Acromegaly: Makumbo ako nechiso zvakakura zvisingawanzoitiki here? Ngatikurukurei!

Wakamboona here kuti chimiro chemaoko ako, makumbo, kana chiso chiri kuchinja? Pamwe mhete yaunopfeka inowanzoita seyakabatikana, kana kuti saizi yeshangu yako yachinja? Izvi hazvisi zvinhu zvisina kurongeka chete, zvinogona kunge zviri zviratidzo zvechirwere chisingawanzoitiki asi chinogona kunge chakakomba chinonzi acromegaly . Usazvidya mwoyo, tichataura nezvazvo zvakadzama uye nhasi.

Chii chinonzi Acromegaly? Zvichitaurwa zviri nyore...

Acromegaly chirwere chinokonzerwa nehuwandu hwakawanda hwekemikari inonzi Growth Hormone (GH) mumuviri wako. Kazhinji, iyi growth hormone (GH) inogadzirwa nepituitary gland , gland rakakura sepizi riri pasi peuropi hwedu. Zvisinei, mu acromegaly, iyi hormone inogadzirwa zvakanyanya nekuda kwebundu riri mu pituitary gland kana kune imwe nzvimbo mumuviri.

Waizviziva here kuti pituitary gland igland diki asi rinokosha zvikuru. Inoburitsa mahormone masere, rimwe rawo ihormone yekukura (GH).

Chii chinonzi kukura kwehomoni (GH) kwatiri?

Growth Hormone, inozivikanwawo seHuman Growth Hormone (hGH) kana kuti Somatotropin , ihormone yechisikigo. Yakakosha pakukura kwezvikamu zvakasiyana zvemuviri wedu uye pakukura kwehurefu panguva yehudiki. Zvisinei, sezvatinokura, mushure mekunge epiphyses yemapfupa edu yavharika, miviri yedu ichiri kuda iyi GH. Unoziva here kuti sei? Inobatsira kuchengetedza chimiro chemapfupa edu, cartilage, uye nhengo dzemukati, uye inobatsira kudzora metabolism, kunyanya huwandu hweglucose muropa.

Saka, kana hormone yekukura (GH) yemuviri ikawedzera zvakanyanya mushure mekukura, matambudziko akadai sekuremara kwemapfupa, kukura kwenhengo dzemuviri, uye kuwedzera kwehuwandu hweshuga muropa (hyperglycemia) anogona kuitika.

Chii chiri musiyano pakati peAcromegaly neGigantism?

Zvese zvinokonzerwa nekuwedzera kwehomoni yekukura (GH). Zvisinei, musiyano uri pakuti chirwere ichi chinobata ani. Vakuru vanowana acromegaly. Vana vanowana gigantism .

Kana huwandu hwehormone yekukura (GH) hukawedzera muvana vasati vavhara mapundu ekukura mumapfupa avo (kureva kuti, vasati vasvika pazera rekuyaruka), vanokura vakareba zvisingawanzoitiki. Izvi zvinonzi gigantism. Hazviwanzoitiki pane acromegaly. Vamwe vanachiremba vanotiwo "pediatric acromegaly."

Zvisinei, kana huwandu hwehormone yako yekukura (GH) hukawedzera mushure mekunge ma plates ako ekukura avharwa, hauzokure kureba. Zvisinei, hormone iyoyo yakawandisa inogona kukanganisa chimiro chemapfupa ako, saizi yenhengo dzako, nezvimwe zvinhu zvehutano. Dambudziko iroro rinonzi acromegaly.

Ndiani anonyanya kukonzera acromegaly?

Inogona kukura chero pazera ripi zvaro mushure mekuyaruka. Zvisinei, vanachiremba vanowanzoiongorora muvanhu vane makore ari pakati pe40 ne50, kureva kuti, vari pakati nepakati.

Izvi zvakajairika zvakadii?

Acromegaly chirwere chisingawanzoitiki . Vanhu vanosvika 31 pa100,000 chete ndivo vakaonekwa vaine chirwere ichi. Saka musatya zvisina kufanira, asi zvakakosha kuziva zviratidzo zvacho.

Acromegaly inokanganisa sei muviri wangu?

Kana munhu mukuru akura acromegaly, kureva kuti, kana paine kuwedzera kwehomoni yekukura (GH), mapfupa, cartilage, nhengo dzemuviri, nedzimwe nyama dzinotanga kukura muhukuru. Pane shanduko dziri pachena muchitarisiko . Semuenzaniso:

• Kukura kwemaoko netsoka.
• Kukura kwenzeve, miromo, nemhino.
• Shaya yakabudikira, huma yakakurisa.

Homoni yekukura (GH) inozivisa chiropa chedu kuti chigadzire imwe homoni inonzi Insulin-like Growth Factor 1 (IGF-1) . Homoni iyi, inonzi IGF-1, inobatsira mapfupa edu nenyama dzemuviri kukura, uye inokanganisawo nzira iyo miviri yedu inodzora shuga yeropa (glucose) nemafuta (lipids). Saka, kana huwandu hweGH hukawedzera, huwandu hweIGF-1 hunowedzerawo. Izvi zvinogona kutungamira kuzvirwere zvakaita seType 2 Diabetes , High Blood Pressure (Hypertension) , uye Heart Disease .

Chimbofunga, kungofanana nepombi inosiyiwa ichiyerera nguva yakareba ichirasa mvura, mahormone aya, kana akanyanya kukwira, ane mhedzisiro dzakasiyana-siyana pamuviri.

Ndezvipi zvikonzero zve acromegaly?

Chikonzero chinowanzo konzera acromegaly ibundu riri mu pituitary gland. Iri rinonzi pituitary adenoma . Bundu iri rinoita kuti pituitary gland iburitse hormone yekukura yakawandisa (GH).

Zvimwe zvishoma nezve Pituitary Adenoma...

Matumbu aya epituitary adenomas anowanzova asina njodzi. Kureva kuti, haasi kenza. Matumbu mazhinji anokonzera acromegaly anokura zvishoma nezvishoma. Saka, ungasaona zviratidzo zveGH yakawandisa kwemakore.

Zvichienderana nehukuru nenzvimbo yegomarara, rinogona kudzvanya pane zvimwe zvikamu zvegomarara repituitary uye kukanganisa mamwe mahormone anogadzirwa negomarara repituitary. Kana gomarara iri rakakura, rinogonawo kudzvanya pane zvikamu zviri pedyo zveuropi, zvichikonzera musoro nezvinetso zvekuona .

Ndezvipi zviratidzo zveAcromegaly?

Kana munhu mukuru akawedzera acromegaly, inokanganisa mapfupa nenyama yemuviri, zvichiita kuti akure zvisina kujairika. Izvi zvinogona kukonzera zviratidzo zvinotevera:

• Maoko kana tsoka dzakakura: Pamwe mhete dzako dzinotanga kusimba, uye saizi yeshangu dzako, kunyanya upamhi, inowedzera.
• Kuchinja kwechimiro chechiso: Kubuda kana kukura kwenzvimbo yeshaya uye/kana huma.
• Kukura kwemiromo, mhino, uye/kana rurimi.
• Kudikitira zvakanyanya kana ganda rine mafuta.
• Inzwi richidzika uye kurira kwezwi.

Zvimwe zviratidzo:

• Musoro
• Kurwadziwa kwemajoini
• Kuchinja kwemaonero
• Kuwedzera kwekuonekwa kwematagi madiki eganda
• Kushaya simba mumaoko
• Kumbomira kurara (sleep apnea)
• Carpal tunnel syndrome kana matambudziko emusana.

Zviratidzo zveAcromegaly zvinowanzo tanga zvishoma nezvishoma , dzimwe nguva nekufamba kwemakore. Saka zvinogona kuoma kuona pakutanga. Vamwe vanhu vanongoona kuti maoko avo akura kana mhete yavanopfeka yaoma kana saizi yeshangu dzavo ikachinja.

Fungidzira, pane mumwe munhu anonzi Nilanthi. Anga achinzwa sekuti mhete yake yemuchato yabatikana kwenguva yakati rebei. Shangu dzake hadzisisina kubata sezvadzaiita kare, dzabatikana zvishoma. Aifunga kuti akura. Asi panguva imwe chete, shamwari dzake dziri kuti chiso chake chakasiyana zvishoma nepakutanga, uye chirebvu chake chakakura zvishoma. Izvi ndizvo zvinhu zvidiki zvinotanga kuonekwa.

Kana uine zviratidzo izvi, zvakakosha kutaura nachiremba.

Acromegaly inoonekwa sei?

Nekuti zviratidzo zvinoonekwa zvishoma nezvishoma, kwemakore mazhinji, zvinogona kuoma kuona chirwere chacho.

Chiremba wako anogona kukutumira kuna chiremba we endocrinologist , chiremba ane ruzivo rwezvirwere zvine chekuita nemahormone. Iye achaita kuti uzive chirwere chako zvichibva pane zvakaitika kwauri, kuongororwa kwekiriniki, uye bvunzo dzakagadzirwa (dzakadai sekuongororwa kweropa uye bvunzo dzemifananidzo).

Ndezvipi zviedzo zvekuongorora chirwere?

Kana ukaonekwa uine acromegaly, chiremba wako anogona kuraira kuongororwa kwakawanda kuti aone kana chirwere chacho chakanganisa dzimwe nhengo dzemuviri wako. Izvi zvinogona kusanganisira:

• Kuongororwa kwe echocardiogram kuti uone kana paine matambudziko emwoyo.
• Kuongororwa kwehope kuti uone kana uri kudzipwa nekurara.
• Colonoscopy yekutarisa hutano hwemudumbu.
• Tarisa hutano hwemapfupa neX-ray kana DEXA scan .

Acromegaly inorapwa sei?

Kune nzira dzakasiyana siyana dzekurapa acromegaly. Zvichienderana nezviratidzo zvako nemamiriro ako ezvinhu, chiremba wako achakupa mazano ekurapa kwakakunakira.

Mishonga inonyanya kushandiswa ndeiyi:

• Kuvhiya
• Mishonga
• Kurapa nemwaranzi

Kuvhiyiwa kweAcromegaly

Kazhinji, kuvhiyiwa kunogona kuderedza zvakanyanya kana kurapa zvachose zviratidzo zve acromegaly. Vanachiremba vanowanzo shandisa nzira inonzi transsphenoidal surgery , iyo inosanganisira kuita kuvhiyiwa kuburikidza nemhino uye kuburikidza ne sphenoid sinus (nzvimbo isina chinhu iri kuseri kwemhino, pasi pehuropi).

Ruzivo rwekuvhiyiwa runoenderana nehukuru nenzvimbo yebundu. Chinangwa chikuru chekuvhiyiwa ndechekubvisa bundu zvachose riri kukonzera kugadzirwa kwehomoni yekukura yakawandisa (GH). Kana chiremba akakwanisa kubvisa chikamu chikuru chebundu, ungasada kurapwa kumwe. Zvisinei, kana chikamu chebundu chete chikabviswa, ungada mishonga kana radiation therapy kudzora zviratidzo uye kuderedza kugadzirwa kwehomoni yekukura (GH).

Mishonga yeAcromegaly

Chiremba wako anogona kukupa mushonga mumwe chete kana musanganiswa wemishonga. Mishonga iyi inoshanda nenzira dzakasiyana-siyana kuti iite kuti mazinga ehomoni yekukura (GH) mumuviri wako agare zvakanaka uye kuderedza zviratidzo. Mune zvimwe zviitiko, mushonga uyu unopihwa kusvika bundu radzikira, kuitira kuti chiremba anovhiya agone kuribvisa zvakachengeteka. Vamwe vanhu vangangoda kutora mushonga kwenguva refu kuti vadzore mazinga ehomoni yekukura (GH) nezviratidzo.

Acromegaly inogona kurapwa zvizere here?

Acromegaly dzimwe nguva inogona kurapwa, asi kwete nguva dzose. Kana bundu repituitary rinokonzera acromegaly rikabviswa nekuvhiyiwa, mwero wekurapwa kwebundu iri ungangoita 85% yemabundu madiki . Kune bundu rakakura, riri pakati pe40% ne50%.

Mishonga haigone kurapa acromegaly zvachose, asi inogona kupa kurapwa kwenguva refu uye kwakachengeteka .

Acromegaly inogona kudzivirirwa here?

Zvinosuwisa kuti hapana chaungaita kudzivirira acromegaly. Masayendisiti haasati aziva kuti chii chinokonzera bundu repituitary rinokonzera acromegaly. Zvisinei, vanotenda kuti zvimwe zvinhu zvemajini zvinogona kuita basa racho.

Chii chinonzi acromegaly?

Maonero eizvi anoenderana nekuoma kwechirwere uye kuti zviratidzo zvinodzorwa sei nekurapwa. Vanhu vazhinji vanoona kudzikira kukuru kwezviratidzo mushure mekurapwa.

Kana ikasarapwa, acromegaly inogona kuchinja zvakanyanya chitarisiko chako uye chimiro chemapfupa ako. Zviratidzo izvi zvinogona kukanganisa zvakanyanya kuzviremekedza kwako uye kunaka kwehupenyu hwako. Mapoka ekutsigira anobatsira vamwe vanhu kugadzirisa matambudziko e acromegaly.

Acromegaly inogonawo kukonzera matambudziko ehutano, akadai sechirwere chemwoyo kana chirwere cheshuga cherudzi rwechipiri, izvo zvinogona kuderedza hupenyu hwemunhu uye kuderedza nguva yekurarama. Saka, zvakakosha kuona chiremba kana uine zviratidzo uye, kana zvikaonekwa, kutevedzera hurongwa hwekurapa.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Kana ikasarapwa, acromegaly inogona kukonzera matambudziko akadai se:

• Chirwere cheshuga cherudzi rwechipiri
• Kukwira kweropa (BP)
• Chirwere chemwoyo
• Chirwere chetsandanyama dzemwoyo (Cardiomyopathy)
• Arthritis
• Maporipu emudumbu - Aya anogona kuita kenza kana akasarapwa.
• Kukundikana kwenhengo

Munhu ane acromegaly anotarisira kurarama kwenguva yakareba sei?

Izvi zvinoenderana nekuoma kwechirwere uye kana paine zvimwe zvirwere, izvo zvinowanzokonzerwa ne acromegaly isina kurapwa.

Kana huwandu hwehormone yako yekukura (GH) husina kudzorwa nemazvo uye uine zvimwe zvirwere zvakaita sechirwere chemwoyo nechirwere cheshuga, hupenyu hwako hunogona kuderedzwa nemakore angangoita gumi.

Zvisinei, kana uine acromegaly, ukarapwa zvakanaka, uye uine mazinga ekukura (GH) neIGF-1, ungangorarama hupenyu hwakajairika.

Ndirini pandinofanira kuona chiremba nezve acromegaly?

Kana uine zviratidzo zve acromegaly, zvakakosha kutaura nachiremba.

Kana wakamboonekwa uine acromegaly, unofanira kuona chiremba wako nguva nenguva kuti uve nechokwadi chekuti kurapwa kwako kuri kushanda nemazvo.

Acromegaly chirwere chisingawanzoitiki asi chakakomba. Mashoko akanaka ndeekuti chinogona kurapwa nekuvhiyiwa, mishonga, uye/kana kurapwa nemwaranzi. Kana waona kuti maoko ako, tsoka, uye/kana chimiro chechiso chako chiri kukura, taura nachiremba wako. Anogona kuita bvunzo shoma kuti aone kana huwandu hwehormone yako yekukura (GH) huri kukonzera zviratidzo zvako.

Pakupedzisira, meseji yekudzokera nayo kumba

• Acromegaly chirwere chisingawanzoitiki muvanhu vakuru chinokonzerwa nekuwedzera kwehomoni yekukura (GH).
• Zviratidzo zvinogona kusanganisira kuzvimba kwemakumbo nechiso, kudikitira zvakanyanya, uye kuchinja kwezwi . Izvi zvinogona kuoneka zvishoma nezvishoma, saka ungasazviona.
• Chikonzero chikuru cheizvi ibundu, kazhinji risiri rekenza, rinokura mugland repituitary.
• Kuonekwa nekupiwa kurapwa nekukurumidza kunogona kudzivirira matambudziko akawanda uye kuvandudza hupenyu.
• Kana uine zviratidzo izvi, usazeza kutsvaga rubatsiro kubva kuna chiremba. Ndiyo nzira yekuchenjera yekuita.

Ndapota yeukai, ruzivo urwu nderwekupa ruzivo chete. Harufanirwe kushandiswa panzvimbo pemazano ekurapa. Kana muine matambudziko ehutano, ndapota bvunzai nyanzvi yezvehutano.

Acromegaly , Growth Hormone, Pituitary Gland, Gigantism, IGF-1, Hormonal disorder, Endocrine