Momwe mungazindikire ndikuchizira pheochromocytoma

Zamkati

• Zizindikiro zazikulu ndi ziti
• Momwe matendawa amapangidwira
• Momwe mankhwalawa amachitikira
• Opaleshoni ya Pheochromocytoma
• Chithandizo cha pheochromocytoma yoyipa
• Zizindikiro zakusintha
• Zizindikiro zakukula

Pheochromocytoma ndi chotupa chosaopsa chomwe chimayamba ndimatenda a adrenal, omwe ali pamwamba pa impso. Ngakhale chotupa cha mtunduwu sichiwopseza moyo, chimatha kubweretsa mavuto angapo azaumoyo, makamaka momwe ma adrenal gland amatulutsa mahomoni omwe amayang'anira magwiridwe antchito pafupifupi chilichonse m'thupi.

Chifukwa chake, popeza mahomoni samapangidwa molondola chifukwa chotupa, ndimakonda kukhala ndi kuthamanga kwa magazi komwe sikuchepera komanso mavuto ena amtima.

Pachifukwa ichi, ngakhale si khansa yoyipa, nthawi zambiri, pheochromocytoma imayenera kuchotsedwa kudzera pakuchita opareshoni kuti ipewe kuvulala kwa ziwalo zina pakapita nthawi.

Zizindikiro zazikulu ndi ziti

Zizindikiro zamtunduwu zimapezeka pafupipafupi pakati pa 20 ndi 50 ndipo zimaphatikizapo:

• Kuthamanga kwa magazi;
• Kuchuluka kwa kugunda kwa mtima;
• Thukuta lopambanitsa;
• Kupweteka mutu;
• Kugwedezeka;
• Pallor kumaso;
• Kumva kupuma pang'ono.

Nthawi zambiri zizindikiro za pheochromocytoma zimawoneka pamavuto omwe amakhala pakati pa mphindi 15 mpaka 20, ndipo zimatha kuchitika kamodzi patsiku. Komabe, kuthamanga kwa magazi kumatha kukhalabe kokwera ndipo ndizovuta kuwongolera.

Mavuto azizindikiro awa amapezeka patapita nthawi monga kuchita masewera olimbitsa thupi, kukhala amanjenje kapena kuda nkhawa, kusintha thupi, kugwiritsa ntchito bafa kapena kudya zakudya zokhala ndi tyrosine, monga tchizi, avocado kapena nyama yosuta. Onani mndandanda wathunthu wazakudya za tyrosine.

Momwe matendawa amapangidwira

Kuti atsimikizire kupezedwa kwa pheochromocytoma, adokotala amatha kuyitanitsa mayeso angapo monga kuyezetsa magazi komwe kumayeza mahomoni opangidwa ndi adrenal gland, monga adrenaline kapena norepinephrine, komanso computed tomography kapena magnetic resonance imaging, yomwe imawunika kapangidwe ka adrenal zopangitsa.

Momwe mankhwalawa amachitikira

Njira yabwino kwambiri yothandizira pheochromocytoma ndikuchita opareshoni kuti muchotse chotupacho mu adrenal gland. Komabe, asanachite opareshoniyo, adokotala amatha kukupatsani mankhwala omwe amathandizira kuchepetsa kupanikizika ndikuchepetsa chiopsezo cha zovuta, monga:

• Oseketsa a Alpha, monga Doxazosin kapena Terazosin: kusintha kayendedwe ka magazi ndikuchepetsa kuthamanga kwa magazi;
• Oletsa Beta, monga Atenolol kapena Metoprolol: amachepetsa kugunda kwa mtima ndikusunga kuthamanga kwa magazi;
• Njira zina zothandizira kuthamanga kwa magazi, monga Captopril kapena Amlodipine: amagwiritsidwa ntchito ngati kuthamanga kwa magazi sikutsika pogwiritsa ntchito alpha kapena beta blockers.

Mankhwalawa nthawi zambiri amagwiritsidwa ntchito kwakanthawi ngati masiku 10 asanachite opareshoni.

Akapanikizika, nthawi zambiri amatha kuchita opaleshoni kuti achotse chotupacho. Nthawi zambiri, adrenal gland yonse imachotsedwa pakuchita opareshoni, komabe, ngati gland inayo yachotsedwanso, dokotalayo amayesera kuchotsa dera lokhalo la gland, kuti gawo labwino lipitilizebe kugwira ntchito bwino.

Opaleshoni ya Pheochromocytoma

Chithandizo cha pheochromocytoma chimachitika, nthawi zambiri, ndikuchitidwa opareshoni kuyesera kuchotsa chotupa chambiri kuchokera ku adrenal gland.

Kuchita opaleshoni ya Pheochromocytoma kumachitika pansi pa anesthesia ndipo, nthawi zambiri, adokotala amasankha kuchotsa adrenal gland yonse, kuti achepetse chiwopsezo chobwereranso. Komabe, ngati gland winayo wakhudzidwanso kapena ngati ndachotsa kale kale, adotolo amachotsa gawo lokhalo lomwe lakhudzidwa, ndikusunga gawo labwino.

Nthawi zambiri, gland wathanzi amatha kukhalabe wogwira ntchito ndikupanga mahomoni ofunikira thupi. Komabe, izi zikasokonekera, adokotala amatha kupereka mankhwala osinthira mahomoni, omwe atha kuchitidwa kwa moyo wonse.

Chithandizo cha pheochromocytoma yoyipa

Ngakhale pheochromocytoma ndiyosowa kwambiri, imathanso kukhala chotupa chowopsa ndipo, munthawiyi, mutatha kuchitidwa opaleshoni kungakhale kofunikira kuti muchite chemotherapy kapena radiotherapy kuti muchepetse maselo oyipa kapena metastases, kutengera kukula kwa chotupacho.

Zizindikiro zakusintha

Zizindikiro zoyamba zakusintha zimawoneka pafupifupi sabata imodzi mutayamba kulandira chithandizo ndi mankhwalawa ndikuphatikizanso kuchepa kwa kuthamanga kwa magazi ndi kugunda kwa mtima. Pambuyo pa opaleshoni, zizindikiro zonse zimatheratu. Komabe, pankhani ya khansa yoyipa, zizindikilo zina zimatha kusungidwa kapena zizindikilo za khansa yokhala ndi zotupa zam'mimba monga kupweteka kopanda chifukwa kapena kuwonda, mwachitsanzo.

Zizindikiro zakukula

Zizindikiro zowonjezereka zimachulukirachulukira pomwe chithandizo sichinayambike ndipo chitha kuphatikizira kunjenjemera, kupweteka mutu komanso kupuma pang'ono, komanso kuwonjezeka kwakukulu kwa kuthamanga kwa magazi komanso kugunda kwa mtima.