I chau reng em? Hei hi i pituitary gland-a harsatna a ni thei ang em? (Hypopituitarism) tih a ni.

A chang chuan i taksa chu chak lo ang maiin i inhria em, thil pakhat a tlachham ang maiin i inhria em? Hei hi a chhan chu i taksaa gland tenau ber, mahse pawimawh tak tak zinga pakhata harsatna tenau vang pawh a ni mai thei. Vawiin hian hypopituitarism chungchang kan sawi dawn a , hei hi pituitary gland a natna awm lo tak a ni . Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Hypopituitarism chu eng nge ni?

A awlsam zawngin, hypopituitarism chu i pituitary gland-in hormone a siam chhuah tlem vang a ni. Tunah chuan heng hormone te hi eng nge an nih i ngaihtuah mai thei. Hormone hi chemical messenger ang a ni a, kan taksa a thawk tha thei tur thuchah kengtu a ni. Pituitary hormone hian thil tam tak a thunun a, chung zingah chuan kan metabolism , taksa thanlenna, mipat hmeichhiatna lama hmasawnna, leh kan chi thlah dan te pawh a tel.

Kan taksaa command center tlemte, pituitary gland ang maiin han ngaihtuah teh. Mahse amah chauhin hna a thawk lo. Thluak hmun pawimawh dang hypothalamus tih hian a pui a ni . Hypothalamus chuan pituitary gland hnenah, "Okay, tunah hian hormone chu chhuah tir rawh," a ti a. Hypothalamus hian thisen sang, heart rate, taksa lum leh vawt leh chaw ei dan te pawh a control thei bawk. Chuvangin, pituitary gland emaw hypothalamus emaw a chhiatna emaw natna emaw a awm chuan hypopituitarism i nei thei a ni.

Hetiang dinhmun hi a lo awm nghal thei a, accident hnuah pawh a thleng thei bawk. A nih loh leh thla tam tak emaw, kum tam tak emaw chhungin zawi zawiin a lo thang lian thei bawk. Vawi tam tak chu heng mite hian an natna lan chhuah dan thunun nan an dam chhung damdawi an ei a ngai dawn a ni. Mahse, lungngai suh, i doctor chuan uluk takin a lo vil ang che a, a tul anga enkawlna a pe ang che.

Hypopituitarism chi hrang hrang a awm em?

Ni e, chi hnih lianah then theih a ni. Pakhat chu hormone tlakchham zat atanga chhut a ni .

• Isolated pituitary deficiency: Hetah hian pituitary hormone pakhat chauh a tlachham a ni.
• Multiple pituitary hormone tlakchhamna: Hei hi pituitary hormone pahnih emaw a aia tam emaw tlakchhamna a ni.
• Panhypopituitarism: Hei hi natna khirh lo zawk a ni a, pituitary gland atanga hormone siam zawng zawng a tlahniam vek a ni.

A dawtah chuan a chhan leh pituitary gland a nghawng dan azirin an thliar hrang a :

• Primary hypopituitarism: Hei hi chhiatna emaw natna emaw avanga pituitary gland direct-a nghawng vang a ni.
• Secondary hypopituitarism: Hei hi hypothalamus chhiat emaw, natna emaw avanga lo awm a ni. Hypothalamus hi pituitary gland-a thupek petu a ni tih hre reng ang che.
• Idiopathic hypopituitarism: A châng chuan a chhan hmuh theih a ni lo.

Hypopituitarism natna lan chhuahna chu engte nge ni?

Hormone tlakchham dan azirin symptoms a inang lo . A hnuaia thilte hian chanvo an nei bawk:

• I gender chu .
• Hetiang dinhmun hi a lo intan tirh khan i kum .
• Hypopituitarism awm chhan .
• Engtiang chiahin nge hormone a tlahniam .

Tunah chuan hormone tin a hniam chuan eng symptom nge a lan tih kan en ang.

Growth Hormone (GH) tlakchhamna chhinchhiahna

Nausen piang thar tan:

• Thisen sugar level hniam (Hypoglycemia) .
• Mipa zang te tak te (Micropenis) pangngai lo tak neih .

Naupang tê tê tan:

• Hmasawn hi a slow hle emaw , a awm lo tluk a ni emaw. Entirnan, i fa chu an kum rualpui naupang dangte nena khaikhin chuan a sang lo niin a lang a nih chuan hei hi a chhinchhiahna a ni thei.
• A san zawng tawi .
• Puitling laiin mipat hmeichhiatna lama hmasawnna tlai emaw awm lo emaw .

