Ke manaʻo nei ʻoe i kekahi manawa ua nāwaliwali, ua hou, ua polū nā maka, a ua puni ka poʻo ? Hiki paha kēia ma muli o ka emi koke ʻana o kou pae kō koko ( hypoglycemia ). He mea maʻamau kēia no ka mea me ka maʻi diabetes , e like me ka lawe ʻana i ka nui o ka lāʻau lapaʻau a i ʻole ka hala ʻana o ka ʻai. Akā inā hana kēia i kahi mea me ka ʻole o ka maʻi diabetes i nā manawa a pau, ʻo ke kumu paha kekahi mea āu i noʻonoʻo ʻole ai. He ʻano kakaikahi kēlā e pono ai kākou a pau e makaʻala, i kapa ʻia ʻo insulinoma .
He aha maoli ka insulinoma?
I ka ʻōlelo maʻalahi, he puʻupuʻu liʻiliʻi ka insulinoma, ʻaʻole maʻamau he maʻi kanesa e ulu ana i loko o kā mākou pancreas . Hoʻopuka kā mākou pancreas i kahi hormone i kapa ʻia ʻo insulin. ʻO ka hana o kēia insulin ka hoʻomalu ʻana i ka nui o ke kō (glucose) i loko o ke koko.
E noʻonoʻo e pili ana i ia mea, ʻo ka maʻamau, ke piʻi aʻe ke kō o ko kākou kino, hana ka pancreas i ka insulin. Ke emi iho ke kō, hoʻōki ia i ka hana ʻana i ka insulin. Ua like ia me kahi kuapo e hoʻā/pio i ka manawa kūpono.
Akā i ka wā e ulu ai kēia puʻupuʻu i kapa ʻia he insulinoma, hana mau ia i ka insulin . Me he mea lā ua paʻa ke kuapo i ke kūlana 'on'. ʻO ka mea e hana ʻia nei, hoʻomau ka hana ʻana o ka insulin ʻoiai ke haʻahaʻa loa ko mākou pae kō koko. Hiki i kēia ke hoʻohaʻahaʻa i ko mākou pae kō koko. No ka mea, ua hana ʻia kēia mau puʻupuʻu me kahi ʻano kūikawā o nā cell nerve (nā cell neuroendocrine), hiki i kāu kauka ke kapa iā lākou he "tumor neuroendocrine". He liʻiliʻi loa kēia mau puʻupuʻu (ʻaʻole i hoʻokahi ʻīniha) a ʻoi aku ma mua o 90% ʻaʻole maʻi kanesa. No laila, hiki ke ho'ōla loa ʻia me ke ʻoki ʻana.
He aha nā hōʻailona o kēia maʻi?
Ma muli o ka hoʻomau ʻana o ka insulinoma i ka hana ʻana i ka insulin, ua hoʻokumu ʻia nā hōʻailona e ka haʻahaʻa o ke kō koko (hypoglycemia). Hiki ke ʻike koke ʻia kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka huikau | ʻAʻole hiki ke hoʻomaopopo i ka mea e hana nei, kahi āu e noho nei, a me ke poniuniu. |
| Ka hou nui ʻana (Sweating) | Ua anu koke a hou ka hou me ke kumu ʻole. |
| Nāwaliwali | Ke manaʻo nei e nalowale ana ke ola o kou kino, ke haʻalulu nei kou mau lālā. |
| Hopohopo a me ka piʻi ʻana o ka puʻuwai | Makaʻu me ke kumu ʻole, me he mea lā e kuʻi wikiwiki ana kou umauma. |
| ʻEha poʻo nui | Ka hoʻomaka koke ʻana o ka ʻeha poʻo nui. |
| Nā loli o ka ʻike | Nā mea e like me ka ʻike maka pōwehiwehi, ka ʻike maka pālua, a pēlā aku. |
| Nā loli ʻano | Ka huhū me ke kumu ʻole, ka lilo ʻana i mea hoʻonāukiuki. |
| Hoʻopaʻa ʻana | Ke hāʻule haʻahaʻa loa kou pae kō, hiki iā ʻoe ke loaʻa i kahi maʻi. |
ʻO ka mea nui loa: Hiki i ka hypoglycemia koʻikoʻi ke hoʻoweliweli. Hiki iā ia ke hoʻoulu i ka maule a i ʻole ka coma. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka.
