Inā haʻi aku ke kauka iā ʻoe he "puʻupuʻu" kou ma kekahi wahi o kou kino, ʻaʻole anei e anu kou kino holoʻokoʻa? ʻO ka mea mua e hiki mai ana i ka noʻonoʻo, ʻo ia ka makaʻu i ka "He maʻi kanesa kēia?" Akā, ʻaʻole nā puʻupuʻu a pau he maʻi kanesa. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu ʻaʻole he maʻi kanesa, akā pono e nānā ʻia. ʻO ia ka adenoma.
He aha maoli ka adenoma?
I ka ʻōlelo maʻalahi, he puʻupuʻu ʻaʻole kanesa (benign) ka adenoma. Hoʻokumu ʻia lākou mai ka ʻiʻo epithelial, kahi e uhi ai i nā ʻōpū a me nā glands o ko mākou kino. Ulu pinepine kēia mau puʻupuʻu i loko o nā puʻupuʻu. Inā ʻoe e nānā pono, ua like lākou me nā halo liʻiliʻi me kahi ʻōpala liʻiliʻi.
He ʻano ulu ka adenoma i kapa ʻia he polyp. I kekahi manawa kapa pū nā kauka iā ia he polyp adenomatous .
ʻO ka mea nui, ʻaʻole he maʻi kanesa nā adenomas. Eia nō naʻe, i kekahi manawa, ʻoi aku hoʻi nā adenomas nui, hiki iā lākou ke lilo i maʻi kanesa i ka hala ʻana o ka manawa. ʻO ia ke kumu he mea nui loa ka nānā ʻia e ke kauka e pili ana i kēia mau mea.
He aha nā ʻano o nā adenomas?
Hoʻomohala nui ʻia nā adenomas i loko o nā glands o ko mākou kino. Hoʻopuka a hoʻokuʻu nā glands i nā kemika i kapa ʻia he hormones e pono ai no ka hana o ko mākou kino. No laila, aia kekahi mau ʻano adenomas. E nānā kākou i nā ʻano nui.
| ʻAno o ka adenoma | Kahi i hana ʻia ai a me kahi wehewehe pōkole |
|---|---|
| Nā adenomas adrenal | Hana ʻia kēia mau mea i loko o nā kelepa adrenal i loaʻa ma luna o ko mākou mau puʻupaʻa. |
| Nā adenoma kolona | He ʻano polyp kēia e hana ʻia ana ma ka uhi o ka colon. ʻO nā mea i ʻoi aku ka nui ma mua o 10 mm a like me ka cauliflower ua kapa ʻia ʻo 'advanced adenomas'. |
| Nā adenoma parathyroid | Hoʻopuka ʻia kēia mau mea i loko o nā kelepa parathyroid, aia kokoke i ka kelepa thyroid. Hiki i kēia ke hana i ka hana nui ʻana o ka hormone parathyroid. |
| Nā adenoma pituitary | Hoʻomohala kēia mau mea i loko o ke kelepa pituitary i loko o ka lolo. ʻO nā mea liʻiliʻi ma mua o 1 cm ua kapa ʻia he microadenomas, a ʻo nā mea nui aʻe ma mua o 1 cm ua kapa ʻia he macroadenomas. |
| Nā adenoma pleomorphic | Hana ʻia kēia mau mea i loko o kā mākou mau kelepa salivary. |
| ʻO nā adenomas sebaceous (nā adenomas o nā kelepa sebaceous) | Loaʻa kēia mau mea i loko o nā kelepa hana ʻaila ma ka ʻili o ka ʻili. |
Eia kekahi, hiki i nā adenomas ke "hana" a "hana ʻole." Hoʻopuka kahi adenoma hana i nā hormones ma mua o ka mea e pono ai. ʻAʻole hana kahi adenoma hana ʻole i kekahi hormones. No laila, inā loaʻa iā ʻoe kahi adenoma hana ʻole, ʻaʻohe ou hōʻailona.
Ua hoʻokaʻawale ʻia kēia mau hua e like me ke ʻano o ko lākou ulu ʻana.
Hoʻokaʻawale pū nā kauka i kēia mau adenomas ma ka nānā ʻana iā lākou ma lalo o kahi microscope a hoʻokaʻawale iā lākou ma muli o ke ʻano o ka hoʻokumu ʻana o nā cell. He mea nui kēia i ka hoʻoholo ʻana i ka lāʻau lapaʻau.
| ʻAno ulu | ʻAno a me nā ʻano |
|---|---|
| ʻŌmole | Ulu lākou i loko o kahi ʻano poepoe a oval paha. ʻIke pinepine ʻia lākou ma nā adenomas liʻiliʻi ma mua o 0.5 ʻīniha. |
| ʻO Villous | Ulu lākou i loko o kahi ʻano nalu a haunaele, e like me ka pua kāpeti. He mea maʻamau kēia ʻano i nā adenomas nui. |
| ʻO Tubulovillous | He hui ʻana o nā ʻano ʻelua o luna. |
| Noho mālie | Ulu ia me ke kumu ʻole, ma ke ʻano pālahalaha, me kahi kumu nui. |
| ʻOkiʻoki | Ke nānā ʻia ma lalo o kahi microscope, ʻike ʻia kahi ʻano e like me nā niho o ka ʻoki. |
He aha nā hōʻailona o ka adenoma?
Aia nā hōʻailona ma kahi a me ka nui o ka adenoma. ʻAʻole paha e hōʻike iki kekahi mau adenoma liʻiliʻi i kekahi mau hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia:
- ʻeha ka ʻōpū
- Luhi nui o ke kino
- ʻEha poʻo
- Anemia nele i ka hao
- Nāwaliwali o nā ʻiʻo
- Ka luaʻi a i ʻole ka luaʻi
- Ke kahe koko ʻana o ka rectum
No ke aha mākou e loaʻa ai nā adenomas?
