Pituitary Gland chungchang zawng zawng hi i zir vek ang u: i taksa "boss" te tak te kha!

I taksaa gland te tak te, motor engine ang maiin i taksa pum pui a thunun tih i ngaihtuah ngai em? Mak a ni lo maw? He gland te tak te, pea ang maia te, kan thluak hnuaia awm, thil mak tam tak ti thin hi pituitary gland . Vawiin hian he ‘boss’ te tak te chungchang hi chipchiar takin sawi ila, kan sawi dawn em ni?

Pituitary gland hi eng nge ni? Khawiah nge a awm?

A awlsam zawngin, i pituitary gland chu pea ang maia lian gland te tak te, i thluak bul hnaia awm, hmun pawimawh dang hypothalamus tih hnuaiah chiah a awm a ni. I thluak bul hnaia chamber te tak te, venhimna neiah a awm a. He chamber hi Sella Turcica kan ti a . Hei hi i endocrine system a mi a ni . Kan taksa tana pawimawh hormone chi hrang hrang a siam a, endocrine gland dangte chu heng hormone te hi chhuah tir turin a hrilh bawk. A te hle a, mahse hna lian tak a thawk a ni lawm ni?

Tunah chuan gland chu eng nge ni a, hormone chu eng nge ni tih i ngaihtuah tawh mai thei.

Gland chu thil pakhat emaw a aia tam emaw siamtu taksa peng pakhat a ni a, chu chu hormone, chaw ei tui, thawmhnaw leh mittui te hi a ni. Endocrine glands hian thisenah hormone a tichhuak nghal vek a.

Hormone te hi kan taksa hnathawh inrualremtu chemical messenger ang an ni. Thisen kal tlangin an kal a, taksa peng hrang hrang, vun, ruh leh taksa peng dangte hnenah thuchah an keng tel bawk. Heng thuchahte hian taksain a tih tur leh engtikah nge a tih tur tih a hrilh a ni.

I pituitary gland hi hmun lian pahnih ah a inthen a, chungte chu anterior pituitary ( front lobe) leh posterior pituitary ( back lobe) te an ni. He gland hi hypothalamus nen hian thisen kalna leh nerve hnah te tak te pituitary stalk emaw infundibulum emaw an tih hmangin a inzawm a ni.

Pituitary gland siam chhuah hormone pawimawh ber berte chu engte nge ni?

Tunah hian he gland te tak te atang hian eng hormone pawimawh nge lo chhuak tih hi han en ila.

Anterior Lobe atanga hormone lo chhuak te

He part hian thisenah hormone pawimawh tak tak a siam chhuak a, a chhuah tir bawk.

• Adrenocorticotropic hormone (ACTH) emaw corticotrophin: Hei hian kan taksain stress a dawn dan a nghawng a ni . I adrenal glands te chu "stress hormone" cortisol siam turin a tichak a ni. Cortisol hian hna tam tak a thawk a. Entirnan, metabolism a control a, thisen sang a vawng reng a, thisen glucose level a control a, inflammation a ti tlem bawk.
• Follicle tichaktu hormone (FSH): 1.1.Mipa i nih chuan FSH hian sperm siamchhuahna a tichak a ni. Hmeichhia i nih chuan FSH hian ovary te chu estrogen siam turin a tichak a, chu chuan egg te chu a puitlin theih nan a pui bawk. Gonadotrophic hormone an ti bawk .
• Growth hormone (GH): Hei hian naupangte thang lian turin a pui a, chu chu an sang zawk tihna a ni. Puitlingah chuan taksa ruh leh ruh hrisel tak vawng reng turin a pui a, thau dahkhawmna a control bawk. GH hian i metabolism (i ei tur chu chakna atana i chantir dan) a nghawng bawk.
• Luteinizing hormone (LH): Ovary i neih chuan ovulation a tichak a, testicles i neih chuan testosterone siamchhuahna a tichak bawk. LH hi gonadotrophic hormone a ni bawk a, a chhan chu ovaries leh testicles (gonads an ti bawk ) hnathawh a control avangin.
• Prolactin: Hei hian nau neih hnuah nau hnute pek a tichak a. Puitlingah pawh nau neih theihna leh mipat hmeichhiatna hman dan a nghawng thei bawk.
• Thyroid-stimulating hormone (TSH): TSH hian i thyroid gland chu thyroid hormone siam turin a tichak a, chu chuan i metabolism, energy level leh nervous system te a enkawl thei a ni

Posterior Lobe atanga hormone lo chhuak te

He part hian hormone a siam lo va, mahse hypothalamus atanga hormone pahnih siam chu hetah hian dahkhawmin a tul hunah thisenah a chhuak thin.

