Menene insulinoma, manyan alamun cututtuka da magani

Wadatacce

• Babban bayyanar cututtuka
• Yadda ake ganewar asali
• Zaɓuɓɓukan magani
• 1. Yin tiyata
• 2. Magungunan Hormonal da masu kula da insulin
• 3. Chemotherapy
• 4. Narkar da juna da kuma bayyana jijiyoyin jini
• Matsaloli da ka iya haddasawa

Insulinoma, wanda aka fi sani da islet cell tumo, wani nau'in ƙari ne a cikin ƙwayar cuta, mai laushi ko mai lahani, wanda ke samar da insulin da yawa, yana haifar da glucose na jini ya ragu, yana haifar da hypoglycemia. Alamomin da wannan kumburin ya haifar na iya zama jiri, rikicewar hankali, rawar jiki da canje-canje a cikin yanayi kuma suna faruwa ne saboda ƙin jini a cikin jini.

Ganewar insulinoma ana yin ta ne ta hanyar endocrinologist ko oncologist ta gwaje-gwajen jini, kamar su glucose mai azumi da gwajin hoto, wanda za'a iya lissafa shi da hoto, hoton maganadisu ko kuma hoton dabba, kuma mafi dacewa magani shine tiyata, homonin magunguna da kuma sarrafa jini matakan sukari, kazalika da ilimin kimiya, cirewa ko sanya kaya.

Babban bayyanar cututtuka

Insulinoma wani nau'in ƙari ne wanda ke cikin ƙoshin fata wanda ke canza matakan glucose na jini kuma, sabili da haka, manyan alamun suna da alaƙa da rage sukarin jini, wanda ake kira hypoglycemia, kamar su:

• Buri ko gani biyu;
• Rikicewar hankali;
• Rashin hankali;
• Jin kasala;
• Rashin hankali mai yawa;
• Canjin yanayi;
• Sumewa;
• Yawan zufa mai sanyi.

A cikin yanayi mafi tsanani, lokacin da insulinoma ke ci gaba kuma yana shafar wasu sassan jiki, kamar hanta, kwakwalwa da kodoji, alamomi irin su ƙwacewar jiki, ƙaruwar bugun zuciya, ƙarancin hankali, suma da jaundice na iya bayyana. Ara koyo game da jaundice da yadda ake gano shi.

Yadda ake ganewar asali

Ganewar insulinoma ana yin ta ne ta hanyar gwajin jini, wanda dole ne a yi shi a kan komai a ciki, don gano yawan glucose da insulin a cikin jini kuma, gabaɗaya, ƙimar glucose ba ta da yawa kuma matakan insulin suna da yawa. Dubi yadda ake yin gwajin glucose na jini mai sauri da kuma ƙimar tunani na yau da kullun.

Don gano ainihin wurin, girma da nau'in kumburin a cikin pancreas kuma don bincika ko insulinoma ya bazu zuwa wasu sassan jiki, ana gwada gwaje-gwajen hotunan kamar ƙididdigar lissafi, hoton maganadisu ko sikanin dabbobi an nuna su ta endocrinologist ko masanin ilimin sankara

A wasu yanayi, likita na iya yin oda wasu gwaje-gwaje don taimakawa ganewar asali kuma su san girman ƙwayar kamar endoscopy, wanda ake amfani da shi don bincika ko ciwon ya isa cikin ciki ko hanji, da kuma zane-zane, wanda ke gano jini ya gudana a cikin pancreas.

