Pane bundu rakadai mumuviri wako here? Ngatidzidzei nezvazvo zviri nyore (Adrenal Adenoma)!

Wakambofunga here kuti dzimwe nguva patinoedza kuongorora chimwe chirwere, tinogona kuwana chimwe chinhu chakavanzika mumuviri chatisina kumboziva kuti chiripo? Ndiyo nzira iyo chirwere ichi chinonzi "Adrenal Adenoma" chinowanikwa nayo dzimwe nguva. Iri ibundu diki, risiri rekenza, risiri nengozi rinoumbwa mumagland eadrenal. Tingataura nezveizvi zvakadzama here?

Chii chinonzi adrenal adenoma?

Zvakanaka, ngatitangei tatarisa kuti adrenal glands chii. Ma glands maviri aya ari pamusoro peitsvo dzako, semakepisi maviri madiki. Aya ndiwo anogadzira marudzi akasiyana-siyana emahormone akakosha zvikuru kumuviri wedu. Fungidzira, muviri wako unoita sei paunongoerekana wanzwa kutya kana kunetseka? Mahormone anobatsira nazvo anobva kuma glands aya. Kwete izvozvo chete, asi mahormone aya anobatsirawo kudzora zvinhu zvakawanda zvakaita sehuwandu hweshuga muropa rako, BP, uye immune system.

Kune zvikamu zviviri zvikuru zveadrenal gland: chikamu chekunze chinonzi adrenal cortex, uye chikamu chemukati chinonzi adrenal medulla. Adrenal cortex inogadzira mahormone akaita se `(Cortisol)` uye `(Aldosterone)`. Adrenal medulla inogadzira mahormone akaita se `(Dopamine)`, `(Epinephrine)` uye `(Norepinephrine)`. Muadrenal cortex ndimo munowanikwa mabundu atiri kutaura nezvawo, anonzi adrenal adenoma.

Kazhinji, ma adenoma aya haakonzeri zviratidzo zvikuru uye haadi kurapwa. Zvisinei, dzimwe nguva, mabundu aya anogona kuburitsa huwandu hunopfuura hwemahormone eadrenal akajairika.

Pane mhando dze adrenal adenoma here?

Ehe, kune mhando mbiri chete.

• Matumbu anoshanda/anoshanda: Mhando idzi dzematumbu dzinoburitsa mahormone eadrenal gland akawanda kupfuura zvakajairika . Izvi zvinogona kukonzera zviratidzo uye zvingada kurapwa.
• MaAdenomas Asingashande/Asingashande: Aya haabudise mamwe mahormone. Mazhinji eAdrenal Adenomas ari muchikamu ichi. Kazhinji haakonzeri zviratidzo kana kuti haadi kurapwa.

Chinhu chakakosha ndechekuti mukana wekuti mhando dzese dzekenza dzive shoma. Zvisinei, zvinokwanisika kuti adenoma isingashande ishande nekufamba kwenguva.

Ko adrenal adenoma inogona kuva cancer here?

Izvi hazviwanzoitiki. Kureva kuti, hazvigoneke kuti adrenal adenoma ishanduke kuita kenza. Rudzi rukuru rwegomarara rinokura mumagland eadrenal iadrenocortical carcinoma. Kufanana nema functional adenoma, magomarara aya anogonawo kugadzira mahormone akawandisa. Saka, zvimwe zvezviratidzo zvinogona kunge zvakafanana ne functional adenomas.

Chimbofungai, munhu mumwe chete pavanhu miriyoni ndiye anowana chirwere cheadrenocortical carcinoma. Kureva kuti, bundu zhinji dzinokura muadrenal glands hadzina njodzi, hadzina kenza.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Kutaura zvazviri, chero munhu anogona kuwana adrenal adenoma. Zvisinei, mukana wekuwana adrenal adenoma unowedzera zvishoma sezvaunokura. Kazhinji zvinonzi pakati pe3% ne9% yevanhu vane adrenal adenoma iyi. Iyi ndiyo mhando yebundu rinowanzoitika muadrenal glands.

Adrenal adenoma inokanganisa sei muviri wako?

Sezvatakambotaura, matambudziko anokonzerwa nekushanda zvakanaka kwemasero eropa. Aya anogona kuburitsa huwandu hwakakwana hwemahormone rimwe chete kana anopfuura. Kana izvi zvikaitika, unogona kuona zviratidzo zvemamwe matambudziko eadrenal. Semuenzaniso:

• Chirwere cheCushing kana hypercortisolism: Chirwere ichi chinoitika kana ma adrenal glands ako achiburitsa hormone yakawandisa ye cortisol. Chirwere cheCushing chinowanzo kukonzerwa negomarara repituitary, asi chinogonawo kukonzerwa negomarara readrenal. Zviratidzo zvinosanganisira BP yakakwira, kuwedzera huremu (kunyanya pedyo nedumbu), uye kusagadzikana pabonde . Zvinogonawo kuwedzera njodzi yako yekubatwa nechirwere cheshuga.

