He aha ka insulinoma, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• Pehea e hana ʻia ai ke kuhi
• Nā koho lapaʻau
• 1. ʻoki kino
• 2. Nā lāʻau Hormonal a me nā mea hoʻoponopono insulin
• 3. ʻO Chemotherapy
• 4. Hoʻomaha a me ka embolization arterial
• Nā kumu kūpono

ʻO ka Insulinoma, i ʻike ʻia he tumor islet pūnaewele, kahi ʻano tumo i ka pancreas, maikaʻi ʻole a maʻi ʻino hoʻi, e hua mai ana i ka nui o ka insulin, e hoʻemi ana i ka glucose koko, e hana ana i ka hypoglycemia. ʻO nā ʻōuli i hoʻokumu ʻia e kēia tumo hiki i ka lōlō, ka huikau o ka noʻonoʻo, ka haʻalulu a me nā loli i ke ʻano a kū ʻia ma muli o ka glucose glucose i ke kahe o ke koko.

Hana ʻia ka diagnoma o ka insulinoma e ka endocrinologist a i ʻole oncologist ma o nā hoʻokolohua koko, e like me ka hoʻokēʻai ʻana i ka glucose a me nā hoʻokolohua ʻana i nā kiʻi, i hiki ke helu ʻia i nā tomography, nā kiʻi resonance ʻumeʻume a i ʻole scan scan, a ʻo ka lapaʻau kūpono loa ka ʻoki kino, nā lāʻau lapaʻau hormones a me ka mālama ʻana i ke koko. pae kō, a me chemotherapy, hoʻopau a embolization paha.

Nā hōʻailona nui

ʻO Insulinoma kahi ʻano tumo aia i loko o ka pancreas e hoʻololi ai i ke kiʻekiʻe o ke kō glucose a, no laila, pili nā ʻōuli nui i ka hoʻoliʻiliʻi kō kō, i kapa ʻia ʻo hypoglycemia, e like me:

• Blur a i ʻole ʻike pālua;
• Huikau noʻonoʻo;
• Puʻupuʻu;
• Manaʻo o ka nāwaliwali;
• Hoʻonāukiuki nui loa;
• Hoʻololi ke ʻano;
• Pāleʻele;
• Ka hou anu.

I nā hihia ʻoi aku ka paʻakikī, ke ʻoi aku ka holomua o ka insulinoma a pili i nā ʻāpana ʻē aʻe o ke kino, e like me ke ake, ka lolo a me nā puʻupaʻa, nā ʻōuli e like me ka hopu ʻana, hoʻonui ʻia ka puʻuwai o ka puʻuwai, ka nalowale o ka ʻike, nāwaliwali a me ka jaundice. E aʻo hou e pili ana i ka jaundice a pehea e ʻike ai.

Pehea e hana ʻia ai ke kuhi

Hana ʻia ka diagnoma o ka insulinoma ma o nā hoʻokolohua koko, pono e hana ʻia ma ka ʻōpū nele, e ʻike ai i ka nui o ka glucose a me ka insulin i loko o ke koko a, maʻamau, haʻahaʻa nā glucose a kiʻekiʻe nā kiʻekiʻe o ka insulin. E ʻike pehea e hana ai i ka hoʻokēʻai ʻana i ka glucose glucose koko a me nā helu kūmole maʻamau.

E ʻike ai i kahi kikoʻī, ka nui a me ke ʻano o ka tumo i ka pancreas a e nānā ai inā ua pālahalaha ka insulinoma i nā ʻāpana ʻē aʻe o ke kino, hōʻike ʻia nā hoʻokolohua kiʻi e like me ka tomography i helu ʻia, nā kiʻi resonance a me nā scan pet e ka endocrinologist a i ʻole. ʻākalakala maʻi.

I kekahi mau hanana, kauoha paha ke kauka i nā hoʻokolohua ʻē aʻe e kōkua i ke kuhi a ʻike i ka nui o ka tumo e like me ka endoscopy, i hoʻohana ʻia e nānā inā ua hōʻea ka tumo i loko o ka ʻōpū a i ʻole ka ʻōpū, a me ka arteriography, e kuhikuhi ana i ka kahe o ke koko i ka pancreas.

Nā koho lapaʻau

ʻO ka Insulinoma kekahi ʻano tumo i loko o ka pancreas, hiki ke kino a maikaʻi ʻole paha, e alakaʻi ai i nā loli i ke kiʻekiʻe o ka glucose koko, a inā mālama mua ʻia hiki ke hoʻōla ʻia. Hōʻike ʻia ka lāʻau no kēia ʻano maʻi e ka oncologist a kaukaʻi ʻia i ka wahi, ka nui a me ke kahua o ka puʻupuʻu, a me ke kū o nā metastases, a hiki ke ʻōlelo ʻia.

