Acromegaly a gigantism: nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā hōʻailona nui
• He aha nā pilikia
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau

He maʻi lahilahi ʻo Gigantism kahi e hoʻopuka ai ke kino i ka hormone ulu ulu nui, a ma muli o ke kū ʻana o kahi tumo benign i ka pituitary gland, i kapa ʻia ʻo pituitary adenoma, e ulu ana nā mea nui a me nā ʻāpana o ke kino i ka nui aʻe ma mua o ka maʻamau.

Ke kū mai ka maʻi mai ka hānau ʻana, ʻike ʻia ʻo gigantism, akā naʻe, inā kū ka maʻi i ka wā makua, ʻo ka maʻamau ma kahi o 30 a 50 paha makahiki, ʻike ʻia ʻo ia ʻo acromegaly.

I nā kūlana ʻelua, ua hoʻololi ʻia ka maʻi e ka loli o ka pituitary gland, kahi o ka lolo e hoʻopuka ai i ka hormone ulu, a pēlā e hana ʻia ai ka hoʻōla ʻana e hoʻoliʻiliʻi ai i ka hana ʻana o ka hormone, hiki ke hana ʻia ma o ka ʻoki ʻana., Ka hoʻohana ʻana i nā lāʻau a radiation paha. o kahi laʻana.

Nā hōʻailona nui

ʻO nā mākua me ka acromegaly a i ʻole nā ​​keiki me ka gigantism ʻoi aku ka nui ma mua o nā lima, nā wāwae a me nā lehelehe maʻamau, a me nā hiʻohiʻona helehelena. Hoʻohui ʻia, hiki i ka hormone ulu ulu nui ke kumu:

• Ke kuʻi ʻana a i ʻole ka ʻaʻā ʻana i nā lima a me nā wāwae;
• Ke kō glucose i ke koko;
• Puʻe kiʻekiʻe;
• ʻO kaʻeha a me ka pupuhi i nā hono;
• Hihio pālua;
• Hoʻonui ʻia ka mandible;
• Hoʻololi i ka locomotion;
• Ke ulu ʻōlelo ʻana;
• Pāhili hope loa;
• Nā pōʻaiapuni menstrual maʻamau;
• Ka luhi nui loa.

Hoʻohui ʻia, no ka mea aia hiki ke hana ʻia ka hormone ulu nui e kahi tumo benign i ka pituitary gland, nā ʻōuli ʻē aʻe e like me ka headache maʻamau, nā pilikia ʻike a i ʻole hoʻemi ʻia ka makemake wahine, ʻo kahi laʻana, e ala pū kekahi.

He aha nā pilikia

ʻO kekahi o nā pilikia i hiki i kēia hoʻololi ʻana ke lawe i ka mea maʻi:

• Diabetes;
• ʻAno moe;
• Lilo o ka ʻike;
• Hoʻonui i ka nui o ka puʻuwai;

Ma muli o ka makaʻu o kēia mau pilikia, he mea nui e hele i ke kauka inā manaʻo ʻoe he loli kēia maʻi a ulu paha.

Pehea e hōʻoia ai i ke kuhi

Ke kānalua nei ka loaʻa ʻana o gigantism, pono e hana i kahi hōʻike koko e nānā i nā pae o ka IGF-1, kahi protein i hoʻonui ʻia ke piʻi aʻe nā pae o ka hormone ulu ma luna o ka maʻamau, e hōʻike ana i ka acromegaly a gigantism paha.

Ma hope o ka hoʻokolohua, keu hoʻi i ka hihia o ke kanaka makua, kauoha ʻia paha kahi scan CT, no ka laʻana, e ʻike inā aia kahi tumo i ka pituitary gland e hoʻololi paha i kāna hana. I kekahi mau hihia, hiki i ke kauka ke kauoha i ke ana ʻana o ka hoʻonui ʻana o ka hormone.

Pehea e hana ai i ka lāʻau

Hoʻololi ka mālama ʻana i ka gigantism e like me ka mea e kumu ai i ka nui o ka ulu ʻana o ka hormone. No laila, inā aia kahi tumo i ka pituitary gland, koi pinepine ʻia e ʻoki ʻia e wehe i ka tumo a hoʻihoʻi i ka hana pololei o nā hormoni.

Eia nō naʻe, inā ʻaʻohe kumu no ka loli o ka hana pituitary a i ʻole hana ʻole ke ʻoki, hiki i ke kauka ke hōʻike wale i ka hoʻohana ʻana o ka radiation a i ʻole nā ​​lāʻau, e like me nā somatostatin analogs a i ʻole nā ​​dopamine agonists, no ka laʻana, pono e hoʻohana ʻia i ka wā o ke ola holoʻokoʻa. e mālama i nā pae hormone ma lalo o ka kaohi.