Ua noʻonoʻo paha ʻoe i ka mea nāna e kaohi i nā mea he nui i loko o kou kino, e like me kou ulu ʻana, ke kaumaha, ke kaumaha, a me ka hiki ke loaʻa nā keiki? Ma hope o kēia mau mea a pau he mea liʻiliʻi akā ikaika loa. ʻO ia ka gland i kapa ʻia ʻo Anterior Pituitary, aia ma ke kumu o ko kākou lolo. I kēia lā, e kamaʻilio kākou e pili ana i kēia haku liʻiliʻi.
I ka ʻōlelo maʻalahi, he aha ka Anterior Pituitary?
ʻO ka Pituitary mua e pili ana i ka ʻaoʻao mua o kou kelepa pituitary. Ua kapa ʻia hoʻi ʻo "Adenohypophysis" i ka ʻepekema lapaʻau. He liʻiliʻi loa kēia kelepa pituitary, e like me ka pī. Akā, he nui loa kāna hana. Aia ia ma ke kumu o kou lolo, ma lalo o ka "Hypothalamus".
E noʻonoʻo e like ko kākou kino me kahi hui mele nui. A laila ʻo kēia kelepa Pituitary mua ke alakaʻi o kēlā hui mele. ʻO ia ka mea nāna e hāʻawi i ka hana i nā kelepa ʻē aʻe he nui i loko o ke kino a ʻike iā ia e hana pono lākou. I nā huaʻōlelo ʻē aʻe, hana nui ia i ka mālama ʻana i ke kaulike o ka ʻōnaehana hormonal i loko o ko kākou kino.
ʻElua mau ʻāpana nui o ka pituitary gland:
1. Lobe mua: ʻO kēia ka Pituitary mua a mākou e kamaʻilio nei i kēia lā.
2. Posterior Lobe: Hana kēia i kekahi mau hana ʻē aʻe.
Hoʻopuka a hoʻokuʻu ka Pituitary mua i ʻeono (6) mau hormones nui e pono ai ko mākou kino i loko o ke kahe koko. Hoʻomalu kēia mau hormones i nā mea he nui i loko o ko mākou kino.
- Ka ulu ʻana
- Ka hoʻololi ʻana o ka metabolism
- Hoʻoulu hou ʻana
- Pane koʻikoʻi
- Ka hana ʻana o ka waiū umauma (Lactation)
He aha nā hormones i hana ʻia e ka anterior pituitary gland?
ʻAe, i kēia manawa e nānā kākou i nā hormones koʻikoʻi 6 a kēia luna liʻiliʻi e hoʻokuʻu ai i loko o ko kākou kino, a me nā mea e hana ʻia iā lākou. I mea e maʻalahi ai ka hoʻomanaʻo ʻana i kēia, e nānā kākou i kahi papa.
| Hormone | He aha e hana maʻalahi ai |
|---|---|
| ʻO ka Hormone Adrenocorticotropic (ACTH) | Hoʻoulu ia i nā kelepa adrenal, aia ma luna o ko kākou mau puʻupaʻa, e hana i ka hormone cortisol , ka mea e kōkua iā kākou e hoʻoponopono i ke kaumaha. |
| ʻO ka hormone hoʻouluulu follicle (FSH) | Hoʻoulu ia i nā ovaries i nā wahine e kōkua iā lākou e oʻo a hana i ka hormone estrogen . Hoʻoulu ia i nā testicles i nā kāne e kōkua iā lākou e hana i ka sperm. |
| ʻO ka Hormone Luteinizing (LH) | Kōkua ia i nā ovaries o nā wahine e hana i ka hormone progesterone . Kōkua ia i nā kāne e hana i ka hormone testosterone . |
| ʻO ka Hormone Ulu Kanaka (HGH) | He mea nui no ka ulu kino o nā keiki. Kōkua i ka mālama ʻana i nā ʻiʻo a me nā iwi olakino i nā pākeke a kāohi i ka hoʻolaha ʻana o ka momona o ke kino. |
| ʻO Prolactin | Hoʻoulu ia i ka hana ʻana o ka waiū umauma ma hope o ka hānau ʻana. Hoʻopilikia pū ia i ke kaʻina hana menstrual, ka momona, a me ka hana moekolohe. |
| ʻO ka hormone hoʻoulu thyroid (TSH) | Hoʻoulu ia i ke kelepa thyroid ma ka ʻāʻī, e hoʻoulu ai iā ia e hana i nā hormones thyroid. He mea nui kēia mau hormones no ka kaohi ʻana i ka wikiwiki o ka metabolism o ko mākou kino. |
He aha nā maʻi e pili ana me ka Anterior Pituitary Gland?
