Ɔl yu pituitary ɔmon dɛn nɔ bɔku? Lɛ wi tɔk bɔt panhypopituitarism!

Sɔntɛnde, tin dɛn na wi bɔdi nɔ kin wok lɛk aw wi bin de tink, nɔto so? כmon dεm na wan grup fכ rili imכtant mεsenja dεm we de involv fכ kכlכsכl כl di prכsεs dεm na wi bכdi. If prɔblɛm de wit dis ɔmon sistɛm, i kin afɛkt wi wan ol layf. Tide wi go tɔk bɔt wan rare kɔndishɔn we ɔlman fɔ no bɔt. Dat na panhypopituitarism.

Wetin na Panhypopituitarism?

Fɔ tɔk am simpul wan, panhypopituitarism na wan sik we nɔ kin apin so ɔltɛm we di pituitary gland, we na wan smɔl gland na wi bren, nɔ de mek inof ɔ i nɔ de mek ɔl di ɔmon dɛn we i de mek. Di "pan" pat min "ɔl." Dis sik kin afɛkt pikin dɛn, pikin dɛn, ɛn big pipul dɛn.

Naw yu go mɔs de wɔnda, "Wetin na dɛn ɔmon ya? Wetin mek dɛn impɔtant so?" Okay, mek wi tek wan luk pan dat.

Ɔmon dɛn tan lɛk mɛsenja dɛn na wi bɔdi. Dɛn na spɛshal kemikal dɛn. Dɛn kin travul tru wi blɔd ɛn kɛr mɛsej to difrɛn ɔgan dɛn, mɔsul dɛn, ɛn ɔda tisu dɛn. dεn de kכdכnayt, dat min se dεn de kכntro εn kכdכn di difrεn akshכn dεm na wi bכdi, de tεl dεm fכ "du dis, du am dis tεm, du am dis we."

Wi pituitary gland in sayz lɛk pis. I de na di say we wi bren de, jɔs dɔŋ di haypothalamus. (di haypothalamus na wan men sεntr na di bren we de kכntro plεnti imכtant tin dεm, inklud wi כtonom nεv sεstem.) Pan כl we i sכm, di pituitary gland de ple bכku imכtant rol insay wi εndokrin sistεm. Dat min se na dɛn pituitary ɔmon ya de kɔntrol bɔku tin dɛn na wi bɔdi, lɛk di we aw wi de du tin, aw wi de gro, ɛn aw wi de bɔn pikin.

Nɔmal wan, wi bɔdi kin tek tɛm rigul dɛn ɔmon dɛn ya. Bɔt if ɛni wan pan dɛn ɔmon ya tu smɔl, i kin mek pɔsin gɛt difrɛn sayn dɛn ɛn i kin mek i gɛt wɛlbɔdi prɔblɛm. Panhypopituitarism na we ɔl di ɔmon dɛm we di pituitary gland de mek tu smɔl, we kin mek yu gɛt difrɛn sayn dɛm.

Wetin na di difrɛns bitwin Panhypopituitarism ɛn Hypopituitarism?

Dɛn tu nem ya fiba smɔl, so dɛn kin mek pɔsin kɔnfyus. Tink bɔt am, haypopituitarism na wan sik we di pituitary gland de mek wan ɔ mɔ ɔmon dɛn. Panhypopituitarism na spɛshal, mɔ kɔmprɛhnsiv kes fɔ di sem. dat min se, panhypopituitarism na we dεn nכ de pan כl di כmon dεm we di pituitary gland de mek. Di wɔd "pan" min "ɔl", so i de ɛksplen dis kɔndishɔn.

Us ɔmon dɛn we di pituitary gland de mek?

difrεn kayn כmon dεm de we wi pituitary gland de mek εn kכl (rilis). Ɛni wan pan dɛn gɛt wan patikyula wok we dɛn de du. Lɛ wi tek wan luk pan wetin dɛn bi:

• Adrenocorticotropic hormone (ACTH ɔ corticotropin): Dis kin mek wi adrenal gland dɛn mek wan ɔmon we dɛn kɔl kɔtisol. dis kכtisol dεn kכl am bak di ‘strεs כmon’. I rili impɔtant fɔ kɔntrol di blɔd prɛshɔn ɛn di blɔd glukɔs lɛvɛl.
• fכlikul-stimulεt כmon (FSH): dis כmon de εp fכ mek man dεn mek di sεl dεm εn i de mek di ovaria dεm na uman dεn prodyuz di כmon εstrojen εn fכ machכ eg dεm.
• Growth hormone (GH): As di nem sho, i impɔtant fɔ mek pikin dɛn gro. I de ɛp bak fɔ mek di mɔsul ɛn bon dɛn gɛt wɛlbɔdi na big pipul dɛn, ɛn i de afɛkt di we aw di bɔdi fat de sheb. GH de involv bak insay wi mεtabolism.
• Luteinizing hormone (LH): LH nid fכ mek uman dεn ovuleshכn εn fכ mek man dεn prodyuz tεstostεron.
• Prolactin: Dis כmon de mek di mama in milk fכ mek di pikin afta dεn bכn di pikin. I kin afɛkt bak di saykl we uman dɛn kin gɛt we i de gɛt bɛlɛ ɛn di we aw dɛn kin bɔn pikin ɛn di we aw dɛn kin du mami ɛn dadi biznɛs na big pipul dɛn.
• Thayroid-stimulating hormone (TSH): Dis de mek wi tayroyd gland mek tayroyd ɔmon, we de manej di mɛtabolism, ɛnaji, ɛn di nervɔs sistɛm.

Apat frɔm dɛn tin ya, di pituitary gland kin kip ɛn pul tu ɔda ɔmon dɛn we nid de. Bɔt na di haypothalamus de mek dɛn tin ya:

• Antidiuretic hormone (ADH or vasopressin): Dis homon de rigul di amount of wata en sodium (salt) na wi bodi.
• Oxytocin: I de ɛp uman dɛn fɔ kɔntrakt dɛn uterus we dɛn de bɔn pikin, ɛn i de ɛp bak fɔ mek dɛn mama in milk flɔ. Dɛn se dis ɔmon kin afɛkt bak di bon bitwin mama ɛn papa ɛn pikin dɛn.

Si, dis smɔl pituitary gland de du na impɔtant wok! So, we ɔl dɛn ɔmon ya go dɔŋ, i kin gɛt big impak.

Udat dɛn kin afɛkt mɔ pan dis sik we dɛn kɔl panhypopituitarism?

Infakt, dis sik we dɛn kɔl panhypopituitarism kin apin to ɛnibɔdi, pan ɛni ej. No patikyula ej limit ɔ segment nɔ de.

Aw kɔmɔn tin dis kin apin?

Dis na tin we nɔ kin apin so ɔltɛm . Ɔlsay na di wɔl, na 4 pan ɛvri ɔndrɛd tawzin pipul dɛn nɔmɔ dɛn kin ripɔt dis sik ɛvri ia. So, i kɔmɔn fɔ lɛ wi nɔ yɛri bɔku tin bɔt am.

Panhypopituitarism kin mek pɔsin in layf de pan denja?

Yɛs, sɔm tɛm dɛn dis sik kin mek pɔsin in layf de pan denja. Ɛspɛshali if di ɔmon we dɛn kɔl adrenocorticotropic hormone (ACTH) rili smɔl, i kin denja.

Di rizin fɔ dis na bikɔs we yu nɔ gɛt ACTH i kin mek yu gɛt imejensi we dɛn kɔl adrenal kraysis . dis dεn kכl am bak ``akyu kכtisol insufisεns''. ACTH na di tin we de kɔntrol wi kɔtisol lɛvɛl. So we ACTH dɔn, kɔtisol nɔ de kɔmɔt. Dis adrenal kraysis na wan sik wae nid fɔ go to dɔktɔ kwik kwik wan ɛn kin ivin mek pɔrsin in layf de pan denja.

Di sayn dɛm fɔ adrenal kraysis kin bi:

• Fiva
• I kin wik bad bad wan
• Kɔnfyushɔn (we nɔ izi fɔ ɔndastand) .
• Lɔw blɔd prɛshɔn (haypɔtɛnshɔn) .
• At bit kwik kwik wan (tachycardia) .
• Fɔ vɔmit
• Rɔnbɛlɛ
• Di blɔd shuga we nɔ bɔku (haypoglycemia) .

If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul we de nia yu wantɛm wantɛm ɔ kɔl 1990. Dis na imejensi!

Wetin na di sayn dɛm fɔ Panhypopituitarism?

De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, i kin dipen pan aw bɔrku pan ɛni pituitary ɔmon nɔr de ɛn aw di sik kin go kwik ɔr sloslo.

