Yu gɛt tumbu na yu pituitary gland? (Pituitary Adenoma) Lɛ wi lan bɔt am!

Yu kin gɛt ed bak sɔntɛnde fɔ natin? Ɔ yu kin fil lɛk se yu yay wik smɔl, ɛn yu nɔ ebul fɔ si tin dɛn we de kɔmɔt na di sayd dɛn fayn fayn wan? Ɔ, yu gɛt ɛni prɔblɛm we kin mek yu gɛt sɔm chenj dɛn na yu bɔdi in ɔmon dɛn? Sɔntɛm di rizin bihayn dɛn tin ya na wan smɔl tumbu we de divɛlɔp na yu pituitary gland. Tide, wi go tɔk ditayli bɔt dis kɔndishɔn we dɛn kɔl `Pituitary Adenoma` . Nɔ wɔri, dis nɔto kansa.

Wetin na pituitary adenoma?

Fɔ tɔk am simpul wan, pituitary adenoma na wan tɔŋ we nɔ gɛt kansa (benign) we de divɛlɔp na yu pituitary gland. I nɔ de skata to ɔda pat na di bɔdi lɛk kansa. Dat na di tin we impɔtant pas ɔl. כltu, as dis adenoma de gro, i kin prεs pan tin dεm lεk nεv dεm εn bכdi vεsul dεm we de rawnd am. Na da tɛm de di sayn dɛn kin bigin fɔ sho.

So, wetin na dis pituitary gland?

imajin, bihayn wi nos, we kכnekt to di bεs fכ di bren, di ``Hypothalamus``, wan sכmכl gland de we di sayz lεk wan pis. Na dat dɛn kɔl am di pituitary gland. Pan ɔl we i smɔl, i de du wan rili impɔtant wok na wi bɔdi. Dis gland gɛt tu men pat dɛn:

• Di Lɔb we de bifo
• Di Lob we de na di Posita

Dɛn tu pat ya kin mek ɛn pul difrɛn kayn ɔmon dɛn na di blɔd. Ɔmon dɛn tan lɛk kemikal mɛsenja dɛn we de kɔntrol ɛn kɔdinɛt difrɛn tin dɛn we wi bɔdi de du. Dɛn kin travul tru di blɔd ɛn gi mɛsej dɛn we wi nid to wi ɔgan dɛn, mɔsul dɛn, ɛn ɔda tisu dɛn. Na sɔm pan di impɔtant ɔmon dɛn we di pituitary gland de mek:

• Adrenokɔtikotropik ɔmon (ACTH ɔ Kɔtikotropin) .
• Antidiuretik ɔmon (ADH ɔ Vasopressin) .
• Fɔlikul stimulat ɔmon (` FSH` ) .
• Ɔmon we de mek pɔsin gro (`GH`) .
• Ɔmon we de mek luteinizing (`LH`) .
• Oksitosin (` Ɔksitosin` ) .
• Prolaktin we dɛn kɔl prolaktin
• Di ɔmon we de mek di tayroyd (`TSH`) .

nכto dis nכmכ, di pituitary gland de "signal" כda εndokrin gland dεm na wi bכdi fכ prodyuz כmon dεm. So yu kin ɔndastand se if prɔblɛm de wit dis pituitary gland, lɛk adenoma, di wok we wan ɔmon ɔ sɔm ɔmon dɛn de du kin afɛkt.

Aw dɛn kin difrɛns dɛn kayn adenoma ya?

Dɔktɔ dɛn kin sheb di pituitary adenomas to tu men kayn: 1. Bay if dɛn de mek ɔmon ɔ nɔ de mek am:

• Di adenoma we de wok/Sekret:Apat frɔm dat, dɛn kayn adenoma ya kin mek wan ɔ mɔ pituitary ɔmon dɛn . So, difrɛn sayn ɛn kɔndishɔn kin apin dipen pan di ɔmon we dɛn dɔn mek pasmak.
• adenoma dεm we nכ de wok/nכ de sekret: dεn adenoma dεm ya nכ de prodyuz כmon dεm. Bɔt if dɛn gro big, dɛn kin mek pɔsin gɛt sayn dɛn bay we dɛn prɛs di say dɛn we de nia dɛn na di bren ɔ di nerv dɛn . Dis na di kayn adenoma we dɔktɔ dɛn kin mit bɔku tɛm.

