Ma lalo o ko kākou lolo, aia kahi ʻōpū liʻiliʻi, akā he mea nui loa. Kāhea mākou iā ia ʻo ka Pituitary Gland. ʻOiai he liʻiliʻi ia, hana ia e like me ke poʻo nui o ko kākou kino. Hoʻomalu ia i nā mea nui he nui, e like me ko kākou ulu ʻana, ka helu o ka puʻuwai, a me ka hiki ke loaʻa nā keiki. ʻO ia hoʻi ka mea e haʻi aku i nā ʻōpū ʻē aʻe o ke kino, "ʻAe, e hana i kāu mau hormones." ʻO ia ke kumu e kapa ai mākou iā ia ʻo ka "Master Gland."
No laila, ke hoʻomaka kēia mau hunaola pituitary e ulu ma ke ʻano ʻē a ma waho o ke kaohi, kapa mākou ia he puʻupuʻu pituitary. Akā ʻo ka mea a ka poʻe he nui e makaʻu nei ma ʻaneʻi, ʻo ia ka mea he maʻi kanesa. ʻO ka ʻoiaʻiʻo, ʻaʻole ka hapa nui o nā puʻupuʻu pituitary he maʻi kanesa. He mea kākaʻikahi loa ka maʻi kanesa pituitary. Eia naʻe, inā ʻaʻole he maʻi kanesa kēia mau puʻupuʻu, hiki iā lākou ke hana i nā pilikia koʻikoʻi ma muli o ko lākou nui (nā puʻupuʻu nui) a i ʻole no ka mea e hana ana lākou i nā hormones keu ʻaʻole pono ke kino (nā puʻupuʻu hana). Hoʻomaʻamaʻa pinepine ʻia kēia me ke ʻoki ʻana, ka lāʻau lapaʻau, a i ʻole ka radiation therapy.
No ke aha e hana ʻia ai kēia mau maʻi pituitary?
ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā kauka ke kumu o kēia mau puʻupuʻu. I kekahi manawa aia kahi loli i loko o nā genes o nā cell pituitary, akā me he mea lā e hana wale ʻia ana.
Eia nō naʻe, aia kekahi mau kūlana genetic e hoʻonui ai i ka poʻe me lākou i ka loaʻa ʻana o nā ʻōpū pituitary. ʻO kekahi o kēia mau kūlana:
- ʻO ka paʻakikī Carney: He ʻano genetic kakaikahi kēia e hoʻoulu ai i nā ʻōpū noncancerous he nui i loko o ke kino.
- ʻO ka adenoma pituitary i hoʻokaʻawale ʻia ʻo Familial (FIPA): He ʻano laha ʻole kēia. Hoʻonui ia i ke kino ma mua o ka maʻamau.
- ʻO ka acromegaly familial i hoʻokaʻawale ʻia: Ua like kēia me FIPA.
- ʻO ka maʻi McCune-Albright: ʻO kēia ʻano kakaikahi ke kumu o nā ʻano ʻē i nā iwi a me ka ʻili.
- ʻO ka neoplasia endocrine lehulehu, ʻano I a me ke ʻano IV (MEN1, MEN4): Hiki i kēia mau kūlana ke hoʻoulu i nā puʻupuʻu i loko o nā kelepa o ke kino.
Nā hōʻailona i hoʻokumu ʻia e ka hoʻonui ʻia ʻana o ka tumor
Aia ka ʻōpū pituitary ma kahi liʻiliʻi loa ma lalo o ka lolo, kokoke loa i nā aʻalolo optic e lawe ana i nā leka ma waena o nā maka a me ka lolo. No laila, ke ulu kahi puʻupuʻu nui ma kēia wahi liʻiliʻi, hoʻomaka ia e paʻi i nā mea a puni. Hiki i kēia ke hana i nā ʻano hōʻailona like ʻole.
I ka ʻōlelo maʻalahi, ʻo ke kumu o ka pilikia, ʻoiai e ulu ana ka puʻupuʻu, e ʻomi ana ia i nā ʻōkana koʻikoʻi a puni ia, e hoʻemi ana i ka wahi.
