How to treat splenomegaly, how to treat splenomegaly in children

Hello, there are many reasons for splenomegaly, there are simple splenomegaly, hypersplenism, cirrhosis portal hypertension, splenomegaly, or splenomegaly caused by splenic hemangioma, etc., at present, you can choose blood routine and spleen color ultrasound and CT examination to further clarify, if there is hypersplenism or splenic tumor, surgery can be taken**.

You should go to a regular hospital for examination to determine whether splenomegaly** is caused by cirrhosis or secondary to blood disease.

Pediatric splenomegaly itself is not serious, but it can easily cause serious complications, so how should pediatric splenomegaly be a**?

Pediatric splenomegaly should first cause the underlying disease of splenomegaly. Surgical removal of the spleen is rarely necessary because it can cause a variety of problems, including a susceptibility to serious infections. However, there are some serious situations where these risks are worth the risk:

When the spleen destroys red blood cells very quickly, severe anemia occurs; When the spleen depletes stored white blood cells and platelets, it is prone to infection and bleeding; When the splenomegaly causes pain or compresses adjacent organs; When part of the megasplenum is hemorrhaged or infarcted. Radiation** is also sometimes used selectively to shrink the spleen compared to surgery.

In general, among the viral infectious diseases in children, the common diseases of fever accompanied by hepatosplenomegaly are acute viral hepatitis and infectious mononucleosis. Acute viral hepatitis usually starts with fever at the beginning of the disease, and after about 5 to 10 days, the child** and sclera begin to appear jaundice, and hepatosplenomegaly can be seen at the same time. Laboratory tests of liver function usually confirm the diagnosis.

In the normal state, the spleen can not be touched generally, if the supine or right decubitus position may touch the edge of the spleen, it can be considered to be splenomegaly, in recent years, B ultrasound in the clinical wide application, found a large number of hands can not touch the "spleen", in the health examination B ultrasound shows that the spleen is about 15, most of them are not touched by hand, B ultrasound shows that the spleen is actually measured, that is, it is really large, can show the spleen enlargement earlier, when the spleen can be touched by hand, the spleen has been more than doubled.

The causes of splenomegaly are:

1) Infectious splenomegaly. All kinds of acute and slow infections such as typhoid, paratyphoid, kala-azar, schistosomiasis, malaria, viral hepatitis, sepsis, late syphilis, etc.

2) Bloody splenomegaly. Spotik's syndrome, cirrhosis, cardiogenic cirrhosis due to chronic heart failure, chronic constrictive pericarditis, portal or splenic vein thrombosis.

3) Proliferative splenomegaly. It is seen in certain blood diseases such as leukemia, hemolytic anemia, malignant lymphoma, etc.

4) Miscellaneous. Malignant tumors of the spleen are rare, spleen cysts, disseminated lupus erythematosus, dermatomyositis, polyarteritis nodosa, and Gaucher's disease.

Due to the complexity of the cause of an enlarged spleen, except for a few artificial physiology, it should be searched for under the guidance of a doctor, and it should be reviewed regularly.

Because an enlarged spleen has a bad effect on the human body, surgery was used to remove the spleen. Removal of the spleen has the benefit of correcting the harm of splenomegaly to the human body, but this method also has shortcomings. After total splenectomy, the patient's immune function will be changed, the spleen filtration function will be lost, the IgM will be reduced, the levels of modulin and opsonin will be reduced, the T lymphocyte system will be disordered, the number of peripheral blood lymphocytes and the lymphocyte turnover rate will be significantly reduced, resulting in a significant increase in the chance of outbreak infection, and the surgical trauma is large and the cost is high.

There are also some patients with poor liver function, ascites, low protein, hematemesis and other poor conditions without surgical conditions.

The spleen is also an important organ of the human body, an important blood storage organ, and an important immune organ, and the spleen plays a very important role in the whole body defense system.