Ke loaʻa iā ʻoe kahi scan CT no kekahi pilikia olakino ʻē aʻe, hiki ke hopohopo iki inā haʻi koke ke kauka iā ʻoe he puʻupuʻu liʻiliʻi kou i loko o kou kino. Akā, mai hopohopo. ʻAʻole nā puʻupuʻu a pau e ulu ana i loko o ke kino he maʻi kanesa. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano puʻupuʻu i loaʻa ma ka hanana, akā ʻaʻole ia he mea weliweli. ʻO ia ka adrenal adenoma.
I ka ʻōlelo maʻalahi, he aha ka adrenal adenoma?
ʻAe, e hoʻomaka kākou ma ka hoʻomaka. Ma luna o ko kākou mau puʻupaʻa, e like me ʻelua mau pāpale liʻiliʻi, aia ʻelua mau kelepa ʻano triangular. ʻO kēia ka mea a kākou e kapa nei he mau kelepa adrenal . ʻOiai he liʻiliʻi lākou, hana lākou i kahi hana koʻikoʻi loa i loko o ko kākou kino. Ke kaumaha nei kākou, hana kēia mau kelepa i nā hormones e kōkua iā kākou e hoʻoponopono iā ia, nā hormones e kaohi i nā mea he nui, e like me ke kiʻekiʻe o ke kō koko, ke koko, a me ka ʻōnaehana pale.
He puʻupuʻu maikaʻi ʻole ka Adrenal Adenoma , ʻaʻole ia he maʻi kanesa e hana ʻia ana ma ka ʻaoʻao waho o nā kelepa adrenal (adrenal cortex). ʻAʻole hōʻike pinepine kēia mau puʻupuʻu i nā hōʻailona a ʻaʻole pono e mālama ʻia.
ʻElua ʻano o kēia mau nati, ʻeā?
ʻAe, pololei kēlā. Hiki ke hoʻokaʻawale ʻia kēia mau adenomas adrenal i ʻelua ʻāpana nui. Inā maopopo iā ʻoe kēia, e maopopo nā mea he nui iā ʻoe.
| ʻAno Puʻupuʻu | He aha ka mea e hana ʻia me kēia? |
|---|---|
| ʻO ka Adenoma Hana | ʻAʻole wale kēia ʻano puʻupuʻu. Hoʻoulu ia i ka ʻōpū adrenal e hana i nā hormones ma mua o ka mea e pono ai. Hiki i kēia ke hana i nā hōʻailona like ʻole. No laila, pono e mālama ʻia. |
| ʻAdenoma Hana ʻole | ʻO kēia nā ʻano maʻamau. ʻAʻole hana kēia mau puʻupuʻu i nā hormones keu. No laila, ʻaʻole lākou e hōʻike i kekahi mau hōʻailona a ʻaʻole pono ka mālama ʻana. Ua like ia me ke kanaka e noho ana i loko o ka coma. |
ʻO ka mea nui, ʻo ia ka haʻahaʻa loa o ka hiki ke lilo i maʻi kanesa i nā ʻano ʻelua. Eia nō naʻe, i kekahi manawa hiki i kahi puʻupuʻu hana ʻole ke lilo i puʻupuʻu hana i ka hala ʻana o ka manawa.
ʻO ka nīnau a ka poʻe he nui: Hiki paha i kēia ke lilo i maʻi kanesa?
ʻO kēia ka makaʻu nui loa e hiki mai ana i ka noʻonoʻo o kēlā me kēia kanaka. Akā ʻo ka ʻoiaʻiʻo, ʻo ka manawa kūpono o ka lilo ʻana o kahi adenoma adrenal i ka maʻi kanesa he mea liʻiliʻi loa ia . ʻO ke ʻano o ka maʻi kanesa e ulu ana i loko o ke kelepa adrenal ua kapa ʻia ʻo adrenocortical carcinoma . He ʻano maʻi kakaikahi loa ia. Ma ke ʻano laulā, loaʻa kēia ʻano maʻi kanesa i kahi o hoʻokahi i ka miliona o ka poʻe. No laila, inā ʻōlelo kāu kauka he adenoma kou, e hoʻomanaʻo he mea liʻiliʻi loa ka manawa kūpono e lilo ai i ka maʻi kanesa.
He aha nā hopena o ka adenoma hana i ke kino?
ʻOiai ʻaʻohe mea ʻino o nā cysts hiamoe, hiki i nā cysts hana ke hana i kekahi mau maʻi olakino no ka mea hana lākou i nā hormones hou aʻe ma mua o ka mea e pono ai ke kino.
- ʻO ka maʻi Cushing: Hiki mai kēia ʻano ke hana nui ka gland adrenal i ka hormone cortisol . Hiki iā ia ke hoʻoulu i ke koko kiʻekiʻe, ʻoi aku hoʻi a puni ka ʻōpū, a me nā pilikia me ka hana moekolohe. Hoʻonui pū ia i ka pilikia o ka maʻi diabetes.