Na sɔm kɔmɔn sayn dɛm wae yu kin si pan pikin ɛn big pipul dɛm:

• Nɔs ɔ diziz
• Taya pasmak
• Pwɛl hat ɛn/ɔ wɔri
• Infekshɔn dɛn we kin kam bɔku tɛm
• Di blɔd shuga we nɔ bɔku (haypoglycemia) .
• Nɔ ebul fɔ bia wit di kol
• Skin dray we nɔ kɔmɔn
• We yu de lɔs ɔ we yu de gɛt mɔ wet fɔ natin
• di blɔd lipid ɛn kɔlɔstrel lɛvɛl we nɔ de ɔltɛm (dyslipidemia) .
• At bit kwik kwik wan (tachycardia) .
• Fɔ tɔsti pasmak ɛn fɔ pis bɔku tɛm
• Menstrual saykl we nɔ de ɔltɛm na uman dɛn
• Di uman dɛn we nɔ ebul fɔ bɔn pikin
• Di man dɛn we nɔ ebul fɔ bɔn pikin

Ɔda sayn dɛn de we kin afɛkt pikin dɛn we dɛn jɔs bɔn, bebi dɛn, ɛn/ɔ yɔŋ pikin dɛn spɛshal wan:

• Janda we kin de fɔ lɔng tɛm pan pikin dɛn we dɛn jɔs bɔn
• Smɔl penis na man pikin dɛn (maykropenis) .
• Stunted growth (nɔ de gro lɔng) .
• Dilay we pɔsin kin rich fɔ bɔn pikin

Bikɔs dɛn sik ya kin tan lɛk ɔda mɛrɛsin, i impɔtant fɔ gɛt di rayt diagnosis if yu gɛt nyu ɔr de kɔntinyu fɔ gɛt sik lɛk dis. So, go to dɔktɔ fɔ advays.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt panhypopituitarism?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik. Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn wan patikyula tin we kin mek i apin. Dɛn kɔl dis idiopatik panhaypopituitarism.

jεnarali, di men rizin fכ dis na biכs wi haypothalamus εn/כ pituitary gland dεn dכn pwεl insay sכm we, we de mek wan כ tu pan dεm nכ de wok fayn fayn wan.

Fɔ ɔndastand dɛn rizin ya, yu nid fɔ ɔndastand smɔl bɔt aw wi haypothalamus ɛn wi pituitary gland de wok togɛda.

Rilayshכn bitwin haypothalamus-pituitary gland

Tink bɔt wi haypothalamus, pituitary gland, ɛn pituitary gland as di CEO ɛn manija fɔ wan big kɔmni. tכgeda, dεn tu de wok lεk di men kכntrol sεnta fכ wi bren (hypothalamus-pituitary complex), we de kכntro di prכsεs dεm we rili imכtant na di bכdi.

di haypothalamus na di pat na wi bren we de du difrεn bεsi wok dεm na di bכdi. I de sɛn mɛsej to wi ɔtonomik nɛvɔ sistɛm. i de tεl di pituitary gland bak fכ "mek dεn כmon dεm ya, rilis dεn ya." Dɛn pituitary ɔmon ya kin afɛkt ɔda pat dɛn na di bɔdi.

di pituitary gland de kכnekt to di haypothalamus bay wan stכl we gεt bכdi vεsul dεm εn nεv fayb dεm we dεn kכl ``pituitary stalk.'' Na tru dis stכl we di haypothalamus de kכmכnik wit di pituitary gland.

di haypothalamus de mek sεvεra כmon dεm fכ mek di pituitary gland wok:

• Ɔmon we de rilis kɔtikotropin
• Dopamin we dɛn kɔl Dopamin
• Ɔmon we de rilis gonadotropin
• Ɔmon we de pul di ɔmon we de mek pɔsin gro
• Somatostatin we dɛn kɔl Somatostatin
• Ɔmon we de pul tayrotropin

Bikɔs di pituitary gland ɛn di haypothalamus de wok togɛda, if wan pan dɛn pwɛl, dat kin afɛkt di ɔmon dɛn we di ɔda wan de du. Dis na di bεs bakgrכn fכ di divεlכpmεnt fכ panhypopituitarism.

