Kei te huri haere te āhua o ō ringaringa me ō waewae, ā, kei te nui haere hoki? Me kōrero tātou mō te Acromegaly.

Kua rongo koe i te rahi haere o tō hu, kua piri rānei te mowhiti i mau ai koe ki tō maihao? Tērā pea he rerekē te āhua o tō mata ina titiro koe ki ngā whakaahua tawhito? He maha ēnei mea ka puta i roto i te wā, i ētahi wā mō ngā tau, nō reira kāore tātou e aro nui ki a rātou. Engari he tohu pea tēnei o tētahi mate onge e kiia nei ko te Acromegaly . Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i ngā kupu māmā noa iho.

He aha te Acromegaly?

Ko te Acromegaly he mate e puta mai ana i te nui rawa o te homoni tipu, te Homoni Tipu rānei (GH) e whakaputa ana i roto i te tinana. Ka āwhina tēnei homoni i a tātou e tipu ana i a tātou e tamariki ana. Heoi, ki te haere tonu te whakaputanga o tēnei homoni i muri i te mutunga o te tipu, arā, i muri i te pakeketanga, ka tīmata ētahi wāhanga o te tinana, inā koa ko ngā wheua o ngā ringa, o ngā waewae, me te mata, ki te tipu nui rawa atu.

Ko te nuinga o te wā ka kitea tēnei āhuatanga i roto i te hunga pakeke. Engari ehara tēnei i te kī kāore e pā ki te hunga taitamariki. Mena ka piki ake te homoni tipu i tēnei ara i te wā taitamariki, ka kiia te āhuatanga he gigantism. Kātahi ka tipu teitei rawa atu rātou.

He aha te take e puta ai te acromegaly? He aha ngā take?

Ko te take matua mō tēnei he repe iti te rahi, he rite te rahi ki te pī, kei te pūtake o tō tātou roro. Ka kiia e mātou ko te Pituitary Gland . Ko te tino take o te Acromegaly he pukupuku kore-matepukupuku (pai) i roto i tēnei repe. Ka kiia tēnei pukupuku he Pituitary Adenoma . Ka whakaoho tēnei pukupuku i te repe pituitary, ā, ka nui rawa te homoni tipu (GH) e puta mai ana.

Ka kohia tēnei homoni GH nui rawa i roto i ō tātou toto, ā, ka tohu i te ate kia whakaputa i tētahi atu homoni e kiia nei ko te IGF-1 (Insulin-like Growth Factor-1) . Ko taua homoni IGF-1 te mea e tupu ai ō tātou wheua me ētahi atu okana i te koretake. Ka pā hoki ki te āhua o te whakahaere a tō tātou tinana i te huka me te ngako, ka piki ake te tūponotanga ki te whakawhanake i ētahi atu mate.

He tino onge, ka puta mai anō hoki tēnei mate i ngā pukupuku e whanake ana i ētahi atu wāhanga o te repeure, te ate, te roro rānei. Kua kitea e ngā rangahau he pānga anō pea ētahi āhuatanga ira.

He aha ngā tohu o te acromegaly?

Ka puta mārire haere ēnei tohu, nō reira, tera pea ka roa te wā ka kite koe i te rerekētanga.

Me pēhea te tautuhi i tēnei mate?

He mea nui kia mōhio wawe koe ki tēnei mate. Ina kite koe i tētahi tākuta nā ēnei tohu, ka pātai atu ia ki a koe i ngā pātai pēnei i:

• He aha ngā panonitanga e kitea ana e koe?
• Nōnahea koe i kite tuatahi ai i ēnei huringa?
• Kei te pēhea koe ināianei?

Kātahi ka whakahaerehia he maha o ngā whakamātautau hei whakaū i te mate.

Ngā whakamātautau matua

• Ngā whakamātautau toto: Ka mahia he whakamātautau toto hei tirotiro mēnā he teitei ake ngā taumata homoni IGF-1 mō tō tau.
• Whakamātautau Manawanui Huka: I konei, ka hoatu he inu huka ki a koe, ā, ka inehia tō huka toto me ngā taumata homoni GH mō ngā haora e rua. I te nuinga o te wā, me heke ngā taumata GH i muri i te inu huka. Ki te kore, ā, ka noho teitei tonu, he tohu tēnei nō te acromegaly.

Ētahi atu whakamātautau

• Matawai MRI, matawai CT rānei: Ka āwhina ēnei matawai ki te kite i tētahi pukupuku pituitary.
• Ngā whakamātautau hihi-X: Tirohia mēnā he matotoru te wheua.
• Echocardiogram: He whakamātautau ultrasound o te ngākau hei tirotiro mēnā kua pāngia te ngākau.
• Kōnokotiro: Tirohia te hauora o te kōnoko.
• Rangahau Moe: Tirohia mēnā kei te pāngia koe e te Apnea Moe.

He aha ngā maimoatanga?

Mā tō tākuta e whakatau te mahere maimoatanga tino tika māu i runga i tō tau, tō āhua hauora, me te kaha o tō āhua. E toru ngā kōwhiringa maimoatanga matua.

1. Pokanga:

He maha ngā wā, ko te maimoatanga tuatahi ko te pokanga hei tango i te pukupuku pituitary. He mea nui rawa tēnei mēnā kei te pēhi te pukupuku i ngā io e pā ana ki te tirohanga. Ka tangohia e te taote pokanga te pukupuku mā te tapahi iti mā te ihu, mā roto rānei i te ngutu o runga. Tērā pea ka tīmata te pai haere o ngā tohu i roto i ētahi rā i muri i te pokanga.

2. Rongoā:

Mena kei te toe tonu ētahi wāhanga o te puku i muri i te pokanga, ki te hiahia rānei koe ki ētahi atu āwhina hei whakahaere i ō taumata homoni, ka tohua e tō tākuta he rongoā. Ka whakaitihia e ēnei rongoā ō taumata GH, ka ārai rānei i ōna pānga ki te tinana.

• Ngā momo rongoā Somatostatin (hei tauira, lanreotide, octreotide)
• Ngā kaitukino i te kaiwhakawhiwhi homoni tipu (hei tauira, pegvisomant)
• Ngā kaiwhakaoho dopamine (hei tauira, cabergoline)

3. Te Whakaora Irahiko:

Mena kei te toe tonu ētahi wāhanga o te pukupuku i muri i te pokanga me te rongoā, me te mea rānei me whakaiti ake ngā taumata GH, ka whakamahia te rongoā irahiko. Mā tēnei ka aukati i te tipu o te pukupuku, ka whakaiti hoki i te hanga GH. Ka taea e ngā tikanga hou pēnei i te pokanga irahiko stereotactic te tuku i ngā horopeta teitei o te irahiko ki te pukupuku me te kore e kino ki te kiko hauora.

Ngā raruraru ka puta pea mēnā kāore e rongoatia

Ka pā mai pea ngā raruraru hauora nui i te acromegaly mēnā kāore e tika te rongoā, nō reira kaua e warewarehia tēnei mate.

• Mate pūnaha io
• Mate huka
• toto toto tiketike
• Te Mate Rumati (Osteoarthritis)
• Te Mate o te Ara o te Carpal
• Apnea moe
• Te ngaronga o te tirohanga
• Te pikinga ake o te mōrearea o te mate pukupuku koroni
• Te pēhanga o te io tuaiwi