Yu tink se tumbu lɛk dis de insay yu bɔdi? Lɛ wi lan bɔt am jɔs (Adrenal Adenoma)!

Yu dɔn ɛva tink se sɔmtɛm we wi du sɔntin lɛk `skan` fɔ sɔm ɔda sik, wi kin aksidɛntli fɛn sɔntin we ayd insay di bɔdi we wi nɔ bin no se de? na so dεn kin fכ no dis kכndyushכn we dεn kכl ``Adrenal Adenoma`` sכmtεm. Dis na rili smɔl, nɔ gɛt kansa, nɔ denja, we de fɔm na yu adrenal gland dɛm. Wi go tɔk bɔt dis smɔl mɔ?

Wetin rili na adrenal adenoma?

Okay, fɔs lɛ wi luk wetin na di adrenal gland dɛn. dis tu gland dεm de pan tap yu kidni dεm, lεk tu sכm sכm kכp dεm. Dɛn wan ya de mek difrɛn kayn ɔmon dɛn we rili impɔtant to wi bɔdi. Imajin, aw yu bɔdi kin biev we yu fil bad ɔ wɔri wantɛm wantɛm? Di ɔmon dɛn we de ɛp fɔ du dat kɔmɔt frɔm dɛn gland ya. Nɔto dat nɔmɔ, bɔt dɛn ɔmon ya kin ɛp bak fɔ kɔntrol bɔku tin dɛn lɛk yu blɔd shuga lɛvɛl, blɔd prɛshɔn, ɛn di imyun sistɛm.

tu men pat dεm de na di adrenal gland: dεn kכl di כta pat di adrenal kכtεks, εn di insay pat dεn kכl am di adrenal mεdula. di adrenal kכtεks de prodyuz כmon dεm lεk `(Cortisol)` εn `(Aldosterone)`. di adrenal mεdula de mek כmon dεm lεk `(Dopamine)`, `(Epinephrine)` εn `(Norepinephrine)`. na insay di adrenal kכtεks di tכmכro dεm we wi de tכk bכt we dεn kכl adrenal adenoma de divεlכp.

Bɔrku tɛm, dɛn adenoma ya nɔ kin mek big big sik ɛn dɛn nɔ kin nid tritmɛnt. Bɔt sɔntɛnde, dɛn tumbu ya kin mek wan ɔ mɔ adrenal ɔmon dɛn pas di nɔmal wan.

Yu tink se kayn adrenal adenoma de?

Yɛs, na tu kayn dɛn de mɔ.

• Fכnshכn/Aktiv adenomas: dεn kayn tכmכro dεm ya de mek mכr adrenal gland כmon dεm pas n כmal . Dis kin mek yu gɛt sɔm kayn sik ɛn i kin nid fɔ gɛt tritmɛnt.
• Nonfunctioning/Inactive adenomas: Dɛn wan ya nɔ de mek ɛni ɛkstra ɔmon. כl di adrenal adenoma dεm de fכl insay dis kεtכgrεf. Bɔrku tɛm, dɛn nɔr kin mek pɔrsin gɛt sayn ɔr nid fɔ gɛt tritmɛnt.

Di impɔtant tin na dat di chans fɔ mek ɛni wan pan dɛn kayn kansa gɛt kansa rili smɔl. כltu, i pכsibul fכ wan adenoma we nכ de wok fכ bi fכnshכnal ova tεm.

Yu tink se adrenal adenoma kin bi kansa?

Dis na rili tin we nɔ kin apin so ɔltɛm. Dat min se i nɔ go izi fɔ mek adrenal adenoma tɔn to kansa. di men kayn kansa tכmכro we de divεlכp na di adrenal gland dεm na adrenocortical carcinoma. lεk di adenoma dεm we de wok, dεn kansa tכmכro dεm ya kin mek כmon dεm we pasmak bak. fכ dat, sכm pan di simptom dεm kin sכm lεk di wan dεm fכ di fכnshכnal adenomas.

Jɔs tink bɔt dat, na lɛk wan pan ɛvri milyɔn pipul dɛn nɔmɔ kin gɛt adrenocortical carcinoma. dat min se, mכst tכmכro dεm we de divεlכp na di adrenal gland dεm na benign, nכto kεnsar.

