I chau, i chau, a nih loh leh i hlim lo tih i inhriat ngai em? I rihna chu sawifiah theih loh khawpin a pung emaw, a tlahniam emaw pawh a ni thei, a nih loh leh thil danglam danglam tak i tawng tawh pawh a ni thei. Heng zawng zawng hi i thluaka ‘master gland’ te tak te, mahse chak tak, ‘master gland’ vang a ni thei. Chu chu vawiina kan sawi tum chu a ni. He natna hi damdawi lam chuan hypopituitarism tia hriat a ni .
Pituitary gland leh hypopituitarism hi eng nge ni?
A awlsam zawngin sawi ila, pituitary gland hi pea ang maia lian, kan thluak bul, kan hnar hnung lama awm a ni. A lian lo hle chung pawhin kan taksa hormone system ‘master gland’ angin a thawk a ni. Thyroid gland, adrenal glands leh gland dang tam tak hnenah, "Okay, tunah chuan he hormone hi i siam ta" titu a ni.
Hypopituitarism chu pituitary gland, master regulator-in hormone pakhat emaw a aia tam emaw a siam chhuah tlem vang a ni. A châng chuan, pituitary gland-in hormone a siam zawng zawng hi a tlahniam thei a ni. Hei hi Panhypopituitarism kan ti a ni . Hetiang dinhmun hian naupang bakah puitling pawh a nghawng thei a ni. Tin, thluaka pituitary gland-a signal lo lutte control tu, hypothalamus natna vang pawh a ni thei bawk.
Chûng hormone-te chuan kan taksaa hna pawimawh tak tak, chu chu kan ṭhanlenna, kan pianpui, thisen sang, leh metabolism te hi a thunun a ni . Chuvangin heng zinga pakhat tal a tlakchham chuan a kaihhnawih taksa kalphungte chu a tibuai thei a ni.
Pituitary gland siam chhuah hormone pawimawh tak takte chu engte nge ni?
Pituitary gland hian hormone chi hrang hrang a siam chhuak a. A bulpui berte leh an thil tih dan te han thlir ila. Hei hi i hriat a pawimawh hle ang.
| Hormone a ni | Taksa chhunga hnathawh dan |
|---|---|
| Adrenocorticotropic hormone (ACTH) hmanga tihdam theih a ni. | Adrenal glands (kidney chunga awm glands) te a tichak a, thisen sang leh metabolism control tu hormone cortisol siamchhuahnaah a pui bawk. |
| Thyroid tichaktu hormone (TSH) . | Kawr chhunga thyroid gland a tichak a, thyroid hormone siamchhuahnaah a pui a, chu chu taksa metabolism, thanlenna leh thanlenna atana pawimawh tak a ni. |
| Follicle tichaktu hormone (FSH) leh Luteinizing hormone (LH) te a awm bawk. | Hengte hian hmeichhia leh mipaah pawh sexual function leh reproduction a control a, hmeichhiaah chuan ovary atanga estrogen leh mipa testicles atanga testosterone siam chhuah a signal a ni. |
| Hmasawn theihna hormone (GH) . | A hming ang ngeiin ruh leh taksa peng hrang hrangte hmasawnna pangngai atan a pawimawh hle a, a bik takin naupan lai hian a pawimawh hle. |
| Prolactin a ni | Hmeichhia hnute thanna a tichak a, nau hnute pekna atan bawnghnute siamchhuahna a tichak bawk. |
| Antidiuretic hormone (ADH) hmanga tihdam theih a ni. | Kal (kidney) hian taksa atanga tui chhuah dan a control a. Hei hi a tlem chuan zun tam lutuk a awm thei. |
| Oxytocin a ni | Nau neih laiin nausen pum (uterus contract) a pui a, nau hnute pek laiin hnute tui luang chhuak turin a pui bawk. He hormone hi nu leh naute inzawmna atan pawh a pawimawh hle. |
Hypopituitarism hi engte nge ni?
Hetiang dinhmun hi pituitary gland emaw hypothalamus emaw tihchhiat vang a ni. A châng chuan a chhan chu hmuh chhuah a ni lo thei bawk. A chhan ber thenkhat chu hetiang hi a ni:
- Pituitary gland chhungah emaw, a chhehvelah emaw tumor awm
- Cancer tan radiation therapy hmanga enkawl a ni
- Thluak emaw pituitary gland emaw surgery neih a ni
- Hri kai , meningitis ang chi te
- Lu hliam na tak tak a awm
- Stroke emaw thluaka thisen chhuak emaw
- Damdawi thenkhat
- Immune system lama harsatna avanga inflammation awm
- Nau neih laiin thisen chhuak tam lutuk (Sheehan’s syndrome) .
- Genetic cause thenkhat ( genetic mutation ) .
- Damdawi lam harsatna dang sarcoidosis leh TB te
A natna lan chhuah dan chu eng ang nge ni?
