Njengoba kwaziwa kusuka ekusebenzeni, amagama amaningi wezokwelapha anesiphetho -oma ahlobene kakhulu noma ngokungaqondile nokwakheka kwezifo zesimila emzimbeni womuntu. Namuhla, inani elikhulu labantu elihlala emhlabeni wonke liyahlupheka ngenxa yezifo ezinjalo. Kulokhu, kufanele sibheke ukuthi yini eyakha i-pancreatic insulinoma nokuthi kungani lesi sifo siyingozi empilweni yomuntu.
Ngokugula okunjenge-insulinoma, ukukhiqizwa kwe-insulin ye-hormone kucishe kube kabili, okuholela ekwandeni kweglucose yegazi nokukhula kwe-hyperinsulinism. Lesi sifo asisijabulisi neze futhi sihambisana nokuwohloka okukhulu kwesimo somzimba womuntu.
Izinqubo nezimbangela zokuthuthuka kwalesi sifo
Isitho esibaluleke njenge-pancreas sinesibopho semetabolism emzimbeni. Kuthinta ukukhululeka kwejusi yesisu ngesikhathi sokugaya ukudla kanye nokudedelwa komsoco, kufaka noshukela.
Futhi, i-iron ibhekele ukufakwa kwe-glucose ngumzimba, ongena emzimbeni kanye nokudla noma eminye imithombo engeyona eye-carbohydrate.
Esimweni esifanele somzimba, umsebenzi wazo zonke izitho nezinhlelo zinobudlelwano obusondelene. Lapho lezi noma lezo zimo zishintsha, abantu abasebenza njenge-levers bayadlala, abanesibopho sokuguqula ezinye izinto bazenze abanye, ngaleyo ndlela kugcinwe ukulingana emzimbeni womuntu wonke.
Le nqubo ibizwa ngokuthi yi-metabolism, yona ebhekele ukucubungula izinto ezingena emzimbeni ezintweni ezibalulekile zamandla ngayo. Le nqubo ibalulekile ekusebenzeni okujwayelekile kwazo zonke izinhlelo.
Endabeni yokuntuleka kwezinto, inqubo iqala masinyane ukuthi icubungula ezinye izinto kwezinye, ngaleyo ndlela igcine ibhalansi yangaphakathi esezingeni elifanele.
Inqubo efanayo ibukeka njengesimo lapho kunokukhishwa ngokweqile kokukodwa kwezinto. Kulokhu, ngenqubo ende ye-hyperinsulism, umzimba womuntu usebenza ngemodi ethuthukisiwe futhi ihora alikho lapho, ngenxa yokuqothuka kwe-insulin ye-hormone, ukungasebenzi kahle emzimbeni womuntu.
Uma kwenzeka kwe-insulinoma ye-pancreatic, kwakhiwa amaqhubu amancane ebusweni besitho, ububanzi bawo abudluli ku-3 cm Ngokwesilinganiso esifanayo, isimila esisodwa noma eminingana singakha esitho. Lokhu kungenxa yomonakalo weseli ku ... Izinhlobo zingaba nombala opinki noma onsundu.
Kuneziphakamiso ukuthi ukwakheka kwezimila kumanyikwe kulele ekungasebenzi kahle kwendlela yesisu kanye nalo lonke uhlelo lokugaya ukudla. Njengoba phambi kwezifo zalesi sitho cishe zonke izinhlelo zihlupheka, kungenzeka ukuthi ama-insulinomas akhiwa ngokuqondile ngenxa yokugula kwesisu.
Ngaphezu kwalokho, isizathu kungenzeka silele ukungondleki. Njengoba sekuvele kufakazelwe ngaphambili ukuthi uma umuntu eqala ukudla imifino nezithelo njalo, umzimba uqobo uzoqala kabusha uphinde ulungise izindawo ezonakele.
Ngokuhambisana nalokhu, noma yiziphi ezinye izimo ze-hypoglycemic nazo zingaba nomthelela olimazayo kumetabolism womzimba womuntu.
