Umdlavuza we-Adrenal

Ukwelashwa kwe-Adrenal Gland Tumor e-Hyderabad, eNdiya

I-Adrenal Cancer ibhekisela esimweni esenzeka ngokuvamile lapho amangqamuzana athile angajwayelekile angena noma eya ezindlala ze-adrenal. Kunezindlala ze-adrenal ezimbili ezitholakala emzimbeni womuntu, eyodwa ngaphezu kwezinso ngayinye. Umdlavuza we-adrenal ngokuvamile uvela engxenyeni engaphandle yezindlala ze-adrenal njengoba ubonakala njengesimila. Kuyivelakancane kakhulu futhi ingaqala kwesinye noma zombili izindlala ze-adrenal. Kwesinye isikhathi, amangqamuzana omdlavuza ezindlala ze-adrenal kungenzeka ukuthi aqhamuka kwezinye izingxenye zomzimba. Umdlavuza wesisu, amabele, isikhumba, izinso, kanye ne-lymphoma angasakazeka nasezindlala ze-adrenal. 

Izinhlobo Zomdlavuza We-Adrenal 

I-Adrenal Cancer ingahlukaniswa ngezinhlobo ezimbili:

• I-Benign Adenomas

I-Benign Adenomas ingama-intshi angu-2 ububanzi futhi kuthiwa mancane kakhulu kunezinye izinhlobo zomdlavuza we-adrenal. Abantu okutholakala ukuthi banalolu hlobo lwesimila ngokuvamile abanazo nhlobo izimpawu. I-Benign Adenomas ivame ukuvela kuphela kwenye yezindlala ze-adrenal. Kodwa-ke, ezimweni ezingavamile kakhulu lesi simila singenzeka kuzo zombili izinhlangothi zezindlala ze-adrenal. 

• I-Adrenal Cortical Carcinoma

 I-Adrenal Cortical Carcinoma yaziwa ngokuthi inkulu kakhulu kunethumba elikuma-benign adenomas. Uma isimila emzimbeni singaphezu kwamasentimitha angu-2 ububanzi, maningi amathuba okuba sibe nomdlavuza. Ezimweni ezimbalwa, isimila singaba sikhulu kangangokuthi siqala ukucindezela ezithweni zakho ezibangela izimpawu ezithile ukuthi zenzeke. Ngaphandle kwalokhu, isimila singaze sikhiqize amahomoni angabangela izinguquko ezithile emzimbeni. 

Izimbangela Zomdlavuza We-Adrenal

Imvelaphi eqondile ye-adrenal adenomas kanye ne-benign adrenal gland tumors akwaziwa kubacwaningi. Kodwa-ke, kunezimo zofuzo ezingakhuphula ingozi yokuthuthukisa lezi zicubu, kuhlanganise:

• I-neoplasia eminingi ye-endocrine, uhlobo 1 (MEN1).
• I-Familial adenomatous polyposis (FAP).
• I-Carney complex.
• I-Li-Fraumeni syndrome.
• I-multiple endocrine neoplasia uhlobo 2 (MEN2).
• Uhlobo 1 lwe-Neurofibromatosis.

Ukwengeza, izici ezifana nokukhuluphala nokusetshenziswa kukagwayi zingase futhi zandise amathuba okuthuthukisa i-adrenal adenoma.

Izimpawu ze-Adrenal Cancer

Umdlavuza We-Adrenal ungase ubangele noma ungabangeli izimpawu emzimbeni. Nokho, ngenxa yokukhiqizwa ngokweqile kwamahomoni afana ne-estrogen, i-androgen, i-aldosterone, ne-cortisol, kunezimpawu ezimbalwa ezingase zenzeke. Ngaphandle kwalokhu, uma isimila sicindezela ezithweni zomzimba, okungase futhi kubangele izimpawu ezimbalwa.

