Ngaba uyazi ngezi thumba zikhula emzimbeni wakho? (I-Adrenal Adenoma)

Xa usenziwa i-CT scan ukuze ufumane enye ingxaki yempilo, kunokuba yinto eyoyikisayo ukuba ugqirha ngequbuliso akuxelela ukuba unethumba elincinci emzimbeni wakho. Kodwa ungakhathazeki. Ayizizo zonke iithumba ezikhula emzimbeni ezibangela umhlaza. Namhlanje sithetha ngohlobo lwethumba olufunyanwa ngengozi, kodwa ludla ngokuba yingozi. Loo nto yi-adrenal adenoma.

Ngamafutshane, yintoni i-adrenal adenoma?

Kulungile, masiqale ekuqaleni. Ngaphezulu kwezintso zethu, njengezigqoko ezimbini ezincinci, kukho amadlala amabini amile okweengxantathu. La ngamadlala esiwabiza ngokuba yi-adrenal glands . Nangona emancinci, enza umsebenzi obaluleke kakhulu emizimbeni yethu. Xa siphantsi koxinzelelo, la madlala avelisa amadlala asinceda sikwazi ukumelana nalo, amadlala alawula izinto ezininzi, ezinje ngamanqanaba eswekile egazini, uxinzelelo lwegazi, kunye nenkqubo yomzimba yokuzikhusela.

I-Adrenal Adenoma sisimila esingenabungozi, esingengomhlaza esikhula kwinxalenye engaphandle ye-adrenal glands (i-adrenal cortex). Ezi zimila zihlala zingabonisi zimpawu kwaye azidingi unyango.

Kukho iintlobo ezimbini zezi nati, akunjalo?

Ewe, kunjalo. Ezi adrenal adenomas zinokwahlulwa zibe ziinxalenye ezimbini eziphambili. Ukuba uyakuqonda oku, izinto ezininzi ziya kucaca kuwe.

Umbuzo abantu abaninzi abanawo ngulo: Ngaba oku kungaba ngumhlaza?

Olu lolona loyiko lukhulu olufika engqondweni yomntu wonke. Kodwa eneneni, ithuba lokuba i-adrenal adenoma ibe ngumhlaza lincinci kakhulu . Uhlobo lomhlaza oluvela kwi-adrenal gland lubizwa ngokuba yi -adrenocortical carcinoma . Yimeko engaqhelekanga kakhulu. Xa sithetha nje, olu hlobo lomhlaza lwenzeka kumntu omnye kwisigidi. Ngoko ke, ukuba ugqirha wakho uthi une-adenoma, khumbula ukuba ithuba lokuba ibe ngumhlaza lincinci kakhulu.

I-adenoma esebenzayo inayiphi imiphumo emzimbeni?

Nangona ii-cysts ezileleyo zingenabungozi, ii-cysts ezisebenzayo zinokubangela ezinye iingxaki zempilo kuba zivelisa iihomoni ezingaphezulu kunezo umzimba uzidingayo.

• I-Cushing's syndrome : Le meko yenzeka xa i-adrenal gland ivelisa i- cortisol eninzi kakhulu. Inokubangela uxinzelelo lwegazi oluphezulu, ingakumbi ecaleni kwesisu, kunye neengxaki zokusebenza ngokwesondo. Ikwanyusa umngcipheko wesifo seswekile.
• I-aldosteronism ephambili (i-Conn's syndrome): Oku kubangelwa kukuveliswa kakhulu kwehomoni ebizwa ngokuba yi -aldosterone . Oku kunokubangela uxinzelelo lwegazi oluphezulu, amanqanaba aphantsi e-potassium emzimbeni, iintloko ezibuhlungu, ukudinwa kakhulu, kunye nobuthathaka bemisipha.
• Iingxaki zeehomoni zesini: Amaxesha amaninzi, ezi thumba zinokuvelisa iihomoni zesini ezininzi kakhulu. Umzekelo, ukuba umzimba womfazi uneehomoni zesini ezininzi kakhulu (androgens), zinokubangela imijikelo yokuya exesheni engacwangciswanga , ukukhula kweenwele emzimbeni ngokugqithisileyo (hirsutism), kunye nelizwi elirhabaxa. Ukuba indoda ine-estrogen eninzi kakhulu, inokubangela ukuncipha komnqweno wesondo kunye nokungasebenzi kakuhle kwe-erectile.

