He aha ka Acromegaly? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka acromegaly he maʻi hormonal maʻamau ʻole ia e loaʻa ana i ka wā e hana nui ai kou kino i ka hormone ulu, maʻamau i ka wā makua. ʻO kēia nui o ka hormone ulu e hoʻonui ai i kou mau iwi, nā pūnaewele, a me nā ʻōnaehana i ʻoi aku ka nui ma mua o ka maʻamau, e alakaʻi ana i nā loli kino i ʻike ʻia ma hope o kekahi manawa.

ʻOiai he 3 a 4 wale nō ka poʻe i loaʻa i kēia maʻi i kēlā me kēia miliona i kēlā me kēia makahiki, hiki i ka hoʻomaopopo ʻana i kona mau hōʻailona a me ka loaʻa ʻana o ka lapaʻau kūpono ke kōkua iā ʻoe e hoʻokele pono ai. Hoʻomāhuahua mālie nā loli, ʻo ia hoʻi, hiki i ka ʻike mua ʻana a me ka mālama ʻana i nā kauka ke hoʻololi nui i kou olakino.

He aha nā hōʻailona o ka acromegaly?

Hoʻomāhuahua mālie nā hōʻailona o ka acromegaly i nā makahiki he nui, ʻo ia ke kumu i nānā ʻole ʻia ai i ka wā mua. Hoʻololi mālie kou kino i ʻike ʻole paha ʻoe iā lākou koke, a ʻaʻole paha kou ʻohana a me kou mau hoaaloha.

Eia nā loli kino maʻamau āu e ʻike ai:

• Ke ulu nui nei kou mau lima a me kou mau wāwae, e hana ana i nā apo paʻa a me nā kāmaʻa ʻoluʻolu ʻole
• Ke ʻike nui nei nā hiʻohiʻona o ka maka, me ka ihu nui, ka ihu, a me ka lae
• Ke ulu nui nei kou alelo, hiki ke hoʻopilikia i ka ʻōlelo a me ka hanu
• Ke mānoanoa nei ka ʻili, ʻaila, a me ka ulu ʻana o nā hōʻailona ʻili
• Ke ulu nei nā hakahaka ma waena o kou mau niho i ka wā e hoʻonui ai kou ihu
• Ke hohonu a me ka leo ʻoluʻolu o kou leo

Ma waho aʻe o nā loli kino, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe e hoʻopilikia ana i kou manaʻo i kēlā me kēia lā. Hiki i kēia ke komo i nā poʻo ʻeha nui, ka ʻeha a me ka paʻakikī o nā hono, ka luhi ʻaʻole e hoʻomaikaʻi me ka hoʻomaha, a me ka hou nui ʻana ʻoiai ʻaʻole ʻoe e hana.

Loaʻa i kekahi poʻe nā pilikia ʻike, ʻo ka nalowale ʻana o ka ʻike peripheral, no ka mea, hiki i ka maʻi ʻaʻai e hoʻopilikia ana i ka acromegaly ke kaomi i nā mea kokoke i kou lolo. He mea maʻamau hoʻi ka sleep apnea, kahi e hoʻomaha ai a hoʻomaka ai kou hanu i ka wā moe, pinepine ma muli o nā pūnaewele nui i kou ʻāʻī.

He aha ka mea e hoʻokumu ai i ka acromegaly?

ʻO ka acromegaly ka mea i hana ʻia e ka maʻi ʻaʻai maikaʻi ʻole i kou pituitary gland i kapa ʻia ʻo pituitary adenoma. Hana nui kēia maʻi ʻaʻai liʻiliʻi i ka hormone ulu, e hoʻopilikia ana i ke kaulike hormone maʻamau o kou kino.

ʻO kou pituitary gland, ma ka nui o ka pea, e noho ana ma ke kumu o kou lolo a hoʻokuʻu maʻamau i ka nui kūpono o ka hormone ulu. Ke ulu mai kahi maʻi ʻaʻai ma laila, e hana ia e like me kahi wai ʻaʻole hiki ke hoʻohuli, e hoʻokuʻu mau ana i ka hormone nui i loko o kou koko.

