Kodi ziwalo zanu ndi nkhope yanu zikusintha mawonekedwe? Tiyeni tikambirane za Acromegaly!

Kodi munayamba mwamvapo kuti mphete yomwe mumavala nthawi zonse yakhala ikumatirira pa chala chanu? Kapena kuti kukula kwa nsapato zanu, makamaka m'lifupi, kwakula kuposa masiku onse? Ndi kusintha kochepa kotereku, kodi mumamva kuti mawonekedwe a nkhope yanu akusintha pang'onopang'ono? Simungasamale kwambiri izi. Koma izi zitha kukhala zizindikiro za matenda osowa koma odetsa nkhawa otchedwa Acromegaly. Tiyeni tikambirane za izi lero.

Mwachidule, kodi Acromegaly ndi chiyani?

Acromegaly ndi vuto losowa koma loopsa lomwe limachitika thupi lanu likakhala ndi mahomoni ochulukirapo (GH) . Mankhwalawa nthawi zambiri amapangidwa ndi pituitary gland, gland yofanana ndi nandolo yomwe ili pansi pa ubongo wanu. Komabe, mu acromegaly, mahomoniwa amapangidwa kwambiri chifukwa cha chotupa mu pituitary gland kapena kwina kulikonse m'thupi.

Homoni ya Kukula ndi yofunika kwambiri kuti ana akule ndikukula. Koma tikakula, mafupa athu akatseka, homoni iyi siiwonjezeranso kutalika kwathu. Koma matupi athu akuluakulu amafunikiranso homoni iyi. Ndi yoti isunge kapangidwe kabwino ka mafupa athu, cartilage, ndi ziwalo zathu, kuti kagayidwe kachakudya kagwire bwino ntchito, komanso kuti shuga m'magazi azikhala pamlingo woyenera.

Komabe, ngati mahomoni okulira m'thupi la munthu wamkulu awonjezeka kwambiri, mavuto ambiri angabuke, monga kusintha kosazolowereka kwa mawonekedwe a mafupa, kukula kwa ziwalo, komanso kuchuluka kwa shuga m'magazi (hyperglycemia).

Kodi kusiyana pakati pa Acromegaly ndi Gigantism ndi kotani?

Matenda onsewa amayamba chifukwa cha kuchuluka kwa mahomoni okulira (GH). Kusiyana kwake kuli m'gulu la zaka zomwe zakhudzidwa.

• Gigantism: Izi zimachitika mwa ana. Izi zikutanthauza kuti ngati hormone ya GH ikuwonjezeka asanakwanitse msinkhu, mafupa asanatseke, anawo amakula modabwitsa. Imeneyi ndi vuto lomwe limapezeka kawirikawiri kuposa acromegaly.
• Acromegaly: Izi zimachitika mwa akuluakulu. Monga tanenera kale, ma growth plates akatsekedwa, GH imawonjezeka, koma m'malo mwake mawonekedwe a mafupa m'manja, mapazi, ndi nkhope amasintha ndipo amakula.

Ndani amadwala matenda a acromegaly? Kodi ndi ofala bwanji?

Matenda a Acromegaly ndi matenda osowa kwambiri. Malinga ndi ziwerengero, anthu pakati pa 3 ndi 14 mwa 100,000 adapezeka ndi matendawa. Ngakhale kuti amatha kufalikira pa msinkhu uliwonse akatha msinkhu, matendawa nthawi zambiri amapezeka ali ndi zaka zapakati, kutanthauza kuti, pakati pa zaka 40 ndi 50.

Kodi vutoli limakhudza bwanji thupi?

Hormone Yokulira (GH) ikachuluka, imauza chiwindi chathu kuti chipange homoni ina. Imatchedwa `Insulin-like Growth Factor 1 (IGF-1)`. Hormone iyi yotchedwa IGF-1 imapangitsa mafupa ndi minofu yathu kukula, komanso imayang'anira shuga ndi mafuta m'magazi. Chifukwa chake, GH ikachuluka, IGF-1 imachulukanso kwambiri. Zotsatira zake, matenda oopsa monga matenda a shuga a mtundu wa 2, kuthamanga kwa magazi, ndi matenda a mtima amatha kuchitika.

