Created at:1/16/2025
Question on this topic? Get an instant answer from August.
Cancer y'igisabo cy'adrenal ni ubwoko bwa kanseri buke cyane butera mu misabo yawe y'adrenal, ari yo ngingo ebyiri nto ziba hejuru y'impyiko. Iyi misabo ikora imisemburo ikomeye ifasha mu kuringaniza umuvuduko w'amaraso, uburyo umubiri wakoresha imbaraga, n'uburyo umubiri uhangana n'umunaniro.
Nubwo ijambo “kanseri” rishobora gutera ubwoba, kumva icyo urimo guhangana na cyo ni intambwe ya mbere yo kubona ubuvuzi bukwiye. Ibiheri byinshi by'igisabo cy'adrenal biba bitari kanseri, ariko iyo kanseri ibayeho, kuyimenya hakiri kare no kuyivura birashobora kugira uruhare rukomeye mu buryo uzamera.
Cancer y'igisabo cy'adrenal, izwi kandi nka adrenocortical carcinoma, ibaho iyo utunyangingo tuba ku ruhu rwo hanze rw'igisabo cy'adrenal bikura mu buryo budakwiye. Imisabo yawe y'adrenal ingana n'amaguruki kandi igira uruhare rukomeye mu gutuma umubiri wawe ukora neza.
Ubu bwoko bwa kanseri buke cyane, bugera kuri umuntu umwe cyangwa babiri kuri miliyoni buri mwaka. Bushobora kubaho mu myaka yose, nubwo bukunze kuboneka mu bana bari munsi y'imyaka itanu n'abantu bakuru bafite imyaka hagati ya 40 na 50.
Kanseri ishobora gukora cyangwa itakoresha. Ibiheri bikora bikora imisemburo myinshi, bikunze gutera ibimenyetso byumvikana. Ibiheri bitakora ntibikora imisemburo yiyongereye, bityo bishobora gukura bikaba binini mbere yo kuboneka.
Ibimenyetso bya kanseri y'igisabo cy'adrenal bishobora gutandukana cyane bitewe n'uko ibiheri bikora imisemburo n'ubunini bwabyo. Abantu benshi ntibabona ibimenyetso mu ntangiriro, ariyo mpamvu iyi kanseri rimwe na rimwe iboneka mu bipimo byo kureba ubuzima bw'umubiri kubera ibindi bibazo by'ubuzima.
Iyo ibiheri bikora bikora imisemburo myinshi, ushobora kugira:
Ibiheri bitakora bishobora gutera ibimenyetso bitandukanye uko bikura bikaba binini:
Mu bindi bihe, cyane cyane mu bihe bidasanzwe, ushobora kugira ibimenyetso bifitanye isano no gukora imisemburo myinshi. Urugero, aldosterone nyinshi ishobora gutera umuvuduko mwinshi w'amaraso n'ikigereranyo gito cya potasiyumu, mu gihe cortisol nyinshi ishobora gutera syndrome ya Cushing ifite isura yuzuye n'umutumba.
Wibuke ko ibi bimenyetso bishobora guterwa n'ibindi bintu byinshi, byinshi muri byo atari kanseri. Ariko rero, niba ufite bimwe muri ibi bimenyetso bikomeye, birakwiye kubiganiraho na muganga wawe.
Impamvu nyamukuru ya kanseri y'igisabo cy'adrenal ntiyaramenyekana neza, ariko abashakashatsi bamenye ibintu byinshi bishobora gutera iterambere ryayo. Kimwe na kanseri nyinshi, birashoboka ko iterwa n'ivangura ry'imiterere y'umuntu n'ibintu byo mu karere.
Urugero rwinshi rwa kanseri y'igisabo cy'adrenal ibaho mu buryo butunguranye nta mpamvu isobanutse. Ariko kandi, uburwayi bumwe na bumwe bw'imiterere y'umuntu bushobora kongera ibyago byayo:
Ibintu byo mu karere bishobora kandi kugira uruhare, nubwo ibimenyetso bikigaragara. Ubushakashatsi bumwe bugaragaza ko kuba mu biyobyabwenge bimwe na bimwe cyangwa imirasire ishobora gutera iterambere rya kanseri y'igisabo cy'adrenal, ariko iyi mibanire ntabwo iremewe neza.
