Acromegaly: He tino rahi rawa ō waewae me tō mata? Me kōrero tāua!

Kua kite koe i te āhua o ō ringaringa, o ō waewae, o tō mata rānei e rerekē ana? Tērā pea he maha ngā wā ka piri te mowhiti e mau ana koe, kua rerekē rānei te rahi o ō hu? Ehara ēnei i te mea noa iho, engari he tohu pea nō tētahi mate onge engari he mate kino pea e kiia nei ko te acromegaly . Kaua e manukanuka, ka kōrerohia tēnei e tātou i tēnei rā.

He aha te Acromegaly? He māmā noa iho...

Ko te Acromegaly he mate e puta mai ana i te nui o te matū e kiia nei ko te Growth Hormone (GH) i roto i tō tinana. I te nuinga o te wā, ka hangaia tēnei homoni tipu (GH) e te repe pituitary , he repe rite te rahi ki te pī kei te pūtake o tō tātou 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.

I mōhio koe he repe iti engari he mea nui te repe pituitary. E waru ngā homoni e tukuna ana e ia, ko tētahi o ēnei ko te homoni tipu (GH).

He aha te homoni tipu (GH) mō tātou?

Ko te Homoni Tipu, e mōhiotia ana ko te Homoni Tipu Tangata (hGH) me te Somatotropin rānei, he homoni tūturu. He mea nui mō te tipu o ngā wāhanga rerekē o te tinana, me te tipu teitei hoki i te wā tamarikitanga. Heoi, i a tātou e pakeke haere ana, i muri i te kati o ngā epiphysis o ō tātou wheua, me hiahia tonu ō tātou tinana ki tēnei GH. E mōhio ana koe he aha? Ka āwhina i te pupuri i te hanganga hauora o ō tātou wheua, te kiriuhi, me ngā whekau o roto, ā, ka āwhina i te whakahaere i te pākia o te tinana, inā koa ngā taumata huka toto.

Nō reira, ki te nui rawa te pikinga o te homoni tipu (GH) o te tinana i muri i te pakeketanga, ka puta pea ngā raruraru pēnei i te pirau o te wheua, te whakanui o ngā okana, me te pikinga o te taumata huka toto (hyperglycemia) .

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

Nā te pikinga o te homoni tipu (GH) ēnei e rua. Heoi, ko te rerekētanga kei te tangata e pāngia ana e te mate. Ka pāngia ngā pakeke e te acromegaly. Ka pāngia ngā tamariki e te gigantism .

Ki te piki ake ngā taumata o te homoni tipu (GH) i roto i ngā tamariki i mua i te katinga o ngā pereti tipu i roto i ō rātou wheua (arā, i mua i te mutunga o te pakeketanga), ka tino teitei rawa atu rātou. Ka kiia tēnei ko te gigantism. He onge ake i te acromegaly. Ka kiia hoki e ētahi tākuta ko te "pediatric acromegaly."

Heoi, ki te piki ake ngā taumata o tō homoni tipu (GH) i muri i te kati o ō pereti tipu, e kore koe e tipu roa. Heoi anō, ka pā pea taua homoni nui ki te āhua o ō wheua, te rahi o ō whekau, me ētahi atu āhuatanga hauora. Ka kiia taua āhuatanga ko te acromegaly.

Ko wai te mea tino tūpono ka pāngia e te acromegaly?

Ka taea te whakawhanake i ngā tau katoa i muri i te pakeketanga. Heoi, ko te nuinga o te wā ka tātaritatia e ngā tākuta i roto i te hunga i waenga i te 40 me te 50 tau te pakeke, arā, i waenganui o te tau.

He pēhea te noa o tēnei?

He mate onge te acromegaly. Tata ki te 31 noa iho i roto i te 100,000 tāngata kua kitea kua pāngia e tēnei mate. Nō reira kaua e mataku nui, engari he mea nui kia mōhio ki ngā tohu.

He aha te pānga o te acromegaly ki tōku tinana?

Ina pāngia te pakeke e te acromegaly, arā, ina piki ake te homoni tipu (GH), ka tīmata te whakanui ake i te rahi o ngā wheua, te kiriuhi, ngā okana o te tinana, me ētahi atu kiko. Ka kitea ngā huringa mārama o te āhua . Hei tauira:

• Te whakanui ake i ngā ringaringa me ngā waewae.
• Te whakanui ake i ngā taringa, ngā ngutu, me te ihu.
• Kauae e pūwero ana, rae e rahi ana.

