I-Acromegaly yinkinga ye-hormonal lapho kune-hormone yokukhula ngokweqile. Uma lesi sifo siqala ekukhuleni, kubizwa ngokuthi i-gigantism.
Amacala amaningi we-acromogyrus abangwa yi-tumor enengqondo (engeyona umdlavuza) we-pituitary gland ebuchosheni. I-tumor ikhiqiza i-hormone yokukhula ngokweqile, futhi njengoba ikhula icindezela izicubu zobuchopho ezizungezile.
Iningi lalezi zicubu zenzeka ngokuzenzekelayo futhi azizuzi njengezofuzo.
Ezimweni ezimbalwa, i-acromegaly ibangelwa isisu kwenye indawo emzimbeni, njengamaphaphu, ama-pancrea noma izigulane ze-adrenal.
Izimpawu
Ezinye izicubu zikhula kancane futhi zikhiqize i-hormone yokukhula encane, ngakho-ke i-acromegaly ayitholakali iminyaka eminingana. Ezinye izicubu, ikakhulukazi kubantu abasha, zikhula ngokushesha futhi zikhiqize ama-hormone amaningi okukhula. Izimpawu ze-acromegaly zivela ku-hormone yokukhula nokucindezela kwe-tumor ezithombeni zobuchopho, futhi zingabandakanya:
- Ukukhula okungavamile kwezandla nezinyawo
- Izinguquko ezibonakalayo ebusweni: i-brow ehamba phambili, umhlathi ophansi, nekhala; izindebe ezinkulu nolimi
- I-arthritis
- Izinsizwa
- Kunzima ukubona
- Isikhumba esincane, esinamafutha, esinamafutha
- Ukushaya noma ukuphefumula ukuphefumula ngenkathi ulele (ukuphefumula ukuphefumula)
- Ukuphuka nokuphunga isikhumba
- Ukukhathala nokubuthakathaka
- Ukwandiswa kwezitho ezinjengobindi, isitha, izinso, inhliziyo
I-Acromegaly ingabangela nesifo sikashukela , umfutho wegazi ophezulu , nesifo senhliziyo.
Uma i-tumor ikhula ebuntwaneni, i-gigantism ibangelwa ukukhula kwamathambo okungavamile. Lo mdala omdala ukhula ubude kakhulu (kwesinye isimo, kumamitha amayintshi angu-9 ubude).
Ukuxilongwa
Ukuhlola izinga le-hormone yokukhula egazini ngesikhathi sokuhlolwa kwe-glucose ukubekezelelana komzimba kuyindlela enokwethenjelwa yokuqinisekisa ukuxilongwa kwe-acromegaly.
Odokotela bangakwazi ukukala amazinga wegazi elinye i-hormone, elibizwa ngokuthi i-insulin-like growth factor I (IGF-I), elawulwa yi-hormone yokukhula. Amazinga aphezulu e-IGF-I ngokuvamile abonisa i-acromegaly. Ukusebenzisa i-computed tomography (CT) noma i-imagery magnetic resonance imaging (MRI) ebuchosheni, odokotela bangabheka i-pituitary tumor uma kucatshangwa i-acromegaly.
Ukwelapha
Ukwelashwa kwe-acromegaly kuhloswe ku-:
- Ukunciphisa amazinga we-hormone yokukhula okhiqizwayo
- Ukunciphisa ingcindezi yokuthi isisu se-pituitary singase sigqoke izicubu zobuchopho
- Ukunciphisa noma ukuguqula izimpawu ze-acromegaly.
Izindlela ezinkulu zokwelashwa yizo:
- Ukuhlinzwa ukukhipha isisu se-pituitary - ezimweni eziningi, ukwelashwa okuphumelelayo kakhulu.
- Imithi yokunciphisa inani le-hormone yokukhula nokunciphisa isisu - iProlodel (bromocriptine), i-Sandostatin (octreotide), ne-Somatuline Depot (lanreotide).
- Ukwelashwa kwezidakamizwa - ukwehlisa izicubu ezingenakususwa ngokuphelele ngokuhlinzwa.
- Imithi evimbela imiphumela ye-hormone yokukhula futhi iyanciphisa i-IGF-I-Somavert (i-pegvisomant).
Ucwaningo
Abacwaningi e-Federico II University yaseNaples e-Italy bafunde abantu abangu-86 abane-acromegaly abanikezwa imishanguzo ngaphambi nangemva kokukhipha okuyingxenye (ukuhlukaniswa) okuncane kwamathambo abo.
Bathola ukuthi ukuthengiswa okungenani u-75% we-tumor-secreting tumor kwandisa impendulo kumithi. Ucwaningo lwanyatheliswa kuyi- Journal of Clinical Endocrinology & Metabolism kaJanuwari 2006.
Imithombo:
> Umngani, KE "I-Acromegaly: Ukwelapha okusha." I-Cancer Control: I-Journal ye-Moffitt Cancer Center 9 (2002).
> "I-Acromegaly." Ulwazi nge-Endocrine ne-Metabolic Diseases. NgoMeyi 2008. Isikhungo Sikazwelonke Sesifo Sikashukela Nesifo Segciwane Nezifo Zezinso.