• Antidiuretic hormone (ADH) emaw vasopressin: He hormone hian i taksaa tui leh sodium awm zat a balance a.
• Oxytocin: Oxytocin hi hypothalamus atanga siam a ni a, pituitary gland atanga dahkhawm leh chhuah thin a ni. Nau neih laiin nau neih laiin nausen (uterus) a contract turin signal a thawn a, chu chuan nau neih awlsamna a pui a ni. Tin, bawnghnute let-down tichhuakin nu leh pa leh naute inzawmna a tichak bawk. Oxytocin hian sperm motility-ah pawh hmun a chang ve bawk.

Pituitary gland hnathawh ber berte chu engte nge ni?

Tunah chuan he gland te tak te hi a pawimawh zia chu i hrethiam tawh mai thei. A hnathawh ber thenkhat chu hetiang hi a ni:

• Thang
• Metabolism (chu chu i ei tur chu chaknaah i chantir dan leh chu chakna chu i enkawl dan tihna a ni) .
• Reproduction tih hi a ni
• Stress emaw taksa lama harsatna emaw chhanna
• Nau hnute pek dan
• Tui leh sodium (salt) inthlauhna
• Nau neih leh nau neih dan

I in chhunga thermostat awm chu han mitthla teh.Pakhat ang mai a ni. Thermostat hian i in chhunga boruak lum leh vawt chu a enfiah reng a, i hlim theih nan hna a thawk a ni lawm ni? Hetiang zat hian temperature tihsan emaw tihhniam emaw turin heater leh cooler-ah signal a thawn a, chu chuan i in chhunga temperature chu level engemaw chen a awm reng theih nan.

I pituitary gland hi nangmah ang tho a ni a, i taksa hnathawh dan a enfiah thin. Pituitary gland hian a hormone hmangin i taksa peng leh gland te hnenah thuchah a thawn a, ‘Hetah hian i tih tur chu a awm a, he hun lai hian’ a ti a ni. I taksa tana setting dik tak chu thil tam takah a innghat a, chu chu i kum leh i mipa leh hmeichhia te hi a ni.

Hypothalamus leh pituitary gland hi eng inzawmna nge ni?

I pituitary gland leh hypothalamus te hian an thawk dun a, Hypothalamus-Pituitary complex an siam a ni. Hei hi i thluak control center lian ber ang mai a ni a, i taksa hnathawh pawimawh ber berte chu a control a ni.

Hypothalamus hi i thluak peng pakhat, taksa hnathawh bulpui thenkhat thawktu a ni. I autonomic nervous system -ah thuchah a thawn a, chu chuan thisen sang, heart rate, leh thawk dan ang chi thilte a control a ni. Tin, pituitary gland chu taksa peng dang tichhe thei hormone siam chhuak tur leh chhuah tir turin a hrilh bawk.

Kan sawi tawh ang khan pituitary gland hi hypothalamus nen pituitary stalk hmangin a inzawm a ni . He stalk hmang hian hypothalamus hian hormone hmangin anterior pituitary gland nen an inbiak a, posterior pituitary gland nen nerve impulses hmangin an inbiak bawk. Hypothalamus hian oxytocin leh antidiuretic hormone a siam chhuak bawk. Hypothalamus hian heng hormone te hi posterior pituitary gland ah a dahkhawm a, a chhuah tir thin.

Hypothalamus hian pituitary gland nen an inbiak a, a tichak a, hormone a siam chhuak a, chungte chu:

• Corticotrophin tichhuaktu hormone (CRH) a ni.
• Dopamine a ni
• Gonadotropin chhuahna hormone (GnRH) a ni.
• Growth hormone tichhuak thei hormone (GHRH) .
• Somatostatin a ni
• Thyrotropin tichhuak thei hormone (TRH) .