Imyaka isa n'igira uruhare, ifite ibihe bibiri by'ibanze: ubwana (imbere y'imyaka itanu) n'ubukure (imyaka 40 kugeza kuri 50). Impamvu y'iyi mibanire ntiyarumvikana neza, ariko bishobora kuba bifitanye isano n'imikorere itandukanye ya gene mu bihe by'ubuzima.
Birakomeye kumva ko kugira ibyago ntibisobanura ko uzatera kanseri y'igisabo cy'adrenal. Abantu benshi bafite ibyago ntibabona iyi ndwara, mu gihe abandi badafite ibyago bizwi bayibona.
Wagomba kuvugana n'umuganga wawe niba ufite ibimenyetso bikomeye bikuhangayikishije, cyane cyane niba bigira ingaruka ku buzima bwawe bwa buri munsi. Nubwo ibimenyetso byinshi bya kanseri y'igisabo cy'adrenal bishobora guterwa n'ibindi bintu bisanzwe, bihora ari byiza kwipimisha.
Shaka ubuvuzi vuba niba ubona:
Niba ufite amateka y'umuryango w'uburwayi bwa gene twavuze haruguru, tekereza kuvugana n'umuganga wawe ku buryo bwo kwipimisha. Kugisha inama ku miterere y'umuntu hakiri kare bishobora kugufasha kumva ibyago byawe no gufata ibyemezo byiza bijyanye no kugenzura.
Gira icyizere icyo umubiri wawe ukubwira. Niba hari ikintu kidakubereye cyangwa kitandukanye, cyane cyane niba ibimenyetso bikomeje ibyumweru birenga bike, ntutinye gushaka ubuvuzi. Muganga wawe ashobora kugufasha kumenya niba hari ibindi bipimo bikenewe.
Kumva ibyago bishobora kugufasha wowe na muganga wawe gusuzuma uburyo ushobora kurwara kanseri y'igisabo cy'adrenal, nubwo kugira ibyago ntibihamya ko uzayirwara. Abantu benshi bafite ibyago ntibabona kanseri y'igisabo cy'adrenal.
Ibyago by'ingenzi birimo:
Uburwayi bumwe na bumwe bwa gene buke cyane bukongera ibyago cyane. Li-Fraumeni syndrome, urugero, ifitanye isano n'ubwoko bwinshi bwa kanseri harimo kanseri y'igisabo cy'adrenal. Beckwith-Wiedemann syndrome, itera gukura cyane mu bana, inagira ibyago byiyongereye.
Bitandukanye na kanseri nyinshi, ibintu byo mu buzima nk'itabi, indyo, cyangwa kunywa inzoga ntibigaragara ko bigira ingaruka ku kaga ka kanseri y'igisabo cy'adrenal. Ibi bishobora gutera agahinda kuko bivuze ko nta ntambwe zikumira ushobora gufata.
Niba ufite ibyago byinshi, ntutinye. Nubwo ibyago byiyongereye, kanseri y'igisabo cy'adrenal iracyari nke cyane. Ahubwo, koresha ubwo bumenyi kugira ngo ugume uzi ibimenyetso kandi ukomeze kuvugana n'umuganga wawe.
Cancer y'igisabo cy'adrenal ishobora gutera ibibazo bitandukanye, byaba ibya kanseri ubwayo n'ibiterwa n'ubuvuzi bwo kuyirwanya. Kumva ibi bishoboka bishobora kugufasha gukorana n'itsinda ryawe ry'abaganga kugira ngo ubike ubugenzuzi kandi ubigenzure neza.
Ibibazo bifitanye isano n'imisemburo biri mu bibazo bikunze kugaragara:
Uko kanseri ikura, ishobora gukwirakwira mu bindi bice by'umubiri wawe. Igihembo n'ibihaha niho kanseri y'igisabo cy'adrenal ikunze gukwirakwira, nubwo ishobora kandi kugira ingaruka ku mitsi, amagufwa, cyangwa izindi ngingo.
Ibibazo bifitanye isano n'ubuvuzi bishobora kubaho mu kubaga, chemotherapy, cyangwa radiotherapy. Gukuraho igisabo cy'adrenal bishobora kugira ingaruka ku bushobozi bw'umubiri wawe bwo guhangana n'umunaniro, bisaba ubugenzuzi bw'imisemburo mu gihe cyo gukira.