Puitling tan chuan:

• Chauhna nasa tak awm reng . Battery a thi tawh ang maia hriat.
• Nun hlim leh lungawi lo zawka inhriatna.
• Mipat hmeichhiatna hman leh duhna tlahniam .
• Fat deposition tihpun, a bik takin kawr vel .
• Khaw lum leh lum tuar theihna tlahniam .
• Muscle mass tlahniam .
• Exercise kan tih hian chakna leh tuar chakna a tlahniam .

Thyroid-Stimulating Hormone (TSH) tlakchhamna chhinchhiahna

Nausen piang thar tan:

• Muscle tone tlahniam (limbs chu nunna nei lo anga inhria).
• Taksa lumna hniam (Hypothermia) .
• A rilru a buai em em a .
• Aw ri bengchheng tak, barren takin a tap .

Naupang tê tê leh puitling tan:

Hei hi hypothyroidism symptoms nen a inang a, a chhan chu TSH hormone hian thyroid gland chu a hormone siam turin a tichak a ni.

• Chauhna nasa tak a awm .
• Vun vawt leh sam thinning/loss .
• Ek khal .
• A taksa rihna a tipung .
• Muscle chak lohna .
• Khawsik tuar theihna tlahniam .
• Rilru lam dinhmun chu depression ang chi te .
• Hmeichhia hian thlasik hun mumal lo emaw thisen chhuak nasa zawk emaw an nei thei a .

Follicle-Stimulating Hormone (FSH) leh/ emaw Luteinizing Hormone (LH) tlakchhamna chhinchhiahna

FSH leh LH hi hormone gonadotropins an tih a ni . Hengte hian kan reproductive system a nghawng nghal vek a ni .

Nausen mipa piang thar tan:

• Mipa zang te tak te (Micropenis) pangngai lo tak neih .
• Testicles hnuai lam lo .

Naupang tê tê tan:

• Hmeichhe naupang hnute thanna hi a thleng lo .
• Tlangval testicles hi a lian lo .
• Taksa hian puitlin lai hian a san zawng (growth spurt) a tisang nghal lo .

Mipa tan chuan:

• Mipat hmeichhiatna lama duhna tlahniam .
• Chauhna nasa tak a awm .
• Nau pai theih lohna .
• Erectile dysfunction a awm a .
• Hmai emaw taksa emaw sam hloh .

Hmeichhia tan chuan:

• Libido hniam tak .
• Chauhna nasa tak a awm .
• Nau pai theih lohna .
• Hot flashes - Taksa chhunga lumna awm nghal mai.
• Thlasik mumal lo emaw, thlasik chawlhsan vek (Amenorrhea) .
• Pum hnuai lam sam tlakchham .
• Naute neih hnua nu hnute siam chhuah loh .

Adrenocorticotropic Hormone (ACTH emaw Corticotropin) tlakchhamna chhinchhiahna

Nausen piang thar tan:

• Thisen sugar level hniam (Hypoglycemia) .
• Zawi zawiin taksa rihna a pung (Failure to thrive) . Naute hian hnute tui in tam mahse a latching lo ang mai a ni.
• Seizures a awm thin .
• Vun a sen (Jaundice) .

Naupang tê tê leh puitling tan:

• Chauhna nasa tak a awm .
• Chhan awm lovin taksa rihna tihtlem .
• Thisen sang hniam (Hypotension) .
• Nausea leh luak chhuak .
• Thisen sugar level hniam (Hypoglycemia) .
• Buaina, hriatna hloh .

Prolactin tlakchhamna chhinchhiahna

Hei hi a nihna ber chu naute neih hnua hnute tui siam chhuah tlem vang a ni .

Oxytocin tlakchhamna chhinchhiahna

• Nausen pian hnua nau hnute pek harsatna .
• Nausen pian hnua inzawmna (bonding) harsat .
• Midangte hrehawm tawrhna lainatna tlakchhamna .
• Midang nena inpawh harsa.

Antidiuretic Hormone (ADH emaw Vasopressin emaw Arginine Vasopressin) tlakchhamna chhinchhiahna

Nausen piang thar tan:

• Luak chhuak .
• A chhan hriat loh khawsik .
• Tap lutuk .
• A taksa rihna tihtlem .
• Ek khal .
• Diaper hnim fo (Diaper hnim nasa tak) .

Naupang tê tê tan:

• Toilet training neih harsatna .
• Bedwetting tih hi a ni .
• Chau vat vat .

Puitling tan chuan:

• Zun chhuah fo thin .
• Tuihalna nasa lutuk .
• Electrolyte inthlauhna a awm .

