A châng chuan kan taksaa inthlâk danglamna ṭhenkhat, entîr nân, rang taka taksa rihna, taksa sam pung emaw, hah lutuk emaw hi kan ngaihven vak lo a ni lawm ni? Mahse hengte hi kan taksa chhunga gland te tak te pahnih, adrenal glands-a harsatna awm chhinchhiahna a ni thei. Hei hi thupui pawimawh tak ni mahse, hlau suh. Awareness hi a pawimawh ber a ni. Vawiin hian heng adrenal glands nena inzawm cancer natna kan sawi dawn a ni.
Adrenal cancer chu eng nge ni?
A awlsam zawngin sawi ila, hei hi kan taksaa hormone siamtu gland-a lo awm thei cancer pawl zinga mi a ni. Chungte chu neuroendocrine tumor (NET) an ti a. Adrenal cancer hi kan adrenal glands ah a lo awm thin. Hetiang hian han ngaihtuah teh, kan kal (kidney) chungah hian gland te tak te pahnih a awm a, chu chu lukhum pahnih ang mai a ni. Hengte hi adrenal glands kan tih te hi an ni. Heng gland pakhat emaw, pahnih emaw ah hian cancer a lo awm thei a ni.
Chûng gland-te chuan kan taksaa thil pawimawh tam tak thununtu hormone , a nih loh leh chemicals an siam chhuak a. Entîr nân, kan thisen sang, sam sei, sex drive, leh stress kan hmachhawn dân thlengin heng hormone-te hi a innghat a ni. Adrenal gland tumor thenkhat chuan anmahni hormone an siam tan thin.
He tumor hi gland pawn lam layer atang hian a intan thei a, chu chu doctor ten ``cortex`` an ti a ni. A nih loh leh, gland lai takah a intan thei a, chu chu ``medulla`` an ti a ni.
A tam zawkah chuan symptom i neih hunah chuan lump hi a lian khawp mai thei. Mahse, lungngai suh, he cancer do tur hian enkawlna chi hrang hrang a awm a. A pawimawh ber chu i doctor nen inhawng taka sawi dun a , i chhungte leh thiante nena inbiakna neihpui a, an thlawpna dawng tur a ni. I hriselna zinkawngah chakna petu ropui tak an ni ang.
He natna lan chhuah dan engte nge ni?
Tumor a te deuh chuan symptoms i hmu lo mai thei. Mahse a lo thang lian zel chuan hormone level hrang hrang a inthlak avangin a hnuaia symptoms te hi a lo lang thei a ni. Hengte hi eng nge ni tih i lo en ang u.
| Symptoms awm chhan | Symptoms awm thei te |
|---|---|
| Lump atanga lo chhuak symptoms te | - Pum chhunga natna emaw, lump emaw hriat - Tlemte ei hnu pawha chaw ei kham |
| Androgen hormone a pung (Mipa hormone) 1.1. | - Hmai emaw taksaah duh loh zawnga sam sei - Mipa naupangte penis lian emaw, hmeichhe naupang clitoris emaw |
| Estrogen hormone a pung (Hmeichhe hormone) . | - Hmeichhe naupang thlasik hma emaw, hnute thanna emaw - Hmeichhiaah thlasik hun mumal lo emaw, aw thuk zawk emaw - Hmeichhia menopause hnua vaginal bleeding - Mipa hnute thanna, chak lohna emaw, mipat hmeichhiatna lama duhna tlahniam emaw |
| Cortisol hormone a tipung | - Taksa rihna tihpun - Hmai chu a puffy hmel hle - Hmai, taksa chunglam, kutphahah sam tha tak tak seng - Vun ah hian stretch mark a awm - Ruh leh thau chak lohna - Hliam tenau avanga vun a hliam - Mood swing fo thin, depression - Thisen sang leh thisen sugar level sang |
| Aldosterone hormone a tipung | - Taksa chak lo, taksa ruh natna - Thisen sang a sang - Thisenah potassium level a tlahniam - Tuihâl lutuk - Zun tam lutuk |
Adrenal cancer thlentu leh risk factors te chu engte nge ni?
Mi thenkhatin heng lumps hi an neih chhan chiang tak a awm lo. Mahse, a hnuaia genetic condition pakhat i neih chuan he cancer hi i vei theihna chance a sang deuh hlek a ni.
- Li-Fraumeni natna a ni
- Beckwith-Wiedemann natna a ni
- Carney complex a ni
- Endocrine neoplasia tam tak a awm
- Chhungkaw adenomatous polyposis a awm thin
- Lynch natna a ni
Hengte hi genetic condition awm lo tak tak an ni. I doctor-in heng zinga pakhat i neih thu a hrilh che a nih loh chuan a tul lovah lungngai suh.
Adrenal cancer chi hrang hrang a awm em?
Ni e, adrenal gland tumor hi chi hnih ah then theih a ni a, chungte chu malignant leh benign te an ni. Chungte chu an tanna hmun azira hming vuah a ni.
Tumor tha lo tak tak a awm
- Adrenocortical carcinoma: Hei hi gland pawn lam layer (cortex) atanga tan a ni. Hetiang tumor hian hormone tam tak a siam chhuak a.
- Malignant adrenal pheochromocytoma: Hei hi cancer hmuh tur awm lo tak a ni a, gland lai tak (medulla) atanga intan a ni.
