Iyini Izigwaca Ezinhle Ze-Adrenal? Izimpawu, Izimbangela, & Ukwelashwa

Izigwaca ezinhle ze-adrenal yizikhula ezingesiye izingculaza ezikhula ezindlebeni zakho ze-adrenal, izitho ezincane ezihlala phezulu kwezinso zakho. Lezi zigwaca empeleni zivame kakhulu futhi zitholakala ngengozi ngesikhathi sezivivinyo zokufanekisa zezinye izinkinga zempilo.

Izigwaca eziningi ezinhle ze-adrenal azibangeli zimpawu futhi azidingi ukwelashwa. Izindlebeni zakho ze-adrenal zikhiqiza ama-hormone abalulekile asikisela ukucindezeleka kwegazi, ukuguqulwa komzimba, nokuphendula ekucindezelekeni, kodwa eziningi zalezi zigwaca azithinti ukukhiqizwa kwama-hormone okujwayelekile.

Ziyini izigwaca ezinhle ze-adrenal?

Izigwaca ezinhle ze-adrenal yizikhula ezingenakulimaza ezakha kwenye noma kokubili izindlebeni zakho ze-adrenal. Ngokungafani nezicubu ezingculaza, azisasali kwenye ingxenye yomzimba wakho futhi ngokuvamile zikhula kancane ngokuhamba kwesikhathi.

Lezi zigwaca ziwela ezinhlotsheni ezimbili eziyinhloko ngokusekelwe emisebenzini yazo yama-hormone. Izicubu ezisebenza zikhiqiza ama-hormone amaningi angathinta umzimba wakho, kuyilapho izicubu ezingasebenzi zingakhiqizi ama-hormone futhi ngokuvamile azibangeli zimpawu.

Uhlobo oluvamile kakhulu lubizwa ngokuthi yi-adrenal adenoma, elikhomba cishe u-80% wazo zonke izigwaca ezinhle ze-adrenal. Lezi ngokuvamile ziyizinto ezincane, eziqondiwe ngokucacile odokotela bakho bangazibona kalula ekuhlaleni kwe-imaging.

Ziyini izinhlobo zezigwaca ezinhle ze-adrenal?

Kunezinhlobo eziningi zezigwaca ezinhle ze-adrenal, ngayinye inezici ezahlukene. Ukuqonda lezi zinhlobo kungakusiza ukuxoxa kangcono ngesimo sakho nodokotela wakho.

I-Adrenal adenomas yilohlobo oluvamile kakhulu, oluvamile ukubonakala njengezinto ezincane, ezizungezile. Ngokuvamile azisebenzi, okusho ukuthi azikhiqizi ama-hormone amaningi futhi ngokungavamile zibangeli zimpawu.

I-Pheochromocytomas yizigwaca ezimbalwa ezikhiqiza ama-hormone ekhipha i-adrenaline eningi kanye nezinto ezihlobene. Lezi zingabangela izimpawu eziqakathekile njengezinhlungu ezinzima kwekhanda, ukushaya kwenhliziyo okusheshayo, nokukhipha ukushisa okukhulu.

Ama-adenoma avelayo i-aldosterone akhiqiza i-aldosterone eningi kakhulu, uhormone olulawula uxinzelelo lwegazi. Lesi simo, esibizwa ngokuthi i-Conn's syndrome, singabangela uxinzelelo lwegazi oluphezulu namanqanaba e-potassium aphansi.

Ama-adenoma avelayo i-cortisol enza amazinga amaningi kakhulu e-cortisol, uhormone wokucindezeleka. Lokhu kungabangela i-Cushing's syndrome, ethinta ukuguqulwa kwemvelo, ushukela egazini, nobukhulu bomzimba.

I-cysts ye-adrenal yizikhwama ezigcwele uketshezi ezithuthukela ezinso ze-adrenal. Iningi lazo alibi nhlobo futhi alidingi ukwelashwa ngaphandle uma zikhula kakhulu.

Ziyini izimpawu zezinkinga ze-adrenal ezingalimi?

Eziningi zezinkinga ze-adrenal ezingalimi azinazo izimpawu nhlobo, kungakho zivame ukubizwa ngokuthi “i-incidentalomas” lapho zitholakala ngesikhathi sokucubungula izinto ezihlukile. Kodwa-ke, izinkinga ezisebenza ezikhiqiza ama-hormone amaningi zingadala ukuguquka okubonakalayo emzimbeni wakho.

