Ua kahe koke anei ke koko o kou kelepa pituitary i loko o kou poʻo? (Pituitary Apoplexy) E makaʻala kākou!

Ua loaʻa anei iā ʻoe kahi ʻeha poʻo koʻikoʻi koke, ʻike maka pohihihi, ʻike maka pālua, a i ʻole ka hāʻule ʻana o kahi lihilihi maka? ʻOiai he mea kakaikahi kēia, aia kekahi kumu koʻikoʻi ma hope ona. ʻO ia ke kūlana pilikia a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo "Pituitary Apoplexy". Mai makaʻu, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka Pituitary Apoplexy?

I ka ʻōlelo maʻalahi, ʻo `(Pituitary Apoplexy)` kahi kūlana kahi e pau koke ai ke kahe koko i ka pituitary gland , kahi gland liʻiliʻi i loko o ko kākou lolo (ʻo ia hoʻi, ua ālai ʻia ke kahe koko), a i ʻole ke kahe ʻana o ke koko i loko o ka gland (`(Hemorrhage)`). Hiki i kēia ke lilo i kūlana koʻikoʻi, no laila aia nā manawa e pono ai ka mālama olakino ulia pōpilikia .

No laila he aha kēia kelepa pituitary?

E noʻonoʻo, ma waenakonu o ko kākou lolo, ma hope o ke alahaka o ko kākou ihu, aia kahi ʻōpū liʻiliʻi e like me ka nui o ka pī. ʻO ia ka mea a kākou e kapa nei he ʻōpū pituitary. ʻO kēia kekahi o nā ʻōpū nui i loko o ka ʻōnaehana endocrine o ko kākou kino. ʻO ia ka mea e hana a hoʻomalu i nā hormones, he mau ʻelele kemika e hana ana i ka hana koʻikoʻi loa i loko o ko kākou kino.

He nui nā hana o ko kākou kino e hilinaʻi nei i kēia mau hormones. Eia kekahi mau laʻana:

• Ke kāohi nei i ko mākou koko .
• Ka hānau keiki a me ka hana moekolohe.
• Ka ulu ʻana a me ke kūkulu ʻana o ke kino.

Hoʻouna nā hormones i hoʻokuʻu ʻia e ka pituitary gland i nā hōʻailona i nā kelepa endocrine ʻē aʻe e hana i kā lākou mau hormones. Hana ia e like me ke alakaʻi liʻiliʻi i loko o ko mākou kino.

He aha ka Pituitary Adenoma?

ʻO ka hapa pinepine, ʻo kēia kūlana i kapa ʻia ʻo "Pituitary Apoplexy" e kū mai i nā poʻe i loaʻa kahi puʻupuʻu benign (ʻaʻole cancerous) i loko o ka pituitary gland, ʻo ia hoʻi, he "Pituitary Adenoma".

Eia nō naʻe, ʻaʻole ʻike ka nui o ka poʻe he `(Pituitary Adenoma)` ko lākou. I kekahi manawa ua ʻike ʻia kēia puʻupuʻu ma ka manawa kūpono i ka wā o kahi `(Imaging Test)` i hana ʻia no kekahi kumu ʻē aʻe. No kekahi poʻe, ʻo kēia kūlana i kapa ʻia ʻo `(Pituitary Apoplexy)` ka hōʻailona mua e loaʻa ana iā lākou kahi `(Pituitary Adenoma)`.

I ke hoʻokaʻawale ʻana i kēia mau "Pituitary Adenomas", hoʻokumu ʻia lākou ma muli o ka hoʻopuka ʻana o lākou i nā hormones a i ʻole.

