A châng chuan i rilru a hah a, i thawmhnaw a chhuak a, i mit a sen a, i lu a buai bawk em ? Hei hi i thisen sugar level tlahniam nghal ( hypoglycemia ) vang pawh a ni thei. Hei hi zunthlum vei tan chuan thil pangngai a ni , damdawi ei tam lutuk emaw, chaw ei loh emaw ang chi. Mahse hetiang thil hi zunthlum vei lo chungah a thleng fo a nih chuan a chhan chu i ngaihtuah ngai loh thil a ni thei. Chu chu kan hriat vek a ngai, insulinoma tia koh, thil awm lo tak a ni.
Insulinoma chu eng nge ni tak tak?
A awlsam zawngin, insulinoma chu kan pancreas-a lo awm, a tlangpuiin cancer ni lo, tumor te tak te a ni . Kan pancreas hian insulin an tih hormone a siam chhuak a. He insulin hnathawh hi thisen a sugar (glucose) awm zat control a ni.
Ngaihtuah teh, a tlangpuiin kan taksa sugar level a san chuan pancreas hian insulin a siam chhuak thin. Kan sugar level a tlahniam chuan insulin a siam chhuak tawh lo. A hun takah switch on/off ang mai a ni.
Mahse he tumor an tih hi insulinoma an tih hi a lo awm chuan insulin a siam chhuak chhunzawm zel a ni . Switch chu ‘on’ position-a a awm ang mai a ni. Thil thleng chu kan thisen sugar level a hniam hle lai pawhin insulin a siam chhunzawm zel a ni. Hei hian kan thisen sugar level hlauhawm takin a tlahniam thei a ni. Heng tumor te hi nerve cell chi khat (neuroendocrine cells) atanga siam an nih avangin i doctor chuan ``neuroendocrine tumor'' a ti thei bawk. Heng tumor te hi a te hle (inch khat aia tlem) an ni fo a, 90% aia tam chu cancer ni lo an ni. Chuvangin operation hmangin an dam kim thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
Insulinoma hian insulin a siam chhunzawm zel avangin a symptoms hi thisen sugar level hniam (hypoglycemia) vang a ni. Heng symptoms te hi a lo lang nghal thei a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Rilru tibuai | Eng thil nge thleng, khawiah nge i awm tih hriat theih loh leh luak chhuak tih hriat theih loh. |
| Thaw tam lutuk (Sweating) . | Vawikhatmah a vawt leh chhan awm lovin a thawmhnaw hak. |
| Chaklohna | I taksain a nunna a hloh ang maia inhriatna, i taksa pengte chu a khur a. |
| Lungkhamna leh heart rate sang | Chhan awm lovin hlauh rawh, i rilru a na hle ang tih hriatna. |
| Lu na na tak | Lu na nasa tak lo chhuak nghal mai. |
| Vision a danglam thin | Thil chi hrang hrang, blurred vision, double vision, etc. |
| Nungchang a inthlak danglam thin | Chhan awm lova thinrim, buaina chhuak. |
| Kaih | I sugar level a tlahniam lutuk chuan fit i nei thei. |
A pawimawh ber: Hypoglycemia na tak hi a hlauhawm thei hle. Fainting emaw coma emaw pawh a thlen thei. Chuvangin heng symptoms te hi i neih chuan doctor pan nghal rawh.
Eng thilin nge insulinoma hi a thlen? Tute nge risk sang zawk?
Heng tumor awm chhan dik tak hi hriat chian a la ni lo a, mahse thil thenkhat chuan a hlauhawmna a tipung thei a ni.
- Hmeichhia hian mipa aiin tendency an nei sang zawk.
- Kum 40 leh 60 inkar ah a awm tam ber .
- Genetic condition thenkhat nei te pawh hi an hlauhawm zawk bawk. Entir nan:
- Multiple endocrine neoplasia type 1: Hormone siamtu gland-a tumor lo awm thin.
- Von Hippel-Lindau syndrome: Taksa peng hrang hrangah tumor leh tumor ang chi ( cyst ) a lo awm thin.
- Neurofibromatosis type 1: Nerve leh vunah cancer ni lo a lo thang lian thin.
- Tuberous sclerosis: Kan taksa peng hrang hrang, thluak, mit, thinlung, leh kal (kidney)-a cancer ni lo tumor awm.
Engtin nge doctor hian hei hi a hmuh theih?
Insulinoma hriatchhuah hi a harsa deuh thei a, a lan chhuah dan hi natna tlanglawn dang nen a inang a, chuvangin i doctor-in a hriat theih nan hun rei tak a la ngai thei a ni.