Uma unezinkinga ezikhiqiza ama-hormone, ungase ube nezimpawu ezihlobene ne-hormone ethile eveliswa ngokweqile. Lezi zimpawu zingathuthuka kancane kancane ezinyangeni noma eminyakeni, okwenza kube lula ukuzinaka ekuqaleni.

Izimpawu ezivamile zezinkinga ze-adrenal ezisebenza zifaka:

• Uxinzelelo lwegazi oluphezulu olukhulu ukulawula
• Ukuzuza noma ukulahlekelwa isisindo okungachazeki
• Ubuthakathaka bemisipha noma ukukhathala
• Ukuguquka emanqanaba eshukela egazini
• Ukuguquka kwesimo sengqondo noma ukucasuka
• Ukungaphuli kahle ubuthongo

Ngokuqondene ne-pheochromocytomas ngokukhethekile, ungase uqaphele iziqephu zezimpawu ezinkulu eziya futhi ziye. Lokhu kungafaka izikhathi zokukhathazeka, ukukhishwa okukhulu koketshezi, ukushaya kwenhliziyo okusheshayo, nemizwa yokwesaba noma ukukhathazeka.

Izinkinga ezikhiqiza i-aldosterone zivame ukubangela uxinzelelo lwegazi oluphezulu kanye namanqanaba e-potassium aphansi. Ungase ube nokuqina kwemisipha, ubuthakathaka, noma ukuya njalo esikhumulweni ngenxa yalezi zingxabano zama-hormone.

Izinhlungu ezikhiqiza i-cortisol zingabangela izimpawu ze-Cushing's syndrome njengokwanda kobunzima ebusweni nasemuhlane ophezulu, imigqa emhlophe ebomvu, ukulula ukweluka, nobunzima bokuphulukisa eziphwemphemeni ezincane.

Yini ebangela i-tumors ezinhlanzi ze-adrenal?

Imbangela eqondile ye-tumors ezinhlanzi ze-adrenal ayiqondakali ngokuphelele, kodwa kubonakala sengathi zikhula lapho amaseli e-adrenal gland ajwayelekile eqala ukukhula ngokungajwayelekile. Lokhu kukhula kwamaseli kwenzeka ngokuzithandela ezigamekweni eziningi, ngaphandle kwanoma yisiphi isiqalisi esicacile.

I-tumors eziningi ezinhlanzi ze-adrenal zenzeka ngokungahleliwe ngaphandle kwanoma yiziphi izici ze-genetic ezidluliselwa ezizukulwaneni. Amaseli akho ahlukaniswa futhi azibuthe ngokwakho phakathi nokuphila kwakho, futhi ngezinye izikhathi le nqubo ihamba kancane, iholele ekwakheni kwe-tumor.

Izici eziningi zingase zifake isandla ekukhuleni kwe-tumor, yize azikho ezibangela ngokuqondile lezi zikhulu:

• Ukushintsha kwamaseli okuhlobene nobudala
• Ukuqina kwengcindezi kuma-adrenal glands
• Ukuguqulwa okuthile kwe-genetic
• Izici zemvelo
• Ithonya lama-hormone ngokuhamba kwesikhathi

Ezimeni ezingavamile, i-tumors ezinhlanzi ze-adrenal zingaba yingxenye ye-syndromes ze-genetic ezidluliselwa ezizukulwaneni. Lokhu kuhlanganisa i-Multiple Endocrine Neoplasia syndromes, i-Von Hippel-Lindau disease, ne-Neurofibromatosis type 1.

Kubalulekile ukuqonda ukuthi ukuba ne-tumor enhlanzi ye-adrenal akusho ukuthi wenze into engafanele noma ngabe ubuye wayivimba. Lezi tumors zikhula ngokwemvelo futhi ngokuvamile ziyisigaba nje sokuhlukahluka okujwayelekile kokuthi imizimba yethu igula kanjani futhi isebenza kanjani.

Ziyini izici ezingozi ze-tumors ezinhlanzi ze-adrenal?

Nakuba noma ubani angaba ne-tumors ezinhlanzi ze-adrenal, izici ezithile zingase zikhulise amathuba akho okuba nayo. Ukuqonda lezi zici ezingozi kungakusiza wena nodokotela wakho ukuba nilandelele impilo yakho ngokufanele.

