Kua rongo koe kua piri te mowhiti e mau tonu ana koe ki tō maihao? Kua nui ake rānei te rahi o tō hu, inā koa te whānui, i tō tikanga? Nā ēnei panonitanga iti, kei te rongo koe kei te huri haere te āhua o tō mata? Kāore pea koe e aro nui ki ēnei. Engari he tohu ēnei o tētahi mate onge engari he āwangawanga e kiia nei ko te Acromegaly. Me kōrero noa tātou mō tēnei i tēnei rā.

He aha te Acromegaly?

He mate onge engari he mate kino te acromegaly e puta ana ina nui rawa te homoni tipu (GH) o tō tinana. Ko te tikanga ka hangaia tēnei homoni e te repe pituitary, he repe rite te rahi ki te pī kei te pūtake o tō roro. Heoi, i roto i te acromegaly, ka nui rawa te hanga o tēnei homoni nā te mea he pukupuku kei roto i te repe pituitary, i tētahi atu wāhi rānei o te tinana.

He mea nui te homoni tipu kia roa ai, kia whanake ai hoki ngā tamariki. Engari ina pakeke tātou, ā, i muri i te kati o ngā pereti tipu i roto i ō tātou wheua, kāore tēnei homoni e whakanui ake i tō tātou teitei. Engari me whai hoki ō tātou tinana pakeke i tēnei homoni. Ko tāna mahi he pupuri i te hanganga hauora o ō tātou wheua, o ō tātou kiriuhi, me ō tātou whekau, hei whakahaere tika i te pākia o te tinana, hei pupuri hoki i ngā taumata huka toto ki te taumata tika.

Heoi, ki te nui rawa te pikinga o te homoni tipu i roto i te tinana o te pakeke, he maha ngā raruraru ka puta, pērā i ngā huringa koretake o te āhua o ngā wheua, te whakanui ake i ngā whekau, me te pikinga o te huka toto (hyperglycemia).

He aha te rerekētanga i waenga i te Acromegaly me te Gigantism?

E rua ngā āhuatanga e puta mai ana i te pikinga o te Homoni Tipu (GH). Ko te rerekētanga kei roto i te rōpū tau e pāngia ana.

• Te nui o te rahinga: Ka pā tēnei ki ngā tamariki. Ko te tikanga, ki te piki te homoni GH i mua i te pakeketanga, i mua i te katinga o ngā pereti tipu o ngā wheua, ka tino teitei rawa te tipu o aua tamariki. He āhuatanga tēnei e tino onge ake ana i te acromegaly.
• Acromegaly: Ka pā tēnei ki ngā pakeke. E ai ki te kōrero i mua ake nei, i muri i te katinga o ngā pereti tipu, ka piki ake te GH, engari ka rerekē te āhua o ngā wheua i roto i ngā ringa, ngā waewae, me te mata, ka nui haere.

Ko wai ka pāngia e te acromegaly? He aha te auau o tēnei?

He mate tino onge te acromegaly. E ai ki ngā tatauranga, i waenga i te 3 me te 14 tāngata i roto i te 100,000 kua kitea kua pāngia rātou e tēnei mate. Ahakoa ka taea te whanake i ngā tau katoa i muri i te pakeketanga, ko te nuinga o te wā ka kitea te mate i waenganui o te pakeketanga, arā, i waenga i te 40 me te 50 tau.

He aha te pānga o tēnei āhuatanga ki te tinana?

Ina piki te Homoni Tipu (GH), ka tohu i tō tātou ate kia whakaputa i tētahi atu homoni. Ko te ingoa ko te 'Insulin-like Growth Factor 1 (IGF-1)'. Mā tēnei homoni e kiia nei ko te IGF-1 ka tupu ō tātou wheua me ō tātou kiko, ā, ka whakahaere hoki i te huka toto me ngā ngako. Nō reira, ina piki te GH, ka nui hoki te pikinga o te IGF-1. Nō reira, ka puta pea ngā mate kino pēnei i te Mate Huka Momo 2, te Toto Toto tiketike, me te Mate Manawa .

