Koj cov tshuaj hormones hauv lub pituitary puas qis tag nrho? Cia peb tham txog panhypopituitarism!

Qee zaum tej yam hauv peb lub cev tsis ua haujlwm raws li peb xav tau, puas yog? Cov tshuaj hormones yog ib pawg neeg tseem ceeb heev uas koom nrog yuav luag txhua txoj hauv kev hauv peb lub cev. Yog tias muaj teeb meem nrog lub cev tshuaj hormones no, nws tuaj yeem cuam tshuam rau peb lub neej tag nrho. Hnub no peb yuav tham txog ib qho mob tsis tshua muaj uas txhua tus yuav tsum paub txog. Qhov ntawd yog panhypopituitarism.

Panhypopituitarism yog dab tsi?

Hais yooj yim xwb, panhypopituitarism yog ib qho mob tsis tshua muaj uas lub qog pituitary, ib lub qog me me hauv peb lub hlwb, tsis tsim txaus lossis tsis muaj tag nrho cov tshuaj hormones uas nws tsim tawm. Lo lus "pan" txhais tau tias "txhua yam." Qhov mob no tuaj yeem cuam tshuam rau cov menyuam mos, cov menyuam yaus, thiab cov neeg laus.

Tam sim no tej zaum koj yuav xav paub tias, "Cov tshuaj hormones no yog dab tsi? Vim li cas lawv thiaj tseem ceeb ua luaj?" Zoo, cia peb saib qhov ntawd.

Cov tshuaj hormones zoo li cov neeg xa xov hauv peb lub cev. Lawv yog cov tshuaj tshwj xeeb. Lawv taug kev hla peb cov ntshav thiab nqa cov lus mus rau ntau yam kabmob, cov leeg, thiab lwm yam nqaij. Lawv sib koom tes, uas yog, lawv tswj thiab sib koom tes ntau yam haujlwm ntawm peb lub cev, qhia lawv kom "ua qhov no, ua nws lub sijhawm no, ua nws li no."

Peb lub qog pituitary loj li ib lub taum pauv. Nws nyob ntawm lub hauv paus ntawm peb lub hlwb, hauv qab hypothalamus. (Lub hypothalamus yog lub hauv paus loj hauv lub hlwb uas tswj ntau yam tseem ceeb, suav nrog peb lub paj hlwb autonomic.) Txawm hais tias nws me me, lub qog pituitary ua lub luag haujlwm tseem ceeb heev hauv peb lub endocrine system. Ntawd yog, nws yog cov tshuaj hormones pituitary uas tswj ntau yam hauv peb lub cev, xws li metabolism, kev loj hlob, thiab kev yug me nyuam.

Feem ntau, peb lub cev yuav ua tib zoo tswj cov tshuaj hormones no. Txawm li cas los xij, yog tias ib qho ntawm cov tshuaj hormones no qis dhau, nws tuaj yeem ua rau muaj ntau yam tsos mob thiab teeb meem kev noj qab haus huv. Panhypopituitarism yog thaum tag nrho cov tshuaj hormones uas tsim los ntawm lub qog pituitary qis dhau, ua rau muaj ntau yam tsos mob.

Qhov txawv ntawm Panhypopituitarism thiab Hypopituitarism yog dab tsi?

Ob lub npe no zoo sib xws me ntsis, yog li lawv tuaj yeem ua rau tsis meej pem. Xav txog nws, hypopituitarism yog ib qho mob uas ib lossis ntau cov tshuaj hormones tsim los ntawm lub qog pituitary. Panhypopituitarism yog ib qho tshwj xeeb, ntau dua qhov xwm txheej ntawm tib yam. Ntawd yog, panhypopituitarism yog qhov tsis txaus ntawm txhua cov tshuaj hormones tsim los ntawm lub qog pituitary. Lo lus "pan" txhais tau tias "txhua yam", yog li nws piav qhia txog qhov mob no.

Cov tshuaj hormones twg tsim los ntawm cov qog pituitary?