Ubudala yiyona nto ebaluleke kakhulu engozi, ngoba lezi tumors ziyanda njengoba ukhula. Azitholakali ngokuvamile kubantwana kodwa ziyanda kakhulu kubantu abadala abangaphezu kweminyaka engu-40.

Izici ezingozi ezivamile zihlanganisa:

• Ukuba ugodu iminyaka engaphezu kuka-40
• Ukuba unesibindisi esiphezulu
• Ukuba ungowesifazane (ingozi enkulu kancane)
• Ukuba unesihlalo noma i-metabolic syndrome
• Umlando womndeni wezifo ze-adrenal
• Ukukhuluphala

Izimo ezithile ezingavamile ze-genetic zingakwandisa kakhulu ingozi yakho. Lokhu kuhlanganisa izimpawu ezidluliselwa ezizukulwaneni ezifana ne-Multiple Endocrine Neoplasia, ethonya amagxathu akhiqiza ama-hormone emzimbeni wakho wonke.

Ukuba unenye noma ngaphezulu kwezinto ezingozi akusho ukuthi uzophuthuma uthole i-adrenal tumor. Abantu abaningi abanizinto eziningi ezingozi abazitholi lezi zikhulu, kanti abanye abangenazo izinto ezingozi ezibonakalayo bayazithola.

Nini kufanele ubone udokotela nge-benign adrenal tumors?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu ezingase zibonise i-hormone-producing adrenal tumor. Ukutholakala kwasekuqaleni nokuphathwa okuqondile kungavimbela izinkinga futhi kuthuthukise ikhwalithi yokuphila kwakho.

Funani ukunakekelwa kwezokwelapha uma uqaphela isibindisi esiphezulu esiqhubekayo esinzima ukulawula ngemithi. Lokhu kungase kubonise i-aldosterone-producing tumor, ikakhulukazi uma futhi unemazinga aphansi e-potassium.

Izimpawu ezibalulekile ezidinga ukuvakashela udokotela zihlanganisa:

• Izinhlungu zikhanda ezinzima ngokwehla komzimba kanye nokushaya kwenhliziyo okusheshayo
• Ukushintsha kwesisindo okungachazeki
• Ubuthakathaka bemisipha obuqhubekayo noma ukukhathala
• Izigameko ezivamile zokukhathazeka noma ukwesaba
• Ukushintsha kwendlela obukeka ngayo (ubuso obukhulu, ama-stretch marks)
• Ubunzima bokulawula ushukela egazini

Uma usuvele utholakala une-adrenal tumor, landela isimiso sokulandelela sodokotela wakho ngisho noma uzizwa kahle. Ukuhlola okuvamile kusiza ukuqinisekisa ukuthi i-tumor ayikhulu noma ayiqali ukukhiqiza ama-hormone.

Ungalindi ukufuna ukunakekelwa okuphaphandayo uma uhlangabezana nezimpawu ezinzima njengobunzima besifuba, ubunzima bokuqeda umoya, noma izimpawu zesibindisi esiphezulu kakhulu njengolukhulu lwekhanda, ukushintsha kokubona, noma ukudideka.

Ziyini izinkinga ezingase zenzeke ngenxa yama-tumors angabi mabi e-adrenal?

Ama-tumors amaningi angabi mabi e-adrenal awenzi lutho futhi ahlala njalo impilo yakho yonke. Noma kunjalo, ama-tumors asebenza akhiqiza ama-hormones amaningi angabangela izinkinga ezinkulu zezempilo uma engaqondwa.

Izinkinga ongahlangana nazo ziyahluka kuye ngokuthi yimaphi ama-hormones akhiqizwa yi-tumor yakho nokuthi ama-hormones amaningi kangakanani angena egazini lakho. Lezi zimpikiswano zingase zikhule kancane kancane, okwenza ukutholakala kwangaphambi kwesikhathi nokuphathwa kubalulekile.

Izinkinga ezingase zenzeke zihlanganisa:

• Ukuphuma kwengcindezi yegazi
• Izinkinga zenhliziyo ezivela ekukhulu kwama-hormones
• Ukonakala kwesibindi okuvela engcindezi yegazi ehlala isikhathi eside
• I-Diabetes noma izinkinga zeshukela egazini
• Ubuthakathaka bamathanga nokweqa amathambo
• Ukushintsha kwemizwelo noma ukucindezeleka okukhulu

Ama-Pheochromocytomas angabangela izinkinga ezinkulu kakhulu ngesikhathi esibizwa ngokuthi “ukukhuphuka kwenhliziyo.” Lokhu kwenzeka lapho ingcindezi yegazi ikhuphuka iye ezilinganisweni eziyingozi, okungase kubangele isifo sobuchopho, ukuhlaselwa yinhliziyo, noma ezinye izinkinga ezisongela impilo.