• Nā ʻōpū huna-hormone: Hiki i kēia mau mea ke hana i ka nui o kekahi mau hormones.
• ʻO ka hormone Adrenocorticotropic (ACTH): Hoʻoulu kēia i kā mākou mau kelepa adrenal e hana i kahi hormone i kapa ʻia ʻo cortisol . ʻO Cortisol kahi hormone e kōkua i ka pane ʻana i ke kaumaha, hakakā i nā maʻi, a kaohi i ke koko, ke kō koko, a me ka metabolism.
• ʻO Prolactin:ʻOiai ke komo nei ia i nā hana kino he nui, he mea nui ia no ka ulu ʻana o nā ʻiʻo umauma a me ka hana ʻana o ka waiū. Inā hoʻonui ʻia, hiki iā ia ke hoʻoulu i nā pōʻaiapuni menstrual kūpono ʻole i nā wahine a hoʻemi i ka makemake moekolohe i nā kāne.
• Hormone ulu: Kāohi i ka ulu ʻana o nā keiki a kāohi i ka momona o ke kino, ke kō koko, a me ka hoʻoponopono ʻana o nā cell i nā pākeke.
• ʻAʻole hana nā Adenoma Pituitary: ʻAʻole kēia mau mea e hoʻokuʻu i nā hormones. ʻIke pinepine ʻia ka Pituitary Apoplexy i nā poʻe me kēia mau adenomas pituitary hana ʻole.

ʻO wai ka mea e loaʻa pinepine ai ka Pituitary Apoplexy?

ʻOi aku ka pālua o ka hiki ke loaʻa kēia maʻi i nā kāne ma mua o nā wahine. ʻO ka hapa nui o ka hopena, pili ia i nā poʻe ma waena o 37 a me 58 mau makahiki.

Pehea ka maʻamau o kēia ʻano?

Aia nā manaʻo like ʻole e pili ana i ke ʻano maʻamau o ka Pituitary Adenoma. ʻO kēia no ka mea ʻaʻole hōʻike ka nui o ka poʻe i nā hōʻailona. ʻO ka manaʻo loea laulā, he mea maʻamau lākou. Ma waena o 2% a me 12% o ka poʻe me Pituitary Adenoma e loaʻa paha ka Pituitary Apoplexy.

He aha nā hōʻailona o ka Pituitary Apoplexy?

ʻO nā hōʻailona o kēia maʻi e pili ana i:

• Ka nui o ke kahe ʻana o ke koko.
• ʻO ka nui o nā ʻiʻo i loko o ke kelepa pituitary e make ana ma muli o ka nalowale ʻana o ke koko.
• Ma muli o ke ʻano o ka pehu ʻana (edema).

ʻO ka hōʻailona maʻamau ka ʻeha poʻo koke a koʻikoʻi. ʻOi aku ma mua o ka hapalua o ka poʻe e ʻike pū ana i nā pilikia ʻike . ʻO kēia ma muli o ka hoʻonui ʻia o ke kaomi ma luna o nā aʻalolo e hele ana mai ka lolo a i nā maka (nā aʻalolo optic). Hiki i kēia mau mea ke komo pū me:

• ʻIke pālua .
• Maka ʻili e kulou ana .
• Ka nalowale piha a hapa paha o ka ʻike ma kekahi a i ʻole nā ​​maka ʻelua.

ʻO nā hōʻailona ʻē aʻe i hoʻokumu ʻia e nā loli i loko o ka lolo. Hiki i kēia ke like me nā kūlana neurological ʻē aʻe, e like me ka meningitis . ʻO kēia mau hōʻailona:

• Ka huikau.
• Luhi nui.
• Kuni.
• Ka luaʻi a me ka luaʻi.
• ʻIke i ka mālamalama (Photophobia).

Hiki i ka apoplexy pituitary ke hoʻopilikia i ka hana o ka hormone?

ʻAe, ʻoiaʻiʻo nō. Ke hōʻino ʻia ka pituitary gland, hoʻopilikia ia i ka hana o nā endocrine glands ʻē aʻe āna e kaohi ai, nā hormones a lākou e hana ai, a ke hana nei ke kino i kēlā mau hormones e kaohi ai.

ʻO kahi maʻi hormonal maʻamau ka hemahema o ka hormone adrenocorticotropic (ACTH). Hoʻopilikia kēia i ka hana o nā kelepa adrenal a hiki i kekahi manawa ke hoʻoweliweli i ke ola. ʻO kāna mau hōʻailona:

• Ke koko haʻahaʻa (Hypotension).
• Haʻahaʻa ke kō koko (Hypoglycemia).
• Ka haʻahaʻa o ka sodium i loko o ke koko (Hyponatremia).
• Ka luaʻi a me ka luaʻi.