Muaj ntau hom tshuaj hormones uas peb lub qog pituitary tsim thiab tso tawm (tso tawm). Txhua tus ntawm lawv muaj nws txoj haujlwm tshwj xeeb. Cia peb saib seb lawv yog dab tsi:

• Adrenocorticotropic hormone (ACTH lossis corticotropin): Qhov no ua rau peb cov qog adrenal tsim cov tshuaj hormone hu ua cortisol. Cov cortisol no kuj hu ua 'hormone kev ntxhov siab'. Nws tseem ceeb heev rau kev tswj cov ntshav siab thiab cov ntshav qab zib.
• Follicle-stimulating hormone (FSH): Cov tshuaj hormone no pab txhawb cov phev ntau lawm hauv cov txiv neej thiab txhawb cov zes qe menyuam hauv cov poj niam kom tsim cov tshuaj estrogen thiab kom cov qe loj hlob.
• Cov tshuaj hormones loj hlob (GH): Raws li lub npe qhia, nws yog qhov tseem ceeb rau kev loj hlob ntawm cov menyuam yaus. Nws kuj pab tswj cov leeg nqaij thiab pob txha kom noj qab nyob zoo rau cov neeg laus, thiab cuam tshuam rau kev faib cov rog hauv lub cev. GH kuj tseem koom nrog peb cov metabolism.
• Luteinizing hormone (LH): LH yog qhov xav tau los txhawb kev ovulation hauv cov poj niam thiab los txhawb kev tsim cov testosterone hauv cov txiv neej.
• Prolactin: Cov tshuaj hormone no ua rau cov kua mis tsim tom qab yug me nyuam. Nws kuj tseem tuaj yeem cuam tshuam rau lub voj voog ntawm cov poj niam thiab kev muaj menyuam thiab kev ua haujlwm ntawm kev sib deev rau cov neeg laus.
• Cov tshuaj hormones uas ua rau lub cev ua haujlwm zoo (TSH): Qhov no ua rau peb lub qog thyroid tsim cov tshuaj hormones thyroid, uas tswj cov metabolism, lub zog, thiab lub paj hlwb.

Ntxiv rau cov no, lub qog pituitary khaws cia thiab tso tawm ob lwm cov tshuaj hormones thaum xav tau. Txawm li cas los xij, cov no yog tsim los ntawm hypothalamus:

• Cov tshuaj hormones antidiuretic (ADH lossis vasopressin): Cov tshuaj hormones no tswj cov dej thiab sodium (ntsev) hauv peb lub cev.
• Oxytocin: Nws pab cov poj niam ua rau lawv lub tsev menyuam nruj thaum yug menyuam, thiab nws kuj pab cov kua mis ntws. Cov tshuaj hormone no kuj tau hais tias cuam tshuam rau kev sib raug zoo ntawm cov niam txiv thiab cov menyuam mos.

Saib seb, lub qog pituitary me me no ua haujlwm tseem ceeb npaum li cas! Yog li, kev txo qis ntawm cov tshuaj hormones no tuaj yeem muaj kev cuam tshuam loj heev.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm tus mob no ntawm panhypopituitarism?

Qhov tseeb, tus mob no hu ua panhypopituitarism tuaj yeem tshwm sim rau txhua tus neeg, txhua lub hnub nyoog. Tsis muaj kev txwv hnub nyoog lossis ntu tshwj xeeb.

Qhov teeb meem no feem ntau tshwm sim li cas?

Qhov no yog ib qho mob tsis tshua muaj . Thoob ntiaj teb, tsuas muaj plaub tus neeg ntawm txhua ib puas txhiab tus neeg tau mob no txhua xyoo. Yog li ntawd, feem ntau tsis hnov ​​​​​​ntau txog nws.

Puas yog Panhypopituitarism tuaj yeem ua rau lub neej muaj kev phom sij?

Yog, qee zaum qhov mob no tuaj yeem ua rau tuag taus. Tshwj xeeb tshaj yog tias cov tshuaj hormones adrenocorticotropic hormone (ACTH) qis heev, nws tuaj yeem ua rau muaj kev phom sij.