Ama-tumors akhiqiza i-Aldosterone angabangela ukuncipha okukhulu kwe-potassium, okuphazamisa umsebenzi wemisipha nenhliziyo. Ngaphandle kokwelashwa, lokhu kungabangela izinkinga ezingozi zesivinini senhliziyo noma ukuqina kwemisipha.

Ama-tumors akhiqiza i-Cortisol angabangela izinkinga ze-Cushing's syndrome njenge-diabetes enzima, ukutheleleka okukhulu ngenxa yokuthobeka kokulwa nezifo, nokulahleka okukhulu kwamathanga okuholela ekweqeni kwamathanga.

Izindaba ezinhle ukuthi ngokwelashwa okufanele, izinkinga eziningi zingavinjelwa noma ziqondwe. Ukulandelela njalo nokunakekelwa okufanele kwezokwelapha kusiza ukuqinisekisa ukuthi noma yiziphi izinkinga zitholakala futhi zixazululwe ngokushesha.

Ama-tumors angabi mabi e-adrenal atholakala kanjani?

Ukuthola ama-tumors angabi mabi e-adrenal kuvame ukuqala ngokuhlolwa kwezithombe okubonisa ukuba khona kwe-tumor. Udokotela wakho uzokwenza uvivinyo olwengeziwe ukuze aqinisekise ukuthi i-tumor ikhiqiza ama-hormones futhi ahlole izici zayo.

Izinhlungu eziningi ze-adrenal zitholakala ngengozi ngesikhathi sokwenziwa kwe-CT scans noma i-MRI ezenzelwe ezinye izizathu. Uma lokhu kwenzeka, udokotela wakho uzokukhipha amavivinyo athile ukuze afunde kabanzi ngesimo nendima yomdlavuza.

Inkqubo yokuxilonga ivame ukufaka:

1. Umbiko wezokwelapha onemininingwane kanye nokuhlolwa komzimba
2. Izivivinyo ze-hormone zegazi nezinye ze-urine
3. Izifundo ezikhethekile zokwenza izithombe
4. Ukuhlolwa okwengeziwe kokucindezela i-hormone uma kudingeka

Ukuhlolwa kwe-hormone kubalulekile ngoba kunquma ukuthi umdlavuza wakho usebenza noma awusebenzi. Udokotela wakho uzohlola amazinga e-cortisol, i-aldosterone, izinto ezihlobene ne-adrenaline, nezinye i-hormone ze-adrenal.

Izifundo zokwenza izithombe zisiza udokotela wakho ukuthi ahlole usayizi womdlavuza, ukubonakala kwakhe, nokukhula kwakhe ngokuhamba kwesikhathi. I-CT scans ingakwahlukanisa phakathi kwezinhlobo ezahlukene zamasimu e-adrenal, ngenkathi i-MRI inikeza izithombe ezinemininingwane yesakhiwo somdlavuza.

Ngezinye izikhathi udokotela wakho angakuncoma ukuhlolwa okukhethekile njengokuhlolwa kokucindezela i-dexamethasone, okusisiza ukuthola ukuthi umdlavuza wakho ukhulisa i-cortisol engaphezulu. Lezi zihloko zihilela ukuthatha imithi nokuqapha indlela amazinga e-hormone akho aphendula ngayo.

Ezimweni ezingavamile lapho ukuxilongwa kusalungile, udokotela wakho angakuncoma i-biopsy. Noma kunjalo, lokhu kuvame ukugwenywa ngezinhlungu ze-adrenal ngenxa yengozi yezinkinga, ikakhulukazi uma umdlavuza uba yi-pheochromocytoma.

Iyini ukwelashwa kwezinhlungu ze-adrenal ezinhle?

Ukwelashwa kwezinhlungu ze-adrenal ezinhle kuncike ekutheni zikhiqiza i-hormone futhi zibangele izimpawu. Izinhlungu ezingasebenzi ngokuvamile zidinga ukulandelelwa njalo kuphela, kuyilapho izinhlungu ezisebenza ngokuvamile zidinga ukwelashwa okusebenzayo.

