So wo pituitary hormone nyinaa sua? Momma yɛnka panhypopituitarism ho asɛm!

Ɛtɔ mmere bi a nneɛma a ɛwɔ yɛn nipadua mu no nyɛ adwuma sɛnea yɛhwɛ kwan no, ɛnte saa? Hormone yɛ abɔfo kuw bi a wɔho hia paa a ɛkame ayɛ sɛ wɔde wɔn ho hyɛ biribiara a ɛkɔ so wɔ yɛn nipadua mu no mu. Sɛ ɔhaw bi wɔ saa hormone nhyehyɛe yi mu a, ebetumi aka yɛn asetra nyinaa. Ɛnnɛ yɛrebɛka tebea bi a ɛntaa nsi a ɛsɛ sɛ obiara hu ho asɛm. Ɛno ne panhypopituitarism.

Dɛn ne Panhypopituitarism?

Sɛ yɛbɛka no tiawa a, panhypopituitarism yɛ tebea a ɛntaa nsi a pituitary gland, ntini ketewaa bi a ɛwɔ yɛn amemene mu no ntumi nyɛ nneɛma a ɛdɔɔso anaasɛ enni hormone ahorow a ɛyɛ no nyinaa . "Pan" fã no kyerɛ "ne nyinaa." Saa tebea yi betumi aka nkokoaa, mmofra, ne mpanyimfo.

Seesei ebia woresusuw ho sɛ, "Dɛn ne saa hormone ahorow yi? Dɛn nti na ɛho hia saa?" Okay, momma yɛnhwɛ saa asɛm no.

Hormone ahorow te sɛ abɔfo wɔ yɛn nipadua mu. Wɔyɛ nnuru titiriw. Wɔnam yɛn mogya mu na ɛde nkrasɛm kɔ akwaa ahorow, ntini ahorow, ne ntini afoforo mu. Wɔyɛ nhyehyɛe, kyerɛ sɛ, wɔhwɛ yɛn nipadua no nneyɛe ahorow so na wɔyɛ nhyehyɛe, na wɔka kyerɛ wɔn sɛ "wɔnyɛ eyi, nyɛ saa bere yi, wɔnyɛ no saa kwan yi so."

Yɛn pituitary gland no kɛse bɛyɛ sɛ pea. Ɛwɔ yɛn amemene no ase, wɔ hypothalamus no ase pɛɛ. (Hypothalamus yɛ amemene no mu ade titiriw a ɛhwɛ nneɛma a ɛho hia pii so, a yɛn ntini a ɛma nipadua no tumi yɛ adwuma no ka ho.) Ɛmfa ho sɛ ɛyɛ ketewaa no, pituitary gland no di dwuma titiriw wɔ yɛn endocrine nhyehyɛe no mu. Ɛne sɛ, ɛyɛ saa pituitary hormone ahorow yi na ɛhwɛ nneɛma pii a ɛwɔ yɛn nipadua mu, te sɛ nipadua mu nneɛma a ɛsakra, nyin, ne awo so.

Mpɛn pii no, yɛn nipadua no de ahwɛyiye hwɛ saa hormone dodow yi so. Nanso, sɛ saa hormone ahorow yi mu biara brɛ ase dodo a, ebetumi de sɛnkyerɛnne ahorow ne akwahosan ho haw ahorow aba. Panhypopituitarism yɛ bere a hormone ahorow a pituitary gland no yɛ nyinaa sua dodo, na ɛde sɛnkyerɛnne ahorow ba.

Nsonsonoe bɛn na ɛda Panhypopituitarism ne Hypopituitarism ntam?

Saa edin abien yi di nsɛ kakra, enti ebetumi ama obi adwene atu afra. Susuw ho hwɛ, hypopituitarism yɛ tebea a ɛma hormone biako anaa nea ɛboro saa fi pituitary gland no mu. Panhypopituitarism yɛ asɛm titiriw a ɛkɔ akyiri a ɛfa saa ara ho. Ɛne sɛ, panhypopituitarism yɛ hormone ahorow a pituitary gland no yɛ nyinaa a enni hɔ. Asɛmfua "pan" kyerɛ "ne nyinaa", enti ɛkyerɛkyerɛ saa tebea yi mu.

