ʻAukake Adrenal

Anter

• Nā ʻano o nā tumora adrenal gland
• Benen adenomas
• ʻO nā maʻi ʻōiwi adrenal
• He aha nā hōʻailona o ka maʻi ʻaʻai adrenal?
• He aha nā mea pilikia no ka maʻi ʻaʻai adrenal?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai adrenal?
• He aha nā hōʻailona no ka maʻi ʻaʻai adrenal?
• ʻOki kino
• Lapaʻau hoʻomākala
• ʻO Chemotherapy
• Nā lapaʻau ʻē aʻe
• He aha ka manaʻo lōʻihi?

He aha ka maʻi ʻaʻai adrenal?

ʻO ke kanulau adrenal he kumu ia e hana ʻia i ka wā e hana ai nā pūnaewele ʻino a i ʻole huakaʻi i nā ʻōpū adrenal. Loaʻa i kou kino ʻelua adrenal glands, aia ma luna o kēlā me kēia puʻupaʻa. Kū pinepine ka maʻi ʻaʻai adrenal i ka papa o waho loa o nā glands, a i ʻole ka adrenal cortex. ʻIke ʻia ma ke ʻano he tumelo.

Kāhea ʻia kahi tumo cancerous o ka adrenal gland he adrenal cortical carcinoma. ʻO kahi tumo noncancerous o ka adrenal gland i kapa ʻia he adenoma benign.

Inā loaʻa ʻoe i ka maʻi ʻaʻai i loko o ka momona adrenal, akā ʻaʻole ia i hoʻomaka ma laila, ʻaʻole ia i manaʻo ʻia he adrenal cortical carcinoma. ʻO ka maʻi ʻōpū o ka umauma, ʻōpū, nā konā, ka ʻili, a me nā lymphoma e pāhola aku ana i nā neʻe adrenal.

Nā ʻano o nā tumora adrenal gland

Benen adenomas

ʻOi aku ka liʻiliʻi o nā adenomas Benign, ma mua o ka liʻiliʻi o 2 iniha ke anawaena. ʻO ka hapa nui o ka poʻe me kēia ʻano tumo ʻaʻohe hōʻailona. Kū pinepine kēia mau tumors ma hoʻokahi wale nō adrenal gland, akā hiki iā lākou ke ʻike ʻia ma nā glands ʻelua i nā manawa maʻamau.

ʻO nā maʻi ʻōiwi adrenal

ʻOi aku ka nui o nā adrenal adrenal cortical ma mua o nā adenomas benign. Inā ʻoi aku ka nui o kahi tumo ma mua o 2 iniha ke anawaena, ʻoi aku ka maʻi ʻaʻai. I kekahi manawa, hiki iā lākou ke ulu a lawa a kaomi i kāu mau ʻōpū, e alakaʻi ana i nā hōʻailona hou aʻe. Hiki iā lākou ke hana i kekahi mau hormones e hoʻololi i ke kino.

He aha nā hōʻailona o ka maʻi ʻaʻai adrenal?

Hoʻokumu ʻia nā ʻōuli o ka maʻi ʻaʻai adrenal e ka hana nui ʻana o nā hormona. ʻO kēia mau mea ʻo androgen, estrogen, cortisol, a me aldosterone. Kū aʻe paha nā ʻōuli mai nā tumors nui e kaomi ana i nā mea o ke kino.

ʻOi aku ka maʻalahi o nā ʻōuli o ka nui o androgen a i ʻole estrogen hana i nā keiki ma mua o nā mākua no ka mea ʻoi aku ka hana a ʻike ʻia nā hoʻololi o ke kino i ka wā ʻōpio. ʻO kekahi mau hōʻailona o ke kanulau adrenal i nā keiki hiki ke:

• ʻo ka pubic nui loa, underarm, a me ka ulu ʻana o ka lauoho maka
• he penis nui hoʻonui ʻia
• he clitoris hoʻonui ʻia
• nā umauma nui i nā keikikāne
• ʻōpio ʻōpio i ke kakahiaka nui

Ma kahi o ka hapalua o ka poʻe me ka maʻi ʻaʻai adrenal, ʻaʻole ʻike ʻia nā ʻōuli a nui ka tumo e kaomi ai i nā meaola ʻē aʻe. ʻO nā wahine me nā puʻupuʻu e hoʻonui ai i ka androgen e nānā paha i ka ulu ʻana o ka lauoho a i ʻole ka hohonu o ka leo. ʻO nā kāne me nā puʻupuʻu e hoʻonui ai i ka estrogen e ʻike paha i ka hoʻonui ʻana o ka umauma a palupalu paha i ka umauma. ʻIke ka paʻakikī ʻana o kahi tumo i nā wahine me ka nui o ka estrogen a me nā kāne me ka nui o androgen.

ʻO nā ʻōuli o ke kanulau adrenal e hoʻopuka i ka nui o ka cortisol a me ka aldostero i nā mākua hiki ke hoʻopili ʻia:

• kahe koko kiʻekiʻe
• kō kō kiʻekiʻe
• loaʻa kaupaona
• wā kūlike ʻole
• paopao maʻalahi
• kaumaha
• urination pinepine
• ʻūpē mākala

He aha nā mea pilikia no ka maʻi ʻaʻai adrenal?

I kēia manawa, ʻaʻole ʻike ka ʻepekema i ke kumu o ka maʻi ʻaʻai adrenal. Wahi a ka American Cancer Society, ma kahi o 15 ka pākēneka o nā maʻi ʻaʻai adrenal i hoʻokumu ʻia e kahi maʻi genetical. Hiki i kekahi mau kūlana ke hoʻokau iā ʻoe i ka nui o ka makaʻu ʻana i ka maʻi ʻaʻai adrenal.

Pākuʻi ʻia kēia mau mea:

• ʻO Beckwith-Wiedemann Syndrome, ʻo ia kahi maʻi ulu ulu ʻole i kaha ʻia e kahi kino nui a me nā lālā. Kūpono pū kekahi me kēia maʻi maʻi no ka maʻi ʻaʻai o ka puʻupaʻa a me ke ake.
• Li-Fraumeni maʻi, ʻo ia kahi maʻi hoʻoilina e hoʻonui i ka makaʻu no nā ʻano maʻi ʻaʻai.
• Polyposis adenomatous ʻohana (FAP), ʻo ia kahi kūlana hoʻoilina i hōʻike ʻia e nā helu kiʻekiʻe o nā polyps i loko o nā ʻōpū nui e hāpai pū i kahi makaʻu nui o ka maʻi ʻaʻai kolona.
• ʻO ka neoplasia endocrine ʻano 1 (MEN1), ʻo ia kahi kūlana hoʻoilina e hoʻokumu i nā tumors he nui e hoʻomohala, nā mea ʻelua a me nā mea ʻino hoʻi, i nā kinipona e hana i nā homone e like me ka pituitary, parathyroid, a me nā pancreas.

Hoʻonui pū paha ka puhihihi ʻana i ka makaʻu o ka maʻi ʻaʻai adrenal, akā ʻaʻohe mea hōʻoia i kēia manawa.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai adrenal?

Hoʻomaka ka ʻike ʻana i ka maʻi ʻaʻai adrenal me kāu moʻolelo olakino a me kahi hoʻokolohua kino. E huki ke kauka i kāu kauka a hōʻiliʻili i kahi mimi no ka hoʻāʻo ʻana.

E kauoha paha kāu kauka i nā hoʻokolohua hou aʻe e like me:

• kahi biopsy nila maikaʻi i alakaʻi ʻia i kiʻi
• he ultrasound
• he scan CT
• kahi scan tomography emission tomitron (PET)
• he scanner MRI
• kahi adrenal angiography

He aha nā hōʻailona no ka maʻi ʻaʻai adrenal?

Hiki i ka mālama mua ʻana ke hoola i ka maʻi ʻaʻai adrenal. ʻEkolu ʻano nui o ka mālama maʻamau no ka maʻi ʻaʻai adrenal:

ʻOki kino

Koi paha kāu kauka i kahi kaʻina hana i kapa ʻia he adrenalectomy, e pili ana i ka lawe ʻana i ka gland adrenal. Inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, hiki i kāu kauka ke wehe i nā lymph node a me nā aʻa.

Lapaʻau hoʻomākala

Hoʻohana ka radiation radiation i nā kukuna X ikaika nui e pepehi i nā hunaola maʻi ʻaʻai a hoʻokū i nā hunaola maʻi ʻaʻai mai ka ulu ʻana.

ʻO Chemotherapy

Kaukaʻi ʻia i ke kahua o kou maʻi ʻaʻai, pono ʻoe e hana i ka chemotherapy. Kōkua kēia ʻano o ka lāʻau lapaʻau maʻi ʻaʻai i ka ulu ʻana o nā hunaola maʻi ʻaʻai. Chemotherapy hiki ke lawelawe waha a injected i loko o ke aa koko a Muscle.

Hiki i kāu kauka ke hoʻohui i ka chemotherapy me nā ʻano ʻē aʻe o ka mālama ʻana i ka maʻi ʻaʻai.

Nā lapaʻau ʻē aʻe

ʻO Ablacy, a i ʻole ka luku ʻia ʻana o nā hunaola tumele, he mea pono paha no nā tumors i palekana ʻole e hemo i kahi lāʻau.

ʻO Mitotane (Lysodren) ka lāʻau lapaʻau maʻamau i hoʻohana ʻia i ka mālama ʻana i ka maʻi ʻaʻai adrenal. I kekahi mau hihia, hāʻawi ʻia ma hope o ke kaha ʻana. Hiki iā ia ke pale i ka hana hormone nui a kōkua paha i ka hōʻemi i ka nui o ka tumo.

Hiki iā ʻoe ke kūkākūkā me nā kauka hoʻokolohua hoʻokolohua hoʻokolohua me kāu kauka, e like me ka biologic therapy, e hoʻohana ai i ka ʻōnaehana pale pale e hakakā ai i nā hunaola maʻi ʻaʻai.

He aha ka manaʻo lōʻihi?

Inā hoʻomohala ʻoe i ka maʻi ʻaʻai adrenal, e hana pū kahi hui o nā kauka me ʻoe e hoʻohui i kāu mālama. He mea nui nā wā e ukali ai me kāu kauka inā loaʻa iā ʻoe nā pūpū adrenal i ka wā i hala. Hiki i ka maʻi ʻaʻai adrenal ke hoʻi i kēlā me kēia manawa, no laila he mea nui e pili kokoke me kāu hui kauka.