Ngezinhlungu ezingasebenzi ezincane kunama sentimitha angu-4, udokotela wakho cishe uzokuncoma indlela ethi "qapha ulinde". Lokhu kuhilela ukwenza izithombe njalo nokuhlolwa kwe-hormone ukuqinisekisa ukuthi umdlavuza awukhula noma uqala ukukhiqiza i-hormone.

Ukususa ngokusebenza kuyindlela ebaluleke kakhulu yokwelapha iziphumu ezisebenza ezingabangela izimpawu. Inkambiso evamile kakhulu ukukhipha i-adrenal nge-laparoscopy, okuyinkambiso yokusebenza engenayo ubuhlungu kakhulu eyenziwa ngezinsiza ezincane.

Izindlela zokwelapha zihlanganisa:

• Ukubhekwa njalo ngezithombe kanye nokukheka kwegazi
• Imithi yokulawula izimpawu ezihlobene ne-hormone
• Ukususa ngokusebenza nge-laparoscopy
• Ukuhlinzwa okuvulekile kweziphumu ezinkulu noma eziyinkimbinkimbi
• Imithi yegazi elikhuphukileyo yeziphumu ezikhiqiza i-aldosterone

Ngaphambi kokusebenza kwe-pheochromocytomas, udokotela wakho uzokunika imithi ekhethekileyo ukuvimbela imiphumela ye-adrenaline engaphezulu. Le nkathi yokulungiselela ihlala ihlala amasonto angu-1-2 futhi ikusiza ukuvimbela ukukhuphuka okungalindelekile kwegazi ngesikhathi sokuhlinzwa.

Ngeziphumu ezikhiqiza i-aldosterone, udokotela wakho angazama imithi ebizwa ngokuthi yi-aldosterone receptor blockers kuqala. Lezi zingasiza ukulawula igazi elikhuphukileyo kanye namanani e-potassium, nakuba ukuhlinzwa kuvame ukunikeza isisombululo esiqinile.

Ukubuyela esimweni esijwayelekile ngemuva kokusebenza kwe-adrenal nge-laparoscopy kuvame ukuba lula, abantu abaningi bebuyela emisebenzini yabo evamile phakathi kwamasonto angu-2-4. Udokotela wakho uzolandelela umsebenzi osaleyo we-adrenal gland kanye namanani e-hormone ngemuva kokusebenza.

Indlela yokuthatha ukwelashwa ekhaya ngezikhathi zeziphumu ze-adrenal ezinhle?

Ukukhathalela ekhaya zeziphumu ze-adrenal ezinhle kugxile ekulawuleni izimpawu nasekusekeleni impilo yakho yonke ngenkathi usebenza neqembu lakho lezokwelapha. Izimpu eziningi ezingasebenzi azidingi ukwelashwa ekhaya ngaphandle kokubhekwa njalo.

Uma une-tumor esebenzayo, ukulandela isimiso somuthi sika dokotela wakho kubalulekile ekulawuleni izimpawu nasekuvimbeleni izinkinga. Thatha yonke imithi eyalwe ngokunembile njengoba iyalwe, ngisho noma uzizwa kangcono.

Izindlela zokuphila ezingasiza zihlanganisa:

• Ukudla ukudla okunempilo yentliziyo okune-sodium encane
• Ukugcina isisindo esinempilo
• Ukuzivocavoca njalo, ngokulinganisela
• Ukuphatha ukucindezeleka ngezindlela zokuphumula
• Ukugwema i-caffeine ne-alcohol uma une-pheochromocytoma
• Ukulandelela ingcindezi yakho yegazi njalo

Ngokuphathelene ne-pheochromocytomas, ukudla okuthile nemisebenzi ingabangela izimpawu. Lokhu kufaka phakathi ama-cheese amadala, inyama ephiliswe, imithi ethile, nezimo ezincindezelayo. Udokotela wakho angakunika uhlu oluphelele lwento okumele uyigweme.

Gcina idayari yezimpawu ukuze ulandelele ukuthi uzwani kabi noma kangcono nini. Ulwazi lolu lusiza udokotela wakho ukulungisa ukwelashwa kwakho futhi lungaveza izindlela ezingase zibonise ukushintsha emisebenzini yomdlavuza wakho.

