Uyazazi lezi zimila ezikhula emzimbeni wakho? (I-Adrenal Adenoma)

Uma wenza i-CT scan ukuze uthole enye inkinga yezempilo, kungaba yinto eyesabekayo uma udokotela ekutshela ngokuzumayo ukuthi unesimila esincane emzimbeni wakho. Kodwa ungakhathazeki. Akuzona zonke izimila ezikhula emzimbeni ezinomdlavuza. Namuhla sikhuluma ngohlobo lwesimila esitholakala ngengozi, kodwa ngokuvamile esingeyona ingozi. Leyo yi-adrenal adenoma.

Kalula nje, iyini i-adrenal adenoma?

Kulungile, ake siqale ekuqaleni. Ngaphezulu kwezinso zethu, njengezigqoko ezimbili ezincane, kunezindlala ezimbili ezimise okwesikwele. Lezi yizindlala ze-adrenal . Nakuba zincane, zenza umsebenzi obaluleke kakhulu emizimbeni yethu. Uma singaphansi kokucindezeleka, lezi zindlala zikhiqiza ama-hormone asisiza ukubhekana nakho, ama-hormone alawula izinto eziningi, njengamazinga kashukela egazini, umfutho wegazi, kanye nesistimu yomzimba yokuzivikela.

I-Adrenal Adenoma iyisimila esingenabungozi, esingesona umdlavuza esakheka engxenyeni engaphandle yezindlala ze-adrenal (i-adrenal cortex). Lezi zimila zivame ukungabi nezimpawu futhi azidingi ukwelashwa.

Kunezinhlobo ezimbili zalezi zinhlobo zamantongomane, akunjalo?

Yebo, kunjalo. Lawa ma-adrenal adenoma angahlukaniswa izingxenye ezimbili eziyinhloko. Uma uqonda lokhu, izinto eziningi zizocaca kuwe.

Umbuzo abantu abaningi abanawo uthi: Ingabe lokhu kungaba umdlavuza?

Lokhu ukwesaba okukhulu okufika engqondweni yawo wonke umuntu. Kodwa empeleni, ithuba lokuthi i-adrenal adenoma iphenduke umdlavuza lincane kakhulu . Uhlobo lomdlavuza oluvela e-adrenal gland lubizwa ngokuthi i-adrenocortical carcinoma . Kuyisimo esingavamile kakhulu. Uma sikhuluma nje, lolu hlobo lomdlavuza lwenzeka kubantu abacishe babe yisigidi. Ngakho-ke, uma udokotela wakho ethi une-adenoma, khumbula ukuthi amathuba okuba iphenduke umdlavuza mancane kakhulu.

Yimiphi imiphumela i-adenoma esebenzayo enayo emzimbeni?

Nakuba ama-cyst alele engengozi, ama-cyst asebenzayo angabangela ezinye izifo ngoba akhiqiza ama-hormone amaningi kunalokho umzimba okudingayo.

• I-Cushing's syndrome : Lesi simo senzeka lapho i-adrenal gland ikhiqiza i- cortisol eningi kakhulu. Singabangela umfutho wegazi ophakeme, ikakhulukazi eduze kwesisu, kanye nezinkinga zokusebenza kocansi. Siphinde sandise ingozi yesifo sikashukela.
• I-aldosteronism eyinhloko (i-Conn's syndrome): Lokhu kubangelwa ukukhiqizwa ngokweqile kwehomoni ebizwa ngokuthi i-aldosterone . Lokhu kungabangela umfutho wegazi ophakeme, amazinga aphansi e-potassium emzimbeni, ikhanda elibuhlungu, ukukhathala okukhulu, kanye nobuthakathaka bemisipha.
• Izinkinga zama-hormone ocansi: Akuvamile kakhulu ukuthi la ma-tumors akhiqize ama-hormone ocansi amaningi kakhulu. Isibonelo, uma umzimba wowesifazane unama-hormone wesilisa amaningi kakhulu (ama-androgen), kungabangela imijikelezo yokuya esikhathini engajwayelekile , ukukhula ngokweqile kwezinwele zomzimba (i-hirsutism), kanye nezwi elihoshozelayo. Uma indoda ine-estrogen eningi kakhulu, kungabangela ukwehla kwesifiso socansi kanye nokungasebenzi kahle kwe-erectile.

Yiziphi izimpawu eziyinhloko zalokhu?

Manje sesiyazi ukuthi izimila ezilele azibangeli izimpawu. Kodwa-ke, uma kukhona isimila esisebenzayo, lezi zimpawu zingase zenzeke kuye ngohlobo lwe-hormone ekhiqizwa ngokweqile.

Kungani lawa ma-adenoma akheka?

Abacwaningi abakayitholi imbangela ethile yalezi zimila. Kodwa-ke, ezinye izimo zofuzo zitholakale zandisa ingozi yokuzithola. Ukukhuluphala ngokweqile kanye nokusetshenziswa kukagwayi nakho kungaba yizinto eziyingozi.

Ukuthola kanjani lokhu, Dokotela?

Esikhathini esiningi, la mathumba atholakala ngengozi. Okusho ukuthi, atholakala ngesikhathi sokuhlolwa kwesisu (i-CT scan noma i-MRI) ngenxa yesinye isimo. Ngenxa yalesi sizathu, ngezinye izikhathi abizwa ngokuthi "ama-incidentalomas," okusho into etholakala ngengozi.

Uma udokotela ebona iqhubu elinjengaleli, into yokuqala ayenzayo ukuqinisekisa ukuthi liwumdlavuza noma cha. Bese kuthi, uma kuyi-adenoma, ahlole ukuze abone ukuthi liyasebenza noma alisebenzi.

• Ukuhlolwa kwegazi nomchamo : Lokhu kuhlola ukuthi amazinga akho e-hormone ajwayelekile noma aphezulu. Kungadingeka futhi ukuthi uqoqe isampula yomchamo emahoreni angama-24.
• Ukuthwebula Izithombe: I -CT scan iyindlela yokuhlola evame ukusetshenziswa. Ngezinye izikhathi i-MRI scan nayo ingenziwa. Lokhu kuthwebula kunganikeza umbono oqondile wokuthi isimila sinomdlavuza noma cha, kuye ngobukhulu baso kanye nohlobo lwaso. Isibonelo, izimila ezinkulu kuno-4 centimeters zinamathuba amaningi okuba nomdlavuza.
• I-Biopsy: Uma ezinye izivivinyo zingaphelele, udokotela wakho angase akuncome ukuthi kwenziwe i-biopsy. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu eqhubu usebenzisa inaliti encane bese uyihlola ngaphansi kwe-microscope ukuze ubone ukuthi akhona yini amangqamuzana omdlavuza .

Yiziphi izindlela zokwelapha?

Indlela yokwelapha incike ekutheni unesimila esisebenzayo noma esingasebenzi.

Isimila esingasebenzi yile:

Uma isimila sincane futhi singasebenzi, asivami ukwelashwa. Kunalokho, udokotela wakho uzophinda ama-CT scan njalo ukuze aqaphe ukuthi isimila siyakhula noma siyaqala ukusebenza. Uma isimila sikhula ngokushesha noma siseduze namasentimitha angu-5, kunganconywa ukuhlinzwa ukuze kususwe, uma kubhekwa ingozi yomdlavuza.

Isimila esisebenzayo yilesi:

Ukwelashwa kwalezi zinhlobo zamathumba kuvame ukuhlinzwa.

• Ukususwa kwe-Adrenal: Lokhu ukususwa kwe -adrenal gland ethintekile ngokuhlinzwa. Uma isimila sincane, i-laparoscopy ingasetshenziswa.Lokhu kuhlinzwa kungenziwa ngokusikwa okuncane esiswini nangosizo lwekhamera. Uma isimila sikhulu noma uma kukhona ukusolakala komdlavuza, kuzokwenziwa ukuhlinzwa okuvamile kusetshenziswa ukusikwa okukhulu ngemuva. Uma indlala eyodwa isusiwe, indlala esele ingakhiqiza ama-hormone adingwa ngumzimba. Uma lokho kungenzeki, ama-hormone kuzodingeka athathwe ngendlela yamaphilisi.
• Imithi: Uma ungeyena umuntu ofanele ukuhlinzwa, udokotela wakho angase akunike imithi yokulawula ukukhiqizwa kwama-hormone avela esimila.

Ngemva kokwelashwa, ikakhulukazi ngemva kokususwa kwesimila ngokuhlinzwa, izimpawu ziyaphela cishe ngokuphelele. Imiphumela mihle kakhulu.