Acromegaly iyi inonzi hormonal disorder umo kune kuwedzera kwekuwedzera kwehomoni yakakura. Kana chirwere chinotanga muhucheche, chinonzi gigantism.
Kazhinji zviitiko zveAacromegaly zvinokonzerwa nehutachiona (kwete chekenza) chirwere cheganda repituitary muuropi. Dumbu racho rinowedzera huwandu hwekukura kwehomoni, uye sezvo inokura iyo inomanikidza pamakumbo europi akaipoteredza.
Zvizhinji zvezvipembenene zvinoitika pakarepo uye hazvina kuwanikwa nhaka.
Mune zvimwe zviitiko, acromegaly inokonzerwa nechirwere pane imwe nzvimbo mumuviri, zvakadai mumapapu, pancreas kana adrenal glands.
Zviratidzo
Mimwe tumarara inokura zvishoma uye inobudisa zvishoma kukura hormone, saka acromegaly haisi kuonekwa kwemakore akawanda. Mamwe matumbo, kunyanya kuvanhu vaduku, kukura nokukurumidza uye kubereka zvakawanda zvekuwedzera hormone. Zviratidzo zveAacromegaly zvinobva pakukura kwehomoni uye kubva mukurwisana kwepfungwa muuropi mhuka, uye inogona kusanganisira:
- Kusagadzikana kukura kwemaoko nemakumbo
- Kuchinja kwezviso zvekunze: kubuda kwepamusoro, tsvina yakadzika, nemhuno; miromo huru uye rurimi
- Arthritis
- Headaches
- Dambudziko kuona
- Ganda rakaoma, rakaoma, rine mafuta
- Kuchengetedza kana kunetseka kufema kana uchirara
- Kunyorera uye ganda kunhuhwirira
- Kuneta uye kushaya simba
- Kuwedzera kwenhengo dzakadai seropa, spleen, itsvo, mwoyo
Acromegaly inogonawo kukonzera chirwere cheshuga , kuwedzera kweropa , uye chirwere chemwoyo.
Kana chirwere chacho chichikura muhuduku, gigantism inokonzerwa nekusingaperi kwemapfupa ekukura. Mukomana wechidiki anowedzera kureba zvakanyanya (mune rimwe dambudziko, kusvika mamita masendimita 9 murefu).
Kuziva
Kuedza huwandu hwekukura kwehomoni muropa panguva yekutaura glucose kuvhiringidzika kuedzwa ndiyo nzira inogamuchirika yekusimbisa kuongororwa kweAacromegaly.
Vanachiremba vanogona kuyera mazinga eropa eimwe hormone, inonzi insulin-yakafanana kukura I (IGF-I), iyo inotungamirirwa nekukura kwehomoni. High mazinga eGF-ini kazhinji anoratidza acromegaly. Kushandisa computed tomography (CT) kana magnetic resonance imaging (MRI) kuongorora kweuropi, vanachiremba vanogona kutarisa tumurusi wepituitary kana acromegaly ichifungidzirwa.
Kurapa
Mishonga yeAacromegaly inotarisirwa ku:
- Kuderedza mazinga ekukura kwehomoni inobudiswa
- Kubvisa kukanganiswa kunoita tumori yepituitary ingave ichiisa muhupi hwehupi
- Kuderedza kana kuchinja zviratidzo zveAcromegaly.
Iyo nzira huru yekurapa ndeyi:
- Kuvhiya kubvisa chirwere chepituitary - muzviitiko zvizhinji, kurapa kwakanyanya.
- Mishonga yekuderedza huwandu hwekukura kwehomoni uye kuparadza tumarara - Parlodel (bromocriptine), Sandostatin (octreotide), uye Somatuline Depot (lanreotide).
- Radiation therapy - kukanganisa maronda asina kukwaniswa kubviswa zvachose nekuvhiyiwa.
- Mishonga inogadzirisa migumisiro yekukura kwehomoni uye inoderedza IGF-I - Somavert (pegvisomant).
Kutsvakurudza
Vatsvakurudzi veFederico II University yeNaples muItaly vakadzidza vanhu 86 vane acromegaly avo vakapiwa mishonga isati yasvika uye inotevera ichitsvaga kusarudzwa (resection) yemakumbo avo.
Vakawana kuti resection yevanenge 75 muzana yemaromone-kuchengetedza tumarara yakagadzirisa mhinduro kumishonga. Tsvakurudzo yakabudiswa mumagazini yaJanuary 2006 ye Journal of Clinical Endocrinology & Metabolism .
Sources:
> Shamwari, KE "Acromegaly: A new therapy." Cancer Control: Journal of the Moffitt Cancer Center 9 (2002).
> "Acromegaly." Mashoko pamusoro peEndocrine uye Matenda Emagetsi. May 2008. National Institute for Diabetes and Digestive and Kidney Diseases.