He aha ka Carcinoid Syndrome? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka carcinoid syndrome kahi hōʻuluʻulu o nā hōʻailona e hiki ke ulu mai i ka wā e hoʻokuʻu ai kekahi mau ʻano ulu lohi i kapa ʻia ʻo nā carcinoid tumors i nā hormones i loko o kou kahe koko. Hoʻomaka pinepine kēia mau tumors i loko o kou ʻōnaehana ʻai a i ʻole nā ​​māmā a hana i nā mea e hana mau ai kou kino i ka nui liʻiliʻi.

ʻOiai he mea hopohopo paha ka inoa, he mau ulu lohi pinepine nā carcinoid tumors a hiki ke hoʻokele ʻia me ka lapaʻau kūpono. Nui nā kānaka e ola ana i nā ola piha a hana nui me kēia kūlana i ka wā e ʻike pono ʻia a mālama ʻia e kā lākou hui lapaʻau.

He aha nā hōʻailona o ka carcinoid syndrome?

ʻO ka hōʻailona i ʻike nui ʻia ka flushing o ka maka e hele mai ana a hele aku me ka manaʻo ʻole. Hiki i kou maka, ʻāʻī, a i kekahi manawa i kou umauma ke lilo i ʻulaʻula a mehana, no kekahi mau minuke a i kekahi mau hola.

ʻO nā hōʻailona āu e ʻike ai e puka mai ana mai nā hormones nui āu e hoʻokuʻu ai kēia mau tumors. Eia nā hōʻailona maʻamau e hōʻike ai kou kino:

• Flushing a i ʻole ʻulaʻula o ka maka e mehana ana i ka pā
• Wai diarrhea e hiki ke hana i nā manawa he nui i kēlā me kēia lā
• Wheezing a i ʻole pilikia i ka hanu, ʻoi aku hoʻi i ka wā o nā manawa flushing
• ʻO ka puʻuwai wikiwiki a i ʻole kūpono ʻole i ka wā o nā hōʻailona
• ʻO ka ʻeha ʻōpū a i ʻole bloating
• Nausea e hiki mai paha me nā manawa flushing

ʻIke kekahi poʻe i nā hōʻailona liʻiliʻi ʻē aʻe e ulu ana i ka manawa. Hiki i kēia ke komo pū me nā loli o ka ʻili ma kou maka a i ʻole nā ​​lima, ʻeha o nā hono, a i ʻole ka pehu ʻana o kou mau wāwae.

ʻO ka mea e kū hoʻokahi ai kēia kūlana, ʻo ia ka hele mai pinepine ʻana o nā hōʻailona i nā manawa ma mua o ka mau ʻana. Hiki iā ʻoe ke manaʻo maikaʻi loa ma waena o nā flares, kahi e hiki ai ke paʻakikī ke ʻike mua i ke kūlana.

He aha ka mea e hoʻokumu ai i ka carcinoid syndrome?

E ulu ana ka carcinoid syndrome i ka wā e hana nui ai nā carcinoid tumors i kekahi mau hormones, ʻoi aku hoʻi ka serotonin. He ʻano neuroendocrine tumor kēia mau tumors e ulu mālie ana a hiki ke ʻike ʻia ma nā ʻāpana like ʻole o kou kino.

ʻIke pinepine ʻia ka syndrome i ka wā e pālahalaha ai nā tumors i kou ate a i ʻole ke kau ʻia ka tumor nui ma waho o kou ʻōnaehana digestive. Hana kēia no ka mea e kānana a wāwahi ai kou ate i nā hormones nui, akā i ka wā e hala ai nā tumors i kēia ʻōnaehana kānana, e piha nā hormones i kou kahe koko.

Nui nā mea e hoʻoholo ai inā e hoʻokumu nā carcinoid tumors i nā hōʻailona syndrome:

• Kahi o ka tumor nui (ʻoi aku ka nui o ka māmā a i ʻole nā ​​ʻāpana digestive)
• Ka nui a me ka nui o nā tumors i loaʻa
• Inā ua pālahalaha nā tumors i kou ate
• Pehea ka nui o ka hormone e hana nei nā tumors
• Ka hiki o kou kino ke hoʻoponopono i kēia mau hormones nui

ʻAʻole pinepine nā carcinoid tumors i kou ʻōpū liʻiliʻi e hoʻokumu i ka syndrome ke ʻole lākou e pālahalaha i ka ate. Eia naʻe, hiki i nā tumors i kou māmā a i ʻole nā ​​ovary ke hoʻokumu i nā hōʻailona me ka ʻole o ka pālahalaha ʻana no ka mea e hoʻokuʻu lākou i nā hormones pololei i loko o kou kahe koko.

