Iwe une kenza yeadrenal here? Ngatidzidzei nezvayo.

Ungave wakambonzwa mazwi ekuti 'Adrenal Cancer', kana kuti pamwe ichi chinhu chitsva kwauri. Zvisinei, zvakajairika kunzwa kutya uye kuda kuziva paunonzwa zita iri. Asi usazvidya mwoyo, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa. Nekuti, zvakakosha kuva neruzivo rwakakodzera nezvezvinhu zvakaita seizvi.

Chii chaizvo chinonzi kenza yeadrenal?

Zvichitaurwa zviri nyore, tine itsvo mbiri mumuviri wedu, handiti? Pamusoro peitsvo idzodzo mbiri, pane magland maviri, akaita semakepisi maviri madiki. Idzi ndidzo dzatinodaidza kuti adrenal glands . Kunyangwe dziri diki muhukuru, dzinoita basa rakakosha mumuviri wedu. Kureva kuti, dzinogadzira mhando dzakasiyana dzemahormone akakosha pakushanda kwemuviri wedu. Mahormone aya anodzora zvinhu zvakawanda mumuviri wedu, semuenzaniso, metabolism uye BP.

Zvino, chii chinonzi kenza? Masero ari mumuviri wedu anopatsanuka, anokura, uye pakupedzisira anofa. Izvozvo zvinoitika. Asi dzimwe nguva, shanduko, kana kushanduka, kunoitika mumasero ari mumasero aya eadrenal glands, uye masero iwayo anotanga kupatsanuka nekukurumidza uye zvisingadzoreki. Masero aya anokura zvisina kujairika anoungana pamwe chete kuti aumbe bundu . Kana bundu iri rikava rakaipa, ndizvo zvatinodaidza kuti 'kenza yeadrenal'. Gomarara iri rinogona kukura mugland rimwe chete readrenal, kana kuti rinogona kukura mugland dzese dziri mbiri.

Kune mhando dzekenza yeadrenal here?

Ehe, kune mhando dzakawanda dzegomarara remudumbu, zvichienderana nekuti rinoitika kupi. Ngationei kuti ndedzipi:

1. Adrenocortical Carcinoma (ACC): Iyi ndiyo mhando yegomarara readrenal rinowanzoonekwa. Rinokura muchikamu chekunze cheadrenal gland, chinonzi cortex . Iyi cortex inoburitsa mahormone esteroid anodzora zvinhu zvakaita se metabolism, BP, chimiro chemuviri, uye kukura kwebvudzi.

2. Neuroblastoma: Rudzi urwu rwegomarara runokura mumasero etsinga. Saka anogona kukura muzvikamu zvakasiyana-siyana zvemuviri. Zvisinei, chikamu chimwe muzvitatu chazvo chinokura muchikamu chemukati cheadrenal gland, chinonzi medulla . Medulla inogadzira makemikari anonzi epinephrine ne norepinephrine. Izvi zvinobatsira kudzora sisitimu yetsinga yesympathetic, iyo inodzora zvinhu zvakaita sekudikitira, kurova kwemoyo, uye BP. Rudzi urwu rwegomarara runonyanya kuwanikwa muvacheche nevana vari pasi pemakore gumi.

3. Pheochromocytoma: Kenza iyi inotanga pakati pemedulla, mumasero anowanzo gadzira adrenaline. Adrenaline ihormone inobatsira kudzora BP yedu uye kurova kwemoyo.

Kenza iyi yeadrenal yakajairika zvakadii?

Gomarara reAdrenal gland chirwere chisingawanzoitiki . Semuenzaniso, munyika yakaita seUnited States, vanhu vanosvika mazana maviri chete ndivo vanoonekwa vaine chirwere ichi gore rega rega. Saka usatya zvakanyanya kana ukanzwa nezvazvo.

Ndezvipi zviratidzo zvinogona kukonzera kenza yeadrenal?

Iyi inyaya inokosha zvikuru. Gomarara reAdrenal haribate munhu wese nenzira imwe chete. Vamwe vanhu vanogona kurwadziwa sezvo bundu richikura uye richidzvanya nhengo dziri pedyo. Kune vamwe, bundu rinogona kuburitsa zviratidzo zvakasiyana-siyana nekuda kwemahormone aro.