1. ʻoki kino

ʻO ke ʻoki kino ke ʻano kūpono loa o ka lapaʻau ʻana no ka insulinoma, eia naʻe, inā nui loa ka tumo i ka pancreas, ua pālahalaha ʻia i nā ʻāpana ʻē aʻe o ke kino a i ʻole olakino ke kanaka, ʻaʻole paha e koi ke kauka e hana i kahi hana. Inā hoʻokō ʻia ke kaha, pono paha ka mea maʻi e hoʻohana i kahi kahe, i kapa ʻia he penrose, e hoʻopau i nā wai i hōʻiliʻili ʻia i ke kaʻina hana. E ʻike hou aʻe pehea e mālama ai i ka ʻauwai ma hope o ke kahakaha ʻana.

2. Nā lāʻau Hormonal a me nā mea hoʻoponopono insulin

Hiki ke hoʻohana ʻia kekahi mau lāʻau e mālama ai i ka insulinoma, e like me nā lāʻau e hōʻemi a lohi paha i ka hana ʻana o nā homoni e ulu ai ka tumo, e like me nā somatostatin analogues, i kapa ʻia ʻo octreotide a me lanreotide.

ʻO nā lāʻau ʻē aʻe i hōʻike ʻia i ka mālama ʻia ʻana o kēia ʻano maʻi he mau lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i nā kiʻekiʻe o ka insulin i loko o ke koko, e hōʻalo ana i ka hōʻemi nui ʻana o ka glucose. Hoʻohui ʻia, hiki ke hana ʻia kahi papa kō-kiʻekiʻe i mea maʻamau nā pae glucose.

3. ʻO Chemotherapy

Paipai ʻia ʻo Chemotherapy e ka oncologist e mālama i ka insulinoma me ka metastasis a me ka hoʻohana ʻana i nā lāʻau i loko o ke aa i mea e luku ai i nā hunaola ʻino, e alakaʻi ai i ka ulu ʻana o ka tumo, a me ka helu o nā kau a me ke ʻano o nā lāʻau i hoʻohana ʻia i ka hilinaʻi i nā ʻano o ka maʻi, e like me ka nui a me kahi.

Eia nō naʻe, ʻo nā lāʻau i hoʻohana nui ʻia e hoʻopau i nā kinikini insulinoma ʻo doxorubicin, fluorouracil, temozolomide, cisplatin a me etoposide. Lawe pinepine ʻia kēia mau hoʻoponopono i ka serum, ma o ka catheter i ka aa a, i kekahi mau hihia, hiki ke hoʻohana ʻia ma mua o hoʻokahi o lākou, e kaukaʻi ʻia i ka protocol i hoʻokumu ʻia e ke kauka.

4. Hoʻomaha a me ka embolization arterial

ʻO Radiofrequency ablasi ke ʻano o ka mālama ʻana e hoʻohana ana i ka wela, i hana ʻia e nā nalu lekiō, e hoʻomake i nā maʻi insulinoma maʻi a kūpono loa no ka mālama ʻana i nā tumors liʻiliʻi ʻaʻole pālahalaha ʻia i nā ʻāpana ʻē aʻe o ke kino

E like me ka ablation, ʻo ke embolization arterial kahi hana palekana a me ka invasive minimally, i paipai ʻia e ka oncologist e mālama i nā insulinomas liʻiliʻi a pili i ka hoʻohana ʻana i nā wai kikoʻī, ma o kahi catheter, e ālai i ke kahe o ke koko i loko o ka tumo, e kōkua ana i ka hoʻopau ʻana i nā hunaola maʻi. .

Nā kumu kūpono

ʻAʻole i wehewehe pono ʻia nā kumu kikoʻī o ka insulinoma, akā makemake lākou e hoʻomohala i nā wahine ma mua o nā kāne, i ka poʻe ma waena o 40 a 60 mau makahiki a i loaʻa i kekahi maʻi maʻi e like me ka neurofibromatosis ʻano 1 a i ʻole sclerosis tuberous. E aʻo hou aʻe e pili ana i ka sclerosis tuberous a pehea e mālama ʻia ai.

Eia hou, ʻo ka loaʻa ʻana i nā maʻi ʻē aʻe e like me ka endocrine neoplasia, ka mea e ulu pono ʻole ai nā hunaola i loko o ka ʻōnaehana endocrine, a me Von Hippel-Lindau Syndrome, i hoʻoilina ʻia a alakaʻi ʻia i ke ʻano o nā cista ma loko o ke kino, hiki ke hoʻonui i nā manawa o ka helehelena insulinoma. .