Koj lub qog pituitary hauv koj lub taub hau puas tau los ntshav tam sim ntawd? (Pituitary Apoplexy) Cia peb paub!

Koj puas tau muaj mob taub hau loj heev tam sim ntawd, pom tsis meej, pom ob sab, lossis qhov muag poob tawm? Txawm hais tias qhov no tsis tshua muaj, tab sis muaj qhov ua rau loj heev. Qhov ntawd yog qhov mob ceev uas peb yuav tham txog hnub no, hu ua "Pituitary Apoplexy". Tsis txhob ntshai, cia peb tham txog qhov no yooj yim.

Pituitary Apoplexy yog dab tsi?

Hais yooj yim xwb, '(Pituitary Apoplexy)' yog ib qho mob uas cov ntshav mus rau lub qog pituitary , ib lub qog me me hauv peb lub hlwb, tam sim ntawd nres (piv txwv li, cov ntshav raug thaiv), lossis los ntshav hauv lub qog ('(Hemorrhage)'). Qhov no tuaj yeem yog ib qho mob hnyav, yog li muaj qee lub sijhawm uas xav tau kev kho mob thaum muaj xwm txheej ceev .

Yog li ntawd, qhov no yog dab tsi yog lub qog pituitary?

Xav txog seb, nyob hauv nruab nrab ntawm peb lub hlwb, tom qab peb lub qhov ntswg, muaj ib lub qog me me uas loj li taum pauv. Qhov ntawd yog qhov peb hu ua lub qog pituitary. Qhov no yog ib qho ntawm cov qog tseem ceeb hauv peb lub cev endocrine system . Nws yog ib qho uas tsim thiab tswj cov tshuaj hormones, uas yog cov tshuaj xa xov uas ua haujlwm tseem ceeb heev hauv peb lub cev.

Ntau yam ntawm peb lub cev ua haujlwm nyob ntawm cov tshuaj hormones no. Nov yog ob peb yam piv txwv:

• Tswj peb cov ntshav siab .
• Kev muaj menyuam thiab kev ua haujlwm ntawm kev sib deev.
• Kev loj hlob thiab kev txhim kho ntawm lub cev.

Cov tshuaj hormones uas cov qog pituitary tso tawm xa cov cim mus rau lwm cov qog endocrine kom tsim lawv cov tshuaj hormones. Nws ua haujlwm zoo li tus thawj coj me me hauv peb lub cev.

Pituitary Adenoma yog dab tsi?

Feem ntau, tus mob no hu ua "Pituitary Apoplexy" tshwm sim rau cov neeg uas muaj qog nqaij hlav (tsis yog qog nqaij hlav) hauv lub qog pituitary, uas yog, "Pituitary Adenoma".

Txawm li cas los xij, muaj ntau tus neeg tsis paub tias lawv muaj '(Pituitary Adenoma)'. Qee zaum cov qog no raug pom los ntawm txoj hmoo thaum lub sijhawm '(Kev Ntsuas Duab)' ua rau qee qhov laj thawj. Rau qee tus, qhov mob no hu ua '(Pituitary Apoplexy)' yog thawj qhov cim qhia tias lawv muaj '(Pituitary Adenoma)'.

Thaum faib cov "Pituitary Adenomas" no, lawv yog raws li seb lawv puas tso cov tshuaj hormones lossis tsis tso.