- ʻO ka aldosteronism mua (Conn's syndrome): Hoʻokumu ʻia kēia e ka hana nui ʻana o kahi hormone i kapa ʻia ʻo aldosterone . Hiki i kēia ke hana i ke koko kiʻekiʻe, nā pae potassium haʻahaʻa i ke kino, nā ʻeha poʻo, ka luhi nui, a me ka nāwaliwali o nā ʻiʻo.
- Nā pilikia hormone moe: He mea kākaʻikahi loa, hiki i kēia mau puʻupuʻu ke hana i ka nui o ka hormone moe. No ka laʻana, inā he nui loa nā hormones kāne (androgens) i ke kino o ka wahine, hiki iā ia ke hana i nā pōʻaiapuni menstrual kūpono ʻole , ka ulu nui ʻana o ka lauoho kino (hirsutism), a me ka leo haʻalulu. Inā he nui loa ka estrogen i ke kāne, hiki iā ia ke hana i ka emi ʻana o ka makemake moe a me ka hana erectile.
He aha nā hōʻailona nui o kēia?
Ua ʻike mākou i kēia manawa ʻaʻole nā pūpū hiamoe e hoʻoulu i nā hōʻailona. Eia nō naʻe, inā he pūpū hana, hiki ke ʻike ʻia kēia mau hōʻailona ma muli o ke ʻano o ka hormone i hana nui ʻia.
| Hōʻailona | Wehewehena |
|---|---|
| Ke koko kiʻekiʻe (Hypertension) | Ke piʻi nei ke kaomi, kahi mea paʻakikī ke kāohi. |
| Piʻi ke kaumaha | Ka hoʻonui ʻana, ʻoiai ma ke kino o luna a me ka ʻōpū. |
| Luhi a me ka nāwaliwali o nā ʻiʻo | Luhi mau, ʻeha ke kua, a me ka mae ʻana o nā lālā. |
| Hoʻonui ʻia ke kō koko | Loaʻa ka maʻi diabetes a i ʻole ka pilikia o ka kaohi ʻana. |
| Ua hoʻemi ʻia nā pae potassium i loko o ke koko | Hiki ke ʻike ʻia ma o nā hoʻokolohua lapaʻau wale nō. |
| Nā loli noʻonoʻo | Ke hopohopo nei, ka pihoihoi, a i ʻole ke kaumaha no ke kumu ʻole. |
No ke aha i hana ʻia ai kēia mau adenomas?
ʻAʻole i loaʻa i nā kānaka noiʻi kahi kumu kikoʻī no kēia mau puʻupuʻu. Eia nō naʻe, ua ʻike ʻia kekahi mau kūlana genetic e hoʻonui i ka pilikia o ka hoʻomohala ʻana iā lākou. ʻO ka momona a me ka hoʻohana ʻana i ka paka kekahi mau mea pilikia.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau puʻupuʻu ma ke ʻano ulia. ʻO ia hoʻi, ʻike ʻia lākou i ka wā o ka nānā ʻana i ka ʻōpū (CT scan a i ʻole MRI) no kekahi maʻi ʻē aʻe. No kēia kumu, ua kapa ʻia lākou i kekahi manawa ʻo "incidentalomas," ʻo ia hoʻi kahi mea i loaʻa ma ka hanana.
Inā ʻike ke kauka i kahi puʻupuʻu e like me kēia, ʻo ka mea mua āna e hana ai, ʻo ia ke hōʻoia inā he maʻi kanesa a ʻaʻole paha. A laila, inā he adenoma ia, hoʻāʻo ʻo ia e ʻike inā he hana a hana ʻole paha.
- Nā hoʻāʻo koko a me ka mimi : Nānā kēia inā maʻamau a kiʻekiʻe paha kāu mau pae hormone. Pono paha ʻoe e hōʻiliʻili i kahi hāpana mimi 24-hola.
- Kiʻi: ʻO ka CT scan ka hoʻāʻo maʻamau i hoʻohana ʻia. I kekahi manawa hiki ke hana ʻia kahi MRI scan . Hiki i kēia mau scan ke hāʻawi i kahi manaʻo maʻamau inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha, ma muli o kona nui a me kona ʻano. No ka laʻana, ʻoi aku ka nui o nā puʻupuʻu i ʻoi aku ma mua o 4 kenimika i ka maʻi kanesa.
- Biopsy: Inā ʻaʻole i maopopo nā hoʻokolohua ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku i kahi biopsy. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu me ka hoʻohana ʻana i kahi nila lahilahi a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa .
He aha nā lāʻau lapaʻau?