Hormone ahorow bɛn na pituitary gland no yɛ?

Nkwammoaa ahorow pii wɔ hɔ a yɛn pituitary gland no yɛ na eyi fi mu (yi fi mu). Wɔn mu biara wɔ adwuma pɔtee bi. Momma yɛnhwɛ nea wɔyɛ:

• Adrenocorticotropic hormone (ACTH anaa corticotropin): Eyi kanyan yɛn adrenal ntini no ma ɛyɛ hormone bi a wɔfrɛ no cortisol. Wɔsan frɛ saa cortisol yi ‘adwennwen hormone’. Ɛho hia yiye ma mogya mmoroso ne mogya mu glucose dodow a wɔhwɛ so.
• Follicle-stimulating hormone (FSH): Saa hormone yi boa ma mmarima mmadwoa yɛ kɛse na ɛkanyan mmadwoa ma ɛyɛ hormone estrogen na ɛma nkesua nyin.
• Growth hormone (GH): Sɛnea edin no kyerɛ no, ɛho hia ma mmofra nyin. Ɛboa nso ma ntini ne nnompe yɛ yiye wɔ mpanyimfo mu, na ɛka nipadua mu srade kyekyɛ. GH nso ka yɛn nipadua mu nneɛma a ɛsakra no ho.
• Luteinizing hormone (LH): LH ho hia na ama mmea atumi akanyan ovulation na ama mmarima ayɛ testosterone.
• Prolactin: Saa hormone yi kanyan nufusu a wɔyɛ bere a wɔawo akokoaa akyi. Ebetumi aka mmea brayɛ ne awo ne nna mu dwumadi nso wɔ mpanyimfo mu.
• Thyroid-stimulating hormone (TSH): Eyi kanyan yɛn thyroid ntini no ma ɛyɛ thyroid hormone ahorow, a ɛhwɛ nipadua mu nneɛma a ɛsakra, ahoɔden, ne ntini ahorow so.

Eyinom akyi no, pituitary gland no sie hormone afoforo abien na ɛma ɛba bere a ɛho hia no. Nanso, hypothalamus na ɛyɛ eyinom:

• Hormone a ɛko tia nsu mu nsu (ADH anaa vasopressin): Saa hormone yi hwɛ nsu ne sodium (nkyene) dodow a ɛwɔ yɛn nipadua mu no so.
• Oxytocin: Ɛboa mmea ma wɔtwetwe wɔn awotwaa bere a wɔrewo, na ɛboa ma nufusu nso sen. Wɔkyerɛ nso sɛ saa hormone yi ka awofo ne nkokoaa ntam abusuabɔ.

Hwɛ, adwuma a ɛho hia bɛn ara na pituitary gland ketewa yi yɛ! Enti, sɛ saa nkwaadɔm yi nyinaa so tew a, ebetumi anya nkɛntɛnso kɛse.

Hena na panhypopituitarism tebea yi ka no kɛse?

Nokwarem no, tebea a wɔfrɛ no panhypopituitarism yi betumi aba obiara so, wɔ mfe biara mu. Mfe dodow anaa ɔfã pɔtee biara nni hɔ.

Tebea yi abu so dɛn?

Eyi yɛ tebea a ɛntaa nsi koraa . Wɔ wiase nyinaa no, wɔbɔ yare yi ho amanneɛ wɔ nnipa mpem ɔha biara mu baanan pɛ mu afe biara. Enti, ɛtaa ba sɛ wɔrente ho asɛm pii.

So Panhypopituitarism betumi de nkwa ato asiane mu?

Yiw, wɔ nsɛm bi mu no, tebea yi betumi de nkwa ato asiane mu. Titiriw sɛ hormone adrenocorticotropic hormone (ACTH) no sua koraa a, ebetumi ayɛ asiane.