I ka wā e ʻike ai i ke kauka no ka carcinoid syndrome?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ka flushing o ka maka e hoʻi hou ana me ka diarrhea, ʻoi aku hoʻi inā hana pinepine kēia mau manawa ma luna o kekahi mau pule. ʻOiai he nui nā kūlana e hiki ke hoʻokumu i kēia mau hōʻailona ma kekahi, pono ka loiloi lapaʻau i ka hui ʻana.

E ʻimi i ka mālama lapaʻau koke inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi i ka wā o kahi manawa. ʻO kēia ke komo pū me ka pilikia nui i ka hanu, ʻeha umauma, ʻeha ʻōpū koʻikoʻi, a i ʻole ka dizziness ʻaʻole e hoʻomaikaʻi i ka wā e emi ai ka flushing.

He mea nui nō hoʻi ke ʻike i kāu kauka inā ʻike ʻoe i kekahi mau meaʻai, ka pilikia, a i ʻole nā ​​hana e hoʻoulu mau ai i kou mau hōʻailona. ʻO ka mālama ʻana i ka mea e lawe mai ai i kou mau manawa e hiki ai i kāu hui mālama ola ke hana i kahi ʻike kūpono a hoʻomohala i kahi papahana lapaʻau maikaʻi.

He aha nā mea pilikia no ka carcinoid syndrome?

ʻOiai he mea hiki ke hoʻokele ʻia ka carcinoid syndrome, hiki i nā hihia i mālama ʻole ʻia ke alakaʻi i nā pilikia e hoʻopilikia i kou puʻuwai a me kou olakino holoʻokoʻa. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka lapaʻau kūpono e hōʻemi nui i ka pilikia o kēia mau pilikia.

ʻO ka pilikia koʻikoʻi loa ka maʻi puʻuwai carcinoid, kahi e hoʻopilikia ai i nā valve puʻuwai. Hiki i nā hormones nui ke hoʻokumu i ka mānoanoa a me ka ʻili o kekahi mau valve puʻuwai, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o kou puʻuwai. E ulu mālie kēia a ʻaʻole paha e hoʻokumu i nā hōʻailona i ka hoʻomaka.

ʻO nā pilikia ʻē aʻe e hiki ke ulu i ka manawa:

• Carcinoid crisis, kahi pane maikaʻi ʻole akā koʻikoʻi me ka flushing koʻikoʻi a me nā loli o ke kaomi koko
• Nā hemahema o ka meaʻai mai ka diarrhea mau a me ka ʻai ʻole maikaʻi
• ʻO ka pale ʻana o ka ʻōpū inā ulu nui nā tumors e pale i nā ala intestinal
• Pellagra, kahi kūlana i hoʻokumu ʻia e ka hemahema niacin mai ka metabolism i hoʻololi ʻia
• Fibrosis a i ʻole ʻili i nā pūnaewele ʻōpū a puni nā tumors

He mea hopohopo nui ka Carcinoid crisis no ka mea hiki ke hana i ka wā o nā kaʻina hana lapaʻau, ka pilikia koʻikoʻi, a i kekahi manawa me ka ʻole o ka ʻōlelo aʻo. I ka wā o kahi pilikia, hiki iā ʻoe ke ʻike i ka flushing koʻikoʻi, nā loli o ke kaomi koko weliweli, a me nā pilikia o ka puʻuwai.

ʻO ka lono hoʻoikaika, ʻo ka nānā mau a me ka lapaʻau kūpono e hiki ke pale aku i ka hapa nui o kēia mau pilikia. E nānā kāu hui mālama ola i nā hōʻailona mua a hoʻoponopono i kāu papahana lapaʻau e like me ia.

Pehea ka ʻike ʻana i ka carcinoid syndrome?

ʻO ka ʻike ʻana i ka carcinoid syndrome e komo pū ana me ke ana ʻana i nā pae hormone i loko o kou mimi a me ke koko, me nā haʻawina kiʻi e ʻike ai i nā tumors. E hoʻomaka paha kāu kauka me kahi hoʻokolohua mimi 24-hola e nānā ai i nā pae kiʻekiʻe o ka 5-HIAA, kahi huahana wāwahi o ka serotonin.