Ibibazo bimwe na bimwe bidasanzwe birimo guturika kw'ibiheri, bishobora gutera kuva imbere, cyangwa gukanda ku ngingo ziri hafi uko ibiheri bikura. Ibihe bidasanzwe bya adrenal, bihungabanya ubuzima, bishobora kubaho niba imisabo yombi y'adrenal yarahungabanye cyangwa yakuweho.
Nubwo uru rutonde rushobora gutera ubwoba, wibuke ko itsinda ryawe ry'abaganga ryatojwe kureba no gucunga ibi bibazo. Byinshi muri byo bishobora kwirindwa cyangwa kuvurwa neza iyo byamenyekanye hakiri kare.
Kumenya kanseri y'igisabo cy'adrenal bisaba intambwe nyinshi n'ibipimo kugira ngo hamenyekane niba hari kanseri kandi hamenyekane uko ikwirakwira. Muganga wawe azatangira akuze amateka yawe y'ubuzima n'isuzuma ry'umubiri kugira ngo yumve ibimenyetso byawe n'ibyago byawe.
Ibisubizo by'amaraso n'impisi ni ibikoresho byo kubona indwara bikunze gukoreshwa mbere. Ibi bipimo bipima urwego rw'imisemburo kugira ngo harebwe niba imisabo yawe y'adrenal ikora imisemburo myinshi. Muganga wawe ashobora kugenzura cortisol, aldosterone, n'izindi misemburo y'igisabo cy'adrenal.
Ibisubizo byo kureba umubiri bitanga amashusho y'imiterere y'imisabo yawe y'adrenal:
Niba amashusho agaragaza kanseri, muganga wawe ashobora kugusaba biopsy, nubwo ibi bidafite akamaro mu biheri by'igisabo cy'adrenal. Ahubwo, icyemezo cyo kubaga gikunze gushingira ku miterere y'amashusho n'ibisubizo byo gupima imisemburo.
Ibindi bipimo byihariye bishobora kuba harimo ibizami bya gene niba hari impungenge z'uburwayi bwa gene bw'umuryango. Muganga wawe ashobora kandi gutegeka ibizami kugira ngo asuzume uko izindi ngingo zawe zikora mbere y'uko ubuvuzi butangira.
Uburyo bwo kubona indwara bushobora gutera ubwoba, ariko buri kizamini gitanga amakuru akomeye afasha itsinda ryawe ry'abaganga gutegura gahunda y'ubuvuzi ikwiye uko uri.
Ubuvuzi bwa kanseri y'igisabo cy'adrenal bushingiye ku bintu byinshi birimo icyiciro cya kanseri, ubuzima bwawe muri rusange, n'uko ibiheri bikora imisemburo. Kubaga ni bwo buvuzi nyamukuru iyo kanseri itarakwirakwira hanze y'igisabo cy'adrenal.
Gukuraho igisabo cy'adrenal (adrenalectomy) ni bwo buryo bwo kuvura bukunze gukoreshwa mbere. Rimwe na rimwe ibi bishobora gukorwa hifashishijwe uburyo buke cyane bwo kubaga, nubwo ibiheri binini bishobora gusaba kubaga gufunguye. Niba kanseri yarakwirakwiye mu ngingo ziri hafi, umuganga wawe ashobora gukenera kuzikuraho.
Ubundi buvuzi bushobora kuba harimo:
Mitotane ni imiti ikoreshwa cyane cyane kuri kanseri y'igisabo cy'adrenal. Ishobora kwangiza umubiri w'igisabo cy'adrenal no kugabanya gukora imisemburo, ariko isaba ubugenzuzi bukomeye kubera ingaruka mbi zishoboka.
Kuri kanseri y'igisabo cy'adrenal ikomeye cyangwa ikwirakwira, ubuvuzi bushingiye ku kuringaniza indwara no gucunga ibimenyetso. Ibi bishobora kuba harimo guhuza imiti ya chemotherapy cyangwa kwitabira igeragezwa ry'ubuvuzi rigamije gusuzuma ubuvuzi bushya.