2. Bay di sayz:

• Maykroadenoma: dis na tכmכro dεm we sכm sכm pas 10 milimita (dat na 1 sεntimita).
• Makrodenoma: Dis na di tכmכro dεm we big pas 10 milimita. Makroadenoma na lɛk tu tɛm pas di maykroadenoma. Dɛn kin mek bak wan ɔ mɔ pituitary ɔmon (wan sik we dɛn kɔl hypopituitarism) nɔ bɔku.

Dɛn kin tek dis as tumbu na di bren?

di pituitary gland na rili wan strכkchכ we de insay di εndokrin sistεm, εn i nכ tεknikal pat pan di bren. I de atak di bren in bays. Bɔt dɔktɔ dɛn kin tek di pituitary adenomas as wan kayn bren tumor . di pituitary adenomas de akכnt fכ כnli 10% pan di praymar bren tכmכro dεm.

Udat kin gɛt dɛn tin ya bɔku tɛm? Aw i kɔmɔn?

di pituitary adenomas kin divεlכp pan εni ej. Bɔt dɛn kin bɔku pan pipul dɛn we dɔn pas 30 ɛn 40 ia . Uman dɛnsɛf kin gɛt dɛn smɔl smɔl pas man dɛn. dεn so kכmכn dat dεn de mek 10% to 15% pan כl di tכmכro dεm we de gro insay di sכkul. Statistikin sho se pan 100,000 pipul dɛm na lɛk 77 pipul dɛm gɛt dis sik. Bɔt di wan dɛn we de stɔdi bɔt dis biliv se bɔku ɔda pipul dɛn, sɔntɛm lɛk 20%, go gɛt wan sɔm tɛm na dɛn layf. Bɔku tɛm, mɔ di wan dɛn we gɛt maykroadenoma (`maykroadenomas`), nɔ kin gɛt ɛni sayn, so dɛn nɔ kin no.

Wetin na di sayn dɛm we de sho se pɔsin gɛt pituitary adenoma?

Di sayn dɛm fɔ pituitary adenoma kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. I kin dipen mɔ pan sɔm tin dɛn:

• if di adenoma de gro in saiz εn i de damej di pituitary gland insεf, כ if i de mek ``mas ifekt'' pan di strכkchכ dεm we de rawnd am.
• Na adenoma we de mek ɔmon (`functioning`)? If na so, di sayn dɛm go dipen pan di kayn ɔmon we i de mek.

`Mass Effect` simptom dεm we dεn kכz fכ `Macroadenomas` (big tכmכro dεm) .

big adenomas (`Macroadenomas`) kin mek di simptom dεm mεntal bikoz fכ di prεshכn pan di tisu dεm we de rawnd.

Jɔs tink se if yu put big tin na smɔl rum, i tan lɛk se ples nɔ de fɔ ɔda tin dɛn ɛn i ful-ɔp.

• Prɔblɛm dɛn we pɔsin kin gɛt we i de si:

Na lɛk 40% to 60% pan di pipul dɛn we gɛt big pituitary adenomadi vishכn lכs (blכr vishכn, dכbl vishכn) de apin. dis kin apin biכs di adenoma de prεs pan di optik chiasm we de kכnekt di yay dεm εn di bren. dis kin mek yu lכs di pεriferal vishכn, spεshal wan na di sayd. I tan lɛk ɔs we nɔ de si in yay na ɔl tu di say dɛn.

• Ɛd we de at : .

