Pheochromocytoma

Pheochromocytoma cuta ce mai saurin ciwan nama. Yana haifar da sakin epinephrine da norepinephrine da yawa, hormones da ke kula da bugun zuciya, metabolism, da hawan jini.

Pheochromocytoma na iya faruwa azaman ƙari guda ɗaya ko kuma sama da ƙari ɗaya. Yawanci yana tasowa a tsakiyar (medulla) na ɗaya ko duka biyun gland. Glandan adrenal sune gland-siffa biyu-uku. Gland daya yana saman kowacce koda. A cikin al'amuran da ba safai ake samu ba, pheochromocytoma yana faruwa a wajen gland. Idan ya yi, yawanci galibi wani wuri ne a cikin ciki.

Fewananan pheochromocytomas suna da cutar kansa.

Ciwan ƙwayar na iya faruwa a kowane zamani, amma sun fi kowa daga farkon zuwa tsakiyar girma.

A cikin 'yan lokuta kaɗan, ana iya ganin yanayin tsakanin' yan uwa (gado).

Mafi yawan mutanen da suke da wannan cutar suna da hare-hare na alamun bayyanar, wanda ke faruwa yayin da ciwon ya saki homon. Hare-haren yawanci suna wucewa daga fewan mintoci kaɗan zuwa awoyi. Saitin alamun bayyanar sun hada da:

• Ciwon kai
• Bugun zuciya
• Gumi
• Hawan jini

Yayinda ƙari ya girma, hare-haren sau da yawa suna ƙaruwa cikin mita, tsayi, da tsanani.

Sauran cututtukan da za su iya faruwa sun haɗa da:

• Ciwon ciki ko kirji
• Rashin fushi, juyayi
• Maɗaukaki
• Rage nauyi
• Tashin zuciya da amai
• Rashin numfashi
• Kamawa
• Matsalar bacci

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Za a tambaye ku game da tarihin lafiyar ku da alamun ku.

Gwaje-gwajen da aka yi na iya haɗawa da:

• CT scan na ciki
• Adrenal biopsy
• Catecholamines gwajin jini (magani catecholamines)
• Glucose gwajin
• Gwajin jinin Metanephrine (magani metanephrine)
• Gwajin hoto da ake kira MIBG scintiscan
• MRI na ciki
• Fitsari catecholamines
• Fitsari metanephrines
• PET ya duba ciki

Jiyya ya haɗa da cire ƙari tare da tiyata. Yana da mahimmanci don daidaita karfin jini da bugun jini tare da wasu magunguna kafin aikin tiyata. Wataƙila kuna buƙatar kasancewa a asibiti kuma a sanya alamunku masu mahimmanci a hankali yayin lokacin tiyata. Bayan tiyata, za a ci gaba da sanya alamunku masu mahimmanci a cikin sashin kulawa mai mahimmanci.

Lokacin da ba za a iya cire ƙwayar cutar ta hanyar tiyata ba, kuna buƙatar shan magani don sarrafa shi. Haɗin magunguna yawanci ana buƙata don sarrafa tasirin ƙarin hormones. Radiation radiation da chemotherapy ba su da tasiri wajen warkar da irin wannan ciwon.

Yawancin mutanen da ke da ƙari wanda ba a cire shi ba tare da tiyata suna nan da rai bayan shekaru 5. Ciwan daji ya dawo cikin wasu mutane. Matakan hormones norepinephrine da epinephrine sun dawo yadda suke bayan tiyata.

Ci gaba da hawan jini na iya faruwa bayan tiyata. Magunguna na yau da kullun na iya sarrafa cutar hawan jini.

Mutanen da aka samu nasarar magance cutar pheochromocytoma ya kamata su rika yin gwaji lokaci-lokaci don tabbatar da cewa kumburin bai dawo ba. Abokan dangi na iya cin gajiyar gwaji, saboda wasu lamurra na gado ne.

Kira mai ba ku sabis idan kun:

• Samun alamun cututtukan pheochromocytoma, kamar ciwon kai, zufa, da bugun zuciya
• Idan da cutar pheochromocytoma a da kuma alamunku sun dawo

Chromaffin kumburi; Paraganglionoma

• Endocrine gland
• Adrenal metastases - CT dubawa
• Adrenal Tumor - CT
• Adrenal gland hormone ɓoyewa

Yanar gizo Cibiyar Cancer ta Kasa. Pheochromocytoma da paraganglioma treatment (PDQ) - fasalin masu sana'a na lafiya. Cancer.gov. www.cancer.gov/types/pheochromocytoma/hp/pheochromocytoma-treatment-pdq#link/_38_toc. An sabunta Satumba 23, 2020. An shiga 14 ga Oktoba, 2020.

Pacak K, Timmers HJLM, Eisenhofer G. Pheochromocytoma. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi 110.

Brigode WM, Miraflor EJ, Palmer BJA. Gudanar da pheochromocytoma. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 750-756.