Dzimwe nguva hatinyatso tarisa shanduko dziri kuitika mumiviri yedu, semuenzaniso, kuwedzera uremu kamwe kamwe, kuwedzera bvudzi mumuviri, kana kuneta zvakanyanya, handiti? Asi izvi zvinogona kuva zviratidzo zvedambudziko rematumbu maviri madiki ari mumiviri yedu, matumbu eadrenal. Kunyangwe ichi chiri chinhu chakakomba, musatya. Kuziva ndicho chinhu chakakosha. Nhasi tiri kutaura nezvechirwere chegomarara chine chekuita nematumbu aya eadrenal.
Chii chinonzi kenza yeadrenal?
Zvichitaurwa zviri nyore, iyi ndeyeboka remagomarara anogona kukura mumagomarara anogadzira mahormone mumuviri wedu. Aya anonzi neuroendocrine tumors (NETs). Gomarara reAdrenal rinokura mumagomarara edu eadrenal. Funga nezvazvo nenzira iyi, kune magomarara maviri madiki pamusoro peitsvo dzedu, sengowani mbiri. Aya ndiwo atinodaidza kuti adrenal glands. Gomarara rinogona kukura mune rimwe kana ese ari maviri emagomarara aya.
Matumbu aya anogadzira mahormone , kana makemikari, anodzora zvinhu zvakawanda zvakakosha mumiviri yedu. Semuenzaniso, BP yedu, kukura kwebvudzi, kuda bonde, uye kunyange maitiro atinoita nekushushikana zvinoenderana nemahormone aya. Mamwe mabundu eadrenal gland anotanga kugadzira mahormone awo.
Bundu iri rinogona kutanga nekunze kwegland, iro vanachiremba vanodana kuti ``cortex```. Kana kuti, rinogona kutanga nepakati pegland, iro rinonzi ``medulla```.
Kazhinji, bundu rinogona kunge rakakura panguva yaunotanga zviratidzo. Asi usazvidya moyo, kune nzira dzakawanda dzekurapa kenza iyi. Chinhu chakakosha ndechekutaura pachena nezvayo nachiremba wako uye kutaura nemhuri yako neshamwari nezvayo wowana rutsigiro rwavo. Vachave sosi huru yesimba parwendo rwako rwehutano.
Ndezvipi zviratidzo zvechirwere ichi?
Kana bundu riri diki, ungasaona zviratidzo. Asi sezvarinokura, zviratidzo zvinotevera zvinogona kuoneka nekuda kwekuchinja kwemazinga akasiyana emahormone. Ngationei kuti izvi chii.
| Chikonzero chezviratidzo | Zviratidzo zvinogona kuitika |
|---|---|
| Zviratidzo zvinokonzerwa nebundu pacharo | - Kunzwa kurwadziwa kana bundu mudumbu - Kunzwa kuguta kunyangwe mushure mekudya zvishoma |
| Kuwedzera kwemahormone e androgen (Mahormone echirume) | - Kukura kwebvudzi risingadiwe pachiso kana mumuviri - Kukura kwenhengo yemurume muvakomana vadiki kana kuti clitoris muvasikana vadiki |
| Kuwedzera kwe estrogen hormone (Mahormone echikadzi) | - Kutanga kuenda kumwedzi kana kukura kwemazamu muvasikana - Kuenda kumwedzi kusingawanzoitiki kana kudzikira kwezwi muvakadzi - Kubuda ropa kubva munhengo dzemukadzi mushure mekuguma kuenda kumwedzi - Kukura kwemazamu muvarume, kushaya simba kana kudzikira kwechido chebonde |
| Kuwedzera kwehomoni ye cortisol | - Kuwedzera uremu hwemuviri - Chiso chinoita sechakazvimba - Kukura kwebvudzi rakatetepa pachiso, pamusoro pemuviri, kana mumaoko - Mavanga ekutambanudza paganda - Kushaya simba kwemapfupa netsandanyama - Kukuvara kweganda kunyangwe kana kukuvara kudiki - Kuchinja-chinja kwemanzwiro, kuora mwoyo - Kukwira kweropa uye huwandu hweshuga muropa hwakakwira |
| Kuwedzera kweAldosterone hormone | - Kushaya simba kwemuviri, kurwadziwa kwemhasuru - Kukwira kweropa - Kuderera kwemazinga e potassium muropa - Nyota yakawandisa - Kuita weti kakawanda |
Ndezvipi zvinokonzera uye zvinhu zvinokonzera kenza yeadrenal?
Hapana chikonzero chakajeka chinoita kuti vamwe vanhu vabereke mapundu aya. Zvisinei, kana uine chimwe chezvirwere zvinotevera zvemajini, mukana wako wekubatwa negomarara iri wakakwira zvishoma.
- Chirwere cheLi-Fraumeni
- chirwere cheBeckwith-Wiedemann
- Nzvimbo yeCarney
- Kubuda kwemasero emuropa akawanda
- Mapopositi emhuri ane adenomatous
- Chirwere cheLynch
Izvi zvirwere zvisingawanzoitiki zvemajini. Kunze kwekunge chiremba wako akuudza kuti une chimwe cheizvi, usazvidya mwoyo zvisina kufanira nezvazvo.
Kune mhando dzekenza yeadrenal here?
Ehe, bundu readrenal gland rinogona kukamurwa kuita mapoka maviri makuru: rakaipa uye risina njodzi. Matumbu aya anotumidzwa zvichibva paanotanga.
Matumbu anouraya
- Kansa yeAdrenocortical: Iyi inotangira muchikamu chekunze (cortex) chegland. Rudzi urwu rwegomarara rinoburitsa huwandu hwakawanda hwemahormone.
