He aha ka Zollinger-Ellison Syndrome? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka Zollinger-Ellison syndrome kahi maʻi maʻamau loa kahi e hana ai nā ʻōpū ma kou pancreas a i ʻole ka ʻōpū liʻiliʻi i ka nui o ka waikawa o ka ʻōpū. ʻO kēia mau ʻōpū, i kapa ʻia ʻo gastrinomas, e hoʻokuʻu i kahi hormone e haʻi aku i kou ʻōpū e hana i ka nui o ka waikawa, e alakaʻi ana i nā ʻōpū ʻeha a me nā pilikia digestive.

Hoʻopili kēia maʻi ma kahi o 1 a 3 mau kānaka i kēlā me kēia miliona i kēlā me kēia makahiki, e hana ana iā ia he mea maʻamau ʻole loa. ʻOiai paha e lohe ʻia ka inoa he mea weliweli, hiki i ka hoʻomaopopo ʻana i nā mea e hana ana i loko o kou kino ke kōkua iā ʻoe e hana pū me kou hui olakino e hoʻokele pono i nā hōʻailona.

He aha nā hōʻailona o ka Zollinger-Ellison syndrome?

ʻO ka hōʻailona maʻamau loa āu e ʻike ai ʻo ka ʻeha mau o ka ʻōpū, ʻoi aku hoʻi ma kou ʻōpū luna. ʻO ka pinepine, e like kēia ʻeha me ka puhi ʻana a hiki ke ʻoi aku ka ʻino i ka wā e hakahaka ai kou ʻōpū a i ʻole i ka pō.

Hiki i ka pane o kou kino i ka nui o ka waikawa o ka ʻōpū ke hana i kekahi mau hōʻailona ʻoluʻolu ʻole e ulu mālie ana:

• Nā ʻōpū ʻōpū hou e ho'ōla ʻole ʻia me ka lapaʻau maʻamau
• ʻO ka heartburn nui a i ʻole ka acid reflux e ʻoi aku ka ikaika ma mua o ka indigestion maʻamau
• Ka diarrhea mau, pinepine ka wai a pinepine
• Ka nausea a me ka luaʻi, ʻoi aku hoʻi ma hope o ka ʻai ʻana
• Ka nalowale o ka makemake e alakaʻi i ka nalowale o ke kaumaha
• Ka pupuhi a me ka manaʻo piha koke i ka wā e ʻai ana

I kekahi mau hihia, hiki iā ʻoe ke ʻike i nā hōʻailona maʻamau ʻole e like me ka pilikia o ka ʻai ʻana a i ʻole ka ʻeha o ka umauma. Hiki i kēia mau hōʻailona ke kuhi hewa ʻia no nā kūlana digestive ʻē aʻe, ʻo ia ke kumu he mea nui ka loaʻa ʻana o kahi ʻike pololei.

He aha ka mea e hoʻokumu ai i ka Zollinger-Ellison syndrome?

E ulu ana ka Zollinger-Ellison syndrome i ka wā e hana ai nā gastrinomas i kou pancreas a i ʻole ka ʻāpana luna o kou ʻōpū liʻiliʻi i kapa ʻia ʻo ka duodenum. E hana ana kēia mau ʻōpū e like me nā hale hana liʻiliʻi, e hana ana i ka nui o kahi hormone i kapa ʻia ʻo gastrin.

Ke kiʻekiʻe loa nā pae gastrin, e pane ana kou ʻōpū ma ka hana ʻana i ka nui o ka waikawa ma mua o ka pono o kou kino. E noʻonoʻo e like me ka thermostat i paʻa i luna - e hoʻomau ana kou ʻōpū i ka hana ʻana i ka waikawa ʻoiai e pono e hoʻōki.

ʻO ka hapa nui o nā gastrinomas e ulu ana me ka ʻole o ka mea hoʻonāukiuki maopopo, akā ma kahi o 25% o nā hihia e hana ana ma ke ʻano he ʻāpana o kahi kūlana genetic i kapa ʻia ʻo Multiple Endocrine Neoplasia type 1 (MEN1). Inā loaʻa iā ʻoe ka MEN1, ʻoi aku ka nui o kou ulu ʻana i nā ʻōpū i loko o nā gland hormone-producing i kou kino.