ʻO nā hōʻailona nui i hoʻokumu ʻia e kēia ʻūlū ʻana:
- ʻEha poʻo: ʻEha poʻo pinepine, i kekahi manawa ʻeha nui.
- Nā pilikia ʻike:Nā mea e like me ka nalowale o ka ʻike peripheral a me ka ʻike pālua, ʻoiai ke nānā pololei i mua.
Eia kekahi, inā e kaomi kēia puʻupuʻu i ka pituitary gland ponoʻī, e emi paha ka nui o nā hormones i hana ʻia e ka gland. A laila, hiki ke ʻike ʻia nā hōʻailona e like me kēia:
- No nā kāne: ka ulu ʻana o ka umauma, ka nalowale o ka lauoho maka, a me ka hana pono ʻole o ka moekolohe.
- No nā wahine: nā wā menstrual kūpono ʻole a i ʻole i pau, ka pau ʻana o ka lactation me ka loaʻa ʻole o kahi keiki.
- No nā keiki: Ka lohi o ka ulu ʻana a me ka oʻo ʻana i ka moekolohe.
- Mea maʻamau: emi ʻana o ka makemake i ka moekolohe, luaʻi, ʻeha ʻōpū, loli ke kaumaha, a me ke anu mau.
Nā hōʻailona i hoʻokumu ʻia e nā ʻōpū hana hormone
Hoʻopuka kekahi mau puʻupuʻu (nā puʻupuʻu hana) i nā hormones keu ʻaʻole pono ke kino. ʻO nā hōʻailona e kū mai ana a laila hilinaʻi ia i ka hormone e hana nui ʻia ana. E nānā kākou pehea e hana ai.
| ʻO ka hormone i hana nui ʻia | Ke kūlana a me nā hōʻailona |
|---|---|
| ʻO ka hormone Adrenocorticotropic (ACTH) | Hoʻomalu kēia i ka hormone cortisol. Ke piʻi ka ACTH, kū mai kahi maʻi i kapa ʻia ʻo Cushing's syndrome . Nā Hōʻailona: ʻEha maʻalahi, ke koko kiʻekiʻe, ke kō koko kiʻekiʻe, nā māka kīkoʻo poni a ʻulaʻula paha, ka maka poepoe loa, nāwaliwali o nā ʻiʻo, nā lālā lahilahi a me ka maka, ka ʻāʻī, a me ke kino i hoʻonui ʻia. |
| Hormone ulu | Hoʻomalu kēia i ka ulu ʻana o ke kino, ke kō, a me ka hoʻohana ʻana i ka momona. Inā piʻi kēia: Nā Keiki: Ke ulu nei ke kiʻekiʻe ma mua o ka maʻamau ( Gigantism ) Nā Mākua: Ka hoʻonui ʻia ʻana o nā iwi o ka maka, nā lima, a me nā wāwae ( Acromegaly ) Nā hōʻailona ʻē aʻe: maʻi puʻuwai, ke kō koko kiʻekiʻe, ʻeha hui, hou nui. |
| ʻO Prolactin | Hoʻoulu kēia i ka hana ʻana o ka waiū umauma i nā wahine. Inā piʻi kēia: No nā wāhine: Ke kahe ʻana o ka waiū umauma i ka wā ʻaʻole hāpai a ʻaʻole paha i hānau, emi ʻana o ka makemake moekolohe, pau ʻana o ka maʻi menstruation, paʻakikī i ka hāpai ʻana. No nā kāne: ua emi ka helu sperm a me ka hana pono ʻole o ka moekolohe. |
| ʻO ka hormone hoʻoulu thyroid (TSH) | Hōʻike kēia i ke kelepa thyroid e hana i nā hormones. Hoʻomalu kēia i ka ulu ʻana, ka mahana, a me ka helu o ka puʻuwai. Inā kiʻekiʻe ka TSH: Nā Hōʻailona: Puʻuwai wikiwiki a ʻano ʻole paha, neʻe pinepine ʻana o ka ʻōpū, pilikia hiamoe, haʻalulu, hou nui, pohō kaumaha. |
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, e nīnau mua ʻo ia iā ʻoe i kahi nīnau kikoʻī e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolokolo kino.
