Ɔnda wi bren, wan smɔl gland de we rili impɔtant. Wi kin kɔl am di Pituitary Gland. Pan ɔl we i smɔl, i de biev lɛk di big bɔs na wi bɔdi. I de kɔntrol bɔku tin dɛn we rili impɔtant lɛk aw wi de gro, aw wi at de bit, ɛn aw wi ebul fɔ bɔn pikin. na di wan bak we de tεl di כda gland dεm na di bכdi se, "Okay, naw mek yu כmon dεm." Na dat mek wi kin kɔl am bak "Masta Gland."
so, we dεn pituitary gland sεl dεm ya bigin fכ gro abnכmal εn aut כf kכntrol, wi kin kכl am pituitary tumor. Bɔt wetin bɔku pipul dɛn de fred ya na if na kansa. Infakt, bɔku pan di tɔŋ dɛn we de na di pituitary nɔto kansa. Pituitary kansa nɔ kin bɔku. Bɔt ivin if dɛn tumbu ya nɔto kansa, dɛn kin mek siriɔs prɔblɛm bikɔs ɔf dɛn saiz (big tumbu) ɔ bikɔs dɛn de mek ɛkstra ɔmon dɛn we di bɔdi nɔ nid (functional tumors). Bɔku tɛm, dɛn kin trit dis wit ɔpreshɔn, mɛrɛsin, ɔ redyushɔn tɛrapi.
Wetin mek dɛn pituitary tumor ya kin apin?
Infakt, dɔktɔ dɛn stil nɔ shɔ wetin kin mek dɛn gɛt dɛn tumbu ya. Sɔntɛnde, chenj kin apin na di jin dɛn na di pituitary sɛl dɛn, bɔt i kin tan lɛk se i kin apin wantɛm wantɛm.
Bɔt sɔm tin dɛn de we kin mek pipul dɛn we gɛt dɛn sik kin gɛt pituitary tumor. Sɔm pan dɛn tin ya na:
- Carney complex: Dis na wan kayn jεnεtik kכndyushכn we nכ kin apin we kin mek bכku tכmכro dεm we nכ de fכm na di bכdi.
- Familial isolated pituitary adenoma (FIPA): Dis na wan sik bak we nɔ kin apin so ɔltɛm. I kin mek di bɔdi big pas aw i kin bi.
- Isolated famili acromegaly: Dis na di sem tin lɛk FIPA.
- McCune-Albright syndrome: Dis kayn sik wae nɔr kin bɔrku kin mek di bon ɛn skin nɔr de woke fayn.
- mכltipכl εndokrin niכplasia, tayp I εn tayp IV (MEN1, MEN4): dεn kכndyushכn ya kin mek tכmכro fכm na di gland dεm na di bכdi.
Di simptom dɛm wae kin kam wae di tumor big
di pituitary gland de na wan rili sכm spεs כnda di bren, we de rili nia di optik nεv dεm we de kכri mεsej bitwin di yay dεm εn di bren. So, we big tumbu gro na dis smɔl ples, i kin bigin fɔ push pan di tin dɛn we de rawnd am. Dis kin mek yu gɛt difrɛn kayn sayn dɛm.
Fɔ tɔk am simpul wan, di rut fɔ di prɔblɛm na dat as di tumbu de gro, i de swɛt di impɔtant ɔgan dɛn we de rawnd am, ɛn dis de mek i nɔ gɛt bɛtɛ ples.
Di men sayn dɛm wae kin kam wit dis kɔnjɛshɔn na:
- Ɛd we de at: I kin at bɔku tɛm, sɔntɛnde i kin at bad bad wan.
- Prɔblɛm dɛn we pɔsin kin gɛt we i de si:Tin dεm lεk fכ lכs di pεrifεral vishכn εn dכbl vishכn, spεshal wan we yu de luk strεt bifo.
כlso, if dis tכmכro prεs pan di pituitary gland insεf, di כmon dεm we di gland de mek kin dכn. Dɔn, sɔm kayn sik dɛn lɛk dis kin apin:
- Fɔ man dɛn: di bɔdi we de gro, di ia we de kɔmɔt na in fes, ɛn we i nɔ de du mami ɛn dadi biznɛs fayn.
- Fɔ uman dɛn: dɛn nɔ kin gɛt mɔnt ɔ dɛn kin stɔp, dɛn kin stɔp fɔ gi pikin milk we dɛn nɔ bɔn pikin.
- Fɔ pikin dɛn: Dɛn kin delay fɔ gro ɛn fɔ machɔ pan mami ɛn dadi biznɛs.
- Kɔmɔn: i nɔ kin want fɔ du mami ɛn dadi biznɛs igen, i kin vɔmit, i nɔ kin fil fayn na in bɛlɛ, i kin chenj in wet, ɛn i kin fil kol ɔltɛm.
Di simptom dɛm wae kin kam wit di tumor dɛm wae de mek ɔmon
sכm tכmכro dεm (tכmכro dεm we de wok) de mek εkstra כmon dεm we di bכdi nכ nid. di simptom dεm we de apin afta dat dipכnt pan us כmon dεn de prodyuz pasmak. Lɛ wi si aw dat kin wok.
