Ake akea

ʻO ke ake e hoʻonui ʻia e pili ana i ka pehu ʻana o ke akepaʻa ma mua o kona nui maʻamau. ʻO Hepatomegaly kekahi huaʻōlelo e wehewehe i kēia pilikia.

Inā hoʻonui ʻia ke akepaʻa a me ka ʻāpala, ua kapa ʻia ia he hepatosplenomegaly.

ʻO ka lihi haʻahaʻa o ke akepaʻa e hele maʻamau i ka lihi haʻahaʻa o nā iwi ʻaoʻao ma ka ʻaoʻao ʻākau. ʻO ka lihi o ke akepaʻa lahilahi a paʻa. ʻAʻole hiki ke ʻike ʻia me nā manamana lima ma lalo o ka lihi o nā iwi ʻaoʻao, koe wale nō ke hanu nui ʻoe. E hoʻonui ʻia paha inā hiki i kahi mea lawelawe olakino ke manaʻo iā ia ma kēia wahi.

Pili ke akepaʻa i nā hana he nui o ke kino. Hoʻopili ʻia ia e nā ʻano he nui i hiki ke kumu i ka hepatomegaly, me:

• Hoʻohana waiʻona (ʻoiaʻiʻo ka hōʻino ʻana i ka waiʻona)
• Nā metastases maʻi ʻaʻai (hohola ʻia ka maʻi ʻaʻai i ke ake)
• Hoka puʻuwai Congestive
• Maʻi maʻi glycogen
• Hepatitis A.
• Hepatitis B
• Hepatitis C
• ʻO ka maʻi maʻi hepococularular
• ʻO ka hoʻomanawanui fructose hereditary
• Mononucleosis maʻi maʻi
• Leukemia
• ʻO ka maʻi Niemann-pick
• ʻO cholangitis biliary mua
• Reye maʻi maʻi
• ʻO Sarcoidosis
• Sclerosing cholangitis
• ʻO thrombosis veins vein
• Steatosis (momona i ke akepaʻa mai nā pilikia metabolic e like me ka maʻi kō, ka momona, a me nā triglyceride kiʻekiʻe, i kapa ʻia hoʻi ʻo stealhepatitis nonalcoholic, a i ʻole NASH)

ʻIke pinepine ʻia kēia ʻano e ka mea hāʻawi. ʻAʻole paha ʻoe e ʻike i ke akepaʻa a i ʻole ka pehu spleen.

E nānā ka mea hāʻawi iā ʻoe a nīnau i nā nīnau e like me:

• Ua ʻike anei ʻoe i ka piha a i ʻole ka puʻupuʻu i loko o kou ʻōpū?
• He aha nā hōʻailona ʻē aʻe āu?
• Aia kekahi ʻeha ʻōpū?
• Aia kekahi melemele o ka ʻili (jaundice)?
• Aia kekahi luaʻi?
• Aia kekahi noho kuʻina kala ʻole a i ʻole ʻulaʻula?
• Ua ʻeleʻele paha kou mimi ma mua o ka maʻamau (brownish)?
• Ua loaʻa ʻoe i ke kuni?
• He aha nā lāʻau āu e lawe nei me nā lāʻau lapaʻau over-the-counter a me nā lāʻau lau?
• Ehia mau inu ʻona?

ʻO nā hoʻokolohua e hoʻoholo ai i ke kumu o ka hepatomegaly ʻokoʻa, kaukaʻi ʻia i ke kumu i manaʻo ʻia, akā hiki ke hoʻopili

• Hihi x ʻōpū
• ʻO ke ultrasound ʻōpū (hiki ke hana ʻia e hōʻoia i ke ʻano inā manaʻo ka mea hāʻawi i kou ake ke hoʻonui ʻia i ka wā o ka hoʻokolohua kino)
• CT scan o ka ʻōpū
• Nā hoʻokolohua hana ate, me nā hoʻāʻo ʻana o ke kō ʻana o ke koko
• MRI scan o ka ʻōpū

Hepatosplenomegaly; Ake akea; Hoʻonui ākea

• ʻO ke ake momona - CT scan
• ʻO ke akepaʻa me ka momona momona - CT scan
• Hepatomegaly

ʻO Martin P. Hoʻokokoke i ka mea maʻi me ka maʻi ate. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 146.

Plevris J, Parks R. ʻO ka ʻōnaehana gastrointestinal. I: Innes JA, Dover AR, Fairhurst K, eds. ʻO kā Macleod's Clinical Examination. 14th ed. Piladelapia, PA: Elsevier; 2018: chap 6.

ʻO Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM. Hepatomegaly. I: Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM, eds. Nā Papahana Hoʻoholo Hoʻoholo Pediatric. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 27.