I nā hihia maʻamau ʻole loa, hiki i ka acromegaly ke hana ʻia e nā maʻi ʻaʻai i nā ʻāpana ʻē aʻe o kou kino, e like me kou pancreas a i ʻole nā ​​māmā, e hana ana i ka hormone ulu-hoʻokuʻu hormone. Hōʻailona kēia mau maʻi ʻaʻai i kou pituitary gland e hana i ka hormone ulu nui, e hana ana i ka hopena like.

ʻAʻole maopopo loa ke kumu o ka ulu ʻana o kēia mau maʻi ʻaʻai pituitary. ʻAʻole ia i hoʻoilina ʻia i ka hapanui o nā hihia, a ʻaʻole ia e like me ka mea i hana ʻia e kekahi mea āu i hana ai a ʻaʻole i hana ai.

I ka wā e ʻike ai i ke kauka no ka acromegaly?

Pono ʻoe e ʻike i ke kauka inā ʻike ʻoe i nā loli mālie i kou helehelena, ʻoiai inā ʻike ʻia kou mau lima, kou mau wāwae, a i ʻole nā ​​hiʻohiʻona o kou maka e ulu nui ana. No ka mea, hoʻomālie kēia mau loli, he mea kōkua ke hoʻohālikelike i nā kiʻi hou me nā kiʻi mai nā makahiki i hala.

Mai kali inā ʻoe e ʻike ana i nā poʻo ʻeha mau, nā loli ʻike, a i ʻole ka ʻeha hono ʻaʻole loaʻa kahi kumu maopopo. ʻO kēia mau hōʻailona, ​​me nā loli kino, e pono ai ka nānā koke ʻana o ke kauka.

ʻO nā pilikia moe, ʻoiai inā ʻike kou hoa iā ʻoe e hū nui ana a i ʻole e hoʻomaha ana i ka wā moe, he kumu nui ia e ʻimi ai i ka mālama olakino. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana inā pili kēia mau hōʻailona i ka acromegaly a i ʻole kekahi maʻi ʻē aʻe.

E hoʻomanaʻo, hiki i ka ʻike mua ʻana a me ka lapaʻau ke pale aku i nā pilikia he nui e pili ana i ka acromegaly. Inā ʻokoʻa kekahi mea e pili ana i kou kino, e hilinaʻi i kou mau manaʻo a e kūkākūkā i kou mau hopohopo me kahi mea mālama olakino.

He aha nā mea pilikia no ka acromegaly?

ʻO ka acromegaly e hoʻopilikia i nā kāne a me nā wahine like a maʻamau e ulu ana ma waena o nā makahiki 30 a me 50, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki. ʻAʻole like ka maʻi i ka ʻohana i ka hapanui o nā hihia, ʻo ia hoʻi, ʻaʻole e hoʻonui nui ka loaʻa ʻana o kahi ʻohana me ka acromegaly i kou pilikia.

ʻAʻohe mau mea hana ola a i ʻole nā ​​hoʻomaʻamaʻa e hoʻonui i kou pilikia o ka loaʻa ʻana o ka acromegaly. ʻIke ʻia nā maʻi ʻaʻai pituitary e hoʻokumu ana i kēia maʻi e ulu kūʻokoʻa, me nā mea hoʻonāukiuki pale ʻole maopopo.

I nā hihia maʻamau ʻole loa, hiki i ka acromegaly ke lilo i ʻāpana o nā maʻi genetic e like me ka Multiple Endocrine Neoplasia type 1 a i ʻole McCune-Albright syndrome. Eia naʻe, he emi iho kēia ma mua o 5% o nā hihia acromegaly a pau.

He aha nā pilikia hiki ke loaʻa i ka acromegaly?

Me ka ʻole o ka lapaʻau, hiki i ka acromegaly ke alakaʻi i nā pilikia olakino koʻikoʻi e ulu ana ma hope o kekahi manawa. Ke hoʻomaopopo nei i kēia mau pilikia e kōkua i ka wehewehe ʻana i ke kumu o ka lapaʻau mua no kou olakino lōʻihi.

ʻO nā pilikia maʻamau loa e hoʻopilikia ana i kou naʻau a me nā kīʻaha koko. Ke ulu nui nei ke koko kiʻekiʻe i ka hapalua o nā kānaka me ka acromegaly, a hiki ke hoʻonui ʻia kou naʻau, e hana ana i ka hana ʻole. Loaʻa i kekahi poʻe ka maʻi diabetes no ka mea, hoʻopilikia ka hormone ulu nui i ke ʻano o ka hoʻohana ʻana o kou kino i ka insulin.