Ubuvuzi bwo gusubiza imisemburo bukunze kuba ngombwa nyuma yo gukuraho igisabo cy'adrenal kugira ngo hahindurwe imisemburo umubiri wawe utakibasha gukora. Iki ni ubuvuzi bwa burundu busaba ubugenzuzi buhoraho no guhindura.
Itsinda ryawe ry'abaganga rizakorana nawe kugira ngo bahuze ingaruka nziza n'ubuzima bwiza, bahindura gahunda y'ubuvuzi uko bikenewe hashingiwe ku buryo ugaragara.
Guhangana na kanseri y'igisabo cy'adrenal mu rugo bisaba kwita ku buzima bwawe bw'umubiri n'ubw'umutima mugihe ukurikiza amabwiriza y'itsinda ryawe ry'abaganga. Ibikorwa byawe bya buri munsi bizasaba impinduka, ariko abantu benshi basanga bashobora kugira ubuzima bwiza.
Gucunga imiti ni ingenzi niba ufashe imiti yo gusubiza imisemburo cyangwa izindi miti yagenewe. Shyiraho uburyo bwo gufata imiti mu bihe bimwe na bimwe buri munsi, kandi ntukigeze ucikwa imiti udahamagaye muganga wawe mbere. Komereza urutonde rw'imiti yawe igihe cyose.
Genzura ibimenyetso byawe kandi ukoreshe ibitabo byoroshye byerekana:
Ibiryo bigira uruhare mu gukira kwawe no mu buzima muri rusange. Fata ibiryo byuzuye birimo imbuto, imboga, na poroteyine nke. Niba ubuvuzi bugira ingaruka ku bwitonzi bwawe, gerageza ibiryo bike, byinshi mu gihe cy'umunsi.
Imikino myoroheje, nk'uko muganga wawe yabyemereye, ishobora kugufasha kugumana imbaraga zawe n'imbaraga. Ibi bishobora kuba ibintu byoroshye nk'inzira ngufi cyangwa imikino yoroheje. Tega amatwi umubiri wawe kandi ntukirengagize cyane mu minsi migoye.
Guhangana n'umunaniro ni ingenzi cyane. Tekereza ku buryo bwo kuruhuka nk'umwuka mwinshi, gutekereza, cyangwa ibikorwa ukunda. Ntutine kuvugana n'inshuti, umuryango, cyangwa amatsinda y'ubufasha iyo ukeneye ubufasha bwo mu mutima.
Komereza amakuru y'ubufasha bw'ibikorwa byihutirwa, harimo ibiro by'umuganga wawe n'ibitaro. Menya igihe ukwiye gushaka ubuvuzi bwihuse, nko kugaragara kw'ibimenyetso bya adrenal crisis cyangwa ingaruka mbi zikomeye ziterwa n'ubuvuzi.
Kwitwara neza mbere yo kujya kwa muganga bishobora kugufasha gukoresha neza igihe cyanyu hamwe kandi bikaba byizewe ko ibibazo byawe byose byakemuwe. Gutegura gato bigira uruhare rukomeye mu kubona ubuvuzi n'amakuru ukeneye.
Mbere y'uko ujyayo, andika ibimenyetso byawe harimo igihe byatangiye, uko bikunze kubaho, n'icyo biba byiza cyangwa biba bibi. Ba uhamya ku gihe n'uburemere - aya makuru afasha muganga wawe kumva neza uko uri.
Tegura urutonde rw'ibibazo ushaka kubabaza:
Zana imiti yawe yose, harimo imiti yo mu maduka n'ibindi, cyangwa nibura urutonde rwuzuye. Kandi uzane ibisubizo by'ibizamini biheruka cyangwa raporo z'amashusho y'abandi baganga.
Tekereza kuzana inshuti cyangwa umuryango w'umuntu ukunda. Bashobora kugufasha kwibuka amakuru yavuzwe no gutanga ubufasha bwo mu mutima. Bamwe basanga ari byiza kwandika cyangwa kubabaza niba bashobora gufata amajwi.
Ntugatinye gusaba muganga wawe gusobanura ibintu mu magambo yoroshye niba ururimi rw'ubuvuzi rukuhangayikishije. Ni uburenganzira bwawe kumva uko uri n'uburyo bwo kuvurwa neza.
