Hyperpituitarism

Zamkati

• Chidule
• Zizindikiro
• Zimayambitsa ndi chiyani?
• Njira zothandizira
• Mankhwala
• Opaleshoni
• Mafunde
• Kodi amapezeka bwanji?
• Zovuta ndi zochitika zake
• Chiwonetsero

Chidule

Matenda a pituitary ndi kachigawo kakang'ono kamene kali pansi pa ubongo wanu. Ndipafupifupi kukula kwa nsawawa. Ndi chithokomiro cha endocrine. Mkhalidwe wa hyperpituitarism umachitika gland iyi ikayamba kutulutsa mahomoni ambiri. Matenda a pituitary amapanga mahomoni omwe amayang'anira ntchito zina zazikulu m'thupi lanu. Ntchito zazikuluzikuluzi zimaphatikizapo kukula, kuthamanga kwa magazi, kagayidwe kake, komanso ntchito yogonana.

Hyperpituitarism imatha kusokoneza ntchito zambiri m'thupi lanu. Izi zingaphatikizepo:

• kukula
• kutha msinkhu mwa ana
• mtundu wa khungu
• ntchito yogonana
• mkaka wa m'mawere kwa amayi omwe akuyamwa
• ntchito ya chithokomiro
• kubereka

Zizindikiro

Zizindikiro za hyperpituitarism zimasiyana kutengera zomwe zimayambitsa. Tidzayang'ana mkhalidwe uliwonse ndi zizindikiro zomwe zikutsatira.

Zizindikiro za Cushing syndrome zitha kuphatikizira izi:

• mafuta owonjezera kumtunda
• tsitsi lachilendo pa akazi
• kuvulaza kosavuta
• mafupa amathyoledwa mosavuta kapena osalimba
• zotupa m'mimba zomwe ndizofiirira kapena pinki

Zizindikiro za gigantism kapena acromegaly zitha kukhala izi:

• manja ndi mapazi omwe amakula
• nkhope zokulitsa kapena zotchuka modabwitsa
• zikopa
• kununkhiza kwa thupi ndi thukuta kwambiri
• kufooka
• mawu omveka mosasamala
• kupweteka mutu
• lilime lokulitsa
• kupweteka pamodzi ndi kuyenda pang'ono
• mbiya chifuwa
• nthawi zosasintha
• Kulephera kwa erectile

Zizindikiro za galactorrhea kapena prolactinoma zitha kuphatikizira izi:

• mabere ofewa mwa akazi
• mabere omwe amayamba kutulutsa mkaka mwa amayi omwe alibe pakati komanso mwa amuna
• Zovuta zakubala
• kusakhazikika kapena kusamba kumasiya
• osabereka
• kugonana kotsika
• Kulephera kwa erectile
• mphamvu zochepa

Zizindikiro za hyperthyroidism zitha kuphatikizira izi:

• nkhawa kapena mantha
• kugunda kwamtima mwachangu
• kugunda kwamtima kosasintha
• kutopa
• kufooka kwa minofu
• kuonda

Zimayambitsa ndi chiyani?

Kulephera kwa pituitary gland monga hyperpituitarism kumachitika chifukwa chotupa. Chotupa chofala kwambiri chimatchedwa adenoma ndipo sichitha khansa. Chotupacho chimatha kuyambitsa kuti gland ya pituitary ichulukitse mahomoni. Chotupacho, kapena madzi amadzaza mozungulira, amathanso kukanikiza pamatenda am'mimba. Kupanikizaku kumatha kubweretsa mahomoni ochulukirapo kapena kupangidwa kocheperako, komwe kumayambitsa hypopituitarism.

Zomwe zimayambitsa zotupazi sizikudziwika. Komabe, chifukwa cha chotupacho chingakhale cholowa. Zotupa zina zobadwa nazo zimayambitsidwa ndi vuto lotchedwa multiple endocrine neoplasia syndromes.