Heng pahnih (hypothalamus leh pituitary) te hi an thawk dun em em a, pakhat a chhiat chuan a dang hormone function pawh a nghawng thei bawk.

Pituitary gland tel lovin nun theih a ni em?

Ni e, i pituitary gland tel lovin i nung thei a, mahse chutiang ti tur chuan pituitary hormone awm lote thlak nan replacement therapy an tih damdawi i ei a ngai dawn a ni. A chhan chu taksaa hnathawh hrang hrang vawng reng turin pituitary hormone hi a pawimawh hle a ni. Pituitary hormone zawng zawng a bo vek a, enkawl loh a nih chuan nunna atana hlauhawm tak a ni thei.

Pituitary gland tichhe thei natnate chu engte nge ni?

Damdawi lam thil engemaw zat a awm a, chu chuan pituitary gland hnathawh dan a nghawng emaw, a awm emaw a ni. Chungte chu chi li-ah then theih a ni a, chungte chu:

• Pituitary adenomas a awm thin
• Hypopituitarism (Hypopituitarism) a awm
• Hyperpituitarism natna (hyperpituitarism) a awm
• Empty sella syndrome tih hi a ni

Chung zinga pakhat zel chu chipchiar deuhin han sawi ila.

Pituitary Adenomas a awm thin

Hei hi benign tumor chi khat a ni a, pituitary gland-ah a lo awm thin. Thluak chhunga tumor lo awm zawng zawng zinga 10% atanga 15% vel chu pituitary adenomas a ni.

Chungte chu a lian hle tlangpui. Amaherawhchu, an lian hle a nih chuan a bul hnaia thil awmte hmet chungin symptom an siam thei a ni. A châng chuan mit nerve an press thei a, mit lama harsatna (peripheral vision hloh ang chi) a thlen thei bawk. A tlem hle a, pituitary adenomas lian tak takte hian thisen a chhuak thei.

Pituitary adenoma thenkhat chuan pituitary hormone an siam tam lutuk. Chungte chu ``Functioning/Secreting`` adenomas an ti a. Ṭhenkhat chuan hormone engmah an siam chhuak lo. Chungte chu ``Non-functioning`` adenomas an ti a.

Functional adenomas hi chi hrang hrang a awm a, chu chu an hormone siam dan azirin a ni. Functional adenoma awm tam ber chu prolactinoma a ni . Hei hian prolactin a siam tam lutuk a ni. Prolactinomas hi damdawi hmanga enkawl a ni tlangpui.

Pituitary tumor lian tak tak leh/ emaw hormone siamtute chu enkawl a ngai a, a tlangpuiin operation neih a ngai .

Hypopituitarism (Hypopituitarism) a awm

Hei hi i pituitary gland-in a siam chhuah hormone pakhat, engemaw zat emaw, a siam chhuah zawng zawng emaw a siam chhuah tlem lutukna dinhmun a ni.

A tam zawkah chuan hormone pakhat tlakchhamna hmuh tur a awm. Pituitary hormone pahnih emaw a aia tam emaw tlakchhamna chu panhypopituitarism an ti a . Hei hi pituitary surgery hnuah emaw thluak radiation hnuah emaw a thleng thei tlangpui .

Hypopituitarism awm chhan ber chu pituitary gland emaw hypothalamus emaw tihchhiatna a ni.

He natna nena inzawm natna bik engemaw zat a awm a:

• Growth hormone tlakchhamna: Hei hi pituitary gland-in growth hormone (GH) a siam chhuah tlem chuan a thleng thin. Naupangah chuan thanlenna leh thanlenna a tichhe a, puitlin hun a tlai phah bawk. Puitlingah chuan metabolic problem a awm thin.
• Central diabetes natna nei lo:Hei hi pituitary gland-in antidiuretic hormone (ADH) a siam chhuah tlem chuan a thleng thin. Hei hian taksain zun a chhuah tam lutuk a, tui a vawng thei lo.
• Central hypogonadism: Hei hi pituitary gland-in luteinizing hormone (LH) leh follicle-stimulating hormone (FSH) a siam chhuah tlem chuan a thleng thin. Hei hian mipat hmeichhiatna hman dan, thanlenna leh nau neih kawngah harsatna a thlen thin.
• Central adrenal insufficiency: Hei hi pituitary gland-in ACTH a siam chhuah tlem chuan a thleng thin. Hei hian taksain cortisol a siam chhuah theih loh phah a ni.
• Central hypothyroidism: Hei hi pituitary gland-in thyroid-stimulating hormone (TSH) a siam chhuah tlem chuan a thleng a, chu chuan thyroid hormone level a tihhniam phah a ni.