Nea enti a ɛte saa ne sɛ ACTH a enni nipadua no mu betumi ama tebea bi a egye ntɛmpɛ a wɔfrɛ no adrenal crisis aba . Wɔsan frɛ eyi sɛ ``acute cortisol insufficiency''. ACTH ne nea ɛhwɛ yɛn cortisol dodow so. Enti sɛ ACTH fi hɔ a, cortisol ntumi nyɛ. Saa adrenal ahokyere yi yɛ tebea a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara na ebetumi de nkwa mpo ato asiane mu.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya adrenal haw no betumi ayɛ:

• Huraeɛ
• Mmerewa a emu yɛ den
• Adwene a ɛyɛ basaa (nea wontumi nte ase) .
• Mogya mmoroso a ɛba fam (hypotension) .
• Koma a ɛbɔ ntɛmntɛm (tachycardia) .
• Ɔfe a wɔfe
• Ayamtuo
• Asikre a ɛba mogya mu (hypoglycemia) .

Sɛ wo anaa wo ba wɔ saa sɛnkyerɛnne yi bi a, kɔ ayaresabea a ɛbɛn wo ntɛm ara anaa frɛ 1990. Eyi yɛ ntɛmpɛ!

Dɛn ne Panhypopituitarism ho sɛnkyerɛnne ahorow?

Yare yi ho sɛnkyerɛnne betumi ayɛ soronko kɛse wɔ onipa biara ho, a egyina pituitary hormone biara dodow a enni mu ne sɛnea tebea no kɔ so ntɛmntɛm anaa nkakrankakra so.

Nsɛnkyerɛnne a ɛtaa ba a wobetumi ahu wɔ mmofra ne mpanyimfo mu ni:

• Akisikuru anaa adwenemhaw
• Ɔbrɛ a ɛtra so
• Adwenemhaw ne/anaasɛ dadwen
• Nyarewa a wɔtaa nya
• Asikre a ɛba mogya mu (hypoglycemia) .
• Awɔw a wontumi nnyina ano
• Wora a ɛyɛ nwunu a ɛyɛ soronko
• Mu duru a ɛso tew anaasɛ ɛkɔ soro a ntease biara nnim
• Mogya mu srade ne srade dodow a ɛnkɔ so daa (dyslipidemia) .
• Koma a ɛbɔ ntɛmntɛm (tachycardia) .
• Sukɔm a ɛboro so ne nsu a wɔtaa tow
• Mmea brayɛ a ɛnkɔ so daa
• Mmea a wontumi nwo
• Mmarima a wontumi nwo

Nsɛnkyerɛnne afoforo wɔ hɔ a ɛka mmofra a wɔawo wɔn foforo, nkokoaa, ne/anaa mmofra nkumaa titiriw:

• Jaundice a ɛtra hɔ kyɛ wɔ mmofra a wɔawo wɔn foforo mu
• Nkokoaa mmarima akyi berɛmo nketewa (micropenis) .
• Onyin a ɛyɛ mmerɛw (ɛnyɛ sɛ enyin tenten) .
• Mmabunbere a ɛkyɛ

Because these symptoms can be similar to other medical conditions, it is important to get a proper diagnosis if you have new or persistent symptoms like these. Enti, kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu.

Dɛn ne nneɛma a ɛde panhypopituitarism ba?

Nneɛma pii wɔ hɔ a ebetumi de tebea yi aba. Ɛtɔ mmere bi a nnuruyɛfo ntumi nhu nea ɛde ba pɔtee bi. Wɔfrɛ eyi sɛ idiopathic panhypopituitarism.

Sɛ yɛbɛka no ɔkwan biara so a, ade titiriw nti a ɛte saa ne sɛ yɛn hypothalamus ne/anaasɛ pituitary gland no asɛe wɔ ɔkwan bi so, na ama emu biako anaa abien no nyinaa ntumi nyɛ adwuma yiye.

Sɛ wobɛte saa ntease ahorow yi ase a, ɛsɛ sɛ wunya ntease kakra wɔ sɛnea yɛn hypothalamus ne pituitary gland no bom yɛ adwuma no ho.