| Di ɔmon we dɛn kin mek mɔ | Di kɔndishɔn ɛn di sayn dɛn we i kin gɛt |
|---|---|
| Adrɛnokɔtikotropik ɔmon (ACTH) . | Dis de kɔntrol di ɔmon we dɛn kɔl kɔtisol. We ACTH de bɔku, wan sik we dɛn kɔl Cushing’s syndrome kin apin. Di sayn dɛm: I izi fɔ brus, ay blɔd prɛshɔn, ay blɔd shuga, pepul ɔ pink strɛch mak, rili rawnd fes, mɔsul wik, tint limb ɛn big fes, nɛk, ɛn torso. |
| Ɔmon we de mek pɔsin gro | Dis de kɔntrol di bɔdi we de gro, di shuga, ɛn di we aw i de yuz di fat. If dis go bɔku: Pikin dɛn: I de gro lɔng pas aw i fɔ gro ( Gigantism ) . Big pipul dɛn: Di bon dɛn na dɛn fes, dɛn an, ɛn fut dɛn kin big ( Acromegaly ) . Ɔda sayn dɛm: at sik, ay blɔd shuga, jɔyn pen, swet pasmak. |
| Prolaktin we dɛn kɔl prolaktin | dis de mek uman dεn mek di mama in milk. If dis go bɔku: Fɔ uman dɛn: di mama in milk kin lik we dɛn nɔ gɛt bɛlɛ ɔ we dɛn nɔ bɔn pikin, i nɔ kin want fɔ du mami ɛn dadi biznɛs igen, i kin lɛf fɔ gɛt mɔnt, i nɔ kin izi fɔ gɛt bɛlɛ. Fɔ man dɛm: di sεl dεm we de dכn dכn εn dεn nכ de du mami εn dadi biznεs. |
| Ɔmon we de mek pɔsin gɛt tayroyd (TSH) . | Dis kin tɛl di tayroyd gland fɔ mek ɔmon dɛn. Dɛn tin ya kin kɔntrol di we aw pɔsin de gro, di tɛmpracha, ɛn di at rit. If TSH de ay: Di sayn dɛm: Hat kin bit fast ɔr nɔr kin bit ɔltɛm, yu kin muv yu bɔdi ɔltɛm, yu kin gɛt prɔblɛm wit slip, yu kin shek, yu kin swet pasmak, yu kin lɔs yu bɔdi. |
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit dɛn sik ya, i go aks yu fɔs wan ditayl kwɛstyɔn bɔt yu sik ɛn wɛlbɔdi istri. Dɔn, dɛn go du wan ɛgzam pan dɛn bɔdi.
Apat frɔm dat, i pɔsibul fɔ du tɛst dɛn lɛk:
- Ay ɛgzam: Chɛk fɔ si if di tumbu dɔn afɛkt yu yay.
- Nyurolɔjik ɛgzam: Si aw yu bren, yu spɛshal kɔd, ɛn yu nerv dɛn de wok.
- Blɔd ɛn urine tɛst: Chɛk yu ɔmon lɛvɛl fɔ si ustɛm dɛn bi.
- Imej: fכ kכnfכm if tכmכro de bay we yu luk insay di bכdi. Bɔku tɛm, dɛn kin du dis wit CT skan , ɛn sɔntɛnde dɛn kin du MRI skan .
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔku pan di pituitary tumor dɛn nɔ nid tritmɛnt. Bɔt if yu tumbu nid tritmɛnt, di we aw yu go pik go dipen pan di kayn tumbu, in saiz, ɛn yu ɔl wɛlbɔdi.
Ɔpreshɔn
Dis na di tritmɛnt we dɛn kin yuz mɔ. If nɔto tumbu we de mek prolaktin, dɛn kin pul bɔku ɔda tɔŋ dɛn bay ɔpreshɔn. Fɔ mek di dɔktɔ du dis ɔpreshɔn, i kin kɔt di nos, i kin kɔt am ɔp di ɔp lip, ɔ i kin kɔt am na di skel. Bɔku tɛm, dɛn kin du ɔpreshɔn tru di skel fɔ di big big tumbu dɛn ɔ fɔ di tumbu dɛn we dɔn skata insay wan kɔmpleks we.
Rɛdieshɔn Tɛrapi
Dis tritmɛnt de yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ pwɛl di tumbu. Dis tritmɛnt kin fayn if dɛn nɔ ebul fɔ pul di tumbu ɔlsay bay ɔpreshɔn, ɔ if di tumbu dɔn kam bak. Difrɛn kayn redyushɔn tɛrapi de, frɔm wan ay doz tritmɛnt (stereotactic radiosurgery) to wan lɔw doz tritmɛnt we dɛn kin gi bɔku tɛm insay di wik fɔ 4-6 wik.
Mɛrɛsin
Dipen pan di kayn tumbu we yu gɛt, yu dɔktɔ kin tray fɔ tek mɛrɛsin fɔs. Ɛspɛshali if yu tumbu de mek prolaktin, mɛrɛsin kin mek da ɔmon de nɔ mek bɔku ɛn ɛp di tumbu fɔ smɔl. Mεdikeshכn dεm kin yus bak fכ tכmכro dεm we de prodyuz growth כmon εn fכ mεnεj kכndyushכn lεk Cushing’s syndrome εn acromegaly.
Mɛsej we dɛn kin kɛr go na os
- Bɔrku pan di pituitary tumor dɛm nɔr kin gɛt kansa, so nɔr de alar fɔ yu.
- di sayn dεm lεk ed we de at εn di chenj we yu de si kin apin dipכnt pan di saiz fכ di tכmכro. Di sayn dɛm kin apin bak bikɔs ɔf di chenj dɛm na di ɔmon dɛm na di bɔdi.
- If yu gɛt sayn dɛn lɛk dis, i rili impɔtant fɔ go to dɔktɔ we sabi du di wok kwik kwik wan.
- Sɔm tritmɛnt dɛn de we go ɛp dis, lɛk ɔpreshɔn, redyushɔn tɛrapi, ɛn mɛrɛsin.
- Tɔk bɔt ɛni kwɛstyɔn we yu gɛt bɔt yu sik ɛn tritmɛnt opin wan wit yu dɔktɔ.
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