Bɔrku pipul dɛm wae gɛt pituitary adenomas kin kɔmplen se dɛn kin gɛt ed pen ɔltɛm. dis kin bi bikoz di tכmכro de prεs pan di tisu we de rawnd am. Bɔt bikɔs bɔku tin dɛn kin mek pɔsin in ed at, ɔda tin dɛn kin mek i at pwɛl bak.

• Ɔmon we nɔ de wok fayn:

big adenomas (`Macroadenomas`) kin damej di pituitary gland tisu εn ridyus di prodakshכn fכ wan כ mכr pituitary כmon dεm. Dɛn kɔl dis kɔndishɔn `Hypopituitarism`. Di sayn dɛm we kin apin we dɛn dɔn ridyus ɛni ɔmon kin difrɛn bak.

• we di LH εn FSH כmon dεm dכn dכn (`Hypogonadism`): di lεvεl dεm fכ ` Oestrogen` na uman dεm εn ` Testosterone` na man dεm de dכn. dis kin mek yu simptom dεm lεk we uman dεn de swet pasmak , uman dεm we de dray pasmak, ` Erectile Dysfunction` na man dεm, fכs εn bכdi ia dεn de dכn, di mכd swing na dεn tu man dεm, dεn nכ want fכ du mami εn dadi biznεs, εn dεn de taya pasmak.
• we di TSH כmon lεvεl dεn dכn (`Hypothyroidism`): di כmon dεm we di tayroyd gland de mek de dכn. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ taya, fɔ gɛt bɛlɛ, yu at kin rit sloslo, yu skin kin dray, yu an ɛn yu an kin swel, ɛn yu nɔ kin ebul fɔ riflɛs fayn.
• we di ACTH כmon dכn lכw (`Adrenal Insufficiency`): di bכdi in prodakshכn fכ di כmon `Cortisol` de dכn. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ lɛ yu blɔd prɛshɔn go dɔŋ, yu nɔr de fil fayn, yu de vɔmit, yu bɛlɛ de fil pen, ɛn yu nɔr de want fɔ it.
• GH (Growth Hormone Deficiency): Di sayn dɛm kin difrɛn difrɛn wan bay di ej. Di big pipul dɛn kin taya ɛn dɛn kin lɔs dɛn mɔsul.

Di simptom dɛm fɔ di adenoma dɛm we de wok

Apat frɔm we i de pul wan ɔ mɔ ɔmon, wan adenoma we de wok kin mek difrɛn sayn ɛn kɔndishɔn dɛn we gɛt fɔ du wit ɛni ɔmon.

• Prolaktinomas (dεn kin kכl am bak Lactotroph Adenomas):

Dɛn adenoma ya de mek tumɔs pan di ɔmon we dɛn kɔl prolaktin . Dɛn kɔl dis sik haypaprolaktinemia. Na lɛk 4 pan 10 pituitary tumor dɛn nɔmɔ na dis kayn. Dis na di kayn we we pipul dɛn kin gɛt we dɛn kɔl pituitary adenoma.we di prolaktin lεvεl dεm inkrεs, di nכmal fכnshכn fכ di rεprכdaktiv sistεm na uman εn man kin disrupt.

• Infεtiliti na wan kכndyushכn we man εn uman kin gεt difrεnt fכ bεlε pikin.
• wan milk dischaj frכm di brεst ivin we i nכ bεlε (`Galactorrhea`).

• Somatotrof Adenoma dɛn: .

dis adenoma dεm de prodyuz pasmak כmon we de gro (`Growth Hormone` כ `Somatotropin`) . Na lɛk 2 pan 10 pituitary tumor dɛn na dis kayn. De sayn dɛm wae dis kin kam wit kin difrɛn wit ej.