• Cov qog nqaij hlav uas tso cov tshuaj hormones: Cov no tuaj yeem tsim cov tshuaj hormones ntau dhau.
• Adrenocorticotropic hormone (ACTH): Qhov no ua rau peb cov qog adrenal tsim cov tshuaj hormones hu ua cortisol . Cortisol yog ib yam tshuaj hormones uas pab teb rau kev ntxhov siab, tiv thaiv kev kis kab mob, thiab tswj cov ntshav siab, cov piam thaj hauv cov ntshav, thiab kev ua haujlwm ntawm lub cev.
• Prolactin:Txawm hais tias nws muaj feem cuam tshuam rau ntau yam haujlwm ntawm lub cev, nws tseem ceeb heev rau kev loj hlob ntawm cov nqaij ntawm lub mis thiab kev tsim mis. Yog tias nws nce ntxiv, nws tuaj yeem ua rau cov poj niam lub hlis tsis xwm yeem thiab txo qis kev ntshaw kev sib deev ntawm cov txiv neej.
• Cov Tshuaj Hormone Loj Hlob: Tswj kev loj hlob ntawm cov menyuam yaus thiab tswj cov rog hauv lub cev, cov piam thaj hauv cov ntshav, thiab kev kho cov cell hauv cov neeg laus.
• Cov qog adrenal tsis ua haujlwm: Cov no tsis tso cov tshuaj hormones. Cov qog adrenal tsis ua haujlwm feem ntau pom muaj nyob rau hauv cov neeg uas muaj cov qog adrenal tsis ua haujlwm no.

Leej twg yuav muaj feem mob Pituitary Apoplexy tshaj?

Cov mob no muaj feem yuav tshwm sim rau cov txiv neej ntau dua li cov poj niam ob npaug. Feem ntau nws cuam tshuam rau cov neeg hnub nyoog ntawm 37 thiab 58 xyoo.

Tus mob no feem ntau tshwm sim li cas?

Muaj ntau lub tswv yim sib txawv txog seb Pituitary Adenoma feem ntau yog li cas. Qhov no yog vim tias ntau tus neeg tsis qhia cov tsos mob. Cov kws tshaj lij feem ntau lub tswv yim yog tias lawv feem ntau yog. Ntawm 2% thiab 12% ntawm cov neeg uas muaj Pituitary Adenoma yuav muaj Pituitary Apoplexy.

Cov tsos mob ntawm Pituitary Apoplexy yog dab tsi?

Cov tsos mob ntawm tus mob no nyob ntawm seb:

• Qhov ntau ntawm kev los ntshav.
• Tus nqi ntawm cov nqaij hauv lub qog pituitary uas tuag vim yog poob ntshav.
• Nyob ntawm seb qhov o (edema) zoo li cas.

Cov tsos mob feem ntau yog mob taub hau sai sai thiab hnyav. Ntau tshaj ib nrab ntawm cov neeg kuj muaj teeb meem pom kev . Qhov no yog vim muaj kev ntxhov siab ntxiv rau cov hlab ntsha uas mus los ntawm lub hlwb mus rau lub qhov muag (cov hlab ntsha pom kev). Cov no suav nrog:

• Pom ob zaug .
• Qhov muag poob qis .
• Tsis pom kev tag nrho lossis ib nrab ntawm ib lub qhov muag lossis ob lub qhov muag.

Lwm cov tsos mob yog tshwm sim los ntawm kev hloov pauv hauv lub hlwb. Cov no qee zaum tuaj yeem zoo li lwm yam mob ntawm lub paj hlwb, xws li mob hlwb meningitis . Cov tsos mob no suav nrog:

• Kev tsis meej pem.
• Qaug zog heev.
• Ua npaws.
• Xeev siab thiab ntuav.
• Kev rhiab heev rau lub teeb (Photophobia).

Puas yog pituitary apoplexy cuam tshuam rau kev ua haujlwm ntawm cov tshuaj hormones?

Yog, kiag li. Thaum lub qog pituitary puas lawm, nws cuam tshuam rau kev ua haujlwm ntawm lwm cov qog endocrine uas nws tswj, cov tshuaj hormones uas lawv tsim tawm, thiab lub cev ua cov tshuaj hormones ntawd tswj.

