Yu pituitary gland we de insay yu ed bin blɔd wantɛm wantɛm? (Pituitary Apoplexy) Lɛ wi no!

Yu dɔn ɛva gɛt ed we de at wantɛm wantɛm, we yu nɔ de si fayn, yu dɔn si tu tɛm, ɔ yu yaylid dɔn fɔdɔm? Pan ɔl we dis nɔ kin apin so ɔltɛm, siriɔs tin kin de biɛn am. Dat na di imejensi kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl ``Pituitary Apoplexy''. Nɔ fred, lɛ wi tɔk bɔt dis simpul wan.

Wetin na Pituitary Apoplexy?

Fɔ tɔk am simpul wan, `(Pituitary Apoplexy)` na wan kɔndishɔn we di blɔd saplai to di pituitary gland , we na wan smɔl gland na wi bren, kin stɔp wantɛm wantɛm (i.e., di blɔd saplai kin blok), ɔ blɔd kin kɔmɔt insay di gland (`(Hemorrhage)`). Dis kin bi siriɔs sik, so tɛm kin de we dɛn kin nid fɔ gɛt mɛrɛsin kwik kwik wan .

So wetin na dis pituitary gland?

Imajin, rayt na di midul pan wi bren, biɛn di brij na wi nos, wan smɔl gland de we saiz lɛk pis. Na dat wi kin kɔl di pituitary gland. Dis na wan pan di men gland dɛn we de na wi bɔdi in ɛndokrin sistɛm . Na di wan we de mek ɛn kɔntrol ɔmon dɛn, we na kemikal mɛsenja dɛn we de du rili impɔtant wok na wi bɔdi.

Bɔku pan di wok dɛn we wi bɔdi kin du kin dipen pan dɛn ɔmon dɛn ya. Na sɔm ɛgzampul dɛn ya:

• Fɔ kɔntrol wi blɔd prɛshɔn .
• Fɔ bɔn pikin ɛn fɔ du mami ɛn dadi biznɛs.
• Di grow ɛn divɛlɔpmɛnt na di bɔdi.

di כmon dεm we di pituitary gland de kכmכt de sεnd signal to כda εndokrin gland dεm fכ mek dεn כmon dεm. I de du lɛk smɔl kɔmanda na wi bɔdi.

Wetin na Pituitary Adenoma?

כltεm, dis kכndyushכn we dεn kכl ``Pituitary Apoplexy'' kin apin pan pipul dεm we gεt benign (nכn kεnsar) tכmכro na di pituitary gland, dat na ``Pituitary Adenoma''.

Bɔt bɔku pipul dɛn nɔ kin ivin no se dɛn gɛt `(Pituitary Adenoma)`. sכmtεm dεn kin fכnshכn dis tכmכro bay chans we dεn de du `(Imaging Test)` fכ sכm כda rizin. fכ sכm pipul dεm, dis kכndyushכn we dεn kכl `(Pituitary Apoplexy)` na di fכs sayn we de sho se dεn gεt `(Pituitary Adenoma)`.

we dεn de klas dεn ``Pituitary Adenomas`` dεm ya, dεn de bays if dεn de sekret כmon dεm כ nכ de.

• Tכmכro dεm we de kכmכt na di כmon dεm: Dεn kin mek sכm כmon dεm tu mכch.
• Adrenocorticotropic hormone (ACTH): Dis kin mek wi adrenal gland dɛn mek wan ɔmon we dɛn kɔl kɔtisol . Kɔtisol na ɔmon we de ɛp fɔ ansa strɛs, fɛt infɛkshɔn, ɛn kɔntrol blɔd prɛshɔn, blɔd shuga, ɛn mɛtabolism.
• Prɔlaktin: .pan ɔl we i de involv pan bɔku wok dɛn na di bɔdi, i impɔtant mɔ fɔ mek di bɔdi tisu gro ɛn fɔ mek di milk. If i bɔku, i kin mek uman dɛn nɔ gɛt mɔnt ɛn i kin mek man dɛn nɔ want fɔ du mami ɛn dadi biznɛs.
• Growth Hormone: I de kɔntrol di growth na pikin ɛn i de kɔntrol di bɔdi fat, blɔd shuga, ɛn di sɛl ripa we big pipul dɛn gɛt.
• Nonfunctioning Pituitary Adenomas: Dɛn wan ya nɔ de pul ɔmon. Pituitary Apoplexy dεn kin si am mכst pan pipul dεm we gεt dεn pituitary adenomas ya we nכ de wok.

Udat kin gɛt Pituitary Apoplexy mɔ?

Dis kכndyushכn kin apin tu tεm pan man dεm pas uman dεm. E kin pasmak pan pipul dɛm wae ol bitwin 37 ɛn 58 ia.

Aw dis sik kin kɔmɔn?

