Kodi mukudziwa za zotupa izi zomwe zikukula m'thupi lanu? (Adrenal Adenoma)

Mukachita CT scan chifukwa cha vuto lina la thanzi, zingakhale zoopsa pang'ono ngati dokotala akukuuzani mwadzidzidzi kuti muli ndi chotupa chaching'ono m'thupi mwanu. Koma musadandaule. Si zotupa zonse zomwe zimayamba m'thupi zomwe ndi khansa. Lero tikulankhula za mtundu wa chotupa chomwe chimapezeka mwangozi, koma nthawi zambiri sichimakhala choopsa. Imeneyo ndi adrenal adenoma.

Mwachidule, kodi adrenal adenoma ndi chiyani?

Chabwino, tiyeni tiyambe pachiyambi. Pamwamba pa impso zathu, monga zipewa ziwiri zazing'ono, pali tiziwalo tiwiri tooneka ngati katatu. Izi ndi zomwe timatcha tiziwalo ta adrenal . Ngakhale kuti ndi tating'ono, timachita ntchito yofunika kwambiri m'thupi lathu. Tikakhala ndi nkhawa, tiziwalo timeneti timatulutsa mahomoni omwe amatithandiza kuthana ndi vutoli, mahomoni omwe amalamulira zinthu zambiri, monga kuchuluka kwa shuga m'magazi, kuthamanga kwa magazi, ndi chitetezo chamthupi.

Adrenal Adenoma ndi chotupa chosaopsa, chosakhala khansa chomwe chimapangika kunja kwa adrenal glands (adrenal cortex). Chotupachi nthawi zambiri sichisonyeza zizindikiro ndipo sichifuna chithandizo.

Pali mitundu iwiri ya mtedza uwu, sichoncho?

Inde, ndi zoona. Ma adrenal adenoma awa akhoza kugawidwa m'magawo awiri akuluakulu. Ngati mukumvetsa izi, zinthu zambiri zidzamveka bwino kwa inu.

Funso lomwe anthu ambiri ali nalo ndi lakuti: Kodi iyi ndi khansa?

Ili ndiye mantha akulu kwambiri omwe amabwera m'maganizo mwa aliyense. Koma zoona zake n'zakuti, mwayi woti adrenal adenoma isanduke khansa ndi wochepa kwambiri . Mtundu wa khansa womwe umayamba mu adrenal gland umatchedwa adrenocortical carcinoma . Ndi vuto losowa kwambiri. Mwachidule, mtundu uwu wa khansa umapezeka mwa anthu pafupifupi mmodzi pa anthu miliyoni. Chifukwa chake, ngati dokotala wanu akunena kuti muli ndi adenoma, kumbukirani kuti mwayi woti isanduke khansa ndi wochepa kwambiri.

Kodi zotsatira za adenoma yogwira ntchito zimakhala bwanji pa thupi?

Ngakhale kuti ma cyst osagona ndi osavulaza, ma cyst omwe amagwira ntchito angayambitse matenda ena chifukwa amapanga mahomoni ambiri kuposa momwe thupi limafunira.

• Matenda a Cushing: Matendawa amapezeka pamene adrenal gland imapanga mahomoni ambiri a cortisol . Angayambitse kuthamanga kwa magazi, makamaka m'mimba, komanso mavuto okhudzana ndi kugonana. Amawonjezeranso chiopsezo cha matenda a shuga.
• Matenda a aldosteronism oyamba (Conn's syndrome): Izi zimachitika chifukwa cha kupanga mopitirira muyeso kwa mahomoni otchedwa aldosterone . Izi zingayambitse kuthamanga kwa magazi, kuchepa kwa potaziyamu m'thupi, mutu, kutopa kwambiri, komanso kufooka kwa minofu.
• Mavuto a mahomoni ogonana: Nthawi zambiri, zotupazi zimatha kupanga mahomoni ogonana ochulukirapo. Mwachitsanzo, ngati thupi la mkazi lili ndi mahomoni a amuna ambiri (androgens), zingayambitse kusayenda bwino kwa msambo , kukula kwa tsitsi m'thupi (hirsutism), komanso mawu osamveka bwino. Ngati mwamuna ali ndi estrogen yochuluka, zingayambitse kuchepa kwa chilakolako chogonana komanso kusagwira ntchito bwino kwa erectile.

Kodi zizindikiro zazikulu za izi ndi ziti?