He aha nā kumu o ka Pituitary Apoplexy?

I ka ʻoiaʻiʻo, ʻaʻole maopopo loa ke kumu kūpono o kēia.

Ua ʻike ʻia kekahi mau noiʻi ma waena o 10% a me 40% o nā hihia e pili ana i kekahi mau kaʻina hana lapaʻau, nā kūlana olakino, a me nā lāʻau lapaʻau. Eia kekahi mau laʻana:

• Hāʻawi ʻia nā lāʻau anticoagulation i nā poʻe me ka thrombosis vein hohonu a me ka pulmonary embolism.
• Nā lāʻau hoʻoulu Dopamine i hoʻohana ʻia no ka maʻi o Parkinson a me ka restless legs syndrome.
• ʻO ka hoʻāʻo hoʻoulu endocrine kahi hoʻāʻo e ʻike ai i nā maʻi o ka ʻōnaehana endocrine.
• ʻO ka lāʻau lapaʻau ʻo Gonadotropin-releasing hormone (GnRH), ka mea i hāʻawi ʻia i kekahi mau wahine me ka maʻi ʻaʻai umauma, e hōʻemi ana i ka hana ovarian.
• Nā ʻeha poʻo (e like me ka hāʻule ʻana, nā ulia kaʻa).
• ʻO ke ʻoki kino, ʻoiai ke ʻoki kino orthopedic a me ke ʻoki kino cardiac.

Ke hoʻāʻo nei nā loea e hoʻomaopopo i ke kumu e pili ai kēia mau mea i kekahi manawa i ka "Pituitary Apoplexy." Hiki i kēia noiʻi ke kōkua i nā kauka e pale i kēia kūlana apoplexy i ka mālama ʻana i nā poʻe me nā adenomas pituitary.

Pehea e ʻike ʻia ai ka Pituitary Apoplexy?

E nānā kāu kauka iā ʻoe (Hoʻokolokolo Kino), loiloi i kāu mau hōʻailona, ​​a kauoha i nā hoʻokolohua e like me (Nā Hoʻāʻo Kiʻi).

Ma muli o ke koʻikoʻi o kou kūlana, pono paha ʻoe i ka mālama ulia pōpilikia . Ma ka lumi ulia pōpilikia, e hana nā kauka i kahi CT scan no ka mea hiki iā ia ke hāʻawi i nā hopena wikiwiki a kāpae i nā kūlana ʻē aʻe, e like me ka hahau ʻana. Eia nō naʻe, inā ʻae ka manawa, ʻo ka MRI ke koho maikaʻi loa. Hiki iā ia ke hāʻawi i ka ʻike kikoʻī e pili ana i ka hōʻino ʻana i ka pituitary gland.

Pehea e mālama ʻia ai ka Pituitary Apoplexy?

Aia nā lāʻau lapaʻau a me nā ʻoki kino e like me nā lāʻau lapaʻau no kēia.

He mea nui nā Corticosteroids (nā lāʻau lapaʻau waha) e pale aku i ka hemahema o ka adrenocorticotropic hormone (ACTH). I ka hapanui o nā hihia, hoʻomaikaʻi nā maʻi me ka lāʻau lapaʻau.

Akā inā e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino . Hana pinepine ʻia kēia me ka hoʻohana ʻana i kahi ala minimally invasive. ʻO ia hoʻi, e hana kāu kauka:

• E hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o kekahi o kou mau puka ihu.
• Hana ʻia kahi lua liʻiliʻi i loko o ka iwi e hoʻokaʻawale ana i ka lua ihu a me ka lolo.
• Hoʻokomo ʻia kahi kāmela ma o kēlā ʻōmole a nānā ʻia ka puʻupuʻu.
• A laila, wehe ʻia ka puʻupuʻu a i ʻole ka ʻiʻo pituitary i hōʻino ʻia ma o kēlā ʻōmole.