Witondere mu buryo bw'umutima mbere yo kujya kwa muganga. Ni ibisanzwe kumva uhangayitse cyangwa udashoboye. Wibuke ko itsinda ryawe ry'abaganga riri aho kugufasha, kandi nta kibazo gito cyangwa kitavugwa.
Cancer y'igisabo cy'adrenal ni indwara nke ariko ikomeye isaba ubuvuzi bwihuse n'ubuvuzi bwihariye. Nubwo kubona iyi ndwara bishobora gutera ubwoba, kumva uko uri no gukorana n'itsinda ryawe ry'abaganga bishobora kugufasha guhangana n'ubuvuzi neza.
Kumenya indwara hakiri kare no kuyivura byongera cyane amahirwe yo gukira kanseri y'igisabo cy'adrenal. Niba ufite ibimenyetso bikomeye, cyane cyane ibyifitanye isano n'impinduka z'imisemburo cyangwa kubabara mu nda, ntutinye gushaka ubuvuzi.
Wibuke ko nturi wenyine muri uru rugendo. Itsinda ryawe ry'abaganga, umuryango, inshuti, n'amatsiko y'ubufasha byose ni ibintu by'agaciro. Fata icyo ushobora kugenzura - gukurikiza gahunda y'ubuvuzi bwawe, kubungabunga ubuzima bwawe, no kuguma uzi uko uri.
Uburambe bwa buri wese kuri kanseri y'igisabo cy'adrenal ni bwihariye. Ikintu cy'ingenzi ni ukubona ubuvuzi bukwiye buhuye n'uko uri kandi ukaguma ufite icyizere mugihe uhanganye n'ibibazo biri imbere.
Cancer y'igisabo cy'adrenal ni nke cyane, igira ingaruka kuri umuntu umwe cyangwa babiri kuri miliyoni buri mwaka. Ibi bituma iba nke kurusha izindi kanseri. Ibiheri byinshi by'igisabo cy'adrenal biboneka biba bitari kanseri, ibyo ni ibyiza ku bantu benshi bafite ibiheri by'igisabo cy'adrenal biboneka mu bipimo byo kureba umubiri.
Yego, ushobora kubaho ubuzima busanzwe ufite igisabo kimwe cy'adrenal kizima. Igisabo cyawe gisigaye cy'adrenal gishobora gukora imisemburo ihagije kugira ngo iboneke mu mubiri wawe. Ariko rero, mu bihe by'umunaniro ukomeye cyangwa indwara, ushobora gukenera imisemburo y'inyongera. Muganga wawe azakurikirana urwego rw'imisemburo yawe kandi ahindura ubuvuzi uko bikenewe.
Urugero rwinshi rwa kanseri y'igisabo cy'adrenal ibaho mu buryo butunguranye kandi ntizanwa n'umuryango. Ariko rero, uburwayi bumwe na bumwe bwa gene nk'iya Li-Fraumeni syndrome na Beckwith-Wiedemann syndrome bishobora kongera ibyago byawe. Niba ufite amateka y'umuryango w'izi ndwara cyangwa abantu benshi bo mu muryango wawe barwaye kanseri, kugisha inama ku miterere y'umuntu bishobora kugufasha.
Ibyago byo gukira bitandukana cyane bitewe n'icyiciro cyo kumenya indwara n'ibindi bintu. Kanseri y'igisabo cy'adrenal yo mu ntangiriro itarakwirakwira ifite amahirwe meza yo gukira kurusha kanseri ikomeye. Muganga wawe ashobora gutanga amakuru arambuye ashingiye ku mimerere yawe, kuko ibyago byo gukira ni imibare rusange ishobora kutahuza n'uko uzamera.
Yego, kanseri y'igisabo cy'adrenal ishobora gusubira nyuma yo kuvurwa, ariyo mpamvu gukurikirana ubuvuzi buhoraho ari ingenzi. Muganga wawe azategura ibizami bikomeza kugira ngo akurikirane ibimenyetso byose byo gusubira kwa kanseri. Kumenya indwara hakiri kare bishobora gutuma ubuvuzi buhita butangira, ibyo bishobora kongera amahirwe yo gukira. Urusubizo rwinshi rugaragara mu myaka mike nyuma yo kuvurwa bwa mbere.