Ib qho teeb meem hormonal uas feem ntau tshwm sim yog adrenocorticotropic hormone (ACTH) deficiency. Qhov no cuam tshuam rau kev ua haujlwm ntawm cov qog adrenal thiab qee zaum tuaj yeem ua rau tuag taus. Nws cov tsos mob suav nrog:

• Ntshav siab qis (Hypotension).
• Cov ntshav qab zib qis (Hypoglycemia).
• Cov ntsev tsawg hauv cov ntshav (Hyponatremia).
• Xeev siab thiab ntuav.

Dab tsi yog cov ua rau muaj Pituitary Apoplexy?

Yuav kom ncaj ncees, qhov laj thawj tseeb rau qhov no tseem tsis tau meej.

Qee qhov kev tshawb fawb tau pom tias ntawm 10% thiab 40% ntawm cov rooj plaub yog cuam tshuam nrog qee yam kev kho mob, tej yam mob, thiab tshuaj. Nov yog qee qhov piv txwv:

• Cov tshuaj anticoagulation raug muab rau cov neeg uas muaj cov leeg ntshav tob thiab cov hlab ntsha embolism.
• Cov tshuaj dopamine-stimulating siv rau tus kab mob Parkinson thiab tus kab mob ceg tsis so.
• Kev kuaj mob endocrine yog ib qho kev kuaj mob uas siv los kuaj mob cov kab mob endocrine.
• Kev kho mob Gonadotropin-releasing hormone (GnRH), uas muab rau qee tus poj niam uas muaj mob qog noj ntshav hauv lub mis, txo cov haujlwm ntawm zes qe menyuam.
• Kev raug mob taub hau (xws li ntog, sib tsoo tsheb).
• Kev phais mob, tshwj xeeb tshaj yog kev phais pob txha thiab kev phais plawv.

Cov kws tshaj lij tseem tab tom sim nkag siab tias vim li cas cov yam no qee zaum thiaj li muaj feem cuam tshuam nrog "Pituitary Apoplexy." Kev tshawb fawb no tuaj yeem pab cov kws kho mob tiv thaiv qhov mob apoplexy no thaum saib xyuas cov neeg uas muaj pituitary adenomas.

Yuav kuaj mob Pituitary Apoplexy li cas?

Koj tus kws kho mob yuav kuaj koj (Kev Kuaj Lub Cev), ntsuas koj cov tsos mob, thiab xaj kev kuaj xws li (Kev Kuaj Duab).

Nyob ntawm seb koj tus mob hnyav npaum li cas, tej zaum koj yuav xav tau kev kho mob thaum muaj xwm txheej ceev . Hauv chav kho mob ceev, cov kws kho mob yuav ua CT scan vim tias nws tuaj yeem muab cov txiaj ntsig sai thiab tshem tawm lwm yam mob, xws li mob stroke. Txawm li cas los xij, yog tias lub sijhawm tso cai, MRI yog qhov kev xaiv zoo tshaj plaws. Nws tuaj yeem muab cov ntaub ntawv ntxaws ntxiv txog kev puas tsuaj rau lub qog pituitary.

Yuav kho tus kab mob Pituitary Apoplexy li cas?

Muaj tshuaj thiab phais mob ua kev kho rau qhov no.

Cov tshuaj Corticosteroids (cov tshuaj noj) yog qhov tseem ceeb los tiv thaiv kom tsis txhob muaj adrenocorticotropic hormone (ACTH). Feem ntau, cov neeg mob yuav zoo dua los ntawm kev noj tshuaj.

Tab sis yog tias koj cov tsos mob hnyav zuj zus, koj tus kws kho mob yuav pom zoo kom phais . Qhov no feem ntau yog ua los ntawm kev siv txoj kev phais mob me me xwb. Qhov ntawd txhais tau tias koj tus kws kho mob yuav:

• Yuav muab ib lub raj me me ntxig rau hauv ib qho ntawm koj lub qhov ntswg.
• Muaj ib lub qhov me me ua rau hauv pob txha uas cais lub qhov ntswg thiab lub hlwb.
• Ib lub koob yees duab raug ntxig los ntawm lub raj ntawd thiab qhov mob qog raug kuaj xyuas.
• Tom qab ntawd, cov qog lossis cov ntaub so ntswg pituitary uas puas lawm raug tshem tawm los ntawm lub raj ntawd.

