Umhlaza adrenal okanye ithumba adrenal

adrenal - unamadlala ibekwe enyeleni eliphezulu ngamnye nezintso. Avelisa hormone ekuthethwa ngazo egazini, ukugcina uxinzelelo lwegazi ze unike neempendulo uxinezeleko.

Umhlaza adrenal uhlobo olunqabileyo lomhlaza. Uninzi nethumba adrenal kuba nabungozi, ingakumbi ukuba ithumba ise kwamadlala zangaphandle. Ezi yamathumba zibizwa ngokuba ngamathumba adrenocortical.

Iintlobo ezimbini eziphambili yamathumba adrenal ukuba iphuhlisa Medulla, zezi:

• Pheochromocytoma - ithumba kunqabile kakhulu, nezihlandlo isenzeko Ukwakheka malunga ishumi ekhulwini;
• Neuroblastoma - uhlobo lwe yobubi ukuba kwenzeka ubukhulu becala ebantwaneni.

Umhlaza adrenal - Iimpawu

Iimpawu ezininzi kakhulu sisifo ibhekisela syndrome Cushing kaThixo, nto leyo luphawulwa mpawu zilandelayo:

• Ubuthathaka izihlunu imilenze aphezulu kunye iingalo;
• Ukwanda kukhule uboya phezu umzimba kunye nobuso kwabasetyhini;
• iidipozithi ezityebileyo kule ndawo umzimba, ingakumbi entanyeni;
• Skin ngobuciko.

Kwakhona, kaninzi isifo enxulumene nophuhliso seswekile.

Ezi iimpawu kunikelwa ubungqina oku njengendlela elihle lomhlaza adrenal, nesibuhlungu. Kuyo nayiphi na imeko, ekufumanekeni iziganeko ezinjalo, kufuneka bafune unyango ngoko nangoko.

Ekubeni feohrotsitoma uvelisa izinto ezichaphazela uxinzelelo lwegazi kunye nempendulo ukuya simo, kungabonakala ngokwayo ezininzi iimpawu, ingakumbi:

• Isifo senhliziyo okukhulu ;
• niphele;
• intloko ebuhlungu;
• imvakalelo njalo linxano;
• ukubila;
• iyangongoza intliziyo;
• Ukuntlontlozela esifubeni ;
• echama rhoqo.

Wokuhlunyelwa zezi ntlobo zomhlaza zixhaphake kakhulu kudidi eliphakathi-ubudala.

Umhlaza adrenal - Oonobangela

Ubudala factor. Ngokuqhelekileyo, umhlaza adrenal ukuchonga abantwana abaninzi badla, okanye abantu bafikelele kwinqanaba engama-40-50.

Ezingokuqandusela ithumba multiple - yimfuzo. Yenza ukuba semngciphekweni wokuhlaselwa ngumhlaza zepancreas kunye kummandla esinobubovu parathyroid, kunye ingqondo yebhinqa. Ezinye izigulane ikwafumana Oncology le neuron adrenal, ngesiqhelo nazimpawu.

Noko ke, umhlaza neuron adrenal kwiimeko ezininzi akukho azuze. Syndrome Li-Fraumeni i amila, xa amathuba umhlaza adrenal, umhlaza wesinye nomhlaza webele.

Kuphuhliso zomhlaza neuron adrenal aluchaphazeli okusingqongileyo factor, indlela yokuphila, imikhwa emibi ukuba abe nempembelelo ebalulekileyo nezinye iintlobo ezahlukeneyo zomhlaza.

Umhlaza adrenal - Diagnosis

• iimvavanyo zegazi (ezinto eziphilayo, kumetwa amanqanaba estrogen kunye testosterone);
• imbali yezonyango yomguli kunye noviwo komzimba - makhe wazi ngemeko jikelele yomguli, ubukho zamanzi iindawo nkovu adumbileyo;
• Urinalysis - yenziwa ukuze kufunyaniswe ngobungakanani ketosteroids-17 kunye cortisol ekuqokeleleni umchamo ngemihla. Amanqanaba andileyo hormone asenokubonisa ukuba kukho umhlaza adrenal;
• CT (ngekhompyutha Itomography) - iimviwo X-reyi yesifuba, kukudala imifanekiso-ntathu amalungu angaphakathi isigulane, eboniswe kwi computer;
• MRI (intlokoma magnetic umfanekiso) - indlela zokuxilonga apho computer kwaye isicelo zibuthe. Oku kunceda oogqirha ukufumana imifanekiso ecace gca yokuba amalungu kunye namalaphu. Ukuba urhanela ukuba umhlaza adrenal na MRI le kwisisu;
• Angiography adrenal - Indlela iimviwo X-ray iimpahla yegazi, ezithi zibekwe kufutshane le ndlala adrenal. Equka ulawulo arhente umahluko kwemithambo adrenal. Yenziwe ukuze abone enoba kukho ukunyhashwa kumsebenzi kwenkqubo hematopoietic;
• Pet (i ukukhutshwa Itomography) - imisela iqondo somhlaza Ukudlulela. Xa le nkqubo ikhutshwa phandle kulawulo isisombululo iswekile kulo umthambo lomguli. Iswekile molekyuli radiolabeled, ngoko intshukumo yayo esweni ngokusebenzisa PET scanner yegazi. Ezijikelezayo malunga emzimbeni wakhe, yena uthatha imifanekiso. Ngenxa yokuba iiseli umhlaza ukufunxa molekyuli iswekile ngokukhawuleza kunesiqhelo, ukuba ebonakalayo imifanekiso ngokucacileyo ngakumbi.

Unyango somhlaza nobubovu adrenal kwaSirayeli

Xa umhlaza ingaba adrenal ikakhulu unyango ngotyando iyasetyenziswa. Ngenxa yokuba le ndlala adrenal incinane, koko, kuthe kwindawo engafikelelekiyo, emva kokuba umsebenzi kuhlala umonakalo omkhulu. Amanye amaziko onyango ezikhethekileyo, umzekelo, ekliniki, "Asaf ha Rofé" ukuthintela le into krakra luyenziwa uqhaqho laparoscopy. Kule ukungenelela kuhlinzwa kuyinto kukuqulungana phantse imperceptible njengoko zazo lwenziwa nge okuhlatywa elincinane kwisisu.

Xa pheochromocytoma kufuneka iliso rhoqo iihomoni eziveliswa thumba phambi nasemva kotyando, kwakunye kuqheleke ukuyilwa emva resection.

Unyango ngumhlaza kwaSirayeli, xa umhlaza ethile adrenal, uqikelelo banethemba, kwaye izigulane ezininzi angachacha ngokupheleleyo kwaye abuyele ubomi obuqhelekileyo.