Mawallafi: Laura McKinney
Ranar Halitta: 3 Afrilu 2021
Sabuntawa: 21 Nuwamba 2024
Anonim
Somatostatinoma
Video: Somatostatinoma

Wadatacce

Bayani

Somatostatinoma wani nau'in nau'ikan ciwan neuroendocrine ne wanda ke girma a cikin pancreas kuma wani lokacin karamin hanji. Ciwon neuroendocrine shine wanda ya kunshi ƙwayoyin halitta masu samar da hormone. Wadannan kwayoyin halitta masu samar da hormone ana kiransu kwayoyin halittu.

Wani somatostatinoma yana tasowa musamman a cikin kwayar cutar ta delta, wanda ke da alhakin samar da hormone somatostatin. Ciwon yana haifar da waɗannan ƙwayoyin don samar da ƙarin wannan hormone.

Lokacin da jikinka ya samar da karin sinadarin somatostatin, yakan daina samar da wasu kwayoyin hormones. Lokacin da waɗancan sauran hormones ɗin suka yi karanci, daga ƙarshe yakan haifar da bayyanar cututtuka.

Kwayar cutar somatostatinoma

Alamomin cutar somatostatinoma yawanci suna farawa da taushi kuma suna ƙaruwa cikin tsanani a hankali. Wadannan alamun suna kama da wadanda ke haifar da wasu yanayin kiwon lafiya. Saboda wannan dalili, yana da mahimmanci kuyi alƙawari tare da likitanku don samun cikakken ganewar asali. Wannan ya tabbatar da dacewa ga kowane irin yanayin kiwon lafiya wanda ke haifar da alamunku.


Kwayar cututtukan da somatostatinoma ta haifar na iya haɗa da masu zuwa:

  • zafi a cikin ciki (mafi yawan alamun cutar)
  • ciwon sukari
  • asarar nauyi da ba a bayyana ba
  • tsakuwa
  • steatorrhea, ko kujeru masu ƙanshi
  • toshewar hanji
  • gudawa
  • jaundice, ko launin ruwan rawaya (mafi yawanci lokacin da somatostatinoma ke cikin ƙaramar hanji)

Yanayin likita banda somatostatinoma na iya haifar da yawancin waɗannan alamun. Wannan galibi abin haka yake, kamar yadda somatostatinomas ke da wuya. Koyaya, likitanku shine kawai wanda zai iya tantance ainihin yanayin bayan takamaiman alamunku.

Dalili da abubuwan haɗarin somatostatinomas

Abin da ke haifar da somatostatinoma a halin yanzu ba a san shi ba. Koyaya, akwai wasu abubuwan haɗari waɗanda zasu iya haifar da somatostatinoma.

Wannan yanayin, wanda zai iya shafar maza da mata, yawanci yakan faru ne bayan shekaru 50. Waɗannan sune wasu abubuwan da ke iya haifar da haɗarin cututtukan neuroendocrine:

  • tarihin iyali na nau'in endoprine neoplasia nau'in 1 (MEN1), wani nau'in cutar kansa wanda ba shi da yawa wanda yake gado ne
  • neurofibromatosis
  • von cutar Hippel-Lindau
  • cututtukan zuciya na tuberous

Ta yaya ake gano waɗannan kumburin?

Dole ne likitan likita ya yi bincike. Kullum likitanku zai fara aikin gano asali tare da gwajin jini mai sauri. Wannan gwajin yana bincika matakin girma na somatostatin. Gwajin jini yakan biyo baya ɗaya ko fiye daga cikin binciken binciken masu zuwa ko rayukan X:


  • endoscopic duban dan tayi
  • CT dubawa
  • octreoscan (wanda shine hoton radioactive)
  • Binciken MRI

Wadannan gwaje-gwajen suna ba likitanka damar ganin kumburin, wanda watakila ya zama na kansa ko maras ciwo. Yawancin somatostatinomas suna da cutar kansa. Hanya guda daya tak don tantancewa ko cutar dajin da kake yi shine ta hanyar tiyata.

Yaya ake bi da su?

Ana amfani da somatostatinoma sau da yawa ta hanyar cire kumburin ta hanyar tiyata. Idan ƙari yana da cutar daji kuma kansar ta bazu (yanayin da ake kira metastasis), tiyata na iya zama ba zaɓi ba. Game da maganin metastasis, likitanku zai kula da sarrafa duk alamun cutar da somatostatinoma ke iya haifarwa.

Yanayi masu alaƙa da rikitarwa

Wasu daga cikin yanayin da ke haɗuwa da somatostatinomas na iya haɗawa da masu zuwa:

  • von Ciwan Hippel-Lindau
  • MAZA1
  • nau'in neurofibromatosis 1
  • ciwon sukari

Somatostatinomas yawanci ana samun su a wani mataki na gaba, wanda zai iya rikitar da zaɓuɓɓukan magani. A cikin ƙarshen mataki, ƙila ciwace-ciwacen daji suna iya kasancewa sun riga sun daidaita. Bayan metastasis, magani yana da iyakancewa, saboda yawanci tiyata ba zaɓi bane.


Adadin rayuwa don somatostatinomas

Duk da irin karancin yanayin somatostatinomas, hangen nesa yana da kyau ga ƙimar rayuwa na shekaru 5. Lokacin da ake iya cire somatostatinoma ta hanyar tiyata, akwai kusan rayuwa kashi 100 cikin ɗari shekaru biyar bayan cirewar. Adadin rayuwa na shekaru biyar ga waɗanda aka yi wa magani bayan somatostatinoma ya ƙaddara kashi 60 cikin ɗari.

Mabuɗin shine don samun ganewar asali da wuri-wuri. Idan kana da wasu alamun cutar somatostatinoma, ya kamata kayi alƙawari tare da likitanka da wuri-wuri. Gwajin bincike zai iya tantance takamaiman dalilin alamunku.

Idan likitanka ya tabbatar kana da somatostatinoma, to da farko idan ka fara jiyya, to mafi ingancin hangen nesan ka zai kasance.

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