VIPoma

VIPoma waa kansar aad dhif u ah oo badanaa ka soo baxa unugyada ku jira ganaca oo loo yaqaanno unugyada islet.

VIPoma waxay sababtaa unugyada ku jira ganaca inay soo saaraan hormoon heer sare ah oo loo yaqaan 'vasoactive intestinal peptide' (VIP). Hormoonkani wuxuu kordhiyaa dheecaanka mindhicirka. Waxay sidoo kale dejisaa qaar ka mid ah muruqyada jilicsan ee nidaamka caloosha.

Sababta saxda ah ee VIPomas lama oga.

VIPomas waxaa badanaa lagu ogaadaa dadka waaweyn, badanaa badanaa qiyaastii da'da 50. Haweenka ayaa u badan inay ku dhacaan ragga. Kansarkaani waa dhif. Sannad kasta, kaliya 10kii milyan ee qofba 1 ayaa laga helaa VIPoma.

Astaamaha VIPoma waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Calool xanuun iyo casiraad
• Shuban (biyo leh, badanaana qaddar badan)
• Fuuqbax
• Biyo baxa ama casaanka wejiga
• Murqo xanuun muruqa dhiigga oo yaraada (hypokalemia)
• Lallabbo
• Miisaanka oo yaraada

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed wuxuuna weydiin doonaa taariikhdaada caafimaad iyo astaamahaaga.

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Tijaabooyinka kiimikada dhiigga (aasaaska ama baaxadda dheef-shiid kiimikaadka guud)
• CT iskaanka caloosha
• MRI caloosha
• Baaritaanka saxarada ee sababa shubanka iyo heerarka korantada
• Heerka VIP ee dhiiga

Hadafka ugu horeeya ee daaweynta waa sixitaanka fuuqbaxa. Dheecaannada waxaa badanaa lagu bixiyaa xididka (dareeraha xididka) si loogu beddelo dheecaannada ku lumay shubanka.

Himilada xigta waa in la yareeyo shubanka. Daawooyinka ayaa kaa caawin kara xakameynta shubanka. Mid ka mid ah daawooyinka noocaas ah waa octreotide. Waa qaab dad samee ah oo hormoon dabiici ah oo xannibaya ficilka VIP.

Fursadda ugu wanaagsan ee daawo waa qalliin looga saarayo burada. Haddii buradu aysan ku faafin xubnaha kale, qalliinka ayaa badanaa daaweyn kara xaaladda.

Waad yareyn kartaa diiqada jirrada adoo ku biiraya kooxda taageerta kansarka. La wadaagida dadka kale ee leh khibradaha guud iyo dhibaatooyinka ayaa kaa caawin kara inaadan kali dareemin.

Qalitaanku badanaa wuu daaweyn karaa VIPomas. Laakiin, seddex meelood hal meel ilaa iyo badh dadka, burooyinka ayaa ku faafay waqtiga cudurka lagamana bogsan karo.

Dhibaatooyinka waxaa ka mid noqon kara:

• Faafitaanka kansarka (metastasis)
• Wadnaha oo laga qabto heerka dhiigga dhiigga oo hooseeya
• Fuuqbax

Haddii aad qabto shuban biyood in ka badan 2 ilaa 3 maalmood, wac daryeel caafimaad bixiyahaaga.

Buro soo saarta Vasoactive mindhicirka; Cudurka VIPoma; Buroda qanjirka 'endocrine endocrine'

• Xammeetida

Websaydhka Machadka Kansarka Qaranka. Daaweynta qanjirada 'Pancreatic neuroendocrine burooyinka' (burooyinka unugyada yar yar)) (PDQ) - nooc xirfad-yaqaan caafimaad ah. www.cancer.gov/types/pancreatic/hp/pnet-treatment-pdq. La cusbooneysiiyay Febraayo 8, 2018. La helay Noofambar 12, 2018.

Schneider DF, Mazeh H, Lubner SJ, Jaume JC, Chen H. Kansarka nidaamka endocrine. Gudaha: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 5aad. Philadelphia, PA: Elsevier Saunders; 2014: cutubka 71.

Vella A. Hormoonnada caloosha iyo mindhicirka iyo burooyinka endocrine gut. Gudaha: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Buugga Buugga Endocrinology. 13aad. Philadelphia, PA: Elsevier; 2016: cutubka 38.