Sɔntɛnde, wi nɔ kin pe atɛnshɔn tumɔs to sɔm chenj dɛn we kin apin na wi bɔdi, fɔ ɛgzampul, wi kin gɛt bɔku bɔku bɔdi wantɛm wantɛm, wi bɔdi kin gɛt bɔku ia, ɔ wi kin taya pasmak, nɔto so? Bɔt dɛn tin ya kin bi sayn fɔ prɔblɛm wit tu smɔl smɔl gland dɛn we de insay wi bɔdi, we na di adrenal gland dɛn. Pan ɔl we dis na siriɔs tɔpik smɔl, nɔ fred. Aw fɔ no na di tin we impɔtant pas ɔl. Tide wi de tɔk bɔt wan kansa kɔndishɔn we gɛt fɔ du wit dɛn adrenal gland ya.
Wetin na adrenal kansa?
Fɔ tɔk am simpul wan, dis na wan grup we gɛt kansa we kin kam na di gland dɛn we de mek ɔmon na wi bɔdi. dεn kכl dεn tin ya nyuroεndokrin tכmכro dεm (NET). Adrenal kansa kin kam na wi adrenal gland dɛm. Tink bɔt dis we, tu smɔl smɔl gland dɛn de ɔp wi kidni, lɛk tu hat. Na dɛn tin ya wi kin kɔl di adrenal gland dɛn. Kansa kin kam pan wan ɔ ɔl tu pan dɛn gland ya.
Dɛn gland ya de mek ɔmon , ɔ kemikal dɛn we de kɔntrol bɔku impɔtant tin dɛn na wi bɔdi. Fɔ ɛgzampul, wi blɔd prɛshɔn, wi ia we de gro, we wi want fɔ du mami ɛn dadi biznɛs, ɛn ivin aw wi de dil wit strɛs, dipen pan dɛn ɔmon dɛn ya. Sɔm adrenal gland tumor dɛn kin bigin fɔ mek dɛn yon ɔmon.
dis tכmכro kin stat na di כta layεr na di gland, we dכkta dεn kכl ``kכtεks``. כ, i kin stat na di midul pat pan di gland, we dεn kכl di ``mεdula``.
Bɔrku tɛm, di lump kin rili big bay di tɛm wae yu gɛt di sik. Bɔt nɔr wɔri, bɔrku tritmɛnt de fɔ fɛt dis kansa. Di tin we impɔtant pas ɔl na fɔ tɔk opin wan bɔt am wit yu dɔktɔ ɛn fɔ tɔk to yu fambul ɛn padi dɛn bɔt am ɛn gɛt dɛn sɔpɔt. Dɛn go bi big sɔs fɔ yu trɛnk pan yu wɛlbɔdi joyn.
Wetin na di sayn dɛm fɔ dis sik?
We di tumbu smɔl, yu nɔ go notis ɛni sayn. Bɔt as i de gro, dɛn sayn ya kin apin bikɔs ɔf di chenj dɛn we de na difrɛn ɔmon lɛvɛl dɛn. Lɛ wi si wetin na dɛn tin ya.
| Kɔz fɔ di sayn dɛm | Sɔm sayn dɛn we kin apin |
|---|---|
| Simptom dɛm wae de kam wit di lump insɛf | - Fɔ fil pen ɔ lump na di bɛlɛ - Fɔ fil ful ivin afta yu it smɔl |
| Inkrεs pan di andrכjen כmon dεm (Male ɔmon dɛn) . | - Di ia we yu nɔ want fɔ gro na di fes ɔ bɔdi - di penis de big pan yכŋ bכy pikin dεm כ di klitoris na yכng gyal pikin dεm |
| di εstrojen כmon de inkrεs (Fem ɔmon dɛn) . | - di mεnstral kwik kwik wan כ di brεst divεlכpmεnt na gyal pikin dεm - uman dεm we uman dεn nכ de mεnstrεshכn כ dip in vכys - Di blɔd we de kɔmɔt na di vagina na uman dɛn afta dɛn dɔn menɔpauz - di brεst divεlכpmεnt na man, impotεns כ dεn dכn dכn sεks dεn |
| Inkris na di kɔtisol ɔmon | - Bɔdi wet we yu de gɛt - Fes de luk puffy - Fayn ia we de gro na di fes, di כp pat na di bכdi, כ di an dεm - Stretch mak dεm na di skin - Bɔn ɛn mɔsul dɛn wik - Brus na di skin ivin frɔm smɔl injuri - Frεkuεnt mכd swing, diprεshכn - Di ay blɔd prɛshɔn ɛn di blɔd shuga lɛvɛl go ɔp |
| Aldosterone ɔmon de bɔku | - Bɔdi wik, mɔsul dɛn kin kramp - Ay blɔd prɛshɔn - Di potashכm lεvεl dεm na di bכdi de dכn - Fɔ tɔsti pasmak - Fɔ pis bɔku tɛm |
Wetin na di tin dɛn we kin mek pɔsin gɛt adrenal kansa ɛn di tin dɛn we kin mek pɔsin gɛt kansa?
No klia rizin nɔ de fɔ mek sɔm pipul dɛn kin gɛt dɛn kayn lumps ya. Bɔt if yu gɛt wan pan dɛn jenɛtik kɔndishɔn ya, yu risk fɔ gɛt dis kansa go bɔku smɔl.
- Li-Fraumeni sindrom we gɛt di sik
- Sindrom we dɛn kɔl Beckwith-Wiedemann
- Carney kɔmpleks
- Mכltipכl εndokrin niכplasia
- Famili adenomatous polyposis we de mek pɔsin gɛt sik
- Lynch sindrom we gɛt di sik
Dɛn tin ya na tin dɛn we nɔ kin apin to pɔsin we gɛt jɛnɛtiks. If yu dɔktɔ tɛl yu se yu gɛt wan pan dɛn tin ya, nɔ wɔri bɔt am we nɔ impɔtant.
Yu tink se kayn kansa de we gɛt adrenal?
Yes, dεn kin sheb di adrenal gland tכmכro dεm to tu men kכtכgכri: malignant εn benign. Dɛn kin gi dɛn tin ya nem bay usay dɛn bigin.
Di tumbu dɛn we gɛt bad bad sik
- adrenocortical carcinoma: dis de stat na di כta layεr (kכtεks) na di gland. Dis kayn tumbu de mek bɔku ɔmon dɛn.
- Malignant adrenal pheochromocytoma: Dis na kansa we nɔ kin apin so ɔltɛm we kin bigin na di midul pat na di gland (mɛdula).
- Nyuroblastoma: Dis kin bigin bak na di midbren ɛn dɛn kin si am mɔ pan pikin dɛn.
- Malignant paraganglioma: Dis kin divεlכp insay כ ausayd di adrenal gland.
Lump dɛn we nɔ gɛt kansa (benign).
- Adenoma: dis kin mek sכmtεm εkstra kכtisol, wan kכndyushכn we wi kin kכl ``Cushing's syndrome.''
- Benign fiokromosaytoma we nɔ gɛt wan bɔt
- Paraganglioma we nɔ gɛt wan prɔblɛm
Aw fɔ no bɔt dis sik? (Diagnosis) .
If yu gɛt sayn ɔ if yu gɛt tin dɛn we kin mek yu gɛt dis kansa, yu dɔktɔ go ɔda fɔ du bɔku tɛst fɔ no if wan lump de. Dɛn tɛst ya kin no bak di stej we di kansa gɛt ɛn if i dɔn skata to ɔda pat dɛn.
- Fɔ chɛk yu bɔdi ɛn yu mɛdikal istri: Di dɔktɔ go aks yu bɔt yu wɛlbɔdi abit ɛn di tin dɛn we yu bin dɔn gɛt trade.
- Blɔd ɛn urine tɛst: Dɛn tin ya kin chɛk if yu bɔdi de mek tumɔs sɛks ɔmon ɔ stɛroyd. fכ egzampl, dεn kin chεk fכ di potashכm lεvεl dεm lכw כ di hכy kכtisol כ εstrojen lεvεl.
- Imej tɛst: Dɛn kin yuz skan fɔ luk fɔ lumps ɔ kansa sɛl dɛn. Dɛn tin ya kin bi X-ray, ɔltra saund, CT skan, MRI skan, ɛn PET skan.
- Laparoscopy: Insay dis, dɛn kin put wan tiub we rili tan we gɛt smɔl kamɛra we dɛn tay insay di bɔdi fɔ wach usay di kansa de gro.
