I taksa chhungah hian hetiang tumor hi a awm em? A chungchang hi i zir mai ang u (Adrenal Adenoma)!

Natna dang `scan` ang chi kan tih hian a chang chuan taksa chhunga thil thup, awm kan hriat ngai loh kan hmu palh thei tih i ngaihtuah ngai em? Chutiang chuan he natna ``Adrenal Adenoma`` an tih hi a chang chuan hmuhchhuah a ni. Hei hi a takah chuan tumor te tak te, cancer ni lo, hlauhawm lo, i adrenal glands-a lo awm a ni. Hemi chungchang hi chipchiar deuhin kan sawi dawn em ni?

Adrenal adenoma hi eng nge ni tak tak?

Okay, a hmasa berin adrenal glands te hi eng nge an nih kan en ang. Heng gland pahnih hi i kal chung lamah an awm a, cap te te pahnih ang maiin an awm a ni. Hengte hi kan taksa tana pawimawh em em hormone chi hrang hrang siamtute an ni. Ngaihtuah teh, i taksain engtin nge a tih ang, rang taka hlauhna nasa tak emaw, lungkhamna emaw i neih chuan? Chutianga puitu hormone te chu heng glands atang hian an lo chhuak thin. Chu mai ni lovin, heng hormone te hian i thisen sugar level, thisen sang, leh immune system te ang chi thil tam tak control turin a pui bawk.

Adrenal gland hi hmunpui pahnih a awm a, chungte chu pawn lam chu adrenal cortex an ti a, a chhung lam chu adrenal medulla an ti bawk. Adrenal cortex hian hormone `(Cortisol)` leh `(Aldosterone)` te a siam chhuak a. Adrenal medulla hian hormone `(Dopamine)`, `(Epinephrine)` leh `(Norepinephrine)` te a siam chhuak a. Kan sawi tum tumor, adrenal adenoma an tihte hi adrenal cortex-ah hian a lo awm a ni.

A tam zawkah chuan heng adenomas te hian symptom lian tak tak an nei lo va, enkawl ngai an awm lo. Mahse, a chang chuan heng tumor te hian adrenal hormone pakhat emaw a aia tam emaw chu a tlangpui aia tam an siam thei a ni.

Adrenal adenoma chi hrang hrang a awm em?

Ni e, chi hnih a awm ber.

• Functioning/Active adenomas: Heng tumor chi hrang hrangte hian adrenal gland hormone pangngai aia tam an siam chhuak thin . Hei hian symptoms a thlen thei a, enkawl a ngai thei bawk.
• Nonfunctioning/Inactive adenomas: Hengte hian hormone extra an siam chhuak lo. Adrenal adenoma tam zawk hi chu he category-ah hian an tel a ni. A tlangpuiin symptom an nei lo va, enkawl ngai an awm lo.

A pawimawh ber chu chi khat zinga pakhat zawk cancer vei theihna chance a tlem hle. Mahse, nonfunctional adenoma chu hun kal zelah a thawk thei ta a ni.

Adrenal adenoma hi cancer a ni thei em?

Hei hi a takah chuan a tlem hle. Chu chu adrenal adenoma chu cancer-ah a chantir a rinawm loh hle tihna a ni. Adrenal glands-a cancer natna chi khat lo awm ber chu adrenocortical carcinoma a ni. Functional adenomas ang bawkin heng cancer tumor te hian hormone tam lutuk an siam thei bawk. Chuvangin, a lan chhuah dan thenkhat chu functional adenomas nen a inang thei a ni.

Ngaihtuah teh, mi maktaduai khat zinga pakhat vel chauhvin adrenocortical carcinoma an vei. Chu chu adrenal glands-a tumor lo awm tam zawk hi benign, cancer nei lo an ni tihna a ni.

He natna hi tuin nge vei tam zawk?

Dik tak chuan tu pawhin adrenal adenoma an nei thei a ni. Mahse, i lo upat deuh deuh chuan i vei theihna chance a sang deuh hlek a ni. Mipui 3% leh 9% inkar hian he adenoma hi an nei niin an sawi tlangpui. Hei hi adrenal glands-a tumor chi khat lo awm tam ber a ni.

Engtin nge adrenal adenoma hian i taksa a nghawng?

Kan sawi tawh ang khan adenomas hnathawh dan avang hian harsatna a awm thin. Chungte chuan hormone pakhat emaw a aia tam emaw a tam tawk aia tam a tichhuak thei a ni. Chutiang a nih chuan adrenal disorder thenkhat symptoms i nei thei. Entir nan:

• Cushing’s syndrome emaw hypercortisolism: Hetiang dinhmun hi i adrenal glands-in hormone cortisol a siam tam lutuk hian a lo awm thin. Cushing’s syndrome hi pituitary tumor vang a ni tlangpui a, mahse adrenal tumor vang pawh a ni thei bawk. A lan chhuah dan chu thisen sang, taksa rihna sang (a bik takin pum chhehvel), leh mipat hmeichhiatna lama harsatna (sexual dysfunction) te a ni . Zunthlum vei theihna a tipung thei bawk.

