Pancreatic insulinoma ndi matenda omwe amafunika chithandizo cha panthawi yake

Monga momwe amadziwira kuyambira kale, mawu ambiri azachipatala omwe ali ndi mathedwe --oma amagwirizanitsidwa kwambiri kapena molunjika ndi kapangidwe ka zotupa m'thupi la munthu. Masiku ano, anthu ambiri padziko lonse lapansi ali ndi mavuto ngati awa. Pankhaniyi, tiyenera kuganizira zomwe zimapangitsa kuti pakhale matenda a pancreatic insulinoma komanso chifukwa chake matendawa ndi oopsa pamoyo wa munthu.

Ndi matenda monga insulinoma, kapangidwe ka insulin ya mahandiredi pafupifupi kawiri, komwe kumayambitsa kuchuluka kwa shuga wamagazi ndi kukula kwa hyperinsulinism. Matendawa ndi osasangalatsa kwambiri ndipo amayenda limodzi ndi kuwonongeka kwakukuru mthupi la munthu.

Zimagwirira ndi zimayambitsa kukula kwa matendawa

Chiwalo chofunikira monga kapamba ndicho chimalimbikitsa mphamvu ya kagayidwe kazakudya mthupi. Zimakhudza katulutsidwe ka madzi a m'mimba pa chimbudzi cha chakudya komanso kumasulidwa kwa michere, kuphatikizapo shuga.

Komanso, chitsulo ndicho chimayendetsa shuga m'magazi, omwe amalowa m'thupi limodzi ndi chakudya kapena zina zopanda mafuta.

Mu thupi langwiro, ntchito ya ziwalo zonse ndi machitidwe imakhala ndi ubale woyandikira. Izi kapena izi zikasintha, opunduka amatenga gawo, omwe ali ndi udindo wokusintha zinthu zina kukhala zina, mwakutero kukhala ndi malire mthupi la munthu.

Njirayi imatchedwa metabolism, yomwe imayang'anira ntchito yopanga zinthu zolowa mthupi mu mphamvu zofunikira zake. Njirayi ndiyofunikira kuti magwiridwe antchito onse azikhala.

Pakusowa kwazinthu zilizonse, ndondomeko nthawi yomweyo imayamba yomwe imapanga zinthu zina mwa ena, potero imasunga muyeso wamkati pamlingo woyenera.

Njira yofananira imawoneka ngati zinthu zikakhala kuti ndizowonjezera pazinthu zomwezo. Pankhaniyi, pokonzekera nthawi yayitali, thupi la munthu limagwira ntchito mopitilira muyeso ndipo nthawi yake siyikhala patali chifukwa, chifukwa cha kuchuluka kwambiri kwa insulin, kulephera kumachitika m'thupi la munthu.

Ndi pancreatic insulinoma, timabowo ting'onoting'ono timapangidwa pamwamba pa chiwalo, ndipo m'mimba mwake simupita masentimita 3. Nthawi yomweyo, chotupa chimodzi kapena zingapo zimatha kupanga chiwalo. Izi zimachitika makamaka chifukwa cha kuwonongeka kwa maselo mu ... Mitundu ikhoza kukhala ndi utoto wotuwa kapena wotuwa.

Pali malingaliro akuti mapangidwe a zotupa pa kapamba amabwera chifukwa chakutha kwa gawo la m'mimba komanso dongosolo lonse logaya chakudya. Popeza pamaso pa matenda a chiwalo ichi pafupifupi mitundu yonse imavutika, ndizotheka kuti insulinomas ipangidwe ndendende chifukwa cha matenda am'mimba.

Kuphatikiza apo, chifukwa chake chitha kugona m'thupi. Popeza zatsimikiziridwa kale kuti ngati munthu ayamba kudya masamba ndi zipatso zatsopano pafupipafupi, thupi lokha lidzayambanso kukonzanso malo omwe awonongeka.

Kuphatikiza pa izi, machitidwe ena aliwonse a hypoglycemic amathanso kukhala ndi vuto pa kagayidwe ka thupi.

