Loaʻa iā ʻoe kekahi maʻi ʻaʻai adrenal? E aʻo kākou e pili ana i ia mea.

Ua lohe paha ʻoe i nā huaʻōlelo 'Adrenal Cancer', a he mea hou paha kēia iā ʻoe. Eia nō naʻe, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi ke lohe ʻoe i kēia inoa. Akā, mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. No ka mea, he mea nui loa ka loaʻa ʻana o ka ʻike kūpono e pili ana i nā mea e like me kēia.

He aha maoli ke kanesa adrenal?

I ka ʻōlelo maʻalahi, loaʻa iā kākou ʻelua mau puʻupaʻa i loko o ko kākou kino, ʻeā? Ma luna o kēlā mau puʻupaʻa ʻelua, aia ʻelua mau kelepaʻa, e like me ʻelua mau pāpale liʻiliʻi. ʻO kēia ka mea a kākou e kapa aku nei he mau kelepaʻa adrenal . ʻOiai he liʻiliʻi ko lākou nui, hana lākou i kahi hana koʻikoʻi loa i loko o ko kākou kino. ʻO ia hoʻi, hana lākou i nā ʻano hormones like ʻole e pono ai no ka hana ʻana o ko kākou kino. Hoʻomalu kēia mau hormones i nā mea he nui i loko o ko kākou kino, no ka laʻana, ka metabolism a me ke koko.

I kēia manawa, he aha ke kanesa? Māhelehele nā ​​​​​​kelepona i loko o ko mākou kino, ulu, a make hope. He hana maʻamau kēlā. Akā i kekahi manawa, loaʻa kekahi loli, a i ʻole mutation, i loko o nā kelepona i loko o kēia mau kelepa adrenal, a hoʻomaka kēlā mau kelepona e māhele wikiwiki a me ke kāohi ʻole ʻia. Hōʻuluʻulu kēia mau kelepona ulu maʻamau e hana i kahi puʻupuʻu . Inā lilo kēia puʻupuʻu i mea ʻino, ʻo ia ka mea a mākou e kapa nei he 'ka maʻi kanesa adrenal'. Hiki i kēia kanesa ke ulu i hoʻokahi wale nō kelepa adrenal, a i ʻole hiki ke ulu i nā kelepa ʻelua.

Aia kekahi mau ʻano maʻi ʻaʻai adrenal?

ʻAe, aia kekahi mau ʻano nui o ke kanesa o ke kelepa adrenal, ma muli o kahi e loaʻa ai. E nānā kākou i ke ʻano o lākou:

1. Adrenocortical Carcinoma (ACC): ʻO kēia ke ʻano maʻamau o ka maʻi ʻaʻai adrenal. Hoʻomohala ia ma ka papa waho o ka gland adrenal, i kapa ʻia ʻo cortex . Hoʻopuka kēia cortex i nā hormones steroid e kaohi i nā mea e like me ka metabolism, ke koko, ke ʻano o ke kino, a me ka ulu ʻana o ka lauoho.

2. Neuroblastoma: Hoʻomohala kēia ʻano maʻi kanesa i loko o nā hunaola nerve. No laila hiki iā lākou ke ulu ma nā ʻāpana like ʻole o ke kino. Eia nō naʻe, ma kahi o ka hapakolu o lākou e ulu ana ma ka ʻaoʻao o loko o ka adrenal gland, i kapa ʻia ʻo medulla . Hoʻopuka ka medulla i nā kemika i kapa ʻia ʻo epinephrine a me norepinephrine. Kōkua kēia i ka hoʻomalu ʻana i ka ʻōnaehana nerve sympathetic, ka mea e hoʻomalu i nā mea e like me ka hou ʻana, ka helu o ka puʻuwai, a me ke koko. ʻO kēia ʻano maʻi kanesa ka mea maʻamau i nā pēpē a me nā keiki ma lalo o 10 mau makahiki.

3. Pheochromocytoma: Hoʻomaka kēia maʻi kanesa ma waenakonu o ka medulla, i loko o nā pūnaewele e hana maʻamau ana i ka adrenaline. ʻO ka Adrenaline kahi hormone e kōkua i ka hoʻomalu ʻana i ko mākou koko a me ka helu o ka puʻuwai.

Pehea ka maʻamau o kēia maʻi ʻaʻai adrenal?

He maʻi laha ʻole ka maʻi ʻaʻai adrenal. No ka laʻana, ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, ʻelua haneli wale nō kānaka i ʻike ʻia me kēia maʻi i kēlā me kēia makahiki. No laila, mai makaʻu nui i ka lohe ʻana e pili ana i ia mea.

He aha nā hōʻailona hiki ke loaʻa i ka maʻi ʻaʻai adrenal?

He mea nui loa kēia. ʻAʻole like ka hopena o ka maʻi ʻaʻai adrenal i nā kānaka a pau. Hiki i kekahi poʻe ke ʻeha i ka ulu ʻana o ka puʻupuʻu a kaomi i nā ʻōpū kokoke. No kekahi poʻe, hiki i ka puʻupuʻu ke hana i nā ʻano hōʻailona like ʻole ma muli o nā hormones āna e hana ai.

Eia kekahi o nā hōʻailona i ʻike pinepine ʻia:

• ʻEha ʻōpū
• ʻEha hope
• Manaʻo o ka piha i loko o kou ʻōpū
• ʻEha nā ʻiʻo, ʻeha
• Ka nāwaliwali o ke kino
• Nā ʻeha poʻo

Aia kekahi mau hōʻailona kikoʻī i hoʻokumu ʻia e nā loli hormonal. Eia kekahi laʻana:

• Ka ulu ʻana o ka lauoho i makemake ʻole ʻia ma ka maka a i ʻole ke kino (hirsutism)
• Ka hoʻomaka koke ʻana o ka maʻi diabetes a i ʻole ke kiʻekiʻe o ke kō koko
• Ke koko kiʻekiʻe
• Ka haʻahaʻa o ka potassium i loko o ke koko (hypokalemia)
• Ka pohō kaumaha i wehewehe ʻole ʻia
• Piʻi kaumaha i wehewehe ʻole ʻia
• Piʻi ka helu o ka puʻuwai (Puʻuwai wikiwiki)
• Nā umauma i hoʻonui ʻia (i nā wahine a me nā kāne)
• Ka hoʻonui ʻia ʻana o nā ʻōpū (penis i nā keikikāne a i ʻole clitoris i nā kaikamahine) i nā keiki
• Haʻahaʻa ka libido
• Hopohopo pinepine
• Nā hoʻouka kaua panic

ʻO ka mea nui, hiki i nā ʻōpū adrenal ke hōʻike ʻole i nā hōʻailona , ​​​​a i kekahi manawa ʻike ʻia i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe.

Nā Hōʻailona o ke Kanesa Adrenal Metastatic

Inā pālahalaha ke kanesa ma ʻō aku o nā kelepa adrenal, ʻo ia hoʻi, i nā ʻāpana ʻē aʻe o ke kino (metastatic), hiki ke ʻoi aku ka koʻikoʻi o nā hōʻailona. ʻO nā hōʻailona o ke kanesa pae 4:

• Ka luaʻi a me ka luaʻi
• Pehu ʻana
• Luhi
• kuni
• Ka huikau
• Ka nalowale o ka makemake

He aha ke kumu o ka maʻi ʻaʻai adrenal?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nā kauka i ke kumu kikoʻī o ka maʻi ʻaʻai adrenal i ka hapa nui o nā hihia. Ua ʻike mākou e hiki i nā loli (mutations) i loko o ka DNA i loko o kā mākou mau cell ke hana i nā cell e hana maʻamau ʻole a lilo i cancerous. Akā ʻo ka mea i maopopo ʻole ke kumu e hana ai kēia mau loli DNA.

Ua hoʻoilina kekahi poʻe i kahi hoʻololi ʻana o ka gene mai ko lākou mau mākua e hiki ai ke hoʻonui i ko lākou pilikia o ka loaʻa ʻana o kēia mau maʻi kanesa. I nā hihia ʻē aʻe, hiki i ka ʻike ʻana i nā carcinogens ke lilo i kumu. Eia nō naʻe, i nā hihia he nui, me he mea lā e hana ʻia kēia mau loli DNA me ke kumu ʻole.

He aha nā mea pilikia no ka maʻi ʻaʻai adrenal?

