Koj puas muaj kev ntshaw noj mov tsis txaus? Cia peb kawm txog VIPoma (Vasoactive Intestinal Peptide Secreting) qog!

Puas muaj tej lub sij hawm koj raws plab hnyav heev uas kav ntev li ntau hnub, nrog rau mob plab thiab mob plab? Tej zaum koj yuav tsis noj mov lossis haus dej dab tsi, tab sis koj tseem xav li no. Yog tias koj muaj cov tsos mob zoo li no, qhov ua rau tej zaum yuav tsis tshua muaj, tab sis nws yuav yog ib qho mob uas peb yuav tsum tham txog. Hnub no peb tab tom tham txog ib qho mob hu ua VIPoma , lossis 'Vasoactive Intestinal Peptide Secreting' qog . Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, cia peb ua kom yooj yim.

Mob qog VIPoma yog dab tsi?

Hais yooj yim xwb, VIPoma yog ib hom qog nqaij hlav uas tsis tshua muaj tshwm sim hauv lub txiav pancreas . Tshwj xeeb, cov no yog cov qog nqaij hlav uas tshwm sim hauv cov hlwb tsim cov tshuaj hormones ntawm lub txiav pancreas, hu ua cov hlwb endocrine . Cov kws kho mob qee zaum hu qhov mob no tias 'Verner-Morrison syndrome' .

Cov qog VIPoma tsis tshua muaj . Txawm tias nyob hauv lub tebchaws zoo li Asmeskas, qhov mob no tau hais tias tshwm sim rau kwv yees li ib ntawm kaum lab tus tib neeg. Yog li koj tuaj yeem xav txog nws tsis tshua muaj. Kev nyob nrog tus kab mob tsis tshua muaj no tuaj yeem yog qhov nyuaj tiag tiag, vim nws muaj kev cuam tshuam loj heev rau koj lub neej txhua hnub. Tab sis, tsis txhob txhawj . Tam sim no muaj kev kho mob uas qee zaum tuaj yeem kho tus mob VIPoma no, lossis tsawg kawg tswj cov tsos mob.

Cov tsos mob ntawm tus mob VIPoma yog dab tsi?

Cov tsos mob tseem ceeb tshaj plaws uas pom hauv tus mob no yog raws plab hnyav heev, ua dej . Qhov no hnyav heev uas koj tuaj yeem muaj qhov raws plab no txawm tias koj tsis noj mov (yoo mov). Nws tsis ploj mus hauv ob peb hnub. Qhov no yog lub cim qhia tshwj xeeb tshaj plaws ntawm tus kab mob no.

Sib nrug ntawm qhov ntawd, tej zaum yuav muaj ntau lwm yam tsos mob:

• Mob plab los yog mob: Koj lub plab yuav zoo li nws tig los yog nws yuav mob thaum kov.
• Qaug zog: Xav tias nkees thiab tsis muaj sia nyob txhua lub sijhawm.
• Ntshav liab: Lub ntsej muag thiab hauv siab liab tam sim ntawd. Qhov no tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb.
• Cov leeg tsis muaj zog: Tej zaum koj yuav xav tias koj ob txhais ceg yuav loog, thiab nws yuav nyuaj rau tsa cov hnyav.

Xav txog seb koj yuav xav li cas yog tias koj muab ob lossis peb lub raj mis dej tso rau hauv ib hnub. Qhov no tuaj yeem ua rau koj mob hnyav heev uas koj ua tsis tau koj tej haujlwm niaj hnub.

Dab tsi ua rau VIPoma tshwm sim?

Cov kws tshaj lij tseem tsis tau paub meej tias yog dab tsi ua rau muaj cov qog VIPoma, tab sis lawv nkag siab meej txog cov tsos mob no tshwm sim li cas.

Peb lub cev muaj ib hom tshuaj hormones hu ua 'Vasoactive Intestinal Peptide' (VIP) . Cov tshuaj hormones VIP no yog lub luag haujlwm rau kev tswj peb lub cev zom zaub mov.Nws pab tau ntau heev. Qhov ntawd yog, cov tshuaj hormones no tswj kev tso dej, ntsev, cov enzymes, thiab cov kua qaub hauv plab hauv txoj hnyuv. Nws kuj pab so qee cov leeg nqaij hauv txoj hnyuv.