Udat kin gɛt dis sik?

Fɔ tru, ɛnibɔdi kin gɛt adrenal adenoma. Bɔt di chans fɔ gɛt am kin bɔku smɔl as yu de ol. jεnarali dεn kin se bitwin 3% εn 9% pan di pipul dεm gεt dis adenoma. dis na di tכmכro we kכmכn pas כl we de divεlכp na di adrenal gland dεm.

Aw adrenal adenoma kin afɛkt yu bɔdi?

As wi bin dɔn tɔk, prɔblɛm kin kam frɔm di adenoma dɛn we de wok. Dɛn tin ya kin pul mɔ pas di rayt amɔnt pan wan ɔ mɔ ɔmon. If dis apin, yu kin gɛt sɔm sayn dɛm fɔ sɔm adrenal disɔda. Fɔ ɛgzampul:

• Cushing’s syndrome ɔ hypercortisolism: Dis sik kin apin we yu adrenal gland dɛn de mek tumɔs pan di ɔmon kɔtisol. Bɔrku tɛm na wan pituitary tumor kin kam wit Cushing’s syndrome, bɔt i kin kam bak wit adrenal tumor. Di sayn dɛm na di blɔd prɛshɔn, we i de gɛt bɔku bɔku wet (espɛshali arawnd di bɛlɛ), ɛn we i nɔ de du mami ɛn dadi biznɛs fayn . I kin mek yu gɛt mɔ sik bak fɔ gɛt dayabitis.

• Praymari aldosteronism (Conn’s syndrome): Dis kin apin we adenoma de mek tumɔs pan di ɔmon we dɛn kɔl aldosterone. Di sayn dɛm na we yu nɔ gɛt bɛtɛ potashɔm, yu blɔd prɛshɔn, yu ed de at, yu taya, ɛn yu mɔsul dɛn wik .

• di ifekt dεm we di sεks כmon dεm de du: Na sכm tεm we adrenal adenoma kin mek dεn prodyuz sεks כmon dεm pasmak. if di andrכjen dεm (lεk tεstostεron) inkrεs pan uman dεm, i kin mek di mεnstral saykl dεm nכ de rεgulεr, i kin mek di bכdi ia pasmak (hirsutism), εn di vכys kin dip. If εstrojen go bכku pan man dεm, dεn kin mek dεn nכ want fכ du mami εn dadi biznεs εn dεn kin mek dεn nכ ebul fכ bכn.

Wetin na di sayn dɛm fɔ adrenal adenoma?

di simptom dεm de kכz fכ di adenoma dεm we de wok. Dɛn simptom ya kin apin, mɔ if dɛn mek dɛn mek kɔtisol (Cushing’s syndrome) ɔ aldosterone (primary aldosteronism) pasmak. Chek fɔ si if yu gɛt ɛni wan pan dɛn tin ya:

• Ed de at.
• Di mɔsul dɛn kin wik ɔ sɔntɛnde i kin swɛla.
• Taya ɛn bɔdi pen (lɛk bak pen).
• Ay blɔd prɛshɔn (Hypertension).
• Di blɔd shuga lɛvɛl ɔ dayabitis.
• Di potashɔm lɛvɛl we smɔl.
• Stret mak dɛn na di skin na di bɛlɛ.
• We yu de gɛt bɔku bɔku wet, mɔ na di say we de ɔp di bɔdi.
• Mud chenj (wɔri, frayd, pwɛl hat, ɛn ɔda tin dɛm).

fכ uman dεm, di mεnstral saykl dεm we nכ de rεgulεr εn di man kכntribyushכn dεm we de inkrεs (virilization) kin apin. Fɔ man dɛn, dɛn kin gɛt prɔblɛm wit mami ɛn dadi biznɛs .

Wetin na di tin dɛn we kin mek pɔsin gɛt adrenal adenoma?