Heano mamwe ezviratidzo zvinowanzoonekwa:

• Kurwadziwa kwemudumbu
• Kurwadziwa kwemusana
• Kunzwa kuzara mudumbu mako
• Kurwadziwa kwetsandanyama, kurwadziwa
• Kushaya simba mumuviri
• Musoro

Kunewo zviratidzo chaizvo zvinokonzerwa nekuchinja kwemahormone. Semuenzaniso:

• Kukura kwebvudzi risingadiwe pachiso kana mumuviri (hirsutism)
• Kutanga kamwe kamwe kwechirwere cheshuga kana huwandu hweshuga muropa
• Kukwira kweropa
• Mazinga e potassium muropa (hypokalemia)
• Kuderedza uremu kusingatsananguriki
• Kuwedzera uremu kusingatsananguriki
• Kurova kwemoyo kwakanyanya (kurova kwemoyo nekukurumidza)
• Mazamu akakura (muvakadzi nevarume)
• Kukura kusina kujairika kwenhengo dzesikarudzi (nhengo yemurume muvakomana kana kuti clitoris muvasikana) muvana
• Kuda zvepabonde kwakaderera
• Kuzvidya mwoyo kakawanda
• Kurwiswa kwekutya

Zvakakosha kuti, dzimwe nguva bundu remudumbu harina zviratidzo , uye dzimwe nguva rinowanikwa netsaona panguva yekuongororwa kweropa nekuda kwechimwe chikonzero.

Zviratidzo zveMetastatic Adrenal Cancer

Kana kenza ikapararira kupfuura adrenal glands, kureva kuti, kune dzimwe nhengo dzemuviri (metastatic), zviratidzo zvinogona kuva zvakanyanya. Zviratidzo zvekenza yedanho rechina zvinosanganisira:

• Kusvotwa nekurutsa
• Kuzvimba
• Kuneta
• Kupindwa nechando
• Kuvhiringidzika
• Kurasikirwa nechido chekudya

Chii chinokonzera kenza yeadrenal?

Kutaura zvazviri, vanachiremba havasati vaziva chikonzero chaicho chekenza yeadrenal gland muzviitiko zvakawanda. Tinoziva kuti shanduko (kuchinja) muDNA mumasero edu dzinogona kukonzera masero kuita zvisina kujairika uye kuita kenza. Asi chisiri pachena ndechekuti sei shanduko idzi dzeDNA dzichiitika.

Vamwe vanhu vanogara nhaka yekuchinja kwemajini kubva kuvabereki vavo izvo zvinogona kuwedzera njodzi yavo yekubatwa nekenza iyi. Mune zvimwe zviitiko, kusangana nekenza kunogonawo kuva chikonzero. Zvisinei, muzviitiko zvakawanda, shanduko idzi dzeDNA dzinoita sedzinoitika pasina chikonzero chakajeka.

Ndezvipi zvinhu zvinokonzera kenza yeadrenal?

Chinhu chinowedzera mukana wekuti munhu awane chirwere. Hazvirevi kuti uchazowana chirwere ichi zvechokwadi. Asi chinogona kukuudza kuti uri panjodzi huru.

Zvimwe zvinhu zvinogona kukanganisa kenza yeadrenal zvinosanganisira:

• Kusvuta
• Kusangana nemamwe makemikari, semuenzaniso asbestos neradon .
• Wakamborapwa nemwaranzi mudumbu (pane adrenal glands).

Kunyangwe bundu zhinji dzeadrenal dzichiitika pasina chikonzero chakajeka, vanhu vanosvika 15% vanowana bundu readrenal vane chirwere chemajini . Izvi zvinonyanya kuitika kuvana. Mamwe matambudziko emajini anogona kunge akabatana nekenza yeadrenal gland anosanganisira:

• chirwere cheBeckwith-Wiedemann
• Von Hippel-Lindau syndrome
• Chirwere cheLi-Fraumeni
• Familyal adenomatous polyposis (FAP)
• Neurofibromatosis rudzi 1
• Kubuda kwemasero emudumbu akawanda (MEN)
• Nzvimbo yeCarney
• Chirwere cheLynch

Izvi zvakaoma zvishoma, handiti? Kana usina chokwadi nezvenyaya iyi, zvakanaka kutaura nachiremba.

Ungaziva sei kana uine kenza yeadrenal?

