Ukwandiswa kwesibindi

Isibindi esandisiweyo sibhekisa kukudumba kwesibindi ngaphaya kobukhulu obuqhelekileyo. I-hepatomegaly lelinye igama elichaza le ngxaki.

Ukuba zombini isibindi kunye ne-spleen zandisiwe, ibizwa ngokuba yi-hepatosplenomegaly.

Umda ongezantsi wesibindi uhlala ufika kumda osezantsi weembambo kwicala lasekunene. Umda wesibindi uhlala unciphile kwaye uqinile. Ayinakuviwa ngeentupha zomnwe ngaphantsi komphetho weembambo, ngaphandle kwaxa uphefumla nzulu. Inokwandiswa ukuba umboneleli wezempilo angaziva kule ndawo.

Isibindi siyabandakanyeka kwimisebenzi emininzi yomzimba. Iyachaphazeleka kwiimeko ezininzi ezinokubangela i-hepatomegaly, kubandakanya:

• Ukusetyenziswa kotywala (ngakumbi ukusetyenziswa gwenxa kotywala)
• I-Cancer metastases (ukusasazeka komhlaza kwisibindi)
• Ukusilela kwentliziyo
• Isifo sokugcina iGlycogen
• IHepatitis A
• IHepatitis B
• IHepatitis C
• I-hepatocellular carcinoma
• Ukunganyamezelani kwe-fructose
• I-mononucleosis echaphazelekayo
• Ileukemia
• Isifo seNiemann-Pick
• I-cholangitis yamabanga aphantsi
• Isifo seReye
• I-Sarcoidosis
• Ukubola kwe-cholangitis
• I-portal vein thrombosis
• I-Steatosis (amanqatha esibindini avela kwiingxaki zesifo seswekile, ukutyeba kakhulu, kunye ne-triglycerides ephezulu, ekwabizwa ngokuba yi-nonalcoholic steatohepatitis, okanye i-NASH)

Le meko ihlala ifunyanwa ngumboneleli. Usenokungasazi isibindi okanye ukudumba kobudoda.

Umboneleli uya kukuvavanya kwaye abuze imibuzo efana nale:

• Uqaphele ukugcwala okanye iqhuma esiswini?
• Zeziphi ezinye iimpawu onazo?
• Ngaba kukho naziphi na iintlungu esiswini?
• Ngaba lukhona utyheli lolusu (i-jaundice)?
• Ngaba kukhona ukugabha?
• Ngaba kukho naziphi na izitulo ezinombala ongaqhelekanga okanye umbala omfusa?
• Ngaba umchamo wakho ubonakale umnyama kunesiqhelo (umdaka)?
• Unomkhuhlane?
• Ngawaphi amayeza owathathayo kubandakanya amayeza e-counter kunye namayeza esintu?
• Usela kangakanani utywala?

Uvavanyo lokufumanisa unobangela we-hepatomegaly luyahluka, kuxhomekeke kwisizathu esikrokrisayo, kodwa kunokubandakanya:

• X-ray esiswini
• I-ultrasound yesisu (inokwenziwa ukuqinisekisa imeko ukuba umboneleli ucinga ukuba isibindi sakho siziva sinyukile ngexesha lovavanyo lomzimba)
• Ukuvavanywa kwe-CT kwesisu
• Uvavanyo lomsebenzi wesibindi, kubandakanya uvavanyo lwegazi
• Ukuvavanywa kwesisu esiswini

IHepatosplenomegaly; Isibindi esandisiweyo; Ukwandiswa kwesibindi

• Isibindi esinamafutha-i-CT scan
• Isibindi ngokutyeba okungafaniyo - CT scan
• I-hepatomegaly

UMartin P. Indlela eya kwisigulana esinesifo sesibindi. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 146.

I-Plevris J, iipaki R. Inkqubo yamathumbu. Ku: Innes JA, Dover AR, Fairhurst K, ii-eds. Uvavanyo lweKlinikhi yaseMacleod. Umhla we-14. IPhiladelphia, PA: Elsevier; I-2018: isahluko 6.

IPomeranz AJ, uSabnis S, uBusey SL, uKliegman RM. I-hepatomegaly. Ku: Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM, ii-eds. Amaqhinga okwenza izigqibo kwabantwana. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 27.