Buro unugyada Leydig

Buro unugyada Leydig ah waa buro ku taal xiniinyaha. Waxay ka soo baxdaa unugyada Leydig. Kuwani waa unugyada ku jira xiniinyaha oo sii daaya hormoonka ragga, testosterone.

Sababta burooyinkaan lama garanayo. Ma jiraan sababo la og yahay oo keenaya burooyinkan. Si ka duwan burooyinka unugyada jeermiska ee xiniinyaha, burooyinkaan uma muuqdaan inay ku xiran yihiin xiniinyaha aan loo baahnayn.

Burooyinka unugyada Leydig ayaa sameeya tiro aad u yar oo ah dhammaan burooyinka xiniinyaha. Badanaa waxaa laga helaa ragga da'doodu tahay 30 ilaa 60 sano. Burosani kuma badna carruurta ka hor qaangaadhka, laakiin waxay sababi kartaa qaangaadhnimada hore.

Waxaa laga yaabaa inaysan jirin astaamo.

Markay astaamuhu dhacaan, waxaa ka mid noqon kara:

• Dhibaato ama xanuun ku dhaca xiniinyaha
• Kordhinta xiniinyaha ama isbeddelka qaabka uu dareemayo
• Kordhinta xad-dhaafka ah ee nudaha naasaha (gynecomastia) - si kastaba ha noqotee, tani waxay si caadi ah ugu dhici kartaa wiilasha qaangaarka ah ee aan qabin kansarka xiniinyaha
• Culeyska xinjirta
• Buruq ama barar labada xiniinyood midkood
• Xanuun caloosha hoose ama dhabarka ah
• Aan awoodin inuu aabbo dhalo (madhalaysnimo)

Calaamadaha lagu arko qaybaha kale ee jirka, sida sambabaha, caloosha, miskaha, dhabarka, ama maskaxda ayaa sidoo kale dhici kara haddii kansarku fido.

Baadhitaanka jirka ayaa caadiyan soo bandhiga kuus adag oo ka mid ah xiniinyaha. Marka bixiyaha xanaanada caafimaadka uu gacanta ku hayo toosh ilaa xuubka hoose, ileysku ma dhaafayo buruqda. Tijaabadani waxaa loo yaqaan 'transillumination'.

Tijaabooyinka kale waxaa ka mid ah:

• Tijaabooyinka dhiigga ee calaamadaha burooyinka: alpha fetoprotein (AFP), gonadotropin chorionic human (beta HCG), iyo lactate dehydrogenase (LDH)
• CT iskaanka xabadka, caloosha iyo miskaha si loo hubiyo haddii kansarku faafay
• Ultrasound ee mandheerta

Baaritaanka unugyada waxaa badanaa la sameeyaa ka dib marka xiniinyaha oo dhan qalliin looga saaro (orchiectomy).

Daaweynta buro unugyada Leydig waxay kuxirantahay marxaladeeda.

• Kansarka Marxaladda Koowaad kuma faafin xiniinyaha.
• Kansarka Marxaladda II wuxuu ku faafay qanjidhada qanjirada caloosha.
• Kansarka Heerka III wuxuu ku faafay meel ka baxsan qanjidhada qanjirada (laga yaabee ilaa beerka, sambabada, ama maskaxda).

Qalliin ayaa loo sameeyaa si looga saaro xiniinyaha (orchiectomy). Nudaha limfa n dhow sidoo kale waa laga saari karaa (lymphadenectomy).

Dawaynta kimikalka ayaa loo isticmaali karaa in lagu daaweeyo buro. Maaddaama burooyinka unugyada Leydig ay yihiin kuwo dhif ah, daaweyntan looma baran sida ugu badan ee loogu daweeyo kansarada kale ee ku dhaca kansarka.

Ka mid noqoshada koox taageero ah oo xubnuhu ay wadaagaan khibrado iyo dhibaatooyin caadi ahaan waxay gacan ka geysan kartaa yareynta culeyska jirrada.

Kansarka xiniinyaha waa mid ka mid ah kansarka ugu daaweynta badan. Muuqaalka ayaa ka sii xun haddii aan burada hore loo helin.

Kansarku wuxuu ku faafi karaa qaybaha kale ee jirka. Goobaha ugu caansan waxaa ka mid ah:

• Caloosha
• Sambabada
• Aagga loo yaqaan 'retroperitoneal' (aagga u dhow kilyaha gadaashiisa xubnaha kale ee aagga caloosha)
• Lafdhabarta

Dhibaatooyinka qalliinka waxaa ka mid noqon kara:

• Dhiigbax iyo infekshan
• Madhalaysnimo (haddii labada xiniinyood laga gooyo)

Haddii aad tahay da'da dhalmada, weydii adeeg bixiyahaaga hababka loo badbaadiyo shahwadaada si loo isticmaalo taariikh dambe.

Wac takhtarkaaga haddii aad leedahay astaamo kansarka xiniinyaha ku dhaca.

Samaynta is-baaritaanka xiniinyaha (TSE) bil kasta ayaa laga yaabaa inay gacan ka geysato ogaanshaha kansarka xiniinyaha marxaladda hore, ka hor inta uusan faafin. Helitaanka kansarka xiniinyaha goor hore waxay muhiim u tahay daaweynta guusha iyo badbaadada.

Buro - unug Leydig; Burooyinka xiniinyaha - Leydig

• Jirka anatomy taranka

Friedlander TW, Yar E. Kansarka xiniinyaha. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: baab 83.

Websaydhka Machadka Kansarka Qaranka. Daaweynta kansarka xiniinyaha (PDQ) - nooca caafimaadka mihnadeed. www.cancer.gov/types/testicular/hp/testicular-treatment-pdq. La cusbooneysiiyay May 21, 2020. Waxaa la helay July 21, 2020.

Stephenson AJ, Gilligan TD. Neoplasms-ka xiniinyaha. Gudaha: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Cudurka Cudurka. 12aad ed. Philadelphia, PA: Elsevier; 2021: cutubka 76.