Izimpawu ezihlobene nokukhiqizwa ngokweqile kwe-estrogen noma i-androgen zingabonakala kalula ezinganeni uma ziqhathaniswa nabantu abadala. Lokhu kwenzeka ngoba izinguquko zomzimba zibonakala kakhulu ngesikhathi sokuthomba. Ngakho-ke, izimpawu ezimbalwa zomdlavuza we-adrenal ezinganeni zingabandakanya:

• Ukukhula kwezinwele okweqile ebusweni, emakhwapheni, nasendaweni ye-pubic.

• Umthondo omkhulu

• I-Clitoris Enwetshiwe 

• Ikhulisa amabele kubafana 

• Ukuthomba kokuqala emantombazaneni 

Ngaphezu kwesigamu sabantu abanomdlavuza we-adrenal azikho izimpawu ezingatholakala kuze kube yilapho isimila sikhulu ngokwanele ukuba sicindezele kwezinye izitho. Abesifazane abanama-adrenal tumors ngenxa yokukhiqizwa ngokweqile kwe-androgen bangabona ukukhula kwezinwele okubulalayo kanye/noma ukujula kwezwi. Ngenkathi amadoda anama-adrenal tumors ngenxa yokukhiqizwa ngokweqile kwe-estrogen angabona ukuthamba kwebele noma ukukhula kwebele.  

Izimpawu ezihlobene nokukhiqizwa kwe-aldosterone ne-cortisol ngokweqile kubantu abadala abatholakala benomdlavuza we-adrenal zingabandakanya:

• Ukwanda kwegazi

• Ukwenyuka kwamazinga kashukela egazini

• Ukukhuluphala ngokweqile 

• Izikhathi ezingajwayelekile

• Ukulinyazwa okulula 

• Ukucindezeleka 

• Ukuchama Njalo 

• Amajaqamba emsipha

Ukuxilongwa kwesimila kunzima kwabesifazane abane-estrogen eyeqile nabesilisa abanokukhiqizwa ngokweqile kwe-androgen. 

Izingozi Zomdlavuza We-Adrenal

Isizathu sangempela somdlavuza we-adrenal asaziwa. Kodwa-ke, kunezimo ezimbalwa ezingakubeka engcupheni eyengeziwe yokuthola ukuthi unomdlavuza we-Adrenal. Lezi zici zihlanganisa:

• I-Beckwith-Wiedemann Syndrome 

Lokhu kubhekisela ekukhuleni okungavamile okungabonakala ngemizimba emikhulu nezitho. Abantu abanalesi sifo basengozini yokuba nomdlavuza wezinso nesibindi. 

• I-Li-Fraumeni Syndrome 

Lokhu kubhekisela ekuphazamisekeni okuzuzwe njengefa okungadala ingozi eyengeziwe yezinhlobo eziningi zomdlavuza kuhlanganise nomdlavuza we-adrenal. 

• I-Familial Adenomatous Polyposis (FAP)

Lokhu kubhekisela kwesinye isimo esizuzwe njengefa esenzeka ngenxa yenani eliphezulu lama-polyp atholakala emathunjini amakhulu. Lesi simo size sibeke engcupheni enkulu yokuba nomdlavuza kapopopo. 

• Uhlobo 1 lwe-Endocrine Neoplasia 1 (MEN1)

Kungesinye isimo esitholakala ngofuzo esidala ukuthi kukhule izimila eziningi. Izimila ze-MEN1 zingaba yingozi futhi zibe yingozi. Lolu hlobo lwesimo lutholakala ezicutshini ezikhiqiza amahomoni afana ne-parathyroid, pituitary, namanyikwe. 

Ukubhema kungenye into eyingozi ekhulisa amathuba okuthola umdlavuza we-adrenal. Kodwa-ke, kuze kube manje, abukho ubufakazi obuqinile. 

