Koj puas tau muaj ib zaug xav tias koj nkees, qaug zog, lossis tsis zoo siab? Tej zaum koj qhov hnyav tau nce lossis txo qis yam tsis muaj laj thawj, lossis koj tau ntsib lwm yam kev hloov pauv txawv txawv. Tag nrho cov no yuav yog vim muaj ib lub qog me me, tab sis muaj zog heev, 'lub qog tswj' hauv koj lub hlwb. Qhov ntawd yog qhov peb tab tom tham txog hnub no. Tus mob no hu ua hypopituitarism hauv kev kho mob.
Dab tsi yog qhov txawv ntawm lub qog pituitary thiab hypopituitarism?
Hais yooj yim xwb, lub qog pituitary yog ib lub qog me me li taum pauv nyob rau hauv qab ntawm peb lub hlwb, tom qab peb lub qhov ntswg. Txawm hais tias nws me me, nws ua haujlwm ua 'lub qog tseem ceeb' ntawm peb lub cev cov tshuaj hormones. Nws yog qhov uas qhia rau lub qog thyroid, cov qog adrenal, thiab ntau lwm cov qog, "Okay, tam sim no koj ua cov tshuaj hormone no."
Qhov mob Hypopituitarism yog thaum lub qog pituitary, lub qog uas tswj hwm, tsis tsim ib lossis ntau cov tshuaj hormones txaus. Qee zaum, tag nrho cov tshuaj hormones uas tsim los ntawm lub qog pituitary tuaj yeem txo qis. Peb hu qhov no ua Panhypopituitarism . Qhov mob no tuaj yeem cuam tshuam rau cov menyuam yaus thiab cov neeg laus. Nws kuj tseem tuaj yeem tshwm sim los ntawm kab mob ntawm hypothalamus, ib feem ntawm lub hlwb uas tswj cov teeb liab uas tuaj rau lub qog pituitary.
Cov tshuaj hormones no tswj cov haujlwm tseem ceeb hauv peb lub cev, xws li kev loj hlob, kev yug me nyuam, ntshav siab, thiab kev zom zaub mov . Yog li ntawd, yog tias muaj ib qho ntawm cov no tsis txaus, cov txheej txheem cuam tshuam ntawm lub cev tuaj yeem raug cuam tshuam.
Cov tshuaj hormones tseem ceeb uas tsim los ntawm lub qog pituitary yog dab tsi?
Cov qog pituitary tsim ntau hom tshuaj hormones. Cia peb saib cov tseem ceeb thiab lawv ua dab tsi. Nws yuav tseem ceeb heev rau koj kom paub qhov no.
| Cov tshuaj hormones | Kev Ua Haujlwm Hauv Lub Cev |
|---|---|
| Adrenocorticotropic hormone (ACTH) | Nws ua rau cov qog adrenal (cov qog nyob saum lub raum) ua haujlwm thiab pab tsim cov tshuaj hormone cortisol, uas tswj cov ntshav siab thiab kev ua haujlwm ntawm lub cev. |
| Cov tshuaj hormones uas ua rau cov thyroid ua haujlwm (TSH) | Nws ua rau lub qog thyroid hauv caj dab ua haujlwm thiab pab tsim cov tshuaj hormones thyroid, uas yog qhov tseem ceeb rau lub cev metabolism, kev loj hlob, thiab kev txhim kho. |
| Cov tshuaj hormones uas ua rau cov qe menyuam loj hlob (FSH) thiab cov tshuaj hormones Luteinizing (LH) | Cov no tswj kev ua haujlwm ntawm kev sib deev thiab kev yug me nyuam hauv cov poj niam thiab cov txiv neej, qhia txog kev tsim cov tshuaj estrogen los ntawm cov zes qe menyuam hauv cov poj niam thiab testosterone los ntawm cov noob qes hauv cov txiv neej. |
| Cov tshuaj hormones loj hlob (GH) | Raws li lub npe qhia, nws yog qhov tseem ceeb rau kev loj hlob ntawm cov pob txha thiab cov nqaij, tshwj xeeb tshaj yog thaum yau. |
| Prolactin | Nws ua rau cov poj niam lub mis loj hlob thiab tsim mis rau kev pub niam mis. |
| Cov tshuaj hormones tiv thaiv diuretic (ADH) | Cov raum tswj kev tso dej tawm ntawm lub cev. Yog tias qhov no txo qis, yuav tso zis ntau dhau. |
| Oxytocin | Nws pab lub tsev menyuam zawm thaum yug menyuam thiab pab cov kua mis ntws thaum pub niam mis. Cov tshuaj hormone no kuj tseem ceeb rau kev sib raug zoo ntawm niam thiab menyuam. |
Dab tsi yog cov ua rau hypopituitarism?
