Yu gɛt apɛtit bak we nɔ de satisfay? Lɛ wi lan bɔt VIPoma (Vasoactive Intestinal Peptide Secreting) tumbu!

Sɔntɛnde yu kin gɛt siriɔs dayarɛa we kin te fɔ sɔm dez, we kin kam wit bɛlɛ pen ɛn kramp? Sɔntɛm yu nɔ de it ɔ drink ɛnitin, bɔt yu stil de fil dis kayn we. If yu gɛt sɔm kayn sik lɛk dis, de kɔz kin rili shɔt, bɔt e kin bi wan sik wae wi rili nid fɔ tɔk bɔt. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya we dɛn kɔl VIPoma , ɔ `Vasoactive Intestinal Peptide Secreting` tumor . Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi kip am simpul.

Wetin na VIPoma tumor?

Fɔ tɔk am simpul wan, VIPoma na wan kayn tumbu we nɔ kin apin so ɔltɛm we kin apin na di pankrias . spεshal wan, dεn na tכmכro dεm we de divεlכp na di כmon-prodyuzכn sεl dεm na di pankrias, we dεn kכ l εndokrin sεl dεm . Sɔntɛnde, dɔktɔ dɛn kin kɔl dis sik `Verner-Morrison syndrome` .

VIPoma tumor dɛn nɔ kin bɔku . Ivin na kɔntri lɛk Amɛrika, dɛn kin se dis sik kin apin to lɛk wan pan ɛvri tɛn milyɔn pipul dɛn. So yu kin imajin aw i nɔ kin bɔku. Fɔ liv wit dis kayn sik wae nɔr kin bɔrku kin bi rial prɔblɛm, bikɔs e kin gɛt bɔrku impak pan yu ɛvride layf. Bɔt, nɔ wɔri . Naw, tritmɛnt dɛn de we kin mɛn dis VIPoma kɔndishɔn kɔmplit wan sɔm tɛm, ɔ at ɔl fɔ kɔntrol di sayn dɛm.

Wetin na di sayn dɛm fɔ VIPoma tumor?

Di men ɛn impɔtant sayn we dɛn kin si pan dis sik na we pɔsin kin gɛt siriɔs dayarɛa we gɛt wata . Dis kin so bad dat yu kin gɛt dis dayarɛa ivin if yu nɔ de it (fast). I nɔ kin stɔp insay sɔm dez. Dis na de sayn wae de sho dis sik pasmak.

Apat frɔm dat, sɔm ɔda sayn dɛn kin de:

• Bɛlɛ kramp ɔ pen: Yu bɛlɛ kin fil lɛk se i de tɔn ɔr i kin at fɔ tɔch.
• Taya: Fɔ fil taya ɛn nɔ gɛt layf ɔltɛm.
• Flushing: Di fes ɛn chɛst kin rɛd wantɛm wantɛm. Dis kin apin fɔ no rizin.
• Mɔsul dɛn we wik: Yu kin fil lɛk se yu an ɛn fut dɛn de go swɛ, ɛn i kin at fɔ es wet.

Imajin aw yu go fil if yu pas tu ɔ tri bɔtul wata as stɔl ɛvride. Dis kin so bad dat yu nɔ kin ivin ebul fɔ du di wok dɛn we yu de du ɛvride.

Wetin kin mek VIPoma de divɛlɔp?

Di masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt VIPoma tumbu, bɔt dɛn ɔndastand klia wan aw dɛn sik ya kin apin.

wi bכdi gεt wan כmon we dεn kכl `Vasoactive Intestinal Peptide` (VIP) . dis VIP כmon de rispansabl fכ rεgεl wi dijestiv sistεm.I kin ɛp bɔku. Dat min se dis ɔmon de kɔntrol di we aw wata, sɔl, ɛnzaym, ɛn asid na di bɛlɛ de kɔmɔt na di dijestiv trakt. I de ɛp bak fɔ rilaks sɔm pan di mɔsul dɛn na di dijestiv trakt.

we VIPoma tכmכro de divεlכp, i de rilis wan abnכmal bכku VIP כmon insay di bכdi. We dis VIP ɔmon we pasmak de insay di bɔdi, di sayn dɛm we wi bin dɔn tɔk bɔt, lɛk fɔ gɛt siriɔs dayarɛa ɛn bɛlɛ kramp, kin apin. Fɔ tɔk am simpul wan, dis tɔŋ de mek di VIP ɔmon wok pasmak.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt VIPoma?

