He aha ngā mate pukupuku ngākau pai? Ngā tohu, ngā take, me te rongoā

Ko ngā mate pukupuku ngākau pai ngā kōhatu kaore i te mate pukupuku e tupu ana i roto i ōu ngākau adrenal, ngā kōpū iti kei runga i ōu whatukuhu. He tino noa enei mate pukupuku, ā, he maha ngā wā ka kitea ngāwari i ngā whakamātau whakaahua mō ētahi atu take hauora.

Ko te nuinga o ngā mate pukupuku ngākau pai kaore e puta he tohu, ā, kaore e hiahiatia he rongoā. Ka whakaputa ōu ngākau adrenal ngā homoni nui hei āwhina i te whakahaere i te toto toto, te whakahaere i te kaha, me te whakautu ahotea, engari he maha o ēnei mate pukupuku kaore e āwangawanga ki te whakaputa homoni noa.

He aha ngā mate pukupuku ngākau pai?

Ko ngā mate pukupuku ngākau pai ngā kōhatu kore kino e hangaia ana i roto i tētahi, i ngā rua rānei o ōu ngākau adrenal. Kāore i rite ki ngā mate pukupuku mate pukupuku, kāore e horapa ki ētahi atu wāhanga o tō tinana, ā, he tino puhoi te tipu i te wā.

Ka taka enei mate pukupuku ki ngā momo e rua, e whakaū ana i te mahi a te homoni. Ka whakaputa ngā mate pukupuku mahi i ngā homoni nui ka pā ki tō tinana, i te wā kaore ngā mate pukupuku kore mahi e whakaputa homoni, ā, kaore e tino puta he tohu.

Ko te momo tino noa ko te adenoma adrenal, e whakaatu ana i te 80% o ngā mate pukupuku ngākau pai katoa. He iti, he tino marama enei, ā, ka taea e tō tākuta te kite ngāwari i runga i ngā tirotiro whakaahua.

He aha ngā momo mate pukupuku ngākau pai?

He maha ngā momo mate pukupuku ngākau pai, he rerekē ngā āhuatanga o ia. Ka āwhina te mārama ki ēnei momo ki te kōrero pai ake i tō āhuatanga ki tō kaiwhakarato hauora.

Ko ngā adenoma adrenal te momo tino noa, e puta ana hei ngā kōhatu iti, porowhita. He kore mahi te nuinga, ā, ko te tikanga kaore e whakaputa homoni nui, ā, kaore e tino puta he tohu.

Ko ngā pheochromocytoma he mate pukupuku homoni-whakaputa onge e tuku ana i te adrenaline nui me ētahi atu matū e pā ana. Ka taea e ēnei te puta mai i ngā tohu nui penei i ngā mamae o te upoko nui, te tere o te ngakau, me te wera nui.

Ngā adenoma e whakaputa ana i te aldosterone e hanga ana i te nui o te aldosterone, he homoni e whakahaere ana i te toto. Ko te āhuatanga nei, e kiia nei ko te mate a Conn, ka taea te arahi ki te toto teitei me te iti o te potassium.

Ngā adenoma e whakaputa ana i te cortisol e hanga ana i te nui o te cortisol, te homoni ahotea. Ka taea e tēnei te puta ki te mate a Cushing, e pā ana ki te metabolism, te huka toto, me te ahua tinana.

Ngā cyst adrenal he putea kī kī e whanake ana i roto i ngā whatukuhu adrenal. Ko te nuinga he koretake katoa, ā, kāo e hiahiatia he rongoā, ki te kore e tino nui.

He aha ngā tohu o ngā mate pukupuku adrenal pai?

He maha ngā mate pukupuku adrenal pai e kore e whakaatu tohu, koia te take i kiia ai he 'incidentalomas' i te wā e kitea ana i ngā tirotiro mō ētahi take.

Ki te pēhea he mate pukupuku e whakaputa ana i te homoni, ka kite pea koe i ngā tohu e pā ana ki te homoni motuhake e nui rawa ana te whakaputa. Ka taea e ēnei tohu te whanake haere i roto i ngā marama, i ngā tau rānei, ka ngāwari ai te tirohanga i te tīmatanga.