Hlala uthambile futhi ugcine izikhathi zokudla ezijwayelekile ukuze uqinisekise ushukela wegazi kanye namanqanaba e-hormone. Uma uthatha imithi ethonya amanqanaba e-potassium, dla ukudla okunama-potassium amaningi njengebhanana nama-leafy greens njengoba kunconywe udokotela wakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi uthole ukunakekelwa okuhle kakhulu. Ukufika uhlanganyele ngemibuzo nolwazi kwenza i-aphoyintimenti ibe nomphumela omuhle kuwe nakumhlinzeki wakho wezempilo.

Ngaphambi kwe-aphoyintimenti yakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini eyenza zibe ngcono noma zimbi. Faka imininingwane mayelana nobunzima nokuphindaphinda kwezimpawu, njengoba lolwazi lusiza udokotela wakho ukuqonda isimo sakho kangcono.

Letha okulandelayo e-aphoyintimenti yakho:

• Uhlu lwemithi yonke kanye nezinhlanganisela ozithathayo
• Imiphumela yokuhlola yangaphambili nemibiko yokwenza izithombe
• Umbukiso womndeni wezifo ze-adrenal noma ze-endocrine
• Ukufunda kwengcindezi yegazi uma uqapha ekhaya
• Amakhadi yomshuwalense kanye nokuhlonza
• Uhlu olubhaliwe lwemibuzo

Lungiselela imibuzo ethile mayelana nesimo sakho, izinketho zokwelashwa, nokuthi yini okulindelekile kuqhubeke. Unganqikazi ukubuza noma yini ekukhathazayo, kungakhathaliseki ukuthi ingabonakala kancane kangakanani.

Uma ubona uchwepheshe okokuqala, cela udokotela wakho oyinhloko ukuthi athumele amarekhodi akho ezempilo ngaphambi kwesikhathi. Lokhu kusiza uchwepheshe ukuthi aqonde umlando wakho wezokwelapha nesimo sakho samanje ngaphambi kokuvakashela kwakho.

Cabanga ukuthi ulethe ilungu lomndeni noma umngani ozosiza ukukhumbula ulwazi olubalulekile oluxoxwe ngesikhathi sokuqokwa. Ukuba nokusekelwa kungakusiza futhi uzizwe ukhululekile ukubuza imibuzo.

Kungenzeka kanjani ukuvimbela iziphumu ezingalutho ze-adrenal?

Ngeshwa, ayikho indlela ebonakaliswe yokuvimbela iziphumu ezingalutho ze-adrenal njengoba zivame ukuthuthuka ngokungahleliwe ngaphandle kwezizathu zangaphandle ezicacile. Noma kunjalo, ukugcina impilo enhle iyonke kungasiza ukunciphisa ingozi yezinhlungu uma uthuthukisa enye.

Nakuba ungakwazi ukuvimbela lezi ziphumu ngokuqondile, ungathatha izinyathelo zokusekela impilo yakho ye-adrenal nokuthuthuka kwakho okujwayelekile. Ukunakekelwa okujwayelekile kwezokwelapha kusiza ukuqinisekisa ukutholwa kwangaphambi kwesikhathi nokuphathwa okuhle uma isiphumu sithuthuka.

Izinyathelo zempilo jikelele ezingasiza zihlanganisa:

• Ukugcina isisindo esinempilo
• Ukudla ukudla okuhlanzekile okunamafutha amaningi nemifino
• Ukuzivocavoca njalo
• Ukuphatha ukucindezeleka ngokuphumelelayo
• Ukugwema utshaba notshwala okukhulu
• Ukuthola ukulala okwanele

Uma unomlando womndeni wezifo ze-adrenal noma izinhlobo ze-genetic eziwusifa, ukwelulekwa kwe-genetic kungasiza. Umqondisi we-genetic angahlola ingozi yakho futhi ancome izinyathelo ezifanele zokuhlola.

Ukuhlola okujwayelekile nodokotela wakho oyinhloko kusiza ukuthola izinguquko zempilo ngokushesha. Uma uthuthukisa izimpawu ezingase zibonise inkinga ye-adrenal, ukunakekelwa kwezokwelapha okusheshayo kuqinisekisa ukuxilongwa okusheshayo nokuphathwa.

Gxilisa ukunakekela lokho ongakwazi ukulawula: ukuphila impilo enempilo, ukuphatha kahle ezinye izimo zezempilo, nokugcina uxhumano neqembu lakho lokunakekelwa kwezempilo. Lezi zindlela zisekela impilo yakho yonke kungakhathaliseki ukuthi uthola yini iziphumo ze-adrenal.

Iyini into ebalulekile mayelana neziphumo ezinhle ze-adrenal?