He mea maʻamau loa nā pilikia hono a hiki ke lilo i mea kaupalena loa. Hiki ke mānoanoa a me ka ʻaʻahu ʻole o kou cartilage, e alakaʻi ana i ka maʻi ʻaʻai a me ka ʻeha mau, ʻoiai ma kou kua, nā ʻūhā, a me nā kuli.

Hoʻopilikia ka sleep apnea i nā kānaka he nui me ka acromegaly a hiki ke koʻikoʻi inā waiho ʻia me ka ʻole o ka lapaʻau. Hiki i nā pūnaewele nui i kou ʻāʻī a me kou alelo ke pani i kou ala hanu i ka wā moe, e alakaʻi ana i ka maikaʻi moe maikaʻi ʻole a me ka hoʻoikaika i kou naʻau.

Hiki ke loaʻa nā pilikia ʻike inā ulu nui ka maʻi ʻaʻai pituitary e kaomi i kou mau aʻalolo optic. ʻO ka mea maʻamau, e hoʻopilikia kēia i ka nalowale ʻana o ka ʻike peripheral, hiki ke hoʻopilikia i kou hiki ke hoʻokele kaʻa palekana a i ʻole ke alakaʻi i kou wahi.

ʻO ka ʻoiaʻiʻo maikaʻi, hiki i ka lapaʻau kūpono ke pale aku i kēia mau pilikia a hoʻihoʻi hou i kekahi o lākou, ʻoiai i ka wā i hopu mua ʻia ai.

Pehea ka hōʻoia ʻana o ka acromegaly?

ʻO ka hōʻoia ʻana o ka acromegaly maʻamau e komo pū ana i nā ho'āʻo koko e ana i kou hormone ulu a me nā pae insulin-like growth factor 1. E hoʻomaka paha kāu kauka me kēia mau ho'āʻo inā manaʻo lākou he acromegaly ma muli o kou mau hōʻailona a me ka nānā kino.

No ka mea, hoʻololi nā pae hormone ulu i kēlā me kēia lā, hiki i kāu kauka ke hoʻohana i kahi ho'āʻo hoʻomanawanui glucose. E inu ʻoe i kahi wai ʻono, a laila e ho'āʻo ʻia kou koko e ʻike inā e hāʻule ana kou mau pae hormone ulu maʻamau, ʻo ia hoʻi, pono lākou i nā kānaka olakino.

Ke hōʻoia nā ho'āʻo koko i ka hormone ulu nui, pono ʻoe i nā haʻawina kiʻi e ʻike i ke kumu. Hiki i kahi MRI o kou lolo ke ʻike i nā maʻi ʻaʻai pituitary, ʻoiai pono paha nā scan ʻē aʻe inā aia ka maʻi ʻaʻai ma kahi ʻē aʻe o kou kino.

Hiki i kāu kauka ke ho'āʻo i kou ʻike a nānā i nā kaulike hormone ʻē aʻe, no ka mea, hiki i nā maʻi ʻaʻai pituitary ke hoʻopilikia i ka hana ʻana o nā hormone koʻikoʻi ʻē aʻe e like me ka cortisol a i ʻole ka hormone thyroid.

He aha ka lapaʻau no ka acromegaly?

ʻO ka lapaʻau no ka acromegaly e kau nei ma ka hoʻemi ʻana i nā pae hormone ulu i ka maʻamau a me ka hoʻokele ʻana i nā hōʻailona. ʻO ke ala kūikawā e hilinaʻi ana i ka nui a me ka wahi o kou maʻi ʻaʻai, kou olakino holoʻokoʻa, a me kou makemake.

ʻO ka ʻoki pinepine ka lapaʻau mua, ʻoiai no nā maʻi ʻaʻai pituitary liʻiliʻi. Hiki i kahi neurosurgeon akamai ke wehe i ka maʻi ʻaʻai ma o kou ihu me ka hoʻohana ʻana i kahi ʻenehana minimally invasive i kapa ʻia ʻo transsphenoidal surgery. Hoʻolako pinepine kēia ala i nā hopena koke me ka hoʻōla wikiwiki.

