I-Zollinger-Ellinson Syndrome

Leli gama eliyinkimbinkimbi ngempela liyi-tumor. Ngokuqondile, isimo sempilo phambi kwesifo. I-syndrome ye-Zollinger-Ellison itholakala ukuthi ine-tumor pancreatic, kaningi kaningi - i-duodenum noma isisu. Izimpawu zalesi sifo zivame ukudideka ngesilonda esiswini esivamile, ngenxa yalokho okudingekayo ukwelashwa akudingeki ngesikhathi. Ukwazi okucacile kwesifo, ungakwazi ukugwema izinkinga ezinkulu ezihambisana nayo. Mayelana nalokhu bese ukhuluma ku-athikili.

Isifo se-Zollinger-Ellison

Inkinga enkulu ukuthi iziguli eziningi zine-Zollinger-Ellison syndrome eziboniswa izimpawu ezifana nezilonda . Ngakho-ke, kokubili ukuhlolwa nokuhlaziywa kwenziwa ngokufanayo. Kubalulekile ukuqonda ukuthi i-gastrinomas - izicubu ezitholakala ku-Zollinger-Ellison syndrome - zingase zibe zimbi kakhulu ezimweni eziningi. Futhi kuleso simo, uyazi, awukwazi ukuhlala isikhathi eside. Nakuba i-gastrinomas ibuye isandise ngesayizi kancane kancane, ingaqala izidakamizwa ezingxenyeni ezingomakhelwane, ikhulise inkinga evamile.

Kuze kube manje, kuyisiko ukuhlukanisa lesi sifo kanje:

1. I-gastrinomas engashadile, evame ukutholakala ema-pancreas.
2. Izicubu eziningi zingasakazeka kuma-pancreas, ngisho nangaphakathi kwesigxobo esiswini.

I-Hypergastemia ingahlakulela phambi kwezicubu emgodini wegciwane, izigulane eziyingozi, futhi kubhekwa ukuthi imbangela enkulu yokuvela kwe-Zollinger-Ellison syndrome.

Izimpawu eziyinhloko zesifo

Ngokuvamile ezikhathini ezineziguli ezine-Zollinger-Ellison syndrome ngokumelene nesizinda sesifo esiyisisekelo, isifo sesilonda siyakhula. Ngakho-ke, ikakhulukazi, izimpawu zezifo ziyafana. Ukubonakaliswa okuyinhloko kwesifo kubukeka kanje:

1. Uphawu oluyinhloko ku-Zollinger-Ellison syndrome luyaqina, luvame futhi luhlala isikhathi eside phezulu kwesisu.
2. Ukusola kufanele kubangele ukushaya kwenhliziyo njalo kanye ne-asidi enomlomo emlonyeni, ovela emva kokusebenza.
3. Isiguli silahlekelwa isisindo.
4. Ukunakwa kufanele kuhokhwe futhi kumlingisi wesihlalo. Ukuhuda kwesibindi, izitshalo ezinomzimba ziyimpawu ezibalulekile ze-syndrome.
5. Ngokuvamile, esimweni se-Zollinger-Ellison, i-reflux esophagitis iyaqala, okubangela ukucindezeleka nokuguqulwa kwesimo.
6. Uma lesi sifo sidlulile esimweni esingenakiwe, kungase kube nokwanda kwesibindi.

Njengoba usuthole okungenani okunye kwezimpawu ezingenhla ze-Zollinger-Ellison syndrome, kufanele usheshe uphinde ubone udokotela. Kungenzeka ukuthi izinsolo azifanelekile, kodwa ukuhlolwa okungenasisekelo ngeke kube khona.

Ukwelashwa kwe-Zollinger-Ellison syndrome

Ukuthola izilonda ezivela ngenxa ye-Zollinger-Ellison syndrome, udinga ukuhlolwa ngokugcwele. Lokhu kuzosiza ukugwema iphutha lezokwelapha futhi kube nomthelela ekuqokweni kwemithi ephumelelayo ngempela.

Okuyinhloko yokwelashwa kwe-Zollinger-Ellison syndrome ngokuyinhloko ukukhipha isisu. Kulesi simo, ngemuva kokusebenza, kubaluleke kakhulu ukuhlola isimo sezithintekayo nezitho eziseduze. Kubalulekile ukuba ulungele ukuthi ngesikhathi sokusebenza, izidakamizwa eziphuma emathunjini zivame ukutholakala, yingakho iziguli ezingaphezu kwama-30% zilashwa ngokuphelele.

Ukusekela umzimba ngenkathi ukwelashwa (futhi ngezinye izikhathi kulo lonke impilo yakhe) kungenza izidakamizwa ezikhethekile ezinciphisa inani le-hydrochloric acid ekhishwe.

Ngenhlanhla, izibikezelo ze-Zollinger-Ellison syndrome zibonakala zihle kunezinye izicubu ezimbi. Ngisho naphambi kwe-metastases, iziguli ziyakwazi ukululama futhi zinqobe umgogodla wokuhlala iminyaka emihlanu.