ʻO kahi mea pilikia kahi mea e hoʻonui ai i ka likelika o ka loaʻa ʻana o kahi maʻi. ʻAʻole ia manaʻo e loaʻa maoli iā ʻoe ka maʻi. Akā hiki iā ia ke haʻi iā ʻoe ua ʻoi aku kou pilikia.

ʻO kekahi mau mea pilikia o ke kaiapuni e hiki ke hoʻopilikia i ka maʻi ʻaʻai adrenal:

• Puhipaka
• Ka ʻike ʻia ʻana i kekahi mau kemika, no ka laʻana asbestos a me radon .
• Ma hope o ka loaʻa mua ʻana o ka radiation therapy i ka ʻōpū (kahi i loaʻa ai nā kelepa adrenal).

ʻOiai ʻo ka hapa nui o nā puʻupuʻu adrenal e kū mai me ke kumu ʻole, ma kahi o 15% o ka poʻe i loaʻa i nā puʻupuʻu adrenal he maʻi genetic . He mea maʻamau kēia i nā keiki. ʻO kekahi mau maʻi genetic e pili pū ana me ka maʻi ʻaʻai adrenal:

• ʻO ka maʻi Beckwith-Wiedemann
• ʻO ka maʻi Von Hippel-Lindau
• ʻO ka maʻi Li-Fraumeni
• ʻO ka polyposis adenomatous ʻohana (FAP)
• ʻAno Neurofibromatosis 1
• ʻO ka neoplasia endocrine lehulehu (MEN)
• ʻO ka hale paʻakikī ʻo Carney
• ʻO ka maʻi Lynch

He mea paʻakikī iki kēia, ʻeā? Inā he kānalua kou e pili ana i kēia ʻano kūlana, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka maʻi ʻaʻai adrenal?

Hiki i kāu kauka ke kānalua i ka maʻi ʻaʻai adrenal ma muli o kāu mau hōʻailona (no ka laʻana, ka ulu ʻana o ka lauoho ʻē, nā loli kaumaha koke). Akā i kekahi manawa, ʻike ʻia kēia mau puʻupuʻu i ka wā o ka CT scan (computed tomography scan) a i ʻole MRI scan (magnetic resonance imaging) i hana ʻia no kekahi kumu ʻē aʻe.

Ke hele ʻoe e ʻike i ke kauka, e hana ʻo ia i kēia mau mea:

• E hana i kahi hoʻokolokolo kino.
• E nānā ʻia kāu mōʻaukala olakino.
• Ke nīnau aku nei au e pili ana i kou mau hōʻailona.
• E nānā lākou inā he mau mea pilikia kou no ka maʻi ʻaʻai adrenal.
• E nīnau e pili ana i ka mōʻaukala ʻohana o ka maʻi kanesa.

He aha nā hoʻokolohua e kōkua ai i ka ʻike ʻana i ka maʻi ʻaʻai adrenal?

Ma hope o ka hoʻokolokolo kino, hiki i ke kauka ke hana i kekahi mau hoʻokolohua ʻē aʻe, e hōʻoia i ka hōʻailona a i ʻole e kāpae i nā kūlana olakino ʻē aʻe. ʻO kēia mau hoʻokolohua:

• Nā hoʻāʻo koko:Hiki ke hoʻohana ʻia kēia mau mea e nānā i nā pae hormone a me nā ʻike ʻē aʻe.
• Urinalysis: Hiki ke hoʻāʻo ʻia ka mimi no nā hormones a me nā mea ʻē aʻe.
• Nā hoʻāʻo kiʻi: Hiki i nā hoʻāʻo e like me nā scan CT, nā scan MRI, a me nā scan PET ke hāʻawi i kahi kiʻi maopopo o ka nui, kahi, a me ka laha o ka puʻupuʻu. I kekahi manawa hiki ke hana ʻia kahi biopsy , e pili ana i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka puʻupuʻu no ka hoʻāʻo ʻana, akā ʻaʻole hana mau ʻia kēia i ka maʻi ʻaʻai adrenal.

Ke kahua o ka maʻi ʻaʻai adrenal

Hoʻohana nā kauka i kahi ʻōnaehana hoʻonohonoho maʻi kanesa e ʻike ai i ke kanesa adrenal. Hoʻokomo pū kēia i ka nui o ka puʻupuʻu, kona wahi, a inā ua laha (metastasized) i nā ʻāpana ʻē aʻe o ke kino.