Hiki i nā lāʻau lapaʻau ke loaʻa ka hopena maikaʻi loa, ʻoiai inā ʻaʻole hiki ke hana ʻia ka ʻoki a i ʻole ʻaʻole e hoʻoponopono piha i nā pae hormone. Hana kēia mau lāʻau i nā ʻano like ʻole - kekahi e pani ana i nā mea hoʻokipa hormone ulu, ʻoiai kekahi e hoʻemi ana i ka hana hormone mai ka maʻi ʻaʻai ponoʻī.

Hiki ke ʻōlelo ʻia ka radiation therapy inā ʻaʻole e kaohi pono nā lāʻau lapaʻau a me nā lāʻau lapaʻau i kou mau pae hormone. ʻOiai ke hana mālie nei ka radiation i nā makahiki he nui, hiki ke loaʻa ka hopena maikaʻi loa no ka kaohi lōʻihi.

E komo paha kāu papahana lapaʻau i kahi hui o nā loea, me kahi endocrinologist e kūikawā ana i nā maʻi hormone a me kahi neurosurgeon paha. Ke hōʻoia nei ka nānā mau ʻana i ka hana ʻana o kāu lapaʻau a ke kōkua nei e hopu i nā loli koke.

Pehea e hoʻokele ai i ka acromegaly ma ka home?

ʻO ka hoʻokele ʻana i ka acromegaly ma ka home e komo pū ana i ka lawe mau ʻana i kāu mau lāʻau lapaʻau a me ka nānā pono ʻana i kou mau hōʻailona. E mālama i kahi moʻolelo o kou manaʻo, me nā pae ikehu, ka ʻeha hono, a me nā loli i kou helehelena.

Hiki i ka hoʻoikaika kino mau ke kōkua i ka mālama ʻana i ka hoʻoikaika hono a me ka hoʻokele ʻana i kekahi mau hōʻailona, ​​ʻoiai pono ʻoe e kūkākūkā i nā hana kūpono me kāu kauka. ʻO ka ʻauʻau a me ka hoʻolōʻihi mālie he koho maikaʻi pinepine ia ʻaʻole e kau i ka hoʻoikaika nui i nā hono nui.

Inā loaʻa iā ʻoe ka sleep apnea e pili ana i ka acromegaly, hiki i ka hoʻohana ʻana i kahi mīkini CPAP e like me ka mea i kuhikuhi ʻia ke hoʻomaikaʻi nui i kou maikaʻi moe a me nā pae ikehu. Ke hana nei i kahi papa moe mau e kōkua pū ana i kou kino e hoʻomaha a hoʻōla.

Ke hoʻokele nei i nā kūlana olakino ʻē aʻe e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe e lilo i mea koʻikoʻi loa i ka wā e loaʻa ai iā ʻoe ka acromegaly. E hahai i nā ʻōlelo a kāu kauka no ka ʻai, nā lāʻau lapaʻau, a me ka nānā pono ʻana i kēia mau kūlana.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ma mua o kāu hālāwai, e hōʻiliʻili i nā kiʻi o ʻoe iho mai nā manawa like ʻole, ʻoiai he mau makahiki. Hiki i kēia mau hoʻohālikelike kiʻi ke kōkua i kāu kauka e ʻike i nā loli ʻaʻole maopopo paha i ka wā hoʻokahi.

E hana i kahi papa inoa kikoʻī o kāu mau hōʻailona a pau, me ka wā āu i ʻike mua ai iā lākou a pehea lākou i loli ai i ka manawa. E komo pū i nā pilikia ʻaʻole pili e like me nā poʻo ʻeha, ka ʻeha hono, a i ʻole nā ​​pilikia moe, no ka mea, hiki i kēia mau mea a pau ke pili i ka acromegaly.

E lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei, me nā moʻolelo olakino ma mua e pili ana paha. Inā ua hana ʻoe i ka hana koko i ka manawa hou, e lawe mai i kēlā mau hopena.

E noʻonoʻo e lawe mai i kahi lālā ʻohana hilinaʻi a hoaaloha paha e hiki ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi a hāʻawi i ke kākoʻo i ka wā hālāwai. Hiki iā lākou ke ʻike i nā loli i kou helehelena ʻaʻole ʻoe i ʻike iā ʻoe iho.

He aha ka mea nui e pili ana i ka acromegaly?

ʻO ka acromegaly he kūlana hoʻokele hiki ke hoʻokele ʻia i ka wā i hōʻoia ʻia a mālama ʻia. ʻOiai hiki i nā loli kino ke hopohopo, hiki i nā lapaʻau maikaʻi ke kaohi i nā pae hormone a pale aku i nā pilikia koʻikoʻi.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua ʻana a me ka lapaʻau e alakaʻi i nā hopena maikaʻi. Inā ʻike ʻoe i nā loli mālie i kou helehelena a i ʻole ʻike ʻoe i nā hōʻailona mau e like me nā poʻo ʻeha a me ka ʻeha hono, mai kānalua e kūkākūkā me kāu kauka.

Me ka mālama olakino kūpono, hiki i ka hapanui o nā kānaka me ka acromegaly ke ola i nā ola maʻamau, olakino. Ua hoʻomaikaʻi nui ʻia ka lapaʻau i nā makahiki i hala, e hāʻawi ana i nā koho maikaʻi he nui no ka kaohi ʻana i kēia maʻi.

Nā nīnau pinepine e pili ana i ka acromegaly

Hiki ke ho'ōla piha ʻia ka acromegaly?

Hiki i nā kānaka he nui me ka acromegaly ke loaʻa nā pae hormone ulu maʻamau me ka lapaʻau kūpono, e kaohi pono ana i ka maʻi. ʻOiai hiki ke mau kekahi mau loli kino, hiki i ka lapaʻau ke pale aku i ka holomua hou a hoʻemi i nā hōʻailona he nui. Hiki i ka ʻoki ke hāʻawi i ka ho'ōla piha, ʻoiai no nā maʻi ʻaʻai liʻiliʻi.

He ʻeha anei ka acromegaly?

Hiki i ka acromegaly ke hoʻokumu i ka ʻeha hono nui a me nā poʻo ʻeha, akā hoʻomaikaʻi pinepine kēia mau hōʻailona me ka lapaʻau. ʻO ka ʻeha hono maʻamau ka hopena o ka cartilage nui a me nā loli like me ka maʻi ʻaʻai, ʻoiai hiki i nā poʻo ʻeha ke hana ʻia e ka maʻi ʻaʻai pituitary ponoʻī. ʻO ka hoʻokele ʻeha he ʻāpana koʻikoʻi ia o ka lapaʻau holoʻokoʻa.

Pehea ka wikiwiki o ka ulu ʻana o nā hōʻailona?

Hoʻomālie nā hōʻailona o ka acromegaly i nā makahiki he nui, ʻo ia ke kumu i ʻike ʻole ʻia ai ka maʻi no ka manawa lōʻihi. Ma ka awelika, loaʻa i nā kānaka nā hōʻailona no 7 a 10 mau makahiki ma mua o ka loaʻa ʻana o ka hōʻoia. Hana kēia holomua mālie i ka maʻalahi e hoʻokuʻu i nā loli mua e like me ka ulu ʻana maʻamau.

E hoʻi paha koʻu helehelena i ka maʻamau ma hope o ka lapaʻau?

Hiki ke hoʻomaikaʻi kekahi mau loli me ka lapaʻau, ʻoiai ka pehu o nā pūnaewele palupalu, akā he mau mau loli iwi e like me nā lima nui, nā wāwae, a me nā hiʻohiʻona o ka maka. Eia naʻe, he mea nui ka ho'ōki ʻana i ka holomua o kēia mau loli no ka pale ʻana i nā pilikia a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola.

Hiki iaʻu ke loaʻa nā keiki inā loaʻa iaʻu ka acromegaly?

ʻAe, hiki i nā kānaka he nui me ka acromegaly ke loaʻa nā keiki, ʻoiai hiki i ka maʻi ke hoʻopilikia i ka momona i kekahi mau hihia. Hiki i nā maʻi ʻaʻai pituitary ke hoʻopilikia i nā hormone hoʻohua, akā hiki ke hoʻokele pinepine ʻia kēia me ka lapaʻau. E kūkākūkā i ka hoʻolālā ʻohana me kāu hui mālama olakino e hōʻoia i ke ala palekana loa no ʻoe.