Chifukwa cha izi, zopatuka zotsatirazi zingathenso kukhudza chitukuko cha matenda ngati pancreatic insulinoma:

1. Kusala kudya kwanthawi yayitali;
2. Kuzunzika pakulowetsedwa kwa chakudya cham'madzi kudzera m'makoma a matumbo;
3. Aakulu kapena pachimake mawonekedwe a enterocolitis;
4. Kutulutsa kwam'mimba;
5. Zotsatira zamphamvu za poizoni pama cell a chiwindi;
6. Renal glycosuria;
7. Zolakwika zam'thupi m'thupi ndi zamavuto am'maganizo, zomwe zimayambitsa kuchepa kwa njala;
8. Madzi ochepa a chithokomiro;
9. Pachimake mawonekedwe adrenal kusakwanira;
10. Kuchepa kwa magwiridwe antchito a pituitary gland, yomwe imayang'anira chitukuko ndi kukula, ndiye
11. Zimakhala ndizowononga zochita za hormone insulin.

Zizindikiro za matendawa

Kuwonetsedwa kwa zizindikiro za matenda osasangalatsa ngati insulinoma mwachindunji kumadalira kuchuluka kwa ntchito yake ya mahomoni.

Pankhaniyi, matendawa amatha kukhala asymptomatic, kapena atchulanso zikhalidwe zotsatirazi:

• Pafupipafupi kutopa thupi;
• Kuchulukitsa thukuta;
• Hypoglycemia lakuthwa, womwe ndi dontho lakuthwa la shuga m'magazi umakhala ndi thanzi labwino;
• Kutentha kwa malekezero ake kumtunda ndi m'munsi;
• Maso osakhala achilengedwe amtundu wa khungu;
• Mtima palpitations (tachycardia);
• Mawonekedwe owopsa a njala;
• Mutu waukulu ndi chizungulire;
• Kukomoka kapena kusindikiza-woyamba;
• Kumva kawirikawiri nkhawa komanso mantha.

Monga lamulo, pamaso pa zizindikiro zomwe zili pamwambapa, munthu amalembera mayeso athunthu, kufunafuna vuto pantchito ya ziwalo zina. Nthawi zambiri, odwala amapezeka kuti ali ndi matenda ashuga. Ndipo pokhapokha mutayang'aniridwa mozama kuti mupeze zamimba zam'mimba, chifukwa cha zovuta zonse ndi zovuta zomwe zimapezeka mu kapamba ka insulinoma.

Nthawi yamatendawa, matendawa amakumana ndi vuto la ubongo, lomwe, monga lamulo, limabweretsa kuwonongeka pakumva, masomphenya, komanso kugwidwa. Kwa thupi la munthu, hypoglycemia imakhala yoopsa chifukwa kuperewera kwa glucose kumatha kuyambitsa vuto.

Ndi kukhudzika kwanthawi zonse, munthu amatha kudwala matenda osokoneza bongo omwe sangathenso kusintha.

Ndikofunikira kudziwa kuti kuphwanya kagayidwe kakang'ono ka chakudya m'thupi la munthu, kuyankha kumatha kuyamba, komwe anthu ambiri amalemera kwambiri msanga, potero amasokoneza ntchito ya thupi lonse.

Insulinoma, zomwe timazipenda, ndimatenda owopsa paumoyo wa anthu. Popeza wodwalayo, wokhala ndi hyperinsulism amayamba kudya pafupipafupi chifukwa chakuti samachoka nthawi zonse amakhala ndi njala. Pankhani ya "kususuka" - sizimachitika pafupipafupi, kufooka kwathunthu kwa thupi.

Chifukwa chakuti chifukwa chosowa chakudya, thupi limayamba kusenda minofu yambiri m'matumbo ofunikira kuti mukhale metabolism wamkati - ichi ndiye chithunzi chofala kwambiri chokhala ndi matenda akutali kwambiri monga insulinoma.

Kuzindikira matendawa

Kuzindikira kwa insulinoma, komwe kumatha kupezeka nthawi yomweyo, koma patatha milungu ingapo ngakhale miyezi ingapo, nthenda yosasangalatsa kwambiri, yomwe nthawi zambiri imayambitsa matenda a hypoglycemic.