Txoj kev no hu ua phais transnasal.Kuj hu ua `(Phais qhov ntswg)`.

Kuv puas tuaj yeem tiv thaiv Pituitary Apoplexy?

Tu siab kawg li, tsis muaj ib txoj kev tseeb uas yuav tiv thaiv tau qhov teeb meem no.

Tiam sis yog koj muaj "Pituitary Adenoma", koj yuav tsum paub txog qhov ua tau ntawm tus mob apoplexy no. Yog tias koj mob taub hau hnyav lossis pom kev hloov pauv, nrhiav kev kho mob ceev tam sim ntawd.

Yuav ua li cas thiaj paub txog Pituitary Apoplexy?

Nws yog ib qho tseem ceeb heev uas yuav tsum kuaj mob thaum ntxov thiab pib kho . Tus nqi tuag vim yog tus mob no yog li ntawm 2%.

Rau ntau tus neeg, cov teeb meem pom kev tuaj yeem kho tau los ntawm kev siv tshuaj lossis phais. Kev pom kev tag nrho rov qab los hauv kwv yees li 40% ntawm cov neeg mob. Txawm li cas los xij, kwv yees li 80% ntawm cov neeg xav tau kev kho mob hloov tshuaj hormones mus sij hawm ntev . Qhov no yog vim tias lub qog pituitary tsis ua haujlwm zoo. Kev kho mob hormones no muaj ntau hom sib txawv:

• Cov hom gels.
• Kev txhaj tshuaj.
• Yaj hauv qhov ncauj.
• Cov tshuaj tsuag rau qhov ntswg.
• Cov thaj ua rau thaj.
• Cov pellets uas muab tso rau hauv qab daim tawv nqaij.
• Cov tshuaj ntsiav ib txwm muaj.

Yog koj tau muaj mob Pituitary Apoplexy, koj yuav tsum tau kev saib xyuas kho mob ntxiv (kev saib xyuas tom qab). Cov no suav nrog:

• Soj ntsuam koj lub zeem muag.
• Xyuas kom tseeb tias lub qog raug tshem tawm tag.
• Saib xyuas koj cov tshuaj hormones.

Kuv yuav tsum mus rau chav kho mob ceev thaum twg?

Nrhiav kev kho mob thaum muaj xwm txheej ceev tam sim ntawd yog tias koj muaj teeb meem pom kev tshiab lossis mob taub hau loj heev tam sim ntawd . Ib txhia piav qhia txog mob taub hau no tias yog "mob taub hau phem tshaj plaws uas kuv tau muaj."

Vim tias Pituitary Apoplexy tshwm sim sai sai, nws yog ib qho tseem ceeb uas yuav tsum ua sai sai yog tias koj muaj cov tsos mob xws li mob taub hau hnyav thiab pom kev hloov pauv.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li tam sim no koj nkag siab zoo dua txog qhov peb tau tham txog, Pituitary Apoplexy. Nco ntsoov, qhov no yog ib qho mob uas tshwm sim sai sai. Tab sis qhov xov xwm zoo yog tias muaj kev kho rau nws. Kev kho mob feem ntau tuaj yeem kho qhov muag pom kev. Txawm li cas los xij, ntau tus neeg tuaj yeem tsim cov tshuaj hormones tsis txaus mus sij hawm ntev.

Yog li ntawd, ua raws li koj tus kws kho mob cov lus qhia, mus ntsib koj tus kws kho mob raws sijhawm, thiab noj tshuaj kho mob raws li tau teem tseg yuav pab koj tswj koj cov tshuaj hormones thiab tswj kom muaj lub neej zoo. Tsis txhob ntshai, tab sis yog tias koj muaj cov tsos mob no, nco ntsoov nrhiav kev pab kho mob tam sim ntawd.

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