Tsopano tikudziwa kuti zotupa zomwe sizili m'thupi sizimayambitsa zizindikiro. Komabe, ngati pali chotupa chomwe chikugwira ntchito, zizindikirozi zimatha kuchitika kutengera mtundu wa mahomoni omwe akupanga mopitirira muyeso.

Nchifukwa chiyani ma adenoma awa amapangidwa?

Ofufuza sanapezebe chifukwa chenicheni cha zotupazi. Komabe, matenda ena a majini apezeka kuti akuwonjezera chiopsezo cha matendawa. Kunenepa kwambiri ndi kugwiritsa ntchito fodya zingakhalenso zinthu zomwe zimayambitsa matendawa.

Kodi mwapeza bwanji izi, Dokotala?

Nthawi zambiri, zotupa zimenezi zimapezeka mwangozi. Izi zikutanthauza kuti zimapezeka panthawi yojambula m'mimba (CT scan kapena MRI) ngati pali vuto lina. Pachifukwa ichi, nthawi zina zimatchedwa "incidentalomas," kutanthauza chinthu chomwe chimapezeka mwangozi.

Ngati dokotala awona chotupa chonga ichi, chinthu choyamba chimene amachita ndikutsimikiza ngati ndi khansa kapena ayi. Kenako, ngati ndi adenoma, amayesa kuti aone ngati chikugwira ntchito kapena ayi.

• Kuyezetsa magazi ndi mkodzo : Izi zimatsimikizira ngati kuchuluka kwa mahomoni anu kuli bwino kapena kokwera. Mungafunikenso kutenga mkodzo wa maola 24.
• Kujambula: Kujambula kwa CT ndiye njira yodziwika kwambiri yoyezera. Nthawi zina kujambulidwa kwa MRI kungachitikenso. Kujambula kumeneku kungapereke lingaliro lomveka bwino la ngati chotupacho ndi khansa kapena ayi, kutengera kukula kwake ndi mtundu wake. Mwachitsanzo, zotupa zazikulu kuposa masentimita 4 zimakhala ndi mwayi waukulu wokhala ndi khansa.
• Kufufuza za khansa: Ngati mayeso ena sakukwanira, dokotala wanu angakulangizeni kuti mufufuze za khansa. Izi zimaphatikizapo kutenga minofu yaying'ono kwambiri kuchokera pa chotupacho pogwiritsa ntchito singano yopyapyala ndikuiyang'ana pansi pa maikulosikopu kuti muwone ngati pali maselo a khansa .

Kodi mankhwala ake ndi otani?

Njira yochiritsira imadalira ngati muli ndi chotupa chomwe chikugwira ntchito kapena chomwe sichikugwira ntchito.

Chotupa chosagwira ntchito ndi:

Ngati chotupacho ndi chaching'ono komanso chosagwira ntchito, nthawi zambiri sichilandira chithandizo. M'malo mwake, dokotala wanu amabwereza CT scan nthawi ndi nthawi kuti aone ngati chotupacho chikukula kapena chikuyamba kugwira ntchito. Ngati chotupacho chikukula mofulumira kapena chili pafupi ndi masentimita 5, opaleshoni ingakulimbikitseni kuti chichotsedwe, poganizira za chiopsezo cha khansa.

Chotupa chomwe chimagwira ntchito ndi:

Chithandizo cha mitundu iyi ya zotupa nthawi zambiri chimakhala opaleshoni.

• Kuchotsa Adrenalectomy: Uku ndi opaleshoni yochotsa adrenal gland . Ngati chotupacho ndi chaching'ono, laparoscopy ingagwiritsidwe ntchito.Opaleshoni iyi ingachitike kudzera m'mabala ang'onoang'ono m'mimba komanso pogwiritsa ntchito kamera. Ngati chotupacho ndi chachikulu kapena ngati pali kukayikira kuti pali khansa, opaleshoni yayikulu idzachitika pogwiritsa ntchito kudula kwakukulu kumbuyo. Pamene thumba limodzi lachotsedwa, thumba lotsalalo likhoza kupanga mahomoni omwe thupi limafunikira. Ngati sizingatheke, mahomoniwo ayenera kumwedwa ngati mapiritsi.
• Mankhwala: Ngati simuli oyenerera opaleshoni, dokotala wanu angakupatseni mankhwala oletsa kupanga mahomoni kuchokera ku chotupacho.

Pambuyo pa chithandizo, makamaka pambuyo pochotsa chotupacho opaleshoni, zizindikiro zake zimatha pafupifupi kwathunthu. Zotsatira zake zimakhala zabwino kwambiri.