I ka ʻōlelo maʻalahi, ʻo ke kiʻekiʻe o ka helu, ʻo ka nui o ka laha ʻana o ke kanesa:

• Pae 1: He 5 kenimika a emi mai paha ka puʻupuʻu a ʻaʻole i pālahalaha ma ʻō aku o ke kelepa adrenal.
• Kahua 2: ʻOi aku ka nui o ka puʻupuʻu ma mua o 5 kenimika, akā ʻaʻole i pālahalaha ma ʻō aku o ka gland adrenal.
• Pae 3: Aia ke kanesa ma ka ʻōpū adrenal a ua pālahalaha i nā ʻiʻo a puni a i ʻole nā ​​​​kikowaena lymph kokoke.
• Pae 4: Aia ke kanesa ma ka ʻōpū adrenal a ua pālahalaha aku i nā ʻōpū mamao e like me nā māmā a me ke akepaʻa.

Hiki i kēia mau pae ke paʻakikī iki. Inā he mau nīnau kikoʻī kāu e pili ana i kāu hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.

Hiki ke ho'ōla ʻia ke kanesa adrenal?

He pilikia kēia no nā kānaka he nui. Inā ua kaupalena ʻia ke kanesa i ka ʻōpū adrenal a ʻaʻole i laha i nā ʻāpana ʻē aʻe o ke kino, aia kahi manawa e ho'ōla ʻia ai. ʻO ka wehe ʻana i ka ʻōpū (adrenalectomy) ke ʻano lapaʻau nui i kēia manawa.

Eia nō naʻe, inā ua pālahalaha ke kanesa ma ʻō aku o ke kelepa adrenal, ua emi iho ka manawa e ho'ōla piha ʻia ai. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke kāohi i ka ulu ʻana o ka puʻupuʻu a hoʻomaikaʻi i kou ʻano ola.

Pehea e mālama ʻia ai ke kanesa adrenal?

ʻO ka mālama ʻana no ke kanesa adrenal e pili ana i ka nui o ka puʻupuʻu, kona wahi, a inā ua pālahalaha ma ʻō aku o ke kelepa adrenal. Aia kekahi mau lāʻau lapaʻau e hiki ai:

• ʻO ke ʻoki kino:

Inā aia wale nō ka puʻupuʻu i loko o ke kelepa adrenal, a ua pālahalaha paha i nā ʻiʻo kokoke a i ʻole nā ​​​​kikowaena lymph, e paipai paha kāu kauka i ke ʻoki kino. E wehe ke kauka ʻoki i ka kelepa adrenal holoʻokoʻa (adrenalectomy) a me nā ʻāpana maʻi kokoke.

Inā aia ke kanesa i hoʻokahi wale nō kelepa adrenal, e hana maʻamau kekahi kelepa. I ka hapanui o nā hihia, ʻaʻohe mea ʻē aʻe e pono e hana ʻia. Eia nō naʻe, inā e wehe ʻia nā kelepa adrenal ʻelua, pono ʻoe e lawe i ka lāʻau lapaʻau e pani i nā hormones i hana ʻia e kēlā mau kelepa no ke koena o kou ola.

I kekahi manawa, hiki ke ʻōlelo ʻia ka chemotherapy a i ʻole ka radiation therapy ma hope o ke ʻoki ʻana e luku i nā hunaola kanesa i koe a hōʻemi i ka pilikia o ka hoʻi hou ʻana o ke kanesa.

ʻOiai ma hope o ka laha ʻana o ke kanesa, aia kekahi mau manawa e ʻōlelo ʻia ai ke ʻoki ʻana e wehe i ka nui o ka puʻupuʻu e like me ka hiki. Ua kapa ʻia kēia ʻo 'debulking surgery' .