• Primary aldosteronism (Conn's syndrome): Izvi zvinoitika kana adenoma ichiburitsa hormone yakawanda inonzi aldosterone. Zviratidzo zvinosanganisira potassium shoma, BP yakakwira, musoro unotemwa nemusoro, kuneta, uye kushaya simba kwetsandanyama .

• Mhedzisiro yemahormone epabonde: Kashoma, adrenal adenoma inogona kukonzera kugadzirwa kwakanyanya kwemahormone epabonde. Kana androgens (senge testosterone) ikawedzera muvakadzi, inogona kukonzera kutenderera kwemwedzi kusina kurongeka, bvudzi remuviri rakawandisa (hirsutism), uye kudzika kwezwi. Kana estrogen ikawedzera muvarume, inogona kukonzera kudzikira kwechido chepabonde uye kusagadzikana kwesimba repabonde.

Ndezvipi zviratidzo zve adrenal adenoma?

Zviratidzo zvinokonzerwa nekushanda zvakanaka kwemasero eropa. Zviratidzo izvi zvinogona kuitika, kunyanya kana zvichikonzera kugadzirwa kwakanyanya kwe cortisol (Cushing's syndrome) kana aldosterone (primary aldosteronism). Tarisa uone kana uine chimwe chezvizvi:

• Musoro.
• Kushaya simba kwetsandanyama kana dzimwe nguva kusanzwa.
• Kuneta uye kurwadziwa kwemuviri (sekurwadziwa kwemusana).
• Kukwira kweropa (BP).
• Kuwanda kweshuga muropa kana chirwere cheshuga.
• Mazinga epotassium akaderera.
• Mavanga ekutambanudza ganda redumbu.
• Kuwedzera huremu, kunyanya munzvimbo yepamusoro yemuviri.
• Kuchinja kwemanzwiro (kuzvidya mwoyo, kutya, kuora mwoyo, nezvimwewo).

Kuvakadzi, kumwedzi kusina kurongeka uye kuwedzera kwehunhu hwevarume (virilization) zvinogona kuitika. Kuvarume, kusagadzikana pabonde kunogona kuitika.

Ndezvipi zvikonzero zve adrenal adenoma?

Vaongorori havasati vaziva kuti nei adrenal adenomas nedzimwe bundu dzisina njodzi muadrenal gland dzichikura. Zvisinei, vakaona kuti mamwe mamiriro ezvinhu emajini anogona kuwedzera njodzi. Mimwe mienzaniso inosanganisira:

• Kubuda kweEndocrine Neoplasia yakawanda, rudzi 1 (MEN1)
• Familyal Adenomatous Polyposis (FAP)
• Nzvimbo yeCarney
• Chirwere cheLi-Fraumeni
• Multiple Endocrine Neoplasia type 2 (MEN2)
• Neurofibromatosis Rudzi rwekutanga

Pamusoro pezvo, zvinhu zvakaita sekufuta zvakanyanya uye kushandiswa kwefodya zvinogonawo kuwedzera njodzi yekubatwa neadrenal adenoma.

Matumbu eadrenal anoonekwa sei?

Vanhu vazhinji havatombozivi kuti vane adrenal adenoma. Inowanikwa netsaona panguva yekutora mifananidzo, senge CT scan, inoitwa nechimwe chikonzero. Ndosaka dzimwe nguva ichinzi "incidentalomas," nekuti inowanikwa netsaona.

Chiremba wako achatanga aona kana bundu racho riri regomarara (semuenzaniso, adrenocortical carcinoma) kana kuti risina njodzi (semuenzaniso, adrenal adenoma). Kana riri adrenal adenoma, vachabva vaongorora kuti vaone kana riri kugadzira mahormone akawandisa.

Ndedzipi bvunzo dziri kuitwa pakuita izvi?

Chiremba wako achaita bvunzo yemuviri, obvunza nezvezviratidzo zvako uye nhoroondo yezvekurapa, uye anogona kuraira bvunzo dzakadai kuti adzidze zvakawanda nezvegomarara iri:

• Kuongororwa kweropa kana weti:Izvi zvinogona kutarisa huwandu hwemahormone mumuviri wako. Kana uine bundu riri kushanda, huwandu hwemahormone ako hunogona kunge hwakakwira. Ungangodawo kutora sampuro yeweti yemaawa makumi maviri nemana woongorora huwandu hwecortisol mumuviri wako.
• Kufungidzira: Kuongororwa kweCT ndiyo nzira inonyanya kushandiswa kuona adrenal adenoma. Dzimwe nguva chiremba wako anogonawo kukuraira MRI. Kuongororwa uku kunogona kubatsira kuona kana bundu racho riri rekenza (kenza) kana kuti risina kuipa (risina kuipa). Semuenzaniso, bundu rakakura kupfuura masendimita mana rinowanzova rekenza kupfuura bundu diki.
• Kuongororwa kwemuviri: Kana mimwe miedzo isingakwanise kuona kana bundu iri riri regomarara kana kuti adrenal adenoma, chiremba wako anogona kuita biopsy inonzi fine-needle aspiration. Izvi zvinosanganisira kubvisa chidimbu chidiki chenyama kubva mubundu netsono diki. Nyanzvi yezvirwere, nyanzvi yemurabhoritari, inobva yaongorora nyama yacho nemaikorosikopu kuti ione kana paine zviratidzo zvegomarara.