Qhov mob no yog tshwm sim los ntawm kev puas tsuaj rau lub qog pituitary lossis hypothalamus. Qee zaum qhov ua rau yuav tsis pom. Nov yog qee qhov ua rau tseem ceeb:
- Cov qog nqaij hlav hauv lossis ib puag ncig lub qog pituitary
- Kev kho mob qog noj ntshav
- Kev phais rau lub hlwb lossis lub qog pituitary
- Cov kab mob xws li mob meningitis
- Kev raug mob taub hau loj heev
- Mob stroke los yog los ntshav hauv lub hlwb
- Qee cov tshuaj
- Kev o los ntawm teeb meem nrog lub cev tiv thaiv kab mob
- Los ntshav ntau dhau thaum yug menyuam (Sheehan's syndrome)
- Qee qhov ua rau muaj kev hloov pauv caj ces ( kev hloov pauv caj ces )
- Lwm yam mob xws li sarcoidosis thiab tuberculosis
Cov tsos mob zoo li cas?
Cov tsos mob nyob ntawm seb cov tshuaj hormones twg tsis txaus thiab qhov mob sai npaum li cas . Tej zaum ib txhia neeg yuav tsis muaj tsos mob li, lossis tej zaum cov tsos mob yuav qeeb heev. Lwm tus yuav muaj cov tsos mob hnyav sai sai.
Saib cov lus hauv qab no rau cov tsos mob uas cuam tshuam nrog txhua qhov tsis txaus cov tshuaj hormones.
| Kev Tsis Txaus Hormone | Cov tsos mob uas yuav tshwm sim |
|---|---|
| ACTH tsis txaus | Qaug zog ntau zaus, qaug zog, ntshav qis, poob phaus, xeev siab, ntuav, thiab kev nyuaj siab. |
| TSH tsis txaus | Cem quav, hnyav nce, tsis muaj peev xwm tiv taus qhov txias, tsis muaj zog, mob nqaij lossis tsis muaj zog. |
| FSH thiab LH tsis txaus | Rau cov poj niam: tsis tu ncua lossis tsis muaj hli, muaj teeb meem muaj menyuam (tsis muaj menyuam). Rau cov txiv neej: poob plaub hau ntawm lub ntsej muag thiab lub cev, tsis muaj zog, tsis xav ua kev sib deev, ua tsis taus haujlwm ntawm lub cev, nyuaj rau xeeb tub. |
| GH tsis txaus | Rau cov menyuam yaus: kev loj hlob qeeb, cov rog sib sau ua ke nyob ib ncig ntawm lub duav thiab lub ntsej muag, thiab kev loj hlob tsis zoo. Rau cov neeg laus: tsis muaj zog, nyuaj rau kev tawm dag zog, hnyav nce, cov leeg nqaij txo qis, ntxhov siab lossis nyuaj siab. |
| Tsis muaj Prolactin txaus | Rau cov poj niam: Tsis muaj kua mis tom qab yug menyuam. |
| ADH tsis txaus | Nqhis dej ntau dhau thiab tso zis ntau dhau (Diabetes Insipidus). |
| Kev tsis txaus Oxytocin | Rau cov poj niam: muaj teeb meem nrog kev tso mis. |
Yog koj muaj ib lossis ntau yam tsos mob no, thov tsis txhob tsis quav ntsej lawv. Nco ntsoov mus ntsib koj tus kws kho mob thiab tham txog qhov ntawd.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav mloog koj cov tsos mob kom zoo thiab xa koj mus kuaj mob uas tsim nyog.
- Kev Kuaj Ntshav: Qhov no yog qhov tseem ceeb tshaj plaws. Lawv ntsuas cov qib ntawm ntau yam tshuaj hormones hauv koj cov ntshav. Qee zaum, ib qho tshuaj hormones raug muab thiab tom qab ntawd kev kuaj tshwj xeeb (kev kuaj kev txhawb nqa lossis kev tswj hwm) raug ua los saib cov kev hloov pauv hauv cov ntshav li ob peb teev. Piv txwv li: `ACTH (Cortrosyn) kev xeem txhawb nqa`, `GH kev xeem txhawb nqa`.