Zaɓuɓɓukan magani

Insulinoma wani nau'in kumburi ne a cikin pancreas, wanda kan iya zama mara kyau ko mara kyau, wanda ke haifar da sauye-sauye a cikin matakan glucose na jini, kuma idan aka fara shi da wuri za a iya warkewa. Maganin wannan nau'in cutar yana nunawa ta likitan ilimin likitan halitta kuma ya dogara da wuri, girma da matakin ciwon, da kuma kasancewar metastases, kuma ana iya bada shawara:

1. Yin tiyata

Yin aikin tiyata shi ne mafi kyawun nau'in magani don insulinoma, amma, idan ƙari a cikin ƙangar jikin yana da girma ƙwarai, ya bazu zuwa wasu sassan jiki ko kuma mutumin na cikin ƙoshin lafiya, likita na iya ba da shawarar yin tiyata. Idan an yi aikin tiyata, mai haƙuri na iya buƙatar amfani da magudanar ruwa, wanda ake kira penrose, don kawar da ruwan da aka tara yayin aikin tiyata. Duba ƙarin yadda ake kula da magudanar ruwa bayan tiyata.

2. Magungunan Hormonal da masu kula da insulin

Ana iya amfani da wasu magunguna don magance insulinoma, kamar magungunan da ke rage ko rage samar da homonon da ke sa kumburin ya girma, kamar su analogues na somatostatin, wanda ake kira octreotide da lanreotide.

Sauran magungunan da ake nuni dasu wajan kula da wannan nau'in cuta sune magunguna wadanda suke taimakawa rage matakan insulin a cikin jini, gujewa yawan glucose mai yawa. Bugu da kari, ana iya yin abinci mai sikari mai yawa don matakan glucose su zama na al'ada.

3. Chemotherapy

Chemotherapy an ba da shawarar ta likitan ilimin likita don kula da insulinoma tare da metastasis kuma ya ƙunshi yin amfani da ƙwayoyi a cikin jijiyar domin lalata ƙwayoyin ƙwayoyin cuta, waɗanda ke haifar da haɓakar kumburin, da yawan zama da nau'in kwayoyi da za su kasance amfani da shi ya dogara da halaye na cutar, kamar girma da wuri.

Koyaya, magungunan da akafi amfani dasu don kawar da ƙwayoyin insulinoma sune doxorubicin, fluorouracil, temozolomide, cisplatin da etoposide. Wadannan magunguna yawanci ana yin su a cikin magani, ta hanyar catheter a cikin jijiya kuma, a wasu lokuta, ana iya amfani da fiye da ɗaya daga cikinsu, dangane da yarjejeniyar da likita ya kafa.

4. Narkar da juna da kuma bayyana jijiyoyin jini

Rushewar yanayin yanayin rediyo shine nau'in magani wanda ke amfani da zafi, wanda raƙuman rediyo ke samarwa, don kashe ƙwayoyin insulinoma marasa lafiya kuma ya dace sosai don magance ƙananan ƙwayoyin cuta waɗanda basa yadawa zuwa wasu sassan jiki.

Kamar yadda yake tare da zubar da ciki, shigar da jijiyoyin jiki hanya ce mai aminci da kaɗan, mai ba da shawara ga likitan ilimin likita don kula da ƙananan insulinomas kuma ya haɗa da amfani da takamaiman ruwaye, ta hanyar catheter, don toshewar jini a cikin ƙari, yana taimakawa kawar da ƙwayoyin ƙwayoyin cuta .

Matsaloli da ka iya haddasawa

Ba a bayyana ainihin abubuwan da ke haifar da insulinoma ba tukuna, amma suna da saurin bunkasa cikin mata fiye da maza, a tsakanin mutane tsakanin shekara 40 zuwa 60 kuma waɗanda ke da wasu cututtukan kwayar halitta irin su nau'in 1 neurofibromatosis ko tuberous sclerosis. Ara koyo game da cututtukan ƙwaƙwalwa da yadda ake magance ta.

Bugu da kari, samun wasu cututtukan kamar endocrine neoplasia, wanda ke haifar da ci gaban mahaukaci na sel a cikin tsarin endocrin, da kuma Von Hippel-Lindau ciwo, wanda aka gada kuma yake haifar da bayyanar kumburi cikin jiki, na iya ƙara damar bayyanar insulinoma .