Munyori: John Stephens
Zuva Rekusika: 1 Ndira 2021
Gadziridza Zuva: 21 Mbudzi 2024
Anonim
Enteroendocrine Tumors: MEN1 & Insulinoma (β-cells)– Endocrine Pathology | Lecturio
Vhidhiyo: Enteroendocrine Tumors: MEN1 & Insulinoma (β-cells)– Endocrine Pathology | Lecturio

Zvemukati

Chii chinonzi Insulinoma?

Insulinioma ibundu diki mupancreas rinoburitsa yakawandisa insulini. Muzviitiko zvakawanda, bundu harina cancer. Mazhinji insulinomas ari pasi pe2 masendimita pakureba.

Iyo pancreas inhengo ye endocrine iri kuseri kwedumbu rako. Rimwe remabasa aro ndere kuburitsa mahormone anodzora huwandu hweshuga muropa rako, senge insulin. Kazhinji, chirwatata chinomira kugadzira insulin kana shuga yako yeropa ichidonha zvakanyanya. Izvi zvinobvumira shuga yako yeropa kuti idzokere kune yakajairwa. Kana insulinoma ikaumbika mupancreas yako, zvakadaro, inoramba ichiburitsa insulin, kunyangwe kana shuga rako reropa rakanyanya kuderera. Izvi zvinogona kutungamira kune yakanyanya hypoglycemia, kana yakaderera ropa shuga. Hypoglycemia chiitiko chine njodzi chinogona kukonzeresa kuona, kureruka musoro, uye kusaziva chinhu. Inogona zvakare kutyisidzira hupenyu.

Insulinoma inowanzoda kuvhiyiwa. Kamwe bundu racho parinobviswa, kupora kwakazara kunogona kuitika.

Ndezvipi Zviratidzo zveInsulinoma?

Vanhu vane insulinomas havawanzo kuva nezviratidzo zvinoonekwa. Kana zviratidzo zvikaitika, zvinogona kusiyana zvichienderana nekukura kwemamiriro acho.


Zviratidzo zvinyoro zvinosanganisira:

  • kuona kaviri kana kuona kwakashata
  • kuvhiringidzika
  • kushushikana uye kutsamwa
  • dzungu
  • mafungiro
  • kushaya simba
  • vangadikitira
  • nzara
  • kudengenyeka
  • kamwe kamwe kuwedzera uremu

Zvimwe zvakanyanya zviratidzo zve insulinoma zvinogona kukanganisa huropi. Izvo zvinogona zvakare kukanganisa adrenal gland, iyo inodzora kusagadzikana kupindura uye kurova kwemoyo. Dzimwe nguva, zviratidzo zvinoita kunge zvakafanana neane pfari, chirwere chetsinga chinokonzeresa. Zviratidzo zvinoonekwa mune zvakakomba zviitiko zve insulinoma zvinogona kusanganisira:

  • kugwinha kana kugwinha
  • kurova kwemoyo nekukurumidza (kwakakura kupfuura makumi mapfumbamwe nemapfumbamwe kurova paminiti)
  • kunetseka kuisa pfungwa
  • kurasikirwa kwekuziva kana coma

Mune zvimwe zviitiko, insulinomas inogona kukura nekupararira kune dzimwe nhengo dzemuviri. Kana izvi zvikaitika, unogona kuwana zvinotevera zviratidzo:

  • marwadzo emudumbu
  • kurwadziwa shure
  • manyoka
  • jaundice, kana kuita yero kweganda nemeso

Chii Chinokonzera Insulinoma?

Vanachiremba havazivi chaizvo kuti sei vanhu vachiwana insulinomas. Mamota anowanzo ratidza pasina yambiro.


Paunodya chikafu, rwatata rwunogadzira insulin. Insulin ihormone inobatsira muviri wako kuchengeta shuga kubva muchikafu chako. Kana iyo shuga yangotorwa, iyo pancreas inomira kuburitsa insulin. Maitiro aya anowanzo chengeta mashuga eropa akasimba. Nekudaro, inogona kukanganiswa kana insulinoma ichikura. Bundu iri rinoramba richiburitsa insulin kunyangwe shuga yako yeropa ichidonha zvakanyanya. Izvi zvinogona kutungamira ku hypoglycemia, yakakomba mamiriro anoonekwa neakaderera mashuga eropa.

Ndiani Ari Panjodzi yeInsulinoma?

Insulinomas ishoma. Mazhinji madiki uye anoyera masendimita asingasviki 2 dhayamita. Chete gumi muzana yemamota aya ane gomarara. Zvirwere zvegomarara zvinowanzoitika kazhinji muvanhu vane endocrine neoplasia yerudzi rwe 1. Ichi chirwere chakagarwa nhaka chinokonzeresa mapundu mune rimwe kana akawanda mahormone gland. Ngozi ye insulinoma inoita kunge yakakwira kune avo vane von Hippel-Lindau syndrome. Iyi nhaka nhaka inokonzeresa kuti mapundu nema cysts aumbike mumuviri wese.


Insulinomas zvakare inokanganisa vakadzi kupfuura varume. Ivo vanowanzo kukura muvanhu vari pakati pemakore makumi mana nemakumi matanhatu.

Insulinoma Inoonekwa Sei?

Chiremba wako achaita ongororo yeropa kuti atarise shuga yako yeropa uye insulin mazinga. Chikamu cheshuga chepasi cheropa chine insulin yakakwira inoratidza kuvepo kweiyo insulinoma.