Qhov laj thawj rau qhov no yog vim tias ACTH tsis txaus tuaj yeem ua rau muaj xwm txheej ceev hu ua adrenal crisis . Qhov no kuj hu ua "acute cortisol insufficiency". ACTH yog qhov uas tswj peb cov cortisol. Yog li thaum ACTH ploj mus, cortisol tsis tsim tawm. Qhov teeb meem adrenal no yog ib qho mob uas xav tau kev kho mob tam sim ntawd thiab tuaj yeem ua rau tuag taus.

Cov tsos mob ntawm kev ntxhov siab adrenal yuav muaj xws li:

• Ua npaws
• Tsis muaj zog heev
• Kev tsis meej pem (kev nkag siab tsis meej)
• Ntshav siab qis (hypotension)
• Lub plawv dhia ceev ceev (tachycardia)
• Ntuav
• Mob raws plab
• Cov ntshav qab zib tsawg (hypoglycemia)

Yog koj lossis koj tus menyuam muaj cov tsos mob no, mus rau tsev kho mob ze tshaj plaws tam sim ntawd lossis hu rau 1990. Qhov no yog xwm txheej ceev!

Cov tsos mob ntawm Panhypopituitarism yog dab tsi?

Cov tsos mob ntawm tus kab mob no tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg, nyob ntawm seb muaj pes tsawg ntawm txhua cov tshuaj hormones pituitary tsis txaus thiab qhov mob sai lossis qeeb npaum li cas.

Nov yog qee cov tsos mob uas pom tau rau cov menyuam yaus thiab cov neeg laus:

• Xeev siab los yog kiv taub hau
• Qaug zog heev
• Kev nyuaj siab thiab/lossis kev ntxhov siab
• Kev kis kab mob ntau zaus
• Cov ntshav qab zib tsawg (hypoglycemia)
• Tsis muaj peev xwm ua siab ntev rau qhov txias
• Tawv nqaij qhuav txawv txawv
• Poob phaus los yog nce phaus yam tsis muaj laj thawj
• Cov roj cholesterol thiab cov roj cholesterol tsis sib xws (dyslipidemia)
• Lub plawv dhia ceev ceev (tachycardia)
• Nqhis dej ntau dhau thiab tso zis ntau zaus
• Cov poj niam lub voj voog tsis sib xws
• Poj niam tsis muaj menyuam
• Txiv neej tsis muaj menyuam

Muaj cov tsos mob ntxiv uas cuam tshuam rau cov menyuam mos, cov menyuam mos, thiab/lossis cov menyuam yaus:

• Mob jaundice ntev hauv cov menyuam mos
• Tus qau me me hauv cov menyuam tub (micropenis)
• Kev loj hlob qeeb (tsis loj hlob siab dua)
• Kev laus qeeb

Vim tias cov tsos mob no zoo ib yam li lwm yam mob, nws yog ib qho tseem ceeb kom tau txais kev kuaj mob kom raug yog tias koj muaj cov tsos mob tshiab lossis cov tsos mob uas kav ntev li no. Yog li ntawd, mus ntsib kws kho mob kom tau lus qhia.

Dab tsi yog cov ua rau muaj panhypopituitarism?

Muaj ntau yam ua rau muaj tus mob no. Qee zaum cov kws kho mob tsis tuaj yeem nrhiav tau ib qho laj thawj tshwj xeeb. Qhov no hu ua idiopathic panhypopituitarism.

Feem ntau hais lus, qhov laj thawj tseem ceeb rau qhov no yog tias peb lub hypothalamus thiab / lossis pituitary gland tau raug puas tsuaj rau qee txoj kev, ua rau ib lossis ob qho tib si tsis ua haujlwm zoo.

Yuav kom nkag siab txog cov laj thawj no, koj yuav tsum nkag siab me ntsis txog seb peb lub hypothalamus thiab pituitary gland ua haujlwm ua ke li cas.

Kev sib raug zoo ntawm hypothalamus thiab pituitary gland

Xav txog peb lub hypothalamus, pituitary gland, thiab pituitary gland ua tus CEO thiab tus thawj coj ntawm ib lub tuam txhab loj. Ua ke, ob qho no ua haujlwm ua lub hauv paus tseem ceeb ntawm peb lub hlwb (hypothalamus-pituitary complex), tswj cov txheej txheem tseem ceeb heev hauv lub cev.

Lub hypothalamus yog ib feem ntawm peb lub hlwb uas yog lub luag haujlwm rau ntau yam haujlwm tseem ceeb ntawm lub cev. Nws xa cov lus mus rau peb lub paj hlwb autonomic. Nws kuj qhia rau lub qog pituitary kom "ua cov tshuaj hormones no, tso cov no tawm." Cov tshuaj hormones pituitary no cuam tshuam rau lwm qhov ntawm lub cev.

Lub qog pituitary txuas nrog hypothalamus los ntawm ib txoj hlab ntsha uas muaj cov hlab ntsha thiab cov hlab ntsha hu ua "pituitary stalk." Los ntawm txoj hlab ntsha no, hypothalamus sib txuas lus nrog lub qog pituitary.

Lub hypothalamus tsim ntau yam tshuaj hormones los txhawb lub pituitary gland:

• Corticotropin-tso cov tshuaj hormones
• Dopamine
• Gonadotropin-tso cov tshuaj hormones
• Cov tshuaj hormones uas tso tawm kev loj hlob
• Somatostatin
• Thyrotropin-tso cov tshuaj hormones

Vim tias lub qog pituitary thiab hypothalamus ua haujlwm ze ua ke, kev puas tsuaj rau ib qho tuaj yeem cuam tshuam rau kev ua haujlwm ntawm cov tshuaj hormones ntawm lwm tus. Qhov no yog keeb kwm yav dhau los rau kev txhim kho ntawm panhypopituitarism.

Cov ua rau muaj teeb meem ntawm cov qog pituitary

Cov mob uas ua rau lub qog pituitary puas tsuaj thiab ua rau panhypopituitarism muaj xws li:

• Cov qog nqaij hlav pituitary (cov no yog cov qog nqaij hlav uas tsis yog mob qog noj ntshav)
• Kev phais mob qog pituitary (feem ntau yog kom tshem tawm cov adenomas no)
• Kev kho mob hluav taws xob rau pituitary adenoma
• Pituitary apoplexy (kev puas tsuaj ntawm cov ntaub so ntswg pituitary vim yog cov ntshav tsis txaus rau lub qog pituitary lossis los ntshav)
• Lub qog pituitary tsis loj hlob zoo lossis tsim tsis xwm yeem thaum yug los.

Cov laj thawj cuam tshuam nrog hypothalamus

Cov mob uas ua rau lub hypothalamus puas tsuaj thiab ua rau panhypopituitarism muaj xws li:

• Kev raug mob hlwb (TBI)
• Kev phais hlwb ua rau ntawm lossis ze ntawm hypothalamus
• Cov qog nqaij hlav uas tsis yog mob qog noj ntshav uas tshwm sim hauv hypothalamus (piv txwv li craniopharyngiomas)
• Mob qog noj ntshav uas tau kis mus rau hypothalamus los ntawm lwm qhov hauv lub cev (piv txwv li mob qog noj ntshav ntsws, mob qog noj ntshav mis)
• Hydrocephalus (kev nyuaj siab los ntawm cov kua dej hauv lub hlwb)
• Mob stroke
• Kab mob ntsws Tuberculous meningitis

Yuav kuaj mob Panhypopituitarism li cas?

Yog koj muaj cov tsos mob ntawm tus kab mob no, koj tus kws kho mob yuav nug koj txog koj cov tsos mob thiab keeb kwm mob nkeeg ua ntej, thiab tom qab ntawd ua qhov kev kuaj mob lub cev.