- Bayopsi: Dɛn kin tek smɔl smɔl tisu bay we dɛn yuz nidul ɛn chɛk am ɔnda maykroskɔp fɔ no if kansa sɛl dɛn de.
Wetin na di tritmɛnt dɛn?
We yu tink bɔt yu sik ɛn ɔl yu wɛlbɔdi biznɛs, yu dɔktɔ go tɛl yu bɔt di tritmɛnt plan we go fayn fɔ yu.
- Ɔpreshɔn:Dis kin bi di wangren tritmɛnt we go mek pɔsin gɛt kɔmplit mɛrɛsin. Yu dɔktɔ kin disayd fɔ pul wan ɔ ɔl tu pan yu adrenal gland dɛn. If di kansa dɔn skata, dɛn kin nid fɔ pul di limf no dɛn we de nia am bak.
- Radiation therapy: Dɛn kin yuz dis tritmɛnt fɔ kil di kansa sɛl dɛn ɔ fɔ stɔp di tumor fɔ gro. Sɔntɛnde, dɛn kin gi am afta dɛn dɔn du di ɔpreshɔn.
- di mεdikeshכn dεm: di mכst kכmכn mεdikeshכn we dεn gi na wan dεm we dεn kכl `mitotane (Lysodren).` I de blכk di כmon dεm we di adrenal gland dεm de mek εn i de pwεl di kεnsar sεl dεm.
- Kimotɛrapi: Dis kin min fɔ gi mɛrɛsin dɛn we de travul ɔlsay na di bɔdi ɛn kil di kansa sɛl dɛn. Bɔt dɛn tin ya kin pwɛl di sɛl dɛn we gɛt wɛlbɔdi bak.
- Targeted therapy: Dɛn drɔgs ya de target ɛn pwɛl di kansa sɛl dɛn nɔmɔ, ɛn dɛn nɔ de ambɔg di wɛlbɔdi sɛl dɛn.
- Tumor ablation: Dis na we fɔ pwɛl di kansa sɛl dɛn we dɛn de yuz ɔt ɔ kol pasmak fɔ di wan dɛn we sik tumɔs fɔ mek dɛn du ɔpreshɔn ɔ we di kansa dɔn skata.
Ilɛk us tritmɛnt yu pik, tek kia ɔf yu bɔdi ɛn bak yu maynd. Aks yu dɔktɔ bɔt sɔpɔt grup dɛm usay yu kin tɔk to ɔda pipul dɛm wae de go tru di sem tin lɛk yu.
Wetin na di lukin-grɔn fɔ dis sik?
Yu wɛlbɔdi tumara bambay go dipen pan bɔku tin dɛn lɛk yu ej, di sayz we di tumbu gɛt we dɛn no se i gɛt am, ɛn if di tumbu de mek ɔmon ɔ nɔ de mek am.
Akɔdin to sɔm statystik, lɛk 73 pan 100 pipul dɛm wae dɛn kin trit bifo di kansa spre pas di adrenal gland dɛm go liv fɔ 5 ia ɔr mɔr. if i dכn spre to di tisu dεm כ כgan dεm we de nia, da nכmba de dכn to lεk 53% pan 100. If i dכn spre to fa fa pat dεm na di bכdi, dat nכmba de dכn to lεk 38% pan 100.
Mɛmba se dɛn tin ya na jɔs statystik. Ɛni sikman difrɛn. So nɔ mek yu at pwɛl wit dɛn nɔmba dɛn ya. I impɔtant fɔ aproch tritmɛnt fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Yu fɔ no bɔt ɛni chenj we nɔ kɔmɔn na yu bɔdi, mɔ we yu de gɛt bɔku bɔku wet wantɛm wantɛm, we yu ia de gro pasmak, ɛn we yu gɛt ay blɔd prɛshɔn.
- Adrenal kansa na wan sik wae nɔr kin bɔrku bɔt wae kin siriɔs, so nɔr ignore de symptoms.
- Fɔ no di sik kwik kwik wan na big step fɔ mek yu gɛt di tritmɛnt we go wok fayn. If yu gɛt ɛni dawt, go to yu dɔktɔ wantɛm wantɛm.
- Bɔku tritmɛnt dɛn de we yu kin gɛt, ɛn yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu.
- Nɔto yu wan de na dis waka. I rili impɔtant fɔ fɛn sɔpɔt pan aw yu de fil frɔm yu fambul, padi, ɛn sɔpɔt grup.
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