Hypothalamus ne pituitary ntini ntam abusuabɔ

Susuw yɛn hypothalamus, pituitary gland, ne pituitary gland ho sɛ adwumakuw kɛse bi CEO ne ne panyin. Saa abien yi bom yɛ adwuma sɛ yɛn amemene no sohwɛbea titiriw (hypothalamus-pituitary complex), na ɛhwɛ nneɛma a ɛho hia yiye wɔ nipadua no mu so.

Hypothalamus yɛ yɛn amemene no fã a ɛyɛ nipadua no dwumadi atitiriw pii. Ɛde nkrasɛm kɔma yɛn autonomic nervous system no. Ɛsan nso ka kyerɛ pituitary gland no sɛ "wɔnyɛ saa hormone ahorow yi, nyi eyinom mfi hɔ." Saa pituitary hormone ahorow yi ka nipadua no afã afoforo.

Pituitary gland no nam dua bi a mogya ntini ne ntini nhama wom a wɔfrɛ no ``pituitary stalk'' so na ɛka hypothalamus ho.Ɛnam saa dua yi so na hypothalamus ne pituitary gland no di nkitaho.

Hypothalamus no yɛ nkwaadɔm pii a ɛkanyan pituitary gland no:

• Hormone a ɛma corticotropin fi nipadua mu
• Dopamine a wɔde yɛ aduru
• Hormone a ɛma gonadotropin fi nipadua mu
• Nkwammoaa a ɛma onyin mu hormone
• Somatostatin a wɔde di dwuma
• Hormone a ɛma thyrotropin fi nipadua mu

Esiane sɛ pituitary gland ne hypothalamus yɛ adwuma bom kɛse nti, sɛe biako asɛe no betumi aka ɔfoforo no hormone dwumadi. Eyi ne ade titiriw a ɛma panhypopituitarism nya nkɔso.

Nneɛma a ɛde ba a ɛfa pituitary gland ho

Tebea horow a ebetumi asɛe pituitary gland no na ama panhypopituitarism aba no bi ne:

• Pituitary adenomas (eyinom yɛ akisikuru a ɛnyɛ kokoram) .
• Pituitary gland oprehyɛn (mpɛn pii de yi adenomas yi fi hɔ) .
• Mframa a wɔde sa pituitary adenoma
• Pituitary apoplexy (pituitary ntini a ɛsɛe mpofirim esiane mogya a ɛkɔ pituitary gland no mu so tew anaasɛ mogya tu nti) .
• Pituitary gland no nnyin yiye anaasɛ ɛnyɛ pɛpɛɛpɛ bere a wɔawo no.

Nneɛma a ɛde ba a ɛfa hypothalamus ho

Tebea horow a ebetumi asɛe hypothalamus na ama panhypopituitarism aba no bi ne:

• Amemene mu opira a ɛyɛ hu (TBI) .
• Amemene mu oprehyɛn a wɔyɛ wɔ hypothalamus no so anaasɛ ɛbɛn hɔ
• Akuru a ɛnyɛ kokoram a ɛba hypothalamus mu (e.g. craniopharyngiomas) .
• Kokoram a atrɛw (atrɛw) akɔ hypothalamus afi nipadua no mmeae afoforo (e.g. ahurututu, nufu mu kokoram) .
• Hydrocephalus (nhyɛso a nsu a ɛboaboa ano wɔ amemene no mu de ba) .
• Nnwodwoɔ
• Nsamanwaw mu yare a ɛma obi ho yɛ hyew

Ɔkwan bɛn so na wohu Panhypopituitarism?

Sɛ wowɔ saa yare yi ho sɛnkyerɛnne a, wo duruyɛfo no bedi kan abisa wo wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm, na afei wayɛ wo nipadua mu nhwehwɛmu.