Tom qab ntawd, cov kev ntsuam xyuas tsim nyog raug txiav txim siab kom paub meej tias qhov mob ntawm panhypopituitarism thiab txiav txim siab lwm yam mob uas yuav ua rau cov tsos mob no.

Cov kev kuaj mob yog dab tsi?

Feem ntau cov kws kho mob ua ntau yam kev kuaj mob los kuaj mob no, suav nrog kev kuaj duab thiab kev kuaj cov tshuaj hormones.

Kev kuaj duab

Panhypopituitarism yog tshwm sim los ntawm kev puas tsuaj rau hypothalamus lossis pituitary gland, thiab kev kuaj duab xws li cov no tuaj yeem ua tiav los nrhiav qhov ua rau:

• Kev ntsuas MRI ntawm lub hlwb (Magnetic Resonance Imaging): Kev ntsuas MRI siv cov nthwv dej xov tooj cua thiab lub zog sib nqus los tsim cov duab ntxaws ntxaws ntawm sab hauv lub cev. Kev ntsuas MRI yog suav tias yog txoj hauv kev zoo tshaj plaws los nrhiav cov qog pituitary. Lawv kuj tseem tuaj yeem pab kuaj mob lwm yam teeb meem nrog hypothalamus lossis pituitary gland.
• Kev thaij duab CT (Computed Tomography) ntawm lub hlwb: Kev thaij duab CT siv cov duab X-rays thiab lub khoos phis tawj los tsim cov duab ntxaws ntxaws ntawm lub hlwb. Qhov kev kuaj no tuaj yeem siv los kuaj xyuas seb puas muaj qog hauv hlwb lossis pituitary adenoma. Nws kuj tseem tuaj yeem pab kuaj mob lwm yam teeb meem nrog hypothalamus lossis pituitary gland.

Kev kuaj tshuaj hormones

Yog tias koj muaj cov tsos mob ntawm panhypopituitarism, koj tus kws kho mob yuav tsum ntsuas cov qib ntawm txhua cov tshuaj hormones uas tso tawm los ntawm lub qog pituitary. Qhov no yuav pab txiav txim siab seb txhua cov tshuaj hormones qis npaum li cas thiab tshem tawm lwm yam mob.

Txawm hais tias qee cov tshuaj hormones hauv lub pituitary feem ntau nyob hauv peb cov ntshav ntawm qib tsis tu ncua, lwm cov tshuaj hormones hloov pauv ntau heev thoob plaws hnub. Yog li ntawd, qee qhov kev kuaj tshuaj hormones tuaj yeem ua tau raws li kev kuaj ntshav yooj yim, thaum lwm tus xav tau kev kuaj tshwj xeeb.

Kev ntsuam xyuas cov tshuaj hormones muaj xws li:

• Kev kuaj ntshav: Kev kuaj ntshav yooj yim tuaj yeem ntsuas cov tshuaj hormones pituitary xws li thyroid-stimulating hormone (TSH), prolactin, follicle-stimulating hormone (FSH), thiab luteinizing hormone (LH). Lawv kuj tseem tuaj yeem ntsuas lwm cov tshuaj hormones uas cuam tshuam los ntawm cov tshuaj hormones pituitary, xws li thyroxine, estrogen, thiab testosterone.
• Kev kuaj mob ACTH:Qhov no sim seb koj cov qog adrenal teb li cas rau adrenocorticotropic hormone (ACTH). Qhov no suav nrog kev txhaj tshuaj ACTH tsim rau koj thiab kuaj ntshav tsis tu ncua.
• Kev kuaj mob kom muaj cov tshuaj hormones loj hlob (GH): Rau qhov kev kuaj mob no, koj tus kws kho mob yuav txhaj tshuaj rau koj. Cov tshuaj no feem ntau yuav ua rau lub qog pituitary tso cov tshuaj hormones loj hlob. Tom qab ntawd, koj cov ntshav yuav raug coj mus kuaj thiab koj cov GH yuav raug ntsuas.
• Kev kuaj mob insulin: Qhov kev kuaj no pab txheeb xyuas cov tshuaj hormones loj hlob (GH) thiab ACTH tsis txaus.