Ua kapa ʻia kēia ʻano hana ʻokiʻoki transnasal.Ua kapa ʻia hoʻi ʻo `(ʻoki ʻana o ka naʻau)`.

Hiki iaʻu ke pale aku i ka Pituitary Apoplexy?

ʻO ka mea pōʻino, ʻaʻohe ala maopopo e pale aku ai i kēia kūlana.

Akā inā loaʻa iā ʻoe kahi "Pituitary Adenoma", pono ʻoe e makaʻala i ka hiki ke loaʻa kēia ʻano apoplexy. Inā loaʻa koke iā ʻoe kahi ʻeha poʻo nui a i ʻole nā ​​​​loli o ka ʻike, e ʻimi koke i ka lāʻau lapaʻau ulia pōpilikia.

He aha ka manaʻolana no ka Pituitary Apoplexy?

He mea nui loa ka ʻike mua ʻana i ka maʻi a hoʻomaka i ka mālama ʻana . ʻO ka nui o ka make ma muli o kēia ʻano ma kahi o 2%.

No nā kānaka he nui, hiki ke hoʻomaikaʻi ʻia nā pilikia ʻike me ka lāʻau lapaʻau a i ʻole ke ʻoki kino. Hoʻihoʻi ʻia ka ʻike piha ma kahi o 40% o nā hihia. Eia nō naʻe, ma kahi o 80% o nā kānaka e pono ai ka lāʻau hoʻololi hormone lōʻihi . ʻO kēia no ka mea ʻaʻole hana pono ka pituitary gland. Loaʻa kēia lāʻau lapaʻau hormone i nā ʻano like ʻole:

• Nā ʻano gels.
• Nā inikini.
• Hoʻoheheʻe ʻia i loko o ka waha.
• Nā pīpī ihu.
• Nā ʻāpana.
• Nā ʻōpala i waiho ʻia ma lalo o ka ʻili.
• Nā pila maʻamau.

Inā ua loaʻa iā ʻoe ka Pituitary Apoplexy, pono ʻoe e hoʻomau i ka nānā ʻana o ke kauka (mālama hahai). ʻO kēia mau mea:

• E loiloi i kāu hihiʻo.
• E hōʻoia i ka wehe loa ʻia ʻana o ka puʻupuʻu.
• E nānā i kāu mau pae hormone.

Āhea wau e hele ai i ka lumi pilikia?

E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā pilikia ʻike hou a i ʻole kahi ʻeha poʻo koʻikoʻi koke . Ua wehewehe kekahi poʻe i kēia ʻeha poʻo ʻo "ka ʻeha poʻo ʻino loa aʻu i loaʻa ai."

Ma muli o ka hiki koke mai o ka Pituitary Apoplexy, he mea nui e hana koke inā loaʻa iā ʻoe nā hōʻailona e like me ke poʻo ʻeha nui a me nā loli o ka ʻike.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai, ʻo ka Pituitary Apoplexy. E hoʻomanaʻo, he kūlana koke kēia. Akā ʻo ka nūhou maikaʻi, aia kahi lāʻau no ia mea. Hiki i ka lāʻau ke hoʻihoʻi i ka ʻike. Eia nō naʻe, hiki i nā poʻe he nui ke hoʻomohala i nā hemahema hormone lōʻihi.

No laila, ʻo ka hahai ʻana i nā ʻōlelo a kāu kauka, ka ʻike ʻana i kāu kauka i ka manawa kūpono, a me ka lawe ʻana i ka lāʻau i kuhikuhi ʻia e kōkua iā ʻoe e kāohi i kāu mau pae hormone a mālama i kahi ola maikaʻi. Mai hopohopo, akā inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​e ʻimi koke i ke aʻo lapaʻau.

ʻO ka apoplexy pituitary, ke kelepa pituitary, nā hormones, nā ʻeha poʻo, ka hemahema o ka ʻike, ke kahe koko o ka lolo, nā puʻupuʻu pituitary