Bɔku tɛm yu kin fil diziz we yu blɔd shuga dɔn go dɔŋ? Yu tink se na bikɔs ɔf Insulinoma?

Sɔntɛnde, yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk, yu kin swet, yu yay blu, ɛn yu ed kin tɔn ? Dis kin bi bikɔs di shuga na yu blɔd de go dɔŋ wantɛm wantɛm ( hypoglycemia ). Dis na nɔmal tin fɔ pɔsin we gɛt dayabitis , lɛk if i tek bɔku mɛrɛsin ɔ i nɔ it. Bɔt if dis kin apin to pɔsin we nɔ gɛt dayabitis ɔltɛm, di tin we kin mek i apin kin bi sɔntin we yu nɔ kin ivin tink bɔt. Dat na wan sik we nɔ kin apin so ɔltɛm we wi ɔl nid fɔ no bɔt, we dɛn kɔl insulinoma .

Wetin rili na insulinoma?

Fɔ tɔk am simpul wan, insulinoma na smɔl tumbu we nɔ kin gɛt kansa ɛn we kin kam na wi pankrias . Wi pankrias de mek wan ɔmon we dɛn kɔl insulin. Di wok we dis insulin de du na fɔ kɔntrol di shuga (glukɔs) we de na di blɔd.

Tink bɔt am, nɔmal wan we di shuga na wi bɔdi de go ɔp, di pankrias de mek insulin. We wi shuga lɛvɛl go dɔŋ, i kin stɔp fɔ mek insulin. I tan lɛk switch we de on/ɔf di rayt tɛm.

Bɔt we dis tumbu we dɛn kɔl insulinoma de gro, i de mek insulin ɔltɛm . I tan lɛk se di switch dɔn stɔp na di ‘on’ pozishɔn. Wetin kin apin na dat, insulin kin kɔntinyu fɔ mek ivin we di shuga we de na wi blɔd rili smɔl. Dis kin mek di shuga na wi blɔd go dɔŋ bad bad wan. biכs dεn tכmכro dεm ya na wan spεshal kayn nεv sεl (nyuroεndokrin sεl dεm), yu dכkta kin kכl dεm bak ``nyuroεndokrin tכmכro''. bכku tεm dεn tכmכro dεm ya kin rili sכm (lεs dan wan inch) εn dεn kin pas 90% we nכ de kεnsar. So, dɛn kin wɛl ɔltogɛda if dɛn du ɔpreshɔn pan dɛn.

Wetin na di sayn dɛm fɔ dis sik?

Bikɔs di insulinoma de kɔntinyu fɔ mek insulin, di sayn dɛm kin kam bikɔs di shuga na di blɔd nɔ bɔku (haypoglycemia). Dɛn sayn ya kin apin wantɛm wantɛm.

Wetin kin mek pɔsin gɛt insulinoma? Udat dɛn de pan big risk?

Dɛn nɔ dɔn no yet di rayt tin we kin mek dɛn gɛt dɛn tumbu ya, bɔt sɔm tin dɛn kin mek di sik bɔku.

• Uman dɛn gɛt di abit we ay smɔl pas man dɛn.
• Bɔrku tɛm dɛn kin no bɔt am pan pipul dɛm wae ol bitwin 40 ɛn 60 ia .
• Pipul wae gɛt sɔm kayn jenɛtik kɔndishɔn bak kin gɛt bɔrku risk. Fɔ ɛgzampul:
• mכltipכl εndokrin niכplasia tayp 1: Na kכndyushכn we di tכmכro dεm de fכm na di gland dεm we de prodyuz כmon.
• Von Hippel-Lindau syndrome: Na kכndyushכn we tכmכro dεm εn strכkchכ dεm we lεk tכmכro ( cysts ) de fכm na difrεn כgan dεm na di bכdi.
• Nyurofibromatosis tayp 1: Nɔn kansa de gro na di nεv dεm εn di skin.
• Tuberous sclerosis: Na di tכmכro dεm we nכ de fכ kansa na di כgan dεm lεk di bren, di yay, di at, εn di kidni dεm.

Aw dɔktɔ kin fɛn dis?

Fɔ no if yu gɛt insulinoma kin tranga smɔl, bikɔs di sayn dɛn kin tan lɛk ɔda sik dɛn we kin apin, so i kin tek sɔm tɛm fɔ mek yu dɔktɔ no se i gɛt am.

