Ngaba wakha waziva ngathi ubungakanani bezihlangu zakho buyakhula, okanye ukuba umsesane owawuwunxiba ngoku unamathele emnweni wakho? Mhlawumbi ubuso bakho bubukeka buhlukile kancinci xa ujonga iifoto ezindala? Uninzi lwezi zinto zenzeka ngokuhamba kwexesha, ngamanye amaxesha iminyaka, ngoko asizinikeli ngqalelo ingako. Kodwa oku kungaba luphawu lwesifo esingaqhelekanga esibizwa ngokuba yi-Acromegaly . Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.
Ngamafutshane, yintoni i-Acromegaly?
I-Acromegaly yimeko ebangelwa kukuvelisa i-hormone yokukhula eninzi kakhulu, okanye i-Growth Hormone (GH) . Le hormone isinceda sikhule xa sisebancinci. Nangona kunjalo, ukuba le hormone iyaqhubeka nokukhutshwa emva kokuba sigqibile ukukhula, oko kukuthi, emva kokuba sesikhulile, amanye amalungu omzimba wethu, ingakumbi amathambo eengalo, imilenze, nobuso, aqala ukukhula ngokungaqhelekanga.
Le meko idla ngokubonakala kakhulu kubantu abakwiminyaka ephakathi. Kodwa oku akuthethi ukuba ayibonakali kubantu abancinci. Ukuba i-growth hormone iyanda ngale ndlela besebancinci, le meko ibizwa ngokuba yi-gigantism. Emva koko bakhula babe bade ngendlela engaqhelekanga.
I-Acromegaly ayisiyo imeko yokuphakama kobude, kodwa kukutshintsha kwesimo samathambo esele ekhulile. Ngenxa yokuba olu tshintsho lwenzeka kancinci, lusenokungabonwa njengengxaki yezonyango kangangeminyaka.
Kutheni i-acromegaly ikhula? Zithini izizathu?
Isizathu esiphambili sale nto yindlala encinci enobukhulu obufana ne-pea ezantsi kwengqondo yethu. Siyibiza ngokuba yi -Pituitary Gland . Eyona nto ixhaphakileyo ebangela i-Acromegaly yi-tumor engengomhlaza (engenobungozi) kweli dlala. Le tumor ibizwa ngokuba yi-Pituitary Adenoma . Le tumor ivuselela i-pituitary gland kwaye ivelise i-growth hormone eninzi kakhulu (GH).
Le hormone ye-GH egqithisileyo iqokelelana egazini lethu kwaye ithumela umyalezo kwisibindi ukuba sivelise enye ihormone ebizwa ngokuba yi -IGF-1 (Insulin-like Growth Factor-1) . Le hormone ye-IGF-1 yiyo ebangela ukuba amathambo ethu kunye nezinye izitho zomzimba zikhule ngendlela engaqhelekanga. Ikwachaphazela indlela umzimba wethu olawula ngayo iswekile namafutha, nto leyo enyusa umngcipheko wokufumana ezinye izifo.
Kunqabile kakhulu, le meko inokubangelwa ziithumba ezikhula kwezinye iindawo zepancreas, isibindi, okanye ingqondo. Uphando lufumanise ukuba ezinye izinto zemfuza nazo zinokudlala indima.
Zithini iimpawu ze-acromegaly?
Ezi mpawu zihlala zibonakala kancinci kancinci, ngoko ke kungathatha ixesha ukuba uqaphele umahluko.
| Uhlobo oluneempawu | Utshintsho olubonakalayo |
|---|---|
| Utshintsho lwangaphandle emzimbeni |
|
| Ezinye iimpawu eziqhelekileyo |
Indlela yokuxilonga esi sifo?
Kubalulekile ukuqaphela le meko ngokukhawuleza. Xa ubona ugqirha ngenxa yezi mpawu, uza kukubuza imibuzo efana nale:
- Zeziphi iinguqu ozibonayo?
- Uqale nini ukuqaphela ezi nguqu?
- Uziva njani ngoku?
Emva koko, kwenziwa iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.
Uvavanyo oluphambili
- Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukuze kubonwe ukuba amanqanaba e-hormone yakho ye-IGF-1 aphakanyisiwe na ngokweminyaka yakho.