Chiremba wako anogona kufungidzira kuti une kenza yeadrenal gland zvichibva pazviratidzo zvako (semuenzaniso, kukura kwebvudzi kusingawanzoitiki, kuchinja kwehuremu kamwe kamwe). Asi dzimwe nguva, bundu iri rinowanikwa netsaona panguva yeCT scan (computed tomography scan) kana MRI scan (magnetic resonance imaging) inoitwa nechimwe chikonzero.

Paunoenda kunoona chiremba, iye achaita zvinhu zvinotevera:

• Ita ongororo yemuviri.
• Nhoroondo yako yezvekurapa ichaongororwazve.
• Ndiri kubvunza nezvezviratidzo zvako.
• Vachaongorora kana uine zvinhu zvinokonzera kenza yeadrenal.
• Bvunza nezvenhoroondo yemhuri yako yekenza.

Ndezvipi zviedzo zvinobatsira pakuongorora kenza yeadrenal?

Mushure mekuongororwa kwemuviri, chiremba anogona kuita mimwe miedzo yakati wandei, kungave kusimbisa chirwere kana kuti kubvisa zvimwe zvirwere. Miedzo iyi inosanganisira:

• Kuongororwa kweropa:Izvi zvinogona kushandiswa kutarisa mazinga emahormone nezvimwe zviratidzo.
• Kuongororwa kweweti: Weti inogona kuongororwa mahormone nezvimwe zvinhu.
• Miedzo yekufungidzira: Miedzo yakaita seCT scans, MRI scans, uye PET scans inogona kupa mufananidzo wakajeka wehukuru, nzvimbo, uye kupararira kwebundu. Dzimwe nguva biopsy , inosanganisira kubvisa chidimbu chidiki chebundu kuti iongororwe, inogona kuitwa, asi izvi hazviwanzoitwa pakenza yeadrenal.

Kuongororwa kwekenza yeadrenal

Vanachiremba vanoshandisa nzira yekuongorora kenza kuti vaongorore kenza yeadrenal. Izvi zvinosanganisira saizi yebundu, nzvimbo yaro, uye kana rakapararira (rakabvaruka) kune dzimwe nhengo dzemuviri.

Zvichitaurwa zviri nyore, nhamba yacho yakakura, kenza yacho inowedzera kupararira:

• Danho rekutanga: Bundu iri rine masendimita mashanu kana pasi uye harina kupararira kupfuura adrenal gland.
• Danho rechipiri: Bundu iri rakakura kupfuura masendimita mashanu, asi harina kupararira kupfuura adrenal gland.
• Danho rechitatu: Kenza iri muadrenal gland uye yakapararira kune nyama dzakapoteredza kana ma lymph nodes ari pedyo.
• Danho rechina: Kenza iri muadrenal gland uye yakapararira kune nhengo dziri kure dzakadai semapapu nechiropa.

Matanho aya anogona kuoma zvishoma. Kana uine mibvunzo chaiyo nezvechirwere chako, zvakanaka kutaura nachiremba wako.

Ko cancer yeadrenal inogona kurapwa here?

Iri idambudziko revanhu vazhinji. Kana gomarara iri rakangogumira paadrenal gland uye risina kupararira kune dzimwe nhengo dzemuviri, pane mukana wekuti ripere. Kubviswa kwegland iri pakuvhiyiwa (adrenalectomy) ndiyo nzira huru yekurapa panguva ino.

Zvisinei, kana kenza yapararira kupfuura adrenal gland, mikana yekupora zvachose inodzikira. Zvisinei, kurapwa kunogona kudzora kukura kwebundu uye kuvandudza hupenyu hwako.

Kenza yeadrenal inorapwa sei?

Kurapwa kwegomarara remudumbu kunoenderana nehukuru hwegomarara iri, nzvimbo yaro, uye kana rakapararira kupfuura adrenal gland. Kune nzira dzakasiyana siyana dzekurapa:

• Kuvhiyiwa:

Kana bundu iri riri muadrenal gland chete, kana kuti rakapararira kune tishu dziri pedyo kana lymph nodes, chiremba wako angangokurudzira kuvhiyiwa. Chiremba anovhiya achabvisa adrenal gland yese (adrenalectomy) nechero chikamu chiri pedyo chine chirwere.

Kana kenza iri mugland rimwe chete readrenal, rimwe gland rinoshanda zvakanaka. Kazhinji, hapana chimwe chinofanira kuitwa. Zvisinei, kana gland dzese dziri mbiri dzeadrenal cortex dzikabviswa, uchafanira kutora mushonga wekutsiva mahormone anogadzirwa negland idzodzo kweupenyu hwako hwese.

