Ua luhi paha ʻoe, palaualelo, a ʻaʻole hoʻi i hauʻoli? Malia paha ua piʻi a emi paha kou kaumaha me ke kumu ʻole, a ua ʻike paha ʻoe i nā loli ʻē aʻe. Hiki i kēia mau mea a pau ke hana ʻia ma muli o kahi 'master gland' liʻiliʻi, akā ikaika loa i loko o kou lolo. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā. Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo hypopituitarism .
He aha ke ʻano o ka pituitary gland a me ka hypopituitarism?
I ka ʻōlelo maʻalahi, ʻo ka pituitary gland he gland nui e like me ka pī ma ke kumu o ko kākou lolo, ma hope o ko kākou ihu. ʻOiai kona liʻiliʻi, hana ia ma ke ʻano he 'master gland' o ka ʻōnaehana hormonal o ko kākou kino. ʻO ia ka mea e haʻi aku i ka thyroid gland, nā adrenal glands, a me nā glands ʻē aʻe he nui, "ʻAe, i kēia manawa hana ʻoe i kēia hormone."
ʻO ka hypopituitarism ka wā ʻaʻole hana ka pituitary gland, ka mea hoʻoponopono nui, i hoʻokahi a ʻoi aku paha mau hormones. I kekahi manawa, hiki ke hoʻemi ʻia nā hormones āpau i hana ʻia e ka pituitary gland. Kāhea mākou i kēia ʻo Panhypopituitarism . Hiki i kēia kūlana ke hoʻopilikia i nā keiki a me nā pākeke. Hiki ke hana ʻia e kahi maʻi o ka hypothalamus, ka ʻāpana o ka lolo e kaohi ana i nā hōʻailona e hele mai ana i ka pituitary gland.
Hoʻomalu kēia mau hormones i nā hana koʻikoʻi i loko o ko mākou kino, e like me ka ulu ʻana, ka hānau hou ʻana, ke koko, a me ka metabolism . No laila, inā nele kekahi o kēia mau mea, hiki ke hoʻopilikia ʻia nā kaʻina hana kino e pili ana.
He aha nā hormones koʻikoʻi i hana ʻia e ka pituitary gland?
Hoʻopuka ka pituitary gland i kekahi mau ʻano hormones. E nānā kākou i nā mea nui a me kā lākou hana. He mea nui loa iā ʻoe ke ʻike i kēia.
| Hormone | Hana i loko o ke kino |
|---|---|
| ʻO ka hormone Adrenocorticotropic (ACTH) | Hoʻoulu ia i nā kelepa adrenal (nā kelepa i loaʻa ma luna o nā puʻupaʻa) a kōkua i ka hana ʻana i ka hormone cortisol, ka mea e kaohi ai i ke koko a me ka metabolism. |
| ʻO ka hormone hoʻoulu thyroid (TSH) | Hoʻoulu ia i ke kelepa thyroid ma ka ʻāʻī a kōkua i ka hana ʻana i nā hormones thyroid, he mea nui ia no ka metabolism o ke kino, ka ulu ʻana, a me ka ulu ʻana. |
| ʻO ka hormone hoʻouluulu Follicle (FSH) a me ka hormone Luteinizing (LH) | Hoʻomalu kēia i ka hana moekolohe a me ka hānau hou ʻana i nā wahine a me nā kāne, e hōʻailona ana i ka hana ʻana o ka estrogen mai nā ovaries i nā wahine a me ka testosterone mai nā testicles i nā kāne. |
| ʻO ka hormone ulu (GH) | E like me ka inoa e hōʻike nei, he mea nui ia no ka ulu maʻamau o nā iwi a me nā ʻiʻo, ʻoiai i ka wā kamaliʻi. |
| ʻO Prolactin | Hoʻoulu ia i ka ulu ʻana o ka umauma i nā wahine a me ka hana ʻana o ka waiū no ka hānai waiū. |
| ʻO ka hormone antidiuretic (ADH) | Hoʻomalu nā puʻupaʻa i ka hoʻokuʻu ʻana o ka wai mai ke kino. Inā e emi ana kēia, hiki ke hana i ka mimi nui. |
| ʻOkitokina | Kōkua ia i ka ʻūmiʻi ʻana o ka ʻōpū i ka wā hānau keiki a kōkua i ke kahe ʻana o ka waiū i ka wā e hānai waiū ai. He mea nui nō hoʻi kēia hormone no ka pilina ma waena o ka makuahine a me ke keiki. |
He aha nā kumu o ka hypopituitarism?
Hoʻokumu ʻia kēia kūlana e ka hōʻino ʻia ʻana o ka pituitary gland a i ʻole hypothalamus. I kekahi manawa ʻaʻole paha e loaʻa ke kumu. Eia kekahi o nā kumu nui:
- Nā puʻupuʻu i loko a puni paha o ka pituitary gland
- Lapaʻau radiation no ka maʻi kanesa
- ʻO ke ʻoki kino ma ka lolo a i ʻole ka pituitary gland
- Nā maʻi e like me ka meningitis
- Nā ʻeha poʻo koʻikoʻi
- Ka hahau ʻana a i ʻole ke kahe ʻana o ke koko i loko o ka lolo
- Kekahi mau lāʻau lapaʻau
- ʻO ka mumū i hoʻokumu ʻia e nā pilikia me ka ʻōnaehana pale
- Ka nui o ke kahe koko i ka wā hānau (Sheehan's syndrome)
- ʻO kekahi mau kumu hoʻoilina ( mutation genetic )
- Nā pilikia olakino ʻē aʻe e like me ka sarcoidosis a me ka maʻi puʻupuʻu
Pehea ke ʻano o nā hōʻailona?
Pili nā hōʻailona i ka hormone i nele a me ka wikiwiki o ka ulu ʻana o ke ʻano. ʻAʻohe hōʻailona iki o kekahi poʻe, a lohi paha ka ulu ʻana o nā hōʻailona. Hiki i kekahi ke loaʻa koke nā hōʻailona koʻikoʻi.
E nānā i ka papa ma lalo no nā hōʻailona e pili ana i kēlā me kēia hemahema hormone.
| Ka hemahema o ka hormone | Nā Hōʻailona Hiki |
|---|---|
| Ka hemahema o ka ACTH | Luhi pinepine, palaualelo, haʻahaʻa ke koko, pohō kaumaha, nausea, luaʻi, kaumaha. |
| Ka hemahema o ka TSH | Ka paʻa ʻana o ka ʻōpū, ka piʻi ʻana o ke kaumaha, ka hiki ʻole ke hoʻomanawanui i ke anu, ka nalowale o ka ikaika, ka ʻeha o nā ʻiʻo a i ʻole ka nāwaliwali. |
| Ka nele o ka FSH a me ka LH | No nā wāhine: ka menstruation kūpono ʻole a i ʻole ka pau ʻana, ka paʻakikī i ka loaʻa ʻana o nā keiki (infertility). No nā kāne: ka nalowale o ka lauoho maka a me ke kino, nāwaliwali, ka nalowale o ka hoihoi i ka moekolohe, ka hana erectile, ka paʻakikī i ka hāpai ʻana. |
| Ka nele o ka GH | No nā keiki: ulu lohi, hōʻiliʻili ʻana o ka momona a puni ka pūhaka a me ka maka, a me ka ulu maikaʻi ʻole. No nā mākua: emi ʻana o ka ikehu, paʻakikī i ka hoʻoikaika kino, piʻi ʻana o ke kaumaha, emi ʻana o ka nui o nā ʻiʻo, hopohopo a kaumaha paha. |
| Ka hemahema o ka prolactin | No nā wāhine: ʻAʻole hana ʻia ka waiū umauma ma hope o ka hānau keiki ʻana. |
| Ka hemahema o ka ADH | ʻO ka makewai nui a me ka mimi pinepine a nui hoʻi (Diabetes Insipidus). |
| Ka nele o ka oxytocin | No nā wāhine: pilikia me ka hoʻokahe ʻana o ka waiū. |
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E hōʻoia e ʻike i kāu kauka a kamaʻilio e pili ana i ia mea.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke ʻike ʻoe i ke kauka, e hoʻolohe pono ʻo ia i kāu mau hōʻailona a kuhikuhi iā ʻoe no nā hoʻokolohua e pono ai.
- Nā Hoʻāʻo Koko: ʻO kēia ka mea nui loa. Ana lākou i nā pae o nā hormones like ʻole i loko o kou koko. I kekahi manawa, hāʻawi ʻia kahi hormone a laila hana ʻia nā hoʻāʻo kūikawā (nā hoʻāʻo hoʻoulu a kāohi paha) e nānā i nā loli i ke koko i loko o kekahi mau hola. Nā Laʻana: `Hoʻāʻo hoʻoulu ACTH (Cortrosyn)`, `Hoʻāʻo hoʻoulu GH`.
- Kiʻi: Hiki ke hana ʻia kahi MRI a i ʻole CT scan e nānā i kahi tumo pituitary.
- Nā Hoʻāʻo ʻIke: ʻOiai ʻo nā aʻalolo e pili ana i nā maka e hele kokoke ana i ka ʻōpū pituitary, hoʻāʻo ʻia ka ʻike e ʻike inā he mea e like me ka puʻupuʻu e kaomi ana i kēlā mau aʻalolo.
- Nā kukuna X-ray no nā keiki: Hana ʻia kahi kukuna X-ray o nā lima o nā keiki e nānā inā e ulu maʻamau ana nā iwi.
Pehea e mālama ʻia ai?
ʻElua mau pahuhopu nui i ka mālama ʻana i kēia maʻi. ʻO kekahi, ʻo ia kaKe mālama ʻana i ke kumu kumu (no ka laʻana, ka wehe ʻana i kahi puʻupuʻu). ʻO ka lua a me ka mea nui loa, ʻo ia ke pani ʻana i nā hormones i nalowale i loko o ke kino . Ua kapa ʻia kēia ʻo Hormone Replacement Therapy .
Nā lāʻau lapaʻau
E kuhikuhi ke kauka i ka lāʻau lapaʻau kūpono ma muli o ka pae hormone āu i nele ai.
- No ka hemahema o ka ACTH: Hāʻawi ʻia nā Glucocorticoids (e.g. hydrocortisone) e hoʻoponopono i nā pae cortisol.
- No ka hemahema o ka TSH: Hāʻawi ʻia nā lāʻau lapaʻau e like me ka 'Levothyroxine' e hoʻoponopono i nā pae hormone thyroid.
- No ka hemahema o ka hormone moe: Hāʻawi ʻia ka Testosterone i nā kāne a me ka estrogen (hiki me ka progesterone) i nā wahine.
- No ka nele o GH: Hāʻawi ʻia nā inikini Growth Hormone (GH) e kōkua i ka ulu ʻana, ʻoiai hoʻi i nā keiki. Hāʻawi ʻia kekahi lāʻau i nā pākeke i kekahi manawa e kōkua i ka ikaika a me ka ulu ʻana o nā ʻiʻo.
- No ka hānau ʻole ʻana: Aia nā lāʻau lapaʻau hormone kūikawā e like me Gonadotropin e hoʻoulu i ka oʻo ʻana o ka hua manu a i ʻole ka hana ʻana o ka sperm.
ʻoki kino
Inā he puʻupuʻu ke kumu o kēia ʻano, pono paha ke ʻoki ʻana e wehe iā ia, ma muli o ke ʻano a me ka wahi o ka puʻupuʻu.
He aha kā kākou e noʻonoʻo ai no ka wā e hiki mai ana? (Nānā)
ʻO ka nūhou maikaʻi, inā ʻike pololei ʻia ka maʻi a lawelawe pololei ʻia ka lāʻau hoʻololi hormone, hiki ke ola i kahi ola maikaʻi a olakino hoʻi . Hiki ke mālama ʻia no ke ola holoʻokoʻa.
ʻO ka mea nui loa, ʻo ia ka hoʻopili ʻana me kāu kauka i ka manawa kūpono . No ka mea, hiki ke loli nā pono hormone o kou kino i ka hala ʻana o ka manawa, he mea nui e hoʻomau i ka launa pū ʻana me kāu kauka.
Leka Lawe-Home
- ʻO ka hypopituitarism ka wā e hana ʻole ai ka pituitary gland, ke 'master gland' o ko mākou kino, i nā hormones lawa e pono ai.
- ʻOkoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka, ma muli o ka hormone i nele. Hiki i nā hōʻailona ke komo pū me ka luhi, ka piʻi ʻana o ke kaumaha, a me ka hana pono ʻole o ka moekolohe.
- Inā loaʻa iā ʻoe nā hōʻailona i wehewehe ʻole ʻia e like me kēia, e ʻike koke aku i ke kauka .
- Hiki ke ʻike pololei ʻia kēia kūlana ma o nā hoʻāʻo koko a me nā scan.
- ʻO ka lāʻau lapaʻau, ʻo ia ka hāʻawi ʻana i nā hormones nele i waho. He mea kūpono loa kēia lāʻau lapaʻau.
- Ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e hālāwai me ke kauka i ka manawa i hoʻonohonoho ʻia.He mea nui loa ka hoʻoponopono ʻana i nā dosages.











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