Eia kekahi, hiki ke hana i nā hoʻokolohua e like me:
- Hoʻokolokolo maka: E nānā e ʻike inā ua hoʻopilikia ka puʻupuʻu i kou ʻike.
- Hoʻokolohua neurological: E ʻike pehea e hana ai kou lolo, ke kaula kuamoʻo, a me nā aʻalolo.
- Nā hoʻāʻo koko a me ka mimi: E nānā i kāu mau pae hormone e ʻike pono i ke ʻano o lākou.
- Kiʻi: No ka hōʻoia ʻana inā aia kahi puʻupuʻu ma ka nānā ʻana i loko o ke kino. Hana pinepine ʻia kēia me kahi CT scan , a i kekahi manawa hiki ke hana ʻia kahi MRI scan .
He aha nā lāʻau lapaʻau no kēia?
ʻAʻole pono ka hapa nui o nā puʻupuʻu pituitary i ka mālama ʻana. Eia nō naʻe, inā pono kāu puʻupuʻu i ka mālama ʻana, e hilinaʻi ke ʻano i koho ʻia i ke ʻano o ka puʻupuʻu, kona nui, a me kou olakino holoʻokoʻa.
ʻoki kino
ʻO kēia ka lāʻau lapaʻau maʻamau. Inā ʻaʻole he puʻupuʻu e hana ana i ka prolactin, wehe ʻia ka hapa nui o nā puʻupuʻu ʻē aʻe ma ke ʻoki ʻana. No ka hana ʻana i kēia ʻoki ʻana, hiki i ke kauka ke hana i kahi ʻoki ma ka ihu, ma kahi ʻoki ma luna o ka lehelehe luna, a i ʻole ma kahi ʻoki ma ke poʻo. Hana pinepine ʻia ke ʻoki ʻana ma o ke poʻo no nā puʻupuʻu nui a i ʻole no nā puʻupuʻu i pālahalaha ma ke ʻano paʻakikī.
Hoʻōla Pāhawewe
Hoʻohana kēia lāʻau lapaʻau i nā kukuna X-ikehu kiʻekiʻe e luku i ka puʻupuʻu. He mea pono kēia lāʻau lapaʻau inā ʻaʻole hiki ke wehe loa ʻia ka puʻupuʻu ma ke ʻoki ʻana, a inā ua hoʻi mai ka puʻupuʻu. Aia nā ʻano like ʻole o ka radiation therapy, mai kahi lāʻau lapaʻau kiʻekiʻe hoʻokahi (stereotactic radiosurgery) a i kahi lāʻau lapaʻau haʻahaʻa i hāʻawi ʻia i nā manawa he nui i ka pule no 4-6 mau pule.
Lāʻau lapaʻau
Ma muli o ke ʻano o ka puʻupuʻu i loaʻa iā ʻoe, e hoʻāʻo mua paha kāu kauka i ka lāʻau lapaʻau. ʻOiai inā e hana ana kāu puʻupuʻu i ka prolactin, hiki i ka lāʻau lapaʻau ke hōʻemi i ka hana ʻana o kēlā hormone a kōkua i ka emi ʻana o ka puʻupuʻu. He mea pono nō hoʻi nā lāʻau lapaʻau no nā puʻupuʻu e hana ana i ka hormone ulu a no ka mālama ʻana i nā kūlana e like me ka Cushing's syndrome a me ka acromegaly.
Leka Lawe-Home
- ʻAʻole maʻi kanesa ka hapa nui o nā puʻupuʻu pituitary, no laila mai hopohopo pono ʻole.
- Hiki ke ʻike ʻia nā hōʻailona e like me ke poʻo ʻeha a me nā loli o ka ʻike ma muli o ka nui o ka puʻupuʻu. Hiki nō hoʻi ke ʻike ʻia nā hōʻailona ma muli o nā loli o nā hormones i loko o ke kino.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa e ʻike koke i ke kauka kūpono.
- Aia nā lāʻau lapaʻau kūpono no kēia, e like me ke ʻoki kino, ka radiation therapy, a me nā lāʻau lapaʻau.
- E kūkākūkā ākea i kāu kauka i kekahi mau nīnau e pili ana i kou kūlana a me ka mālama ʻana.
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