• Hoʻōla radiation:

ʻO kēia ka hoʻohana ʻana i nā kukuna X-ray ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana iki ʻia ka radiation therapy ma ke ʻano he lāʻau lapaʻau mua no ke kanesa adrenal. Hiki ke hoʻohana ʻia e hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa ma hope o ke ʻoki ʻana. Hiki nō hoʻi ke hoʻohana ʻia e hōʻemi i nā hōʻailona ma kahi i laha ai ke kanesa. Hiki i nā kauka ke hāʻawi i ka radiation therapy me ka chemotherapy a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

• Kemokalama:

ʻO ka Chemotherapy ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. Hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano he pila a i ʻole intravenous. Hoʻohana pinepine ʻia ka Chemotherapy e mālama i ka maʻi kanesa adrenal i laha i nā ʻāpana ʻē aʻe o ke kino. Hiki nō hoʻi ke hoʻohana ʻia e pepehi i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana.

He lāʻau chemotherapy ʻo Mitotane i hoʻohana pinepine ʻia e mālama i ka maʻi ʻaʻai adrenal.

• Nā lāʻau lapaʻau ʻē aʻe:

Hoʻohana pū nā kauka i nā lāʻau lapaʻau ʻē aʻe e mālama i nā ʻōpū adrenal. Hiki i kekahi mau lāʻau lapaʻau, e like me ka metyrapone, ke hōʻemi i ka hana ʻana o nā hormones steroid adrenal. ʻO nā lāʻau lapaʻau ʻē aʻe, e like me ka spironolactone a me ka mifepristone, ke ālai i nā hopena o nā hormones i hana ʻia e ka ʻōpū.

ʻOiai paha e hōʻoluʻolu kēia mau lāʻau lapaʻau i kāu mau hōʻailona, ​​ʻaʻole lākou e hoʻēmi a luku paha i nā hunaola kanesa.

ʻO wai ka mea e mālama ai i ka maʻi ʻaʻai adrenal?

Inā loaʻa iā ʻoe ka maʻi ʻaʻai adrenal, hiki i kāu hui lapaʻau ke hoʻokomo pū i kekahi mau loea, e like me:

• Nā Oncologists - e pili ana i ke ʻoki ʻana, ka radiation, a me nā lāʻau lapaʻau.
• Endocrinologists - no nā pilikia e pili ana i ka hormone.

Ke laha koke nei ke kanesa adrenal?

E loli kēia ma muli o ke ʻano o ka puʻupuʻu āu i loaʻa ai:

• ʻO ka adrenocortical carcinoma, ke ʻano maʻamau, ulu koke a laha koke.
• Ulu mālie kekahi ʻano neuroblastomas , aʻo kekahi e ulu wikiwiki ana.
• Ulu mālie ka hapa nui o nā pheochromocytomas maʻi kanesa.

ʻAʻole like ka hopena o ka maʻi ʻaʻai adrenal i nā kānaka a pau. Inā he mau nīnau kāu e pili ana i ka wikiwiki o ka ulu ʻana o kāu puʻupuʻu, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.

Pehea ke koʻikoʻi o ke kanesa o ka ʻōpū adrenal?

Ma ke ʻano laulā, he paʻakikī ke ho'ōla i ka maʻi ʻaʻai adrenal. Aia ka wānana o ke kanesa i ka wahi o ka puʻupuʻu, kona nui, a inā ua pālahalaha i nā ʻāpana ʻē aʻe o ke kino.

Hiki iā ʻoe ke ola i kahi puʻupuʻu adrenal? Nā helu ola o ke kanesa Adrenal

ʻAe, hiki ke ola i kahi puʻupuʻu adrenal. Eia nō naʻe, pili kēia i nā kumu he nui.

I ka wā e pili ana i nā helu ola, ʻo ka helu ola ʻelima makahiki no ka maʻi ʻaʻai adrenal mua ma waena o 50% a me 60% . ʻO ke ʻano kēia a hiki i ka 60% o ka poʻe me ka maʻi e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana. Eia nō naʻe, i ka wā e laha ai ke kanesa i nā ʻāpana ʻē aʻe o ke kino, e hāʻule ana kēia helu ola ʻelima makahiki i 10% a 20%.

Akā e hoʻomanaʻo i kēia: He helu wale nō nā helu ola. ʻAʻole lākou e haʻi pololei iā ʻoe i ka lōʻihi o kou ola ʻana a i ʻole pehea ka holomua o kahi lāʻau lapaʻau nou. E kamaʻilio me kāu kauka e ʻike pehea e pili ai kēia mau helu i kou kūlana.