Hypopituitarism hi hormone tlakchhamna chu pawn lam atanga pek a, chu level chu thisen test hmanga enfiah a ni.

Hyperpituitarism natna (hyperpituitarism) a awm

Hei hi i pituitary gland-in hormone pakhat emaw a aia tam emaw a siam tam lutukna dinhmun a ni. Hei hi pituitary adenoma (cancer nei lo tumor) hnathawh vang a ni fo bawk.

He natna nena inzawm natna bik engemaw zat a awm a:

• Acromegaly: Hei hi puitling laiin pituitary gland-in growth hormone (GH) a siam tam lutuk hian a thleng thin. Hei hian taksa peng thenkhat, kut, ke, leh/ emaw chhungril lam thil te a ti lian a, metabolic problem a thlen bawk.
• Gigantism: Hei hi naupan lai emaw, tleirawl lai emawa pituitary gland-in growth hormone (GH) a siam tam lutuk hian a thleng thin. Hei hian a tipung chak a, a san lutuk bawk.
• Cushing’s disease: Hei hi pituitary gland-in ACTH (adrenal gland-in cortisol a siam tam lutuk) a siam chhuah tam lutuk hian a thleng thin. Hei hian taksa hmun thenkhatah taksa rihna a tipung nghal thei a, thisen sugar a ti sang thei a, type 2 diabetes pawh a thlen thei bawk .
• Hyperprolactinemia: Hei hi pituitary gland-in prolactin a siam tam lutuk hian a thleng thin. Hei hian nau neih a tlahniam thei a, hnute atanga hnute tui chhuak (galactorrhea) .

Empty Sella Syndrome natna a ni

Empty Sella Syndrome (ESS) hi a awm ve lo. Pituitary gland chu a chhehvel leh a vengtu ruh structure-a harsatna awm avanga a flattened emaw shrunken emaw a nih chuan a thleng thin a, chu chu Sella Turcica an ti a ni. Sella Turcica hi saddle ang maia siam a ni. Latin tawng atanga lo chhuak a ni a, "Turkish seat" tihna a ni.

Empty cell hi radiographic hmanga hmuhchhuah a ni.A tam zawkah chuan hei hi damdawi lam dinhmun tak tak a ni lo va, scan laiin a thleng mai maiin hmuhchhuah a ni.

Thil engemaw takah chuan ESS hian hormone inthlauhna, lu na fo, leh mit hmuh dan a tidanglam thei a ni. Mahse, pituitary hormone level chu normal range chhungah a awm chuan ngaihtuahawm a ni lo.

Pituitary gland-a harsatna a awm chuan eng symptom nge a awm?

Pituitary adenomas lian tak tak (hengte hi cancer ni lo tumor an ni) hian a bul hnaia tissue te chu a nawr thei a, a tichhia thei bawk. Hei hian symptoms a thlen thei a, chungte chu:

• Mit lama harsatna (peripheral vision hloh ang chi) .
• Lu na
• Pituitary hormone tihpun emaw tihhniam emaw avanga hormone imbalance awm

Pituitary hormone imbalances hian symptom hrang hrang a thlen thei a, chu chu hormone a nghawng dan azirin a ni. Entirna thenkhat chu:

• Naupangte chu an lo thang chak lo emaw, an lo thang lian lutuk emaw
• Hmeichhia leh mipa nau neih tlem (Infertility) .
• Menstrual cycle mumal lo
• Chhan awm lovin taksa rihna sang emaw tlahniam emaw
• Depression leh/ emaw Lungkhamna

Symptom thar, awm reng i neih chuan doctor nen inbiakna neih a pawimawh tak zet a ni. I natna lan chhuahna chu hormone issue vang nge thil dang vang tih hriat nan thisen test awlsam tak ang chi thil an ti thei a ni.

Hetiang harsatna hi tu hnenah nge kan hrilh ang?