ʻO ke ʻano o ka mālama ʻana ma muli o ka loaʻa ʻana o kahi puʻupuʻu hana a hana ʻole paha.
ʻO kahi puʻupuʻu hana ʻole:
Inā liʻiliʻi a hana ʻole ka puʻupuʻu, ʻaʻole pinepine ia e mālama ʻia. Akā, e hana hou kāu kauka i nā scan CT i nā manawa maʻamau e nānā inā e ulu ana ka puʻupuʻu a i ʻole e hana ana. Inā ulu wikiwiki ka puʻupuʻu a kokoke paha i 5 kenimika, hiki ke ʻōlelo ʻia ke ʻoki ʻana e wehe iā ia, no ka mea he pilikia o ka maʻi kanesa.
ʻO kahi ʻōpū hana:
ʻO ke ʻoki pinepine ʻana i ka lāʻau no kēia ʻano puʻupuʻu.
- Adrenalectomy: ʻO kēia ka wehe ʻana i ke kelepa adrenal . Inā liʻiliʻi ka puʻupuʻu, hiki ke hoʻohana ʻia ka laparoscopy.Hiki ke hana ʻia kēia ʻoki ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a me ke kōkua o kahi kāmela. Inā nui ka puʻupuʻu a inā he kānalua paha no ka maʻi ʻaʻai, e hana ʻia kahi ʻoki maʻamau me ka hoʻohana ʻana i kahi ʻoki nui ma ke kua. Ke wehe ʻia kekahi gland, hiki i ke gland i koe ke hana i nā hormones e pono ai ke kino. Inā ʻaʻole hiki kēlā, pono e lawe ʻia nā hormones ma ke ʻano o nā pila.
- Nā lāʻau lapaʻau: Inā ʻaʻole ʻoe he moho maikaʻi no ke ʻoki ʻana, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i ka hana ʻana o nā hormones mai ka puʻupuʻu.
Ma hope o ka mālama ʻana, ʻoiai ma hope o ka wehe ʻana i ka puʻupuʻu ma ke ʻoki kino, e nalowale loa nā hōʻailona. Maikaʻi loa nā hopena.
Leka Lawe-Home
- He puʻupuʻu ʻaʻole maʻi kanesa ka adenoma adrenal e ulu ana i loko o nā kelepa adrenal. ʻAʻohe mea e makaʻu ai kēia.
- ʻAʻole hōʻike ka hapa nui o nā adenomas (benign) i kekahi mau hōʻailona a ʻike ʻia ma kahi ulia.
- Hiki i kekahi mau puʻupuʻu (hana) ke hana i ka nui o ka hormone, hiki ke hana i nā hōʻailona e like me ke koko kiʻekiʻe. Pono kēia i ka mālama ʻia.
- He haʻahaʻa loa ka manawa e lilo ai kēia puʻupuʻu i maʻi ʻaʻai.
- Inā ua ʻike ʻia ʻoe me kēia maʻi, mai hopohopo a e hahai pono i nā ʻōlelo a kāu kauka. He mea nui loa ka hoʻāʻo ʻia ʻana i ka manawa kūpono.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 🧐 He aha ka Tubular Adenoma i loko o ka ʻōpū nui?
He ʻano ulu liʻiliʻi kēia e ulu ana mai loko mai o ka paia o loko o ka ʻōpū. ʻO ka hapa nui o ka manawa, ʻaʻole kēia he maʻi kanesa (benign), akā he wahi liʻiliʻi ka manawa e lilo ai lākou i maʻi kanesa i ka hala ʻana o ka manawa. No laila, he mea nui loa ka makaʻala i kēia mau mea i ka wā mua.
💬 😮 No laila, ʻo kēlā me kēia adenoma e ulu ana i loko o ke kino e hana wale ʻia i loko o ka ʻōpū?
ʻAʻole, ʻo adenoma ka inoa maʻamau no kekahi puʻupuʻu e hana ʻia ana i loko o nā glands o ke kino. Hiki i kēlā mau puʻupuʻu ke hana ʻia i loko o nā ʻōpū a me nā kelepa adrenal i loaʻa ma luna o nā puʻupaʻa. ʻO ia ke kumu i kapa ʻia ai lākou he adrenal adenoma.
💬 🤔 Pehea ke koʻikoʻi o kēia ʻatikala e pili ana i ka adrenal adenoma iaʻu, ka mea e noiʻi nei i nā ʻōpū colon?
He mea nui loa ia e ʻike i ke kumu o ka hoʻokumu ʻia ʻana o kēia mau puʻupuʻu i loko o ke kino a pehea lākou e hoʻopilikia ai i kā mākou mau hormones. Ma kēia ʻatikala, e wehewehe mākou i ke ʻano o kēia mau puʻupuʻu āu i ʻike ʻole ai.
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