Di men tin na fɔ du ‘72 awa fast’ . Insay dis, dɛn kin kip yu na ɔspitul fɔ tu to tri dez ɛn dɛn nɔ kin alaw yu fɔ it ɔ drink ɛnitin pas wata. Insay dis tɛm, di dɔktɔ dɛn go de chɛk yu blɔd shuga ɛn insulin lɛvɛl ɔltɛm.

Dɛn de tray fɔ kɔnfɔm dɛn tri tin ya tru dis tɛst:

1. Yu de gɛt sɔm sayn dɛm we de sho se yu blɔd shuga nɔ de bɔku (lɛk yu ed de tɔn, yu de swet).

2. We dɛn sayn dɛn de sho, yu tink se di blɔd shuga lɛvɛl rili smɔl?

3. Yu tink se di sik go go we yu gi sɔm shuga (glucose) na do?

If yu gɛt insulinoma, yu fast blɔd shuga lɛvɛl go rili smɔl, bɔt yu insulin lɛvɛl go ay. Dis na di men pruf. along wit dis, bכdi tεst dεm go luk bak fכ tin dεm lεk `(C-peptide)` εn `(proinsulin)`.

Dɔn, dɛn kin du imej tɛst fɔ no usay di pankrias tɔŋ de.

• CT skan `(CT skan)`
• Ultrasound skan `(Oltrasaund)`
• MRI skan `(MRI)`

Wetin na di tritmɛnt dɛm fɔ dis?

Di men ɛn di bɛst tritmɛnt fɔ insulinoma na ɔpreshɔn fɔ pul di tumbu . Bɔku tɛm, di sik kin wɛl kpatakpata afta dɛn dɔn du di ɔpreshɔn.

Di kayn ɔpreshɔn we dɛn kin du kin dipen pan di kayn, saiz, ɛn usay di tumbu de.

• Fɔ pul jɔs di tumbu: Di dɔktɔ dɛn we de du ɔpreshɔn kin tek tɛm pul jɔs di tumbu we nɔ go pwɛl di pankrias.
• Fɔ pul pat pan di pankrias: Sɔntɛnde, dɛn nid fɔ pul wan smɔl pat pan di pankrias we gɛt fɔ du wit di tɔŋ bak.

Wit di advans teknɔlɔji tide, .Dɛn kin pul dɛn tɔŋ ya bak tru laparoskopik ɔpreshɔn. Dis min se instead fɔ kɔt wan big say, dɛn kin du di ɔpreshɔn tru sɔm smɔl smɔl say dɛn wit kamɛra. Di bɛnifit dɛn we dis kin gɛt na dat i nɔ kin mek yu fil pen, di de we yu kin de na ɔspitul kin shɔt, ɛn yu kin go bak to yu nɔmal layf kwik.

Tritmɛnt fɔ kansa tumbu dɛn

na sכm tεm (lεs dan 10%) dεn tכmכro dεm ya kin bi kεnsar. Insay dɛn kayn tin ya, di tritmɛnt kin difrɛn. If dɛn nɔ ebul fɔ pul di wan ol tumbu wit ɔpreshɔn, yu go nid fɔ tek mɛrɛsin fɔ mek di blɔd shuga nɔ go dɔŋ tumɔs. Yu kin nid bak fɔ gɛt kemotɛrapi . fכ sכm kayn kεnsar, spεshal tritmεnt dεm de, lεk ``Lutetium Lu 177 dotatate``, we involv fכ gi wan redioaktiv dכg tru wan vein.

Ɛni prɔblɛm dɛn de we kin apin afta dɛn dɔn du di ɔpreshɔn?

Pan ɔl we di ɔpreshɔn kin wok fayn bɔku tɛm, lɛk ɛni ɔpreshɔn, i kin mek smɔl smɔl prɔblɛm dɛn apin.

• Blɔd we de kɔmɔt
• Sik we de prɛd
• Pen
• If dɛn pul wan big pat pan di pankrias, i kin izi fɔ mek pɔsin gɛt dayabitis.
• Lik we wata de kɔmɔt na di pankrias (Pancreatic fistula) .
• di dijestiv εnzym dεm we dεn dכn dכn.

If na kansa tכmכro, kכmplikεshכn lεk di sik we de spre to כda כgan dεm (mεtastas) kin apin. Yu dɔktɔ go ɛksplen dis to yu ditayli.