Hiki i nā hoʻokolohua koko ke ana i nā pae serotonin pololei a nānā i nā hormones ʻē aʻe e hiki ke hana ai kēia mau tumors. Hiki paha i kāu kauka ke hoʻokolohua no ka chromogranin A, kahi protein i hoʻokuʻu ʻia e nā neuroendocrine tumors he nui.

E kōkua nā haʻawina kiʻi e ʻike i ka tumor nui a hoʻoholo inā ua pālahalaha. ʻO kēia mau mea maʻamau:

• CT scans o kou umauma, ʻōpū, a me ka pelvis e nānā ai i nā tumors
• Octreotide scans, kahi e hoʻohana ai i kahi tracer radioactive e hoʻopaʻa i nā carcinoid tumors
• MRI scans no nā kiʻi kikoʻī o nā wahi kikoʻī
• Echocardiogram e nānā i kou mau valve puʻuwai no ka pōʻino
• Nā kaʻina hana endoscopy inā manaʻo ʻia nā tumors digestive tract

I kekahi manawa, lawe ka ʻike i ka manawa no ka mea hiki ke maopopo ʻole nā ​​hōʻailona a i ʻole ke kuhi hewa ʻia no nā kūlana ʻē aʻe. Hiki i kāu kauka ke noi iā ʻoe e mālama i kahi puke hōʻailona, ​​e hoʻomaopopo ana i ka wā e puka mai ai ka flushing a i ʻole ka diarrhea a me ka mea paha i hoʻoulu ai.

Inā hōʻike nā hoʻokolohua mua i ka carcinoid syndrome, hiki i kāu kauka ke ʻōlelo e pale aku i kekahi mau meaʻai a me nā lāʻau lapaʻau e hiki ke hoʻoulu i nā hōʻailona i ka wā e hoʻopau ai i ka hana diagnostic.

He aha ka lapaʻau no ka carcinoid syndrome?

ʻO ka lapaʻau e kau nui ana i ka hoʻokele ʻana i kou mau hōʻailona a me ka hoʻokele ʻana i nā tumors ma lalo. ʻO ke ala e koho ai kāu hui mālama ola e hilinaʻi ana i kou kūlana kikoʻī, me kahi o kou mau tumors a pehea ka hana o lākou.

ʻO ka lāʻau lapaʻau pinepine ka laina mua o ka lapaʻau no ka hoʻokele ʻana i nā hōʻailona. Hiki i nā somatostatin analogs e like me octreotide a lanreotide ke hōʻemi nui i ka flushing a me ka diarrhea ma ka pale ʻana i ka hoʻokuʻu ʻana o ka hormone mai nā tumors.

Hiki i kāu papahana lapaʻau ke komo pū me kekahi mau ala:

• Nā inikini mahina o nā somatostatin analogs e hoʻokele i ka hana hormone
• Nā lāʻau anti-diarrheal no ka hōʻoluʻolu hōʻailona ma waena o nā inikini
• Nā mea hoʻohui Niacin e pale aku i ka pellagra
• Nā lāʻau puʻuwai inā loaʻa ka maʻi puʻuwai carcinoid
• Nā lāʻau lapaʻau i hoʻonohonoho ʻia no nā tumors holomua
• Nā lapaʻau i hoʻonohonoho ʻia no ka ate inā ua pālahalaha nā tumors ma laila

Hiki ke ʻōlelo ʻia ka wehe ʻana i nā tumors i ka wā e hiki ai, ʻoi aku hoʻi inā loaʻa iā ʻoe kahi tumor nui hoʻokahi e hiki ke wehe piha ʻia. Eia naʻe, ʻaʻole hiki ke hana ʻia ka ʻoki ʻana, ʻoi aku hoʻi inā ua pālahalaha nui nā tumors.

No nā tumors i loko o kou ate, hiki i nā kaʻina hana kūikawā e like me ka hepatic artery embolization ke hōʻemi i ka lako koko tumor a me ka hana hormone. Hiki i kēia mau lapaʻau ke hāʻawi i ka hōʻoluʻolu hōʻailona nui ʻoiai ʻaʻole hiki ke wehe piha ʻia ka tumor.

Pehea e hoʻokele ai i ka carcinoid syndrome ma ka home?

ʻO ka hoʻokele ʻana i kou mau hōʻailona ma ka home e komo pū ana me ka ʻike ʻana a me ka pale ʻana i nā mea hoʻoulu i ka wā e kākoʻo ai i kou olakino holoʻokoʻa. Nui nā kānaka e ʻike i kekahi mau meaʻai, ka pilikia, a i ʻole nā ​​hana e hiki ke lawe mai i nā manawa flushing.

Hiki i nā loli meaʻai ke hana i kahi ʻokoʻa nui i kou manaʻo i kēlā me kēia lā. ʻO ka pale ʻana i nā meaʻai kiʻekiʻe i ka tyramine, histamine, a i ʻole nā ​​mea i ʻike ʻia he mea hoʻoulu e hiki ke hōʻemi i ka pinepine a me ka nui o nā hōʻailona.

E noʻonoʻo e hana i kēia mau hoʻoponopono nohona:

• E pale i ka waiʻona, nā meaʻai ʻawaʻawa, a me nā cheese kahiko e hoʻoulu pinepine i nā hōʻailona
• E ʻai i nā meaʻai liʻiliʻi, pinepine e hōʻoluʻolu i nā hōʻailona digestive
• E noho hydrated, ʻoi aku hoʻi i ka wā o nā manawa diarrhea
• E hoʻomaʻamaʻa i nā ʻenehana hoʻemi pilikia e like me ka hoʻomaʻamaʻa mālie a i ʻole ka noʻonoʻo
• E mālama i kahi puke hōʻailona e ʻike i kou mau mea hoʻoulu pilikino
• E lawe i nā lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, ʻoiai ke manaʻo maikaʻi nei

I ka wā o nā manawa flushing, e ʻimi i kahi wahi anuanu a ʻoluʻolu hoʻi e hoʻomaha a hiki i ka emi ʻana o nā hōʻailona. Hiki i nā lole lahilahi a hanu maikaʻi ke kōkua iā ʻoe e manaʻo ʻoluʻolu i kēia mau manawa.

He mea kōkua ke aʻo i nā lālā o ka ʻohana e pili ana i kou kūlana i hiki iā lākou ke hāʻawi i ke kākoʻo i ka wā o nā manawa hōʻailona. ʻO ka loaʻa ʻana o kahi hoʻolālā no ka hoʻokele ʻana i nā manawa koʻikoʻi, me ka wā e ʻimi ai i ka mālama pilikia, e hāʻawi iā ʻoe a me kou poʻe aloha i ka maluhia o ka manaʻo.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

ʻO ka hoʻomākaukau ʻana no kāu manawa e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu manawa me kāu mea mālama ola. ʻO ka lawe ʻana mai i ka ʻike kikoʻī e pili ana i kou mau hōʻailona e kōkua i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana.

E hoʻomaka ma ka kākau ʻana i kou mau hōʻailona a pau, me ka wā e puka mai ai a pehea ka lōʻihi o lākou. E hoʻomaopopo i nā ʻano āu i ʻike ai, e like me nā meaʻai, nā hana, a i ʻole nā ​​kūlana e like me ka hoʻoulu ʻana i nā manawa.

E lawe mai i kēia ʻike i kāu manawa:

• Kahi puke hōʻailona kikoʻī e uhi ana i ʻelua pule ma ka liʻiliʻi
• Papa inoa o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe ai
• Kou moʻolelo lapaʻau, me nā ʻike ma mua o ka maʻi kanesa
• Moʻolelo ʻohana o nā tumors a i ʻole nā ​​maʻi endocrine
• Nā nīnau āu e makemake ai e nīnau e pili ana i nā koho lapaʻau
• ʻIke e pili ana i ke ʻano o nā hōʻailona i kāu mau hana i kēlā me kēia lā

E noʻonoʻo e lawe mai i kahi lālā hilinaʻi o ka ʻohana a i ʻole hoaaloha i kāu manawa. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo i ka wā o nā kūkākūkā e pili ana i nā koho ʻike a me ka lapaʻau.

Mai kānalua e nīnau i nā nīnau e pili ana i nā mea āu i ʻike ʻole ai. Makemake kāu hui mālama ola e kōkua iā ʻoe e manaʻo ʻike a hilinaʻi i kāu papahana mālama.

He aha ka lawe nui e pili ana i ka carcinoid syndrome?

He kūlana hiki ke hoʻokele ʻia ka carcinoid syndrome e pane maikaʻi ana i ka lapaʻau kūpono. ʻOiai hiki ke manaʻo nui ka loaʻa ʻana o kēia ʻike, nui nā kānaka me ka carcinoid syndrome e ola ana i nā ola piha a hana nui me ka mālama lapaʻau kūpono a me nā hoʻoponopono nohona.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua a me ka lapaʻau e hana i kahi ʻokoʻa nui i kou maikaʻi o ke ola a me ka nānā lōʻihi. ʻO ka hana pili me kāu hui mālama ola e ʻimi i ka hui kūpono o nā lāʻau lapaʻau a me nā hoʻololi nohona e hiki ke hoʻokele maikaʻi i kou mau hōʻailona.

E noho pili me kāu hui lapaʻau a mai kānalua e hōʻea mai inā ʻike ʻoe i nā loli i kou mau hōʻailona a i ʻole nā ​​manaʻo e pili ana i kāu lapaʻau. Me ka mālama mau a me ka nānā, hiki iā ʻoe ke hoʻokele maikaʻi i kēia kūlana i ka wā e mālama ai i kou olakino holoʻokoʻa a me kou maikaʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka carcinoid syndrome

Hiki ke ho'ōla piha ʻia ka carcinoid syndrome?

ʻOiai ʻaʻohe lāʻau lapaʻau no ka carcinoid syndrome, hiki ke hoʻokele maikaʻi loa me ka lapaʻau kūpono. Nui nā kānaka e ʻike i ka hōʻoluʻolu hōʻailona nui me nā lāʻau lapaʻau e like me nā somatostatin analogs. I nā hihia kakaikahi kahi e hiki ai ke wehe piha ʻia ka tumor nui ma mua o ka pālahalaha ʻana, hiki ke hoʻopau loa nā hōʻailona.

Ua like anei ka carcinoid syndrome me ka maʻi kanesa carcinoid?

ʻAʻole, pili lākou akā ʻokoʻa. ʻO nā carcinoid tumors nā neuroendocrine tumors ma lalo e hiki ke hoʻokumu a ʻaʻole paha i nā hōʻailona. ʻO ka carcinoid syndrome e pili ana i ka hōʻuluʻulu o nā hōʻailona e puka mai ana i ka wā e hoʻokuʻu ai kēia mau tumors i nā hormones nui i loko o kou kahe koko. Hiki iā ʻoe ke loaʻa nā carcinoid tumors me ka ʻole o ka ulu ʻana o ka syndrome.

Pehea ka wikiwiki o ka ulu ʻana o nā hōʻailona carcinoid syndrome?

ʻIke pinepine ʻia nā hōʻailona i ka manawa ma luna o nā mahina a i ʻole nā ​​makahiki i ka wā e ulu ai nā tumors a hana i nā hormones hou aku. Eia naʻe, ʻike kekahi poʻe i ka hoʻomaka koke ʻana o nā hōʻailona, ​​ʻoi aku hoʻi inā loaʻa iā lākou nā mea hoʻoulu e like me kekahi mau meaʻai a i ʻole ka pilikia. ʻAʻole pinepine ka syndrome e puka mai a hiki i ka loaʻa ʻana o nā tumors no kekahi manawa.

Hiki i ka pilikia ke hoʻopilikia i nā hōʻailona carcinoid syndrome?

ʻAe, hiki i ka pilikia kino a me ka manaʻo ke hoʻoulu i nā manawa flushing a hoʻopilikia i nā hōʻailona ʻē aʻe i nā kānaka he nui me ka carcinoid syndrome. ʻO ke aʻo ʻana i nā ʻenehana hoʻokele pilikia a me ka pale ʻana i nā mea hoʻoulu pono ʻole i ka wā e hiki ai ke kōkua i ka hōʻemi ʻana i ka pinepine o nā hōʻailona. Hiki i kāu kauka ke hāʻawi i nā ʻōlelo aʻo ma nā hoʻolālā hoʻemi pilikia e hana maikaʻi no kou kūlana.

Pono anei au e hahai i kahi meaʻai kūikawā mau loa?

Nui nā kānaka me ka carcinoid syndrome e pōmaikaʻi mai ka pale ʻana i kekahi mau meaʻai hoʻoulu lōʻihi, akā he mea hiki ke hoʻokele ʻia nā palena meaʻai a ʻaʻole e kaupalena nui i kāu mau koho meaʻai. Hiki i kāu hui mālama ola a i ʻole kahi mea ʻai ke kōkua iā ʻoe e hoʻomohala i kahi papahana ʻai mau loa e hōʻemi ai i nā hōʻailona i ka wā e hōʻoia ai iā ʻoe e loaʻa ka meaʻai kūpono. ʻOkoʻa nā palena kikoʻī mai kahi kanaka i kahi kanaka ma muli o nā mea hoʻoulu pilikino.