Di tin dɛn we kin apin we gɛt fɔ du wit di pituitary gland

di kכndyushכn dεm we kin pwεl di pituitary gland εn mek yu gεt panhypopituitarism na:

• Pituitary adenomas (dεn ya na tכmכro dεm we nכ de kεnsar) .
• Pituitary gland ɔpreshɔn (bɔku tɛm fɔ pul dɛn adenomas ya) .
• Radieshɔn tɛrapi fɔ pituitary adenoma
• Pituitary apoplexy (dεstrukshכn fכ di pituitary tissue wan wan biכs fכ di blכd saplai to di pituitary gland dεn dכn כ di bכdi we de bכn) .
• di pituitary gland nכ de divεlכp fayn כ i de fכm rεgulεr we dεn bכn am.

Kɔz dɛn we gɛt fɔ du wit di haypothalamus

di kכndyushכn dεm we kin pwεl di haypothalamus εn mek di panhypopituitarism inklud:

• Traumatik bren injuri (TBI) .
• Dɛn kin du ɔpreshɔn pan di bren pan ɔ nia di haypothalamus
• tכmכro dεm we nכ de kεnsar we de divεlכp na di haypothalamus (e.g. kraniopharyngiomas) .
• kansa we dεn spre (mεtastas) to di haypothalamus frכm כdasay na di bכdi (e.g. lכng, brεst kεnsar) .
• Hydrocephalus (prɛshɔn we kin kam we wata kin bɔku na di bren) .
• Strok
• Tuberkulɔs mɛningɔyt

Aw dɛn kin no se pɔsin gɛt Panhypopituitarism?

If yu gɛt sayn fɔ dis sik, yu dɔktɔ go aks yu fɔs bɔt yu sik ɛn mɛdikal histri, dɔn i go du yu bɔdi ɛgzam.

Dɔn, dɛn kin ɔda di tɛst dɛn we dɛn nid fɔ kɔnfɔm di kɔndishɔn fɔ panhypopituitarism ɛn fɔ pul ɔda kɔndishɔn dɛn we kin de mek dɛn gɛt dɛn sik ya.

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

Bɔku tɛm, dɔktɔ dɛn kin du bɔku tɛst dɛn fɔ no if pɔsin gɛt dis sik, lɛk tɛst we dɛn kin tek pikchɔ ɛn tɛst di ɔmon lɛvɛl.

Test dɛn fɔ tek imej

Panhypopituitarism kin kam bikɔs di haypothalamus ɔ pituitary gland dɔn pwɛl, ɛn dɛn kin du imej tɛst lɛk dɛn wan ya fɔ no di kɔz:

• Bren MRI (Magnetic Resonance Imaging) skan: MRI skan de yuz redio wev ɛn strɔng magnɛtik fil fɔ mek ditayli pikchɔ dɛn bɔt di insay pat na di bɔdi. Dɛn kin tek MRI skan as di bɛst we fɔ fɛn di pituitary tumor. Dɛn kin ɛp bak fɔ no ɔda prɔblɛm dɛn wit di haypothalamus ɔ pituitary gland.
• CT (Computed Tomography) skan fɔ di bren: CT skan de yuz X-ray ɛn kɔmpyuta fɔ mek ditayli pikchɔ dɛn bɔt di bren. dis tεst kin yus fכ chεk fכ bren tכmכro כ pituitary adenoma. I kin ɛp bak fɔ no ɔda prɔblɛm dɛn wit di haypothalamus ɔ pituitary gland.

Tɛst fɔ ɔmon dɛn

If yu gɛt sayn dɛm fɔ panhypopituitarism, yu dɔktɔ go nid fɔ mɛzhɔ di lɛvɛl dɛm fɔ ɛni ɔmon we di pituitary gland de pul. Dis go ɛp fɔ no aw ɛni ɔmon smɔl ɛn nɔ go gɛt ɔda tin dɛn we de apin.

Pan ɔl we sɔm ɔmon dɛn we de na wi blɔd kin de na wi blɔd ɔltɛm, ɔda ɔmon dɛn kin chenj bad bad wan ɔl di de. So, dɛn kin du sɔm ɔmon tɛst dɛn lɛk simpul blɔd tɛst, ɛn ɔda wan dɛn kin nid spɛshal tɛst fɔ mek pɔsin fil fayn.

di כmon lεvεl tεst dεm inklud:

• Blɔd tɛst: Simpul blɔd tɛst kin mɛzhɔ di ɔmon dɛn we de na di pituitary lɛk di ɔmon we de mek pɔsin in tayroyd (TSH), prolaktin, ɔmon we de mek pɔsin gɛt fɔlikl (FSH), ɛn di ɔmon we de mek pɔsin fil fayn (LH). Dɛn kin mɛzhɔ ɔda ɔmon dɛn bak we di ɔmon dɛn we de na di pituitary kin afɛkt lɛk tayroksin, ɛstrojen, ɛn tɛstostɛron.
• ACTH stimulashɔn tɛst: .dis de tεst aw yu adrenal gland dεm de rεspכnd to adrenocorticotropic hormone (ACTH). Dis involv fɔ gi yu wan injɛkshɔn fɔ sintetik ACTH ɛn tek blɔd sɛmpul ɔltɛm.
• Growth hormone (GH) stimulation test: Fɔ dis tɛst, yu dɔktɔ go injɛkt yu wan mɛrɛsin. dis mεdikal kin mek di pituitary gland kכmכt fכ rilis di כmon we de gro. Dɔn, dɛn go tek yu blɔd sɛmpul ɛn mɛzhɔ yu GH lɛvɛl.
• Insulin tolerance test: Dis test de ɛp fɔ no di growth ɔmon (GH) ɛn ACTH we nɔ de.

Aw dɛn kin trit Panhypopituitarism?

De tritmɛnt fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. i dipכnt pan aw di pituitary hכmon lεvεl dεm lכw εn wetin na di כndalayn kכz. So, di tritmɛnt plan na fɔ ɛnibɔdi. Yu mɛdikal tim go disayd di bɛst tritmɛnt plan fɔ yu.

Sɔm tritmɛnt wae dɛn kin yuse na:

• כmon riplesmεnt tεrapi: Di ​​gol fכ dis na fכ mek di pituitary hכmon dεm we dεn dכn dכn kam bak to hεlty lεvεl. Pipul wae gɛt panhypopituitarism go nid fɔ gɛt ɔl dɛn layf ɔmon riplesmɛnt tɛrapi pas nɔmɔ dɛn ebul fɔ trit di ɔndalayn kɔz. Dɛn kin tek sɔm ɔmon riplesmɛnt mɛrɛsin dɛn as pils, ɛn ɔda wan dɛn kin gi dɛn as injɛkshɔn.
• Ɔpreshɔn: If na bikɔs ɔf di bren tumbu ɔ pituitary adenoma, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul di tumbu.
• Rɛdyeshɔn tɛrapi: If di sik na bikɔs ɔf wan bren tumbu ɔ pituitary adenoma, dɛn kin se dɛn fɔ tek redyushɔn tɛrapi fɔ trit ɔ shrink di tumbu.
• Kɔtikosterɔyd: Yu kin nid fɔ tek bɔku kɔtikosterɔyd bifo ɛn/ɔ di tɛm we ɛnitin apin we go mek yu gɛt strɛs na yu bɔdi ɔ yu maynd. Di tin dɛn we kin mek pɔsin strɛs na in bɔdi na sik, infɛkshɔn, ɛn ɔpreshɔn. dεn kin gi dεn kכtikostεroyd ya fכ tek di ples fכ di adrenal כmon dεm we nכ de prodyuz bikoz fכ ACTH dεfichεns. Dɛn ɔmon ya impɔtant we di bɔdi de strɛs.

Yu tink se dɛn kin mɛn Panhypopituitarism ɔltogɛda?

Sɔntɛnde, dɛn kin rivɛns panhypopituitarism bay we dɛn trit di ɔndalayn kɔz (fɔ ɛgzampul, dɛn kin ɔpreshɔn fɔ pul wan pituitary adenoma we bin de prɛs pan di pituitary gland, if di gland nɔ pwɛl). Bɔt bɔku tɛm , di ɔmon we nɔ de wok fayn bikɔs ɔf panhypopituitarism kin nid fɔ gɛt tritmɛnt fɔ ɔl in layf.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Bɔrku tɛm, no we nɔr de fɔ mek yu nɔr gɛt panhypopituitarism. Bɔt if yu de pan denja fɔ gɛt dis sik, we dɛn de fɔ no am kwik kwik wan.

If yu dɔn gɛt ɛni wan pan dɛn tin ya, yu go gɛt panhypopituitarism:

• If dɛn dɔn du ɔpreshɔn pan yu bren ɔ yu pituitary gland.
• If yu dɔn gɛt raytin tritmɛnt to di bren ɛn/ɔ di pituitary gland.
• If di bren dɔn gɛt shɔk frɔm aksidɛnt (Traumatic brain injury).
• If yu de sɔfa wit haydrosɛfalɔs (fluid we de bɔku na di bren).

