Kodi inunso muli ndi vuto la m'mimba losachiritsika? Tiyeni tiphunzire za chotupa cha VIPoma (Vasoactive Intestinal Peptide Secreting)!

Kodi nthawi zina mumakhala ndi kutsegula m'mimba kwakukulu komwe kumatenga masiku ambiri, komwe kumayenderana ndi kupweteka m'mimba ndi kupweteka m'mimba? Mwina simukudya kapena kumwa chilichonse, koma mumamvabe motere. Ngati muli ndi zizindikiro ngati izi, chifukwa chake chingakhale chosowa kwambiri, koma chingakhale vuto lomwe tifunika kukambirana. Lero tikulankhula za vuto limodzi lotere lotchedwa VIPoma , kapena chotupa cha `Vasoactive Intestinal Peptide Secreting` . Ngakhale dzinalo lingamveke lovuta pang'ono, tiyeni tisunge mosavuta.

Kodi chotupa cha VIPoma n'chiyani?

Mwachidule, VIPoma ndi mtundu wosowa kwambiri wa chotupa chomwe chimayamba mu kapamba . Makamaka, izi ndi zotupa zomwe zimamera m'maselo opanga mahomoni a kapamba, otchedwa maselo a endocrine . Nthawi zina madokotala amatcha vutoli `Verner-Morrison syndrome` .

Matenda a VIPoma ndi osowa kwambiri . Ngakhale m'dziko ngati America, matendawa akuti amapezeka mwa munthu m'modzi mwa anthu 10 miliyoni. Kotero mutha kuganiza momwe zimakhalira zosavuta. Kukhala ndi matenda osowa chonchi kungakhale kovuta kwambiri, chifukwa kumakhudza kwambiri moyo wanu watsiku ndi tsiku. Koma, musadandaule . Tsopano pali mankhwala omwe nthawi zina amatha kuchiritsa kwathunthu matenda a VIPoma, kapena kuchepetsa zizindikiro zake.

Kodi zizindikiro za chotupa cha VIPoma ndi ziti?

Chizindikiro chachikulu komanso chofunikira kwambiri chomwe chimapezeka mu vutoli ndi kutsegula m'mimba kwakukulu, komwe kumatuluka madzi . Izi zimakhala zoopsa kwambiri moti mungathe kudwala kutsegula m'mimbaku ngakhale simukudya (kusala kudya). Sikutha pakatha masiku ochepa. Ichi ndiye chizindikiro chodziwika bwino cha matendawa.

Kupatula apo, pakhoza kukhala zizindikiro zina zingapo:

• Kupweteka m'mimba: M'mimba mwanu mungamve ngati mukutembenuka kapena kupweteka mukakhudza.
• Kutopa: Kumva kutopa komanso wopanda moyo nthawi zonse.
• Kutsuka: Kufiira kwadzidzidzi kwa nkhope ndi chifuwa. Izi zitha kuchitika popanda chifukwa chomveka.
• Kufooka kwa minofu: Mungamve ngati miyendo yanu yayamba kufooka, ndipo zingakhale zovuta kunyamula zolemera.

Tangoganizirani momwe mungamvere ngati mutapereka mabotolo awiri kapena atatu a madzi ngati ndowe patsiku. Izi zitha kukhala zovuta kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku.

Kodi n’chiyani chimayambitsa VIPoma?

Akatswiri sakudziwabe chomwe chimayambitsa matenda a VIPoma, koma akumvetsa bwino momwe zizindikirozi zimachitikira.

Thupi lathu lili ndi hormone yotchedwa `Vasoactive Intestinal Peptide` (VIP) . VIP iyi ndi yomwe imayang'anira dongosolo lathu logaya chakudya.Zimathandiza kwambiri. Izi zikutanthauza kuti, homoni iyi imalamulira kutulutsidwa kwa madzi, mchere, ma enzyme, ndi asidi m'mimba m'mimba. Zimathandizanso kumasula minofu ina m'mimba.