Ukuxilongwa Kwe-Adrenal Cancer

Ukuxilongwa komdlavuza we-adrenal ngokuvamile kuqala ngokudlula emlandweni wakho wezokwelapha kanye nokuhlolwa ngokomzimba. Udokotela wakho angase aqoqe namasampula egazi nomchamo ukuze aphinde ahlolwe futhi aqhubeke nokwelashwa kwe-Adrenal Gland Tumor e-Hyderabad. Ukuxilongwa komdlavuza we-adrenal kungabandakanya ukwenza ezinye izivivinyo ezifana nalezi:

• Biopsy 

• ultrasound 

• I-CT Scan

• I-PET (Positron Emission Tomography) Iskena

• Ukuskena kweMRI

• I-Adrenal Angiography

Ukuvimbela Umdlavuza We-Adrenal

Ukuvimbela izimila ze-adrenal gland, kuhlanganise ne-adrenal adenoma, ngokuvamile akunakwenzeka. Izici eziyingozi ze-adrenal adenoma zivame ukuthonywa ukwakheka kwakho kofuzo. Kodwa-ke, kubalulekile ukuqaphela ukuthi ungahlakulela i-adrenal adenoma ngisho nalapho ungekho umlando womndeni wezimila ze-adrenal gland.

Ukwelashwa Kwe-Adrenal Cancer

Lapho umdlavuza we-adrenal usutholakele, ukuqala ukwelashwa kwesimila se-adrenal gland ekuqaleni kwesigaba kuzoqeda umdlavuza we-adrenal. Kunezinhlobo ezintathu ezinkulu zokwelapha udokotela wakho angase aziphakamise kuwe:

• Ukuhlinzwa

Inqubo yokuhlinzwa ingabandakanya inqubo eyaziwa ngokuthi i-adrenalectomy. Le nqubo ihilela ukukhipha izindlala ze-adrenal. Uma umdlavuza ususabalele kwezinye izingxenye zomzimba udokotela angase akhiphe izicubu eziseduze nama-lymph nodes.

• I-Radiation Therapy

Lokhu kwelashwa kusetshenziswe ama-X-ray anamandla amakhulu asiza ukubulala amangqamuzana omdlavuza futhi avimbele ukukhula kwamangqamuzana omdlavuza amasha. 

• Ukwelashwa ngamakhemikhali

Ngokuya ngesigaba somdlavuza, udokotela wakho angase asikisele ukwelashwa ngamakhemikhali. Lokhu ukwelashwa kwezidakamizwa zomdlavuza okuzosiza ukumisa noma yikuphi ukukhula okuqhubekayo kwamangqamuzana omdlavuza. I-Chemotherapy ingajovwa emsipha noma emthanjeni, noma inikezwe ngisho ngomlomo. 

Udokotela angakwazi ngisho nokuhlanganisa i-chemotherapy nezinye izinhlobo zokwelapha umdlavuza we-adrenal gland. Kukhona ezinye izindlela zokwelapha ezimbalwa ezitholakalayo zomdlavuza we-adrenal. Lokhu kungafaka:

• Ukukhishwa/Ukubhujiswa kwamaseli wesimila 

• Ukusebenzisa izidakamizwa ezifana neMitotane (Lysodren) 

• Ukwelashwa kwesilingo somtholampilo njengokwelashwa kwebhayoloji 

Izibhedlela ze-CARE zingasiza kanjani?

Ezibhedlela ze-CARE, sisebenzisa ubuchwepheshe besimanje nezinto zokusebenza ukuze sinikeze izinsiza eziphelele zokuxilonga emkhakheni wezokwelashwa. i-oncology. Odokotela bethu nabasebenzi abaqeqeshwe kahle bezinhlaka ezahlukene bazokusiza futhi bakunakekele ngesikhathi sakho sokululama ngemva kokuhlinzwa. Sikunikeza nokwesekwa kwangaphandle kwesibhedlela futhi siphendule noma yimiphi imibuzo ongase ube nayo ngemva kokwelashwa komdlavuza we-adrenal e-Hyderabad. I-CARE Hospitals yizibhedlela ezingcono kakhulu zomdlavuza we-adrenal eHyderabad futhi zinezindlela ezithuthukile nezesimanje zokuhlinza ezibhedlela ze-CARE ezizokusiza uthuthukise izinga lakho lempilo.