Afei, wɔhyɛ sɛ wɔnyɛ nhwehwɛmu a ɛho hia de si tebea a ɛwɔ panhypopituitarism mu no so dua na wɔayi tebea afoforo a ebetumi de saa sɛnkyerɛnne ahorow yi aba no afi hɔ.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Nnuruyɛfo taa yɛ nhwehwɛmu ahorow pii de hu yare yi, a mfoninitwa nhwehwɛmu ne hormone dodow ho nhwehwɛmu ka ho.

Mfoninitwa sɔhwɛ ahorow

Panhypopituitarism fi hypothalamus anaa pituitary gland a ɛsɛe, na wobetumi ayɛ mfoninitwa nhwehwɛmu te sɛ eyinom de ahu nea ɛde ba:

• Brain MRI (Magnetic Resonance Imaging) scan: MRI scan de radio asorɔkye ne magnetic field a ano yɛ den na ɛyɛ nipadua no mu mfonini a ɛkɔ akyiri. Wobu MRI mfonini sɛ ɔkwan a eye sen biara a wɔfa so hu pituitary akisikuru. Wobetumi aboa nso ma wɔahu ɔhaw afoforo a ɛwɔ hypothalamus anaa pituitary gland no ho.
• CT (Computed Tomography) scan of the brain: CT scan de X-ray ne kɔmputa yɛ amemene no ho mfonini a ɛkɔ akyiri. Wobetumi de sɔhwɛ yi ahwɛ sɛ amemene mu akisikuru anaa pituitary adenoma bi wɔ hɔ anaa. Ebetumi aboa nso ma wɔahu ɔhaw afoforo a ɛwɔ hypothalamus anaa pituitary gland no ho.

Hormone mu nhwehwɛmu ahorow

Sɛ wowɔ panhypopituitarism ho sɛnkyerɛnne ahorow a, ɛho behia sɛ wo duruyɛfo no susuw hormone biara a pituitary gland no gyae no dodow. Eyi bɛboa ma wɔahu sɛnea hormone biara sua na wɔayi tebea afoforo afi hɔ.

Bere a mpɛn pii no, pituitary hormone ahorow bi wɔ yɛn mogya mu bere nyinaa no, hormone afoforo dodow sakra kɛse da mũ no nyinaa. Enti, wobetumi ayɛ hormone nhwehwɛmu ahorow bi sɛ mogya mu nhwehwɛmu a ɛnyɛ den, bere a afoforo nso hwehwɛ sɛ wɔyɛ nhwehwɛmu titiriw a ɛkanyan obi.

Hormone dodow ho nhwehwɛmu ahorow no bi ne:

• Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu a ɛnyɛ den betumi asusuw pituitary hormone te sɛ thyroid-stimulating hormone (TSH), prolactin, follicle-stimulating hormone (FSH), ne luteinizing hormone (LH). Wobetumi asusuw hormone afoforo a pituitary hormone te sɛ thyroxine, estrogen, ne testosterone nya so nkɛntɛnso nso.
• ACTH nkanyan sɔhwɛ:Eyi sɔ sɛnea wo adrenal ntini ahorow no yɛ wɔn ade wɔ adrenocorticotropic hormone (ACTH) ho no hwɛ. Nea ɛka eyi ho ne sɛ wɔde ACTH a wɔayɛ no bɛhyɛ wo mu na wɔafa mogya bere ne bere mu.
• Growth hormone (GH) stimulation test: Wɔ sɔhwɛ yi mu no, wo duruyɛfo de aduru bi bɛhyɛ wo mu. Mpɛn pii no, saa aduru yi kanyan pituitary gland no ma ɛma onyin hormone no fi adi. Afei, wɔbɛfa wo mogya na wɔasusuw wo GH dodow.
• Insulin a wotumi gyina ano ho sɔhwɛ: Saa sɔhwɛ yi boa ma wohu onyin hormone (GH) ne ACTH a enni nipadua no mu.

Ɔkwan bɛn so na wɔsa Panhypopituitarism?

Ɛsono sɛnea wɔsa yare yi wɔ onipa biara mu. Egyina sɛnea pituitary hormone dodow a ɛba fam ne nea ɛde ba no so. Enti, ayaresa nhyehyɛe no yɛ ankorankoro de ankasa. W’aduruyɛfo kuw no na wɔbɛkyerɛ ayaresa nhyehyɛe a eye sen biara ama wo.