ʻO kēia no ka mea e hoʻomaka ana nā pūnaewele i loko o ko mākou kino e ulu a māhelehele me ke kāohi ʻole ʻia. ʻO ka maʻamau, ua ʻōlelo ʻia nā pūnaewele i loko o ko mākou kino e make i kahi manawa kikoʻī. Ua kapa ʻia kēia he make pūnaewele i hoʻonohonoho ʻia . Ke hele hewa kēia kaʻina hana, hui pū nā pūnaewele a hana i nā puʻupuʻu. Hoʻomohala pū nā pūnaewele kanesa ma kēia ʻano. Eia naʻe, ʻaʻole ikaika nā adenomas e like me nā pūnaewele kanesa a ulu lohi loa.
Nā mea e hoʻonui ai i ka pilikia
Hiki i kekahi mau kumu ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka adenoma.
- Makahiki: ʻOi aku ka nui o ka poʻe i ko lākou mau makahiki 30 a me 40 e loaʻa i nā adenomas pituitary.
- Nā loli genetic: Hiki i kekahi mau kūlana genetic, e like me ka Multiple Endocrine Neoplasia type 1 (MEN1), ke hana i nā adenomas. He hoʻoilina kēia.
- Maʻi hoʻoilina: Familial Adenomatous Polyposis (FAP)ʻO kekahi mau maʻi, e like me nā mea e holo i loko o nā ʻohana, e hoʻonui pū i ka pilikia o ka adenoma.
- Kāne: ʻOi aku ka nui o ka loaʻa ʻana o nā adenomas parathyroid i nā wahine ma mua o nā kāne.
Pehea e ʻike ai ke kauka i kēia?
E nānā mua kāu kauka iā ʻoe a nīnau e pili ana i kou mōʻaukala olakino. A laila, e kauoha paha lākou i kekahi mau hoʻokolohua e hōʻoia i kēia.
- Nā scan CT
- Nā kiʻi MRI
- Nā scan PET
ʻO ka hoʻāʻo koʻikoʻi loa he biopsy . Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a hoʻouna aku i kahi keʻena hoʻokolohua e hoʻoholo ai inā he adenoma a i ʻole kekahi mea ʻē aʻe.
He aha nā lāʻau lapaʻau?
Hoʻololi ke ʻano o ka mālama ʻana ma muli o ke ʻano, ka nui, a me ka wahi o ka adenoma.
- Lāʻau lapaʻau: Inā ʻo ka adenoma ke kumu o nā pilikia hormonal, e kuhikuhi ke kauka i ka lāʻau lapaʻau e kāohi iā ia.
- ʻO ke ʻoki kino: ʻOi aku ka nui o ka lilo ʻana o nā adenomas nui i ka maʻi kanesa. No laila, wehe ʻia nā mea e like me nā polyps i ʻoi aku ka nui ma mua o 5 mm ma ke ʻoki kino. Eia kekahi, hiki ke ʻōlelo ʻia ke ʻoki kino inā ke kumu nei ka puʻupuʻu i nā pilikia olakino ʻē aʻe.
- Nānā ikaika: Inā liʻiliʻi loa ka adenoma a ʻaʻole ia e hoʻopilikia i ke olakino, hiki i kāu kauka ke lawe i kahi ala "kiaʻi a kali". ʻO ke ʻano kēia, ʻaʻole e mālama iā ia, akā e nānā mau i ka puʻupuʻu e ʻike inā e loli.
Hiki ke pale ʻia kēia mau mea mai ka hana ʻana?
ʻOiai ʻaʻole hiki iā mākou ke kāohi i nā kumu genetic e kōkua i ka ulu ʻana o nā adenomas, ʻaʻole hiki iā mākou ke pale aku iā lākou 100%. Eia nō naʻe, ʻo ka mea maikaʻi loa hiki iā mākou ke hana, ʻo ia ka loaʻa ʻana o nā hoʻokolohua maʻamau no ka maʻi kanesa . E nīnau i kāu kauka i ka pinepine o kou loaʻa ʻana o kēia mau hoʻokolohua, ʻoiai inā ʻoe e pilikia ana i ka ulu ʻana o nā adenomas.
Eia kekahi, e kōkua kēia mau mea i ka mālama ʻana i ke olakino maikaʻi holoʻokoʻa:
- Ke pale ʻana i ka puhipaka
- ʻAi ʻana i kahi meaʻai momona i nā huaʻai, nā mea kanu, a me nā palaoa holoʻokoʻa
- Hoʻonui i ka hana kino
- Ka palena ʻana i ka inu ʻona
Leka Lawe-Home
- He puʻupuʻu ʻaʻole hiki ke lilo ka adenoma i maʻi kanesa, akā hiki i kekahi mau ʻano, ʻoi aku ka nui o nā mea, ke lilo i maʻi kanesa.
- ʻAʻole ʻike mau ʻia nā hōʻailona, no laila he mea nui loa nā hoʻokolohua lapaʻau i ka makahiki kūpono, e like me ka colonoscopy.
- Mai hopohopo inā ʻike ʻoe he puʻupuʻu kou. E kamaʻilio ākea me kāu kauka e pili ana i ke ʻano o ia mea a me ka mea e hana ai e pili ana i ia mea.
- Me ka mālama pono ʻana a me ka nānā ʻana, he maʻi mālama maikaʻi ka adenoma.
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