Pituitary gland harsatna hi endocrinologist ten an enkawl tlangpui .

Endocrinologist chu hormone nena inzawm natna hrang hranga specialist doctor a ni. Endocrine (hormonal) natna a hmuchhuak thei a, enkawlna leh enkawl dan tur ruahmanna a siam thei a, damdawi pawh a pe thei bawk.

Pituitary gland lama harsatna, pituitary adenoma ang chi, thluak structure tichhe thei leh/ emaw operation ngai i neih chuan neurosurgeon i hmuh a ngai mai thei

Doctor-te hian engtin nge pituitary gland lama harsatna an neih hi an hriat theih?

I pituitary gland hian i thisenah hormone a chhuah nghal avangin doctor-te chuan thisen test hmangin pituitary hormone level an teh fo thin .

I hormone level a mumal loh chuan i doctor chuan pituitary gland-ah harsatna a awm leh awm loh enfiah turin imaging test, CT scan emaw MRI scan emaw pawh a ti thei bawk. A tlangpuiin, pituitary gland leh a hnah (stalk) chiang taka hmuh theih nan special pituitary MRI an ti thin.

Engtin nge kan pituitary gland hi kan hrisel theih ang?

I pituitary gland hrisel taka awm tir dan tha ber chu i lu venhim hi a ni. Lu hliam leh thluak hliam (TBIs) .I pituitary gland a tichhe thei a, hormone tam lutuk emaw, tlem lutuk emaw a siam thei a ni.

Lu leh thluak hliam laka invenna atana i tih theih thenkhat chu hetiang hi a ni:

• Lirthei chhunga i awm apiangin seat belt vuah thin ang che.
• Hrisel takin lirthei khalh rawh.
• Bicycle, motor, a nih loh leh inbiakpawhna telna infiamna i khelh hunah helmet vuah ang che.
• Tlu lo turin hma la la, a bik takin tlu hlauhawmna sang tak i neih chuan. Hei hian chakna leh inthlauhna tipung thei exercise te, i in chhunga harsatna leh thil hnim hring te paih te, kea kalna tur hmanrua hman te, leh i mit hmuh dan enfiah te a huam a ni.
• Naupang tê tê i neih chuan an chenna hmun leh an inkhelhna hmunte chu him takin siam rawh.

Pituitary gland chungchangah engtikah nge doctor i hmuh ang?

Pituitary adenoma symptoms leh/ emaw hormonal imbalance symptoms i neih chuan doctor nen inbiakna neih a pawimawh hle. I pituitary gland-ah thil dik lo a awm leh awm loh enfiah turin test thenkhat an ti thei bawk.

Tun hnaia thluak hliam na tak (Traumatic Brain Injury - TBI) i tuar a nih chuan i doctor chuan i pituitary gland hnathawh dan a enfiah mai thei a, a thawk tha em tih leh hliam vangin a chhiat em tih a enfiah mai thei.

A tawi zawngin, kan hriat reng tur thilte chu hetiang hi a ni (Take-Home Message):

I pituitary gland hi a te tak zet a, mahse chak tak a ni a, i taksa pum puia thil pawimawh tam tak a thunun thei a ni! 'Boss' tlemte ang mai a ni.

Thil tam tak thunun thei hormone a siam chhuak a, chung zingah chuan i thanlenna te, chaw ei dan te, nau neih theihna te, leh stress i hmachhawn dan te pawh a tel a ni. Chuvangin, he gland te tak te hi hrisel taka vawn reng hi a pawimawh hle.

• I lu enkawl rawh: helmet vuah la, him takin awm rawh.
• A lan chhuah dan danglam tak takte chu hre reng ang che: Lu na reng reng, mit lama harsatna, i taksa rihna inthlak danglam nghal, emaw, hah lutuk i neih chuan doctor hnenah hrilh rawh.
• Lungngai suh: pituitary gland lama harsatna tam zawk hian enkawlna tha tak a nei a. A hmaa hmuhchhuah a nih chuan uluk taka enkawl theih an ni.

Tunah chuan he i taksa peng tlemte mak tak hi i hre tawh hle. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor biak hreh ngai suh. Hrisel takin awm rawh!

` Pituitary gland, hormone, thluak, endocrine system, pituitary natna, hypothalamus, growth hormone