He aha ngā tohu o te acromegaly?

Ka tino pōturi te puta o ngā tohu o te acromegaly, mō ngā tau maha. Nō reira, he uaua pea te kite i ngā wā tōmua. Tērā pea ka kitea noa ngā huringa o tō mata mēnā ka titiro koe ki tētahi whakaahua tawhito o koe.

E whakaatu mārama ana te ripanga i raro nei i ēnei tohu.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea tino nui kia kite tonu koe i tō tākuta me te kōrero mō tēnei.

Me pēhea te tautuhi i te acromegaly?

Ina kite koe i tētahi tākuta, ka āta whakarongo ia ki ō tohumate, ka whakahaere i tētahi whakamātautau tinana, kātahi ka whakahau i ētahi whakamātautau hei whakaū i te mate.

• Ngā whakamātautau toto: Koinei te mea tino nui. Ka ine i ngā taumata o te GH me te IGF-1 i roto i ō toto.
• Ngā Whakamātautau Whakaahua: Mena ka whakaūtia e ngā whakamātautau toto he tiketike ngā taumata GH, ka tonoa pea he matawai MRI hei tirotiro mō tētahi pukupuku pituitary.

Mena ka whakaūtia te mate, ka taea te whakahaere i ētahi atu whakamātautau hei tirotiro mēnā kua pā ki ētahi atu wāhanga o te tinana.

• He echocardiogram hei tirotiro i te mahi a te ngākau.
• He whakamātautau moe hei tirotiro mēnā kei te mōmona koe i a koe e moe ana.
• Ko te koroni hei tirotiro i te hauora o te koroni.
• He matawai X-ray , he matawai DEXA rānei hei tirotiro i te hauora o te wheua.

He aha ngā maimoatanga mō te acromegaly?

He maha ngā kōwhiringa maimoatanga mō te acromegaly. Mā tō tākuta e whakatau ko tēhea maimoatanga te mea pai mōu i runga i tō āhua, te rahi me te wāhi o te pukupuku.

1. Pokanga: Koinei te maimoatanga matua mō te nuinga o te tangata. Ko te tikanga tino noa ko te Pokanga Transsphenoidal . Ko te tango i te pukupuku o te repe pituitary mā te ihu. Mena ka tangohia katoatia te pukupuku, he nui te tūponotanga ka ora katoa.

2. Rongoā: Mena kāore e taea e te pokanga te tango katoa i te pukupuku, me te mea rānei e tika ana kia whakaitihia te pukupuku i mua i te pokanga, ka whakamahia ngā rongoā. Mā ēnei rongoā ka whakahaere i ngā taumata GH o te tinana. Tērā pea me tango e ētahi tāngata te rongoā mō te wā roa.

3. Whakaora Irahiko: Ka whakamahia tēnei maimoatanga hei whakangaro i ngā wāhanga e toe ana o te pukupuku ina kore e taea e te pokanga me te rongoā te whakahaere i te mate.

He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?

Ki te kore e rongoatia, ka taea e te acromegaly te arahi ki ngā raruraru hauora nui i roto i te wā. Koinei te āhuatanga tino morearea o te mate.

• Mate Huka Momo 2
• Te toto toto tiketike (hypertension)
• Nga mate ngakau, ina koa ko te cardiomyopathy
• Mate rumatiki
• Ngā polyp o te koroni - Ka huri pea ēnei hei mate pukupuku i muri mai.
• Te ngoikore o te okana

Nō reira, he mea tino nui kia tere tonu te toro atu ki te tākuta mēnā ka kitea ngā tohu, ā, kia whai i te maimoatanga kua whakaritea mēnā ka kitea te mate. Mēnā ka whakahaeretia ngā taumata GH mā te maimoatanga, ka tino whakaitihia te mōrearea o ēnei raruraru.