Difrɛn opinion dɛn de bɔt aw kɔmɔn Pituitary Adenoma. Dis na bikɔs bɔrku pipul nɔr kin sho sɔm kayn sik. Di jenɛral ɛkspɛkt opinion na dat dɛn rili kɔmɔn. Bitwin 2% ɛn 12% pan di pipul dɛm wae gɛt Pituitary Adenoma kin gɛt Pituitary Apoplexy.

Wetin na di sayn dɛm fɔ Pituitary Apoplexy?

De sayn dɛm fɔ dis sik kin dipen pan:

• Di kayn we aw di blɔd de kɔmɔt.
• di amount of tisu na di pituitary gland we de day bikoz di bכdi we de lכs.
• Dipen pan aw di swɛlin (ɛdima) tan lɛk.

Di sayn we kin apin mɔ na we yu ed kin at wantɛm wantɛm. I pas af pan pipul dɛn bak kin gɛt prɔblɛm wit dɛn yay . dis de bi fכ di prεshכn we de go כp pan di nεv dεm we de travul frכm di bren to di yay dεm (di optik nεv dεm). Dɛn tin ya kin bi:

• Dabl vishɔn.
• Aylid we de drɔp .
• Wan ɔ ɔl tu di yay dɛn nɔ de si kɔmplit ɔ sɔm pat pan am .

Ɔda sayn dɛn kin kam bikɔs di bren kin chenj. Sɔntɛnde, dɛn tin ya kin tan lɛk ɔda nyurolɔjik sik dɛn lɛk mɛningaytis . Dɛn sayn ya na:

• Kɔnfyus.
• I kin taya bad bad wan.
• Fiva.
• Nɔs ɛn vɔmit.
• Sɛnsitiviti to layt (Fotophobia).

Yu tink se di pituitary apoplexy kin afɛkt di we aw di ɔmon dɛn de wok?

Yɛs, na fɔ tru. We di pituitary gland pwɛl, i kin afɛkt di wok we di ɔda ɛndokrin gland dɛn we i de kɔntrol, di ɔmon dɛn we dɛn de mek, ɛn di bɔdi de du di wok we dɛn ɔmon dɛn de kɔntrol.

Wan kɔmɔn ɔmon disɔda na we dɛn nɔ gɛt adrenocorticotropic hormone (ACTH). Dis kin afɛkt di wok we di adrenal gland dɛn de du ɛn sɔntɛnde i kin mek pɔsin in layf de pan denja. Di sayn dɛm we i kin gɛt na:

• Lɔw blɔd prɛshɔn (Hypotension).
• Lɔw blɔd shuga (Hypoglycemia).
• di lכw sodium lεvεl na di bכdi (Hyponatremia).
• Nɔs ɛn vɔmit.

Wetin na di tin dɛn we kin mek pɔsin gɛt Pituitary Apoplexy?

Fɔ tɔk tru, di rayt rizin fɔ dis stil nɔ klia.

Sɔm stɔdi dɔn sho se bitwin 10% ɛn 40% pan di kes dɛm gɛt fɔ du wit sɔm mɛrɛsin, wɛl bɔdi kɔndishɔn, ɛn mɛrɛsin. Na sɔm ɛgzampul dɛn ya:

• Dɛn kin gi antikoaguleshɔn mɛrɛsin to pipul dɛn we gɛt dip vein trombosis ɛn pulmonary embolism.
• Dopamine-stimulating drugs wae dɛn kin yuse fɔ Parkinson’s disease ɛn restless legs syndrome.
• εndokrin stimulashכn tεst na tεst fכ no sik dεm na di εndokrin sistεm.
• Gonadotropin-releasing hormone (GnRH) tεrapi, we dεn kin gi sכm uman dεm we gεt brεst kεnsar, de ridyus di ovarian fכnshכn.
• Injury na ed (lɛk fɔ fɔdɔm, motoka aksidɛnt).
• Ɔpreshɔn, mɔ ɔpreshɔn fɔ ɔtpidik ɛn ɔpreshɔn fɔ di at.

di masta sabi pipul dεm stil de tray fכ כndastand wetin mek dεn tin ya kin gεt sכmtεm wit ``Pituitary Apoplexy.`` Dis risach kin εp dכkta dεm fכ mek dεn nכ gεt dis apoplexy kכndyushכn we dεn de kia fכ pipul dεm we gεt pituitary adenomas.

Aw dɛn kin no se pɔsin gɛt Pituitary Apoplexy?

Yu dɔktɔ go chɛk yu (Physical Examination), asɛs yu simptom dɛm, ɛn ɔda tɛst dɛm lɛk (Imaging Tests).

Dipen pan aw yu sik bad, yu kin nid fɔ gɛt tritmɛnt kwik kwik wan . Insay di imejensi rum, dɔktɔ dɛn go du CT skan bikɔs i kin mek yu gɛt di rizɔlt kwik ɛn nɔ kin gɛt ɔda tin dɛn lɛk strok. Bɔt if tɛm alaw, fɔ du MRI na di bɛst tin fɔ du. I kin gi mɔ ditayli infɔmeshɔn bɔt di damej we di pituitary gland dɔn pwɛl.