Thaum lub qog VIPoma loj hlob tuaj, nws tso tawm cov tshuaj VIP hormone ntau dhau rau hauv lub cev. Thaum cov tshuaj VIP hormone no raug nqus mus rau hauv lub cev, cov tsos mob uas tau hais ua ntej, xws li raws plab hnyav thiab mob plab, tshwm sim. Hais yooj yim xwb, cov qog no ua rau cov tshuaj VIP hormone ua haujlwm ntau dhau.

Tej yam teeb meem uas yuav tshwm sim ntawm VIPoma yog dab tsi?

Qhov teeb meem tseem ceeb ntawm tus kab mob VIPoma yog raws plab ntau dhau. Ib txhia neeg yuav tso tau ib mus rau peb liv (1-3 quarts) ntawm cov quav dej ib hnub. Thaum qhov kev raws plab no txuas ntxiv mus, lub cev poob ntau cov dej thiab cov zaub mov tseem ceeb, tshwj xeeb yog potassium.

Qhov no tuaj yeem ua rau lub cev qhuav dej thiab hypokalemia dhau sijhawm. Ob qho mob no muaj kev phom sij vim tias lawv tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj dua. Piv txwv li:

• Lub plawv dhia tsis sib xws ('Arrhythmia'): Lub plawv dhia tsis sib xws.
• Kev poob siab Hypovolemic: Ib qho mob uas tshwm sim los ntawm kev txo qis ntawm cov kua dej hauv lub cev.
• Cov leeg tsis muaj zog ('Myopathy'): Cov leeg ua haujlwm tsis zoo.
• Tetany: Mob nqaij ntshiv uas ua rau mob heev.

Vim yog cov teeb meem no, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob sai sai yog tias koj muaj cov tsos mob ntawm VIPoma.

Cov kws kho mob kuaj mob VIPoma li cas?

Yog koj muaj cov tsos mob xws li raws plab hnyav lossis mob plab uas tau tshwm sim tau ob peb hnub, tus kws kho mob yuav kuaj koj lub cev thiab nug txog koj cov tsos mob.

Kuj tseem yuav kuaj cov quav kom paub seb puas muaj lwm yam mob uas ua rau raws plab (piv txwv li, kev kis kab mob). Tsis tas li ntawd, cov kev kuaj hauv qab no yuav ua tau:

• Kev kuaj ntshav: Cov no feem ntau yog kuaj xyuas qib ntawm VIP hormone hauv cov ntshav. Hauv VIPoma, qib no siab heev. Lawv kuj tseem tuaj yeem kuaj xyuas tej yam xws li lub cev qhuav dej thiab tsis muaj potassium txaus.
• Kev kuaj duab: Cov no thaij duab sab hauv lub cev kom pom seb puas muaj qog, yog tias muaj, nws nyob qhov twg, thiab nws loj npaum li cas. Qhov no yuav suav nrog kev kuaj 'Computed Tomography (CT) scan' lossis 'Magnetic Resonance Imaging (MRI)' .

Cov kws kho mob lees paub qhov xwm txheej VIPoma tom qab ua tag nrho cov kev kuaj no.

Yuav kho tus mob VIPoma li cas?

Kev kho mob VIPoma feem ntau yuav siv tshuaj thiab phais ua ke. Koj tus kws kho mob yuav pom zoo cov hauv qab no:

• Cov kua dej hauv cov hlab ntsha ('IV fluids'):Cov no yog muab los hloov cov kua dej thiab cov zaub mov uas lub cev poob vim yog raws plab tas li. Qhov no tuaj yeem pab tswj kev qhuav dej.
• Cov tshuaj kho mob:
• Kev raws plab tuaj yeem tswj tau los ntawm kev siv cov tshuaj xws li "Octreotide (Sandostatin LAR®)" . Cov tshuaj no txo ​​qhov kev tso tawm ntawm cov tshuaj hormone VIP.