Ma muli o ka hoʻomalu ʻana o kēia gland i nā hormones he nui, ʻoiai ka pilikia liʻiliʻi loa me ia hiki ke hana i nā pilikia olakino he nui. Hiki ke hoʻokaʻawale ʻia kēia mau pilikia i ʻelua ʻano nui.
1. Hypopituitarism: ʻO ke ʻano kēia, ʻaʻole hana pono ka pituitary gland, ʻo ia hoʻi, ʻaʻole ia e hana i ka lawa o nā hormones e pono ai.
2. Hyperpituitarism: ʻO ke ʻano kēia, ua hana nui ka pituitary gland, e hana ana i nā hormones ma mua o ka mea e pono ai.
Aia kekahi mau kumu nui e kū ai kēia mau kūlana:
- ʻO nā puʻupuʻu e ulu ana i loko o ka ʻōpū pituitary - ua kapa ʻia kēia he "pituitary adenomas".
- Ka hōʻino ʻana i ka Pituitary mua, Hypothalamus, a i ʻole nā auwai e hoʻopili ana iā lākou ma muli o ka ʻeha, ka maʻi, a i ʻole ke kahe ʻana o ke koko (`(pituitary apoplexy)`).
- ʻO kekahi mau kūlana hoʻoilina, no ka laʻana 'multiple endocrine neoplasia (MEN)'.
Nā maʻi i hoʻokumu ʻia e nā pae hormone haʻahaʻa (Hypopituitarism)
Hiki ke hiki mai kēia mau kūlana ma muli o ka emi ʻana o hoʻokahi a ʻoi aku paha o nā hormones i hana ʻia e ka pituitary gland.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ka lawa ʻole o ka adrenal lua | Ua emi iho ka hana o nā kelepa adrenal ma muli o ka emi ʻana o ka hana ʻana o ka hormone ACTH. |
| Ka hemahema o ka hormone ulu (GHD) | ʻAʻole i hana ʻia ka hormone ulu (HGH) i nā nui kūpono. ʻO kēia kekahi o nā kumu e ulu pōkole ai nā keiki. |
| ʻO ka hypogonadism waena | ʻO ka emi ʻana o nā hormones FSH a me LH ke kumu o ka emi ʻana o ka hana ʻana o nā hormones sex mai nā ovaries a i ʻole nā testicles. |
| ʻO ka hypothyroidism waena | ʻO ka emi ʻana o ka hormone TSH e hoʻemi ai i ka hana o ka thyroid. |
Nā maʻi i hoʻokumu ʻia e ka piʻi ʻana o nā pae hormone (Hyperpituitarism)
Hoʻokumu ʻia kēia mau kūlana e ka hana nui ʻana o hoʻokahi a ʻoi aku paha o nā hormones pituitary.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻAcromegali | Ka hana nui ʻana o ka hormone ulu makua (HGH), ka mea e hoʻoulu ai i ka ulu ʻana o nā iwi a me nā ʻiʻo ma ke ʻano ʻē (e like me ka hoʻonui ʻia ʻana o nā lima, nā wāwae, a me ka maka). |
| Ka nui loa o ke kanaka | ʻO ka hana nui ʻana o ka hormone ulu i ka wā kamaliʻi a i ʻole ka wā ʻōpio, e hopena ana i ke kino kiʻekiʻe ʻē. |
| ʻO ka maʻi Cushing | ʻO ka hana nui ʻana o ka hormone ACTH ke kumu o ke kino e hana i nā pae nui o ka cortisol. He ʻano maʻi kēia i kapa ʻia ʻo 'Cushing's syndrome.' |
| Hyperprolactinemia | Hoʻonui nui ʻia ka hormone prolactin. |
| Hyperthyroidism waena | Lilo ka thyroid i mea hana nui ma muli o ka hana nui ʻana o ka hormone TSH (he maʻi laha ʻole kēia). |
ʻO ka mea nui, hiki i kēia mau hōʻailona ke like me nā maʻi ʻē aʻe. No laila, inā kānalua ʻoe he pilikia kou e like me kēia, e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
Pehea e nānā ai ke kauka i ke olakino o kēia ʻōpū?
