Ungayibona kanjani futhi uyiphathe kanjani i-pheochromocytoma

-Delile

• Ziyini izimpawu eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Yelashwa kanjani
• Ukuhlinzwa kwePheochromocytoma
• Ukwelashwa kwe-pheochromocytoma ebulalayo
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

I-Pheochromocytoma iyisigaxa esihle esivela kwizindlala ze-adrenal, ezisendaweni engaphezu kwezinso. Yize lolu hlobo lwesimila lungasongeli impilo, lungaveza izinkinga eziningana zempilo, ikakhulukazi njengoba izindlala ze-adrenal zikhiqiza ama-hormone alawula ukusebenza cishe kwazo zonke izitho zomzimba.

Ngakho-ke, njengoba ama-hormone engakhiqizwa kahle ngenxa yobukhona besimila, kujwayelekile ukuba nomfutho wegazi ophezulu onganciphi nezinye izinkinga zenhliziyo.

Ngalesi sizathu, noma ungewona umdlavuza obulalayo, ezimweni eziningi, i-pheochromocytoma kumele isuswe ngokuhlinzwa ukuze igweme ukulimala kwezinye izitho ngokuhamba kwesikhathi.

Ziyini izimpawu eziyinhloko

Izimpawu zalolu hlobo lwesimila zivame kakhulu phakathi kweminyaka engama-20 nengama-50 futhi zifaka:

• Umfutho wegazi ophakeme;
• Ukunyuka kwenhliziyo;
• Umjuluko owedlulele;
• Ikhanda elibuhlungu;
• Ukuthuthumela;
• Pallor ebusweni;
• Ukuzizwa uphelelwa umoya.

Imvamisa lezi zimpawu ze-pheochromocytoma zivela ezinkingeni ezihlala phakathi kwemizuzu eyi-15 kuye kwengama-20, futhi zingenzeka ngaphezu kwesisodwa ngosuku. Kodwa-ke, umfutho wegazi ungahlala uphakeme njalo futhi kunzima ukuwulawula.

Lezi zinkinga zezimpawu zivame kakhulu ngemuva kwezimo ezinjengokuzivocavoca umzimba, ukuba novalo kakhulu noma ukukhathazeka, ukushintsha ukuma komzimba, ukusebenzisa indlu yangasese noma ukudla ukudla okunothe nge-tyrosine, njengoshizi, ukotapeya noma inyama ebhemayo. Bona uhlu oluphelele lokudla okune-tyrosine.

Ukuxilongwa kwenziwa kanjani

Ukuqinisekisa ukuxilongwa kwe-pheochromocytoma, udokotela anga-oda izivivinyo eziningana njengokuhlolwa kwegazi okulinganisa amahomoni akhiqizwa yizindlala ze-adrenal, njenge-adrenaline noma i-norepinephrine, kanye ne-computed tomography noma i-magnetic resonance imaging, ehlola ukwakheka kwe-adrenal izindlala.

Yelashwa kanjani

Indlela engcono kakhulu yokwelashwa kwe-pheochromocytoma ukuhlinzwa ukuze kususwe isimila esiswini se-adrenal esithintekile. Kodwa-ke, ngaphambi kokwenza ukuhlinzwa, udokotela angahle anikeze imishanguzo esiza ukulawula ingcindezi futhi yehlise ubungozi bezinkinga, njenge:

• I-Alpha blockers, njenge-Doxazosin noma i-Terazosin: yenza ngcono ukujikeleza kwegazi futhi wehlise umfutho wegazi ophakeme;
• Abavimbela i-Beta, njenge-Atenolol noma i-Metoprolol: yehlisa izinga lokushaya kwenhliziyo nokugcina umfutho wegazi ulawulwa;
• Amanye amakhambi omfutho wegazi ophakeme, njengeCaptopril noma i-Amlodipine: zisetshenziswa lapho umfutho wegazi ungaconsi ngokusebenzisa nje i-alpha noma i-beta blocker.

Le mithi ijwayele ukusetshenziselwa isikhathi esiyizinsuku eziyi-10 ngaphambi kokuhlinzwa.

Lapho ingcindezi ilawulwa, imvamisa kuyenzeka kwenziwe ukuhlinzwa kukhishwe isimila. Ezimweni eziningi, yonke indlala ye-adrenal iyasuswa ngesikhathi sokuhlinzwa, kepha-ke, uma enye indlala nayo isusiwe, udokotela ohlinzayo uzama ukususa kuphela isifunda esithintekile sendlala, ukuze ingxenye enempilo iqhubeke nokusebenza ngokujwayelekile.

Ukuhlinzwa kwePheochromocytoma

Ukwelashwa kwe-pheochromocytoma kwenziwa, ezimweni eziningi, ngokuhlinzwa ukuzama ukususa isimila esiningi ku-adrenal gland ethintekile.

Ukuhlinzwa kwe-Pheochromocytoma kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi, ezimweni eziningi, udokotela ukhetha ukususa yonke indlala ye-adrenal ethintekile, ukunciphisa ubungozi besimila ukubuya. Kodwa-ke, uma enye indlala nayo ithintekile noma uma sengivele ngiyisusile phambilini, udokotela ususa kuphela ingxenye ethintekile yendlala, agcine ingxenye enempilo.

Ngokuvamile, indlala enempilo iyakwazi ukugcina ukusebenza kwayo futhi ikhiqize ama-hormone adingwa ngumzimba. Kodwa-ke, lapho lo mkhiqizo ufakwa engcupheni, udokotela anganquma ukufaka ama-hormone esikhundleni, okungenziwa impilo yonke.

Ukwelashwa kwe-pheochromocytoma ebulalayo

Yize i-pheochromocytoma ingavamile kakhulu, futhi ingaba isimila esibulalayo futhi, kulezi zimo, ngemuva kokuhlinzwa kungadingeka ukwelashwa ngamakhemikhali noma i-radiotherapy ukuqeda wonke amaseli amabi noma ama-metastases, kuya ngezinga lokuvela kwesimila.

Izimpawu zokuthuthuka

Izimpawu zokuqala zokuthuthuka zivela cishe evikini elilodwa ngemuva kokuqala ukwelashwa ngemithi futhi kufaka ukwehla komfutho wegazi nokushaya kwenhliziyo. Ngemuva kokuhlinzwa, zonke izimpawu zinyamalala ngokuphelele. Kodwa-ke, esimweni somdlavuza onobungozi, ezinye izimpawu zisengagcinwa noma izimpawu zomdlavuza ezine-metastases ezinjengezinhlungu ezingenasizathu esibonakalayo noma ukwehla kwesisindo, ngokwesibonelo, kungavela.

Izimpawu zokuwohloka

Izimpawu zokuwohloka zivame kakhulu ngenkathi ukwelashwa kungaqaliwe futhi kungafaka ukuzamazama okwandayo, ikhanda elibi kakhulu nokuphefumula okuncane, kanye nokwanda okuphawulekayo kwengcindezi yegazi nokushaya kwenhliziyo.