Chotupa cha VIPoma chikayamba, chimatulutsa mahomoni ambiri a VIP m'thupi. Pamene mahomoni ochulukirapo a VIP awa alowa m'thupi, zizindikiro zomwe tatchula kale, monga kutsegula m'mimba kwambiri ndi kupweteka m'mimba, zimachitika. Mwachidule, chotupachi chimapangitsa kuti mahomoni a VIP agwire ntchito mopitirira muyeso.

Kodi ndi mavuto ati omwe angayambitse VIPoma?

Vuto lalikulu la VIPoma ndi kutsegula m'mimba kwambiri. Anthu ena amatha kutaya malita imodzi kapena atatu (malita 1-3) a ndowe zamadzi patsiku. Kutsegula m'mimba kumeneku kukapitirira, thupi limataya madzi ambiri ndi mchere wofunikira, makamaka potaziyamu.

Izi zingayambitse kutaya madzi m'thupi komanso kuchepa kwa kagayidwe kachakudya m'thupi pakapita nthawi. Matenda onsewa ndi oopsa chifukwa angayambitse mavuto aakulu azaumoyo. Mwachitsanzo:

• Kusakhazikika kwa kugunda kwa mtima (`Arrhythmia`): Kusakhazikika kwa kugunda kwa mtima.
• Kugwedezeka kwa magazi m'thupi (Hypovolemic shock): Matenda omwe amayamba chifukwa cha kuchepa kwa madzi m'thupi.
• Kufooka kwa minofu (`Myopathy`): Kulephera kugwira ntchito kwa minofu.
• Tetany: Kupweteka kwa minofu.

Chifukwa cha mavuto amenewa, ndikofunikira kwambiri kupeza upangiri wa dokotala mwachangu ngati muli ndi zizindikiro za VIPoma.

Kodi madokotala amazindikira bwanji VIPoma?

Ngati muli ndi zizindikiro monga kutsegula m'mimba kwambiri kapena kupweteka m'mimba komwe kwakhala kukuchitika kwa masiku angapo, dokotala adzakuyesani thupi lanu ndikufunsani za zizindikiro zanu.

Kuyezetsa ndowe kungachitikenso kuti kupewe matenda ena omwe amayambitsa kutsegula m'mimba (monga matenda). Kuphatikiza apo, mayeso otsatirawa angachitike:

• Kuyezetsa magazi: Izi makamaka zimayesa kuchuluka kwa mahomoni a VIP m'magazi. Mu VIPoma, kuchuluka kumeneku kumakhala kwakukulu kwambiri. Amathanso kuyesa zinthu monga kusowa madzi m'thupi komanso kusowa kwa potaziyamu.
• Mayeso ojambulira: Izi zimatenga zithunzi za mkati mwa thupi kuti zione ngati pali chotupa, ngati chilipo, komwe chili, komanso kukula kwake. Izi zitha kuphatikizapo mayeso a `Computed Tomography (CT) scan` kapena `Magnetic Resonance Imaging (MRI)` .

Madokotala amatsimikizira momwe alili ndi VIPoma atatha kuchita mayeso onsewa.

Kodi VIPoma imachiritsidwa bwanji?

Chithandizo cha VIPoma nthawi zambiri chimakhala ndi kuphatikiza mankhwala ndi opaleshoni. Dokotala wanu angakulangizeni izi:

• Madzi olowa m'mitsempha (`madzi a m'mitsempha`):Izi zimaperekedwa kuti zilowe m'malo mwa madzi ndi mchere womwe umatayika m'thupi chifukwa cha kutsegula m'mimba kosalekeza. Izi zingathandize kuchepetsa kutaya madzi m'thupi.
• Mankhwala:
• Kutsegula m'mimba kumatha kuthetsedwa ndi mankhwala monga ``Octreotide (Sandostatin LAR®)`` . Mankhwalawa amachepetsa kutulutsidwa kwa hormone ya VIP.