Ngoba, ngenxa yalokhu, konke ukuphambuka okulandelayo kungathinta ngokungaqondile ukuthuthukiswa kwezifo ezinjenge-insulinoma ye-pancreatic:
- Ukuzila isikhathi eside nokukhathala okwalandela;
- Ukwehla kwenqubo yokufaka i-carbohydrate ngokusebenzisa izindonga zesisu;
- Uhlobo olungapheli noma olubi lwe-enterocolitis;
- Ukuvuselelwa kwesisu;
- Imiphumela eqinile yezinto ezinobuthi kumaseli wesibindi;
- I-Renal glycosuria;
- Ukungasebenzi kahle komzimba emzimbeni nokuphazamiseka kwengqondo, okuholela ekunciphiseni kwesifiso sokudla;
- Amazinga wegazi aphansi ama-hormone e-thyroid;
- Uhlobo olubi lokuntuleka kwe-adrenal;
- Ukwehla komsebenzi osebenzayo we-pituitary gland, nayo enesibopho sokuthuthuka nokukhula
- Inomphumela olimazayo emsebenzini we-hormone insulin.
Izimpawu zesifo
Ukubonakaliswa kwezimpawu zokugula okunjalo okungajabulisi njenge-insulinoma kuncike ngqo ezingeni lomsebenzi wayo wehomoni.
Kulesi simo, lesi sifo singaba yi-asymptomatic, noma sibe nezimpawu zomumo olandelayo:
- Ukukhathala okujwayelekile komzimba okujwayelekile;
- Ukwanda kokujuluka;
I-hypoglycemia ebukhali, okuthi ngehla elibukhali ushukela wegazi kuhambisane nempilo engeyinhle;- Tremor yemikhawulo ephezulu nangaphansi;
- Isithunzi esingeyona yemvelo yesikhumba sombala;
- I-palpitations yenhliziyo (tachycardia);
- Ukubonakaliswa okunzima kwendlala;
- Ubuhlungu bekhanda nesiyezi;
- I-failing noma i-pre-syncope;
- Umuzwa ojwayelekile wokukhathazeka nokwesaba ukwethuka.
I-hypoglycemia ebukhali, okuthi ngehla elibukhali ushukela wegazi kuhambisane nempilo engeyinhle;Njengomthetho, lapho kunezimpawu ezingenhla, umuntu unikezwa ukuhlolwa okugcwele, efuna ukungasebenzi kahle kwezinye izitho zomzimba. Imvamisa, iziguli zitholakala nangokuthi sinesifo sikashukela. Futhi kuphela ngemuva kokuhlolwa okujulile kwe-ultrasound of the patity esiswini, kwembulwa imbangela yazo zonke izifo kanye nokuphazamiseka kwesimo se-pancreatic insulinoma.
Ngesikhathi lesi sifo, ngenxa yalokho, umuntu uhlangabezana nokungasebenzi kahle kohlelo lwezinzwa oluphambili, okuthi, njengoba umthetho, kufaka phakathi ukuwohloka kokuzwa, umbono, kanye nokuquleka. Emzimbeni womuntu, i-hypoglycemia iyingozi ngoba ukuswelakala kweglucose kungaholela ekuwohlokeni kwesimo ngokushesha kwesimo.
Ngokuvela njalo kokuqanjwa, umuntu angaba nenkinga yengqondo engasakwazi ukubuyiselwa emuva.
Kuyaqapheleka ukuthi ngokwephula umzimba okwanele wama-carbohydrate emzimbeni womuntu, impendulo ingaqala, lapho abantu abaningi bethola khona isisindo ngokweqile ngokushesha, ngaleyo ndlela complic umsebenzi womzimba wonke.
I-insulinoma, izimpawu esayihlolisisa, yisifo esiyingozi empilweni yabantu. Njengoba isiguli, nge-hyperinsulism siqala ukudla kaningi ngenxa yokuthi ayihlali ishiya umuzwa wokulamba. Endabeni ye- "gluttony" - ayenzeki kaningi, ukuthobeka komzimba okuvame kakhulu.
Ngenxa yokuthi ngenxa yokuntuleka kwama-carbohydrate, umzimba uqala ukucubungula ubunzima bemisipha kube ama-carbohydrate adingekayo ukuze kulondolozwe imetabolism yangaphakathi - lesi isithombe esijwayelekile esinenkambo ende yesifo esinjenge-insulinoma.
Ukuxilongwa kwalesi sifo
Ukuxilongwa kwe-insulinoma, okungahle kutholakale hhayi ngokushesha, kepha ngemuva kwamasonto ambalwa ngisho nezinyanga, yisifo esingathandeki neze, esivame ukuholela ekuhlaselweni kwe-hypoglycemic.