Iziphumo ezinhle ze-adrenal zivame kakhulu, ngokuvamile ziyizikhulu ezingalimi ezingadingi ukwelashwa ngaphandle kokulandelela okuvamile. Abantu abaningi abaneziphumo baphila impilo evamile, enempilo ngaphandle komthelela omkhulu emisebenzini yabo yansuku zonke.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi igama elithi "benign" lisho ukuthi alinawo umdlavuza, ngakho-ke lezi ziphumo azisabalali kwamanye amalungu omzimba wakho. Ngisho neziphumo ezisebenza ezakha ama-hormone amaningi ngokuvamile zingaphathwa kahle ngokunakekelwa okufanele kwezokwelapha.

Uma ukwaziswe ukuthi une-adrenal tumor enhle, sebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze wenze uhlelo olufanele lokuqapha noma lokwelapha. Ukulandelela okuvamile kuqinisekisa ukuthi noma yiziphi izinguquko zitholakala ngokushesha futhi ziphathwe kahle.

Ungavumeli ukukhathazeka ngokuxilongwa kwakho kukudlulise. Ngokusetshenziswa kwamanje kwezithombe eziphambili nezinketho zokwelapha, odokotela bangalandelela futhi baphathe iziphumo ze-adrenal uma kudingeka, bakusize ukugcina ikhwalithi yempilo yakho.

Imibuzo evame ukubuzwa mayelana neziphumo ezinhle ze-adrenal

Ingabe iziphumo ezinhle ze-adrenal zingaba umdlavuza?

Iziphumo ezinhle ze-adrenal azivami ukuba umdlavuza. Iziphumo ezinhle zangempela njenge-adenomas zihlala zingumdlavuza kulo lonke ukuphila kwazo. Noma kunjalo, udokotela wakho uzolandelela i-tumor yakho ngezithombe eziqondile ukuqinisekisa ukuthi ihlala inezici ezinhle futhi ayibonisi izimpawu zamasiko okukhula okungathandeki.

Ingabe ngizodinga ukuhlinzwa nge-adrenal tumor yami enhle?

Iningi lama-tumors e-adrenal angabi yingozi alidingi ukuhlinzwa, ikakhulu uma engaqhubi lutho futhi encane kune sentimitha ezi-4. Ukuhlinzwa kuvame ukunconywa kuphela kuma-tumors asebenza abangela izimpawu, ama-tumors amakhulu kakhulu, noma lawo abonisa ukushintsha okukhathazayo ngokuhamba kwesikhathi. Udokotela wakho uzokusiza unqume indlela engcono kakhulu yesimo sakho.

Ngingazivakashela kangakanani izikhathi zokulandelela?

Ukuqina kokulandelela kuncike ohlotsheni lwe-tumor yakho kanye nezici zayo. Ama-tumors angasebenzi avame ukudinga ukwenziwa kwe-imaging njalo ngenyanga eziyi-6-12 ekuqaleni, bese kuba kancane uma ehlala eqinile. Ama-tumors asebenza noma lawo aphathwa angadinga ukulandelelwa njalo. Udokotela wakho uzokwenza isimiso esikhethekile esisekelwe endabeni yakho.

Ingabe ukucindezeleka kungabangela ukukhula noma ukubona kabi kwama-tumors e-adrenal?

Nakuba ukucindezeleka okuqhubekayo kuchaphazela ukukhiqizwa kwamahomoni ezindlala zakho ze-adrenal, asikho ubufakazi bokuthi ukucindezeleka kubangela ngokuqondile ukukhula kwama-tumors e-adrenal angabi yingozi noma kube namandla. Noma kunjalo, ukuphatha ukucindezeleka kusabalulekile impilo yakho yonke futhi kungakusiza uzizwe kangcono uma unezimpawu ezihlobene namahomoni.

Ingabe kunokuguqulwa kokudla engingakwenza?

Kubantu abaningi abana-tumors angasebenzi, akukho ukudla okukhethekile okudingekayo. Noma kunjalo, uma i-tumor yakho ikhiqiza amahomoni amaningi kakhulu, udokotela wakho angakuncoma ukuguqulwa kokudla okukhethekile. Lokhu kungafaka ukunciphisa usawoti ngenxa yokucindezeleka kwegazi, ukugwema ukudla okuthile uma une-pheochromocytoma, noma ukulandela imiyalelo ye-diabetic uma ishukela legazi lichaphazelekile.