ʻAʻole maopopo loa ke kumu kikoʻī o ka hana ʻana o kēia mau ʻōpū i ka hapa nui o nā hihia. Eia naʻe, manaʻo nā mea noiʻi he hui pū o nā kumu genetic a me nā hopena o ke kaiapuni paha e pāʻani ana i kahi kuleana i kā lākou hoʻomohala ʻana.

He aha nā ʻano o ka Zollinger-Ellison syndrome?

ʻO ka maʻamau, e hoʻokaʻawale nā kauka i ka Zollinger-Ellison syndrome ma muli o ka hana ʻana ia ma ke kū hoʻokahi a i ʻole ma ke ʻano he ʻāpana o kahi kūlana genetic ākea. Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau ʻano i ke alakaʻi ʻana i kāu ala lapaʻau.

ʻO ka Zollinger-Ellison syndrome sporadic ka mea e pili ana i ka 75% o nā hihia a e ulu ana ma ke kū hoʻokahi me ka ʻole o kekahi kūlana genetic i hoʻoilina ʻia. I kēia ʻano, loaʻa pinepine iā ʻoe hoʻokahi a i ʻole kekahi mau gastrinomas, a aia pinepine lākou ma kou pancreas a i ʻole duodenum.

ʻO kekahi ʻano e hana pū me ka MEN1 syndrome, kahi kūlana i hoʻoilina ʻia e hoʻopilikia i nā gland hormone-producing he nui. Inā loaʻa iā ʻoe kēia ʻano, ʻoi aku ka nui o kou ulu ʻana i nā gastrinomas liʻiliʻi he nui a hiki paha iā ʻoe ke loaʻa nā ʻōpū i kou mau parathyroid glands a i ʻole pituitary gland.

E hoʻoholo kāu kauka i ke ʻano āu e loaʻa ai ma o ka ho'āʻo genetic a me ka nānā pono ʻana i nā hiʻohiʻona o kāu ʻōpū. E kōkua kēia ʻike iā lākou e hana i ka papahana lapaʻau maikaʻi loa no kāu kūlana kikoʻī.

I ka wā e ʻike ai i ke kauka no ka Zollinger-Ellison syndrome?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ka ʻeha mau o ka ʻōpū ʻaʻole e hoʻomaikaʻi me nā lāʻau lapaʻau ma luna o ka counter a i ʻole nā ​​hoʻololi meaʻai. He mea nui loa kēia inā e hoʻopilikia ana ka ʻeha i kāu mau hana o kēlā me kēia lā a i ʻole ka hiamoe.

E ʻimi koke i ka mālama olakino inā ʻike ʻoe i nā hōʻailona hou e like me ka heartburn nui, ka diarrhea mau, a i ʻole ka nalowale o ke kaumaha i wehewehe ʻole ʻia. Pono kēia mau hōʻailona, ​​ʻoi aku hoʻi i ka wā e hana pū ai lākou, i ka loiloi ʻoihana.

E kāhea koke i kāu kauka inā ʻike ʻoe i nā hōʻailona e hōʻike ana i kahi ʻōpū koko, e like me ka luaʻi koko, nā ʻōpala ʻeleʻele a i ʻole nā ​​ʻōpala, a i ʻole ka ʻeha o ka ʻōpū nui. Pono kēia mau hōʻailona i ka mālama olakino koke.

Inā loaʻa iā ʻoe kahi mōʻaukala ʻohana o ka MEN1 syndrome a i ʻole nā ​​ʻōpū endocrine he nui, e kūkākūkā i nā koho palekana me kāu mea mālama ola ʻoiai inā ʻaʻohe ou hōʻailona. Hiki i ka ʻike mua ke hana i kahi ʻokoʻa nui i kāu mau hopena lapaʻau.

He aha nā mea pilikia no ka Zollinger-Ellison syndrome?

ʻO kekahi mau mea e hiki ke hoʻonui i kou kūpono e loaʻa ai ka Zollinger-Ellison syndrome, ʻoiai ʻo ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka maʻi. Ke kōkua nei ka hoʻomaopopo ʻana iā lākou iā ʻoe a me kāu kauka e makaʻala no nā hōʻailona mua.

ʻO ka mea pilikia ikaika loa ka loaʻa ʻana o ka Multiple Endocrine Neoplasia type 1 (MEN1) syndrome, ka mea e hoʻonui nui ai i kou manawa e loaʻa ai nā gastrinomas. ʻO kēia kūlana genetic e holo ana i nā ʻohana a hoʻopilikia i kahi o 1 i 30,000 mau kānaka.

