Sebakeng se tloaelehileng, spleen e lekanya ho fihlela ho 600 g. Haeba boholo ba eona bo feta mekhoa ena, ho hlahlojoa ha splenomegaly ho etsoa - lisosa tsa ts'oaetso ena li ngata. Ka nako e ts'oanang lefu lena ha le leholo, empa butle-butle le hlasela ka morao ho mafu a mang ka mokhoa o thata kapa o sa foleng nakong ea ho khutlela morao.
Lefu la splenomegaly
Puso e nahannoeng e arotsoe ka tsela e latelang:
- e leka-lekaneng;
- e hlalositsoe.
Ntlheng ea pele, splenomegaly e fokolang e etsa hore ho be le keketseho e fokolang ea spleen. O finyella lik'hilograma tse 1-1.5 ka boima 'me o nkoa ka 2-4 cm ka tlaase ho lehare la litšenyehelo.
Ho boleloa hore splenomegaly e lebisa hoketseho e matla haholo ea setho (ho fihlela ho 6-8 lik'hilograma). Tabeng ena, spleen e hlasetsoe ka 5-6 cm ka tlase ho mofere oa ho qetela.
Lintho tse bakang lefu lena
Lisosa tse kholo tsa splenomegaly - mafu a spleen le sebete:
- lefu la sebete le entsoeng ka litsela tse sa tšoaneng, haholo-holo likokoana-hloko tse matla;
- ho ruruha ha tlhōrō;
- khatello ea kelello ea portal;
- li-tumor le li-cyst;
- ho ba teng ha li-abscesses le abscesses likarolong tsa spleen le sebete;
- hyperlipidemia ea bohlokoa;
- glycogenosis;
- spleen infarction;
- hemochromatosis ;
- Lefu la Wilson;
- lefuba la spleen.
Hape ho kula ho ka hlahisa baktheria e matla le e sa foleng hammoho le mafu a tšoaetso ea kokoana-hloko:
- sepsis;
- maloetse a typhoid-paratyphoid;
- tšoaetso ea mononucleosis;
- sephiri;
- lefuba la meriana;
- masale;
- brucellosis;
- rubella.
Hangata, splenomegaly e hlaha ka lebaka la leishmaniasis, malaria le toxoplasmosis (mafu a bakoang ke likokoana-hloko tse bonolo).
Hape har'a mabaka a tloaelehileng litsebi li bitsa li-fungal liso (blastomycosis le histoplasmosis), hammoho le helminthiases:
- echinococcosis;
- schistosomiasis.
Maloetse a tebileng a bakang splenomegaly a kenyeletsa:
- lefu la mali le tšoaetsanoang ke lefu la hemolytic le le kotsi;
- purpura ea thrombotic le thrombocytopenic;
- hemoglobinopathy;
- idiopathic purpura;
- cyclic agranulocytosis;
- systemic lupus erythematosus;
- myelofibrosis;
- nodular periarteritis;
- lefuemia ka mokhoa o thata le o sa foleng;
- ramatiki ea ramatiki ;
- malignant lymphoma.
Ke habohlokoa hore re hlokomele hore ha lefu la hematopoiesis le mafu a fokolang motho a le mong, ho na le tšoaetso ea splenomegaly esita le likarolong tse qalang tsa lefu lena. Setho se potlakile mme se eketsa ka matla, se fihla boima ba 3-4 lik'hilograma, se fumaneha habonolo esita le ha palpation ea sebaka sa epigastric e iponahatsa e ikemetse.