Matendawa ndi ovuta kuwazindikira, chifukwa muyenera kuchita mayeso akulu ndi angapo. Izi ndichifukwa choti matenda ena akuluakulu amakhalanso ndi zizindikiro zomwezo, kuzindikira komwe madokotala amalabadira kaye koyamba.

Nthawi zambiri, insulinoma imatha kusokonezedwa ndi chotupa muubongo, stroke, matenda a khunyu, matenda amisala kapena mitsempha.

Kuti muzindikire matendawa, maphunziro otsatirawa amachitika:

1. Biochemical ndi kuwunika kambiri magazi a anthu;
2. Kusanthula kwapadera kwa mkodzo wa shuga ndi acetone;
3. Monga gawo la mankhwala a inpatient, fluorography tikulimbikitsidwa;
4. Kuyesa kwa magazi pazomwe zili ndi shuga.
5. ECG
6. Ngati ndi kotheka, Rh factor ndi mtundu wamagazi a wodwalayo zimatsimikiza.

Pambuyo pa njirazi, munthu yemwe ali ndi insulinoma amapatsidwa mayeso otsatirawa:
sampuli yokhala ndi shuga;

• Mbiri ya glycemic ya thupi la munthu yatsimikiza;
• CT scan, yomwe imakulolani kuti muzindikire msanga kupezeka kwa matendawa;
• Kusankha angiography, yomwe imalola kutulutsa kwa mapangidwe ndi chotupa ndi 90%;
• Kuyesa kwa magazi kwa mahomoni;
• Mlingo wa insulin womwe umapezeka m'magazi a wodwala panthawi yomwe akumenyedwayo wakhazikika;
• Kusanthula m'mimba;
• EEG laubongo;
• Ultrasound ya kapamba ndi m'mimba.

Kukhalapo kwa matendawa mukakalamba kumakhala kowopsa kwambiri, chifukwa minyewa yamtima imagwira ntchito mosavutikira, ndipo ndi njala ya hypoglycemic, minofu yamtima imafa kwambiri osalandira zakudya zoyenera, zomwe zimakulitsa katundu pa myocardium.

Pancreatic insulinoma, zomwe zimadziwika kuti mwa anthu zimakhala zikhalidwe zina, zimawonongeranso ziwalo zina. Mchitidwe wamanjenje wapakati umakhudzidwa makamaka ndi kupezeka kwake komanso kuukiridwa pafupipafupi, komwe, chifukwa chakuchepa kwa shuga m'magazi, kumatha kumuyambitsa munthu ku matenda amisala.

Chithandizo cha matenda

Ngati timalankhula za chithandizo cha matenda, ndiye kuti palibe njira yachipatala yothetsera matendawa. Ndikwabwino kuchotsa mwachangu mawonekedwe opangidwira, koma izi zimafunikira kulowererapo kwa opaleshoniyo, ndipo opaleshoniyo idzafunika komwe malo a insulinoma, komanso kukula kwake ndi kuchuluka kwa malo owonongeka a kapamba pansi pake.

Ndizofunikira kudziwa kuti kupambana kwa maopaleshoni othandizira kumatsimikiziridwa mwa kuwongolera kwina kwa shuga.

Ndi makulidwe ake komanso poyandikira chizolowezi, titha kunena kuti opareshoniyo idachita bwino.

Komabe, kulowererapo kwa opaleshoni kumatha kukhala ndi zovuta zingapo mu mawonekedwe a kapamba kapena kapamba, zomwe zimapangitsa munthu kudalira mankhwala.

Kuphatikiza apo, zovuta za ntchito zimachitika chifukwa chakuti kapamba kamakhala kwakuzama kwambiri ndipo ziwalo zofunika zimazunguliridwa mozungulira, chifukwa chake chosalakwika chilichonse ndi dokotala chingapangitse munthu kukhala wolumala kwa moyo wonse.

Pankhaniyi, pamaso pa insulinomas, tikulimbikitsidwa kusankha njira yochiritsira yochiritsira yokhazikika, yomwe idakhazikitsidwa ndi kupumula kwa hypoglycemia, motero, zitha kuyimitsa kwathunthu kuchitika kwa hypoglycemic.