Hiki ke pale ʻia ke kanesa adrenal?

ʻAʻohe ala i hōʻoia ʻia e pale aku ai i ka maʻi ʻaʻai adrenal, akā ʻo ka pale ʻana i nā mea pilikia o ke kaiapuni, e like me ka puhipaka, hiki ke kōkua i ka hōʻemi ʻana i kāu pilikia holoʻokoʻa i kekahi ʻano.

Āhea wau e ʻike ai i ke kauka?

ʻAʻole maʻalahi ka ʻike ʻana i nā hōʻailona o ke kanesa adrenal. Eia nō naʻe, e ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻEha ʻōpū
• Ka maʻi diabetes koke
• ʻO ka pohō kaumaha a i ʻole ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia
• Ka ulu nui ʻana o ka lauoho
• Nā loli i kou mau genitals

Inā ua loaʻa i kahi lālā o ka ʻohana pili (makua a kaikaina paha) ka maʻi ʻaʻai adrenal, he manaʻo maikaʻi nō hoʻi e kamaʻilio me ke kauka e pili ana i kou pilikia.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā ua ʻike ʻia ʻoe a i ʻole kahi mea aloha me ka maʻi ʻaʻai adrenal, he mea kōkua paha ke nīnau iā ʻoe iho i kēia mau nīnau:

• Aia i hea ka puʻupuʻu? (Aia i hea ka puʻupuʻu?)
• He aha ka nui o ka puʻupuʻu?
• Ua pālahalaha anei ke kanesa ma waho o koʻu kelepa adrenal?
• Pono anei au i nā hoʻāʻo hou aku?
• He aha kaʻu mau koho lapaʻau?
• E hiki anei iaʻu ke hana a hele paha i ke kula i ka wā o ka mālama ʻana?
• Āhea wau e hoʻomaka ai i ka lāʻau lapaʻau?
• He aha kaʻu e hana ai e hōʻoluʻolu i koʻu mau hōʻailona?
• He aha nā manawa kūpono e hoʻi hou mai ai ke kanesa adrenal?

He mea maʻamau ka loaʻa ʻana o nā manaʻo huikau ke ʻike ʻoe he maʻi ʻaʻai adrenal kou. Aia kāu kauka ma laila e kōkua iā ʻoe. Ma waho aʻe o ke kamaʻilio ʻana e pili ana i nā koho lapaʻau, hiki iā ia ke haʻi iā ʻoe e pili ana i nā kumu ʻike a me ke kākoʻo. Hiki paha iā ʻoe ke kamaʻilio me nā poʻe ʻē aʻe e hele nei i nā ʻike like ma o nā hui kākoʻo, ma kou wahi a i ʻole ma ka pūnaewele. Hiki i kēia mau mea ke kōkua nui no kou olakino noʻonoʻo, naʻau, a me ka ʻuhane i kēia manawa paʻakikī.

Leka Lawe-Home

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea nui loa mai nā mea a mākou i kamaʻilio ai.

• He maʻi laha ʻole ka maʻi ʻaʻai adrenal.
• ʻOkoʻa nā hōʻailona, ​​a i kekahi manawa ʻaʻohe hōʻailona iki. Inā ʻike ʻoe i kekahi mea ʻē, e ʻimi i ke kōkua lapaʻau.
• ʻAʻole maopopo mau ke kumu, akā hiki i nā kumu genetic a me ke kaiapuni ke kuleana.
• Aia kekahi mau koho lapaʻau, ma muli o ke kahua a me ke ʻano o ka maʻi kanesa.
• ʻO ka ʻike mua ʻana e hoʻonui i ka manawa e ho'ōla ai.
• Inā he mau nīnau kāu a i ʻole kekahi āu i ʻike ai e pili ana i kēia, mai makaʻu e kamaʻilio me ke kauka. He mea nui loa ka ʻike pololei a me ke kākoʻo.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Ua holomua ka ʻepekema lapaʻau, a he nui ka poʻe e hiki ke kōkua iā ʻoe.

ʻO ke kanesa adrenal, nā kelepa adrenal, nā hormones, nā hōʻailona kanesa, ka mālama ʻana i ke kanesa, nā puʻupaʻa, nā pae kanesa