Acromegaly bụ ọrịa mberede nke na enweghi mmepụta nke hormone nke na-eto eto. Ọ bụrụ na ọrịa ahụ amalite na nwata, a na-akpọ ya gigantism.
Otutu ihe nke acromegaly sitere na tumor nke na-abaghi uru nke oria a na-aru na ụbụrụ. Ọrịa ahụ na-emepụta hormone na-aba ụba, na ka ọ na-etolite, ọ na-emegharị na ụbụrụ na gburugburu ya.
Ihe ka ọtụtụ n'ime ụbụrụ ndị a na-eme n'enweghị ihe ọ bụla, ha abughi nke e ketara eketa.
N'ọnọdụ ole na ole, ọrịa ahụ na-akpata ọrịa acromegaly dị na ahụ, dịka ngụgụ, pancreas ma ọ bụ oghere ndị na-adrenal.
Mgbaàmà
Ụfọdụ etuto ahụ na-eto nwayọọ nwayọọ ma na-emepụta hormone na-eto eto, ya mere enweghi ike ịhụ acromegaly ruo ọtụtụ afọ. Ụbụrụ ndị ọzọ, karịsịa na ndị na-eto eto, na-eto ngwa ngwa ma na-emepụta ọtụtụ hormone. Ihe mgbaàmà nke acromegaly sitere na hormone na-eto eto na site na ụbụrụ na-etinye n'ụbụrụ ụbụrụ, ma nwee ike ịgụnye:
- Ụba dị njọ nke aka na ụkwụ
- Mgbanwe nke ọdịdị ihu: brow brow, obere agba, na imi; nnukwu egbugbere ọnụ na ire
- Ogbu na nkwonkwo
- Isi ọwụwa
- Ọhụhụ siri ike
- Oké, na-esi ike, mmanu mmanu
- Ịgba ume ma ọ bụ nsogbu na-eku ume mgbe ụra (ihi ụra)
- Ịcha ụcha na akpụkpọ anụ
- Ike ọgwụgwụ na adịghị ike
- Ịhụ ụba nke akụkụ dịka imeju, nzụ, akụrụ, obi
Acromegaly nwekwara ike ibute ọrịa shuga , ọbara mgbali elu , na ọrịa obi.
Ọ bụrụ na ụbụrụ ahụ na-etolite na nwata, gigantism na-esi n'ọrịa ọkpụkpụ na-abaghị uru. Onye na-eto eto toro toro ogologo (n'otu oge, ruo mita 8 n'obosara).
Nchoputa
Nyocha ule nke hormone nke na-eto eto na ọbara n'oge ule glucose tolerance test bụ ụzọ a pụrụ ịdabere na ya iji kwado nchoputa nke acromegaly.
Ndị dọkịta nwere ike ịgụta ọkwa ọbara nke hormone ọzọ, nke a na-akpọ insulin-like growth factor I (IGF-I), nke na-achịkwa hormone growth. Ogologo IGF-Ana m egosikarị acromegaly. N'iji ụbara ihe ndekọ (CT) ma ọ bụ ihe ntanetị nke resonance (MRI) nke ụbụrụ, ndị dọkịta nwere ike ịchọta tumọ pituitary ma ọ bụrụ na echere acromegaly.
Ọgwụgwọ
A na-eji ọgwụ acromegaly eme ihe iji:
- Na-ebelata ogo nke hormone na-emepụta
- Ime ka nrụgide ahụ pituitary dị na-emetụta ụbụrụ ụbụrụ
- Mbelata ma ọ bụ gbanwee mgbaàmà nke acromegaly.
Ụzọ kachasị mma nke ọgwụgwọ bụ:
- Ịwa ahụ iji kpochapụ ọrịa pituitary - n'ọtụtụ ọnọdụ, ọgwụgwọ dị irè.
- Ọgwụ iji belata mkpụmkpụ nke hormone na-eme ka ụbụrụ ahụ ghara ịdị - Parlodel (bromocriptine), Sandostatin (octreotide), na Somatuline Depot (lanreotide).
- Ọgwụgwọ na-egbuke egbuke - iji mee ka ụbụrụ ghara ịdaba kpamkpam site n'ịwa ahụ.
- Ọgwụ nke na-egbochi mmetụta nke hormone na-eto eto ma belata IGF-I - Somavert (pegvisomant).
Nnyocha
Ndị nchọpụta nọ na Federico II University nke Naples dị n'Ịtali nyochara 86 ndị mmadụ na acromegaly bụ ndị e nyere ọgwụ na mbụ na mgbe ha na-ewepụ nhichapụ nke nsị ha.
Ha chọpụtara na nyocha nke ọ dịkarịa ala pasent 75 nke ọgwụ hormone-zoro ezo na-eme ka nzaghachi nye ọgwụ. E bipụtara nnyocha ahụ na mbipụta nke January 2006 nke Journal of Clinical Endocrinology & Metabolism .
Isi mmalite:
> Enyi, KE "Acromegaly: Ọgwụ ọhụrụ." Ọgwụ Cancer: Akwụkwọ akụkọ nke Centre Moffitt Cancer Centre 9 (2002).
> "Acromegaly." Ozi gbasara ọrịa Endocrine na ọrịa Metabolic. May 2008. Ụlọ Ọrụ Mba Na-ahụ maka Ọrịa Shuga na Ọrịa Na-egbu egbu na Akụrụ.