• Primary aldosteronism (Conn’s syndrome): Hei hi adenoma-in hormone aldosterone a siam tam lutuk hian a thleng thin. A lan chhuah dan chu potassium level hniam, thisen sang, lu na, hahna, leh taksa ruh chak lohna te a ni .

• Sex hormone-in nghawng a neih dan: A tlem hle a, adrenal adenoma hian sex hormone a siam tam lutuk thei. Hmeichhiaah androgens (testosterone ang chi) a pun chuan thlasik hun mumal lo, taksa sam tam lutuk (hirsutism), aw thuk zawk a thlen thei a ni. Mipaah ​​estrogen a pun chuan mipat hmeichhiatna lama duhna a tlahniam thei a, erectile dysfunction a thlen thei bawk.

Adrenal adenoma natna lan chhuah dan chu engte nge ni?

Symptoms hi adenomas hnathawh vang a ni. Heng symptoms te hi a lo awm thei a, a bik takin cortisol (Cushing’s syndrome) emaw aldosterone (primary aldosteronism) emaw siam chhuah tam lutuk a nih chuan a awm thei. Heng zinga pakhat tal i neih leh neih loh enfiah rawh:

• Lu na.
• Muscle chak lohna emaw a chang chuan rilru hahna emaw.
• Chauhna leh taksa na (backache ang chi).
• Thisen sang (Hypertension).
• Thisen sugar level sang emaw zunthlum emaw.
• Potassium level a tlahniam.
• Pum vunah hian stretch mark a awm.
• A bik takin taksa chunglam area-ah chuan taksa rihna a pung.
• Mood inthlak danglam (lungkhamna, hlauhna, lungngaihna, etc.).

Hmeichhia tan chuan thlasik hun mumal lo leh mipa mizia sang (virilization) a awm thei. Mipa tan chuan sexual dysfunction a awm thei.

Adrenal adenoma hi engte nge ni?

Researcher-te chuan adrenal adenomas leh benign adrenal gland tumor dangte lo awm chhan chiang takin an la hre lo. Mahse, genetic condition thenkhat chuan a hlauhawmna a tipung thei tih an hmuchhuak a ni. Entirna thenkhat chu:

• Multiple Endocrine Neoplasia, chi 1 (MEN1) atanga lo chhuak a ni.
• Chhungkaw Adenomatous Polyposis (FAP) natna hi a awm lo.
• Carney complex a ni
• Li-Fraumeni natna a ni
• Multiple Endocrine Neoplasia chi 2 (MEN2) atanga lo chhuak a ni.
• Neurofibromatosis chi khat a awm

Tin, thau lutuk leh zuk leh hmuam hman ang chi thil te hian adrenal adenoma vei theihna a tipung thei bawk.

Engtin nge adrenal tumor hi an hriat theih?

Mi tam tak chuan adrenal adenoma an nei tih pawh an hre lo. Imaging procedure, CT scan ang chi, chhan dang avanga tih a nih laiin accident-in hmuhchhuah a ni. Chuvangin "incidentalomas" tia koh an ni fo thin a, a chhan chu accident-a hmuh an nih vang a ni.

I doctor chuan tumor chu cancer (e.g., adrenocortical carcinoma) emaw, benign (e.g., adrenal adenoma) emaw a nih leh nih loh a hre hmasa ang. Adrenal adenoma a nih chuan hormone tam lutuk a siam chhuak em tih an test ang.

Hemi atan hian eng test nge tih a nih?

I doctor chuan taksa enfiahna a nei ang a, i natna lan chhuah dan leh i damdawi lam chanchin a zawt ang a, chutah chuan tumor chungchang hriat belh duh chuan heng ang test hi a ti thei ang:

• Thisen emaw zun emaw test: 1.1.Hengte hian i taksaa hormone level sang tak a awm leh awm loh a enfiah thei a ni. Tumor hnathawk thei i neih chuan i hormone level a sang thei. Darkar 24 chhunga zun sample lak a ngai thei bawk a, i cortisol level pawh i enfiah a ngai mai thei bawk.
• Imaging: CT scan hi adrenal adenoma hriat theihna atana hman tlanglawn ber a ni. A chang chuan i doctor pawhin MRI a order thei bawk. He scan hian tumor chu malignant (cancerous) nge benign (benign) a nih leh nih loh hriat theih nan a pui thei a ni. Entirnan, tumor tenau zawk aiin centimetre 4 aia lian tumor hi cancer a nih a rinawm zawk.
• Biopsy: Test dang hmanga lump chu cancer emaw adrenal adenoma emaw a nih leh nih loh hriat theih loh chuan i doctor chuan biopsy fine-needle aspiration an tih chu a ti thei ang. Hei hian a hnah atanga tissue te tak te chu needle te tak te hmanga lakchhuah a huam a ni. Chumi hnuah chuan pathologist, laboratory specialist chuan microscope hmangin tissue chu a enfiah a, cancer chhinchhiahna a awm em tih a enfiah thin.