He aha ke kumu o ka insulinoma? ʻO wai ka mea i ʻoi aku ka pilikia?
ʻAʻole i ʻike ʻia ke kumu maoli o kēia mau ʻōpū, akā naʻe, hiki i kekahi mau kumu ke hoʻonui i ka pilikia.
- He ʻoi aku ka kiʻekiʻe o ke ʻano o nā wāhine ma mua o nā kāne.
- ʻIke pinepine ʻia ia i nā poʻe ma waena o 40 a me 60 mau makahiki .
- ʻOi aku ka nui o ka pilikia o ka poʻe me kekahi mau kūlana hoʻoilina . Eia kekahi laʻana:
- ʻO ka neoplasia endocrine lehulehu ʻano 1: He kūlana kahi e hoʻokumu ʻia ai nā ʻōpū i loko o nā kelepa hana hormone.
- ʻO ka maʻi Von Hippel-Lindau: He kūlana kahi e hoʻokumu ʻia ai nā puʻupuʻu a me nā ʻano like me ka puʻupuʻu ( cysts ) i loko o nā ʻano kino like ʻole.
- ʻAno Neurofibromatosis 1: Nā ulu ʻana ʻaʻole maʻi kanesa ma nā aʻalolo a me ka ʻili.
- ʻO ka sclerosis tuberous: ʻO nā ʻōpū ʻaʻole maʻi kanesa i loko o nā ʻōpū e like me ka lolo, nā maka, ka puʻuwai, a me nā puʻupaʻa.
Pehea e ʻike ai ke kauka i kēia?
Hiki ke paʻakikī iki ka ʻike ʻana i ka insulinoma, no ka mea, ua like nā hōʻailona me nā maʻi maʻamau ʻē aʻe, no laila hiki ke lōʻihi ka manawa no kāu kauka e ʻike ai.
ʻO ka mea nui, ʻo ia ka hana ʻana i kahi 'hoʻokē ʻai 72 hola' . Ma kēia, e mālama ʻia ʻoe i loko o ka haukapila no ʻelua a ʻekolu mau lā a ʻaʻole ʻae ʻia e ʻai a inu paha i kekahi mea koe wale nō ka wai. I loko o kēia manawa, e nānā mau nā kauka i kou kō koko a me nā pae insulin.
Ke hoʻāʻo nei lākou e hōʻoia i kēia mau mea ʻekolu ma o kēia hoʻāʻo:
1. Ke ʻike nei ʻoe i nā hōʻailona o ke kō koko haʻahaʻa (e like me ka poniuniu, ka hou ʻana).
2. Ke ʻike ʻia kēlā mau hōʻailona, ua haʻahaʻa maoli anei ke kiʻekiʻe o ke kō koko?
3. E nalo anei nā hōʻailona ke hāʻawi ʻoe i kekahi kō (glucose) ma waho?
Inā loaʻa iā ʻoe kahi insulinoma, e haʻahaʻa loa kou pae kō koko hoʻokē ʻai, akā e kiʻekiʻe ana kou pae insulin. ʻO kēia ka hōʻike nui. Me kēia, e nānā pū nā hoʻokolohua koko i nā mea e like me `(C-peptide)` a me `(proinsulin)`.
A laila, hana ʻia nā hoʻokolohua kiʻi e ʻike pono ai i kahi o ka puʻupuʻu pancreatic.
- ʻO ke kiʻi CT `(CT scan)`
- ʻO ke kiʻi ʻana o ka ultrasound `(Ultrasound)`
- ʻO ke kiʻi MRI `(MRI)`
He aha nā lāʻau lapaʻau no kēia?
ʻO ka lāʻau lapaʻau nui a kūleʻa loa no ka insulinoma, ʻo ia ke ʻoki ʻana e wehe i ka puʻupuʻu . I ka hapanui o nā hihia, ua ho'ōla loa ʻia ka maʻi ma hope o ke ʻoki ʻana.