Dzimwe nguva, kurapwa nechemotherapy kana nemwaranzi kunogona kukurudzirwa mushure mekuvhiyiwa kuti kuparadze masero ekenza asara uye kuderedza njodzi yekudzoka kwekenza.

Kunyangwe kenza yapararira, pane dzimwe nguva apo kuvhiyiwa kunokurudzirwa kubvisa bundu rakawanda sezvinobvira. Izvi zvinonzi 'debulking surgery' .

• Kurapa nemwaranzi:

Izvi zvinosanganisira kushandisa X-ray beams ine simba guru kuparadza masero ekenza. Kurapa nemwaranzi kunowanzo shandiswa zvishoma senzira yekutanga yekurapa kenza yeadrenal. Kunogona kushandiswa kuderedza njodzi yekuti kenza idzoke mushure mekuvhiyiwa. Kunogona zvakare kushandiswa kuderedza zviratidzo apo kenza yapararira. Vanachiremba vanogona kupa kurapwa nemwaranzi pamwe chete nechemotherapy kana mimwe mishonga.

• Kurapa nemakemikari:

Chemotherapy kushandiswa kwemishonga kuuraya masero egomarara. Mishonga iyi inogona kupihwa semapiritsi kana kuti netsinga. Chemotherapy inowanzo shandiswa kurapa kenza yeadrenal yakapararira kune dzimwe nhengo dzemuviri. Inogona zvakare kushandiswa kuuraya masero egomarara anosara mushure mekuvhiyiwa.

Mitotane mushonga we chemotherapy unoshandiswa kurapa kenza yeadrenal gland.

• Mimwe mishonga:

Vanachiremba vanoshandisawo mimwe mishonga kurapa bundu readrenal gland. Mimwe mishonga, yakaita semetyrapone, inogona kuderedza kugadzirwa kwemahormone eadrenal steroid. Mimwe mishonga, yakaita sespironolactone nemifepristone, inodzivisa mhedzisiro yemahormone anogadzirwa nebundu.

Kunyange zvazvo mishonga iyi ichigona kuderedza zviratidzo zvegomarara, haideredzi kana kuparadza masero egomarara.

Ndiani anorapa cancer yeadrenal?

Kana uine kenza yeadrenal, timu yako yezvekurapa inogona kusanganisira nyanzvi dzakasiyana siyana, kusanganisira:

• Vanachiremba veOncologists - maererano nekuvhiyiwa, kurapwa nemwaranzi, uye mishonga.
• Vanachiremba veEndocrinologists - kune matambudziko ane chekuita nemahormone.

Ko kenza yeadrenal inopararira nekukurumidza here?

Izvi zvinosiyana zvichienderana nerudzi rwebundu raunaro:

• Kansa yeAdrenocortical, iyo inonyanya kuwanikwa, inowanzokura nekukurumidza uye inopararira nekukurumidza.
• Mamwe marudzi e neuroblastomas anokura zvishoma nezvishoma, nepo mamwe achikura nekukurumidza.
• Mazhinji egomarara e pheochromocytomas anokura zvishoma nezvishoma.

Kenza yeadrenal haibate munhu wese nenzira imwe chete. Kana uine mibvunzo nezvekuti bundu rako riri kukura nekukurumidza zvakadii, zvakanaka kutaura nachiremba wako.

Kenza yeadrenal gland yakakomba zvakadii?

Kazhinji, kenza yeadrenal gland inonetsa kurapa. Kufanotaura kuti kenza ichatanga riini kunoenderana nenzvimbo yegomarara, saizi yaro, uye kana rakapararira kune dzimwe nhengo dzemuviri.

Unogona here kurarama negomarara remudumbu? Maitiro ekurarama nekenza yeadrenal

Ehe, zvinokwanisika kurarama negomarara remudumbu. Zvisinei, izvi zvinoenderana nezvinhu zvakawanda.

Kana zvasvika pahuwandu hwevanhu vanorarama nekenza yeadrenal, huwandu hwevanhu vanorarama kwemakore mashanu mushure mekuonekwa vaine chirwere ichi huri pakati pe50% ne60% . Izvi zvinoreva kuti vanhu vanosvika 60% vane chirwere ichi vachiri vapenyu makore mashanu mushure mekuonekwa kuti vane chirwere ichi. Zvisinei, kana kenza yapararira kune dzimwe nhengo dzemuviri, huwandu hwevanhu vanorarama kwemakore mashanu hunoderera kusvika pa10% kusvika pa20%.

