Kodi nthawi zambiri mumadzimva chizungulire shuga ikatsika m'magazi? Kodi izi zimachitika chifukwa cha insulinoma?

Kodi nthawi zina mumamva kukomoka, thukuta, maso abuluu, komanso chizungulire ? Izi zitha kukhala chifukwa cha kutsika kwadzidzidzi kwa shuga m'magazi mwanu ( hypoglycemia ). Izi ndi zachilendo kwa munthu amene ali ndi matenda a shuga , monga ngati amwa mankhwala ochulukirapo kapena kuphonya chakudya. Koma ngati izi zimachitika kwa munthu amene alibe matenda a shuga nthawi zonse, chifukwa chake chingakhale chinthu chomwe simungachiganizire nkomwe. Ndi vuto losowa lomwe tonsefe tiyenera kudziwa, lotchedwa insulinoma .

Kodi insulinoma kwenikweni ndi chiyani?

Mwachidule, insulinoma ndi chotupa chaching'ono, chomwe nthawi zambiri sichimayambitsa khansa chomwe chimayamba m'mapazi athu . Pancreas yathu imapanga mahomoni otchedwa insulin. Ntchito ya insulin iyi ndikuwongolera kuchuluka kwa shuga (shuga) m'magazi.

Taganizirani izi, nthawi zambiri shuga ikachuluka m'thupi lathu, kapamba amapanga insulin. Shuga ikachepa, imasiya kupanga insulin. Zili ngati switch yomwe imayatsidwa/kuzima panthawi yoyenera.

Koma chotupa ichi chotchedwa insulinoma chikakula, chimapanga insulin mosalekeza . Zili ngati kuti kusinthaku kumakhala pamalo 'okhazikika'. Chomwe chimachitika ndichakuti insulin imapitirira kupangidwa ngakhale shuga m'magazi mwathu ali otsika kwambiri. Izi zingayambitse kuchepa kwa shuga m'magazi mwathu. Chifukwa chakuti chotupachi chimapangidwa ndi mtundu wapadera wa maselo amitsempha (maselo a neuroendocrine), dokotala wanu angachitchenso kuti "chotupa cha neuroendocrine". Chotupachi nthawi zambiri chimakhala chaching'ono kwambiri (chosakwana inchi imodzi) ndipo chimakhala choposa 90% chosakhala khansa. Chifukwa chake, chimatha kuchiritsidwa kwathunthu ndi opaleshoni.

Kodi zizindikiro za vutoli ndi ziti?

Popeza insulinoma imapitiriza kupanga insulin, zizindikiro zake zimachitika chifukwa cha kuchepa kwa shuga m'magazi (hypoglycemia). Zizindikirozi zimatha kuwoneka mwadzidzidzi.

Kodi n’chiyani chimayambitsa insulinoma? Ndani ali pachiwopsezo chachikulu?

Choyambitsa chenicheni cha zotupazi sichinapezekebe, koma zinthu zina zitha kuwonjezera chiopsezo.

• Akazi ali ndi chizolowezi chochuluka pang'ono kuposa amuna.
• Kawirikawiri amapezeka mwa anthu azaka zapakati pa 40 ndi 60 .
• Anthu omwe ali ndi matenda enaake a majini nawonso ali pachiwopsezo chachikulu. Mwachitsanzo:
• Matenda ambiri a endocrine neoplasia mtundu 1: Matenda omwe amapangika m'matenda opanga mahomoni.
• Von Hippel-Lindau syndrome: Matenda omwe ma cysts ndi zotupa zimapangika m'ziwalo zosiyanasiyana za thupi.
• Mtundu woyamba wa Neurofibromatosis: Zomera zopanda khansa pamitsempha ndi pakhungu.
• Tuberous sclerosis: Kupangidwa kwa zotupa zomwe si khansa m'ziwalo monga ubongo, maso, mtima, ndi impso.

Kodi dokotala amapeza bwanji izi?

Kuzindikira matenda a insulinoma kungakhale kovuta pang'ono, chifukwa zizindikiro zake zimafanana ndi za matenda ena ofala, kotero zingatenge nthawi kuti dokotala wanu adziwe matendawo.