• big pipul dεm: Na wan sik we nכ kin apin bכt siriכs we dεn kכl `Acromegaly` kin apin. insay dis, di bon dεm εn di tisu dεm na di bכdi de gro abnכmal. As tɛm de go, di an, di fut, ɛn di ed kin big, ɛn di shep fɔ di fes kin chenj. I kin afɛkt bak fɔ kɔntrol di blɔd shuga, ɛn di at mɔsul kin big bak.
• Pikin ɛn yɔŋ pipul dɛn: Wan sik we dɛn kɔl gigantism kin apin. Dɛn kin gro abnɔmal wan bikɔs ɔf di ɔmon we de gro pasmak.

• Kɔtikotrof Adenoma dɛn: .

Dɛn adenoma ya kin mek tumɔs ACTH (adrenocorticotropic hormone) . Na lɛk 1 pan ɛvri 10 pituitary tumor dɛn na dis kayn. di ACTH כmon de mek di adrenal gland dεm fכ mek mכr stεroyd כmon dεm lεk kכtisol. Dis kin mek yu gɛt Cushing’s Syndrome (kɔtisol we pasmak).

• Di ay blɔd prɛshɔn.
• Di mɔsul dɛn we wik.
• I izi fɔ mek pɔsin brus.
• di wayd (mכr dan 1 cm) pepul strεp dεm (`Stretch Marks`) de sho na di bכdi.
• Ɔstioporosis we pɔsin kin gɛt.
• Kɔmpreshɔn fraktrɔs.
• Tayp 2 Dayabitis Mɛlitɔs.

• Tayrotrof Adenoma dɛn: .

Dɛn adenoma ya kin mek bɔku bɔku TSH (thyroid stimulating hormone) . Dɛn tin ya nɔ kin apin so ɔltɛm. TSH de mek di tayroyd gland mek mכr tayroyd כmon dεm. dis de mek `Hyperthyroidism` (ova aktiv tayroyd kכndishכn), we de mek di bכdi in mεtabolism spid.

• Di at rit we de go ɔp.
• We yu de lɔs yu wet we yu nɔ gɛt rizin.
• Stul dɛn we kin lɔs bɔku tɛm.
• We pɔsin de swet.
• An dɛn kin shek shek.
• Wɔri.

Impɔtant: Bɔku ɔda tin dɛn de we kin mek pɔsin gɛt aypa tayroyd. Pituitary adenoma na wan tin we nɔ kin apin so ɔltɛm.

• Gonadotrof Adenoma dɛn: .

dis adenoma dεm de prodyuz pasmak gonadotropin dεm (i.e., di כmon dεm LH εn FSH). Dis na tin bak we nɔ kin apin so ɔltɛm.

• dis kin mek uman dεn gεt mεnstral saykl dεm we nכ de rεgulεr εn kכndyushכn dεm lεk Ovarian Hyperstimulation Syndrome (OHSS).
• Man dɛn kin gɛt sɔm sayn dɛn lɛk we di tɛstikul dɛn kin big, dɛn vɔys kin dip, dɛn ia kin lɔs (biɛn di yes), ɛn di ia we de gro kwik kwik wan na dɛn fes.
• Pikin dɛn kin gɛt pikin dɛn bak we dɛn kin bɔn kwik kwik wan.

Wetin na di tin dɛn we kin mek pɔsin gɛt pituitary adenoma?

Sayɛnsman dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dɛn adenoma ya. כltu, dεn tink se sכm adenoma dεm de lεnk to random chenj dεm (`mutations`) insay di jin dεm (`DNA`) insay wi sεl dεm. dis jεnεtik chenj dεm de mek di sεl dεm na di pituitary gland de gro kwik kwik wan εn fכm wan mas. Sɔntɛnde, dɛn chenj ya na di jɛnɛtiks kin kɔmɔt frɔm mama ɛn papa to pikin dɛn (we dɛn kin gɛt frɔm dɛn mama ɛn papa), ɔ dɛn kin apin ɔltogɛda. apat frכm dat, di pituitary adenomas kin kכl bak wit sכ m jεnεtik kכndyushכn dεm we nכ kin apin . Sɔm ɛgzampul dɛn na:

• ``Mכltipl εndokrin Nioplasia tayp 1 (MEN1)''.
• ``Mכltipכl εndokrin Nioplasia tayp 4 (MEN4)''.
• `Carney komplex`
• `X-LAG sindrom`
• ``Succinate dehydrogenase-rilayt famili pituitary adenoma''.
• `Nyurofibromatosis tayp 1`
• ``Vɔn Hippel–Lindau sindrom''.