Tom qab koj tswj koj cov tsos mob li no, koj tus kws kho mob yuav qhia lwm yam kev kho mob kom tshem tawm lossis tswj tau qhov mob qog:

• Kev Phais Mob: Yog tias qhov mob qog tsis tau kis mus rau lwm qhov ntawm lub cev (metastasized) , kev phais mob tuaj yeem siv los tshem tawm qhov mob qog. Kev phais mob hu ua distal pancreatectomy, uas tshem tawm tus tw thiab lub cev ntawm lub pancreas, tuaj yeem siv rau qhov no. Yog tias qhov mob qog raug tshem tawm tag nrho, tus kab mob yuav kho tau.
• Kev Kho Mob Qog Ntsws: Yog tias qhov qog tau kis mus rau lwm qhov lossis tsis tuaj yeem phais tshem tawm tag nrho, kev kho mob qog yuav raug muab los tua cov hlwb qog.
• Kev kho mob tsom mus rau: Cov no yog cov tshuaj uas tsom mus rau qee qhov ntawm cov hlwb qog noj ntshav.

Koj pab neeg kho mob yuav txiav txim siab qhov kev kho mob zoo tshaj plaws rau koj tom qab kuaj xyuas koj tus mob kom zoo.

Ib tug neeg uas muaj VIPoma yuav xav tau dab tsi?

Qhov no yeej txawv ntawm ib tus neeg mus rau ib tus neeg. Kev phais mob tuaj yeem kho tau VIPoma tag nrho. Cov tshuaj tuaj yeem tswj cov tsos mob tau zoo heev.

Txawm li cas los xij, tsis yog txhua tus neeg qhov teeb meem zoo ib yam . Koj qhov kev paub yuav txawv ntawm lwm tus neeg uas muaj VIPoma. Koj tus kws phais thiab pab pawg kho mob yog cov uas tuaj yeem muab cov ntaub ntawv zoo tshaj plaws thiab kev taw qhia rau koj. Lawv paub koj thiab koj tus mob zoo tshaj plaws, yog li nug lawv txhua yam koj xav paub.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj twb tau txais kev kho mob rau VIPoma lawm, hu rau koj tus kws kho mob tam sim ntawd yog tias koj cov tsos mob tsis zoo dua lossis yog tias lawv hnyav zuj zus.

Tsis tas li ntawd, mus rau chav kho mob ceev yog tias koj muaj ib qho ntawm cov tsos mob no:

• Yog koj mob plab heev .
• Yog tias koj tau raws plab nrog dej tau ob peb hnub .
• Yog tias koj qhia tias koj lub cev qhuav dej , xws li xav tias lub taub hau qaug zog, kiv taub hau, lossis muaj zis daj tsaus lossis xim av.

Kab mob raws plab ntev uas tshwm sim los ntawm VIPoma tuaj yeem cuam tshuam koj cov dej num txhua hnub thiab txawm tias koj pw tsaug zog thaum hmo ntuj. Kev paub txog yam ua rau muaj cov tsos mob no tuaj yeem pab tau. Txawm li cas los xij, vim VIPoma yog ib yam kab mob tsis tshua muaj, muaj ob peb tus neeg paub txog nws. Qhov no tuaj yeem ua rau koj kho siab thiab ntxhov siab. Tej zaum koj yuav txaj muag txog cov tsos mob ntawm VIPoma.

Koj pab neeg kho mob nkag siab txog cov kev xav no zoo heev, yog li tsis txhob yig los nug lawv txog kev pab uas koj xav tau, txawm tias nws yog hais txog kev tswj koj cov tsos mob lossis kev nyob nrog tus kab mob tsis tshua muaj.

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

VIPoma yog ib qho mob qog nqaij hlav uas tsis tshua muaj tshwm sim hauv lub txiav. Nws ua rau muaj ntau dhau ntawm cov tshuaj hormones hu ua VIP, uas ua rau muaj cov tsos mob xws li raws plab hnyav thiab mob plab. Yog tias cov tsos mob no tseem muaj, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob. Kev kho mob sai yog qhov tseem ceeb vim tias muaj teeb meem xws li lub cev qhuav dej thiab tsis muaj potassium txaus. Muaj kev kho mob xws li phais, tshuaj, thiab chemotherapy. Txawm hais tias qhov no yog ib qho mob tsis tshua muaj, koj tsis nyob ib leeg. Nrhiav kev txhawb nqa los ntawm koj pab neeg kho mob.

` VIPoma, Vasoactive Intestinal Peptide, Pancreatic Cancer, Raws plab, Verner-Morrison syndrome, Hormonal tsis sib npaug, Cov kab mob tsis tshua muaj