Mā te homoni tipu (GH) e tohu ki tō tātou ate kia whakaputa i tētahi atu homoni e kiia nei ko te Insulin-like Growth Factor 1 (IGF-1) . Ko tēnei homoni, e kiia nei ko te IGF-1, e āwhina ana i ō tātou wheua me ngā kiko o te tinana kia tipu, ā, ka pā hoki ki te huarahi e whakahaere ai tō tātou tinana i te huka toto (glucose) me ngā ngako (lipids). Nō reira, ina piki ake ngā taumata GH, ka piki ake hoki ngā taumata IGF-1. Ka taea e tēnei te arahi ki ngā āhuatanga pēnei i te Mate Huka Momo 2 , te Toto Toto Nui (hypertension) , me te Mate Manawa .

Whakaarohia, pērā i te wai e moumou ana i te wai i te wā roa rawa e rere ana, he maha ngā pānga o ēnei homoni ki te tinana ina tino teitei rawa.

He aha ngā take o te acromegaly?

Ko te tino take o te acromegaly ko te pukupuku i roto i te repe pituitary. Ka kiia tēnei ko te pituitary adenoma . Mā tēnei pukupuku ka nui rawa te homoni tipu (GH) e tukuna e te repe pituitary.

He kōrero anō mō ​​te Pituitary Adenoma...

He maha ngā wā he pai te āhua o ēnei adenoma pituitary. Arā, ehara i te matepukupuku. Ko te nuinga o ngā pukupuku e puta ai te acromegaly ka tino puhoi te tipu. Nō reira, kāore pea koe e kite i ngā tohu o tēnei GH nui rawa mō ngā tau.

I runga i te rahi me te wāhi o te pukupuku, ka taea e ia te pēhi i ētahi atu wāhanga o te repe pituitary me te pā ki ētahi atu homoni i hangaia e te repe pituitary. Mena he nui te pukupuku, ka taea hoki e ia te pēhi i ngā wāhanga tata o te roro, ka puta he ānini me ngā raruraru tirohanga .

He aha ngā tohu o te Acromegaly?

Ina pāngia te pakeke e te acromegaly, ka pāngia ngā wheua me ngā kiko o te tinana, ka tipu rerekē ai. Ka puta pea ēnei tohu e whai ake nei:

• Ringa, waewae rānei kua rahi: Tērā pea ka tīmata te piri o ō mowhiti, ā, ka piki ake te rahi o ō hu, inā koa te whānui.
• Ngā panonitanga o te āhua o te kanohi: Te pupū ake, te whakanui rānei i te kauae me/te rae rānei.
• Te whakanui ake i ngā ngutu, ihu, me/ranei te arero.
• Te werawera nui, te kiri hinuhinu rānei.
• Te hōhonutanga o te reo me te pāorooro.

Ētahi atu tohu:

• Ngā mamae o te upoko
• Mamae hononga
• Ngā huringa tirohanga
• Te pikinga ake o ngā tohu kiri iti
• Te ngoikore o ngā ringa
• Te mate moe (te mate moe)
• Te mate carpal tunnel syndrome , ngā raruraru tuaiwi rānei.

He puhoi rawa te puta o ngā tohumate acromegaly, i ētahi wā ka roa te wā. Nō reira, he uaua ki te kite i te tīmatanga. Ka kite noa ētahi tāngata kua nui haere ō rātou ringaringa ina piri te mowhiti e mau ana rātou, ina rerekē rānei te rahi o ō rātou hu.

Whakaarohia, kei reira tētahi tangata ko Nilanthi tōna ingoa. Kua roa ia e rongo ana i te piri o tana mowhiti marena. Kāore ōna hu i te piri pērā i mua, he paku piri. I mahara ia kua nui haere noa ia. Engari i te wā anō, kei te kī mai ōna hoa he rerekē ake tōna mata i mua, ā, kua paku nui ake tōna kauae. Koinei ngā mea iti ka kitea tuatahitia.

Mena kei a koe ēnei tohu, he mea tino nui kia kōrero koe ki te tākuta.