Pɔsin we gɛt dis jenɛtik kɔndishɔn kin gɛt mɔ risk fɔ gɛt pituitary adenoma. Bɔt i impɔtant fɔ mɛmba se pipul dɛn we nɔ gɛt ɛni kayn jɛnɛtik kɔndishɔn kin gɛt dɛn adenoma ya bak.

Aw dɔktɔ dɛn kin no bɔt dis sik?

di prכsεs fכ no if yu gεt pituitary adenoma de difrεn dipכnt pan di kayn adenoma we yu gεt εn if i de mek yu si di sik. כl di kes dεm, dεn kin fכs no se pכsin we gεt כmon-sekret adenoma (`Functioning Adenoma`) gεt כmon imbalans (e.g. `Cushing's Syndrome`, `Acromegaly`) bay di simptom dεm. na da tɛm de nɔmɔ dɛn kin no di adenoma we dɛn chɛk di kɔz. dis na biכs bכku kכndyushכn dεm we di כmon dεm we pasmak kin kכz kin gεt כda kכz dεm apat frכm di pituitary adenomas. di sem tin dεn kin se bכt di pituitary hכmon dεfichεns (`Hypopituitarism`). sכmtεm, dεn kin fכnshכn wan pituitary adenoma as `Incidental Finding` we dεn de skan ed (`Imaging Test`) fכ כda kכndyushכn. כl di adenoma dεm we dεn kin fכnshכn lεk dis kin sכm sכm saiz εn dεn nכ de wok.

Us tɛst dɛn kin du fɔ dis?

If yu dɔktɔ tink se yu go gɛt pituitary adenoma, i go tek tɛm luk yu sayn dɛn, di mɛdikal istri, ɛn du yu bɔdi ɛgzam. Apat frɔm dat, dɛn kin se dɛn fɔ du wan ɔ mɔ pan dɛn tɛst ya:

• Blɔd Tɛst: Dɛn kin ɔda fɔ du blɔd tɛst fɔ chɛk di lɛvɛl we difrɛn ɔmon dɛn we de na di pituitary de, i kin dipen pan di sayn dɛn we yu gɛt.
• Imej Test: Na MRI (Magnetic Resonance Imaging) skan fɔ di ed ɔwan `CT (Computed Tomography)` skan kin mek klia imej dεm fכ di strכkchכ dεm we de insay di ed. dis tεst dεm kin kכnfכm if pituitary adenoma de εn aw i big. `MRI` tεst na di tεst we fit εn sεnsitiv fכ dis.
• Ay Ɛgzam: If yu gɛt ɛni prɔblɛm wit yu yay, yu dɔktɔ kin ɔda fɔ mek dɛn du tɛst fɔ yu yay. dis tεst imכtant biכs big pituitary adenomas kin mek yu si prכblεm bay we i de kכmprεs di optik nεv we de kכnekt di yay dεm to di bren.

Aw dɛn kin trit pɔsin we gɛt pituitary adenoma?

Tri men we dɛn de fɔ trit pituitary adenomas: ɔpreshɔn, mɛrɛsin, ɛn redyushɔn tɛrapi. Sɔntɛnde, dɛn kin yuz wan ɔ mɔ pan dɛn we ya togɛda. Bikɔs ɔlman in adenoma ɛn in kɔndishɔn difrɛn, yu ɛn yu mɛdikal tim kin wok togɛda fɔ no di tritmɛnt plan we go fayn fɔ yu.

Ɔpreshɔn fɔ pul di adenoma

If yu gɛt adenoma we de mek yu ɔmon nɔ balans ɔ we de afɛkt yu yay, yu dɔktɔ go se yu fɔ du ɔpreshɔn fɔ pul ɔl ɔ pat pan di adenoma. Dipen pan di saiz fɔ di adenoma ɛn aw di sik dɛn we yu gɛt, i kin nid fɔ du mɔ pas wan ɔpreshɔn. Bɔku tɛm, di dɔktɔ dɛn kin du dis we dɛn de yuz wan ɔspitul we dɛn kɔl `Transsphenoidal Surgery` . dis involv fכ go tru di nos εn tru di sfenoid sayn (wan olo spεs bihayn di nos kכva, dכn di bren) fכ rich di pituitary gland εn pul di adenoma. lεk 95% pan di pituitary tכmכro dεm dεn kin pul dis we. Na we fɔ du tin we nɔ izi fɔ du. Bɔt if di adenoma tu big fɔ pul am tru di nos ɔ i de na say we at fɔ du, di dɔktɔ we de du di ɔpreshɔn kin gɛt fɔ du transkranial ɔpreshɔn. dis na wan rare prosidur fכ pituitary adenomas.

Tritmɛnt wit mɛrɛsin

Sɔm kayn pituitary adenomas, mɔ di prolactinomas , dɛn kin kɔntrol ɛn shrunk wit mɛrɛsin. Pipul wae gɛt prolactinomas (dεn na di kayn dεm wae kin kכmכn pas ɔl) dεn kin trit dεm fכs wit wan dopamine agonist, lεk Cabergoline (Dostinex®) כ Bromocriptine (Cycloset®), fכ sכm mכnt.

di gud nyus na dat, insay lεk 80% pan di kes dεm, dεn dכg dεm ya de shrink di prolactinoma εn de gi bak di prolaktin כmon lεvεl to nכmal.

If di mɛrɛsin nɔ wok ɔ if na difrɛn kayn adenoma, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn.

Rɛdieshɔn Tɛrapi

Rɛdyeshɔn tɛrapi de yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ pwɛl di adenoma sɛl dɛn, fɔ mek di tɔŋ smɔl ɔ fɔ mek i nɔ gro. Stereotactic Rediosɔjri fɔ Pituitary Adenomas(e.g. `Gamma Knife`®) dεn de yuz wan spεshal, hεli prεsis rεdyushכn tεrapi mεtכd. insay dis, sεvεra bim dεm fכ rεdyushכn de aim fכ di adenoma frכm difrεn dεyshכn dεm, we de minimiz di damej to di hεlty tisu we de rawnd. Dɛn kin yuz dis we fɔ di say dɛn we lɛf afta dɛn dɔn du di ɔpreshɔn ɔ we dɛn nɔ ebul fɔ du di ɔpreshɔn.

Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?

Jɔs lɛk ɛni ɔda mɛrɛsin, tritmɛnt fɔ pituitary adenoma kin gɛt sɔm sayd ɛfɛkt dɛn.

• Afta ɔpreshɔn ɛn/ɔ raytin tɛrapi, lɛk 60% pan di pipul dɛn we gɛt pituitary adenomas kin gɛt `Hypopituitarism` (dɛn prodakshɔn fɔ wan ɔ mɔ pituitary ɔmon dɛn kin dכn). Pan ɔl we dis na sik we pɔsin kin gɛt fɔ ɔl in layf, di mɛrɛsin dɛn we dɛn kin tek fɔ tek ɔda ɔmon kin ɛp pipul dɛn fɔ liv nɔmal layf.
• Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn:
• Blɔd we de kɔmɔt.
• Sεribrospεnal Fluid (CSF) lik (wata wata we de kכmכt na di nos).
• Meningitis (na infεkshכn pan di mεmbran dεm we de kכba di bren).
• Dayabitis Insipidus (we yu de pis pasmak ɛn tɔsti pasmak bikɔs yu nɔ gɛt antidiuretic ɔmon).
• Di kɔmɔn sayd ɛfɛkt dɛm fɔ dopamine agonist drɔgs fɔ prolactinoma inklud: ed pen, nɔs, vɔmit, diziz, ɛn sɔm tɛm dɛn de kɔmpɛlsiv bihayvya.
• Di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i gɛt raytin tɛrapi:
• Pituitary hormone deficiency (i kin apin as tɛm de go).
• Di Fɛtiliti we nɔ de wok fayn.
• di lכs fכ si εn di damej pan di bren tisu (rili rεr).
• כda tכmכro kin divεlכp na di sem sayt ia afta tritmεnt (rili rεr).

yu tink se dεn kin mek dεn adenoma dεm ya fכm?

Bɔt i sɔri fɔ no se natin nɔ de we yu go du fɔ mek yu nɔ gɛt pituitary adenomas. Bɔku tɛm, dɛn kin apin bay wilful. Bɔt dɛn kin gɛt fɔ du wit sɔm pan di tin dɛn we nɔ kin apin to pɔsin we gɛt jɛnɛtiks we wi bin dɔn tɔk bɔt. If pɔsin we de nia yu fambul (brɔda, sista, ɔ mama ɔ papa) gɛt jɛnɛtik sik lɛk dis, yu kin tɔk to yu dɔktɔ bɔt aw fɔ advays yu jɛnɛtiks ɛn tɛst fɔ si if yusɛf gɛt dis sik. If yu du dat, yu dɔktɔ kin wach yu gud gud wan ɛn no ɛn trit ɛni adenoma we kin kam kwik.

Wetin na di prɔgnosis fɔ dis kɔndishɔn?

Di luk fɔ wan pituitary adenoma, dat na, yu wɛl bɔdi ɛn yu wɛlbɔdi tumara bambay, dipen pan di saiz ɛn di kayn adenoma, ɛn di tritmɛnt we yu go gɛt .

Di gud nyus na dat, bɔku tɛm, we dɛn pul di adenoma ɔl ɔ kɔntrol am wit tritmɛnt, di sik pipul dɛn kin liv ful, wɛlbɔdi layf bak.

Sɔntɛnde, tritmɛnt kin mek di pituitary gland nɔ mek ɔmon dɛn. If dis apin, yu go nid fɔ tek mɛrɛsin fɔ tek di ɔmon fɔ di res ɔf yu layf fɔ tek di ɔmon we dɔn ridyus. Sɔntɛnde, adenoma kin kam bak. Dis min se dɛn kin nid fɔ trit dɛn bak afta sɔm tɛm. Statistikin sho se lɛk 18% pan di pipul dɛm we gɛt inaktiv adenoma ɛn lɛk 25% pan di pipul dɛm we gɛt prolactinoma kin nid tritmɛnt bak tumara bambay. So, i rili impɔtant fɔ de kɔntakt yu dɔktɔ ɔltɛm ɛn de chɛk-ap ɔltɛm.

I pɔsibul fɔ liv wit wan pituitary adenoma?

Yɛs, yu kin ebul. If di pituitary adenoma smɔl ɛn nɔr de kɔz ɛni sayn, yu kin liv wit am nɔrmal wan. Infakt, bɔku pipul dɛn kin jɔs no se dɛn gɛt adenoma we dɛn du dɛn ed skan fɔ ɔda rizin. Bɔt if di adenoma kɔntinyu fɔ gro ɔ bigin fɔ mek yu gɛt sɔm sayn dɛn, yu go mɔs nid tritmɛnt. If yu gɛt big ɛn/ɔ aktif (ɔmon-prodyuz) pituitary adenoma, yu go rili nid tritmɛnt. Dis na bikɔs sɔm pituitary adenomas kin gɛt big impak pan yu wɛlbɔdi ɛn kwaliti layf.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

if dεn nכ trit sכm pituitary adenomas – spεshal big adenomas (`Macroadenomas`) εn fכnshכnal (`Secreting`) adenomas – kin mek siriכs hεlth prכblεm . dis hεlth prכblεm dεm de dipכnt bכku pan di kayn כmon we di adenoma de kכl (wi bin tכk bכt dis bifo insay di `Symptoms` sεkshכn). wan komplikashכn we rili rεs bכt i rili denja fכ di pituitary adenomas we dεn nכ trit na `Pituitary Apoplexy`. Dis na `Mɛdikal Imejɛnsi`. Dis kin apin we blɔd de kam insay ɔ kɔmɔt na di pituitary gland. `Pituitary Apoplexy` kin kכz am bכku tεm we i de bכn insay wan pituitary adenoma. Di tumbu kin big wantɛm wantɛm, ɛn dis kin pwɛl di pituitary gland. di big wan we di adenoma big, di risk fכ divεlכp `Pituitary Apoplexy` de big. Di sayn dɛm fɔ `Pituitary Apoplexy` kin apin kwik kwik wan ɛn kin mek pɔsin in layf de pan denja . Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Wan rili bad bad ed pen (lɛk di wɔs ed pen we a dɔn ɛva gɛt na mi layf).
• dכbl vishכn כ we yu nכ ebul fכ es wan aylid bikoz di ay mכsul dεm nכ de wok fayn.
• We yu nɔ de si di sayd ɔ yu nɔ de si am ɔlsay na wan ɔ ɔl tu di yay.
• Akyu adrenal insufficiency kin mek yu blɔd prɛshɔn dɔŋ, yu nɔs, ɛn yu kin vɔmit.
• di pasכnaliti chenj (e.g., kכnfyushכn) bikoz fכ di antεriכr sεribra atεri na di bren we de sכdεn.

Pituitary apoplexy na wan sik we nɔ kin apin so ɔltɛm, bɔt i rili siriɔs. If yu gɛt wan ɔ mɔ pan dɛn sik ya, kɔl imejensi mɛdikal savis (lɛk 911) wantɛm wantɛm ɔ mek sɔmbɔdi kɛr yu go na di ɔspitul imejensi rum we de nia yu.

Ustɛm yu fɔ go to dɔktɔ?

• If yu gɛt ɛni prɔblɛm wit yu yay (we yu nɔ de si fayn, yu nɔ de si tu tɛm, yu nɔ de si fayn fayn wan) ɛn/ɔ yu ed de at ɔltɛm ɔ we de kam bak (espɛshali na di fɔrɛst eria), go to dɔktɔ ɛn tɛl dɛn bɔt am.
• If dɛn dɔn ɔlrɛdi no se yu gɛt pituitary adenoma, yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ wach aw di adenoma de ɛn fɔ mek shɔ se di tritmɛnt de wok fayn fayn wan.

Fɔ dɔn, mɛmba dɛn tin ya:

I rili nɔmal fɔ mek yu fred ɛn wɔri we yu kam fɔ no se yu gɛt tumbu. Bɔt di gud nyus bɔt di pituitary adenomas na dat, bɔku pan dɛn (ɔva 99%) nɔto kansa (benign) ɛn bɔku tɛm, tritmɛnt kin mek yu gɛt rili gud rizɔlt. Mɛmba se yu dɔktɔ na yu patna fɔ gɛt yu bɛst wɛlbɔdi. So, nɔr ɛva shem fɔ tɛl yu dɔktɔ bɔt ɛni sayn, nɔr fil fayn, ɔr kwɛstyɔn wae yu gɛt bɔt yu tritmɛnt. If yu gɛt di rayt infɔmeshɔn ɛn tritmɛnt we yu go gi yu di rayt tɛm, yu kin rili ebul fɔ manej dis sik fayn fayn wan.