Ayaresa a wɔtaa de di dwuma no bi ne:

• Hormone replacement therapy: Eyi botae ne sɛ ɛbɛsan de pituitary hormone a ayɛ mmerɛw no aba baabi a ɛfata. Nnipa a wɔwɔ panhypopituitarism no behia ayaresa a wɔde besi hormone ananmu wɔ wɔn nkwa nna nyinaa mu gye sɛ wobetumi asa nea ɛde ba no. Wɔnom nnuru bi a wɔde si hormone ananmu sɛ aduru, na wɔde afoforo nso ma sɛ nnuru a wɔde twitwiw nipadua no.
• Oprehyɛn: Sɛ amemene mu akisikuru anaa pituitary adenoma na ɛde tebea no ba a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn nyi akisikuru no.
• Mframa a wɔde sa yare: Sɛ amemene mu akisikuru anaa pituitary adenoma na ɛde tebea no ba a, wobetumi akamfo mframa a wɔde sa yare akyerɛ akisikuru no anaasɛ wɔatew so.
• Corticosteroids: Ebia ɛho behia sɛ wonom corticosteroids dodow a ɛdɔɔso ansa na adeyɛ biara a ɛde nipadua anaa adwene mu nhyɛso aba ne/anaasɛ bere a ɛrekɔ so no. Nneɛma a ɛde nipadua mu nhyɛso ba no bi ne yare, ɔyare mmoawa, ne oprehyɛn. Wɔde saa corticosteroids yi ma de si adrenal hormone ahorow a ɛnyɛ nea wɔyɛ esiane ACTH a enni hɔ nti no ananmu. Saa nkwaadɔm yi ho hia bere a nipadua no wɔ adwennwen mu no.

So wobetumi asa Panhypopituitarism koraa?

Wɔ tebea horow bi mu no, wobetumi asan panhypopituitarism denam nea ɛde ba no a wɔbɛsa so (sɛ nhwɛso no, oprehyɛn a wɔde beyi pituitary adenoma a na ɛrepiapia pituitary gland no afi hɔ, sɛ gland no nsɛee a). Nanso, wɔ nsɛm dodow no ara mu no , hormone a enni nipadua mu a panhypopituitarism de ba no hwehwɛ sɛ wɔsa no nkwa nna nyinaa.

So wobetumi asiw tebea yi ano?

Mpɛn pii no, ɔkwan biara nni hɔ a wɔbɛfa so asiw panhypopituitarism ano. Nanso, sɛ wowɔ asiane mu sɛ wobɛnya saa tebea yi a, akwan bi wɔ hɔ a wobɛfa so ahu no ntɛm.

Sɛ woanya nea edidi so yi mu biara a, asiane kɛse wom sɛ wubenya panhypopituitarism:

• Sɛ wɔayɛ wo oprehyɛn wɔ amemene anaa pituitary gland no so a.
• Sɛ woanya mframa a wɔde sa amemene no ne/anaasɛ pituitary gland no a.
• Sɛ amemene no anya ahodwiriw esiane akwanhyia bi nti (Traumatic brain injury).
• Sɛ wowɔ hydrocephalus (nsu a ɛboaboa ano wɔ amemene no so) a.

Sɛ wowɔ asiane mu a, wo duruyɛfo bɛtaa kamfo akyerɛ sɛ hwɛ sɛnea wo pituitary gland ne/anaasɛ hypothalamus no yɛ adwuma ne akwahosan.

Dɛn ne nkɔmhyɛ a ɛfa panhypopituitarism ho?

Yare yi ho anidaso, kyerɛ sɛ, sɛnea ɔyarefo no bɛyɛ daakye no gyina nneɛma pii so:

• Sɛnea pituitary hormone biara sua.
• Wo mfe a woadi bere a yare no fii ase no.
• So tebea yi bɛkɔ so nkakrankakra anaasɛ ɛbɛkɔ so ntɛmntɛm?
• Ɛhe na wobetumi ahu yare no ntɛm na wɔafi ase sa yare?

