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Zvironda Zvisina Ngozi Zve Adrenal

Pfupiso

Zvironda zvine utsinye zve adrenal gland ndizvo zvikwambo zvisiri kenza. Zvinoumbwa mu adrenal glands. Adrenal glands chikamu che endocrine system. Aya maglands anoita mahomoni anotuma meseji kune chero chikamu chemuviri. Kune adrenal glands mbiri, imwe iri pamusoro peitsvo imwe neimwe. Iyo gland ine marudzi maviri etishu: cortex nemedulla. Zvironda zvine utsinye zve adrenal gland zvinokura mu cortex zvinonzi adrenal adenomas. Izvo zvinokura mu medulla zvinonzi pheochromocytomas (fee-o-kroe-moe-sy-TOE-muhs). Kazhinji zvironda zvine utsinye zve adrenal gland hazvikonzere zviratidzo uye hazvidi kurapwa. Asi dzimwe nguva aya zvironda anoita mahomoni akawanda anogona kukonzera matambudziko. Mahomoni kubva ku cortex anotonga metabolism, kumanikidzwa kwe ropa uye zvimwe zvikamu zvemuviri, sekukura kwevhudzi. Mahomoni kubva ku medulla anotonga mhinduro yemuviri pakumanikidzwa.

Zviratidzo

Zviratidzo zvinoenderana nekuti kana tumor inogadzira mahomoni, homoni ipi inogadzira uye inogadzira yakawanda sei. Asi zvimwe zvirwere zve adrenal gland hazvikonzere zviratidzo nekuti hazvigadziri mahomoni. Rudzi runowanzoitika rwe adrenal tumor, rinonzi adenoma, rinobva ku adrenal cortex. Rudzi urwu rwe tumor runogona kukonzera zviratidzo zvakadai se: Kuwedzera uremu. Kuchema nyore. Kuderera kweropa, kunonziwo hypertension. Chidhakwa cheshuga. Kusuruvara. Kuneta. Kushaya simba kwemhasuru kana kurwadziwa. Rudzi rwe adrenal tumor kubva kumedulla rinonzi pheochromocytoma. Inogona kukonzera zviratidzo zvinotevera: Kuderera kweropa, kunonziwo hypertension. Kurova kwemoyo nekukurumidza. Kupererwa neperspiration. Kuchema. Kurwadziwa kwemusoro.

Zvinokonzera

Chikonzero chemahum tumo ane utsinye e adrenal kazhinji hachizivikanwi.

Zvinhu zvinokonzera njodzi

Zvinotevera zvinogona kuwedzera njodzi yekuwana ganda re adrenal tumor rakanaka:

  • Nhoroondo yemhuri yemaganda e adrenal tumors akanaka.
  • Zvirwere zvakati zvinopfuudzwa kuburikidza nemhuri, zvinonzi genetic syndromes, izvo zvinoita kuti ganda re adrenal tumors riwedzere.
  • Nhoroondo yekubviswa kwetumor ye adrenal nekuvhiya.
Kuongorora

Zvirwere zve adrenal gland zvinowanzowanikwa netsaona pane imaging inoitirwa chimwe chikonzero. Mushandi wehutano anobva atarisa kuti tumor iyi ine mukana wakakura sei wekuva cancer uye kana iri kuburitsa homoni yakawanda.

Pamwe chete nekuongororwa kwemuviri, mushandi wehutano anoita bvunzo dzeropa neyeweti kuti aone kana tumor iri kuburitsa homoni yakawanda. Bvunzo idzodzo dzinoratidzawo kuti homoni ipi iri kubudiswa ne tumor.

Imaging tests inogona kupa ruzivo rwakawanda nezve tumor. Inogona kuratidza kana tumor iri pangozi yakakura yekuva cancer, izvo zvisingawanzoitika.

Imaging tests inogona kusanganisira:

  • CT scan. Rudzi urwu rwe scan runotora akatevedzana ma X-ray mifananidzo kubva pakona dzakasiyana uye runovaita mifananidzo ye cross-sectional.
  • MRI. Rudzi urwu rwe scan runoshandisa radio waves ne magnetic field kuita mifananidzo yakajeka.
  • M-iodobenzylguanidine (MIBG) imaging. Rudzi urwu rwe scan runoshandisa compound ine radioactivity inoiswa mumuviri. Zvimwe zvirwere zve adrenal gland zvinotora iyo compound. Mufananidzo unogona kuratidza huwandu hudiki hwe compound iyo inotorwa ne tumor.
  • Positron emission tomography (PET). Rudzi urwu rwe scan runogonawo kuona compound ine radioactivity inotorwa ne tumor.
  • Ga-DOTATATE PET scanning. Iyi bvunzo itsva ye imaging haina kupa kwazvo. Ga-DOTATATE PET scanning inoitirwa pamwe chete ne CT scan kana MRI. Rudzi urwu rwebvunzo rwakanaka pakutsvaga zvirwere zve endocrine system, senge zvirwere zve adrenal gland zvisina ngozi.
Kurapa

Zvirwere zvisina ngozi zve adrenal kazhinji hazvidi kurapwa. Kurapwa kunoenderana nekuti zvirwere zvinogona kuva kenza zvakadii. Kurapwa kunogona zvakare kuenderana nekukura kwehomoni, rudzi rwehormone inogadzira uye huwandu hwayo.

Kurapwa kwezvirwere zvidiki zvisina ngozi zve adrenal zvisina kugadzira homoni kunogona kusanganisira kutarisa chirwere. Zvinogona kunge zviri bvunzo dzekuongorora kakawanda mushure memwedzi mitatu kusvika ku6 mushure mekuongororwa, uye ipapo gore rimwe chete kana maviri. Kutarisa kunogona zvakare kusanganisira kuyedza homoni gore rega rega kwemakore mashanu.

Kuvhiya kubvisa adrenal gland, inonzi adrenalectomy, inogona kushandiswa kurapa chirwere chisina ngozi che adrenal. Kuvhiya kunogona kuitwa laparoscopically kana chirwere chidiki uye zvisingaite kuti chive kenza.

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