- Uvavanyo Lokunyamezela Iswekile: Apha, unikwa isiselo esineswekile kwaye amanqanaba eswekile egazini lakho kunye ne-GH hormone alinganiswa iiyure ezimbini. Ngokwesiqhelo, amanqanaba e-GH kufuneka ehle emva kokusela iswekile. Ukuba ayenziwa, kwaye ahlala ephezulu, luphawu lwe-acromegaly.
Ezinye iimvavanyo
- I-MRI okanye i-CT scan: Ezi scan zinceda ekufumaneni ithumba le-pituitary.
- Uvavanyo lwe-X-ray: Jonga ukuba amathambo atyebile na.
- I-Echocardiogram: Uvavanyo lwentliziyo olusebenzisa i-ultrasound ukuze kubonwe ukuba intliziyo ichaphazelekile na.
- I-Colonoscopy: Jonga impilo ye-colon.
- Uphononongo Lokulala: Jonga ukuba unayo na i-Sleep Apnea.
Zithini iindlela zonyango?
Ugqirha wakho uza kumisela isicwangciso sonyango esifanelekileyo kuwe ngokusekwe kwiminyaka yakho, imeko yempilo, kunye nobunzima bemeko yakho. Kukho iindlela ezintathu eziphambili zonyango.
1. Utyando:
Amaxesha amaninzi, unyango lokuqala lutyando lokususa ithumba le-pituitary. Oku kubaluleke kakhulu ukuba ithumba licinezela imithambo-luvo echaphazela umbono. Ugqirha ususa ithumba ngomngxuma omncinci odlula empumlweni okanye ngaphakathi komlomo ongaphezulu. Iimpawu zisenokuqala ukuphucuka kwiintsuku ezimbalwa emva kotyando.
2. Amayeza:
Ukuba kukho ezinye iziqwenga zethumba eziseleyo emva kotyando okanye ukuba ufuna uncedo oluthe kratya lokulawula amanqanaba akho ehomoni, ugqirha wakho uya kukunika amayeza. La mayeza anciphisa amanqanaba akho e-GH okanye athintele iziphumo zawo emzimbeni.
- Ii-Somatostatin analogues (umz. i-lanreotide, i-octreotide)
- Ii-Growth hormone receptor antagonists (umz. i-pegvisomant)
- Ii-agonists ze-dopamine (umz. i-cabergoline)
3. Unyango lweMisebe:
Ukuba kusekho iindawo zethumba ezisele emva kotyando kunye namayeza, okanye ukuba amanqanaba e-GH kufuneka ancitshiswe ngakumbi, kusetyenziswa unyango lwemitha. Oku kuyayekisa ukukhula kwethumba kwaye kunciphisa imveliso ye-GH. Iindlela zanamhlanje ezifana ne-stereotactic radiosurgery zinokuhambisa imitha ephezulu kwithumba ngaphandle kokonakalisa izicubu eziphilileyo.
Iingxaki ezinokwenzeka ukuba azinyangwanga
I-Acromegaly inokubangela iingxaki zempilo ezinzulu ukuba ayinyangwanga kakuhle, ngoko ke musa ukuyityeshela le meko.
- Isifo sentliziyo
- Isifo seswekile
- Igazi elonyukayo
- Isifo samathambo (i-Osteoarthritis)
- Isifo seCarpal Tunnel
- I-Apnea yokulala
- Ukulahlekelwa ngumbono
- Umngcipheko okhulayo womhlaza wamathumbu amakhulu
- Uxinzelelo lwemithambo-luvo yomqolo
Le meko inokuba yingozi ebomini ukuba ayinyangwa, ngoko ke kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza ukuba uneempawu.
Umyalezo Wokuya Ekhaya
- I-Acromegaly yimeko engaqhelekanga ebangelwa kukuveliswa kakhulu kwehomoni yokukhula (GH) emzimbeni.
- Eyona nto ibangela oku yi-tumor engeyomhlaza (engenobungozi) ekhula kwi-pituitary gland.
- Iimpawu (ukwanda kwezandla, iinyawo, nobuso) zinokubonakala kancinci kakhulu, ngoko ke kungathatha ixesha elide ukuzibona.
- Le meko inokulawulwa ngempumelelo ngotyando, amayeza, kunye nonyango lwemitha.
- Ukuxilongwa kwangoko kunye nonyango kunokunceda ukuthintela iingxaki ezinkulu kwaye kukuvumele ukuba uphile ubomi obuqhelekileyo. Ukuba uneengxaki, qiniseka ukuba ubona ugqirha wakho.











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