Risach pipul dεm stil nכ no εksεkεkt wetin mek adrenal adenomas εn כda benign adrenal gland tכmכro dεm de divεlכp. Bɔt dɛn dɔn kam fɔ no se sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks kin mek i gɛt mɔ prɔblɛm. Sɔm ɛgzampul dɛn na:

• Mכltipכl εndokrin Nioplasia, tayp 1 (MEN1) .
• Familial Adenomatכs Pכlyposis (FAP) .
• Carney kɔmpleks
• Li-Fraumeni sindrom we gɛt di sik
• Mכltipכl εndokrin Nioplasia tayp 2 (MEN2) .
• Nyurofibromatosis Tayp 1

Apat frɔm dat, tin dɛn lɛk fɔ fat pasmak ɛn fɔ yuz tabak kin mek bak di risk fɔ gɛt adrenal adenoma.

Aw dɛn kin no if pɔsin gɛt adrenal tumor?

Bɔrku pipul nɔr kin ivin no se dɛn gɛt adrenal adenoma. Dɛn kin fɛn am bay we dɛn de du imej, lɛk CT skan, we dɛn du fɔ ɔda rizin. Na dat mek sɔmtɛm dɛn kin kɔl dɛn "incidentalomas," bikɔs dɛn kin fɛn dɛn bay chans.

yu dכkta go fכs fכ no if di tכmכro na kεnsar (e.g., adrenocortical carcinoma) כ benign (e.g., adrenal adenoma). If na adrenal adenoma, dɛn go dɔn tɛst fɔ si if i de mek bɔku ɔmon dɛn.

Us tɛst dɛn de du fɔ dis?

Yu dɔktɔ go du yu bɔdi ɛgzam, aks bɔt yu sik ɛn mɛdikal histri, ɛn afta dat i kin ɔda fɔ du tɛst lɛk dis fɔ no mɔ bɔt di tumbu:

• Blɔd ɔ urine tɛst:Dɛn tin ya kin chɛk fɔ si if di ɔmon dɛn we de na yu bɔdi dɔn go ɔp. If yu gɛt tumbu we de wok, yu ɔmon lɛvɛl kin go ɔp. Yu kin nid bak fɔ gɛda 24 awa urine sampul ɛn chɛk yu kɔtisol lɛvɛl.
• Imej: CT skan na di tεst we dεn kin yus fכ no if yu gεt adrenal adenoma. Sɔntɛnde, yu dɔktɔ kin ɔda bak fɔ mek dɛn du MRI. Dis skan kin ɛp fɔ no if di tumbu na bad bad tin (kansa) ɔ fayn (benign). fכ egzampl, tכmכro dεm we big pas 4 sεntimita kin gεt kansa pas sכm tכmכro dεm.
• Bayopsi: If ɔda tɛst dɛn nɔ ebul fɔ no if di lump gɛt kansa ɔ na adrenal adenoma, yu dɔktɔ kin du bayɔpsi we dɛn kɔl fayn-nidul aspireshɔn. Dis min se yu fɔ pul wan smɔl tisu na di lump wit wan tin nidul. Dɔn wan dɔktɔ we de mɛn sik dɛn, we na spɛshal pɔsin we de wok na lɛbɔtri, kin chɛk di tisu ɔnda maykroskɔp fɔ si if ɛni sayn de fɔ sho se pɔsin gɛt kansa.

כda tεst dεm lεk fכ tek adrenal vein sεmpl כ metaiodobenzylguanidine (MIBG) skan, dεn kin du bak.

Wetin na di tritmɛnt fɔ adrenal adenoma?

di tritmεnt we yu go gεt go dipכnt pan if di tכmכro nכ de wok כ i de wok (i.e., i de prodyuz tu mכch כmon).

• If di tumbu we nɔ de wok smɔl, yu dɔktɔ kin tɛl yu fɔ du CT skan wan wan tɛm fɔ si if i de gro ɔ i de wok. If di tumbu de gro kwik kwik wan, ɔ if i de nia 5 sɛntimita, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Dis na bikɔs big big tumbu ɛn we de gro kwik kwik wan kin gɛt kansa.

