Glucagonoma
Glucagonoma ke hlahala e sa tloaelehang haholo ea lisele tsa sehlekehleke sa manyeme, e lebisang ho fetelleng ha hormone ea glucagon maling.
Glucagonoma hangata e na le mofetše (e bohloko). Kankere e atisa ho ata le ho mpefala.
Kankere ena e ama lisele tsa sehlekehleke sa manyeme. Ka lebaka leo, lisele tsa sehlekehleke se hlahisa hormone ea glucagon e ngata haholo.
Lebaka ha le tsejoe. Lintho tsa lefutso li nka karolo maemong a mang. Nalane ea lelapa ea lefu lena la mofuta oa endocrine neoplasia mofuta oa I (MEN I) ke sesosa sa kotsi.
Matšoao a glucagonoma a kenyeletsa tse latelang:
- Ho hloka mamello ea glucose ('mele o na le bothata ba ho senya tsoekere)
- Tsoekere e phahameng maling (hyperglycemia)
- Letšollo
- Lenyora le feteletseng (ka lebaka la tsoekere e phahameng maling)
- Ho rota khafetsa (ka lebaka la tsoekere e phahameng maling)
- Ho eketsa takatso ea lijo
- Molomo le leleme le ruruhileng
- Ho rota bosiu (bosiu)
- Ho phatloha ha letlalo sefahlehong, mpeng, marameng, kapa maotong ho kenang le ho tsamaea
- Ho fokotsa boima ba 'mele
Maemong a mangata, mofets'e o se o nametse sebeteng ha o fumanoa.
Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele' me a botse nalane le matšoao a hau a bongaka.
Liteko tse ka etsoang li kenyelletsa:
- CT scan ea mpa
- Tekanyo ea glucagon maling
- Tekanyo ea tsoekere maling
Hangata ho buelloa ho buoa ho tlosa hlahala. Hangata hlahala ha e arabele chemotherapy.
U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang le mathata ho ka u thusa hore u se ke ua ikutloa u le mong.
Hoo e ka bang 60% ea lihlahala tsena li na le mofetše. Ho tloaelehile hore mofetše ona o namele sebeteng. Ke batho ba ka bang 20% feela ba ka folisoang ka ho buuoa.
Haeba hlahala e le manyeme feela mme ho buuoa ho e ntša ho atlehile, batho ba na le pholoho ea lilemo tse 5 ea 85%.
Kankere e ka namela sebeteng. Tekanyo e phahameng ea tsoekere maling e ka baka mathata ka metabolism le tšenyo ea lisele.
Bitsa mofani oa hau haeba u bona matšoao a glucagonoma.
BANNA I - glucagonoma
- Litšoelesa tsa endocrine
Webosaete ea National Cancer Institute. Pancreatic neuroendocrine tumors (islet cell tumors) kalafo (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/pancreatic/hp/pnet-tlhare-pdq. E ntlafalitsoe ka la 8 Hlakola 2018. E fihlile ka la 12 Pulungoana 2018.
Schneider DF, Mazeh H, Lubner SJ, Jaume JC, Chen H. Kankere ea sistimi ea endocrine. Ka: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 5th. Philadelphia, PA: Elsevier Saunders; 2014: khaolo ea 71.
Vella A. Lihormone tsa ka mpeng le lihlahala tsa endocrine. Ka: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, bahlophisi. Buka ea Williams ea Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 38.