Mea Kākau: John Stephens
Lā O Ka Hana: 1 Ianuali 2021
HōʻAno Hou I Ka Lā: 21 Nowemapa 2024
Anonim
Insulinoma
Wikiō: Insulinoma

Anter

He aha ia ʻo Insulinoma?

ʻO ka insulinoma kahi tumo liʻiliʻi i ka pancreas e hana i kahi nui o ka insulin. I ka hapanui o nā hihia, ʻaʻole maʻi ka maʻi ʻaʻai. ʻO ka hapa nui o nā insulinomas ma lalo o 2 mau kenimika ke anawaena.

ʻO ka pancreas kahi lālā endocrine ma hope o kou ʻōpū. ʻO kekahi o kāna mau hana ka hana ʻana i nā homone e kāohi i ke kiʻekiʻe o ke kō i kou kahe o ke koko, e like me ka insulin. ʻO ka maʻamau, kū ka pancreas i ka hana ʻana i ka insulin ke hāʻule haʻahaʻa kou kō kō. ʻAe kēia i kāu pae kō kō e hoʻi i ka maʻamau. Ke kū a kahi insulinoma i kāu pancreas, akā naʻe, e hoʻomau ka hana ʻana i ka insulin, ʻoiai ke haʻahaʻa loa kāu kō kō. Hiki i kēia ke alakaʻi i ka hypoglycemia koʻikoʻi, a i ʻole ke kō kō. ʻO ka Hypoglycemia kahi kūlana weliweli e hiki ke kumu i ka hihi o ka hihi, ka māmā, a me ka ʻike ʻole. Hiki iā ia ke hoʻoweliweli i ke ola.

Pono e hemo i kahi lāʻau maʻamau. I ka manawa e hemo ai ka tumo, malia paha he ola loa ia.

He aha nā hōʻailona o kahi Insulinoma?

ʻAʻole ʻike pinepine ʻia ka poʻe me ka insulinomas. Ke hiki mai nā ʻōuli, hiki iā lākou ke loli ke kaukaʻi ʻia i ke koʻikoʻi o ke ʻano.


Pākuʻi ʻia nā ʻōuli ʻoluʻolu:

  • ʻike hihi pālua a hihi maka paha
  • huikau
  • hopohopo a me ka ukiuki
  • ʻūpā
  • huli ke ʻano
  • nāwaliwali
  • ka houʻu ʻana
  • pōloli
  • haʻalulu
  • loaʻa kaumaha kaumaha

Hiki i nā ʻōuli ʻoi loa o ka insulinoma ke hoʻopili i ka lolo. Hiki iā lākou ke hoʻopili i nā ʻōpū adrenal, kahi e hoʻoponopono ai i ka pane o ke koʻikoʻi a me ka helu o ka puʻuwai I kekahi manawa, ʻano like nā ʻōuli me nā maʻi epilepsy, kahi maʻi neurological e hoʻomaka ai ka hopu ʻana. ʻO nā ʻōuli i ʻike ʻia i nā hihia koʻikoʻi o ka insulinoma e komo pū paha:

  • nā lūlū a i ʻole ka hopu ʻana
  • kahi wikiwiki o ka puʻuwai (ʻoi aku ma mua o 95 mau kani i kēlā me kēia minuke)
  • paʻakikī paʻakikī
  • nalowale o ka ʻike a koma paha

I kekahi mau hihia, hiki i nā insulinomas ke lilo i nui aʻe a pāhola i nā ʻāpana ʻē aʻe o ke kino. Ke kū kēia, hiki iā ʻoe ke kiʻi i nā hōʻailona aʻe:

  • abdominal eha
  • ʻeha kua
  • pāhoehoe
  • jaundice, a melemele paha o ka ʻili a me nā maka

He aha ke kumu o kahi Insulinoma?

ʻAʻole maopopo maopopo i nā kauka ke kumu e loaʻa ai i nā kānaka nā insulinomas. Hōʻike maʻamau nā tumors me ka ʻole o ka ʻōlelo aʻoaʻo.


Ke ʻai ʻoe i ka meaʻai, hana ka pancreas i ka insulin. ʻO ka insulin ka hormone e kōkua i kou kino e mālama i ke kō mai kāu meaʻai. Ke lawe ʻia ke kō, kū ka pancreas i ka hana ʻana o ka insulin. Mālama mau kēia hana i nā pae kō kō. Eia nō naʻe, hiki ke hoʻohaunaele ke ulu aʻe kahi insulinoma. Ke hoʻomau nei ka hana o ka tumo i ka hana ʻana i ka insulin ʻoiai ke emi haʻahaʻa nei kāu kō kō. Hiki i kēia ke alakaʻi i ka hypoglycemia, kahi ʻano koʻikoʻi i hōʻike ʻia e nā pae kō kō haʻahaʻa.