Pawimawh: Heng symptoms zinga pakhat emaw pahnih emaw i neih chuan lungngai suh, mahse a awm reng chuan doctor thurawn lak a tha ber.

Hypopituitarism hi engte nge ni?

Hetiang dinhmun hi chhan tam tak a awm thei. A châng chuan doctor-te pawhin a chhan dik tak chu an hre chiang thei lo. A tlangpuiin thil pawimawh pathum avanga lo awm thei a ni:

1. Pituitary gland emaw hypothalamus emaw compress.

2. Pituitary gland emaw hypothalamus emaw tihchhiat.

3. Damdawi lama harsatna awm lo emaw, natna dang emaw, hypopituitarism thlentu nei.

Pituitary gland emaw hypothalamus emaw nghawng thei dinhmun

Heng thluak hmun hrang hrangte hi pressure siam thei leh hypopituitarism thlen thei dinhmunte chu:

• Pituitary adenomas: Hei hi benign tumor a ni a, pituitary gland-ah a lo awm a. Hormone siam dan an thlak danglam thei a ni.
• Brain tumors: Hypothalamus emaw pituitary gland bula tumor lo awm hian hormone siamchhuahna a tibuai thei a ni.
• Lymphocytic hypophysitis (LH): Hei hi natna awm lo tak a ni. Hetah hian lymphocyte an tih cell te hian pituitary gland an rawn lut a. (He LH hi a hmaa kan sawi tawh Luteinizing Hormone nen hian inthlau tur a ni lo, a dik em?!)
• Pituitary or hypothalamus sarcoidosis: Sarcoidosis hi natna hrik a ti na a.

Pituitary gland emaw hypothalamus emaw tichhe thei thil thleng

• Surgery: Thluak surgery neih laiin harsatna (a bik takin pituitary adenomas tihbo nan surgery) a awm thin.
• Radiation therapy: Cancer enkawl tawh emaw, pituitary adenomas emaw enkawlna atana hman thin radiation.
• Lu hliam na tak (Traumatic brain injury - TBI):Car accident, tlu, leh infiamna lama hliam ang chi thil.
• Pituitary apoplexy: Pituitary gland tissue tihchhiat nghal mai.

Damdawi lama harsatna awm lo

• Hereditary hemochromatosis: Hei hi thlahtute atanga lo chhuak a ni. Thisenah iron tam lutuk a awm tir thin. Hei hian pituitary gland a tichhe thei a ni.
• Bacterial meningitis: A tlem hle nachungin, hypopituitarism hi bacterial meningitis complication angin a awm thei.
• Genetic mutations: Genetic condition hmuh tur awm lo thenkhat chuan pituitary hormone tlakchhamna a thlen thei.

Risk factors te chu engte nge ni?

A hnuaia dinhmun emaw thil thlengte hi hypopituitarism vei theihna tur risk factor a ni thei:

• Tun hmaa cancer leh radiation hmanga enkawl tawh .
• Lu emaw thluak hliam: Traumatic head injury (TBI) tuar zinga 27% leh 32% inkar chuan hypopituitarism an nei thin.
• Sickle cell anemia: He natna hian pituitary hormone tlakchhamna a thlen thei.
• Type 1 diabetes: Type 1 diabetes thunun loh vanga nerve leh thisen kalna kawng a chhiat hian he natna hi a thlen thei a ni.
• Naupai leh nau neih: Nau neih hnua thisen chhuah tam lutuk chuan pituitary gland a tichhe thei a ni. Hetiang dinhmun hi Sheehan syndrome an ti a .

Harsatna awm thei te

Hypopituitarism nena inzawm hormone tlakchhamna hian natna dang a thlen thei a ni. Heng nghawngte hi hormone tlakchham dan azirin a inang lo. Entirna thenkhat chu hetiang hi a ni:

• GH (growth hormone) tlakchhamna hian thau lutuk , cholesterol sang , leh metabolic syndrome a thlen thei a ni.
• Estrogen hormone tlakchham (FSH tlakchham vang) hian hmeichhiaah osteoporosis ( ruh hring) a thlen thei.
• ACTH tlakchhamna hian adrenal crisis a thlen thei a, chu chu nunna atana hlauhawm emergency a ni.

He natna hi hriat theih nan eng test nge tih thin?

