Xaalad caadi ah, caajisku wuxuu miisaankiisu yahay 600 g. Haddii cabbirkiisu ka badanyahay qiimahaas, waxaa la sameeyaa baaritaanka splenomegaly - sababaha cudurkan waa badan yihiin. Isla mar ahaantaana cudurku ma aha mid asaasi ah, laakiin si tartiib tartiib ah ayuu uga soo horjeedaa astaamaha cudurada kale ee qaabka ba'an ama dabadheer inta lagu jiro soo noqoshada.
Cudurada splenomegaly
Gobolka loo aqoonsan yahay waxaa loo aqoonsanayaa sida soo socota:
- dhexdhexaad ah;
- muujiyey.
Xaaladda kowaad, xoogaa splenomegaly ayaa yaraynaya kororka dhexdhexaadka ah ee beeryarada. Waxay gaadho 1-1.5 kg oo miisaankeedu yahay 2-4 cm oo ka hooseeya kootada khafiifka ah.
Warshadaha splenomegaly waxay keenaysaa koror aad u xoog badan oo jirka ah (ilaa 6-8 kg). Xaaladdan oo kale, beeryarada waxaa lagu riixaa 5-6 cm oo ka hooseeya feerka ugu dambeeya.
Ciladaha keena cudurka
Sababaha ugu muhiimsan ee splenomegaly - cudurada beeryarada iyo beerka:
- cagaarshowga asal ahaan kala duwan, gaar ahaan fayras ba'an;
- cirrhosis ee ugu sarraysa;
- portal hypertension;
- burooyin iyo burooyin;
- joogitaanka maqaarka iyo nabarada ku jira unugyada beerka iyo beerka;
- hyperlipidemia muhiim ah;
- glycogenosis;
- Cudurka beer-baxa;
- hemochromatosis ;
- Cudurka Wilson;
- qaaxada ee beeryarada.
Sidoo kale pathology wuxuu kicin karaa bakteeriyada ba'an iyo dabaysha iyo sidoo kale infakshanka fayraska:
- sepsis;
- cudurrada nooca-tipoid-paratyphoid;
- mononucleosis infekshanka;
- waraabowga;
- qaaxada miyarada;
- jadeecada;
- brucellosis;
- rubella.
Caadi ahaan, splenomegaly wuxuu ka soo horjeedaa asalka asalka ah ee leishmaniasis, duumada iyo toxoplasmosis (cudurro ay sababaan jeermi-dilaal fudud).
Waxaa sidoo kale ka mid ah sababaha caadiga ah ee khabiirada loo yaqaan fungal lesions (blastomycosis iyo histoplasmosis), iyo sidoo kale helminthiases:
- echinococcosis;
- schistosomiasis.
Cudurada halista ah ee keena splenomegaly waxaa ka mid ah:
- dhiigkarka iyo dhiig-baxa;
- trombotic iyo trombocytopenic purpura;
- hemoglobinopathy;
- idiopathic purpura;
- agranulocytosis cyclic;
- habdhiska lupus ee leryerka;
- myelofibroxis;
- periarteritis nodular;
- leukemia oo leh qaab dareen iyo dabacsan;
- rheumatoid arthritis ;
- lymphoma malignant.
Waxaa habboon in la ogaado in cudurada hematopoiesis iyo cudurada korontada laga helo, splenomegaly dabiiciga ah ayaa dhacaya xitaa marxaladaha hore ee cudurka. Dhaqsigu wuxuu si dhakhso ah u kordhi karaa qiyaas ahaan 3-4 kg, si sahlan ayaa loo ogaan karaa xitaa marka maskaxda ku haysa gobolka epigastric si madax bannaan.