ʻO Adenal adenoma he'ōpiko paʻakikī o nā'ōpū o loko. Eia nō naʻe, ma muli o keʻano o keʻano maikaʻi, no ka lōʻihi o ka hoʻomaluʻana, hiki i ka adenoma ke ulu i adenocarcinoma. A he wahi hōʻeha maikaʻi kēia. I kēia hihia, hiki i ka adenoma ke hopena i nā'ōpū i pili pono, a hana pū i nā hormones, aldosterone a me cortisol,ʻoiai he meaʻole kēia.
Nā kumu o Adenoma Adrenal
ʻO nā kumu kūponoʻole o nā'ōpū o ke kino he meaʻole. Hoʻokumu nā mea kūikawā i hoʻonohonoho ponoʻia ma nāʻikepili kahi e loaʻa ai i nā kānaka ka waiwai nui no ka hāʻawiʻana i nā neoplasms. ʻO nā hopena o keʻano a me ka uluʻana o adenomas penei:
- ka predisposition āpau;
- puaʻa;
- nā maʻi hormonal;
- lawe i kekahi mau hana kuʻuna waha .
Nā hōʻailona o ka adenoma adrenal
ʻO ka mea mua, uaʻikeʻia kēia maʻi e like me ka nele o ka hormonal, a hiki ke alakaʻi i kēia mau kumu:
- Nā ho'ākāka o nā 'ano o ke kāne' ē aʻe:
- wahine - hoʻonui i ka ulu lauoho a me ka waiwai nui o ka moa;
- i loko o nā kāne - ke uluʻana o nā māmā mammary, ke hoʻololi nei i ke kiʻi i kahi wahine nui.
ʻIkeʻia o nā'aleʻa pāʻokoʻa
Ma keʻano laulā,ʻaʻole hiki ke'ōleloʻia e like me nāʻike i hōʻikeʻia, hiki i ke kanaka ke hoʻomaʻemaʻe pono i ke adenoma adrenal. ʻOiai i ka wā mua e hiki keʻikeʻia me ke kōkua o ke ultrasound o nā'ōpū o ka'ōpū. No ka hoʻokaʻawaleʻana i ka hopena o ka haʻalulu, ua lawa ka hana e like me kēlā me kēia makahiki.
Eia hou, inā loaʻa kahi nodule nui, ua hoʻokōʻia ka hoʻokomo pūnaewele. Mahalo i nā holomua o kaʻepekema i nā makahiki i hala koke iho nei, ua hoʻonui nuiʻia ka maikaʻi o kēia mau noi. I kēia lā, hiki i ke kauka ke koho pono i ka nui, keʻano a me ka maikaʻi o nā'ōpoko. I kēia hihia, inā he nui o ka adenoma iʻoi aku ma mua o 3 knm ke anawaena, aia ma ka 95% o nā hihia he kino konaʻano, penei. he kāpena āpau. Hiki i nā adenomas o nā liʻiliʻi liʻiliʻi ke paʻakikī, akā i kēia manawa, aia he 13% o nā pūpū hanu.
Ma hope o ka hanaʻana i nā hiʻohiʻona hiʻohiʻona, ma keʻano he kūlana, ua hanaʻia he'enepili no kahi biopsy o ka'ōpū. Hiki iāʻoe ke hoʻoholo i ke kiʻekiʻe o nā hormones cortisol, adrenaline, norepinephrine a me ka keratin.
Hanaʻia o ka adenoma pāʻani
Me nā adenomas liʻiliʻi loa (ma ke kahua o ke kūlana nodule),ʻaʻole hiki ke hana i nā lāʻau, no ka mea,ʻaʻole ia he mea hōʻeha olakino. I kēia hihia, pono ka maʻi ma lalo o ka hoʻomalu mau o ke kauka nāna e nānā i ka uluʻana o ka maʻi.
I nā kumu'ē aʻe, pono e mālama kokeʻia ka maʻi ma muli o ka uluʻana o ka loli i keʻano o ka maʻi i kahi meaʻino. ʻO ia, ma keʻano he kūlana, i ka weheʻana o adenoma. Hiki ke hanaʻia i ka hana maʻamau a me ka laparoscope. I kēia hihia,ʻo ka hanaʻelua e hiki ai i ka hoʻohaʻahaʻaʻana i ka hopena i ka heleʻana o ka mea maʻi,
I ka wā mua o ke kāohiʻana o ka adenoma āpau me nā hōʻailona. Maanei, hoʻohanaʻia ka'ōmole "ulaula", a, heʻoiaʻiʻo, he hormone maoli ia a hiki iāʻoe ke hoʻolei i kekahiʻano o nā maʻi koko.