- Kev Thaij Duab: Ib qho MRI lossis CT scan yuav ua tau los xyuas seb puas muaj qog pituitary.
- Kev Kuaj Pom Kev: Vim tias cov hlab ntsha uas txuas rau lub qhov muag dhau mus ze rau lub qog pituitary, kev kuaj pom kev yog kom pom tias muaj ib yam dab tsi zoo li qog nqaij hlav nias rau ntawm cov hlab ntsha ntawd.
- Duab X-ray rau cov menyuam yaus: Yuav ua duab X-ray ntawm cov menyuam yaus txhais tes los xyuas seb cov pob txha puas loj hlob zoo li qub.
Yuav kho li cas?
Muaj ob lub hom phiaj tseem ceeb hauv kev kho tus mob no. Ib qho yogKho qhov ua rau mob qog (piv txwv li, tshem tawm ib qho qog). Qhov thib ob thiab qhov tseem ceeb tshaj plaws yog hloov cov tshuaj hormones uas ploj lawm hauv lub cev . Qhov no hu ua Kev Kho Mob Hloov Tshuaj Hormone .
Cov tshuaj
Tus kws kho mob yuav sau ntawv kom noj tshuaj raws li qib hormone uas koj tsis txaus.
- Rau qhov tsis txaus ACTH: Glucocorticoids (piv txwv li hydrocortisone) raug muab los kho cov cortisol theem.
- Rau qhov tsis txaus TSH: Cov tshuaj xws li 'Levothyroxine' yog muab los kho cov qib hormone thyroid.
- Rau qhov tsis muaj cov tshuaj hormones poj niam txiv neej: Testosterone yog muab rau cov txiv neej thiab estrogen (tej zaum nrog progesterone) rau cov poj niam.
- Rau qhov tsis txaus GH: Cov tshuaj txhaj Growth Hormone (GH) yog muab los pab kom loj hlob, tshwj xeeb tshaj yog rau cov menyuam yaus. Cov neeg laus kuj qee zaum tau txais kev kho mob no los pab kom muaj zog thiab cov leeg nqaij loj hlob.
- Rau kev tsis muaj menyuam: Muaj cov kev kho mob tshwj xeeb xws li Gonadotropin los txhawb kom qe loj hlob lossis cov phev tsim tawm.
Kev phais mob
Yog tias muaj qog nqaij hlav ua rau muaj tus mob no, tej zaum yuav tsum tau phais kom tshem tawm, nyob ntawm seb hom qog nqaij hlav thiab qhov chaw nyob ntawm qog nqaij hlav.
Peb yuav tsum xav li cas txog yav tom ntej? (Outlook)
Qhov xov xwm zoo yog tias yog tias kuaj pom tus kab mob kom raug thiab siv cov tshuaj hormones hloov kho kom raug, nws yuav ua tau kom muaj lub neej zoo thiab noj qab nyob zoo. Kev kho mob yuav kav ntev mus ib txhis.
Qhov tseem ceeb tshaj plaws yog mus ntsib koj tus kws kho mob raws sijhawm . Vim tias koj lub cev cov tshuaj hormones xav tau yuav hloov pauv raws sijhawm, nws yog ib qho tseem ceeb uas yuav tsum sib txuas lus nrog koj tus kws kho mob tsis tu ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypopituitarism yog thaum lub qog pituitary, lub 'qog tseem ceeb' ntawm peb lub cev, tsis tsim cov tshuaj hormones txaus.
- Cov tsos mob sib txawv ntawm ib tus neeg mus rau ib tus neeg, nyob ntawm seb cov tshuaj hormones twg tsis txaus. Cov tsos mob muaj xws li qaug zog, hnyav nce, thiab tsis muaj zog sib deev.
- Yog koj muaj cov tsos mob uas tsis paub meej zoo li no, mus ntsib kws kho mob tam sim ntawd .
- Tus mob no tuaj yeem kuaj pom tseeb los ntawm kev kuaj ntshav thiab kev ntsuas.
- Kev kho mob yog muab cov tshuaj hormones uas tsis txaus rau sab nraud. Kev kho mob no zoo heev.
- Tom qab pib kho mob lawm, mus ntsib kws kho mob raws sijhawm teem tseg.Kev kho cov koob tshuaj yog qhov tseem ceeb heev.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus