Iyini i-Insulinoma?

I-insulinoma iyivelakancane uhlobo lwesimila se-pancreatic. Amanyikwe akhiqiza i-insulin ukuze alondoloze amazinga kashukela egazini. Endabeni ye-insulinoma, amanyikwe aqala ukukhiqiza i-insulin eningi kunenani elidingekayo. Ngenxa yalokho, izinga likashukela egazini lehla kakhulu okuholela ku-hypoglycemia enzima. 

Ama-insulinomas awavamile futhi awasakazeki kwezinye izindawo zomzimba, futhi lezi zimila azinawo umdlavuza. Ngokuvamile zincane kakhulu ngosayizi.

Izimpawu ze-Insulinoma

Azikho izimpawu ezicacile noma izimpawu ze-insulinoma. Angase abonakale kuye ngobucayi becala ngalinye. Izimpawu ngokuvamile ziba mnene futhi ezinye izimpawu ze-insulinoma zingabandakanya okulandelayo:

• Ukwandisa ukudla
• Isiyezi nokujuluka
• Umbono ophindwe kabili noma ofiphele
• Ukukhathazeka nokucasuka kwemizwa
• Ukuqhaqhazela, ukudideka nokuzizwa ubuthakathaka
• Ukuzuza kwesisindo kungazelelwe

Uma izimpawu ziba zimbi kakhulu, zingaphazamisa ubuchopho. Uma izindlala ze-adrenal zithinteka, ukulawulwa kokushaya kwenhliziyo kungase kuthinteke

Ukuquleka, ukuquleka, ukuquleka, njll ezinye izimpawu ezibonisa ubunzima besifo. Uma i-insulinoma iba nkulu ngosayizi, ingasakazekela kwezinye izingxenye zomzimba ibangele ubuhlungu besisu, isifo sohudo, ukuhlungu obusemhlane kanye ne-jaundice.

Izinkinga ze-Insulinoma

Kunzima ukuthola izizathu ezicacile ezibangela i-insulinoma. Amathumba akhula ngaphandle kokubonisa izimpawu.

Ukuxilongwa kwe-insulinoma

Njengengxenye yokuxilongwa kwe-insulinoma, ukuhlolwa kwegazi kwenziwa ukuhlola ushukela wegazi namazinga e-insulin. Uma izinga likashukela egazini liphansi kodwa izinga le-insulin liphezulu, lokho kuqinisekisa i-insulinoma. Kungase kube nokuzila ukudla kwamahora angu-72 kuyilapho uqashwe udokotela futhi kufanele uhlale esibhedlela ngenxa yale nqubo. I-MRI ne-CT scan zisetshenziselwa ukwazi ngesimila ngokunemba. I-Endoscopic ultrasound ingasetshenziswa uma isimila singatholakali nge-MRI noma i-CT scan. Konke lokhu kuhlola kusiza ukwazi ubukhulu besimila. Isampula lesicubu sithathwa ku-insulinoma ukuze kuhlolwe amathuba okuba nomdlavuza.

Ukwelashwa kwe-Insulinoma

Ukukhipha i-insulinoma ngokuhlinzwa kuyindlela engcono kakhulu yokuyisusa. Uma kunenqwaba yezimila khona-ke ingxenye ye-pancreas nayo ikhishwa kanye nawo. Uhlobo lokuhlinzwa luncike enanini lamathumba nendawo yawo. Ukuhlinzeka nge-laparoscopic kwenziwa ukususa isimila esisodwa nesincane. Lokhu ukuhlinzwa okuphephile kakhulu okwelapha isimo. Kwesinye isikhathi ukususwa kwe-insulinoma ngeke kwanele futhi kudinga ezinye izindlela zokwelapha lapho izimila zinomdlavuza. Uma kunjalo, i-radiofrequency ablation, i-cryotherapy noma i-chemotherapy iyadingeka ukuze kubulawe amangqamuzana omdlavuza. Uma ukuhlinzwa kungakwazi ukusiza isiguli, udokotela angase asinikeze imithi yokulawula amazinga kashukela egazini. 

Azikho izinkinga uma ukuhlinzwa kwenziwa futhi iningi labantu liphila ngaphandle kwezinkinga zempilo. Amathuba okuphinda akhona esikhathini esizayo kulabo ababenamathumba angaphezu kwelilodwa. Isibalo sabantu abathola isifo sikashukela ngemuva kokuhlinzwa siphansi kakhulu. Kwenzeka lapho ingxenye enkulu ye-pancreas ikhishwa. Iziguli ezinomdlavuza we-insulinoma zingase zibe nezinkinga uma umdlavuza usakazekela kwezinye izitho. Uma kunjalo, udokotela ohlinzayo akakwazi ukususa izimila ngokuphelele.

Ukuvimbela i-Insulinoma

Odokotela namanje abazazi izizathu eziyinhloko zokusungulwa kwe-insulinoma kanye nokuvimbela kwabo. 

Kodwa-ke, ukudla okunempilo nokusebenza okuvamile kungasiza ekuvimbeleni i-hypoglycemia. Ukunciphisa ukudla inyama ebomvu kusiza ekugcineni amanyikwe akho enempilo. Ukubhema kungathinta amanyikwe wakho, ngakho-ke kungcono ukuwuyeka.

Isiphetho

I-insulinoma ayigwemeki kodwa iyelapheka ngokuqinisekile. Azaziwa izici eziholela kulolu hlobo lwesimila. Kodwa zingasuswa ngokuhlinzwa ukuze zinikeze impumuzo ngezinga elikhulu ezimweni eziningi. I-Cancer insulinoma idinga ukwelashwa okufanele njengoba ingase ithinte ezinye izitho ngenxa yokuba khona kwamangqamuzana omdlavuza ezimila. Kubalulekile ukuthi uhlole amazinga kashukela uma umzimba wakho ukhombisa izimpawu ezichazwe ngenhla. Kodwa-ke, izimpawu zithambile kakhulu futhi zingase zibalekele ukuxilongwa. Ukuthuthukisa imikhuba enempilo futhi ukuzihlola njalo kungakuvikela ezifweni nasezifweni eziningi, i-insulinoma ingesinye sazo.