Test dang, adrenal vein sampling emaw metaiodobenzylguanidine (MIBG) scan emaw pawh tih theih a ni.

Adrenal adenoma hi eng enkawlna nge ni?

I enkawlna tur chu tumor chu a thawk tha lo emaw, a thawk tha lo emaw (i.e., hormone tam lutuk a siam chhuak) ah a innghat ang.

• Nonfunctioning tumor chu a te a nih chuan, i doctor chuan a lo thang lian em tih leh a active tawh em tih hriat nan a hun hunah CT scan neih a rawt thei ang. Tumor chu a lo thang chak hle a nih chuan, a nih loh leh centimetre 5 vel a hnaih chuan doctor chuan operation a rawt thei ang. Hei hi a chhan chu tumor lian tak tak leh a lo thang chak lutuk te hi cancer a nih theihna a tam zawk vang a ni.

• Tumor hnathawk thei tan chuan surgery hi enkawlna awmchhun a ni fo thin. Enkawl dan tur chu hetiang hi a ni:

• Adrenalectomy – Hei hi adrenal gland lakchhuahna a ni: Tumor chu a te a, a tha lo a nih chuan i doctor chuan laparoscopy hmangin i adrenal gland chu a la chhuak thei ang. Laparoscopy an tih lai hian surgeon chuan i pum chhungah incision te te tlemte a siam a, chuta tang chuan surgery chu a ti thin. Tumor a lian emaw, cancer a nih theih rinhlelhna a awm emaw chuan i doctor chuan i hnungzangah incision lian zawk a siam thei a ni. A châng chuan, adrenal gland la awmte hian i hrisel theihna tûr hormone a siam chhuak thei a ni. A nih loh chuan hormone tlakchhamna thlak nan hormone therapy i mamawh mai thei.

• Damdawi hman tur: 1.1.Surgery atana candidate tha tak i nih loh chuan i doctor chuan adenoma hian hormone a siam tam lutuk loh nan damdawi a pe thei che a ni. Adrenalectomy hnuah kar engemaw zat damdawi i ei a ngai thei bawk a, chu chuan i hormone level a ti nghet thei ang.

Adrenal gland tumor hi a veng thei ang em?

Adrenal tumor, adrenal adenomas te pawh hi ven theih dan a awm lo. An tana risk factors chu i genes atanga lo chhuak a ni fo thin. Mahse, i chhungte zingah tumahin adrenal tumor nei lo mahse adrenal adenoma i la nei thei tho.

Enkawlna hnua hun rei tak chhunga awm chu eng ang nge ni?

Adrenalectomy result hi a tha hle. Adrenal gland natna vei chu lakchhuah a nih chuan adrenal adenoma hnathawk thei avanga natna lan chhuah dan chu a bo fo thin.

Engtin nge ka in enkawl ang?

Nonfunctioning adrenal adenoma i nei tih hmuhchhuah a nih chuan i doctor-in test vawi engzat nge i neih tur tih chu zawm rawh. I tumor awm dan azirin i doctor chuan a hun hunah CT scan emaw hormone test emaw a ti thei ang.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i pan dawnin hetiang zawhna hi zawh theihnghilh suh:

• Eng ang adrenal gland tumor nge ka neih?
• Benign nge cancer a ni em?
• Ka tumor hi cancer-ah a chan theihna chance engzat nge awm?
• Functioning one nge nonfunctioning a ni em?
• Enkawlna ka mamawh em?
• Eng enkawlna nge i rawt?
• Ka enkawlna/damna tur hian hormone therapy a mamawh dawn em?

I doctor chuan scan-ah i adrenal gland-ah tumor a hmu a nih chuan hlauthawng suh tih hre reng ang che. A tam zawkah chuan heng tumor te hi a hlauhawm lo. I tumor hi adrenal adenoma a nih chuan hormone a siam tam lutuk em tih test theih a ni. Chutiang a nih chuan surgery hi duhthlan tur tha tak a ni mai thei. Tumor hi benign a nih chuan i doctor chuan i hormone a nghawng lo tih a enfiah thei ang. Cancer a nih theih an rinhlelh chuan an paih chhuak thei.

A tawp berah chuan Take-Home Message kan rawn thawn leh ta

Chuvangin, adrenal adenoma hi a tlangpuiin ngaihtuah tur a awm lo. A tam zawk hi chu harsatna nei lo leh cancer nei lo an ni. Amaherawhchu, thenkhat chuan hormone an siam tam lutuk thei a, chuvangin fimkhur a pawimawh hle. Hemi chungchangah hian rinhlelhna emaw zawhna emaw i neih chuan doctor nen inbia ngei ang che. Tichuan i mamawh thurawn leh enkawlna dik tak i hmu thei ang. Hrisel takin awm rawh!

` Adrenal adenoma, hormone, adrenal glands, Cushing’s syndrome, Conn’s syndrome, tumor, cancer nei lo