What s the deal with an enlarged spleen? The cause of the enlarged spleen is what s going on

Updated on healthy 2024-08-14
2 answers
  1. Anonymous users2024-02-16

    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.

  2. Anonymous users2024-02-15

    Disease analysis: There are many causes of splenomegaly, including: hepatitis, portal hypertension, various infections, blood diseases, etc.

    Guidance: There is also a part of splenomegaly that cannot be found to be caused, called idiopathic splenomegaly, which is generally not a big problem, and there will be no obvious discomfort, and regular observation is fine. If the spleen hurts, it is recommended to consider whether there is an infarction, and it is recommended to have a repeat ultrasound.

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