Mimwe miedzo, yakaita se adrenal vein sampling kana metaiodobenzylguanidine (MIBG) scan, inogonawo kuitwa.

Ndeipi mishonga yekurapa adrenal adenoma?

Kurapwa kwauchaitwa kunoenderana nekuti bundu racho harisi kushanda here kana kuti harisi kushanda (kureva kuti, richigadzira mahormone akawandisa).

• Kana bundu risingashande riri diki, chiremba wako anogona kukurudzira kuti utariswe CT scan nguva nenguva kuti uone kana riri kukura kana kuti riri kushanda. Kana bundu riri kukura nekukurumidza, kana kuti riri padyo nemasendimita mashanu, chiremba wako anogona kukurudzira kuvhiyiwa. Izvi zvinodaro nekuti bundu guru uye kukura nekukurumidza zvinogona kukonzera kenza.

• Pamabundu anoshanda, kuvhiyiwa kunowanzo dikanwa. Nzira dzekurapa dzinosanganisira:

• Kuvhiyiwa kweAdrenal – Uku kubviswa kweadrenal gland: Kana bundu riri diki uye risina njodzi, chiremba wako anogona kubvisa adrenal gland yako achishandisa laparoscopy. Panguva ye laparoscopy, chiremba anochera dumbu rako zvishoma uye anoita oparesheni yacho achishandisa oparesheni yacho. Kana bundu racho rakakura kana paine fungidziro yekuti rinogona kunge riri kenza, chiremba wako anogona kucheka musana wako zvakanyanya. Dzimwe nguva, adrenal gland yasara inogona kugadzira mahormone akakwana kuti ugare uine hutano hwakanaka. Kana zvisina kudaro, ungangoda kurapwa nemahormone kuti utsive kushomeka kwemahormone.

• Mishonga:Kana usiri munhu akakodzera kuvhiyiwa, chiremba wako anogona kukupa mishonga yekudzivirira adenoma kuti isaburitse mahormone akawandisa. Ungangodawo kutora mishonga kwemavhiki mashoma mushure mekuvhiyiwa adrenal kuti ugare wakagadzikana.

Matumbu eadrenal gland anogona kudzivirirwa here?

Hapana nzira yekudzivirira bundu readrenal, kusanganisira adrenal adenomas. Zvinokonzera njodzi dzacho zvinowanzoenderana nemajini ako. Zvisinei, unogona kuramba uine adrenal adenoma kunyangwe pasina munhu mumhuri yako akambova nebundu readrenal.

Dambudziko renguva refu rinoita sei mushure mekurapwa?

Mhedzisiro yekuvhiyiwa kweadrenal yakanaka kwazvo. Kana adrenal gland yakakanganiswa yabviswa, zviratidzo zvinokonzerwa nekushanda kweadrenal adenoma zvinowanzopera.

Ndinofanira kuzvitarisira sei?

Kana ukaonekwa uine adrenal adenoma isingashande, tevera mirairo yachiremba wako yekuti unofanira kuongororwa kangani. Zvichienderana nerudzi rwebundu rako, chiremba wako anogona kuraira kuongororwa kweCT kana mahormone nguva nenguva.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Paunoshanyira chiremba wako, usakanganwa kubvunza mibvunzo yakaita seiyi:

• Nderudzii rwebundu remudumbu randakaita?
• Hazvina kuipa here kana kuti zvine cancer?
• Mikana yekuti bundu rangu richashanduka kuita kenza ndeipi?
• Inoshanda here kana kuti isingashande?
• Ndinoda kurapwa here?
• Ndeapi marapirwo amunokurudzira?
• Kurapwa kwangu/kurapwa kwangu kuchada kurapwa nemahormone here?

Yeuka, kana chiremba wako akawana bundu paadrenal gland yako pakuongorora, usavhunduke. Kazhinji, bundu iri harikuvadzi. Kana bundu rako riri adrenal adenoma, bvunzo dzinogona kuitwa kuti uone kana riri kubudisa mahormone akawandisa. Kana zvakadaro, kuvhiyiwa kungave sarudzo yakanaka. Kana bundu racho risina njodzi, chiremba wako anogona kuritarisa kuti ave nechokwadi chekuti harisi kukanganisa mahormone ako. Kana vachifungidzira kuti rinogona kunge riri kenza, vanogona kuribvisa.

Pakupedzisira, Mharidzo Yekuenda Nayo Kumba

Saka, adrenal adenoma kazhinji haisi chinhu chekunetseka nezvayo. Mazhinji acho haana njodzi uye haana kenza. Zvisinei, mamwe acho anogona kugadzira mahormone akawandisa, saka zvakakosha kungwarira. Kana uine kusava nechokwadi kana mibvunzo nezveizvi, iva nechokwadi chekutaura nachiremba. Ipapo unogona kuwana mazano akakodzera uye kurapwa kwaunoda. Ramba uine hutano hwakanaka!

Adrenal adenoma, mahormone, adrenal glands, Cushing's syndrome, Conn's syndrome, bundu, risiri rekenza