Lesi sifo kunzima ukusithola, ngoba lokhu udinga ukwenza izivivinyo ezinkulu nezivivinyo eziningi. Lokhu kungenxa yokuthi ezinye izifo ezingathi sína nazo zingaba nezimpawu ezifanayo, ukuxilongwa kwazo odokotela abazinaka kuqala.
Imvamisa, i-insulinoma ingadidaniswa ne-tumor yobuchopho, unhlangothi, isithuthwane, ukugula kwengqondo noma i-neurasthenia.
Ukuthola lesi sifo, kwenziwa izifundo ezilandelayo:
- Ukuhlaziywa kwe-biochemical nokujwayelekile kwegazi lomuntu;
- Ukuhlaziywa okujwayelekile komchamo ushukela ne-acetone;
- Njengengxenye yokwelashwa kokugula okungapheli, kunconywa i-fluorography;
- Ukuhlolwa kwegazi kokuqukethwe ushukela.
- ECG
- Uma kunesidingo, i-Rh factor nohlobo lwegazi lesiguli kunqunywa.
Ngemuva kwalezi zinqubo, umuntu one-insulinoma unikezwa uchungechunge olulandelayo lwezivivinyo:
isampula enomthwalo weglucose;
- Iphrofayili ye-glycemic yomzimba womuntu inqunywa;
- I-scan scan, ekuvumela ukuthi uqaphele ngokushesha ukuba khona kwalesi sifo kumanyikwe;
- I-angiography ekhethiwe, evumela ukwenziwa kwasendaweni ukwakheka kwesimila ngokunemba okungu-90%;
- Ukuhlolwa kwegazi kwama-hormone;
- Izinga le-insulin elikhona egazini lesiguli ngesikhathi sokuhlasela selilungisiwe;
- Ukutadisha isisu;
- I-EEG yobuchopho;
- I-Ultrasound yama-pancreas kanye nesisu sesisu.
Ukuba khona kwalesi sifo lapho umuntu esekhulile kuyingozi enkulu, ngoba izicubu zenhliziyo zivele zisebenza kancane kakhulu, futhi ngokubulawa yindlala kwe-hypoglycemic, izicubu zenhliziyo zibulawa yindlala ngokwengeziwe ngaphandle kokuthola umsoco ofanele, okubuye kwandise umthwalo kwi-myocardium.
I-pancreatic insulinoma, izimpawu zazo kubantu ezingaba zesimweni esehlukile, nayo inomphumela olimazayo kwezinye izitho zomzimba. Isistimu yezinzwa ephakathi ithinteka ikakhulukazi ngokuba khona kwayo nokuhlaselwa njalo, okuthi, ngenxa yokwehla njalo koshukela wegazi, kungaholela umuntu ekuphazamisekeni kwengqondo okungathi sína.
Ukwelashwa kwezifo
Uma sikhuluma ngokwelashwa kwalesi sifo, ngakho-ke asikho isisombululo sezokwelapha salesi sifo. Kungcono ukususa ngokushesha i-node eyakhiwe, kepha lokhu kudinga ukungenelela kodokotela ohlinzayo, futhi ukusebenza kuzodinga ukwenziwa kwe-insulinoma okunembile, kanye nosayizi wayo nenani lezindawo ezonakalisiwe zamanyikwe ngaphansi kwephimbo lazo.
Kuyaqapheleka ukuthi impumelelo yokungenelela kokuhlinza inqunywa ngokulawulwa okwengeziwe koshukela wegazi.
Ngokuhlala kwayo ngokwejwayelekile nokusondela kokujwayelekile, singasho ukuthi ukuhlinzwa kwasebenza ngempumelelo.
Kodwa-ke, ukungenelela kokuhlinzwa kungafaka imiphumela emibi eminingana nge-pancreatitis noma i-pancreatic necrosis, ezokwenza umuntu ancike emithini.
Ngaphezu kwalokho, ubunzima bokusebenza buhlala eqinisweni lokuthi ama-pancreas akhiwe ajule kakhulu futhi izitho ezibalulekile zigxilisiwe ezungezile, yingakho noma yisiphi isenzo esingalungile sodokotela singenza umuntu akhubazeke impilo yonke.
Kulokhu, lapho kukhona ama-insulinomas, kunconywa ukukhetha isu elijwayelekile lokwelapha, eluselwa ekukhululekeni kwe-hypoglycemia, ngakho-ke, kuzokwazi ukumisa ngokuphelele ukwenzeka okungenzeka kokuhlaselwa kwe-hypoglycemic.
