Acromegaly ke lefu la hormone leo ka lona ho nang le ho fetela ho hoholo ha hormone. Haeba lefu lena le qala ka ho kena bongoaneng, le bitsoa gigantism.
Mathata a mangata a acromaldy a bakoa ke hlahala e sa hlabang (e seng kankere) ea lesela la pituitary bokong. Lefu lena le hlahisa hormone e ngata haholo, 'me ha e ntse e hōla e hatella liphatsa tsa boko ho potoloha eona.
Bongata ba lihlahala tsena li etsahala habonolo 'me ha li futsitsoe ka liphatsa tsa lefutso.
Maemong a 'maloa, ho hlajoa ke acromgaly ho bakoa ke hlahala sebakeng se seng' meleng, joalo ka matšoafong, matšoafo kapa litšoelesa tsa adrenal.
Matšoao
Li-tumor tse ling li hōla butle ebe li hlahisa hormone e nyenyane ea ho hōla, kahoo ho fola ha pelo ha ho hlokomeloe ka lilemo tse 'maloa. Li-tumor tse ling, haholo-holo ho batho ba bacha, li hōla ka potlako 'me li hlahisa li-hormone tse ngata tsa kgolo. Matšoao a acromegaly a tsoa ho hormone ea ho hōla le ho tsoa khatellong ea hlahala ho lihlopha tsa boko, 'me e ka kenyelletsa:
- Khōlo e sa tloaelehang ea matsoho le maoto
- Liphetoho tsa lifahleho tsa sefahleho: sefahleho se phallang, mohlahare o tlase, le nko; molomo o moholo le leleme
- Ramatiki
- Moriri oa hlooho
- Ho thata ho bona
- Letlalo le thata, le mafura le mafura
- Ho tsuba kapa ho khathatseha ho hema ha u robetse
- Ho rohakana le letlalo la monko
- Mokhathala le bofokoli
- Ho eketsa litho tse kang sebete, spleen, liphio, pelo
Acromegaly e ka boela ea baka lefu la tsoekere , khatello e phahameng ea mali le lefu la pelo.
Haeba hlahala e hōla bongoaneng, gigantism e bakoa ke ho hōla ha masapo a sa tloaelehang. Mohlankana e moholo o hōla haholo (ka lekhetlo le le leng, o bolelele ba lisenthimithara tse 9).
Tsejoa
Ho leka tekanyo ea ho hōla ha hormone maling nakong ea teko ea molomo oa ho mamelloa ke tsoekere ke mokhoa o ka tšeptjoang oa ho tiisa hore o na le lefu la acromegaly.
Lingaka li ka lekanya litekanyo tsa mali tsa hormone e 'ngoe, e bitsoang insulin e tšoanang le kholo ea factor I (IGF-I), e laoloang ke hormone ea kholo. Likarolo tse phahameng tsa IGF-ke atisa ho bontša acromegaly. Ho sebelisa k'homphieutha e bitsoang computed tomography (CT) kapa litšoantšo tsa motsoako oa motlakase (MRI) tsa boko, lingaka li ka batla sefuba sa pituitary haeba ho nahanoa hore acromegaly.
Phekolo
Kalafo bakeng sa acromegaly e reretsoe ho:
- Ho fokotsa litekanyetso tsa hormone ea ho hōla e hlahisoang
- Ho imolla khatello eo lefuba la pituitary le ka 'nang la e-ba le eona ka ho roala lisele tsa boko
- Ho fokotsa kapa ho fetola matšoao a acromegaly.
Mekhoa e meholo ea phekolo ke:
- Ho buoa ho tlosa hlahala ea pituitary - maemong a mangata, phekolo e atlehang haholo.
- Meriana e fokotsang boholo ba hormone ea kgolo le ho fokotsa hlahala - Parlodel (bromocriptine), Sandostatin (octreotide), le Somatuline Depot (lanreotide).
- Meriana ea mahlaseli - ho senya lithōle tse ke keng tsa tlosoa ka ho feletseng ka ho buuoa.
- Meriana e thibelang liphello tsa ho hōla ha hormone le ho fokotsa IGF-I-Somavert (pegvisomant).
Lipatlisiso
Bafuputsi Univesithing ea Federico II ea Naples, Italy, ba ile ba ithuta batho ba 86 ba nang le acromogary ba ileng ba fuoa meriana pele le ka mor'a hore ba tlosoe ka tsela e itseng (resection) ea lihlapa tsa bona tsa pituitary.
Ba fumane hore resection ea bonyane 75% ea hlahala ea li-hormone e thibelang ho arabela meriana. Phuputso e ile ea hatisoa koranteng ea January 2006 ea Journal of Clinical Endocrinology & Metabolism .
Lisebelisoa:
> Motsoalle, KE "Acromegaly: Phekolo e ncha." Cancer Control: Journal of the Moffitt Cancer Center 9 (2002).
> "Acromegaly." Boitsebiso ka Endocrine le mafu a Metabolic. May 2008. Mokhatlo oa Sechaba oa lefu la tsoekere le mafu a likooa le a liphio.