Ngā tohu noa o ngā mate pukupuku adrenal e mahi ana:

• Te toto teitei e uaua ana ki te whakahaere
• Te taumaha e kore e mārama te piki ake, te heke rānei
• Te ngoikore o ngā uaua, te ngenge rānei
• Ngā huringa i ngā taumata huka toto
• Ngā huringa ngākau, te riri rānei
• Ngā raruraru moe

Mō ngā pheochromocytomas motuhake, ka kite pea koe i ngā wāhanga o ngā tohu kino e haere mai ana, e haere atu ana rānei. Ka uru atu ēnei ki ngā mamae o te upoko, te wera nui, te tere o te ngakau, me ngā kare-a-roto o te wehi, o te awangawanga rānei.

Ko ngā mate pukupuku e whakaputa ana i te aldosterone e tino whakaatu ana i te toto teitei me te iti o te potassium. Ka kite pea koe i te mamae o ngā uaua, te ngoikore, te maha o te mimi hei hua o ēnei koretake homoni.

Ko ngā mate pūngāwerewere e hanga ana i te cortisol e taea te arahi ki ngā tohu o te mate Cushing pēnei i te piki o te taumaha i te mata me te pūhaka o runga, ngā tohu torea puru, te ngawari ki te whē, me te uaua ki te ora mai i ngā whara iti.

He aha ngā take o ngā mate pūngāwerewere adrenal pai?

Kāohore i tino mōhiotia te take tika o ngā mate pūngāwerewere adrenal pai, engari e kite ana i te whanaketanga ina tīmata ana ngā pūtau ā-kino o te whatukuhu adrenal ki te tipu kino. Ka puta tēnei tipu pūtau i roto i te nuinga o ngā take, kāohore he whakaohooho mārama.

Ko te nuinga o ngā mate pūngāwerewere adrenal pai ka puta noa atu kāohore he āhuatanga ira tuku iho. Ka wehewehea ngā pūtau me te whakakapi i a rātou ano i roto i tō oranga, ā, i etahi wā ka heke te mahi, ka arahi ki te hanganga o te mate pūngāwerewere.

He maha ngā take e āhei ana te whakauru ki te whanaketanga o te mate pūngāwerewere, ahakoa kāohore tetahi e tino whakaohooho i ēnei tipu:

• Ngā huringa pūtau e pā ana ki te pakeke
• Te ahotea roa ki ngā whatukuhu adrenal
• Ētahi whakarerekētanga ira
• Ngā take taiao
• Ngā awe o te homoni i te roa o te wā

I roto i ngā take onge, ko ngā mate pūngāwerewere adrenal pai ka taea te wāhanga o ngā mate ira tuku iho. Kei roto i ēnei ngā mate Multiple Endocrine Neoplasia, te mate Von Hippel-Lindau, me te Neurofibromatosis momo 1.

He mea nui kia mārama kōu kei a koe tetahi mate pūngāwerewere adrenal pai, kāohore tēnā e kī ana i te mahi he, i te āhei rānei te aukati. Ka whanaketia ngā mate pūngāwerewere nei i te āhua noa, ā, he wāhanga noa iho i te rerekētanga noa o te pakeketanga me te mahi o ō tātou tinana.

He aha ngā take morearea mō ngā mate pūngāwerewere adrenal pai?

Ahakoa tetahi ka taea te whanake i ngā mate pūngāwerewere adrenal pai, he maha ngā take e āhei ana te whakapiki i tō tūponotanga ki tetahi. Ka taea e te mōhiotanga ki ēnei take morearea te āwhina i a koe me tō tākuta ki te tirotiro tika i tō hauora.

Ko te pakeke te take morearea nui rawa atu, me te whanake haere o ēnei mate pūngāwerewere i te wā e pakeke haere ana koe. Kāore e kitea i roto i ngā tamariki, engari ka piki haere te maha i roto i ngā pakeke neke atu i te 40.

Ko ngā take morearea noa e whai ake nei:

• Neke atu i te 40 tau te pakeke
• Teitei te toto
• Wahine (tē nui ake te tūponotanga)
• Te mate huka rānei te mate pākaha metabolic
• Te hītori whānau o ngā mate pūngao adrenal
• Tāhuahua

Ka taea e ētahi āhuatanga ira tino onge te whakanui nui i tō tūponotanga. Kei roto i ēnei ngā mate pūngao kua oti te whakawhiwhi penei i te Multiple Endocrine Neoplasia, e pā ana ki ngā whekau whakaputa homoni puta noa i tō tinana.