Asi yeuka izvi: Mwero wekupona ingori nhamba chete. Hazvikuudzi kuti uchararama kwenguva yakareba sei kana kuti kurapwa kwacho kuchabudirira sei kwauri. Taura nachiremba wako kuti uzive kuti nhamba idzi dzinoshanda sei mumamiriro ako ezvinhu.

Ko gomarara remudumbu rinogona kudzivirirwa here?

Hapana nzira yakasimbiswa yekudzivirira kenza yeadrenal gland, asi kudzivirira zvinhu zvinokanganisa nharaunda, zvakaita sekusvuta, kunogona kubatsira kuderedza njodzi yako yese kusvika pamwero wakati.

Ndinofanira kuona chiremba rini?

Zviratidzo zvegomarara remudumbu hazviwanzoonekwi nyore nguva dzose. Zvisinei, enda kuna chiremba kana ukasangana nechimwe chezvinotevera:

• Kurwadziwa kwemudumbu
• Chirwere cheshuga chinowanzoitika kamwe kamwe
• Kudzikira kwehuremu kana kuwedzera huremu zvisina kutsanangurwa
• Kukura kwebvudzi zvakanyanya
• Kuchinja kwenhengo dzako dzesikarudzi

Kana nhengo yepedyo yemhuri (mubereki kana munin'ina) akambova nekenza yeadrenal, zvakanakawo kutaura nachiremba nezvenjodzi yako.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana iwe kana mumwe munhu waunoda akaonekwa kuti ane kenza yeadrenal, zvingabatsira kuzvibvunza mibvunzo iyi:

• Bundu riri kupi? (Bundu riri kupi?)
• Bundu iri rakakura sei?
• Ko kenza yapararira kunze kweadrenal gland yangu here?
• Ndinoda kuongororwa kwakawanda here?
• Ndezvipi zvandinogona kuita pakurapwa?
• Ndichakwanisa here kushanda kana kuenda kuchikoro panguva yekurapwa?
• Ndichatanga riini kurapwa?
• Ndingaitei kuti ndideredze zviratidzo zvangu?
• Mikana yekuti kenza yeadrenal ichadzoka ndeipi?

Zvakajairika kuva nemanzwiro akasiyana-siyana paunoona kuti une kenza yeadrenal. Chiremba wako aripo kuti akubatsire. Pamusoro pekutaura nezvesarudzo dzekurapa, anogonawo kukuudza nezvenzvimbo dzeruzivo nerutsigiro. Unogona kukwanisa kutaura nevamwe vari kusangana nezviitiko zvakafanana kuburikidza nemapoka ekutsigirana, kungave munharaunda yako kana online. Izvi zvinogona kubatsira zvikuru pakugara zvakanaka kwepfungwa dzako, manzwiro, uye zvemweya munguva ino yakaoma.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, ngatitaurei zvimwe zvezvinhu zvakakosha kubva pane zvatataura nezvazvo.

• Kenza yeadrenal chirwere chisingawanzoitiki .
• Zviratidzo zvinosiyana, uye dzimwe nguva panogona kunge pasina zviratidzo zvachose. Kana ukaona chimwe chinhu chisingawanzoitika, tsvaga rubatsiro rwechiremba.
• Chikonzero chacho hachiwanzojeka, asi majini nezvinhu zvakatikomberedza zvinogona kukonzera dambudziko iri.
• Kune nzira dzakasiyana siyana dzekurapa, zvichienderana nedanho uye rudzi rwegomarara.
• Kuonekwa kwechirwere nekukurumidza kunowedzera mukana wekupora.
• Kana iwe kana mumwe munhu waunoziva ane mibvunzo nezvenyaya iyi, usatya kutaura nachiremba. Ruzivo rwakarurama nerutsigiro zvakakosha zvikuru.

Yeuka, hausi wega. Sainzi yezvekurapa yafambira mberi, uye kune vanhu vazhinji vanogona kukubatsira.

Kenza yeadrenal , adrenal glands, mahormone, zviratidzo zvekenza, kurapwa kwekenza, itsvo, matanho ekenza