A pawimawh ber chu ‘darkar 72 chhung chaw nghei’ tih hi a ni . Hemiah hian damdawi inah ni hnih atanga ni thum chhung an awmtir che a, tui bak ei leh in phal loh i ni. Hemi chhung hian doctor ten i thisen sugar leh insulin level an enfiah fo ang.
He test hmang hian heng thil pathumte hi finfiah an tum a ni:
1. Thisen thlum hniam (luh, thawk hah ang chi) symptoms i nei em.
2. Chutiang symptoms a lo lan chuan thisen sugar level a hniam tak tak em?
3. Pawn lam atanga sugar (glucose) tlem i pek chuan a natna lanchhuahna chu a bo dawn em ni?
Insulinoma i neih chuan chaw ngheia i thisen sugar level chu a hniam hle ang a, mahse i insulin level erawh a sang ang. Hei hi a finfiahna ber a ni. Hemi rual hian thisen test-ah hian `(C-peptide)` leh `(proinsulin)` tih ang chi te pawh a zawng dawn a ni.
Tichuan, imaging test hmangin pancreatic tumor awmna hmun dik tak chu an hmu chhuak thin.
- CT scan `(CT scan)` hmanga tih a ni
- Ultrasound hmanga scan `(Ultrasound)` hmanga tih a ni
- MRI scan `(MRI)` tih a ni
Hei hi eng enkawlna nge ni?
Insulinooma enkawlna ber leh hlawhtling ber chu operation tihchhuah a ni a . A tam zawkah chuan zai hnuah natna hi a dam kim vek a ni.
Surgery tih chi chu tumor chi, a lian leh a awmna hmun a zirin a innghat a ni.
- Tumor chauh lakchhuah: Surgeon-te chuan uluk takin pancreas tichhe lovin tumor chauh hi an la chhuak thei a ni.
- Pancreas hmun thenkhat lakchhuah: A chang chuan pancreas hmun tlemte, tumor nena inzawm pawh lakchhuah a ngai thin.
Tunlai thiamna changkang tak tak nen chuan .Heng tumor te hi laparoscopic surgery hmangin lakchhuah theih a ni bawk. Chumi awmzia chu incision lian tak pakhat ai chuan camera hmangin incision tenau engemaw zat hmanga tih a ni tihna a ni. Hei hi a thatna chu a hrehawm lo zawk a, damdawi ina i awm ni rei zawng a tawi a, i nun pangngaiah i kir leh thuai thei a ni.
Cancer natna hrik enkawl dan
A tlem hle (10% aia tlem) heng tumor te hi cancer a ni thei. Chutiang hunah chuan enkawl dan a inang lo. Tumor pumpui surgery hmanga lakchhuah theih a nih loh chuan thisen sugar tlahniam lutuk tur venna tur damdawi ei a ngai mai thei. Chemotherapy pawh i mamawh thei bawk . Cancer chi thenkhat tan chuan enkawlna bik a awm a, chu chu ``Lutetium Lu 177 dotatate`` tih te hi a ni a, chu chu vein kaltlangin radioactive damdawi pek a ni.
Operation hnuah pawh harsatna a awm em?
Surgery hi a tam zawkah chuan hlawhtling mah se, surgery dang ang bawkin, harsatna tenau te a awm theihna a awm.
- Thisen chhuak
- Kaichhawng
- Na
- Pancreas hmun zau tak hi lakchhuah a nih chuan zunthlum vei theihna a awm.
- Pancreas atanga tui chhuak (Pancreatic fistula) .
- Digestive enzymes tlahniam.
Cancer tumor a nih chuan natna hi taksa peng dang a darh (metastasis) ang chi harsatna a awm thei a ni. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.
Take-Home Thuchah a ni
- Insulinoma hi tumor rare tak a ni a, pancreas-ah a lo awm thin. Hei hian thisen sugar level a tihhniam fo thin.
- A chhan hriat loha, a bik takin i riltam laiin, luak chhuak, thawk hah lutuk, leh buaina ang chi symptoms rang tak i neih chuan doctor pan nghal tur a ni.
- Diagnosis atan chuan damdawi ina awm a ngai a, thisen test leh scan bik neih a ngai bawk.
- Enkawlna ber chu surgery hmanga tumor lakchhuah a ni a, chu chuan a dam kim vek fo thin.
- Insulinomas tam zawk hi cancer a nih loh avangin hlauthawng a ngai lo. Mahse, i doctor rawn la, i natna hriat dan dik leh enkawl dan tur dik tak chu i zawt ngei ang.
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