If yu de pan denja, bɔku tɛm yu dɔktɔ go tɛl yu fɔ chɛk aw yu pituitary gland ɛn/ɔ haypothalamus de wok ɛn wɛlbɔdi.

Wetin na di prɔgnosis fɔ panhypopituitarism?

Di we aw pipul dɛn go si dis sik, dat na aw di pɔsin go bi tumara bambay, kin dipen pan sɔm tin dɛn:

• Aw bɔku ɛni ɔmon na di pituitary smɔl.
• Yu ej we di sik bigin.
• Yu tink se dis tin go apin smɔl smɔl ɔ kwik kwik wan?
• Aw kwik dɛn kin no di sik ɛn bigin fɔ trit am?

Dɛn dɔn si se panhypopituitarism gɛt fɔ du wit rili ridyus kwaliti fɔ layf ɛn layf ɛkspɛkteshɔn.

Bɔrku tɛm, pipul dɛm wae gɛt dis sik kin gɛt bɔrku risk fɔ fat, dɛn kin gɛt smɔl smɔl bɔdi, ɛn dɛn kin gɛt sik na dɛn at ɛn blɔd. Dɛn kin gɛt bak di risk fɔ gɛt ɔstioporosis (di bon dɛn kin tan) ɛn fɔ brok bon.

Bɔt fɔ tek tɛm, kɔmplit ɔmon riplesmɛnt tɛrapi ɛn fɔ wach gud gud wan fɔ di tin dɛn we kin mek pɔsin gɛt prɔblɛm wit di at ɛn di blɔd kin mek di tin dɛn we kin kɔmɔt fayn. So, i rili impɔtant fɔ fala di advays dɛn we dɔktɔ gi wi.

Ustɛm yu fɔ go to dɔktɔ if yu gɛt panhypopituitarism?

If yu gɛt sayn dɛm fɔ panhypopituitarism, ɔr dɛn dɔn no se yu gɛt dis sik, yu go mɔs nid fɔ go to ɛndokrinɔlɔjis, dɔktɔ we spɛshal fɔ trit di sik dɛn we gɛt fɔ du wit ɔmon.

Yu go nid fɔ go to yu ɛndokrinɔlɔjis ɔltɛm ɔlsay na yu layf fɔ mek shɔ se yu ɔmon riplesmɛnt tritmɛnt de wok fayn ɛn fɔ avɔyd fɔ riples ɔmon pasmak.

Na nɔmal tin fɔ fil fɔ fred we yu gɛt nyu diagnosis. Bɔt nɔ fred fɔ aks yu dɔktɔ kwɛstyɔn bɔt panhypopituitarism. Bikɔs bɔku tɛm i kin nid fɔ gɛt tritmɛnt fɔ ɔl yu layf ɛn fɔ wach di ɔmon, i impɔtant fɔ go to yu dɔktɔ ɔltɛm. If yu gɛt nyu ɔr wɔri sayn dɛm, mek yu dɔktɔ no wantɛm wantɛm. Dɛn de de fɔ ɛp yu.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Panhypopituitarism na wan sik we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs we ɔl di ɔmon dɛn we di pituitary gland de mek kin ridyus.
• Bɔku rizin kin de fɔ dis, mɔ di damej pan di pituitary gland ɔ di haypothalamus.
• Di sayn dɛm kin difrɛn, ɛn sɔmtɛm ivin tin dɛm we kin mek pɔsin in layf de pan denja lɛk adrenal kraysis kin apin. So, go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn.
• Tin dɛn lɛk blɔd tɛst ɛn MRI/CT skan nid fɔ mek dɛn no di sik kɔrɛkt wan.
• Bɔku tɛm, di tritmɛnt kin gɛt fɔ du wit di tritmɛnt we dɛn kin yuz fɔ tek di ɔmon fɔ ɔl dɛn layf.
• If yu woke klos wit yu dɔktɔ ɛn gɛt di rayt tɛst ɛn tritmɛnt, yu kin liv fayn fayn wan wit dis sik.

A op se dis infɔmeshɔn go ɛp yu. Mɛmba se nɔto yu wangren de, ɛn dɔktɔ ɛn pipul dɛn we de kia fɔ wɛlbɔdi biznɛs de fɔ ɛp yu.

` Panhypopituitarism, pituitary gland, hכmon dεfisiεns, haypothalamus, כmon tεrapi, bren tכmכro, ACTH