Yuav kho tus mob Panhypopituitarism li cas?

Kev kho mob rau tus mob no txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm seb cov tshuaj hormones hauv lub pituitary qis npaum li cas thiab qhov ua rau muaj teeb meem yog dab tsi. Yog li ntawd, txoj kev npaj kho mob yog rau txhua tus neeg. Koj pab neeg kho mob yuav txiav txim siab txoj kev npaj kho mob zoo tshaj plaws rau koj.

Qee cov kev kho mob uas siv ntau yog:

• Kev kho mob hloov tshuaj hormones: Lub hom phiaj ntawm qhov no yog los kho cov tshuaj hormones hauv lub pituitary uas tau poob qis mus rau qib zoo. Cov neeg uas muaj mob panhypopituitarism yuav xav tau kev kho mob hloov tshuaj hormones mus tas li tshwj tsis yog tias qhov ua rau mob tuaj yeem kho tau. Qee cov tshuaj hloov tshuaj hormones noj ua tshuaj ntsiav, thaum lwm cov muab ua tshuaj txhaj.
• Kev Phais Mob: Yog tias qhov mob no yog los ntawm qog hauv hlwb lossis pituitary adenoma, koj tus kws kho mob yuav pom zoo kom phais mob kom tshem tawm cov qog.
• Kev Kho Mob Hluav Taws Xob: Yog tias qhov mob yog los ntawm qog hauv hlwb lossis pituitary adenoma, kev kho mob hluav taws xob yuav raug pom zoo kom kho lossis ua kom qog me dua.
• Cov tshuaj Corticosteroids: Tej zaum koj yuav tau noj cov tshuaj corticosteroids ntau ua ntej thiab/lossis thaum muaj xwm txheej uas ua rau lub cev lossis lub hlwb ntxhov siab. Cov kev ntxhov siab ntawm lub cev suav nrog kev mob, kev kis kab mob, thiab kev phais. Cov tshuaj corticosteroids no yog muab los hloov cov tshuaj hormones adrenal uas tsis tsim tawm vim tsis txaus ACTH. Cov tshuaj hormones no tseem ceeb thaum lub cev ntxhov siab.

Puas kho tau Panhypopituitarism kom zoo?

Muaj tej zaum, panhypopituitarism tuaj yeem kho tau los ntawm kev kho qhov ua rau muaj qhov teeb meem no (piv txwv li, phais tshem tawm cov pituitary adenoma uas tau nias rau ntawm lub qog pituitary, yog tias lub qog tsis puas). Txawm li cas los xij, feem ntau , qhov tsis txaus cov tshuaj hormones uas tshwm sim los ntawm panhypopituitarism xav tau kev kho mob mus tas li.

Puas tiv thaiv tau qhov teeb meem no?

Feem ntau, tsis muaj txoj hauv kev los tiv thaiv panhypopituitarism. Txawm li cas los xij, yog tias koj muaj feem yuav mob no, muaj ntau txoj hauv kev los kuaj pom nws thaum ntxov.

Yog tias koj tau ntsib ib qho ntawm cov hauv qab no, koj muaj feem yuav mob panhypopituitarism ntau ntxiv:

• Yog tias koj tau phais lub hlwb lossis lub qog pituitary.
• Yog tias koj tau txais kev kho mob hluav taws xob rau lub hlwb thiab/lossis lub qog pituitary.
• Yog tias lub hlwb tau raug kev poob siab los ntawm qhov xwm txheej (Kev raug mob hlwb).
• Yog tias koj raug kev txom nyem los ntawm hydrocephalus (cov kua dej sib sau ua ke rau ntawm lub hlwb).

Yog tias koj muaj kev pheej hmoo, koj tus kws kho mob feem ntau yuav pom zoo kom kuaj xyuas kev ua haujlwm thiab kev noj qab haus huv ntawm koj lub qog pituitary thiab / lossis hypothalamus.

Yuav ua li cas thiaj paub tias tus kab mob panhypopituitarism yog dab tsi?