Me pēhea te tautuhi i te Acromegaly?

Nā te tino puhoi o te puta mai o ngā tohu, i roto i ngā tau maha, he uaua pea te tautuhi i te mate.

Tērā pea ka tukuna koe e tō tākuta ki tētahi tākuta endocrinologist , he tākuta e tohunga ana ki ngā mate e pā ana ki ngā homoni. Māna e tautuhi i tō mate i runga i tō hītori hauora, i tō whakamātautau haumanu, me ngā whakamātautau motuhake (pēnei i ngā whakamātautau toto me ngā whakamātautau whakaahua).

He aha ngā whakamātautau tātaritanga?

Mena kua tāpaetia koe he acromegaly, ka tonoa pea e tō tākuta ētahi atu whakamātautau hei tirotiro mēnā kua pāngia ētahi atu wāhanga o tō tinana e te mate. Kei roto i ēnei ko:

• He whakamātautau echocardiogram hei tirotiro i ngā raruraru o te ngākau.
• Ngā whakamātautau moe hei tirotiro mēnā kei te mōmona koe i te wā e moe ana.
• Ko te koroni hei tirotiro i te hauora o te koroni.
• Tirohia te hauora o te wheua mā te matawai X-ray, DEXA rānei.

Me pēhea te rongoā mō te Acromegaly?

He maha ngā huarahi maimoatanga mō te acromegaly. I runga i ō tohu me tō āhua, ka tūtohu tō tākuta i te maimoatanga e tika ana māu.

Ko ngā maimoatanga e whakamahia whānuitia ana ko:

• Pokanga
• Rongoā
• Te rongoā irahiko

Te Pokanga mō te Acromegaly

I ngā wā maha, ka taea e te pokanga te whakaiti, te whakaora rānei i ngā tohu o te acromegaly. Ko te tikanga, ka whakamahia e ngā taote pokanga he tikanga e kiia nei ko te pokanga transsphenoidal , arā, ko te mahi i te pokanga mā te ihu me te sphenoid sinus (he wāhi takoto kau i muri i ngā ara ihu, i raro i te roro).

Ko ngā taipitopito o te pokanga e whakawhirinaki ana ki te rahi me te wāhi o te puku. Ko te whāinga matua o te pokanga he tango katoa i te puku e hua ake ai te nui rawa o te homoni tipu (GH). Mena ka taea e te taote pokanga te tango i tētahi wāhanga nui o te puku, kāore pea koe e hiahia ki tētahi atu maimoatanga. Heoi, ki te tangohia tētahi wāhanga o te puku, me rongoā, me rongoā rānei koe ki te irahiko hei whakahaere i ngā tohu me te whakaiti i te hanga o te homoni tipu (GH).

Ngā Rongoā mō te Acromegaly

Tērā pea ka tohua e tō tākuta tētahi rongoā, tētahi huinga rongoā rānei. He rerekē ngā mahi a ngā rongoā hei whakataurite i ngā taumata o te homoni tipu (GH) o tō tinana, hei whakaiti hoki i ngā tohumate. I ētahi wā, ka hoatu te rongoā kia mimiti noa te puku, kia taea ai e te taote pokanga te tango haumaru. Tērā pea me tango rongoā ētahi atu tāngata mō te wā roa hei whakahaere i ngā taumata me ngā tohumate o te homoni tipu (GH).

Ka taea te whakaora katoa i te acromegaly?

Ka taea te whakaora i te acromegaly i ētahi wā, engari kāore i te wā katoa. Ina tangohia te pukupuku pituitary e puta ai te acromegaly mā te pokanga, ko te auau whakaora he tata ki te 85% mō ngā pukupuku iti . Mō ngā pukupuku nui, kei waenganui i te 40% me te 50%.

Kāore e taea e ngā rongoā te whakaora katoa i te acromegaly, engari ka taea e rātou te whakarato i te maimoatanga haumaru, roa hoki .

Ka taea te ārai i te acromegaly?

Engari, kāore he mea ka taea e koe te mahi hei ārai i te acromegaly. Kāore anō kia tino mārama ngā kaipūtaiao he aha te take o ngā pukupuku pituitary e hua ai te acromegaly. Heoi, e whakapono ana rātou tera pea ētahi āhuatanga ira e whai wāhi ana.

He aha te āhua o te acromegaly?

Ko te āhua o tēnei āhuatanga e whakawhirinaki ana ki te kaha o te mate me te pai o te whakahaere i ngā tohu mā te maimoatanga. He tokomaha te hunga e kite ana i te hekenga nui o ngā tohu i muri i te maimoatanga.

Ki te kore e rongoatia, ka taea e te acromegaly te whakarerekē nui i tō āhua me te āhua o ō wheua. Ka pā nui ēnei tohu ki tō whakaaro nui ki a koe anō me te kounga o te oranga. Ka āwhina ngā rōpū tautoko i ētahi tāngata ki te whakatau i ngā wero o te acromegaly.

Ka taea hoki e te acromegaly te whakararu i te hauora, pērā i te mate ngakau, te mate huka momo 2 rānei, ka taea te whakaiti i te kounga o te oranga me te whakapoto i te roanga o te oranga. Nō reira, he mea nui kia toro atu ki te tākuta mēnā he tohu kei a koe, ā, mēnā kua kitea he mate, me whai tata koe i tētahi mahere maimoatanga.

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 pēnei i:

• Mate huka momo 2
• Te toto toto tiketike (hypertension)
• Mate ngakau
• Mate uaua o te ngākau (Cardiomyopathy)
• Mate rumatiki
• Ngā polyp o te koroni - Ka taea e ēnei te huri hei mate pukupuku mēnā kāore e rongoatia.
• Te ngoikore o te okana

He aha te roanga o te oranga o te tangata e pāngia ana e te acromegaly?

Kei te kaha o te mate tēnei, me te mea hoki kei reira ētahi atu āhuatanga hauora, e puta pinepine ana i te acromegaly kāore i rongoatia.

Ki te kore e tika te whakahaere i ngā taumata o tō homoni tipu (GH) ā, kei a koe ētahi atu mate pēnei i te mate manawa me te mate huka, ka taea te whakapoto i tō roanga o te ora mā te 10 tau pea.

Heoi, ki te mea he acromegaly tōu, ā, kua tika te rongoā, ā, he rite tonu ngā taumata o te homoni tipu (GH) me te IGF-1, tera pea ka ora noa koe i te roanga o tō oranga.

Āhea ahau me toro atu ki te tākuta mō te acromegaly?

Mena kei a koe ngā tohu o te acromegaly, he mea tino nui kia kōrero koe ki te tākuta.

Mena kua tāpaetia koe he acromegaly, me toro atu koe ki tō tākuta i ia wā, kia mōhio ai kei te tika te mahi a tō maimoatanga.

He mate onge engari he kino te acromegaly. Ko te rongo pai, ka taea te rongoā mā te pokanga, te rongoā, me/ranei te rongoā irahiko. Mena kua kite koe kei te nui haere ō ringaringa, ō waewae, me/ranei ō āhua kanohi, kōrero ki tō tākuta. Ka taea e ia te whakahaere i ētahi whakamātautau māmā hei tirotiro mena ko ō taumata homoni tipu (GH) te take o ō tohu.

Hei whakamutunga, he karere hei kawe ki te kāinga

• He mate onge te acromegaly i roto i ngā pakeke, e hua ake ana i te pikinga o te homoni tipu (GH).
• Ko ētahi o ngā tohu ko te pupuhi o ngā peka me te mata, te werawera nui, me te rerekētanga o te reo . Tērā pea ka puta āta ēnei, nō reira kāore pea koe e kite.
• Ko te tino take o tēnei he pukupuku e tipu ana i roto i te repe pituitary, he maha ngā wā ehara i te matepukupuku.
• Mā te kitenga wawe me te maimoatanga ka ārai i ngā raruraru maha me te whakapai ake i te kounga o te oranga.
• Ki te pā mai ēnei tohu ki a koe, kaua e mangere ki te rapu tohutohu hauora. Koinei te mea whakaaro nui rawa atu hei mahi.

Kia maumahara, he mea hei whakamōhio noa iho ēnei mōhiohio. Kaua rawa e whakamahia hei whakakapi mō ngā tohutohu hauora. Mena he āwangawanga hauora āu, tēnā whakapā atu ki tētahi tohunga hauora whai tohu.