Ziziphi iimpawu eziphambili zoku?

Ngoku siyazi ukuba iithumba ezileleyo azibangeli zimpawu. Nangona kunjalo, ukuba kukho ithumba elisebenzayo, ezi mpawu zinokuvela kuxhomekeke kuhlobo lwehomoni eveliswa ngokugqithisileyo.

Kutheni le nto ezi adenomas zenzeka?

Abaphandi abakafumani sizathu sithile sezi thumba. Nangona kunjalo, ezinye iimeko zemfuza zifunyenwe zinyusa umngcipheko wokuzifumana. Ukutyeba kakhulu kunye nokusetyenziswa kwecuba nazo zinokuba zizinto ezibangela umngcipheko.

Uyifumana njani le nto, Gqirha?

Uninzi lwexesha, la mathumba afunyanwa ngengozi. Oko kukuthi, afunyanwa ngexesha lokuhlolwa kwesisu (CT scan okanye iMRI) ngenxa yesinye isifo. Ngenxa yesi sizathu, ngamanye amaxesha abizwa ngokuba "zii-incidentalomas," oko kuthetha into efunyanwa ngengozi.

Ukuba ugqirha ubona iqhuma elinje, into yokuqala ayenzayo kukuqinisekisa ukuba linesifo somhlaza okanye akunjalo. Emva koko, ukuba liyi-adenoma, uyalivavanya ukuze abone ukuba liyasebenza okanye alisebenzi.

• Uvavanyo lwegazi nomchamo : Olu vavanyo lujonga ukuba amanqanaba akho ehomoni aqhelekile okanye aphezulu na. Kusenokufuneka uqokelele isampuli yomchamo yeeyure ezingama-24.
• Ukufota: I -CT scan lolona vavanyo luqhelekileyo olusetyenziswayo. Ngamanye amaxesha i-MRI scan inokwenziwa. Ezi scan zinokunika umbono ocacileyo wokuba ithumba linomhlaza okanye akunjalo, kuxhomekeke kubukhulu balo kunye nohlobo lwalo. Umzekelo, iithumba ezinkulu kuneesentimitha ezi-4 zinokuba ngumhlaza.
• I-Biopsy: Ukuba ezinye iimvavanyo azikacaci, ugqirha wakho unokucebisa ukuba kwenziwe i-biopsy. Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesicubu esiphuma kwiqhubu usebenzisa inaliti encinci uze ulihlole phantsi kwe-microscope ukuze ubone ukuba kukho iiseli zomhlaza na .

Zithini iindlela zonyango?

Indlela yonyango ixhomekeke ekubeni unethumba elisebenzayo okanye elingasebenziyo.

Ithumba elingasebenziyo yile:

Ukuba ithumba lincinci kwaye alisebenzi, alisoloko linyangwa. Endaweni yoko, ugqirha wakho uza kuphinda ahlolwe rhoqo nge-CT scans ukuze ajonge ukuba ithumba liyakhula okanye liyaqala ukusebenza. Ukuba ithumba likhula ngokukhawuleza okanye likufutshane neesentimitha ezi-5, kunokucetyiswa ukuba lisuswe, ngenxa yengozi yomhlaza.

Ithumba elisebenzayo yile:

Unyango lwezi ntlobo zeethumba ludla ngokuba lutyando.

• Utyando lwe-Adrenalectomy: Olu lutyando lokususa i-adrenal gland . Ukuba ithumba lincinci, i-laparoscopy ingasetyenziswa.Olu tyando lunokwenziwa ngokusikwa okuncinci esiswini nangoncedo lwekhamera. Ukuba ithumba likhulu okanye kukho ukrokrelo lokuba kukho umhlaza, kuya kwenziwa utyando oluqhelekileyo kusetyenziswa isiko elikhulu ngasemva. Xa idlala elinye lisusiwe, idlala eliseleyo linokuvelisa iihomoni ezifunekayo emzimbeni. Ukuba oko akunakwenzeka, iihomoni kuya kufuneka zithathwe ngendlela yeepilisi.
• Amayeza: Ukuba awungomntu ufanelekileyo otyando, ugqirha wakho unokukunika amayeza okulawula ukuveliswa kweehomoni ezivela kwithumba.

Emva konyango, ingakumbi emva kokususwa kwesi sifo ngotyando , iimpawu ziyaphela phantse ngokupheleleyo. Iziphumo zilungile kakhulu.