Abun ciwo da zubar da ciki (ZES) shine cututtukan da ke haifar da daya ko fiye da ciwon sukari don farawa a cikin ƙananan ƙwayar jiki ko ɓangaren ƙananan ƙwayar intanet da ake kira duodenum. Yana kuma iya haifar da ulcers don ci gaba a ciki da duodenum.
Ana ci gaba da ciwon sukari gastrinomas, kuma suna ɓoye adadin hormone gastrin. Wannan yana haifar da samar da ƙwayar ƙwayar ciki, wanda zai iya haifar da cututtuka na fata .
Zamanin Zullinger-Ellison yana da wuya, kuma ko da yake yana iya faruwa a kowane zamani, mutanen da ke tsakanin shekarun 30 da 60 sun fi dacewa su bunkasa shi. Har ila yau, daga dukan mutanen da ke fama da cutar mikiya, kawai ƙananan kashi daga cikin waɗannan mutane za su sami Zollinger-Ellison.
Kwayoyin ciwon sukari suna cike da kashi 50 cikin 100 na shari'ar. Sun ɓoye wani hormone da ake kira gastrin wanda zai haifar da ciki don samar da adadi mai yawa, wanda hakan zai haifar da ulcers ciki da duodenal ulcers (cututtukan fata). Ciwon da cutar ta ZES ba su da karfin magani fiye da cututtukan fata. Abin da ke sa mutane da ZES don ci gaba da ciwon sukari ba a sani ba, amma kimanin kashi 25 cikin dari na sharuɗɗan ZES suna da alaka da kwayar halittar kwayar halitta da ake kira mahadar endocrine neoplasia.
Cutar cututtuka
- Gnawing, zafi zafi a cikin ciki
- Wannan ciwo yana yawanci yana a cikin yankin tsakanin ƙirji da kuma cibiya.
- Sanarwar matsa lamba, matsawa, ko cikakke
- Wannan ciwon yana tasowa tsawon minti 30 zuwa 90 bayan cin abinci kuma sau da yawa an kawar da shi ta hanyar antacids.
- Pain ko ƙin wuta a ciki da ke tafiya zuwa ga magwagwa
- Wannan zai haifar da ƙwannafin ƙwayar zuciya , ko reflux gastroesophageal , kuma yana faruwa a lokacin da abinda ke cikin ciki ya koma cikin esophagus.
- Vomiting
- Vomit na iya dauke da jini ko kama kofi.
- Diarrhea
- Stools iya zama maras kyau.
- Black, tarried stools
- Jub da jini a cikin ɗakunan zai juya su ja duhu ko baƙar fata, kuma su sa su zauna ko tsayawa.
- Jiɗa
- Wulo
- Rashin rauni
- Asarar nauyi
Dalilin
Abun ciki na Zollinger-Ellison ne ya haifar da ƙwayar cuta (gastrinoma) ko ciwace-ciwacen daji a cikin ƙananan ƙwayar cuta da ƙananan ƙwayar zuciya (duodenum). Wadannan ciwace-ciwacen suna samar da hormone gastrin kuma an kira su gastrinomas. Babban matakan gastrin yana haifar da haɓakaccen ciki na ciki. Wannan karuwa a cikin acidity zai iya haifar da ci gaba da cututtuka na peptic a cikin ciki da duodenum.
Sanin asali
Gwajin Jini
An gwada gwajin jini don ganin ko akwai ƙara gastrin matakin jinin. Wani darajar gastrin na iya nuna ciwace-ciwacen daji a cikin pancreas ko duodenum.
Barium X-ray
Mai haƙuri yana shan ruwa wanda ya ƙunshi barium, wanda zai yi ado ganuwar esophagus, ciki, da duodenum. Ana ɗaukar hasken X ɗin nan. Dikita zai duba rayukan X, neman alamun ulcers.
Upper Endoscopy
Dikita yana bincika ciki cikin esophagus, ciki, da duodenum tare da kayan aiki da ake kira endoscope, tube mai haske mai haske da ruwan tabarau. An saka ƙarshen katakon ta bakin bakin da ƙasa da makogwaro, kuma cikin ciki da duodenum. Dikita na iya neman ulcers, kuma zai iya cire samfurin nama, wanda ake kira biopsy, don binciken a cikin dakin gwaje-gwaje don gano idan akwai ciwon sukari na gastrin.
Bayanan Hoto
Dikita zai iya yin amfani da zane-zane na kwamfuta (CT), hotunan maɗaukaki mai kwakwalwa (MRI), da duban dan tayi, ko kuma makamashin nukiliya a gwada ƙoƙarin nuna inda za'a iya zama ciwace-ciwace.
- A CT scan wani jarrabawar gwaji ne da ke amfani da hasken X tare da taimakon fasaha ta kwamfuta. Ana daukar nauyin X-ray daga harsuna daban-daban don ƙirƙirar hotunan giciye na jikin mutum mai haƙuri. Sa'an nan kuma kwamfutar ta tattara wadannan hotunan zuwa hoto mai girma uku wanda zai iya nuna ganinsu, kasusuwa, da kyallen takalma a cikakkun bayyane.
Tare da MRI scan , ana amfani da siginar magnetic maimakon nauyin X don ƙirƙirar hoton jikin mutum. Wadannan hotuna suna nuna bambance-bambance tsakanin nau'in kyallen takarda.
Wani samfurin dan tayi ya aika da raguwar motsi mai tsayi wanda ya shiga yankin da ake nazari kuma billa da baya lokacin da suka buga wani kwaya. An sarrafa wannan ta hanyar kwamfuta, wanda ya samar da taswirar yankin da aka lakafta shi.
Tare da nazarin nukiliya , an gabatar da abubuwa masu rediyo a cikin jiki wanda ya bada izinin kamara gamma don gano ciwon sukari.
Abubuwan da suka faru na Zollinger-Ellison Syndrome
A cikin kashi 50 cikin 100 na lokuta na Zollinger-Ellison, ciwon sukari suna ciwo (m). Idan ciwace-ciwacen ƙwayar cuta ne mai ciwo, akwai haɗari cewa ciwon daji zai yada zuwa hanta, ƙwayoyin lymph kusa da pancreas da ƙananan hanji.
Sauran Rarraba na Ciwon Zuciyar Zollinger-Ellison
- Mutuwar cututtukan da zasu iya haifar da ci gaban rami a cikin jinji
- Tashin jini
- Yanna zawo
- Asarar nauyi
Jiyya
Yin jiyya na ciwo na Zollinger-Ellison ya maida hanyoyi guda biyu: Yin maganin ciwon sukari da kuma magance ƙwayar cutar.
Jiyya ga Tumors a Zollinger-Ellison Ciwo
An yi amfani da tiyata sau ɗaya idan akwai ƙwayar ƙwayar cuta kawai. Idan ciwace-ciwacen yake cikin hanta, likitan likita zai cire yawan ciwon hanta kamar yadda zai yiwu (debulking).
Lokacin da tiyata akan ciwace-ciwacen ƙwayoyi ba zai yiwu ba, wasu jiyya suna amfani da su:
- Yunkurin kawar da kututture ta hanyar yanke wa jini (samfuri).
- Ƙoƙari ya hallaka kwayoyin ciwon daji ta hanyar amfani da lantarki (rawanin radiyo).
- Yi amfani da kwayoyi a cikin kututture don taimakawa bayyanar cututtuka.
- Yin amfani da chemotherapy don ƙoƙarin rage ciwon tumo.
Jiyya ga Ciwon Magunguna a Zollinger-Ellison Ciwo
Proton Pump Masu zanga-zanga
Wadannan su ne magungunan da sukafi dacewa don ciwo na Zollinger-Ellison. Masu kwantar da hanzari na kwantar da hankali suna da karfi kuma suna hana samar da albarkatun ruwa da inganta warkaswa. Misalan magunguna na kwantar da hankalin proton sun haɗa da Prilosec , Prevacid , Nexium , Aciphex , da Protonix .
Acid Blockers
Wadanda ake kira su na tarihi histamine (H-2). Wadannan magunguna sun rage yawan adadin hydrochloric da aka saki cikin sarkar kwayar. Wannan yana taimakawa wajen rage ciwon ciwo da kuma karfafa warkarwa. Acid blockers aiki ta ajiye histamine daga isa ga masu karɓa na histamine. Hakanan masu karɓar tarihin suna nuna alamar acid-ɓoye a cikin ciki don saki acid hydrochloric. Misalan magunguna masu amfani da acid sun hada da Tagamet , Pepcid , Zantac , da Axid .
Acid blockers ba aiki da proton pump inhibitors yi, kuma bazai wajabta da likita. Ga mutanen da suke amfani da magungunan acid, suna buƙatar matsayi mai mahimmanci don su zama tasiri.
Faɗakarwa
Kamar yadda aka fada a sama, a cikin kashi 50 cikin 100 na lokuta na Zollinger-Ellison, ciwon sukari suna ciwo. Sakamakon asali na farko da kuma ƙwararrun ƙwayar cuta za su iya samun maganin lafiyar kawai 20% zuwa 25%. Duk da haka, bayanin likita ya ce gastrinomas suna raguwa, kuma marasa lafiya na iya rayuwa tsawon shekaru bayan an gano tumo. Magungunan maganin acids suna da tasiri sosai a yayin da suke kula da bayyanar cututtuka na acid.
Dukkan bayanai a cikin wannan labarin an ba su don dalilai na ilimi kawai. Don ganewar asali, kana buƙatar ganin mai bada sabis naka. A wannan lokaci dukkan nau'ikan wannan yanayin, tare da zaɓuɓɓukan magani da kulawa da kula da yanayin, ya kamata a tattauna tare da likitan ku. Bayan ganewar asali, idan ya kamata kayi kwarewa da sababbin cututtuka, wajibi ne a gaya wa likitan ku.