Ese ukunda kubabara mu gifu? Ese urwara ibisebe mu gifu? Bishobora kuba indwara idakunze kugaragara (Zollinger-Ellison Syndrome)

Ese ukunze kurwara ibisebe byo mu gifu cyangwa indwara ya gastritis? Ese urwara ibisebe byo mu gifu bidakira ariko ntibikongere nubwo wavuwe? Ese nawe urwaye impiswi? Hari igihe tubifata nk'ibintu bisanzwe, ariko uyu munsi tugiye kuvuga ku ndwara idakunze kugaragara yihishe inyuma yabyo, ariko ishobora kuba ikomeye gato. Iyi ndwara yitwa Zollinger-Ellison Syndrome.

Mu magambo make, Zollinger-Ellison Syndrome (ZES) ni iki?

Tekereza ko hari impinduka mu nda yacu igenzura ikorwa rya aside. Imisemburo yitwa gastrin ikora nk'iyo mpinduka. Ubusanzwe, iyo turya, iyi misemburo irarekurwa, bigatuma igifu kibyara aside yo gufasha mu gusya ibiryo. Iyo akazi karangiye, ikorwa rya aside riragenzurwa.

Ariko, ku bantu barwaye Zollinger-Ellison Syndrome (ZES), ubwoko bw'ikibyimba cyitwa gastrinoma butera mu mubiri. Ibi bibyimba bikunze kumera mu ipanjisi cyangwa mu gice cyo hejuru cy'amara mato (duodenum). Icyo ibi bibyimba bikora ni ugukora imisemburo myinshi ya gastrin nta genzura na rimwe. Ni nk'aho switch ihora 'ikora'.

Hafi 60% by'izi ndwara zo mu nda zishobora kuba kanseri , bityo rero ni ngombwa kuzisuzuma no kuzivura hakiri kare.

Ni ibihe bimenyetso by'iyi ndwara? Tubimenye dute?

Hari igihe ZES ishobora kutagaragaza ibimenyetso mu ntangiriro. Ariko iyo ibimenyetso bigaragaye, bishobora kuba bikomeye gato kurusha indwara isanzwe ya gastritis. Ubukana bw'ibimenyetso buratandukanye bitewe n'ingano n'umubare w'ibibyimba mu mubiri wawe.

Reka tubisobanure neza mu mbonerahamwe iri hepfo.

Hari ubwo ibi bibyimba bikwirakwira mu mwijima (metastasis) , bishobora no kugaragaza ibimenyetso bya kanseri y'umwijima. Urugero, hashobora kubaho kwishimagura, guhinduka umuhondo mu maso no mu ruhu (jaundice).

Kuki ikintu nk'iki kibaho?

Akenshi, ZES ibaho rimwe na rimwe , bivuze ko bibaho gusa.

Ariko hafi 25% by'abarwayi barwara iyi ndwara yitwa MEN Type 1 (Multiple Endocrine Neoplasia Type 1).Mu buryo burambuye, iyi ni indwara idakunze kugaragara mu maraso. Muri ibi, hari ibyago byo kurwara kanseri mu ngirabuzimafatizo nyinshi zikora imisemburo mu mubiri wacu icyarimwe. ZES ni kimwe mu bice byayo.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane ibi?

Niba ufite ibimenyetso byavuzwe haruguru, muganga wawe ashobora kugutegeka ibipimo byinshi niba akeka ko ufite ZES.

Ibizamini bya mbere

• Ibipimo by'amaraso: Ibi bipima urugero rw'umusemburo wa gastrin mu maraso yawe. Niba ufite ZES, uru rugero ruzaba ruri hejuru cyane . Ibi byitwa hypergastrinemia.
• Gupima urugero rw'aside yo mu gifu: Umuyoboro unyura mu mazuru ujya mu gifu hanyuma hagafatwa icyitegererezo cya aside hanyuma kigapimwa. Muri ZES, uru rugero rw'aside ruri hejuru cyane.
• Ibizamini byo Gupima: Hakorwa isuzuma rya CT cyangwa MRI kugira ngo harebwe ibibyimba byo mu ipanjinga cyangwa mu mara.

Ibindi bizamini niba byaremejwe ko hari ibibyimba

Ibindi bizamini birimo gukorwa kugira ngo hamenyekane neza aho ibi bibyimba biri, ingano yabyo, ndetse niba ari kanseri cyangwa atari yo.

• Endoskopi: Umuyoboro muto ufite kamera unyura mu kanwa kugira ngo usuzume igifu n'igice cyo hejuru cy'amara mato. Ibi bishobora gufasha kureba niba hari ibisebe byo mu gifu.
• Ultrasound ya Endoscopic: Iyi ni uruvange rwa endoscopi na scan ya ultrasound. Ishobora kumenya ndetse n'utubyimba duto cyane mu icuraburindi.
• ERCP: Iyi ni scan yihariye.
• Isuzuma ry'umubiri (Biopsy) (Fine-ensile aspiration): Agace gato cyane k'umubiri gakurwa muri iki kibyimba kagasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba kirimo uturemangingo twa kanseri.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura buterwa n'uburemere bw'ibimenyetso byawe ndetse niba ikibyimba ari kanseri cyangwa atari yo. Hari uburyo butatu bw'ingenzi bwo kuvura.

Ese ahazaza hawe hazamera gute muri iki kibazo?

Iki ni ikibazo abantu benshi bibaza. Ahazaza hawe haterwa n'ubwoko bwa kanseri ufite.

• Ibibyimba bitari kanseri: Ibi ntabwo bishyira ubuzima mu kaga, ariko uzakenera gukomeza gufata imiti kugira ngo ugabanye aside yo mu gifu.
• Ibibyimba bya kanseri: Ibintu biratandukanye gato hano. Iyo uturemangingo twose twa kanseri mu mubiri dushobora gukurwaho binyuze mu kubagwa, indwara ishobora gukira burundu. Nubwo bimeze bityo, uzakenera gukomeza gukorerwa ibizamini bya muganga kugira ngo urebe niba indwara yagarutse.

Ariko ibuka ibi: Iyi mibare ni impuzandengo ishingiye ku makuru yavuye ku barwayi ibihumbi. Imiterere yawe ku giti cyawe ishobora kuba itandukanye cyane. Kubwibyo, umuntu mwiza wo kumenya neza uko indwara yawe imeze ni muganga wawe ukuvura.

Nkwiye kwiyitaho nte?

Niba usanzwe ufite ZES, uzakenera guhindura ubuzima bwawe.

• Fata imiti yawe neza: Ni ngombwa gufata imiti igabanya aside (PPI) mu gihe gikwiye, nk'uko muganga wawe yabigutegetse.
• Kwisuzumisha kwa muganga buri gihe: Cyane cyane niba warigeze kugira ibibyimba bya kanseri, ugomba kujya kwisuzumisha buri gihe nk'uko muganga yabigutegetse kugira ngo arebe niba indwara yongeye kugaruka.
• Menya ibimenyetso: Niba ibimenyetso nk'ububabare bwo mu gifu no gucibwamo bigarutse nyuma yo kuvurwa, menyesha muganga wawe ako kanya .

Ni ibisanzwe kumva uhangayitse kandi ufite ubwoba iyo umenye ko ufite indwara idasanzwe nk'iyi. Ufite ibibazo byinshi. Vugana na muganga wawe nta guhisha kuri byose. Tega amatwi witonze ibisubizo by'ibizamini byawe n'uburyo bwo kuvura. Biteguye kandi biteguye kugufasha.