ʻO wai ka mea e hopohopo no kahi Insulinoma?

Kākaʻikahi nā insulinomas. Liʻiliʻi ka hapa nui a ana ma lalo o 2 mau kenimika ke anawaena. ʻO 10 wale nō pākēneka o kēia mau tumors he maʻi ʻaʻai. Kū pinepine nā maʻi maʻi maʻi i nā poʻe i loaʻa he endopine endopine neoplasia ʻano 1. He maʻi hoʻoilina kēia e hoʻonāukiuki i nā tumors i hoʻokahi a ʻoi paha nā kelona hormonal. ʻOi aku ka kiʻekiʻe o ka makaʻu no ka insulinoma no ka poʻe me ka maʻi von Hippel-Lindau. Hoʻokumu kēia ʻano hoʻoilina i nā tumors a me nā cista e hana i loko o ke kino.


Hoʻopili pū nā insulinomas i nā wahine ma mua o nā kāne. Hoʻolālā pinepine lākou i ka poʻe ma waena o 40 a 60 mau makahiki.

Pehea e kuhikuhi ʻia ai kahi Insulinoma?

E hana kāu kauka i kahi hoʻokolohua koko e nānā i kāu kō a me nā kiʻekiʻe o ka insulin. ʻO kahi pae kō kō haʻahaʻa me kahi pae insulin kiʻekiʻe e hōʻike ana i ke alo o kahi insulinoma.

Hiki i ka hōʻoia ke nānā no:

  • nā polokina e ālai i ka hana ʻana o ka insulin
  • nā lāʻau e kumu ai i ka pancreas e hoʻokuʻu i ka nui o ka insulin
  • nā hormones ʻē aʻe e pili ana i ka hana ʻana o ka insulin

Kauoha paha kāu kauka i kahi wikiwiki he 72 mau hola inā hōʻike ke hōʻike koko he loaʻa kāu insulinoma. E noho ʻoe i ka haukapila ʻoiai ʻoe e hoʻokēʻai ana i hiki i kāu kauka ke nānā i kāu mau kō kō kō. E ana lākou i kāu pae kō kō i kēlā me kēia ʻeono hola ma ka liʻiliʻi. ʻAʻole hiki iā ʻoe ke ʻai a inu paha i kekahi mea ke ʻole ka wai i ka wā o ka wikiwiki. Loaʻa paha ʻoe i nā pae kō kō haʻahaʻa loa ma waena o 48 mau hola o ka hoʻomaka ʻana o ka hoʻokēʻai inā he insulinoma kāu.

Hana paha kāu kauka i nā hoʻokolohua hou aku e hōʻoia i ka ʻike, me kahi scan MRI a CT paha. Kōkua kēia mau hōʻike kiʻi ʻana i kāu kauka e hoʻoholo i ka wahi a me ka nui o ka insulinoma.

Hiki ke hoʻohana ʻia kahi ultrasound endoscopic inā ʻaʻole hiki ke loaʻa ka tumo ma ka hoʻohana ʻana i kahi CT a MRI scan paha. I ka manawa o kahi endoscopic ultrasound, ua hoʻokomo kāu kauka i kahi paipu lōʻihi a maʻalahi hoʻi i loko o kou waha a iho ma o ka ʻōpū a me ka ʻōpū liʻiliʻi. Aia i loko o ka paipu kahi ʻimi ultrasound, nāna e hoʻopuka i nā nalu kani e hana i nā kiʻi kikoʻī o kāu pancreas. Ke loaʻa ka insulinoma, e lawe kāu kauka i kahi laʻana o kaʻaʻaʻa no ke kālailai. Hiki ke hoʻohana ʻia kēia e hoʻoholo ai inā he maʻi kōkō ka tumo.

Pehea e mālama ʻia ai kahi Insulinoma?

ʻO ka lāʻau lapaʻau maikaʻi loa no ka insulinoma ʻo ia ka wehe ʻana o ka tumo. Hiki ke hoʻoneʻe ʻia kahi ʻāpana liʻiliʻi o ka pancreas inā aia ma mua o hoʻokahi tumo. Hoʻola kēia i ke kūlana.