I doctor chuan hypopituitarism hriat theihna turin heng test zinga pakhat tal hi a ti thei ang:

• Thisen a hormone level enfiah: I natna lan chhuah dan azirin i doctor chuan hormone level hrang hrang tehna thisen test a ti thei ang.
• Hormone stimulation tests: He test-ah hian i doctor chuan i pituitary gland chu test mek hormone chhuah tir turin damdawi a pe ang che. Tichuan, thisen sample lak a, test turin lab-ah thawn a ni.
• Insulin tolerance test: Hei hian growth hormone (GH) leh ACTH tlakchhamna a hriat theih.
• Thisen leh zun enfiahna osmolality test: Hei hian antidiuretic hormone (ADH) tlakchhamna test a ni.
• MRI (Magnetic Resonance Imaging) Scan: MRI scan hian i taksa chhungril chipchiar takin a thlalak a la a. Thluak MRI scan hi hypopituitarism thlentu pituitary tumor hmuhchhuahna kawng tha ber nia ngaih a ni.
• Brain CT (Computed Tomography) scan: He test hmang hian he natna thlentu hi thluaka tumor emaw pituitary adenoma emaw a awm em tih hriat theih a ni.

Hypopituitarism hi engtin nge enkawl a nih?

Damdawi awm lo mah se, enkawl theih a ni . Enkawlna chu eng hormone nge tlakchham tih leh i dinhmun thlentuah a innghat a ni . I medical team chuan i tana tha ber tur treatment plan siam turin an pui ang che. Enkawlna hman tlanglawn tak takte chu:

• Hormone replacement therapy: Hei hian a tum ber chu pituitary hormone tlahniam chu a normal level-a dah leh a ni. A tam zawkah chuan i dam chhung zawng damdawi ei tur a ni.
• Surgery: Pituitary adenomas nei te chuan an lakchhuah theih nan operation an mamawh mai thei.
• Radiation therapy: Radiation therapy hian pituitary adenomas a ti tlem thei hle.

I doctor chuan engtik lai pawhin medical ID card emaw bracelet emaw keng turin a rawt thei bawk a, emergency a nih chuan.

Hypopituitarism awm theihna tur prognosis chu eng nge ni?

A thlirna chu a inang lo hle a, heng thilte hi a zirin a ni:

• I symptoms a lo lan tirh khan i kum .
• I dinhmun chhan chu .
• Engtiang chiahin nge hormone a tlahniam.
• I taksain enkawlna a dawn dan .

Hypopituitarism vei tam tak chuan nun hrisel tak an hmang thin. Mahse, hun rei tak chhunga pituitary chhiatna a awm chuan, kum inang, he natna nei lo mi pakhat dam rei zawng aiin a rei deuh thei a ni . Mahse, enkawlna ruahmanna dik tak zawmtute tan chuan dam rei zawng hi a tlahniam lo tlangpui .

Emergency a awm chuan engtin nge ni ang? Hypopituitarism hi a lo awm thut a, a nasat a, enkawl loh a nih chuan damdawi lam thil pawimawh tak a ni thei a, thihna pawh a thlen thei bawk. Chuvangin symptom i hmuh chuan doctor pan nghal rawh.

Engtikah nge Doctor ka hmuh ang?

A tam zawkah chuan hypopituitarism hian a nghawng hormone te hi dam chhung uluk taka enfiah a ngai thin. I enkawlna ruahmanna chu a thawk tha em tih hriat chian nan i doctor hmu fo ang che .Symptom thar emaw, lungkhamthlak tak emaw i neih chuan a rang thei ang bera doctor rawn la.

Doctor hnenah eng zawhna nge ka zawh ang?

Hypopituitarism i vei nia hriat i nih chuan i doctor hnenah heng zawhnate hi i zawt mai thei:

• Eng ang hypopituitarism nge ka neih?
• Eng hormone nge ka chhungah hian a hniam?
• Hei hi eng nge a chhan?
• Eng enkawlna kawng nge ka neih?
• Ka enkawlna atang hian side effect a awm em?
• Damdawi hi eng chen nge ka ei a ngaih?
• Hei hian ka nau neih theihna a nghawng dawn em ni?
• Hei hian ka naupai hi a nghawng dawn em ni?
• Ka fate chungah pawh hetiang hi a thleng thei ang em?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Diagnosis thar chu a hlauhawm thei hle a, mahse hypopituitarism chungchangah doctor hnenah zawhna zawh hreh suh. Thil tam takah chuan dam chhung enkawl leh hormone enfiah a ngai thin. Chuvang chuan doctor pan fo a pawimawh. Symptom thar emaw, lungkhamthlak tak emaw i neih chuan doctor rawn rawh. I tanpui turin an awm reng a ni. Enkawlna dik tak nen chuan nun hrisel, thawkrim takin i nung thei ang.

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