- Neuroblastoma: Hei hi midbrain atanga intan pawh a ni a, naupangte zingah hmuh tur a tam ber.
- Malignant paraganglioma: Hei hi adrenal gland chhungah emaw pawnah emaw a lo awm thei.
Cancer nei lo (benign) lumps
- Adenoma: Hengte hian a chang chuan cortisol tam lutuk a siam thei a, hei hi ``Cushing's syndrome'' kan tih hi a ni.
- Pheochromocytoma tha lo tak a ni
- Paraganglioma tha lo tak a ni
He natna hi engtin nge kan hriat theih ang? (Diagnosis) tih a ni.
Symptoms i neih emaw, he cancer vei theihna tur risk factor i neih chuan i doctor chuan lump a awm leh awm loh finfiah nan test eng emaw zat a ti ang. Heng test te hian cancer stage leh taksa peng dangah a darh tawh em tih pawh a hriat theih bawk.
- Taksa enfiahna leh damdawi lam chanchin: Doctor chuan i hriselna kalphung leh i damdawi hman tawh dan te a zawt ang.
- Thisen leh zun test: Hengte hian i taksain sex hormone emaw steroid emaw a siam tam lutuk em tih a enfiah thin. Entirnan, potassium level hniam emaw, cortisol emaw estrogen level sang emaw an enfiah thin.
- Imaging test: Scan hmang hian lumps emaw cancer cell emaw zawng a ni. Chung zingah chuan X-ray, ultrasound, CT scan, MRI scan, leh PET scan te pawh a tel thei.
- Laparoscopy: Hetah hian tube te tak te, camera te tak te dahna taksaah dahin cancer a lo thang lianna hmun an enfiah thin.
- Biopsy: Tissue sample te tak te chu needle hmangin lak a ni a, microscope hmangin cancer cell a awm leh awm loh enfiah a ni.
Enkawlnate chu engte nge ni?
I dinhmun leh i hriselna zawng zawng ngaihtuah chuan i doctor chuan i tana tha ber tur treatment plan chu a rawn rawt ang che.
- Inzai:Hei chauh hi damdawi tluantling pe theitu a ni mai thei. I doctor chuan i adrenal gland pakhat emaw, pahnih emaw chu paih chhuah a tum mai thei. Cancer a darh tawh chuan a bul hnaia lymph node te pawh lakchhuah a ngai mai thei.
- Radiation therapy: He enkawlna hi cancer cell thah nan emaw, tumor thanna tur tihtawp nan emaw hman a ni. A chang chuan zai zawhah pek thin a ni.
- Damdawi: Damdawi an pek tam ber chu damdawi `mitotane (Lysodren) an tih hi a ni.
- Chemotherapy: Hei hian taksa pum puia kal, cancer cells that thei damdawi pek a ni. Mahse, hengte hian cell hrisel tak takte pawh a tichhe thei bawk.
- Targeted therapy: Heng damdawi te hian cancer cell chauh an target a, an tichhia a, cell hrisel te a tichhe lo.
- Tumor ablation: Hei hi cancer cells te tihchhiat dan a ni a, chu chu operation nei lo lutuk emaw, cancer a darh tawh emaw tan chuan lum lutuk emaw, khaw lum lutuk emaw hmanga tihchhiat dan a ni.
Eng enkawlna pawh thlang ila, i taksa bakah i rilru pawh enkawl tha rawh. I doctor hnenah support group chungchang zawt la, chutah chuan nangmah ang bawka thil tawk mek midangte nen inbiakna neih theih a ni.
He natna hi eng nge a hmalam hun?
I hmalam hun hriselna chu thil engemaw zatah a innghat a, chung zingah chuan i kum, a natna hmuhchhuah huna tumor lian leh te, leh tumor hian hormone a siam leh siam loh te pawh a tel.
Statistics atanga a lan dan chuan cancer hian adrenal glands piah lama a darh hmaa enkawl mi 100 zinga 73 vel chu kum 5 emaw a aia rei emaw an dam ang. A bul hnaia tissue emaw, taksa peng emaw-ah a darh tawh a nih chuan chu chu 100 zinga 53% velin a tlahniam a, taksa hmun hla tak takah a darh tawh chuan chu chu 100 zinga 38% velin a tlahniam a ni.
Hengte hi statistics mai a ni tih hre reng ang che. Damlo tin hi kan danglam vek. Chuvangin heng number te hian beidawng suh. Enkawlna hi a tha zawnga hnaih a pawimawh.
Take-Home Thuchah a ni
- I taksaa inthlak danglamna danglam tak tak, a bik takin i taksa rihna sang lutuk, sam sei lutuk leh thisen sang lutuk te chu hre reng ang che.
- Adrenal cancer hi a tlem hle a, mahse a pawi hle a, chuvangin a natna lan chhuah dan hi ngaihthah suh.
- Hriat hmasak hi enkawlna hlawhtling tak neih theihna tura hmalakna lian tak a ni. Ringhlelna i neih chuan doctor rawn nghal rawh.
- Enkawlna chi hrang hrang a awm a, i doctor chuan i tana tha ber tur a ruat ang.
- He zinkawngah hian nangmah chauh i ni lo. Chhungte, ṭhiante leh ṭanpuitu pawlte hnen aṭanga rilru lama ṭanpuina zawng hi a pawimawh hle.
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