Qhov kev xav txog tus kab mob no, uas yog, tus neeg mob yuav ua li cas yav tom ntej, nyob ntawm ntau yam:

• Txhua lub pituitary hormone qis npaum li cas.
• Koj muaj hnub nyoog thaum tus kab mob pib.
• Qhov teeb meem no puas yuav maj mam tshwm sim los yog sai sai?
• Yuav kuaj pom tus kab mob thiab pib kho sai npaum li cas?

Panhypopituitarism tau pom tias muaj feem cuam tshuam nrog kev txo qis ntawm lub neej thiab lub neej ntev.

Cov neeg uas muaj tus mob no feem ntau muaj feem yuav rog dhau, lub cev tsis muaj zog, thiab kab mob plawv. Lawv kuj tseem yuav muaj feem yuav mob pob txha tawg (osteoporosis) thiab pob txha tawg.

Txawm li cas los xij, kev kho mob hloov tshuaj hormones kom zoo thiab ua tib zoo saib xyuas cov yam uas ua rau muaj kev pheej hmoo ntawm lub plawv thiab cov hlab ntsha tuaj yeem txhim kho cov txiaj ntsig. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawm kws kho mob.

Thaum twg koj yuav tsum mus ntsib kws kho mob yog tias koj muaj tus kab mob panhypopituitarism?

Yog tias koj muaj cov tsos mob ntawm panhypopituitarism, lossis tau kuaj pom tias muaj tus mob, koj yuav tsum mus ntsib tus kws kho mob endocrinologist, tus kws kho mob uas tshwj xeeb hauv kev kho cov kab mob hormones.

Koj yuav tsum tau mus ntsib koj tus kws kho mob endocrinologist tsis tu ncua thoob plaws hauv koj lub neej kom paub tseeb tias koj txoj kev kho mob hloov tshuaj hormones ua haujlwm zoo thiab kom tsis txhob hloov cov tshuaj hormones ntau dhau.

Nws yog ib qho ib txwm muaj kev ntshai thaum koj tau txais kev kuaj mob tshiab. Tab sis tsis txhob ntshai nug koj tus kws kho mob txog panhypopituitarism. Vim tias nws feem ntau xav tau kev kho mob tas mus li thiab kev saib xyuas cov tshuaj hormones, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua. Yog tias koj muaj cov tsos mob tshiab lossis txhawj xeeb, qhia rau koj tus kws kho mob paub tam sim ntawd. Lawv nyob ntawd los pab koj.

Tej yam tseem ceeb uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li cia peb sau qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Panhypopituitarism yog ib qho mob tsis tshua muaj tab sis loj heev uas tag nrho cov tshuaj hormones uas tsim los ntawm lub qog pituitary raug txo qis.
• Muaj ntau yam ua rau qhov no, feem ntau yog kev puas tsuaj rau lub qog pituitary lossis hypothalamus.
• Cov tsos mob sib txawv, thiab qee zaum txawm tias muaj cov mob uas yuav ua rau tuag taus xws li teeb meem adrenal . Yog li ntawd, nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob.
• Tej yam xws li kev kuaj ntshav thiab kev luam theej duab MRI/CT yog qhov yuav tsum muaj rau kev kuaj mob kom raug.
• Kev kho mob feem ntau yuav siv kev kho mob hloov tshuaj hormones mus tas li.
• Los ntawm kev ua haujlwm ze nrog koj tus kws kho mob thiab tau txais kev kuaj mob thiab kev kho mob kom zoo, koj tuaj yeem ua neej tau zoo nrog tus mob no.

Vam tias cov ntaub ntawv no yuav pab tau koj. Nco ntsoov tias, koj tsis yog tib leeg xwb, thiab cov kws kho mob thiab cov neeg muab kev pab kho mob yeej npaj txhij pab koj.

Kev mob panhypopituitarism, pituitary gland, tsis muaj hormone, hypothalamus, kev kho mob hormone, qog hauv hlwb, ACTH