hunowanikwa kunyange mumatanho ekutanga echirwere. Nhengo yacho nokukurumidza uye yakasimba yakakura muhukuru, inosvika kurema kwe 3-4 kg, inoonekwa nyore nyore kunyange kana palpation yenharaunda yepigastric iri yakazvimiririra inonzwa.