Inā loaʻa iā ʻoe nā hōʻailona o ka pilikia o ka pituitary gland, e nānā mua kāu kauka i kāu mau pae hormone. Hiki ke hana ʻia kēia mau mea me nā hoʻāʻo koko .
Inā he mau mea ʻē aʻe i loko o kēlā mau hōʻike hoʻāʻo, hiki i kāu kauka ke ʻōlelo i kahi mea e like me ka MRI scan e nānā pono i ka pituitary gland.
Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu kelepa Pituitary Anterior?
ʻO kaʻoiaʻiʻo, ʻaʻole hiki ke pale ʻia nā pilikia me kēia gland i nā manawa a pau. Akā, aia kekahi mea nui e hiki iā kākou ke hana. A ʻo ia hoʻi ka pale ʻana i ko kākou mau poʻo.
Hiki i nā ʻeha poʻo a me nā ʻeha lolo traumatic (TBIs) ke hōʻino i ka pituitary gland, hiki ke alakaʻi i ka emi ʻana a i ʻole ka hoʻonui ʻana i ka hana ʻana o ka hormone.
No laila, eia kekahi mau mea hiki iā ʻoe ke hana e pale i kou poʻo:
- E kau i ke kāʻei noho i kēlā me kēia manawa āu e noho ai i loko o ke kaʻa.
- E kalaiwa me ka palekana.
- E komo i ka mahiole i ka wā e holo paikikala ai, mokokaikala, a i ʻole e pāʻani ana i nā haʻuki (ʻoi aku hoʻi i nā haʻuki e pili ana i nā ulia).
- E hana i nā hana e pale aku ai i ka hāʻule ʻana. He mea nui loa kēia no ka poʻe ʻelemakule. E wehe i nā ʻili pahee a me nā mea e hiki ai ke hoʻokuʻu.
- Inā he mau keiki liʻiliʻi kāu, e hōʻoia i ka palekana o nā wahi a lākou e pāʻani ai a e leʻaleʻa ai.
He ʻāpana liʻiliʻi akā ikaika ka Pituitary mua e hoʻohuli i nā ʻano he nui o ko kākou olakino. No laila, inā loaʻa iā ʻoe kekahi mau hōʻailona hou a hopohopo paha, mai manaʻo wale he mea ʻē aʻe ia, akā e kamaʻilio mau me ke kauka. Hiki iā lākou ke kiʻi i kahi kiʻi pololei o kou olakino me kekahi mau hoʻokolohua maʻalahi.
Leka Lawe-Home
- He ʻāpana liʻiliʻi e like me ka nui o ka pī ka Pituitary mua, akā he mea nui loa ia, aia ma ke kumu o kou lolo.
- Hoʻopuka ia i 6 mau hormones e kaohi ana i nā hana nui o ke kino e like me ka ulu ʻana, ka metabolism, a me ka hānau hou ʻana.
- Hiki ke loaʻa nā ʻano maʻi like ʻole ma muli o ka nui (hyperpituitarism) a i ʻole ka nele (hypopituitarism) o kēia mau hormones.
- He mea nui loa ka pale ʻana i ke poʻo, no ka mea, hiki i nā ʻeha poʻo ke hōʻino i kēia gland.
- Inā loaʻa iā ʻoe nā hōʻailona e pili ana i kahi pilikia hormonal, mai kānalua e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo