Ua haʻahaʻa anei kāu mau hormones pituitary a pau? E kamaʻilio kākou e pili ana i ka panhypopituitarism!

I kekahi manawa, ʻaʻole hana nā mea i loko o ko kākou kino e like me ka mea i manaʻo ʻia, ʻeā? ʻO nā hormones kahi hui o nā ʻelele koʻikoʻi e pili ana i kēlā me kēia kaʻina hana i loko o ko kākou kino. Inā he pilikia me kēia ʻōnaehana hormonal, hiki iā ia ke hoʻopilikia i ko kākou ola holoʻokoʻa. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi laha ʻole e pono e ʻike nā mea a pau. ʻO ia ka panhypopituitarism.

He aha ka Panhypopituitarism?

I ka ʻōlelo maʻalahi, ʻo ka panhypopituitarism kahi maʻi laha ʻole kahi e hana ʻole ai ka pituitary gland, kahi gland liʻiliʻi i loko o ko kākou lolo, i ka lawa ʻole a i ʻole nele i nā hormones āpau āna e hana ai. ʻO ka ʻāpana "pan" ʻo ia hoʻi "āpau." Hiki i kēia maʻi ke hoʻopilikia i nā pēpē, nā keiki, a me nā pākeke.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha kēia mau hormones? No ke aha lākou i koʻikoʻi ai?" ʻAe, e nānā kākou i kēlā.

Ua like nā hormones me nā ʻelele i loko o ko kākou kino. He mau kemika kūikawā lākou. Hele lākou ma o ko kākou koko a lawe i nā leka i nā ʻano kino like ʻole, nā ʻiʻo, a me nā ʻiʻo ʻē aʻe. Hoʻonohonoho lākou, ʻo ia hoʻi, hoʻomalu a hoʻonohonoho lākou i nā hana like ʻole o ko kākou kino, e haʻi ana iā lākou e "hana i kēia, hana i kēia manawa, hana i kēia ʻano."

ʻO ka nui o ko kākou pituitary gland e like me ka pi. Aia ia ma ke kumu o ko kākou lolo, ma lalo pono o ka hypothalamus. (ʻO ka hypothalamus kahi kikowaena nui i loko o ka lolo e kāohi ana i nā mea nui he nui, me kā kākou ʻōnaehana nerve autonomic.) ʻOiai kona liʻiliʻi, he kuleana koʻikoʻi ko ka pituitary gland i loko o kā kākou ʻōnaehana endocrine. ʻO ia hoʻi, ʻo ia mau hormones pituitary e kāohi ana i nā mea he nui i loko o ko kākou kino, e like me ka metabolism, ka ulu ʻana, a me ka hānau hou ʻana.

ʻO ka maʻamau, hoʻoponopono pono ko mākou kino i kēia mau pae hormone. Eia nō naʻe, inā haʻahaʻa loa kekahi o kēia mau hormones, hiki iā ia ke hana i nā ʻano hōʻailona like ʻole a me nā pilikia olakino. ʻO ka panhypopituitarism ka wā e haʻahaʻa loa ai nā hormones āpau i hana ʻia e ka pituitary gland, e hana ana i nā ʻano hōʻailona like ʻole.

He aha ka ʻokoʻa ma waena o ka Panhypopituitarism a me ka Hypopituitarism?

Ua like iki kēia mau inoa ʻelua, no laila hiki ke huikau. E noʻonoʻo e pili ana i ia mea, ʻo ka hypopituitarism kahi kūlana kahi i hana ʻia ai hoʻokahi a ʻoi aku paha nā hormones e ka pituitary gland. ʻO ka panhypopituitarism kahi hihia kūikawā a ʻoi aku ka piha o ka mea like. ʻO ia hoʻi, ʻo ka panhypopituitarism kahi hemahema o nā hormones āpau i hana ʻia e ka pituitary gland. ʻO ka huaʻōlelo "pan" ʻo ia hoʻi "āpau", no laila wehewehe ia i kēia kūlana.

He aha nā hormones i hana ʻia e ka pituitary gland?

Aia kekahi mau ʻano hormones i hana ʻia a hoʻokuʻu ʻia e ko kākou pituitary gland. He hana kūikawā ko kēlā me kēia. E nānā kākou i ko lākou ʻano:

• ʻO ka hormone Adrenocorticotropic (ACTH a i ʻole corticotropin): Hoʻoulu kēia i kā mākou mau kelepa adrenal e hana i kahi hormone i kapa ʻia ʻo cortisol. Ua kapa ʻia kēia cortisol ʻo ka 'hormone stress'. He mea nui loa ia no ka kaohi ʻana i ke koko a me nā pae glucose koko.
• ʻO ka hormone hoʻouluulu Follicle (FSH): Kōkua kēia hormone i ka hoʻoulu ʻana i ka hana sperm i nā kāne a hoʻoulu i nā ovaries i nā wahine e hana i ka hormone estrogen a e hoʻomāhuahua i nā hua.
• ʻO ka hormone ulu (GH): E like me ka inoa e hōʻike nei, he mea nui ia no ka ulu ʻana o nā keiki. Kōkua nō hoʻi ia i ka mālama ʻana i nā ʻiʻo a me nā iwi olakino i nā pākeke, a pili i ka hoʻolaha ʻana o ka momona o ke kino. Pili pū ʻo GH i kā mākou metabolism.
• ʻO ka hormone Luteinizing (LH): Pono ka LH e hoʻoulu i ka ovulation i nā wahine a e hoʻoulu i ka hana ʻana o ka testosterone i nā kāne.
• Prolactin: Hoʻoulu kēia hormone i ka hana ʻana o ka waiū umauma ma hope o ka hānau ʻana o kahi pēpē. Hiki iā ia ke hoʻopilikia i ke kaʻina hana menstrual i nā wahine a me ka momona a me ka hana moekolohe i nā pākeke.
• ʻO ka hormone hoʻoulu thyroid (TSH): Hoʻoulu kēia i kā mākou kelepa thyroid e hana i nā hormones thyroid, ka mea e hoʻokele i ka metabolism, ka ikehu, a me ka ʻōnaehana nerve.

Ma waho aʻe o kēia mau mea, mālama ka pituitary gland a hoʻokuʻu i ʻelua mau hormones ʻē aʻe i ka wā e pono ai. Eia nō naʻe, hana ʻia kēia mau mea e ka hypothalamus:

• ʻO ka hormone antidiuretic (ADH a i ʻole vasopressin): Hoʻoponopono kēia hormone i ka nui o ka wai a me ka sodium (paʻakai) i loko o ko mākou kino.
• ʻOxytocin: Kōkua ia i nā wahine e hoʻopaʻa i ko lākou ʻōpū i ka wā hānau, a kōkua pū kekahi i ke kahe ʻana o ka waiū umauma. Ua ʻōlelo ʻia hoʻi kēia hormone e hoʻopilikia i ka pilina ma waena o nā mākua a me nā pēpē.

Eia, he hana koʻikoʻi kēia ʻāpana pituitary liʻiliʻi! No laila, hiki i ka emi ʻana o kēia mau hormones āpau ke loaʻa ka hopena nui.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia ʻano o ka panhypopituitarism?

ʻO kaʻoiaʻiʻo, hiki ke loaʻa kēia kūlana i kapa ʻia ʻo panhypopituitarism i kekahi, i kēlā me kēia makahiki. ʻAʻohe palena makahiki a ʻāpana paha.

Pehea ka maʻamau o kēia kūlana?

He maʻi laha ʻole kēia. Ma ka honua holoʻokoʻa, ua hōʻike ʻia kēia maʻi i ʻehā wale nō o kēlā me kēia haneli tausani kānaka i kēlā me kēia makahiki. No laila, he mea maʻamau ka lohe ʻole ʻana e pili ana i ia mea.

Hiki i ka panhypopituitarism ke hoʻoweliweli i ke ola?

ʻAe, i kekahi mau hihia hiki i kēia kūlana ke hoʻoweliweli i ke ola. ʻOiai inā haʻahaʻa loa ka hormone adrenocorticotropic hormone (ACTH), hiki ke hoʻoweliweli.

ʻO ke kumu o kēia, ʻo ka hemahema o ka ACTH hiki ke hoʻoulu i kahi pilikia i kapa ʻia ʻo ka pilikia adrenal . Ua kapa ʻia hoʻi kēia ʻo "acute cortisol insufficiency". ʻO ACTH ka mea e hoʻomalu i kā mākou pae cortisol. No laila, ke pau ka ACTH, ʻaʻole i hana ʻia ka cortisol. ʻO kēia pilikia adrenal kahi kūlana e pono ai ke kōkua koke ʻia e ke kauka a hiki ke hoʻoweliweli i ke ola.

Hiki i nā hōʻailona o ka pilikia adrenal ke komo pū:

• kuni
• Nāwaliwali koʻikoʻi
• Ka huikau (ʻike ʻole ʻia)
• Ke koko haʻahaʻa (hypotension)
• Ka wikiwiki o ka puʻuwai (tachycardia)
• Ka luaʻi ʻana
• Ka maʻi pākī
• Ke kō koko haʻahaʻa (hypoglycemia)

Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, ​​e hele koke i ka haukapila kokoke loa a kāhea aku paha i ka 1990. He pilikia kēia!

He aha nā hōʻailona o ka panhypopituitarism?

Hiki ke ʻokoʻa loa nā hōʻailona o kēia maʻi mai kēlā kanaka a kēia kanaka, ma muli o ka nui o kēlā me kēia hormone pituitary i nele a me ka wikiwiki a lohi paha o ka holomua ʻana o ke kūlana.

Eia kekahi mau hōʻailona maʻamau i ʻike ʻia i nā keiki a me nā pākeke:

• Ka luaʻi a i ʻole ka poniuniu
• Luhi nui
• Kaumaha a me/a i ʻole ka hopohopo
• Nā maʻi pinepine
• Ke kō koko haʻahaʻa (hypoglycemia)
• ʻAʻole hiki ke hoʻomanawanui i ke anu
• ʻIli maloʻo loa
• ʻO ka emi ʻana o ke kaumaha a i ʻole ka piʻi ʻana no ke kumu ʻole
• Nā pae lipid koko a me ka cholesterol kūpono ʻole (dyslipidemia)
• Ka wikiwiki o ka puʻuwai (tachycardia)
• Ka makewai nui a me ka mimi pinepine
• Nā pōʻaiapuni menstrual kūpono ʻole i nā wahine
• Ka hānau ʻole ʻana o ka wahine
• Ka hānau ʻole ʻana o ke kāne

Aia kekahi mau hōʻailona ʻē aʻe e pili pono ana i nā pēpē hānau hou, nā pēpē, a me/a i ʻole nā ​​​​kamaliʻi liʻiliʻi:

• ʻO ka jaundice lōʻihi i nā keiki hānau hou
• Penis liʻiliʻi i nā pēpē kāne (micropenis)
• Ka ulu ʻana o ka mea kanu (ʻaʻole e ulu ana ke kiʻekiʻe)
• Ka lohi o ka wā ʻōpiopio

No ka mea hiki ke like kēia mau hōʻailona me nā kūlana olakino ʻē aʻe, he mea nui e loaʻa kahi hōʻailona kūpono inā loaʻa iā ʻoe nā hōʻailona hou a mau paha e like me kēia. No laila, e ʻike i ke kauka no ka ʻōlelo aʻo.

He aha nā kumu o ka panhypopituitarism?

Aia kekahi mau kumu kūpono no kēia ʻano. I kekahi manawa, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kikoʻī. Ua kapa ʻia kēia he idiopathic panhypopituitarism.

Ma keʻano laulā, ʻo ke kumu nui o kēia, ua hōʻino ʻia ko kākou hypothalamus a me/a i ʻole ka pituitary gland ma kekahi ʻano, e hana pono ʻole ai kekahi a i ʻole nā ​​​​​​mea ʻelua.

I mea e hoʻomaopopo ai i kēia mau kumu, pono ʻoe e ʻike iki i ke ʻano o ka hana pū ʻana o ko kākou hypothalamus a me ka pituitary gland.

Ka pilina o ka hypothalamus-pituitary gland

E noʻonoʻo i ko kākou hypothalamus, ka pituitary gland, a me ka pituitary gland ma ke ʻano he CEO a me ka luna hoʻokele o kahi ʻoihana nui. I ka hui pū ʻana, hana kēia mau mea ʻelua ma ke ʻano he kikowaena mana nui o ko kākou lolo (hypothalamus-pituitary complex), e kaohi ana i nā kaʻina hana koʻikoʻi loa i loko o ke kino.

ʻO ka hypothalamus ka ʻāpana o ko kākou lolo e kuleana no kekahi mau hana maʻamau o ke kino. Hoʻouna ia i nā leka i kā kākou ʻōnaehana nerve autonomic. Ke haʻi aku nei hoʻi ia i ka pituitary gland e "hana i kēia mau hormones, e hoʻokuʻu i kēia mau mea." Hoʻopilikia kēia mau hormones pituitary i nā ʻāpana ʻē aʻe o ke kino.

Ua pili ka ʻōpū pituitary i ka hypothalamus e kahi kumu i loaʻa nā kīʻaha koko a me nā olonā nerve i kapa ʻia ʻo "kumu pituitary." Ma o kēia kumu e kamaʻilio ai ka hypothalamus me ka ʻōpū pituitary.

Hoʻopuka ka hypothalamus i kekahi mau hormones e hoʻoulu i ka pituitary gland:

• ʻO ka hormone hoʻokuʻu corticotropin
• Dopamine
• ʻO ka hormone hoʻokuʻu gonadotropin
• ʻO ka hormone hoʻokuʻu i ka hormone ulu
• ʻO Somatostatin
• ʻO ka hormone hoʻokuʻu thyrotropin

Ma muli o ka hana like ʻana o ka pituitary gland a me ka hypothalamus, hiki i ka hōʻino ʻana i kekahi ke hoʻopilikia i ka hana hormonal o kekahi. ʻO kēia ke kumu nui no ka ulu ʻana o ka panhypopituitarism.

Nā kumu e pili ana i ka pituitary gland

ʻO nā kūlana e hiki ke hōʻino i ka pituitary gland a hoʻoulu i ka panhypopituitarism:

• ʻO nā adenomas pituitary (he mau ʻōpū ʻaʻole cancerous kēia)
• ʻO ke ʻoki ʻana i ka pituitary gland (pinepine e wehe i kēia mau adenomas)
• ʻO ka lāʻau lapaʻau radiation no ka adenoma pituitary
• ʻO ka apoplexy pituitary (ka luku koke ʻana o ka ʻiʻo pituitary ma muli o ka emi ʻana o ke kahe koko i ka pituitary gland a i ʻole ke kahe koko)
• ʻAʻole i hoʻomohala pono ʻia ka ʻōpū pituitary a i ʻole ua hana ʻia ma ke ʻano hewa i ka wā hānau.

Nā kumu e pili ana i ka hypothalamus

ʻO nā kūlana e hiki ke hōʻino i ka hypothalamus a hoʻoulu i ka panhypopituitarism:

• ʻEha lolo traumatic (TBI)
• ʻO ke ʻoki lolo i hana ʻia ma ka hypothalamus a kokoke paha
• Nā ʻōpū ʻaʻole kanesa e ulu ana ma ka hypothalamus (e.g. craniopharyngiomas)
• Ka maʻi ʻaʻai i pālahalaha (metastasized) i ka hypothalamus mai nā wahi ʻē aʻe o ke kino (e.g. māmā, maʻi ʻaʻai umauma)
• ʻO ka Hydrocephalus (kaomi i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai i loko o ka lolo)
• Hahau
• ʻO ka maʻi meningitis tuberculous

Pehea e ʻike ʻia ai ka panhypopituitarism?

Inā loaʻa iā ʻoe nā hōʻailona o kēia maʻi, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino, a laila e hana i kahi hoʻokolokolo kino.

A laila, ua kauoha ʻia nā hoʻokolohua e pono ai e hōʻoia i ke kūlana o ka panhypopituitarism a e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kēia mau hōʻailona.

He aha nā hoʻokolohua diagnostics?

Hana pinepine nā kauka i kekahi mau hoʻokolohua e ʻike ai i kēia maʻi, me nā hoʻokolohua kiʻi a me nā hoʻokolohua pae hormone.

Nā hoʻokolohua kiʻi

Hoʻokumu ʻia ka panhypopituitarism e ka hōʻino ʻia ʻana o ka hypothalamus a i ʻole ka pituitary gland, a hiki ke hana ʻia nā hoʻokolohua kiʻi e like me kēia e ʻike ai i ke kumu:

• ʻO ke scan MRI (Magnetic Resonance Imaging) o ka lolo: Hoʻohana kahi scan MRI i nā nalu lekiō a me kahi kahua magnetic ikaika e hana i nā kiʻi kikoʻī o loko o ke kino. Manaʻo ʻia nā scan MRI ʻo ke ala maikaʻi loa e ʻike ai i nā puʻupuʻu pituitary. Hiki iā lākou ke kōkua i ka ʻike ʻana i nā pilikia ʻē aʻe me ka hypothalamus a i ʻole ka pituitary gland.
• ʻO ke scan CT (Computed Tomography) o ka lolo: Hoʻohana ka scan CT i nā kukuna X a me ke kamepiula e hana i nā kiʻi kikoʻī o ka lolo. Hiki ke hoʻohana ʻia kēia hoʻāʻo e nānā i kahi puʻupuʻu lolo a i ʻole ka pituitary adenoma. Hiki iā ia ke kōkua i ka ʻike ʻana i nā pilikia ʻē aʻe me ka hypothalamus a i ʻole ka pituitary gland.

Nā hoʻokolohua hormone

Inā loaʻa iā ʻoe nā hōʻailona o ka panhypopituitarism, pono kāu kauka e ana i nā pae o kēlā me kēia hormone i hoʻokuʻu ʻia e ka pituitary gland. E kōkua kēia i ka hoʻoholo ʻana i ka haʻahaʻa o kēlā me kēia hormone a kāpae i nā kūlana ʻē aʻe.

ʻOiai kekahi mau hormones pituitary e loaʻa mau ana i loko o ko kākou koko ma kahi pae mau, loli nui nā pae hormone ʻē aʻe i ka lā a pau. No laila, hiki ke hana ʻia kekahi mau hoʻokolohua hormone ma ke ʻano he mau hoʻokolohua koko maʻalahi, aʻo nā mea ʻē aʻe e pono ai nā hoʻokolohua hoʻoulu kūikawā.

ʻO nā hoʻokolohua pae hormone:

• Nā hoʻāʻo koko: Hiki i nā hoʻāʻo koko maʻalahi ke ana i nā hormones pituitary e like me ka hormone hoʻoulu thyroid (TSH), prolactin, hormone hoʻoulu follicle (FSH), a me ka hormone luteinizing (LH). Hiki iā lākou ke ana i nā hormones ʻē aʻe i hoʻopilikia ʻia e nā hormones pituitary, e like me thyroxine, estrogen, a me testosterone.
• Hoʻāʻo hoʻoulu ACTH:Hoʻāʻo kēia i ke ʻano o ka pane ʻana o kāu mau kelepa adrenal i ka hormone adrenocorticotropic (ACTH). Pili kēia i ka hāʻawi ʻana iā ʻoe i kahi inikini o ka ACTH synthetic a me ka lawe ʻana i nā hāpana koko i nā manawa maʻamau.
• Hoʻāʻo hoʻoulu ʻana i ka hormone ulu (GH): No kēia hoʻāʻo, e hoʻokomo kāu kauka iā ʻoe i kahi lāʻau lapaʻau. Hoʻoulu pinepine kēia lāʻau lapaʻau i ka ʻōpū pituitary e hoʻokuʻu i ka hormone ulu. A laila, e lawe ʻia kāu hāpana koko a e ana ʻia kāu mau pae GH.
• Hoʻāʻo hoʻomanawanui insulin: Kōkua kēia hoʻāʻo i ka ʻike ʻana i nā hemahema o ka hormone ulu (GH) a me ACTH.

Pehea e mālama ʻia ai ka panhypopituitarism?

ʻOkoʻa ke ʻano o ka mālama ʻana no kēia maʻi mai kēlā kanaka a kēia kanaka. Aia ia i ka haʻahaʻa o nā pae hormone pituitary a me ke kumu o ke kumu. No laila, he pilikino loa ka hoʻolālā mālama. Na kāu hui lapaʻau e hoʻoholo i ka hoʻolālā mālama maikaʻi loa nāu.

ʻO kekahi o nā koho lapaʻau i hoʻohana pinepine ʻia:

• Lapaʻau hoʻololi hormone: ʻO ka pahuhopu o kēia, ʻo ia ka hoʻihoʻi ʻana i nā hormones pituitary i hoʻopau ʻia i kahi pae olakino. Pono ka poʻe me ka panhypopituitarism i ka lāʻau hoʻololi hormone no ke ola holoʻokoʻa ke ʻole hiki ke mālama ʻia ke kumu kumu. Lawe ʻia kekahi mau lāʻau hoʻololi hormone ma ke ʻano he mau pila, aʻo nā mea ʻē aʻe e hāʻawi ʻia ma ke ʻano he mau inikini.
• ʻO ke ʻoki kino: Inā loaʻa ke ʻano i ka maʻi puʻupuʻu lolo a i ʻole ka adenoma pituitary, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino e wehe i ka puʻupuʻu.
• Lapaʻau Radiation: Inā loaʻa ke ʻano i ka maʻi e ka ʻōpū lolo a i ʻole ka adenoma pituitary, hiki ke ʻōlelo ʻia ka radiation therapy e mālama a hoʻemi paha i ka ʻōpū.
• Corticosteroids: Pono paha ʻoe e lawe i nā dosis kiʻekiʻe o nā corticosteroids ma mua a/a i ʻole i ka wā o kekahi hanana e hoʻoulu ai i ke kaumaha kino a noʻonoʻo paha. ʻO nā mea hoʻoluhi kino e pili ana i ka maʻi, ka maʻi, a me ke ʻoki kino. Hāʻawi ʻia kēia mau corticosteroids e pani i nā hormones adrenal i hana ʻole ʻia ma muli o ka hemahema o ACTH. He mea nui kēia mau hormones i ka wā e kaumaha ai ke kino.

Hiki ke ho'ōla loa ʻia ka panhypopituitarism?

I kekahi mau hihia, hiki ke hoʻohuli ʻia ka panhypopituitarism ma ka mālama ʻana i ke kumu kumu (no ka laʻana, e wehe ana i kahi adenoma pituitary e kaomi ana i ka pituitary gland, inā ʻaʻole i hōʻino ʻia ka gland). Eia nō naʻe, i ka hapanui o nā hihia , pono ka mālama ʻana i nā hemahema hormone i hoʻokumu ʻia e ka panhypopituitarism no ke ola holoʻokoʻa.

Hiki ke pale ʻia kēia kūlana?

I ka hapanui o nā hihia, ʻaʻohe ala e pale aku ai i ka panhypopituitarism. Eia nō naʻe, inā ʻoe e pilikia ana i kēia maʻi, aia nā ala e ʻike mua ai.

Inā ua loaʻa iā ʻoe kekahi o kēia mau mea, ua nui kou pilikia o ka hoʻomohala ʻana i ka panhypopituitarism:

• Inā ua hana ʻia ʻoe i ke ʻoki kino ma ka lolo a i ʻole ka pituitary gland.
• Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation i ka lolo a me/a i ʻole ka pituitary gland.
• Inā ua loaʻa i ka lolo kahi haʻalulu i kahi ulia (ʻeha lolo traumatic).
• Inā ʻeha ʻoe i ka hydrocephalus (ka hōʻiliʻili ʻana o ka wai ma ka lolo).

Inā ʻoe i ka pilikia, e ʻōlelo pinepine kāu kauka e nānā i ka hana a me ke olakino o kāu pituitary gland a/a i ʻole hypothalamus.

He aha ka wānana no ka panhypopituitarism?

ʻO ke kūlana no kēia maʻi, ʻo ia hoʻi, pehea e ola ai ka mea maʻi i ka wā e hiki mai ana, e hilinaʻi ʻia ana i kekahi mau kumu:

• ʻEhia ka haʻahaʻa o kēlā me kēia hormone pituitary.
• Kou makahiki i hoʻomaka ai ka maʻi.
• E lohi a wikiwiki paha kēia kūlana?
• Pehea ka wikiwiki e hiki ai ke ʻike ʻia ka maʻi a hoʻomaka ka lāʻau lapaʻau?

Ua ʻike ʻia ka panhypopituitarism e pili ana me ka emi nui ʻana o ke ʻano o ke ola a me ka manaʻolana ola.

ʻO ka poʻe me kēia maʻi, loaʻa pinepine iā lākou ka nui o ka momona, ka emi ʻana o ke kino wiwi, a me nā maʻi cardiovascular. Hiki iā lākou ke loaʻa ka nui o ka pilikia o ka osteoporosis (ka lahilahi o nā iwi) a me ka haki ʻana o ka iwi.

Eia nō naʻe, hiki i ka lāʻau lapaʻau hoʻololi hormone akahele a piha a me ka nānā pono ʻana i nā mea pilikia cardiovascular ke hoʻomaikaʻi i nā hopena. No laila, he mea nui loa ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau.

I ka manawa hea ʻoe e ʻike ai i ke kauka inā loaʻa iā ʻoe ka panhypopituitarism?

Inā loaʻa iā ʻoe nā hōʻailona o ka panhypopituitarism, a ua ʻike ʻia paha me ke ʻano, pono paha ʻoe e ʻike i kahi endocrinologist, he kauka i loea i ka mālama ʻana i nā maʻi pili i ka hormone.

Pono ʻoe e ʻike pinepine i kāu endocrinologist i kou ola a pau e hōʻoia i ka hana pono ʻana o kāu lāʻau hoʻololi hormone a e pale aku i ka hoʻololi nui ʻana o nā hormones.

He mea maʻamau ka makaʻu i ka wā e loaʻa ai iā ʻoe kahi hōʻailona hou. Akā, mai makaʻu e nīnau i kāu kauka e pili ana i ka panhypopituitarism. ʻOiai he mea pinepine ia e pono ai ka mālama ʻana i ke ola holoʻokoʻa a me ka nānā ʻana i ka hormone, he mea nui e ʻike pinepine i kāu kauka. Inā loaʻa iā ʻoe nā hōʻailona hou a hopohopo paha, e hoʻomaopopo koke i kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He maʻi kakaikahi akā koʻikoʻi ka panhypopituitarism kahi e hoʻemi ʻia ai nā hormones āpau i hana ʻia e ka pituitary gland.
• Nui nā kumu no kēia, ʻo ka hapa nui he hōʻino ʻia i ka pituitary gland a i ʻole hypothalamus.
• ʻOkoʻa nā hōʻailona, ​​a i kekahi manawa hiki ke loaʻa nā kūlana hoʻoweliweli ola e like me ka pilikia adrenal . No laila, e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.
• Pono nā mea e like me nā hoʻāʻo koko a me nā scan MRI/CT no ka hoʻokumu ʻana i kahi hōʻailona pololei.
• Hoʻokomo pinepine ka lāʻau lapaʻau i ka lāʻau hoʻololi hormone no ke ola holoʻokoʻa.
• Ma ka hana pū ʻana me kāu kauka a me ka loaʻa ʻana o nā hoʻokolohua a me nā lāʻau lapaʻau kūpono, hiki iā ʻoe ke ola me ka holomua me kēia maʻi.

Manaʻolana wau he mea kōkua kēia ʻike iā ʻoe. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a aia nā kauka a me nā mea lawelawe olakino e kōkua iā ʻoe.

ʻO ka panhypopituitarism, ka pituitary gland, ka nele o ka hormone, hypothalamus, ka lāʻau lapaʻau hormone, nā puʻupuʻu lolo, ACTH