Ko te whai i tetahi take morearea rānei neke atu rānei, ehara i te tikanga ka whanake pono koe i te pūngao adrenal. He tokomaha ngā tāngata he maha ngā take morearea kāore rawa e whanake i ēnei tipu, ā, ko ētahi atu kāore he take morearea e kitea ana.

Nōhea te haere ki te taote mō ngā pūngao adrenal pai?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā ka pāngia koe e ngā tohu ka taea te tohu i te pūngao adrenal whakaputa homoni. Ka taea e te kitenga wawe me te whakahaere tika te aukati i ngā raruraru me te whakapai ake i tō kounga ora.

Rapua te tiaki hauora mēnā ka kite koe i te toto teitei tonu e uaua ana ki te whakahaere me te rongoā. Ka taea e tēnei te tohu i te pūngao whakaputa aldosterone, ina koa mēnā kei a koe hoki ngā taumata potahiuma iti.

Ko ngā tohu nui e tika ana kia haere ki te taote:

• Ngā mamae o te upoko nui me te werawera me te tere o te ngākau
• Ngā huringa taumaha kaore i te whakamārama
• Te ngoikore o te uaua tonu, te ngenge rānei
• Ngā wāhanga maha o te manukanuka, te manukanuka rānei
• Ngā huringa i tō ahua (te porowhita o te mata, ngā tohu totokore)
• Te uaua ki te whakahaere i te huka toto

Mēnā kua oti te whakatau i tētahi pūngao adrenal mōu, whai i te kaupapa aroturuki a tō taote ahakoa kei te pai koe. Ka āwhina ngā tirotiro auau kia kore ai e tipu te pūngao, kāore rānei e tīmata ki te whakaputa homoni.

Kaua e tatari ki te rapu awhina āwangawanga mēnā ka pāngia koe e ngā tohu nui penei i te mamae o te uma pakaru, te uaua ki te manawa, te tohu rānei o te toto teitei rawa penei i te mamae o te upoko nui, ngā huringa tirohanga, te whakapohehe rānei.

He aha ngā raruraru pea ka puta mai i ngā mate pukupuku adrenal ngākau pai?

Ko te nuinga o ngā mate pukupuku adrenal ngākau pai e kore e puta he raruraru, ā, ka mau tonu te āhua i roto i tō oranga. Heoi, ko ngā mate pukupuku mahi e whakaputa ana i te nui o ngā homoni ka āhei te arahi ki ngā raruraru hauora nui mena kāo te rongoā.

Ko ngā raruraru pea ka pā ki a koe e whakaū ana ki te homoni e whakaputahia ana e tō mate pukupuku, me te nui o te homoni nui e tomo ana ki roto i tō toto. Ka taea e ēnei pānga te whanake haere māmā, nā reira he mea nui te kimi wawe me te rongoā.

Ko ngā raruraru pea e whai ake nei:

• Te toto teitei kaore e taea te whakahaere
• Ngā raruraru ngākau mai i te nui o te homoni
• Te kino o te whatukuhu mai i te toto teitei roa
• Te mate huka, te raruraru ranei o te huka toto
• Te ngoikore o te wheua me ngā whati
• Ngā huringa ngākau nui, te pouri rānei

Ka taea e ngā pheochromocytoma te whakaputa i ngā raruraru tino nui i te wā e kiia nei ko te "mate toto teitei nui." Ka puta mai tēnei ina piki te toto ki ngā taumata kino, ā, ka taea te arahi ki te pēhanga, te ngākau ranei, te raruraru rānei e wehi ai te ora.

Ka taea e ngā mate pukupuku e whakaputa ana i te aldosterone te arahi ki te ngaro nui o te potassium, e pā ana ki te mahi o te uaua me te ngākau. Me kore te rongoā, ka taea tēnei te hua i ngā raruraru kino o te ihu ngākau, te pararutiki rānei o te uaua.

Ka taea e ngā mate pukupuku e whakaputa ana i te cortisol te whakaputa i ngā raruraru o te mate Cushing penei i te mate huka nui, ngā mate kino na te ngoikore o te ātete, me te ngaro nui o te wheua e arahi ana ki ngā whati.

Ko te rongo pai, mā te rongoā tika, ka taea te aukati, te whakahoki rānei i te nuinga o ngā raruraru. Ko te tirotiro auau me te tiaki hauora tika ka āhei te whakarite kia kitea, kia whakahaerea wawe ngā raruraru katoa.

Me pēhea te whakamātautau i ngā mate pukupuku adrenal ngākau pai?

Ko te whakamātautau i ngā mate pukupuku adrenal ngākau pai e tīmata ana i te nuinga ki ngā whakamātautau whakaahua e whakaatu ana i te mate pukupuku. Katahi ka mahi tō tākuta i ētahi atu whakamātautau hei whakatau mena ka whakaputa te mate pukupuku i ngā homoni, me te aromatawai i ōna āhuatanga.

Ko te nuinga o ngā pūngāwerewere adrenal e kitea ana i te wā o ngā whakamātautau CT rānei MRI, he take ke te take. Ki te pēnei, ka tono tō tākuta i ētahi whakamātautau motuhake hei ako atu mō te āhua me te mahi o te pūngāwerewere.

Ko te tikanga o te tukanga whakamātautau:

1. Te hītori hauora taipitopito me te whakamātautau tinana
2. Ngā whakamātautau homoni toto me te mimi
3. Ngā rangahau whakaahua motuhake
4. Ngā whakamātautau whakakorenga homoni atu, ki te hiahiatia

He mea nui te whakamātautau homoni, nā te mea ka whakatau mena kei te mahi tō pūngāwerewere, kāore rānei. Ka tirotirohia e tō tākuta ngā taumata o te cortisol, aldosterone, ngā wāhanga e pā ana ki te adrenaline, me ētahi atu homoni adrenal.

Ka āwhina ngā rangahau whakaahua i tō tākuta ki te aromatawai i te rāhi, te ahua, me te tipu o te pūngāwerewere i te wā. Ka taea e ngā whakamātautau CT te whakamārama i waenga i ngā momo rerekē o ngā kohinga adrenal, ā, ka homai e te MRI ngā whakaahua taipitopito o te hanganga o te pūngāwerewere.

I etahi wā, ka tūtohutia e tō tākuta ngā whakamātautau motuhake penei i te whakamātautau whakakorenga dexamethasone, e āwhina ana ki te whakatau mena kei te whakaputa tō pūngāwerewere i te nui o te cortisol. Kei roto i ēnei whakamātautau te tango rongoā me te ine i te āhua o ō taumata homoni.

I ngā take onge ka kore te whakatau i te marama, ka tūtohutia pea e tō tākuta te biopsy. Heoi, ka karohia tēnei mō ngā pūngāwerewere adrenal, nā te tūponotanga o ngā raruraru, ina koa ki te puta mai te pūngāwerewere he pheochromocytoma.

He aha te rongoā mō ngā pūngāwerewere adrenal pai?

Ko te rongoā mō ngā pūngāwerewere adrenal pai e whakawhirinaki ana ki te whakaputa homoni rānei, me te whakaohooho rānei i ngā tohu. Ko te nuinga o ngā pūngāwerewere kaore e mahi, ka hiahiatia anake te tirotiro tūturu, engari ko ngā pūngāwerewere e mahi ana, ka hiahiatia te rongoā kaha.

Mō ngā pūngāwerewere kaore e mahi, he iti iho i te 4 henimita, ka tūtohu pea tō tākuta i te tikanga "tūmanako me te tatari". Kei roto i tēnei te tirotiro whakaahua me te whakamātautau homoni tūturu hei whakarite kei te tipu te pūngāwerewere, kei te tīmata rānei ki te whakaputa homoni.

Ko te tango whakaora te rongoā matua mō ngā pūngāwerewere mahi e pāngia ana e ngā tohu. Ko te tikanga tino noa ko te laparoscopic adrenalectomy, he pokanga iti te whakamahi i ngā wahi tapahi iti.

Ko ētahi atu whiringa rongoā:

• Te aro turuki tonu me te whakaahua me ngā whakamātautau toto
• Rongoā hei whakahaere i ngā tohu e pā ana ki te homoni
• Te tango whakaora laparoscopic
• Te pokanga tuwhera mō ngā pūngāwerewere nui rānei uaua rānei
• Rongoā toto-pehi mō ngā pūngāwerewere e whakaputa ana i te aldosterone

I mua i te pokanga mō ngā pheochromocytomas, ka tukuna e tō tākuta ngā rongoā motuhake hei aukati i ngā pānga o te nui o te adrenaline. Ko te wā whakarite tēnei e 1-2 wiki te roa, ā, ka āwhina i te aukati i ngā piki toto kino i te wā o te pokanga.

Mō ngā pūngāwerewere e whakaputa ana i te aldosterone, āta tirohia pea e tō tākuta ngā rongoā e kiia nei ko ngā kai aukati pūtau aldosterone. Ka taea e ēnei te āwhina i te whakahaere i te pehanga toto me ngā taumata pātaiuma, ahakoa ko te pokanga te tikanga ka whakarato i te otinga pumau ake.

Ko te ora ake i te pokanga adrenal laparoscopic he ngāwari noa iho, ā, ko te nuinga o te iwi ka hoki ki ngā mahi noa i roto i ngā wiki 2-4. Ka aro turuki to tākuta i te mahi toenga o tō whatukuhu adrenal me ngā taumata homoni i muri i te pokanga.

Me pēhea te tango i te rongoā kāinga i te wā o ngā pūngāwerewere adrenal pai?

Ko te tiaki kāinga mō ngā pūngāwerewere adrenal pai e arotahi ana ki te whakahaere i ngā tohu me te tautoko i tō hauora whānui i te wā e mahi tahi ana koe me tō rōpū hauora. Ko te nuinga o ngā pūngāwerewere kore mahi kaore e hiahia ana ki tetahi rongoā kāinga motuhake atu i te aro turuki noa.

Mēnā he pūngāwerewere mahi tōu, he mea nui te whai i te kaupapa rongoā a tō tākuta hei whakahaere i ngā tohu me te aukati i ngā raruraru. Tangohia ngā rongoā kua tohua katoa kia rite ki te aratohu, ahakoa kei te pai ake koe.

Ko ētahi huarahi noho ora ka taea te āwhina:

• Te whai i te kai hauora ngākau he iti te konutai
• Te pupuri i te taumaha hauora
• Te whiwhi i te whakakori tinana noa, ngawari
• Te whakahaere i te ahotea mā ngā tikanga whakamahinga
• Te karo i te caffeine me te waipiro ki te pēhea he pheochromocytoma tōu
• Te arotake i tō pehanga toto i ia wā

Mō ngā pheochromocytoma, ka taea e ētahi kai me ngā mahi te whakaoho i ngā wāhanga tohu. Kei roto i ēnei ngā mīti kēki tawhito, ngā mīti whakaora, ētahi rongoā, me ngā āhuatanga ahotea. Ka taea e tō tākuta te tuku i te rārangi taipitopito o ngā mea hei karo.

Pupuri i te puka tohu hei aroturuki i te wā e pāngia ana koe, e pai ake rānei. Ka āwhina tēnei mōhiohio i tō tākuta ki te whakarite i tō maimoatanga, ā, ka whakaatu i ngā tauira ka taea te tohu i ngā huringa i roto i te mahi a tō mate pukupuku.

Kia pai te inu wai, kia pupuri hoki i ngā wā kai noa hei āwhina i te whakau i tō huka toto me ngā taumata homoni. Ki te inu koe i ngā rongoā e pā ana ki ngā taumata pōtāhiuma, kai i ngā kai whai pōtāhiuma penei i ngā panana me ngā rau kakariki kia rite ki te whakahau a tō tākuta.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui tākuta he āwhina hei whakarite kia whiwhi koe i te hua nui rawa atu i tō haerenga, ā, kia whiwhi hoki i te tiaki pai rawa atu. Ko te haere mai i te whakarite me ngā pātai me ngā mōhiohio ka āwhina i te hui kia hua ake mōu me tō kaiwhakarato hauora.

I mua i tō hui, tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te mea e pai ake ana rānei, e kino ake ana rānei. Tāpirihia ngā kōrero mō te kaha me te auau o ngā tohu, i te mea ka āwhina tēnei mōhiohio i tō tākuta ki te mōhio pai ake ki tō āhuatanga.

Kawe mai ngā mea e whai ake nei ki tō hui:

• Rārangi o ngā rongoā me ngā taapiri katoa e inu ana koe
• Ngā hua whakamātautau o mua me ngā ripoata whakaahua
• Te hītori whānau o ngā mate adrenal, endocrine rānei
• Ngā pānui pehanga toto ki te arotake koe i te kāinga
• Ngā kāri inihua me te whakamārama
• Rārangi tuhituhi o ngā pātai

Whakamahia ngā pātai motuhake e pā ana ki tō mate, ngā huarahi rongoā, me ngā mea e tumanakohia ana i mua. Kaua e whakaroa ki te ui ki tetahi mea e awangawanga ana koe, ahakoa te iti rawa o te ahua.

Ki te haere koe ki tetahi tohunga mō te wā tuatahi, tonoa tō tākuta matua kia tukuna ō rongoā i mua. Ka āwhina tenei i te tohunga ki te mārama ki tō hītori hauora me tō āhuatanga o nāianei i mua i tō haerenga.

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei āwhina i a koe ki te maumahara ki ngā mōhiohio nui i kōrerohia i te wā o te whakaritenga. Ka taea hoki e te tautoko te āwhina i a koe kia pai ake te ui ki ngā pātai.

Me pēhea te aukati i ngā pūngāwerewere adrenal pai?

Aroha mai, kāore he huarahi kua whakamāramahia hei aukati i ngā pūngāwerewere adrenal pai, na te mea ka tupu noa iho rātou kaore he take o waho mārama. Heoi, ko te pupuri i te hauora pai katoa ka āwhina pea ki te whakaiti i tō tūponotanga o ngā raruraru mena ka whānau koe i tētahi.

Ahakoa kaore e taea e koe te aukati tika i ēnei pūngāwerewere, ka taea e koe te mahi hei tautoko i tō hauora adrenal me tō oranga pai katoa. Ka āwhina te tiaki hauora ā-rōpū ki te whakarite i te kitenga wawe me te whakahaere tika mena ka whānau he pūngāwerewere.

Ko ngā mahi hauora whānui ka āwhina pea ko:

• Te pupuri i te taumaha hauora
• Te kai i te kai tōtika e whai hua ana i ngā hua me ngā huawhenua
• Te whakahaere i te whakakori tinana
• Te whakahaere pai i te ahotea
• Te karo i te tapeka me te waipiro nui
• Te moe pai

Mena he hītori whānau tōu mō ngā mate adrenal, i ngā mate ira tuku iho rānei, ka āwhina pea te tohutohu ira. Ka taea e te kaiwhakaako ira te aromatawai i tō tūponotanga me te tūtohutia ngā tikanga whakamātautau e tika ana.

Ka āwhina ngā tirotiro ā-rōpū me tō tākuta matua ki te kite wawe i ngā huringa hauora. Mena ka whānau koe i ngā tohu ka tohu pea i tetahi raruraru adrenal, ka whakarite te tiaki hauora tere ki te tautuhi tere me te rongoā.

Arotakehia ngā mea ka taea e koe te whakahaere: te oranga hauora, te whakahaere pai i ētahi atu āhuatanga hauora, me te noho hono atu ki tō rōpū hauora. E tautoko ana ēnei huarahi i tō hauora whānui ahakoa ka whānau mai rānei ngā pūngāwerewere adrenal.

He aha te mea nui mō ngā pūngāwerewere adrenal pai?

He maha ngā pūngāwerewere adrenal pai, he tipu koretake te nuinga, ā, e kore e hiahiatia te rongoā atu i te tirotiro noa. Ko te nuinga o te hunga he pūngāwerewere o rātou e ora ana i te oranga noa, hauora, kahore he pānga nui ki ō rātou mahi o ia rā.

