Hi I'm julita (F) I have enlarge spleen from my child hood, I am now 28yr. Doctor decided splenectomy in dec 2014.how take self care before OT&VACCINAT?

Vaccination. I don't know what kind of problem you are suffering or the cause for the enlarged spleen. I would certainly consider getting a 2nd opinion. Aside from that , try to get vaccinated (especially to pneumococci) before you undergo the surgery. Good luck.