Di men prɔblɛm wit VIPoma na we yu gɛt dayarɛa pasmak. Sɔm pipul kin pas wan to tri lita (1-3 kwata) wata stɔl fɔ wan de. We dis dayarɛa kɔntinyu, di bɔdi kin lɔs bɔku wata ɛn impɔtant minral dɛn, mɔ di potashɔm.

Dis kin mek yu nɔ gɛt wata na yu bɔdi ɛn i kin mek yu gɛt haypokalemia as tɛm de go. Dɛn tu tin ya kin denja bikɔs dɛn kin mek yu gɛt mɔ siriɔs wɛlbɔdi prɔblɛm. Fɔ ɛgzampul:

• At bit we nɔ de bit ɔltɛm (`Arrhythmia`): At bit we nɔ de bit ɔltɛm.
• Hypovolemic shock: Na kכndyushכn we de kכz we di wata we de insay di bכdi de dכn.
• di mכsul dεm we wik (`Myopathy`): di mכsul dεm we de wok fayn.
• Tetany: Di mɔsul dɛn kin kɔntrakt we kin mek yu fil pen.

Bikɔs ɔf dɛn prɔblɛm ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan if yu gɛt sayn dɛn fɔ VIPoma.

Aw dɔktɔ dɛn kin no se yu gɛt VIPoma?

If yu gɛt sɔm kayn sik lɛk bad bad dayarɛa ɔ bɛlɛ pen we dɔn de fɔ sɔm dez, dɔktɔ go du yu bɔdi ɛgzam ɛn aks bɔt yu sik.

Dɛn kin du stɔl tɛst bak fɔ pul ɔda kɔmɔn tin dɛn we kin mek pɔsin gɛt dayarɛa (e.g., infɛkshɔn). Apat frɔm dat, dɛn kin du dɛn tɛst ya:

• Blɔd tɛst: Dɛn tin ya kin chɛk mɔ di lɛvɛl we di VIP ɔmon de na di blɔd. Insay VIPoma, dis lɛvɛl rili ay. Dɛn kin chɛk bak fɔ tin dɛn lɛk we yu nɔ gɛt wata na yu bɔdi ɛn we yu nɔ gɛt potashɔm.
• Imej tɛst: Dɛn tin ya kin tek pikchɔ insay di bɔdi fɔ si if tumbu de, if na so, usay i de, ɛn aw i big. dis kin inklud `Kכmpyuta Tomografi (CT) skan` כ `Magnetik Rεsכnans Imej (MRI)` tεst .

Dɔktɔ dɛn kin kɔnfɔm di VIPoma stetɔs afta dɛn dɔn du ɔl dɛn tɛst ya.

Aw dɛn kin trit VIPoma?

Di tritmɛnt fɔ VIPoma kin gɛt fɔ du wit wan kɔmbayn mɛrɛsin ɛn ɔpreshɔn. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:

• Fluid we dɛn kin put insay di bɛlɛ (`IV fluid`):Dɛn kin gi dɛn tin ya fɔ tek di ples fɔ di wata ɛn minral dɛn we dɔn lɔs frɔm di bɔdi bikɔs ɔf di dayarɛa we nɔ de dɔn. Dis kin ɛp fɔ kɔntrol di wata we de kɔmɔt na di bɔdi.
• Di mɛrɛsin dɛn we dɛn kin yuz:
• Yu kin kɔntrol dayarɛa wit mɛrɛsin lɛk ``Octreotide (Sandostatin LAR®)`` . Dɛn mɛrɛsin ya de ridyus di rilis fɔ di ɔmon VIP.

