Acromegaly ndi matenda a mahomoni omwe ali ndi kuchulukitsa kwa mphamvu ya hormone. Ngati matendawa ayamba muunyamata, amatchedwa gigantism.
Matenda ambiri a acromalgaly amayamba chifukwa cha chotupa (osati khansa) chotupa cha ubongo mu ubongo. Chotupacho chimapanga kuchuluka kwa hormone ya kukula, ndipo pamene ikukula imapangika minofu ya ubongo kuzungulira.
Zambiri mwa zotupazi zimachitika mwadzidzidzi ndipo sizinatengedwe mwakuthupi.
Muzochitika zingapo, kupweteka kwa m'mimba kumachitika ndi chotupa kwinakwake m'thupi, monga m'mapapo, zikondamoyo kapena matenda a adrenal.
Zizindikiro
Ziphuphu zina zimakula pang'onopang'ono ndipo zimatulutsa pang'ono kukula kwa hormone, kotero kupweteka kwa magazi sikukudziwika kwa zaka zingapo. Ziphuphu zina, makamaka kwa achinyamata, zimakula mofulumira ndipo zimapanga kuchuluka kwa ma hormone. Zizindikiro za acromegaly zimachokera ku hormone ya kukula ndi kuchoka kwa chifuwa cha ubongo, ndipo zingaphatikizepo izi:
- Kukula kwakukulu kwa manja ndi mapazi
- Kusintha kwa nkhope kumaso: kutsogolo, nsagwada, ndi mphuno; milomo yaikulu ndi lilime
- Arthritis
- Mutu
- Zovuta kuona
- Khungu lolimba, losalala, ndi mafuta
- Kusungunuka kapena kupuma kupuma pamene mukugona (kugona tulo)
- Kutupa ndi khungu lamoto
- Kutopa ndi kufooka
- Kukulitsa kwa ziwalo monga chiwindi, nthenda, impso, mtima
Acromegaly ingayambitsenso matenda a shuga , kuthamanga kwa magazi , ndi matenda a mtima.
Ngati chotupa chikukula muubwana, gigantism imachokera ku kukula kosalekeza kwa mafupa. Mnyamata wamkuluyo amakula wamtali kwambiri (nthawi imodzi, kutalika kwa mainchesi 8 mpaka 9).
Kudziwa
Kuyesera mlingo wa kukula kwa hormone m'magazi pamayeso ya pakamwa mayesero olekerera ndi njira yodalirika yotsimikizirira kuti matenda a acromegaly akupezeka.
Madokotala amatha kuyeza maselo a magazi ena, otchedwa insulini monga kukula I (IGF-I), yomwe imayang'aniridwa ndi hormone ya kukula. MaseĊµera apamwamba a IGF-ine kawirikawiri amasonyeza kuvomereza. Pogwiritsa ntchito computed tomography (CT) kapena kupenda maginito (MRI) za ubongo, madokotala amatha kuyang'ana chotupa chachitukuko ngati akuganiza kuti acromgaly imaganiza.
Chithandizo
Chithandizo cha acromgaly chili ndi:
- Kuchepetsa kuchuluka kwa ma hormone akukula opangidwa
- Kuchotsa vuto limene chifuwachi chimakhala chovala pa ubongo
- Kuchepetsa kapena kusintha zizindikiro za acromegaly.
Njira zazikulu zothandizira ndi:
- Kuchita opaleshoni pofuna kuchotsa chotupa chopuma - nthawi zambiri, mankhwala othandiza kwambiri.
- Mankhwala othandizira kuchepetsa kukula kwa hormone ndi kuchepetsa chotupa - Parlodel (bromocriptine), Sandostatin (octreotide), ndi Somatuline Depot (lanreotide).
- Mankhwala othandizira mazira - kutaya makoswe omwe sangathe kuchotsedwa kwathunthu ndi opaleshoni.
- Mankhwala omwe amalepheretsa zotsatira za kukula kwa hormoni ndi kuchepetsa IGF-I - Somavert (pegvisomant).
Kafukufuku
Ochita kafukufuku pa yunivesite ya Federico II ku Naples ku Italy anaphunzira anthu 86 omwe ali ndi acromalidy omwe anapatsidwa mankhwala asanayambe kutsatizana (resection) ya matumbo awo.
Apeza kuti resection ya pafupifupi 75% ya chotupitsa chitetezo cha mahomoni chinalimbikitsa yankho kwa mankhwala. Kafukufukuyu anafalitsidwa mu Journal 2006 ya Journal of Clinical Endocrinology & Metabolism .
Zotsatira:
> Bwenzi, KE "Acromegaly: mankhwala atsopano." Khansa Control: Journal of the Moffitt Cancer Center 9 (2002).
> "Acromegaly." Information on Endocrine ndi Matenda a Zamadzimadzi. May 2008. Institute of Diabetes and Digestive and Kidney Diseases.