Chofunika kwambiri ndikuchita 'kusala kudya maola 72' . Pachifukwa ichi, mumasungidwa kuchipatala kwa masiku awiri kapena atatu ndipo simuloledwa kudya kapena kumwa chilichonse kupatula madzi. Panthawiyi, madokotala nthawi zonse amayesa shuga m'magazi mwanu ndi kuchuluka kwa insulin m'magazi mwanu.

Akuyesera kutsimikizira zinthu zitatu izi kudzera mu mayeso awa:

1. Kodi mukukumana ndi zizindikiro za shuga wotsika m'magazi (monga chizungulire, thukuta).

2. Zizindikiro zimenezo zikaonekera, kodi shuga m'magazi amakhala otsika kwenikweni?

3. Kodi zizindikirozo zimatha mukapereka shuga (shuga) kunja kwa thupi?

Ngati muli ndi insulinoma, shuga m'magazi mwanu mudzakhala ochepa kwambiri, koma insulin yanu idzakhala yokwera. Uwu ndiye umboni waukulu. Kuphatikiza pa izi, mayeso a magazi adzafufuzanso zinthu monga `(C-peptide)` ndi `(proinsulin)`.

Kenako, mayeso ojambulira zithunzi amachitidwa kuti apeze komwe chotupa cha kapamba chili.

• Kujambula kwa CT `(Kujambula kwa CT)`
• Kujambula kwa Ultrasound `(Ultrasound)`
• Kujambula kwa MRI `(MRI)`

Kodi mankhwala ochizira izi ndi otani?

Chithandizo chachikulu komanso chopambana kwambiri cha insulinoma ndi opaleshoni yochotsa chotupacho . Nthawi zambiri, matendawa amatha kwathunthu pambuyo pa opaleshoni.

Mtundu wa opaleshoni yomwe imachitika imadalira mtundu, kukula, ndi malo a chotupacho.

• Kuchotsa chotupa chokha: Madokotala opaleshoni amatha kuchotsa chotupacho mosamala popanda kuwononga kapamba.
• Kuchotsa gawo la kapamba: Nthawi zina gawo laling'ono la kapamba lomwe limagwirizana ndi chotupacho liyeneranso kuchotsedwa.

Ndi ukadaulo wapamwamba wamakono,Zotupa zimenezi zimathanso kuchotsedwa kudzera mu opaleshoni ya laparoscopic. Izi zikutanthauza kuti m'malo mochita kudula kwakukulu kamodzi, opaleshoniyi imachitidwa kudzera m'mabala ang'onoang'ono angapo pogwiritsa ntchito kamera. Ubwino wake ndi wakuti siupweteka kwambiri, masiku omwe mumakhala kuchipatala ndi ochepa, ndipo mutha kubwerera ku moyo wanu wamba msanga.

Chithandizo cha zotupa za khansa

Kawirikawiri (osakwana 10%) zotupa zimenezi zimatha kukhala khansa. Pazochitika zotere, chithandizo chimasiyana. Ngati chotupa chonsecho sichingachotsedwe mwa opaleshoni, mungafunike kumwa mankhwala kuti shuga m'magazi asatsike kwambiri. Mungafunikenso mankhwala a chemotherapy . Pa mitundu ina ya khansa, pali mankhwala apadera, monga ``Lutetium Lu 177 dotatate``, omwe amaphatikizapo kupereka mankhwala owopsa kudzera m'mitsempha.

Kodi pali zovuta zilizonse pambuyo pa opaleshoni?

Ngakhale kuti opaleshoniyi imayenda bwino nthawi zambiri, monga momwe zimakhalira ndi opaleshoni ina iliyonse, pali chiopsezo cha mavuto ang'onoang'ono.

• Kutuluka magazi
• Matenda
• Ululu
• Ngati gawo lalikulu la kapamba lachotsedwa, pali chiopsezo chotenga matenda a shuga.
• Kutuluka kwa madzi m'thupi kuchokera ku kapamba (pancreatic fistula)
• Kuchepa kwa ma enzymes am'mimba.

Ngati ndi chotupa cha khansa, mavuto monga matenda omwe amafalikira ku ziwalo zina (metastasis) angachitike. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.