Wɔahu sɛ panhypopituitarism ne nkwa nna ne nkwa nna a ɛso tew kɛse wɔ abusuabɔ.

Mpɛn pii no, asiane a ɛwɔ hɔ sɛ nnipa a wɔwɔ saa tebea yi betumi ayɛ kɛse mmoroso, wɔn nipadua a ɛyɛ mmerɛw a ɛso tew, ne koma ne ntini mu yare no yɛ kɛse. Ebia asiane a ɛwɔ hɔ nso sɛ wobenya nnompe mu yare (nnompe a ɛyɛ teateaa) ne nnompe a abubu.

Nanso, ahwɛyiye a edi mũ a wɔde sa hormone ananmu ne koma ne ntini mu asiane ahorow a wɔhwɛ so yiye no betumi ama nea efi mu ba no atu mpɔn. Enti, ɛho hia paa sɛ wudi nnuruyɛfo afotu akyi.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn sɛ wowɔ panhypopituitarism a?

Sɛ wowɔ panhypopituitarism ho sɛnkyerɛnne ahorow, anaasɛ wɔahu sɛ wowɔ tebea no a, ɛda adi sɛ ebehia sɛ wokɔ endocrinologist, oduruyɛfo a ne ho akokwaw wɔ ɔhaw ahorow a ɛfa hormone ho sa mu.

Ɛho behia sɛ wokɔ wo endocrinologist nkyɛn daa wɔ w’asetra nyinaa mu na ama woahwɛ ahu sɛ wo hormone replacement therapy no reyɛ adwuma yiye na woakwati sɛ wobɛsesa hormone dodo.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wɔahu sɛ woanya yare foforo no. Nanso nsuro sɛ wubebisa wo duruyɛfo nsɛm afa panhypopituitarism ho. Esiane sɛ mpɛn pii no ɛhwehwɛ sɛ wɔsa no nkwa nna nyinaa na wɔhwɛ sɛnea nipadua no mu nkwaadɔm yɛ adwuma nti, ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn daa. Sɛ wunya yare no ho sɛnkyerɛnne foforo anaa ɛhaw adwene a, ma wo duruyɛfo nhu ntɛm ara. Wɔwɔ hɔ sɛ wɔbɛboa wo.

Nneɛma a ɛho hia a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti momma yɛnbɔ nneɛma bi a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu no mua:

• Panhypopituitarism yɛ tebea a ɛntaa nsi nanso ɛyɛ aniberesɛm a ɛma nkwaadɔm a pituitary gland no yɛ nyinaa so tew.
• Nneɛma pii betumi ama eyi aba, titiriw sɛe pituitary gland anaa hypothalamus.
• Ɛsono sɛnea yare no ho sɛnkyerɛnne, na ɛtɔ mmere bi mpo a tebea horow a ɛde nkwa to asiane mu te sɛ adrenal crisis betumi aba. Enti, sɛ wowɔ sɛnkyerɛnne bi a, hwehwɛ aduruyɛfo afotu ntɛm ara.
• Nneɛma te sɛ mogya mu nhwehwɛmu ne MRI/CT scan ho hia na ama wɔahu yare no pɛpɛɛpɛ.
• Mpɛn pii no, ayaresa no hwehwɛ sɛ wɔde nkwa nna nyinaa sa hormone a wɔde besi ananmu.
• Sɛ wo ne wo duruyɛfo bɛyɛ adwuma yiye na woanya nhwehwɛmu ne ayaresa a ɛfata a, wubetumi ne tebea yi atra ase yiye.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Kae sɛ ɛnyɛ wo nkutoo na wowɔ hɔ, na nnuruyɛfo ne akwahosan ho adwumayɛfo wɔ hɔ sɛ wɔbɛboa wo.

` Panhypopituitarism, pituitary gland, hormone a enni nipadua mu, hypothalamus, hormone ayaresa, amemene mu akisikuru, ACTH