Adenoma ye-Adrenal

I-adenoma ye-Adrenal iyisisu esinamandla sezinhlayiya zangaphakathi. Kodwa-ke, naphezu kwesimo esibucayi, lapho kungekho khona ukwelashwa isikhathi eside, i-adenoma ingaba yi-adenocarcinoma. Futhi lokhu kuyakheka okubi. Kulesi simo, i-adenoma ingaba nomthelela omubi ezingxenyeni eziseduze, futhi ikhiqize ama-hormone, i-aldosterone ne-cortisol, nakuba lokhu kwenzeka ngokungavamile.

Izimbangela ze-Adenoma Adrenal

Izimbangela eziqondile zezicubu ezinzima aziwa. Ochwepheshe oncike kwizibalo kuphela bangacabanga ukuthi yibaphi abantu abanomthelela omkhulu wokunikezwa kwama-neoplasms. Izimbangela ezikhona zokubonakala nokuthuthukiswa kwe-adenomas zimi kanje:

Izimpawu ze-adenoma ephezulu

Okokuqala, lesi sifo sikhombisa ukungalingani kwe-hormonal, okungaholela ezicini ezinjalo:

  1. Ukubonakaliswa kwezimfanelo zobulili obuhlukile:
  • I-Cushing's syndrome ngenxa yokwanda kwezinga le-hormone cortisol.
  • I-Conne's syndrome ngenxa yokwanda kwezinga le-hormone aldosterone.
  • Ukuthuthukiswa kwesifo se- osteoporosis , kwanda amathambo amancane.
  • Ukuxilongwa kwe-grenatal adrenal gland

    Ngokuvamile, akukwazi ukusho ukuthi ngokwezimpawu ezibonakalisiwe, umuntu angazimela ngokuzimela u-adrenoma adrenal. Ngisho nasesiteji sokuqala singakwazi ukukuthola ngosizo lwe-ultrasound yezitho zomzimba zesisu. Ukukhipha umphumela wokumangalisa, kwanele ukuba kwenziwe inhlolovo enjalo kanye ngonyaka.

    Ngaphezu kwalokho, uma i-nodule enwetshiwe itholakele, i-tomography yekhompiyutha yenziwa ngokungeziwe. Ngenxa yezimpumelelo zesayensi emashumini eminyaka amuva, ikhwalithi yalezi zifundo kuye kwanda kakhulu. Namuhla, udokotela angakwazi ukunquma ngokunembile ubukhulu, ukuma nekhwalithi yanoma yisiphi isisu. Kulesi simo, uma i-adenoma inesilinganiso sobukhulu obungaphezu kuka-3 cm ububanzi, ngamacala angu-95% anesici esibi, isb. isakhiwo somdlavuza. I-Adenomas yamasayizi amancane ingaba yinto embi, kodwa kulokhu kuphela ku-13% wezinhlamba zomdlavuza zenzeka.

    Ngemuva kokuqhuba izifundo ezibukwayo, njengomthetho, ukuhlaziywa kwenziwa nge-biopsy ye-tumor. Lokhu kukuvumela ukuba unqume izinga lamahomoni cortisol, i-adrenaline, i-norepinephrine ne-keratin.

    Ukwelashwa kwe-adenoma yesikhashana

    Ngama-adenomas amancane kakhulu (esiteji sokubunjwa kwe-nodule), ukwelashwa akunakwenziwa, ngoba akuyona ingozi yezempilo. Kulesi simo, isiguli kufanele sibe ngaphansi kokuqondiswa njalo kwesidokotela oyoqapha ukukhula kwesisu.

    Kwezinye izimo, ukwelashwa kufanele kube khona ngokushesha ngenxa yengozi ekhulayo yokushintsha uhlobo lwesifo esibi kakhulu. Kuwukuthi, njengomthetho, ekususweni kokukhishwa kwe-adenoma. Ukusebenza kungenziwa kokubili ngendlela yobudala kanye ne-laparoscope. Kulesi simo, indlela yesibili ivumela ukunciphisa umonakalo wokubonakala kwesiguli, ngoba isibazi esivela kulo msebenzi sizoba sesiswini somzimba futhi sincane kakhulu (ngokungafani nokusebenza okujwayelekile, emva kwalokho kunesicu esikhulu esikhwameni). Ukususwa kwe-adenoma ye-adrenal efanele kubhekwa isikhathi esiningi sokudla. Leli qiniso lichazwa ukuthi kulula kakhulu ukuba udokotela ohlinzayo afike e-adenoma ebizwa nge-adrenal gland kwesokunxele ngakho-ke ukusebenza kuyashesha futhi kunobungozi obuncane.

    Esikhathini sokuqala sokunakekelwa kokungenwa kwezidakamizwa ze-adenoma ngamakhambi abantu. Lapha, kusetshenziswe utshani obomvu obomvu, okuyinto empeleni, i-hormone yemvelo futhi ikuvumela ukuba ususe izinhlobo ezithile zezicubu.