Kodi zizindikiro za acromegaly ndi ziti?

Zizindikiro za acromegaly zimawonekera pang'onopang'ono, kwa zaka zambiri. Chifukwa chake zimakhala zovuta kuzizindikira pachiyambi. Mutha kuwona kusintha pankhope panu pokhapokha mutayang'ana chithunzi chakale chanu.

Gome ili m'munsimu likuwonetsa bwino lomwe zizindikiro izi.

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndikofunikira kwambiri kuonana ndi dokotala nthawi yomweyo ndikukambirana za izi.

Kodi matenda a acromegaly amachiritsidwa bwanji?

Mukapita kwa dokotala, adzamvetsera mosamala zizindikiro zanu, adzakuyesani thupi, kenako adzakulangizani kuti muyesedwe kangapo kuti atsimikizire kuti mwapezeka ndi matendawa.

• Kuyezetsa magazi: Uku ndiye kofunika kwambiri. Kumayesa kuchuluka kwa GH ndi IGF-1 m'magazi anu.
• Mayeso Ojambula: Ngati mayeso a magazi atsimikizira kuti milingo ya GH ndi yokwera, MRI scan ingapemphedwe kuti ione ngati pali chotupa cha pituitary.

Ngati matendawa atsimikizika, mayeso ena angachitike kuti aone ngati akhudza ziwalo zina za thupi.

• Echocardiogram yowunikira momwe mtima ukugwira ntchito.
• Kufufuza za kugona kuti muwone ngati mukupuma movutikira pamene mukugona.
• Colonoscopy kuti muwone thanzi la m'matumbo.
• Kujambula X-ray kapena DEXA kuti muwone ngati mafupa ali bwino.

Kodi mankhwala a acromegaly ndi ati?

Pali njira zingapo zochizira acromegaly. Dokotala wanu adzasankha chithandizo chomwe chili chabwino kwa inu kutengera momwe mulili, kukula kwake ndi komwe chotupacho chili.

1. Opaleshoni: Iyi ndiyo njira yaikulu yochizira matenda kwa anthu ambiri. Njira yodziwika kwambiri imatchedwa Transsphenoidal Surgery . Izi zimaphatikizapo kuchotsa chotupa cha pituitary gland kudzera mu mphuno. Ngati chotupacho chachotsedwa kwathunthu, pali mwayi wabwino wochira kwathunthu.

2. Mankhwala: Ngati opaleshoni singathe kuchotsa chotupa chonse, kapena ngati pakufunika kuchepetsa chotupacho musanachite opaleshoni, mankhwala amagwiritsidwa ntchito. Mankhwalawa amawongolera kuchuluka kwa GH m'thupi. Anthu ena angafunike kumwa mankhwalawo kwa nthawi yayitali.

3. Chithandizo cha Radiation: Chithandizochi chimagwiritsidwa ntchito kuwononga ziwalo zina zonse za chotupa pamene opaleshoni ndi mankhwala sizingathe kuletsa matendawa.

Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?

Ngati sichinachiritsidwe, acromegaly ingayambitse mavuto aakulu azaumoyo pakapita nthawi. Ichi ndiye chinthu choopsa kwambiri pa matendawa.

• Matenda a Shuga a Mtundu Wachiwiri
• Kuthamanga kwa magazi (BP)
• Matenda a mtima, makamaka matenda a mtima
• Matenda a nyamakazi
• Ma polyps a m'matumbo akuluakulu - Izi zimatha kusanduka khansa pambuyo pake.
• Kulephera kwa Ziwalo

Choncho, ndikofunikira kwambiri kuonana ndi dokotala mwamsanga ngati muli ndi zizindikiro komanso kutsatira chithandizo chomwe mwapatsidwa ngati matendawa apezeka. Ngati kuchuluka kwa GH kulamulidwa ndi chithandizo, chiopsezo cha mavutowa chingachepe kwambiri.