ʻO ke ʻano o ke ʻoki ʻana i hana ʻia ma muli o ke ʻano, ka nui, a me ka wahi o ka puʻupuʻu.
- Ke wehe wale ʻana i ka puʻupuʻu: Hiki i nā kauka lapaʻau ke wehe pono i ka puʻupuʻu me ka ʻole o ka hōʻino ʻana i ka pancreas.
- Ke wehe ʻana i kahi ʻāpana o ka pancreas: I kekahi manawa pono e wehe ʻia kahi ʻāpana liʻiliʻi o ka pancreas e pili ana me ka puʻupuʻu.
Me ka ʻenehana holomua o kēia wā,Hiki ke wehe ʻia kēia mau puʻupuʻu ma o ke ʻoki laparoscopic. ʻO ke ʻano kēia, ma kahi o hoʻokahi ʻoki nui, hana ʻia ke ʻoki ma o kekahi mau ʻoki liʻiliʻi me ke kōkua o kahi kāmela. ʻO nā pōmaikaʻi o kēia, ʻaʻole ʻeha iki, ʻoi aku ka pōkole o nā lā āu e noho ai ma ka haukapila, a hiki iā ʻoe ke hoʻi koke i kou ola maʻamau.
Lapaʻau no nā ʻōpū kanesa
He mea kākaʻikahi loa (ʻaʻole i emi iho ma mua o 10%) hiki i kēia mau puʻupuʻu ke lilo i maʻi kanesa. I kēlā mau hihia, ʻokoʻa ka lāʻau lapaʻau. Inā ʻaʻole hiki ke wehe ʻia ka puʻupuʻu holoʻokoʻa ma ke ʻoki ʻana, pono paha ʻoe e lawe i ka lāʻau lapaʻau e pale ai i ke kō koko mai ka hāʻule ʻana i lalo loa. Pono paha ʻoe i ka chemotherapy . No kekahi mau ʻano maʻi kanesa, aia nā lāʻau lapaʻau kūikawā, e like me ka "Lutetium Lu 177 dotatate", ʻo ia hoʻi ka hāʻawi ʻana i kahi lāʻau radioactive ma o kahi vein.
Aia kekahi mau pilikia ma hope o ke ʻoki ʻana?
ʻOiai ua holomua ke ʻoki kino ma ka hapanui o nā hihia, e like me nā ʻoki kino āpau, aia kahi pilikia o nā pilikia liʻiliʻi.
- Ke kahe ʻana o ke koko
- Maʻi
- ʻEha
- Inā wehe ʻia kahi ʻāpana nui o ka pancreas, aia ka pilikia o ka loaʻa ʻana o ka maʻi diabetes.
- Ka leaka ʻana o ka wai mai ka pancreas (Pancreatic fistula)
- Ua hoʻemi ʻia nā enzymes digestive.
Inā he puʻupuʻu kanesa ia, hiki ke loaʻa nā pilikia e like me ka laha ʻana o ka maʻi i nā ʻōpū ʻē aʻe (metastasis). E wehewehe pono kāu kauka i kēia iā ʻoe.
Leka Lawe-Home
- He puʻupuʻu laha ʻole ka Insulinoma e ulu ana i loko o ka pancreas. ʻO kēia ke kumu o ka haʻahaʻa mau ʻana o nā pae kō koko.
- Inā ʻike koke ʻoe i nā hōʻailona e like me ka poniuniu, ka hou nui, a me ka huikau me ke kumu ʻole, ʻoiai ke pōloli ʻoe, e ʻike koke i ke kauka.
- Pono ka noho ʻana ma ka haukapila a me nā hoʻāʻo koko kūikawā a me nā scan.
- ʻO ka lāʻau lapaʻau nui, ʻo ia ka wehe ʻana i ka puʻupuʻu me ke ʻoki kino, a ʻo ia ka mea e ho'ōla piha ai.
- ʻAʻole ka hapa nui o nā insulinomas he maʻi kanesa, no laila ʻaʻohe pono e hopohopo. Eia nō naʻe, e ʻoluʻolu e nīnau i kāu kauka no ka ʻike kūpono a me ka mālama ʻana.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo