Dzimwe nguva unonzwa kupera simba, kudikitira, maziso ebhuruu, uye dzungu here? Izvi zvinogona kukonzerwa nekudzika kamwe kamwe kwehuwandu hweshuga muropa rako ( hypoglycemia ). Izvi zvakajairika kune munhu ane chirwere cheshuga , senge kana akanwa mishonga yakawandisa kana kusadya. Asi kana izvi zvikaitika kune munhu asina chirwere cheshuga nguva dzese, chikonzero chingave chimwe chinhu chausingatombofungi nezvacho. Icho chirwere chisingawanzoitika chatinofanira kuziva tese, chinonzi insulinoma .
Chii chinonzi insulinoma chaizvo?
Zvichitaurwa zviri nyore, insulinoma ibundu diki, risingawanzova rekenza rinokura mupancreas yedu . Pancreas yedu inoburitsa hormone inonzi insulin. Basa re insulin iyi nderekudzora huwandu hweshuga (glucose) muropa.
Funga nezvazvo, kazhinji kana huwandu hweshuga mumuviri wedu hukawedzera, pancreas inogadzira insulin. Kana huwandu hweshuga yedu hukadzikira, inomira kugadzira insulin. Zvakafanana neswitch inobatidza/dzima panguva yakakodzera.
Asi kana bundu iri rinonzi insulinoma rikatanga, rinoburitsa insulin nguva dzose . Zvinoita sekunge switch yacho yakamira panzvimbo yekuti 'irambe iripo'. Chinoitika ndechekuti insulin inoramba ichigadzirwa kunyangwe huwandu hweshuga muropa redu hwakaderera zvikuru. Izvi zvinogona kukonzera kuti huwandu hweshuga muropa redu hudzike zvine njodzi. Nekuti bundu iri rinoumbwa nerudzi rwakakosha rwemasero etsinga (masero e-neuroendocrine), chiremba wako anogonawo kuati "bundu re-neuroendocrine". Bundu iri rinowanzova diki (risingasviki inchi imwe) uye rinopfuura 90% harisi rekenza. Nokudaro, rinogona kurapwa zvizere nekuvhiyiwa.
Ndezvipi zviratidzo zvechirwere ichi?
Nekuti insulinoma inoramba ichigadzira insulin, zviratidzo zvinokonzerwa nekudzikira kweshuga muropa (hypoglycemia). Zviratidzo izvi zvinogona kungoerekana zvaonekwa.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kuvhiringidzika | Kusakwanisa kuziva zviri kuitika, kuti uri kupi, uye kunzwa dzungu. |
| Kudikitira zvakanyanya (Kudikitira) | Kamwe kamwe ndichinzwa kutonhorwa uye kudikitira pasina chikonzero. |
| Kushaya simba | Kunzwa sekuti muviri wako uri kurasikirwa nehupenyu hwawo, nhengo dzako dziri kudedera. |
| Kunetseka uye kuwedzera kwekurova kwemoyo | Kutya pasina chikonzero, kunzwa sekunge chipfuva chako chiri kurova nekukurumidza. |
| Musoro wakakomba | Kungoerekana watanga kurwadziwa nemusoro zvakanyanya. |
| Kuchinja kwemaonero | Zvinhu zvakaita sekuona kusina kujeka, kuona kaviri, nezvimwewo. |
| Kuchinja kwemaitiro | Kutsamwa pasina chikonzero, kushatirwa. |
| Kubatwa nepfari | Kana huwandu hweshuga yako hwaderera zvakanyanya, unogona kurwara. |
Chinonyanya kukosha: Kuwanda kweshuga mumuviri kunogona kuva nengozi. Kunogona kukonzera kufenda kana kutoita coma. Saka kana uine zviratidzo izvi, enda kuna chiremba nekukasika.
Chii chinokonzera insulinoma? Ndiani ari panjodzi huru?
Chikonzero chaicho chebundu iri hachisati chawanikwa, asi zvimwe zvinhu zvinogona kuwedzera njodzi yacho.
- Vakadzi vane katsika kakanyanya kupfuura varume.
- Inowanzoonekwa nevanhu vane makore ari pakati pe40 ne60 .
- Vanhu vane mamwe majini vanewo njodzi huru. Semuenzaniso:
- Multiple endocrine neoplasia type 1: Chirwere chekuti bundu rinoumbwa muma glands anogadzira mahormone.
- Von Hippel-Lindau syndrome: Chirwere umo mabundu nezvikamu zvakaita sebundu ( cysts ) zvinoumbwa munhengo dzakasiyana dzemuviri.
- Neurofibromatosis rudzi 1: Kukura kusiri kwekenza patsinga neganda.
- Tuberous sclerosis: Matumbu asiri ekenza munhengo dzakadai seuropi, maziso, moyo, neitsvo.
Chiremba anowana sei izvi?
Kuziva insulinoma kunogona kuoma zvishoma, sezvo zviratidzo zvakafanana nezvezvimwe zvirwere zvakajairika, saka zvinogona kutora nguva kuti chiremba wako azviongorore.
Chinhu chikuru ndechekuita 'kutsanya kwemaawa makumi manomwe nemaviri' . Mukuita izvi, unochengetwa muchipatara kwemazuva maviri kusvika matatu uye haubvumidzwe kudya kana kunwa chero chinhu kunze kwemvura. Munguva iyi, vanachiremba vanogara vachiongorora huwandu hweshuga muropa rako uye huwandu hweinsulin.
Vari kuedza kusimbisa zvinhu zvitatu izvi kuburikidza nebvunzo iyi:
1. Uri kuona zviratidzo zveshuga shoma muropa here (zvakaita sedzungu, kudikitira).
2. Kana zviratidzo izvozvo zvikaonekwa, shuga muropa inenge yakaderera zvechokwadi here?
3. Zviratidzo zvichapera here kana ukapa shuga (glucose) kunze?
Kana uine insulinoma, huwandu hweshuga yako muropa uchitsanya huchava hwakaderera zvikuru, asi huwandu hweinsulin yako huchava hwakakwira. Uhwu ndihwo humbowo hukuru. Pamwe chete neizvi, kuongororwa kweropa kuchatsvagawo zvinhu zvakaita se `(C-peptide)` uye `(proinsulin)`.
Zvadaro, bvunzo dzemifananidzo dzinoitwa kuti paonekwe kuti bundu repancreas riri kupi chaizvo.
- Kuongororwa kweCT `(CT scan)`
- Kuongororwa kweUltrasound `(Ultrasound)`
- Kuongororwa kweMRI `(MRI)`
Ndezvipi zvinorapwa izvi?
Kurapa kukuru uye kunobudirira zvikuru kwe insulinoma kuvhiyiwa kubvisa bundu . Kazhinji, chirwere chinorapwa zvachose mushure mekuvhiyiwa.
Rudzi rwekuvhiyiwa kunoitwa runoenderana nerudzi, saizi, uye nzvimbo yebundu.
- Kubvisa bundu chete: Vanachiremba vanogona kubvisa bundu nokungwarira vasingakuvadzi pancreas.
- Kubvisa chikamu chepancreas: Dzimwe nguva chikamu chidiki chepancreas chinobatanidzwa nebundu chinofanirawo kubviswa.
Nehunyanzvi hwemazuva ano hwepamusoro,Mabundu aya anogonawo kubviswa kuburikidza nekuvhiyiwa kwe laparoscopic. Izvi zvinoreva kuti panzvimbo pekucheka kukuru kamwe chete, kuvhiyiwa uku kunoitwa kuburikidza nekuchekwa kudiki kushoma nerubatsiro rwekamera. Zvakanakira izvi ndezvekuti hazvinyanyi kurwadza, mazuva aunogara muchipatara mapfupi, uye unogona kudzokera kuhupenyu hwako hwemazuva ese nekukurumidza.
Kurapa kwegomarara
Kashoma (pasi pe10%) bundu iri rinogona kuva kenza. Muzviitiko zvakadaro, kurapwa kunosiyana. Kana bundu rese risingakwanise kubviswa nekuvhiyiwa, ungangoda kutora mushonga wekudzivirira shuga yeropa kuti isadzike zvakanyanya. Ungangodawo chemotherapy . Kune mamwe marudzi ekenza, kune mishonga yakakosha, yakadai se "Lutetium Lu 177 dotatate", iyo inosanganisira kupa mushonga une radioactive kuburikidza netsinga.
Pane matambudziko here mushure mekuvhiyiwa?
Kunyangwe kuvhiyiwa kwacho kuchibudirira muzviitiko zvakawanda, sezvinoitwa nekuvhiyiwa kupi zvako, pane njodzi yezvinetso zvidiki.
- Kubuda ropa
- Utachiona
- Marwadzo
- Kana chikamu chikuru chepancreas chikabviswa, pane njodzi yekubatwa nechirwere cheshuga.
- Kubuda kwemvura kubva mupancreas (Pancreatic fistula)
- Kuderera kwema enzymes ekugaya chikafu.
Kana riri bundu regomarara, matambudziko akadai sechirwere chinopararira kune dzimwe nhengo dzemuviri (metastasis) anogona kuitika. Chiremba wako achakutsanangurira izvi zvakadzama.
Mharidzo Yekuenda Nayo Kumba
- Insulinoma ibundu risingawanzoitiki rinokura mupancreas. Izvi zvinoita kuti huwandu hweshuga muropa huve hwakaderera nguva dzose.
- Kana ukasangana nezviratidzo zvinongoerekana zvaitika zvakaita sedzungu, kudikitira zvakanyanya, uye kuvhiringidzika pasina chikonzero chakajeka, kunyanya kana uine nzara, enda kuna chiremba nekukasika.
- Kuongororwa kwechirwere kunoda kugara muchipatara uye kuongororwa ropa uye kuskena kwakakosha.
- Kurapa kukuru kubviswa bundu pakuvhiyiwa, izvo zvinowanzoita kuti ripore zvakakwana.
- Ma insulinoma mazhinji haasi ekenza, saka hapana chikonzero chekuvhunduka. Zvisinei, iva nechokwadi chekubvunza chiremba wako kuti aonekwe uye arapwe zvakanaka.
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