Hiki i nā ʻano ʻoki ke hiki ke hana ʻia e wehe i ka insulinoma. ʻO ka wahi a me ka helu o nā tumors e hoʻoholo ai i kahi ʻoki e hoʻohana ai.

ʻO ke kaha laparoscopic ke koho i makemake nui ʻia inā aia wale nō kahi tumere pancreatic liʻiliʻi. ʻO kēia kahi kūlana haʻahaʻa haʻahaʻa, hōʻemi iki. I ka wā o ke kāpili ʻana o laparoscopic, hana kāu mea kauka i mau ʻokiʻoki liʻiliʻi i kou ʻōpū a hoʻokomo i kahi laparoscope ma o nā ʻokiʻoki. ʻO kahi laparoscope kahi lōʻihi lōʻihi a lahilahi me kahi kukui uila kiʻekiʻe a me kahi kāmela hoʻonā kiʻekiʻe ma mua. E hōʻike ka pahu paʻi kiʻi i nā kiʻi ma ka papakaumaka, e ʻae ai i ke kaukipō i loko o kou ʻōpū a alakaʻi i nā mea kani. Ke loaʻa ka insulinoma, e hemo ia.

Pono e hemo kahi ʻāpana o ka pancreas inā nui nā insulinomas. I kekahi manawa, hoʻoneʻe ʻia kekahi hapa o ka ʻōpū a i ʻole ke ake.

I nā hihia maʻamau, ʻo ka hemo ʻana o ka insulinoma ʻaʻole ia e hoʻōla i ke ʻano. Heʻoiaʻiʻo maoli kēia ke maʻi ʻaʻai nā tumors. ʻO nā mālama ʻana no nā canceromas maʻi ʻaʻai pū me:

  • ablope radiofrequency, kahi e hoʻohana ai i nā nalu uila e pepehi i nā hunaola maʻi i loko o ke kino
  • cryotherapy, e pili ana i ka hoʻohana ʻana i ke anuanu nui e luku i nā hunaola maʻi ʻaʻai
  • ʻo ka chemotherapy, kahi ʻano hakakā o ka lāʻau lapaʻau lāʻau e kōkua i ka luku ʻana i nā hunaola maʻi ʻaʻai

Kau kauka paha i kau kauka e kaohi i nā pae kō kō inā ʻaʻole maikaʻi ka ʻoki.

He aha ka hiʻohiʻona wā lōʻihi no ka poʻe me kahi Insulinoma?

ʻO ka nānā manawa lōʻihi no ka poʻe me ka insulinoma he maikaʻi loa inā hemo ka tumo. Ma hope o ke kahakaha ʻana, ʻo ka hapanui o ka poʻe e ola āpau me ka ʻole o ka pilikia Eia nō naʻe, hoʻi paha kahi insulinoma i ka wā e hiki mai ana. ʻOi pinepine ka hana hou i nā poʻe i loaʻa i nā tumors he nui.

Hiki i kahi liʻiliʻi loa o ka poʻe ke hoʻomōhala i ka maʻi kō ma hope o ke kahakaha ʻana. Hana wale kēia i ka wā e hemo ai ka pancreas holoʻokoʻa a i ʻole kahi ʻāpana nui o ka pancreas.

ʻOi aku ka maʻalahi o nā pilikia i ka poʻe me nā insulinomas maʻi ʻaʻai. Heʻoiaʻiʻo maoli kēia i ka wā e palahalaha ai nā ʻōpala i nā meaola ʻē aʻe. ʻAʻole hiki i ke kaukipō ke wehe i nā ʻōpala āpau. I kēia hihia, pono ka mālama hou ʻana a me ka mālama ʻana. ʻO ka mea pōmaikaʻi, he helu liʻiliʻi wale nō nā insulinomas i maʻi ʻaʻai.

Pehea e pale ai i kahi Insulinoma?

ʻAʻole maopopo nā kauka no ke aha e kū ai nā insulinomas, no laila ʻaʻohe ala i ʻike ʻia e pale aku ai iā lākou. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou makaʻu i ka hoʻomohala ʻana i ka hypoglycemia ma o ka hoʻoikaika mau ʻana a me ka mālama ʻana i ka papaʻai olakino. Pono kēia papaʻai i nā huaʻai, nā lau, a me nā protein protein. Hiki iā ʻoe ke mālama i ke ola o kāu pancreas ma ka ʻai ʻana i ka ʻiʻo ʻulaʻula a me ka haʻalele ʻana i ka puhi inā puhipaka ʻoe.

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