Muedzo unogona zvakare kutarisa kuti:

  • mapuroteni anovhara kugadzirwa kwe insulin
  • mishonga inoita kuti pancreas ibudise yakawanda insulin
  • mamwe mahormone anokanganisa kugadzirwa kwe insulin

Chiremba wako anogona kuraira kutsanya kwemaawa makumi manomwe nemaviri kana kuongororwa kweropa kuchiratidza kuti une insulinoma. Iwe uchagara muchipatara iwe uchitsanya kuitira kuti chiremba wako akwanise kuongorora ako mashuga eropa. Vanoyera huwandu hweshuga yeropa rako maawa matanhatu ega ega. Iwe haugone kudya kana kunwa chero chinhu kunze kwemvura panguva yekutsanya. Iwe unogona kunge uine yakadzika kwazvo mashuga eropa mukati maawa makumi mana nemasere ekutanga kutsanya kana uine insulinoma.

Chiremba wako anogona kuita mimwe bvunzo kuti asimbise kuongororwa, kusanganisira iyo MRI kana CT scan. Iyi bvunzo yekufungidzira inobatsira chiremba wako kuona nzvimbo uye saizi yeiyo insulinoma.

Endoscopic ultrasound inogona kushandiswa kana bundu risingakwanise kuwanikwa uchishandisa CT kana MRI scan. Munguva yeiyo endoscopic ultrasound, chiremba wako anoisa chubhu refu, inoshanduka kupinda mumuromo mako uye pasi nemudumbu uye mudumbu ura. Iyo chubhu ine chiongorori cheultrasound, icho chinoburitsa mafungu ekurira anoburitsa mifananidzo yakajeka yepancreas yako Kamwe iyo insulinoma painowanikwa, chiremba wako anotora chidiki sampuro yetishu kuti aongorore. Izvi zvinogona kushandiswa kuona kana bundu racho riri cancer.

Insulinoma Inoitwa Sei?

Iyo yekurapa kwakanyanya kune insulinoma ndiko kuvhiya kubvisa bundu. Chikamu chidiki chepancreas chinogonawo kubviswa kana paine anopfuura bundu rinopfuura rimwe. Izvi zvinowanzoporesa mamiriro acho.

Kune mhando dzakasiyana dzekuvhiya dzinogona kuitwa kubvisa insulinoma. Iyo nzvimbo uye huwandu hwemamota zvinotarisa kuti ndeupi kuvhiya kuchashandiswa.

Kuvhiyiwa kwepaparoscopic ndiyo sarudzo inosarudzwa kana paine bundu rimwe chete diki repancreatic. Iyi ndiyo yakaderera njodzi, maitiro mashoma ekuvhiringidza. Munguva yekuvhiyiwa kweparoscopic, chiremba wako anovhiya anoita zvidiki zvidiki mudumbu rako uye anoisa laparoscope kuburikidza nezvinoitwa. Laparoskopu ithubhu refu, yakatetepa ine mwenje wepamusoro-soro uye kamera yepamusoro pamberi. Iyo kamera inoratidzira iyo mifananidzo pachiratidziri, ichibvumira chiremba anovhiya kuti aone mukati medumbu rako uye nekutungamira zviridzwa. Kana insulinoma yawanikwa, ichabviswa.

Chikamu chepancreas chingangoda kubviswa kana paine akawanda insulinoma. Dzimwe nguva, chikamu chedumbu kana chiropa chinogona kubviswa futi.

Muzviitiko zvisingawanzoitika, kubvisa insulinoma hakuzoporese mamiriro acho. Izvi zvinowanzoitika kana mamota ane kenza. Mishonga yekenza insulinomas inosanganisira:

  • radiofrequency ablation, iyo inoshandisa masaisai eredhiyo kuuraya cancer maseru mumuviri
  • cryotherapy, iyo inosanganisira kushandiswa kwechando chakanyanya kuparadza maseru ane cancer
  • chemotherapy, inova fomu ine hukasha yemakemikari ekurapa mishonga iyo inobatsira kuparadza cancer maseru

Chiremba wako anogona zvakare kupa mishonga yekudzora mashuga eropa kana kuvhiya kwanga kusingaite.

Ndeapi Maonero Ekureba-Kwevanhu Kune Insulinoma?

Maonero kwenguva refu kune vanhu vane insulinoma akanaka kwazvo kana bundu rikabviswa. Mushure mekuvhiyiwa, vanhu vazhinji vanopora zvachose pasina zvinetswa. Zvisinei, insulinoma inogona kudzoka mune ramangwana. Kudzokorora kunowanzoitika kune vanhu vane mamota akawanda.

Nhamba shoma kwazvo yevanhu vanogona kukura chirwere cheshuga mushure mekuvhiyiwa. Izvi zvinowanzoitika kana rwatata rwese kana chikamu chikuru chepancreas chabviswa.

Zvinetso zvinowanzoitika kune vanhu vane cancer canceromasoma. Izvi zvinonyanya kuitika kana mamota apararira kune dzimwe nhengo. Chiremba anogona kunge asingakwanise kubvisa maronda ese zvachose. Muchiitiko ichi, kumwe kurapwa uye kutevedza kwekutevera kunenge kuchidikanwa. Neraki, vashoma chete insulinoma vane gomarara.

Insulinoma Inogona Sei Kudzivirirwa?

Vanachiremba havazive kuti nei insulinomas fomu, saka hapana nzira inozivikanwa yekuvadzivirira. Nekudaro, iwe unogona kudzikisa njodzi yako yekukudziridza hypoglycemia nekurovedza muviri nguva dzose uye nekuchengetedza kudya kunovaka muviri. Kudya uku kunofanirwa kuve nemichero, miriwo, uye mapuroteni akaonda. Iwe unogona zvakare kuchengetedza pancreas ako ane hutano nekudya zvishoma zvitsvuku nyama uye kurega kuputa kana uchisvuta.

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