Ko te mea nui rawa atu kia mahara ko te tikanga o te kupu "pai" he kore-mate pukupuku, na reira e kore ēnei pūngāwerewere e horapa ki ētahi atu wāhanga o tō tinana. Ahakoa ngā pūngāwerewere mahi e whakaputa ana i ngā homoni nui, ka taea te whakahaere pai i te nuinga o te wā mā te tiaki hauora tika.

Ki te kua whakatauhia koe he pūngāwerewere adrenal pai, mahi tata atu ki tō rōpū hauora hei whakawhanake i te mahere tirotiro, te mahere rongoā rānei e tika ana. E whakarite ana te tiaki whai muri noa i te kitea wawe o ētahi huringa, ā, ka whakahaerea tika.

Kaua e tuku i te manukanuka mō tō whakatau kia nui rawa atu. Me ngā taputapu whakaahua me ngā whiringa rongoā hou o nāianei, ka taea e ngā tākuta te tirotiro me te rongoā i ngā pūngāwerewere adrenal ina hiahiatia, ā, hei āwhina i a koe ki te pupuri i tō kounga o te oranga.

Ngā pūtaiao e ui ana mō ngā pūngāwerewere adrenal pai

Ka taea te mate pukupuku ngā pūngāwerewere adrenal pai?

Ko te tino onge te riro o ngā pūngāwerewere adrenal pai hei mate pukupuku. Ko ngā pūngāwerewere pai pono penei i ngā adenomas ka noho tonu he kore-mate pukupuku i o rātou oranga katoa. Heoi, ka tirotirohia e tō tākuta tō pūngāwerewere mā te whakaahua noa kia whakarite ai kei te pupuri tonu i ōna āhuatanga pai, ā, kāhore e whakaatu i ngā tohu o ngā tauira tipu whakapae.

Me mahi tāku pokanga mō taku pūngāwerewere adrenal pai?

Ko te nuinga o ngā pūngāwerewere adrenal ngāwari kaore e hiahiatia te pokanga, ina koa ki te kore rātou e mahi ana, ā, he iti iho i te 4 henimita. Ko te pokanga te tikanga ka tūtohutia anake mō ngā pūngāwerewere e mahi ana e pā ana ki ngā tohu, ngā pūngāwerewere nui rawa atu, te hunga rānei e whakaatu ana i ngā huringa awangawanga i te wā. Ka āwhina tō tākuto ki te whakatau i te huarahi pai rawa atu mō tō āhuatanga motuhake.

E hia te wā te tūpono o ngā whakaritenga whai muri?

Ko te auau o te whai muri ka whakawhirinaki ki tō momo pūngāwerewere me ō āhuatanga. Ko ngā pūngāwerewere kaore e mahi ana te tikanga ka hiahiatia te whakaahua i ia 6-12 marama i te tīmatanga, katahi ka iti ake te auau mena ka mau tonu. Ko ngā pūngāwerewere e mahi ana, te hunga rānei e whakahaerehia ana pea ka hiahia kia nui ake te arotautanga. Ka hanga e tō tākuto he kaupapa wā motuhake e whai ana ki tō keehi motuhake.

Ka taea te whakapakari i te ahotea kia tipu ai ngā pūngāwerewere adrenal, kia kino ake rānei?

Ahakoa ka pā te ahotea roa ki te whakaputa horomona o ō whatukuhu adrenal, kāore he mōhiohio e whakaatu ana ko te ahotea te take tika mō te tipu o ngā pūngāwerewere adrenal ngāwari, kia kaha ake rānei. Heoi, he mea nui tonu te whakahaere i te ahotea mō tō hauora whānui, ā, pea ka āwhina i a koe kia pai ake te ahua mena kei a koe ngā tohu e pā ana ki te horomona.

He huringa kai rānei me mahi ahau?

Mō te nuinga o ngā pūngāwerewere kaore e mahi ana, kāore he kai motuhake e hiahiatia ana. Heoi, ki te whakaputa mai tō pūngāwerewere i ngā horomona nui, pea ka tūtohu tō tākuto i ngā huringa kai motuhake. Pea ka uru atu ki ēnei te whakaiti i te konutai mō te toto teitei, te karo i ētahi kai mena kei a koe te pheochromocytoma, te whai rānei i ngā aratohu mate huka mena ka pā ki tō huka toto.