Aw dɛn kin trit Pituitary Apoplexy?

Mɛrɛsin ɛn ɔpreshɔn dɛn de as tritmɛnt fɔ dis.

Kɔtikosterɔyd (mɔtal mɛrɛsin) impɔtant fɔ mek yu nɔ gɛt adrenokɔtikotropik ɔmon (ACTH). Bɔrku tɛm, de sik pipul kin wɛl wit mɛrɛsin.

Bɔt if yu sik dɛn de wɔs, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn . Bɔku tɛm, dɛn kin du dis bay we dɛn de yuz wan we we nɔ de mek pɔsin invayt smɔl. Dat min se yu dɔktɔ go:

• Dɛn go put wan smɔl tiub insay wan pan yu nos.
• Dɛn kin mek smɔl ol na di bon we de sheb di nos ɛn di bren.
• Dɛn kin put kamɛra tru da tiub de ɛn dɛn kin chɛk di tumbu.
• Dɔn, dɛn kin pul di tumbu ɔ di pituitary tisu we dɔn pwɛl tru da tiub de.

Dɛn kɔl dis we ya transnasal ɔpreshɔn.Dɛn kin kɔl am bak `(Transnasal ɔpreshɔn)`.

A kin mek yu nɔ gɛt Pituitary Apoplexy?

Bɔt i sɔri fɔ no se, no shɔt we nɔ de fɔ mek dis tin nɔ apin.

Bɔt if yu gɛt ``Pituitary Adenoma'', yu fɔ no di pɔsibul fɔ dis apoplexy kɔndishɔn. If yu gɛt siriɔs ed pen wantɛm wantɛm ɔ yu chenj yu yay, go to tritmɛnt kwik kwik wan.

Wetin na di lukin-grɔn fɔ Pituitary Apoplexy?

I rili impɔtant fɔ no di sik kwik ɛn bigin fɔ trit am . di mכtalman rεt fכ dis kכndyushכn na bכt 2%.

Fɔ bɔku pipul dɛn, dɛn kin ebul fɔ si prɔblɛm wit mɛrɛsin ɔ ɔpreshɔn. ful vishכn de kam bak insay lεk 40% pan di kes dεm. Bɔt lɛk 80% pan di pipul dɛn nid fɔ tek lɔng tɛm fɔ tek di ɔmon riplesmɛnt tritmɛnt . Dis na bikɔs di pituitary gland nɔ de wok fayn. Dis ɔmon tritmɛnt kin kam insay difrɛn we dɛn:

• Di kayn jel dɛn we dɛn kin yuz.
• Injɛkshɔn dɛn we dɛn kin gi.
• I de mɛlt na di mɔt.
• Nasal spray dɛn we dɛn kin yuz.
• Pat dɛn we dɛn kin yuz.
• Pɛlɛt dɛn we dɛn kin put ɔnda di skin.
• Pils dɛn we dɛn kin yuz ɔltɛm.

If yu dɔn gɛt Pituitary Apoplexy, yu go nid fɔ kɔntinyu fɔ gɛt mɛdikal sɔpɔtishɔn (Fɔl-ɔp kia). Dɛn tin ya na:

• Asɛs yu vishɔn.
• Mek shɔ se dɛn pul di tumbu ɔlsay.
• Monitor di ɔmon lɛvɛl dɛn we yu gɛt.

Ustɛm a fɔ go na di imejensi rum?

Go to dɔktɔ wantɛm wantɛm if yu gɛt nyu prɔblɛm wit yu yay ɔ yu ed de at bad bad wan wantɛm wantɛm . Sɔm pipul dɛn kin tɔk bɔt dis ed pen as "di wɔs ed pen we a dɔn ɛva gɛt."

Bikɔs Pituitary Apoplexy kin kam wantɛm wantɛm, i impɔtant fɔ du sɔntin kwik kwik wan if yu gɛt sɔm sayn dɛn lɛk bad bad ed we yu de at ɛn we yu de si chenj.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, Pituitary Apoplexy. Mɛmba se dis na tin we kin apin wantɛm wantɛm. Bɔt di gud nyus na dat, tritmɛnt de fɔ am. Bɔrku tɛm, tritmɛnt kin mek yu si bak. Bɔt bɔku pipul dɛn kin gɛt prɔblɛm wit di ɔmon fɔ lɔng tɛm.

So, if yu du wetin yu dɔktɔ tɛl yu fɔ du, go to yu dɔktɔ di rayt tɛm, ɛn tek di tritmɛnt we dɛn tɛl yu fɔ du, dat go ɛp yu fɔ kɔntrol di ɔmon dɛn we yu gɛt ɛn kɔntinyu fɔ liv fayn layf. Nɔ panik, bɔt if yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu go to dɔktɔ wantɛm wantɛm.

` Pituitary apoplexy, pituitary gland, ɔmon, ed we de at, we yu nɔ de si fayn, bren blɔd, pituitary tumor