Ke pāʻani nei ka makahiki i kahi kuleana - ʻo ka hapa nui o nā kānaka e loaʻa ana ka Zollinger-Ellison syndrome ma waena o nā makahiki 30 a me 60, me ka awelika makahiki ma kahi o 50. Eia naʻe, inā loaʻa iā ʻoe ka MEN1 syndrome, e ʻike pinepine ʻia nā hōʻailona ma mua, i kekahi manawa i kou mau makahiki iwakālua a i ʻole kanakolu.

Hōʻike ka wahine i kahi ʻano iki, me nā kāne e ʻoi aku ka nui o ka loaʻa ʻana o nā hihia sporadic. Eia naʻe, ma waena o nā kānaka me ka MEN1 syndrome, hoʻopilikia like ka maʻi i nā kāne a me nā wahine. Hiki i ka loaʻa ʻana o kahi mōʻaukala ʻohana o nā ʻōpū endocrine a i ʻole nā ​​ʻōpū ʻōpū i wehewehe ʻole ʻia ke hoʻonui i kou pilikia.

He aha nā pilikia hiki ke loaʻa i ka Zollinger-Ellison syndrome?

Me ka ʻole o ka lapaʻau kūpono, hiki i ka Zollinger-Ellison syndrome ke alakaʻi i nā pilikia koʻikoʻi ma muli o ka hōʻino mau mai ka nui o ka waikawa o ka ʻōpū. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hapa nui o nā pilikia hiki ke pale ʻia me ka mālama olakino kūpono.

Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke ʻike i ke kumu he mea nui ka mālama mau:

• Nā ʻōpū peptic nui e hiki ke perforation a i ʻole ke kumu o ke koko weliweli
• Ka gastroesophageal reflux disease (GERD) e hiki ke hōʻino i kou esophagus
• Ka diarrhea mau e alakaʻi ana i ka dehydration a me nā nele o nā meaʻai
• Nā pilikia intestinal mai ka hoʻokumu ʻana o ka ʻili
• Ka malnutrition ma muli o ka hoʻomoʻi ʻole o nā meaʻai
• Nā pōhaku kidney mai nā loli i nā pae calcium o kou kino

I nā hihia maʻamau ʻole, hiki i nā gastrinomas ke pālahalaha i nā ʻāpana ʻē aʻe o kou kino, ʻoi aku hoʻi i kou ate a i ʻole nā ​​lymph nodes kokoke. Eia naʻe, e ulu mālie ana kēia mau ʻōpū, a ʻo ka ʻike mua e hoʻomaikaʻi nui i kou manaʻo.

Me ka mālama olakino kūpono, hiki i ka hapa nui o nā kānaka me ka Zollinger-Ellison syndrome ke pale i kēia mau pilikia a mālama i kahi ola maikaʻi. Ke kōkua nei ka mālama hoʻomau mau e hopu i nā pilikia i ka wā mua i ka wā e mālama maikaʻi ʻia ai.

Pehea e ʻike ʻia ai ka Zollinger-Ellison syndrome?

ʻO ka ʻike ʻana i ka Zollinger-Ellison syndrome e komo pū ana i kekahi mau ʻanuʻu no ka mea hiki i kāna mau hōʻailona ke hoʻohālike i nā kūlana digestive ʻē aʻe. E hoʻomaka kāu kauka ma ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana iā ʻoe, a laila e kauoha i nā ho'āʻo kiko'ī e hōʻoia i ka ʻike.

ʻO ka ho'āʻo ʻike nui e ana i nā pae gastrin i loko o kou koko. Inā kiʻekiʻe loa kāu gastrin, ʻoi aku hoʻi i ka hui pū ʻana me ka hana nui o ka waikawa o ka ʻōpū, e hōʻike nui kēia i ka Zollinger-Ellison syndrome.

Hiki i kāu kauka ke hana i kahi ho'āʻo ho'ōla secretin, kahi e hāʻawi ai lākou iā ʻoe i kahi hormone i kapa ʻia ʻo secretin a laila e ana i ka pane ʻana o kāu mau pae gastrin. I nā kānaka me ka Zollinger-Ellison syndrome, e hoʻonui maoli nā pae gastrin ma hope o ka secretin, ʻo ia ka mea ʻē aʻe o ka mea e hana ai i nā kānaka olakino.

Ke kōkua nei nā haʻawina kiʻi e ʻike i nā gastrinomas i loko o kou kino. Hiki i kēia ke komo pū me nā CT scans, MRI scans, a i ʻole nā ​​ho'āʻo kūikawā e like me ka somatostatin receptor scintigraphy, ka mea e hiki ke ʻike i nā ʻōpū hormone-producing ʻoiai he liʻiliʻi loa lākou.

Hiki paha i kāu kauka ke hana i kahi endoscopy e nānā pololei i kou ʻōpū a me ka ʻōpū liʻiliʻi, e nānā ana i nā ʻōpū a lawe i nā laʻana o nā pūnaewele inā pono. Ke hōʻoia nei kēia ala hoʻokō piha i kahi ʻike pololei a ke kōkua nei e hoʻolālā i kāu lapaʻau.

He aha ka lapaʻau no ka Zollinger-Ellison syndrome?

Ke kaulike nei ka lapaʻau no ka Zollinger-Ellison syndrome i ʻelua mau pahuhopu nui: ke kāohi ʻana i ka hana ʻana o ka waikawa o kou ʻōpū a me ka hoʻoponopono ʻana i nā gastrinomas ponoʻī. ʻO ka hapa nui o nā kānaka e pane maikaʻi loa i ka lapaʻau a hiki ke ola i nā ola maʻamau, ʻoluʻolu.

ʻO ka laina mua o ka lapaʻau e komo pū ana i nā lāʻau lapaʻau i kapa ʻia ʻo proton pump inhibitors (PPIs), ka mea e hōʻemi nui ai i ka hana ʻana o ka waikawa o kou ʻōpū. ʻO nā PPIs maʻamau e komo pū ana ʻo omeprazole, lansoprazole, a me pantoprazole, a he mea maikaʻi loa lākou i ka hoʻōla ʻana i nā ʻōpū a me ka pale ʻana i nā mea hou.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi nui o nā PPIs ma mua o ka mea maʻamau no ka heartburn maʻamau. Mai hopohopo - ua palekana kēia mau lāʻau lapaʻau no ka hoʻohana lōʻihi i ka wā e nānā pono ʻia ai, a nui nā kānaka e lawe ana iā lākou no nā makahiki me ka pilikia ʻole.

Hiki ke manaʻo ʻia ka ʻoki inā hiki ke wehe ʻia kāu gastrinomas me ka palekana. ʻOi aku ka nui o kēia i ka wā e loaʻa ai iā ʻoe hoʻokahi ʻōpū maikaʻi. Eia naʻe, ʻaʻole hiki mau a pono paha ka ʻoki, ʻoi aku hoʻi inā loaʻa iā ʻoe nā ʻōpū liʻiliʻi he nui a i ʻole inā aia lākou ma nā wahi paʻakikī e hiki ai.

No nā gastrinomas i pālahalaha a i ʻole hiki ʻole ke wehe ʻia ma ke ʻoki ʻana, hiki i kāu kauka ke manaʻo i nā lapaʻau e like me ka chemotherapy, nā lāʻau lapaʻau i hoʻonohonoho ʻia, a i ʻole nā ​​kaʻina hana e kāohi i ke kahe koko i nā ʻōpū. Hiki i kēia mau ala ke kōkua i ke kāohi ʻana i ka ulu ʻana o ka ʻōpū a me ka hoʻokele pono ʻana i kāu mau hōʻailona.

Pehea e hoʻokele ai i ka Zollinger-Ellison syndrome ma ka home?

ʻOiai he mea nui ka lapaʻau lapaʻau, aia kekahi mau mea āu e hiki ke hana ai ma ka home e kōkua i ka hoʻokele ʻana i kāu mau hōʻailona a kākoʻo i kou olakino holoʻokoʻa. E hana maikaʻi ana kēia mau hoʻolālā i ka hui pū ʻana me kāu mau lāʻau lapaʻau i kuhikuhi ʻia.

ʻO ka lawe ʻana i kāu mau lāʻau lapaʻau mau ka hana nui loa āu e hiki ke hana. E hoʻonohonoho i kahi papa no ka lawe ʻana i kāu PPIs, ʻoi aku hoʻi i ka manawa hoʻokahi i kēlā me kēia lā a ma mua o nā meaʻai no ka hopena nui loa.

E makaʻala i nā meaʻai e like me ka mea e hoʻonāukiuki ai i kāu mau hōʻailona a e noʻonoʻo e mālama i kahi puke meaʻai. ʻOiai ʻaʻole hiki i nā hoʻololi meaʻai ke hoʻōla i ka Zollinger-Ellison syndrome, hiki i ka pale ʻana i nā meaʻai hoʻonāukiuki e like me nā meaʻai ʻawaʻawa, acidic, a i ʻole nā ​​meaʻai momona ke kōkua iā ʻoe e ʻoluʻolu hou aku.

ʻO ka ʻai ʻana i nā meaʻai liʻiliʻi, pinepine hiki ke hōʻemi i ka ukana ma kou ʻōnaehana digestive. E ho'āʻo e ʻai i kēlā me kēia 3-4 mau hola ma mua o ka loaʻa ʻana o ʻekolu mau meaʻai nui, a mai moe koke ma hope o ka ʻai ʻana.

E noho wai, ʻoi aku hoʻi inā ʻike ʻoe i ka diarrhea, a e noʻonoʻo e kūkākūkā i nā mea hoʻohui me kāu kauka inā ʻaʻole ʻoe e hoʻomoʻi pono i nā meaʻai. Hiki i ka hoʻoikaika māmā mau a me nā ʻenehana hoʻokele kaumaha ke kākoʻo i kou olakino digestive holoʻokoʻa.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ke kōkua nei ka hoʻomākaukau ʻana no kāu hālāwai e hōʻoia i ka loaʻa ʻana o ka waiwai nui loa mai kāu manawa me kāu mea mālama ola. ʻO ka hele ʻana i ka hoʻonohonoho ʻana me ka ʻike a me nā nīnau e hana i ka huakaʻi hou aku no ʻoukou ʻelua.

E kākau i kāu mau hōʻailona a pau, me ka wā i hoʻomaka ai lākou, pehea ka pinepine o ka hana ʻana, a me nā mea e hoʻomaikaʻi ai a i ʻole ka ʻino. E kūikawā e pili ana i nā wahi ʻeha, ka manawa o nā hōʻailona e pili ana i nā meaʻai, a me nā loli i kāu mau neʻe ʻana o ka ʻōpū.

E lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka counter, nā mea hoʻohui, a me nā lāʻau lapaʻau herbal. E hōʻiliʻili pū i nā moʻolelo lapaʻau pili, ʻoi aku hoʻi inā loaʻa iā ʻoe nā pilikia o ka ʻōpū ma mua a i ʻole nā ​​haʻawina kiʻi.

E hoʻomākaukau i kahi papa inoa o nā nīnau e pili ana i kou kūlana, nā koho lapaʻau, a me nā mea e manaʻo ai. Mai kānalua e nīnau e pili ana i nā hopena o nā lāʻau lapaʻau, nā hoʻololi ʻano ola, a i ʻole ka wā e pono ai ʻoe e hoʻonohonoho i nā hālāwai hoʻomau.

E noʻonoʻo e lawe mai i kahi hoa aloha a i ʻole ʻohana hilinaʻi e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui i kūkākūkā ʻia i ka wā o ka hālāwai. Ke kōkua nei ka loaʻa ʻana o ke kākoʻo iā ʻoe e ʻoluʻolu hou aku i ka nīnau ʻana i nā nīnau a i ʻole ka hōʻike ʻana i nā hopohopo.

He aha ka mea nui e pili ana i ka Zollinger-Ellison syndrome?

He kūlana hiki ke hoʻokele ʻia ka Zollinger-Ellison syndrome i ka wā e ʻike pono ʻia a mālama ʻia. ʻOiai he mea maʻamau ʻole ia a hiki ke hoʻokumu i nā hōʻailona ʻoluʻolu ʻole, hiki i ka hapa nui o nā kānaka me kēia kūlana ke hoʻokō i ka hoʻokele hōʻailona maikaʻi loa me ka mālama olakino kūpono.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka loaʻa ʻana o nā lapaʻau maikaʻi, a ʻo ka ʻike mua e alakaʻi i nā hopena maikaʻi aʻe. Me ka mālama lāʻau kūpono, nui nā kānaka e ʻike i ka hoʻomaha nui mai kā lākou mau hōʻailona a hiki ke hoʻi i kā lākou mau hana maʻamau.

ʻO ka hana pū ʻana me kāu hui olakino, ke noho mau ʻana me kāu mau lāʻau lapaʻau, a me ka hele ʻana i nā hālāwai hoʻomau mau he mea nui ia i ka hoʻokele pono ʻana i kēia kūlana. ʻO ka hapa nui o nā kānaka me ka Zollinger-Ellison syndrome e ola ana i nā ola piha, hana me ka lapaʻau kūpono.

Inā ʻike ʻoe i nā hōʻailona o ka ʻōpū mau, mai kānalua e ʻimi i ka loiloi olakino. Hiki i ka ʻike mua a me ka lapaʻau ke pale i nā pilikia a kōkua iā ʻoe e ʻoluʻolu hou aku i ka wā koke.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Zollinger-Ellison syndrome

Hiki ke ho'ōla piha ʻia ka Zollinger-Ellison syndrome?

ʻOiai ʻaʻohe lāʻau lapaʻau laulā, nui nā kānaka e hoʻokō i ka hoʻokele lōʻihi maikaʻi o kā lākou mau hōʻailona me ka lapaʻau kūpono. Inā hiki ke wehe ʻia nā gastrinomas ma ke ʻoki ʻana, hiki ke hoʻōla ʻia kekahi mau kānaka. Eia naʻe, ʻoiai inā ʻaʻole hiki ke hoʻōla, nui nā kānaka e ola ana i nā ola maʻamau me ka hoʻokele hōʻailona maikaʻi ma o nā lāʻau lapaʻau.

He mea hoʻoilina anei ka Zollinger-Ellison syndrome?

Ma kahi o 25% o nā hihia e pili ana i kahi kūlana i hoʻoilina ʻia i kapa ʻia ʻo MEN1 syndrome, ka mea hiki ke hoʻoili ʻia ma o nā ʻohana. Eia naʻe, ʻo ka hapa nui o nā hihia (ma kahi o 75%) e hana ana me ka ʻole o kahi mōʻaukala ʻohana. Inā loaʻa iā ʻoe kahi mōʻaukala ʻohana o nā ʻōpū endocrine, hiki ke kōkua ka ʻōlelo aʻo genetic.

Pehea ka lōʻihi e pono ai iaʻu e lawe i nā lāʻau lapaʻau no ka Zollinger-Ellison syndrome?

Pono ka hapa nui o nā kānaka e lawe i nā lāʻau lapaʻau ho'ēmi acid lōʻihi, pinepine no ke ola, e pale aku i nā ʻōpū a hoʻokele i nā hōʻailona. Eia naʻe, ʻokoʻa kēia ma muli o kāu kūlana pilikino a inā hiki ke wehe ʻia kāu gastrinomas ma ke ʻoki ʻana. E hana pū kāu kauka me ʻoe e hoʻoholo i ka papahana lapaʻau lōʻihi maikaʻi loa.

Hiki i nā hoʻololi meaʻai ke kōkua i ka hoʻokele ʻana i ka Zollinger-Ellison syndrome?

ʻOiai ʻaʻole hiki i nā hoʻololi meaʻai ke mālama i ka Zollinger-Ellison syndrome, hiki iā lākou ke kōkua iā ʻoe e ʻoluʻolu hou aku ma ka ʻaoʻao o kāu lapaʻau lapaʻau. Hiki i ka pale ʻana i nā meaʻai ʻawaʻawa, acidic, a i ʻole nā ​​meaʻai momona a me ka ʻai ʻana i nā meaʻai liʻiliʻi, pinepine ke hōʻemi i nā hōʻailona. Eia naʻe, ʻo ka lāʻau lapaʻau ke lapaʻau nui.

He aha ka manaʻo no nā kānaka me ka Zollinger-Ellison syndrome?

ʻO ka manaʻo maikaʻi loa me ka lapaʻau kūpono. Nui nā kānaka e hoʻokō i ka hoʻokele hōʻailona maikaʻi a hiki ke mālama i kā lākou ola. ʻOiai inā ʻaʻole hiki ke wehe ʻia nā gastrinomas, ʻo ke ʻano ulu mālie o kēia mau ʻōpū a me nā lāʻau lapaʻau maikaʻi e manaʻo ai he nui nā kānaka e ola ana i nā ola lōʻihi me ka hoʻokele hōʻailona maikaʻi.