Wakambonzwa here kuti saizi yeshangu yako iri kukura, kana kuti mhete yawaimbopfeka yava kunamira pamunwe wako? Pamwe chimiro chechiso chako chinotaridzika zvakasiyana zvishoma paunotarisa mapikicha ekare? Zvizhinji zvezvinhu izvi zvinoitika nekufamba kwenguva, dzimwe nguva kwemakore, saka hatizvitarisiri zvakanyanya. Asi izvi zvinogona kuva chiratidzo chechirwere chisingawanzoitiki chinonzi Acromegaly . Usazvidya moyo, tichataura nezvese zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Acromegaly?
Acromegaly chirwere chinokonzerwa nemuviri wedu uchigadzira hormone yekukura yakawandisa, kana kuti Growth Hormone (GH) . Hormone iyi inotibatsira kukura tiri vadiki. Zvisinei, kana hormone iyi ikaramba ichiburitswa mushure mekunge tapedza kukura, kureva kuti, mushure mekunge tava vakuru, dzimwe nhengo dzemuviri wedu, kunyanya mapfupa emaoko, makumbo, nechiso, dzinotanga kukura zvisina kujairika.
Dambudziko iri rinowanzoonekwa nevanhu vane makore epakati nepakati. Asi izvi hazvirevi kuti hariitike kuvanhu vadiki. Kana hormone yekukura ikawedzera nenzira iyi pazera diki, chirwere ichi chinonzi gigantism. Ipapo vanokura vakareba zvisingawanzoitiki.
Acromegaly haisi chirwere chekureba kwakanyanya, asi kuchinja kwechimiro chemapfupa atokura. Nekuti shanduko idzi dzinoitika zvishoma nezvishoma, dzinogona kusaonekwa sechirwere kwemakore.
Sei acromegaly ichikura? Ndezvipi zvikonzero?
Chikonzero chikuru cheizvi igomarara diki rakakura sepizi riri pasi peuropi hwedu. Tinoridaidza kuti Pituitary Gland . Chikonzero chinowanzo kukonzera Acromegaly igomarara risiri rekenza (risina njodzi) mugomarara iri. Gomarara iri rinonzi Pituitary Adenoma . Gomarara iri rinosimudzira gomarara repituitary uye rinoburitsa hormone yekukura yakawandisa (GH).
Homoni iyi yeGH yakawandisa inoungana muropa redu uye inozivisa chiropa kuti chigadzire imwe homoni inonzi IGF-1 (Insulin-like Growth Factor-1) . Iyo homoni yeIGF-1 ndiyo inoita kuti mapfupa edu nedzimwe nhengo dzemuviri zvikure zvisina kujairika. Inokanganisawo nzira iyo muviri wedu unodzora nayo shuga nemafuta, zvichiwedzera njodzi yekurwara nezvimwe zvirwere.
Kashoma, chirwere ichi chinogonawo kukonzerwa nemabundu anokura mune dzimwe nzvimbo dzepancreas, chiropa, kana uropi. Tsvagiridzo yakawana kuti zvimwe zvinhu zvemajini zvinogonawo kuita basa racho.
Ndezvipi zviratidzo zve acromegaly?
Zviratidzo izvi zvinowanzoonekwa zvishoma nezvishoma, saka zvinogona kutora nguva kuti uone mutsauko.
| Rudzi rwehunhu | Shanduko dzinoonekwa |
|---|---|
| Shanduko dzekunze mumuviri |
|
| Zvimwe zvinhu zvakajairika |
Nzira yekuziva sei chirwere ichi?
Zvakakosha kuziva chirwere ichi nekukurumidza sezvinobvira. Kana ukaona chiremba nekuda kwezviratidzo izvi, achakubvunza mibvunzo yakaita seiyi:
- Ndezvipi zvawakaona zvichichinja?
- Wakatanga rini kuona shanduko idzi?
- Uri kunzwa sei izvozvi?
Zvadaro, bvunzo dzinoverengeka dzinoitwa kuti dzisimbise chirwere chacho.
Miedzo mikuru
- Kuongororwa kweropa: Kuongororwa ropa kunoitwa kuti uone kana huwandu hwemahormone ako eIGF-1 hwakakwira zvichienderana nezera rako.
- Kuongororwa kweGlucose Tolerance: Pano, unopihwa chinwiwa chine shuga uye huwandu hweshuga muropa rako neGH hormone zvinoyerwa kwemaawa maviri. Kazhinji, huwandu hweGH hunofanira kudzikira mushure mekunwa shuga. Kana hukasadaro, uye hukaramba hwakakwira, chiratidzo che acromegaly.
Mimwe miedzo
- MRI kana CT scan: Izvi zvinobatsira kuona bundu repituitary.
- Kuongororwa kweX-ray: Tarisa kana mapfupa akobvu.
- Echocardiogram: Kuongororwa kwemoyo neultrasound kuti uone kana moyo wakakanganiswa.
- Colonoscopy: Tarisa hutano hwemudumbu.
- Chidzidzo Chekurara: Tarisa kana uine Sleep Apnea.
Ndezvipi zviri kurapwa?
Chiremba wako ndiye achasarudza nzira yakakodzera yekurapa iwe zvichienderana nezera rako, hutano hwako, uye kuoma kwechirwere chako. Kune nzira nhatu huru dzekurapa.
1. Kuvhiyiwa:
Kazhinji, kurapwa kwekutanga kunoitwa nekuvhiyiwa kubvisa bundu repituitary. Izvi zvinonyanya kukosha kana bundu riri kudzvanya tsinga dzinokanganisa kuona. Chiremba anobvisa bundu iri nekucheka kudiki kuburikidza nemhino kana mukati memuromo wepamusoro. Zviratidzo zvinogona kutanga kuvandudzika mukati memazuva mashoma mushure mekuvhiyiwa.
2. Mishonga:
Kana paine zvimwe zvikamu zvebundu mushure mekuvhiyiwa kana kuti kana muchida rubatsiro rwakawanda rwekudzora huwandu hwemahormone enyu, chiremba wenyu achakupai mishonga. Mishonga iyi inoderedza huwandu hweGH mumuviri wenyu kana kudzivirira migumisiro yayo pamuviri.
- Mafananidzo eSomatostatin (semuenzaniso lanreotide, octreotide)
- Zvinodzivisa kukura kwehomoni (semuenzaniso pegvisomant)
- Mishonga yedopamine agonists (semuenzaniso cabergoline)
3. Kurapa Nemwaranzi:
Kana paine zvimwe zvikamu zvebundu zvasara mushure mekuvhiyiwa uye mishonga, kana kuti mazinga eGH achifanira kuderedzwa zvakanyanya, kurapwa nemwaranzi kunoshandiswa. Izvi zvinomisa bundu kukura uye zvinoderedza kugadzirwa kweGH. Matekiniki emazuva ano akadai se stereotactic radiosurgery anogona kupa huwandu hwakawanda hwemwaranzi kubundu pasina kukuvadza nyama ine hutano.
Matambudziko anogona kuitika kana akasarapwa
Acromegaly inogona kukonzera matambudziko makuru ehutano kana ikasarapwa nemazvo, saka usaregeredza chirwere ichi.
- Chirwere chemwoyo
- Chirwere cheshuga
- Kukwira kweropa
- Arthritis (Osteoarthritis)
- Carpal Tunnel Syndrome
- Kumbomira Kurara
- Kurasikirwa nekuona
- Kuwanda kwenjodzi yekenza yekoloni
- Kudzvinyirirwa kwetsinga dzemusana
Dambudziko iri rinogona kuisa upenyu panjodzi kana rikasarapwa, saka zvakakosha kutsvaga rubatsiro rwechiremba nekukasika kana uine zviratidzo.
Mharidzo Yekuenda Nayo Kumba
- Acromegaly chirwere chisingawanzoitiki chinokonzerwa nekuwanda kwehomoni yekukura mumuviri (GH).
- Chikonzero chikuru cheizvi ibundu risiri rekenza (risina njodzi) rinokura mugland repituitary.
- Zviratidzo (kukura kwemaoko, tsoka, nechiso) zvinogona kuoneka zvishoma nezvishoma, saka zvinogona kutora nguva yakareba kuti zvionekwe.
- Dambudziko iri rinogona kudzorwa zvinobudirira nekuvhiyiwa, mishonga, uye kurapwa nemwaranzi.
- Kuongororwa kwechirwere nekukurumidza uye kurapwa kunogona kubatsira kudzivirira matambudziko akakomba uye kukubatsira kurarama hupenyu hwakajairika. Kana uine zvinokunetsa, iva nechokwadi chekuona chiremba wako.











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