• Fɔ di tumbu dɛn we de wok, bɔku tɛm dɛn kin nid fɔ du ɔpreshɔn. Di tritmɛnt dɛn we yu kin gɛt na:

• Adrenalectomy – Dis na di we aw dɛn de pul di adrenal gland: If di tumbu smɔl ɛn nɔ fayn, yu dɔktɔ kin pul yu adrenal gland bay we i yuz laparoscopy. We dɛn de du laparoskopi, dɔktɔ we de du ɔpreshɔn kin kɔt sɔm smɔl smɔl pat dɛn na yu bɛlɛ ɛn i kin du di ɔpreshɔn tru dɛn. If di tumbu big ɔ yu tink se i kin gɛt kansa, yu dɔktɔ kin kɔt big pat na yu bak. Sɔntɛnde, di ɔda adrenal gland we lɛf kin mek inof ɔmon fɔ mek yu gɛt wɛlbɔdi. If nɔto so, yu go nid ɔmon tɛrapi fɔ tek di ples fɔ di ɔmon we nɔ de.

• Di mɛrɛsin dɛn we dɛn kin yuz:If yu nɔto gud pɔsin fɔ ɔpreshɔn, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek di adenoma nɔ mek bɔku ɔmon. Yu kin nid bak fɔ tek mɛrɛsin fɔ sɔm wiks afta dɛn dɔn pul yu adrenalectomy fɔ mek yu ɔmon lɛvɛl stebul.

Yu tink se dɛn kin mek di adrenal gland tumor dɛn nɔ kam?

No we nɔ de fɔ mek dɛn nɔ gɛt adrenal tumor, inklud adrenal adenomas. Bɔrku tɛm, de risk fɔ dɛn kin bi bay yu jin dɛm. Bɔt yu kin stil gɛt adrenal adenoma ilɛksɛf nɔbɔdi na yu famili nɔ gɛt adrenal tumor.

Aw de sik wae kin de fɔ lɔng tɛm kin tan lɛk afta dɛn dɔn trit am?

Di tin dɛn we kin kɔmɔt frɔm di adrenalectomy kin rili fayn. we dεn dכn pul di adrenal gland we afekt, di simptom dεm we di adrenal adenoma we de wok de kכz kin kכmכt plεnti tεm.

Aw a fɔ kia fɔ misɛf?

If dɛn no se yu gɛt adrenal adenoma we nɔ de wok, fala wetin yu dɔktɔ tɛl yu bɔt aw ɔltɛm yu fɔ du tɛst. Dipen pan di kayn tumbu we yu gɛt, yu dɔktɔ kin ɔda fɔ mek dɛn tek CT skan ɔ ɔmon tɛst wan wan tɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go to yu dɔktɔ, nɔ fɔgɛt fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn adrenal gland tumor a gɛt?
• Yu tink se i nɔ gɛt wan prɔblɛm ɔ i gɛt kansa?
• Wetin na di chans fɔ mek mi tumbu tɔn to kansa?
• Na wan we de wok ɔ we nɔ de wok?
• A nid tritmɛnt?
• Us tritmɛnt dɛn yu kin advays?
• Mi tritmɛnt/hiling prɔses go nid ɔmon tɛrapi?

Mɛmba se if yu dɔktɔ si wan tumbu na yu adrenal gland we dɛn de skan, nɔ panik. Bɔku tɛm, dɛn tumbu ya nɔ kin du bad. If yu tumbu na adrenal adenoma, dɛn kin du tɛst fɔ si if i de mek tumɔs ɔmon. If na so i bi, ɔpreshɔn kin bi fayn tin fɔ du. If di tumbu nɔ fayn, yu dɔktɔ kin wach am fɔ mek shɔ se i nɔ de afɛkt yu ɔmon dɛn. If dɛn tink se i go gɛt kansa, dɛn kin pul am.

Fɔ dɔn, wan Mɛsej we dɛn kin kɛr go na os

So, adrenal adenoma nɔr kin bi natin fɔ wɔri bɔt. Bɔku pan dɛn nɔ de du bad ɛn dɛn nɔ gɛt kansa. Bɔt sɔm pan dɛn kin mek bɔku ɔmon, so i impɔtant fɔ tek tɛm. If yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to dɔktɔ. Dɔn yu kin gɛt di rayt advays ɛn tritmɛnt we yu nid. Stay wit wɛlbɔdi!

` Adrenal adenoma, ɔmon, adrenal gland, Cushing’s syndrome, Conn’s syndrome, tumor, nɔ gɛt kansa