- Chirwere cheadrenal chinonzi Malignant pheochromocytoma: Iyi igomarara risingawanzoitiki rinotanga pakati pegland (medulla).
- Neuroblastoma: Izvi zvinotangawo pakati peuropi uye zvinonyanya kuonekwa muvana.
- Paraganglioma yakaipa: Izvi zvinogona kuitika mukati kana kunze kweadrenal gland.
Mapundu asina kenza (asina kuipa)
- Adenoma: Izvi dzimwe nguva zvinogona kukonzera cortisol yakawandisa, chirwere chatinodaidza kuti ``Cushing's syndrome''.
- Pheochromocytoma isina kunaka
- Paraganglioma yakanaka
Nzira yekuongorora chirwere ichi? (Kuongororwa)
Kana uine zviratidzo kana kuti uine zvinhu zvinokonzera kenza iyi, chiremba wako achakurayira bvunzo dzakawanda kuti aone kana paine bundu. bvunzo idzi dzinogonawo kuona danho rekenza uye kana yapararira kune dzimwe nhengo dzemuviri.
- Kuongororwa kwemuviri uye nhoroondo yehutano: Chiremba achakubvunza nezvetsika dzako dzehutano uye mamiriro ako ekare ehutano.
- Kuongororwa kweropa neweti: Izvi zvinoongorora kana muviri wako uri kugadzira mahormone epabonde akawandisa kana masteroids. Semuenzaniso, zvinoongorora kana paine potassium yakaderera kana kuti cortisol yakawanda kana estrogen yakawanda.
- Kuongororwa kwemifananidzo: Kuongororwa kunoshandiswa kutsvaga mapundu kana masero ekenza. Izvi zvinogona kusanganisira X-rays, ultrasound, CT scans, MRI scans, uye PET scans.
- Laparoscopy: Muizvi, chubhu yakatetepa kwazvo ine kamera diki inopinzwa mumuviri kuti ione kuti kenza iri kukura kupi.
- Kuongororwa kwemuviri: Sampuro diki yenyama inotorwa uchishandisa tsono uye inoongororwa nemaikorosikopu kuti ione kana masero ekenza aripo.
Ndezvipi zviri kurapwa?
Tichifunga nezvemamiriro ako ezvinhu uye hutano hwako, chiremba wako achakurudzira chirongwa chekurapa chakakodzera iwe.
- Kuvhiyiwa:Iyi ingangove ndiyo nzira chete yekurapa inogona kupa mushonga wakakwana. Chiremba wako anogona kusarudza kubvisa rimwe kana ese ari maviri eadrenal glands ako. Kana kenza yapararira, ma lymph nodes ari pedyo anogonawo kubviswa.
- Kurapa nemwaranzi: Kurapa uku kunoshandiswa kuuraya masero ekenza kana kumisa kukura kwebundu. Dzimwe nguva kunopihwa mushure mekuvhiyiwa.
- Mishonga: Mushonga unonyanya kunyorerwa unonzi `mitotane (Lysodren).` Unovhara kugadzirwa kwemahormone neadrenal glands uye unoparadza masero ekenza.
- Kurapa nemakemikari: Izvi zvinosanganisira kupa mishonga inofamba mumuviri wese ichiuraya masero ekenza. Zvisinei, izvi zvinogonawo kukuvadza masero ane hutano.
- Kurapa kwakanangana: Mishonga iyi inongorwisa uye inoparadza masero ekenza chete, pasina kukuvadza masero ane hutano.
- Kubvisa bundu: Iyi inzira yekuparadza masero egomarara uchishandisa kupisa kwakanyanya kana kutonhora zvakanyanya kune avo vanorwara zvakanyanya zvekuti havakwanise kuvhiyiwa kana kana gomarara rapararira.
Chero marapirwo aunosarudza, chengetedza muviri wako pamwe nepfungwa dzako. Bvunza chiremba wako nezvemapoka ekutsigirana kwaunogona kutaura nevamwe vari kusangana nematambudziko akafanana newe.
Ndeipi tarisiro yechirwere ichi?
Hutano hwako hweramangwana hunoenderana nezvinhu zvakati wandei, zvinosanganisira zera rako, saizi yebundu parinoonekwa, uye kana bundu racho richigadzira mahormone kana kuti kwete.
Zvichienderana nehuwandu hwevanhu, vanhu vanosvika 73 pa100 vanorapwa kenza isati yapararira kupfuura adrenal glands vanorarama kwemakore mashanu kana kupfuura. Kana yapararira munyama kana nhengo dziri pedyo, nhamba iyoyo inoderera kusvika pa53% pa100. Kana yapararira kunzvimbo dziri kure dzemuviri, nhamba iyoyo inoderera kusvika pa38% pa100.
Yeukai, idzi ingori nhamba chete. Murwere wese akasiyana. Saka musaore mwoyo nenhamba idzi. Zvakakosha kuti murapwe zvakanaka.
Mharidzo Yekuenda Nayo Kumba
- Zivai nezvekuchinja kusingawanzoitika mumuviri wenyu, kunyanya kuwedzera uremu kamwe kamwe, kukura kwebvudzi zvakanyanya, uye BP.
- Kenza yeadrenal chirwere chisingawanzoitiki asi chakakomba, saka usaregeredza zviratidzo zvacho.
- Kuonekwa kwechirwere ichi nekukurumidza idanho guru rekubudirira kwekurapwa. Kana usina chokwadi, enda kuna chiremba wako nekukasika.
- Kune nzira dzakasiyana-siyana dzekurapa, uye chiremba wako ndiye achasarudza mushonga wakakunakira.
- Hausi wega uri parwendo urwu. Zvakakosha zvikuru kutsvaga rutsigiro rwepfungwa kubva kumhuri, shamwari, uye mapoka ekutsigirana.
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