Njira zothandizira

Chithandizo cha hyperpituitarism chimasiyana kutengera matenda omwe akuyambitsa. Komabe, chithandizochi chingaphatikizepo chimodzi kapena zingapo zotsatirazi:

Mankhwala

Ngati chotupa chikuyambitsa matenda anu am'mimba ndiye kuti mankhwala atha kugwiritsidwa ntchito kuti achepetse. Izi zitha kuchitika musanachite opaleshoni kuti muchotse chotupacho. Mankhwala atha kugwiritsidwanso ntchito pachotupa ngati kuchitira opaleshoni sikungakhale kotheka kwa inu. Pazinthu zina za hyperpituitarism, mankhwala amatha kuthandizira kapena kuwongolera.

Zinthu zomwe zingafunike mankhwala oyang'anira kapena chithandizo ndi monga:

• Prolactinoma. Mankhwala amatha kutsitsa milingo ya prolactin.
• Acromegaly kapena gigantism. Mankhwala amatha kuchepetsa kukula kwa mahomoni.

Opaleshoni

Opaleshoni imachitidwa kuti ichotse chotupa pamatumbo a pituitary. Kuchita opaleshoni kotereku kumatchedwa transsphenoidal adenomectomy. Kuti muchotse chotupacho, dokotalayo azidula pang'ono pakamwa kapena pamphuno. Kukula kumeneku kumapangitsa dokotalayo kufika pachimake cha pituitary ndikuchotsa chotupacho. Akamachita opaleshoni yochita opaleshoni, opaleshoni yamtunduwu imakhala yopambana kuposa 80%.

Mafunde

Radiation ndi njira ina ngati simungathe kuchitidwa opaleshoni kuti muchotse chotupacho. Zingathandizenso kuchotsa minofu iliyonse yotupa yomwe mwina idasiyidwa pambuyo pochitidwa opaleshoni. Kuphatikiza apo, radiation ikhoza kugwiritsidwa ntchito pazotupa zomwe sizimayankha mankhwala. Pali mitundu iwiri ya radiation yomwe ingagwiritsidwe ntchito:

• Mankhwala ochiritsira ochiritsira. Mlingo wawung'ono umaperekedwa kwa milungu inayi kapena isanu ndi umodzi. Matenda ozungulira amatha kuwonongeka panthawi yamankhwala amtunduwu.
• Chithandizo cha stereotactic. Dothi la ma radiation apamwamba limayang'ana chotupacho. Izi zimachitika nthawi imodzi. Mukamaliza gawo limodzi, pamakhala mwayi wochepa wowononga minofu yoyandikana nayo. Kungafune chithandizo chamankhwala chosakwanira pambuyo pake.

Kodi amapezeka bwanji?

Mayeso azidziwitso a Hyperpituitarism amasiyana kutengera matenda anu komanso mbiri yazachipatala. Mutatha kukambirana za matenda anu ndikukuyesani, dokotala wanu adzawona mayeso omwe angagwiritsidwe ntchito. Mtundu wamayeso ungaphatikizepo:

• kuyesa magazi
• Mayeso am'makomedwe am'magazi
• mayesero apadera a zitsanzo zamagazi
• kuyerekezera kulingalira ndi MRI kapena CT scan ngati akuwoneka kuti ali ndi chotupa

Dokotala wanu angagwiritse ntchito mayeserowa limodzi kapena kuphatikiza kuti mupeze matenda oyenera.

Zovuta ndi zochitika zake

Hyperpituitarism imatha kubweretsa zovuta zingapo. Izi zikuphatikizapo izi:

• Matenda a Cushing
• gigantism kapena acromegaly
• galactorrhea kapena prolactinoma
• hyperthyroidism

Zovuta za hyperpituitarism zimasiyanasiyana kutengera momwe zimakhalira. Vuto lina lomwe lingachitike atachitidwa opaleshoni kuti achotse chotupacho ndikuti nthawi zonse mumafunika kumwa mankhwala othandizira mahomoni.

Chiwonetsero

Maganizo a iwo omwe ali ndi hyperpituitarism ndiabwino. Zina mwazomwe zingayambitse zidzafuna mankhwala opitilira muyeso wa kasamalidwe kabwino ka zizindikilo. Komabe, itha kuyendetsedwa bwino ndi chisamaliro choyenera, opareshoni ngati kuli kofunikira, ndi mankhwala monga momwe akuuzira. Kuti mulandire chithandizo choyenera, muyenera kuwonana ndi akatswiri azachipatala omwe ali ndi vuto la hyperpituitarism.