Afta yu dɔn fɔs manej yu sik dɛn dis kayn we, yu dɔktɔ kin tɛl yu ɔda tritmɛnt fɔ pul ɔ kɔntrol di tumbu:

• Ɔpreshɔn: If di tumbu nɔ dɔn skata to ɔda pat dɛn na di bɔdi (metastasized) , dɛn kin yuz ɔpreshɔn fɔ pul di tumbu. Dɛn kin yuz ɔpreshɔn we dɛn kɔl distal pancreatectomy, we kin pul di tel ɛn bɔdi na di pankrias fɔ dis. If dɛn pul di tumbu kpatakpata, di sik kin wɛl.
• Kimotɛrapi: If di tumbu dɔn skata ɔ dɛn nɔ ebul fɔ pul am kpatakpata bay ɔpreshɔn, dɛn kin gi kemotɛrapi fɔ pwɛl di kansa sɛl dɛn.
• Targeted therapy: Dis na drɔgs wae de target sɔm patikyula pat dɛm na di kansa sɛl dɛm.

Yu mɛdikal tim go disayd di tritmɛnt we go fayn fɔ yu afta dɛn dɔn tek tɛm chɛk yu sik.

Wetin pɔsin we gɛt VIPoma kin ɛkspɛkt?

Dis kin rili difrɛn frɔm wan pɔsin to ɔda pɔsin. Ɔpreshɔn kin mɛn VIPoma kpatakpata. Mεdikeshכn kin kכntrכl di sik dεm bכku bכku wan.

Bɔt nɔto ɔlman in tin kin apin di sem . Yu ɛkspiriɛns kin rili difrɛn frɔm ɔda pɔsin in yon wit VIPoma. Yu ɔspitul dɔktɔ ɛn di mɛdikal tim na dɛn go ebul fɔ gi yu di bɛst infɔmeshɔn ɛn gayd yu. Dɛn no yu ɛn yu sik pas ɔlman, so aks dɛn ɛnitin we yu nid fɔ no.

Ustɛm a fɔ go to dɔktɔ?

If yu dɔn ɔlrɛdi de gɛt tritmɛnt fɔ VIPoma, kɔl yu dɔktɔ wantɛm if yu sik nɔ de bɛtɛ ɔ if i wɔs.

Dɔn bak, go na imejensi rum if yu gɛt ɛni wan pan dɛn sayn ya:

• If yu gɛt bad bad bɛlɛ pen .
• If yu dɔn de gɛt wata dayarɛa fɔ sɔm dez .
• If yu de sho sayn dɛm fɔ se yu nɔ gɛt wata na yu bɔdi , lɛk fɔ fil lɛk yu ed layt, yu de fil lɛk yu ed de tɔn, ɔ yu gɛt dak yɔlɔ ɔ brawn urine.

Di dayarɛa we nɔ de dɔn we VIPoma kin kam wit kin ambɔg yu ɛvride wok ɛn ivin yu slip na nɛt. We yu no wetin kin mek yu gɛt dɛn sik ya, dat kin mek yu fil fayn. Bɔt bikɔs VIPoma na sik we nɔ kin bɔku, na smɔl pipul dɛn nɔmɔ no bɔt am. Dis kin mek yu fil se yu wangren de ɛn yu at kin pwɛl. Yu kin ivin shem fɔ di sayn dɛm fɔ VIPoma.

Yu mɛdikal tim ɔndastand dɛn filin ya gud gud wan, so nɔr shem fɔ aks dɛm fɔ ɛni ɛp wae yu nid, ilɛksɛf na fɔ kɔntrol yu sik ɔr fɔ liv wit dis kayn sik wae nɔr kin bɔrku.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

VIPoma na wan tכmכro we nכ kin apin we de divεlכp na di pankrias. I kin mek wan ɔmon we dɛn kɔl VIP kɔmɔt pasmak, we kin mek yu gɛt sɔm sayn dɛn lɛk bad bad dayarɛa ɛn bɛlɛ kramp. If dɛn sayn ya nɔ de igen, i rili impɔtant fɔ go to dɔktɔ. Fɔ trit yu kwik kwik wan impɔtant bikɔs prɔblɛm dɛn lɛk we yu nɔ gɛt wata ɛn we yu nɔ gɛt potashɔm kin apin. Tritmɛnt dɛn de lɛk ɔpreshɔn, mɛrɛsin, ɛn kemotɛrapi. Pan ɔl we dis na sik we nɔ kin apin so ɔltɛm, nɔto yu wan de. Gɛt sɔpɔt frɔm yu mɛdikal tim.

` VIPoma, Vasoactive Intestinal Peptide, Pankreas Kansa, Dayarɛa, Vɛnar-Mɔrisɔn sindrom, Ɔmon Imbalans, Rare Disiz