Mutayamba kuchiza zizindikiro zanu mwanjira iyi, dokotala wanu angakulangizeni njira zina zochotsera kapena kulamulira chotupacho:

• Opaleshoni: Ngati chotupacho sichinafalikire mbali zina za thupi (chosasinthika) , opaleshoni ingagwiritsidwe ntchito kuchotsa chotupacho. Izi zitha kuchitika ndi opaleshoni yotchedwa distal pancreatectomy, yomwe imachotsa mchira ndi thupi la kapamba. Ngati chotupacho chachotsedwa kwathunthu, matendawa amatha kuchiritsidwa.
• Chemotherapy: Ngati chotupacho chafalikira kapena sichingachotsedwe kwathunthu ndi opaleshoni, chemotherapy imaperekedwa kuti iwononge maselo a khansa.
• Chithandizo Cholunjika: Awa ndi mankhwala omwe amakhudza mbali zinazake za maselo a khansa.

Gulu lanu lachipatala lidzasankha chithandizo choyenera kwambiri kwa inu mutafufuza mosamala za vuto lanu.

Kodi munthu amene ali ndi VIPoma angayembekezere chiyani?

Izi zimasiyana kwambiri malinga ndi munthu. Opaleshoni imatha kuchiritsa VIPoma kwathunthu. Mankhwala amatha kuchepetsa zizindikiro kwambiri.

Komabe, si aliyense amene ali ndi vuto lofanana . Zomwe mwakumana nazo zingakhale zosiyana kwambiri ndi za wina ndi VIPoma. Dokotala wanu wa opaleshoni ndi gulu lachipatala ndi anthu abwino kwambiri kukupatsani chidziwitso ndi chitsogozo. Amakudziwani bwino inu ndi vuto lanu, choncho afunseni chilichonse chomwe mukufuna kudziwa.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukulandira kale chithandizo cha VIPoma, imbani dokotala wanu nthawi yomweyo ngati zizindikiro zanu sizikusintha kapena zikuipiraipira.

Komanso, pitani kuchipatala chadzidzidzi ngati muli ndi zizindikiro izi:

• Ngati muli ndi ululu waukulu m'mimba .
• Ngati mwakhala mukutsegula m'mimba kwa masiku angapo .
• Ngati mukuwonetsa zizindikiro za kutaya madzi m'thupi , monga kumva mutu wopepuka, kumva chizungulire, kapena kukhala ndi mkodzo wakuda wachikasu kapena bulauni.

Kutsegula m'mimba kosatha komwe kumachitika chifukwa cha VIPoma kungasokoneze zochita zanu za tsiku ndi tsiku komanso kugona kwanu usiku. Kudziwa chomwe chimayambitsa zizindikirozi kungakuthandizeni kupeza mpumulo. Komabe, chifukwa VIPoma ndi matenda osowa, anthu ochepa okha ndi omwe amadziwa za matendawa. Izi zingakupangitseni kumva kusungulumwa komanso kukhumudwa. Mutha kuchita manyazi ndi zizindikiro za VIPoma.

Gulu lanu lachipatala limamvetsetsa bwino malingaliro amenewa, choncho musazengereze kuwapempha thandizo lililonse lomwe mukufuna, kaya ndi lokhudza kuthana ndi zizindikiro zanu kapena kukhala ndi matenda osowa chonchi.

Zinthu zofunika kwambiri zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

VIPoma ndi chotupa chosowa chomwe chimayamba mu kapamba. Chimayambitsa kutulutsa mahomoni ambiri otchedwa VIP, omwe amayambitsa zizindikiro monga kutsegula m'mimba kwambiri ndi kupweteka m'mimba. Ngati zizindikirozi zikupitirira, ndikofunikira kufunafuna upangiri wa dokotala. Chithandizo chachangu n'chofunika chifukwa mavuto monga kusowa madzi m'thupi komanso kusowa kwa potaziyamu amatha kuchitika. Pali mankhwala monga opaleshoni, mankhwala, ndi chemotherapy. Ngakhale kuti uwu ndi matenda osowa, simuli nokha. Pezani thandizo kuchokera kwa gulu lanu lachipatala.

VIPoma , Vasoactive Intestinal Peptide, Khansa ya Pancreatic, Kutsegula m'mimba, Verner-Morrison syndrome, Hormonal Imbalances, Matenda Osowa