Symptoms chu eng hormone nge tlakchham tih leh engtiang chiahin nge a lo awm chak tih ah a innghat. Mi thenkhat chuan symptoms an nei lo tak tak thei a, symptoms chu zawi zawiin a lo awm thei bawk. Mi dangte chuan natna lan chhuahna na tak an nei thut thei bawk.
Hormone tlakchhamna pakhat zel nena inzawm symptoms te chu a hnuaia table hi en la.
| Hormone tlakchhamna | Symptoms awm thei te |
|---|---|
| ACTH tlakchhamna a awm | Chauhna, chau lutuk, thisen sang hniam, taksa rihna tlahniam, luak chhuak, luak chhuak, lungngaihna. |
| TSH tlakchhamna a awm | Constipation, taksa rihna sang, khawsik tuar thei lo, chakna hloh, taksa ruh na emaw chak lohna emaw. |
| FSH leh LH tlakchhamna | Hmeichhia tan: thlasik hun mumal lo emaw, chawlhsan emaw, fa neih harsa (infertility). Mipa tan chuan: hmai leh taksa sam hloh, chak lohna, mipat hmeichhiatna lama ngaihvenna hloh, erectile dysfunction, nau pai harsa. |
| GH tlakchhamna a awm | Naupang tan: than chak lo, kawr leh hmai vel a thau awmkhawm, leh a pum puia than tha lo. Puitling tan: chakna tlahniam, exercise lak harsa, taksa rihna sang, taksa ruh tlahniam, lungkhamna emaw lungngaihna emaw. |
| Prolactin tlakchhamna a awm | Hmeichhia tan: Nau neih hnua nu hnute siam chhuah theih loh. |
| ADH tlakchhamna a awm | Tuihal lutuk tih hriatna leh zun tam lutuk, zun tam lutuk (Diabetes Insipidus). |
| Oxytocin tlakchhamna a awm | Hmeichhia tan: bawnghnute letdown harsatna. |
Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. I doctor hmu la, sawipui ngei ang che.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i hmuh hunah uluk takin i natna lan chhuah dan a ngaithla ang a, a tul anga test turin a refer ang che.
- Thisen Test: Hei hi a pawimawh ber a ni. I thisena hormone hrang hrang awm zat an teh thin. A chang chuan, hormone pek a ni a, chutah chuan special test (stimulation or suppression test) tih a ni a, darkar tlemte chhunga thisen a inthlak danglam dan enfiah a ni. Entirnan: `ACTH (Cortrosyn) tihchakna test`, `GH tihchakna test`.
- Imaging: MRI emaw CT scan emaw hmangin pituitary tumor a awm leh awm loh enfiah theih a ni.
- Vision Tests: Mit nena inzawm nerve te chu pituitary gland hnaih takah an kal tlang avangin, vision test a ni a, chu nerve te chu tumor ang chi thilin a press em tih enfiah a ni.
- Naupangte tana X-ray: Naupang kut zungtang X-ray hmangin ruhte chu a pangngaiin a lo thang lian em tih enfiah thin a ni.
Engtin nge enkawl a nih?
He natna enkawlna kawngah hian thil tum lian tak pahnih a awm a. Pakhat chu toA chhan bulpui (entir nan, tumor lakchhuah) enkawl. A pahnihna leh pawimawh ber chu taksaa hormone awm lote thlak danglam hi a ni . Hei hi Hormone Replacement Therapy an ti a .
Damdawi chi hrang hrang
Doctor chuan i hormone level i tlakchham dan azirin damdawi dik tak a pe ang che.
- ACTH tlakchhamna atan: Cortisol level siamthat nan glucocorticoids (e.g. hydrocortisone) pek thin a ni.
- TSH tlakchhamna atan: Thyroid hormone level siamthat nan damdawi `Levothyroxine` pek thin a ni.
- Sex hormone tlakchhamna atan: Testosterone hi mipa hnenah pek a ni a, estrogen (progesterone nen pawh a ni thei) hmeichhia hnenah pek a ni.
- GH tlakchhamna atan: Growth Hormone (GH) injection hi a bik takin naupangte tanpui nan pek thin a ni. Puitlingte pawh hi a chang chuan he enkawlna hi an pe thin a, chu chuan chakna leh taksa thau tichak turin a pui thin.
- Nau pai theih lohna atan: Egg puitlin emaw, sperm siam chhuah emaw tichak turin hormone treatment bik Gonadotropin a awm.
Inzai
Hetiang natna thlentu hi tumor a nih chuan, tumor chi leh awmna hmun a zirin, operation tihchhuah a ngai mai thei.
Nakin hun chungchâng eng nge kan ngaihtuah ang? (Hmuh dan tur) .
Thu lawmawm tak chu natna hi dik taka hmuhchhuah a nih a, hormone replacement therapy dik taka pek a nih chuan nun tha leh hrisel tak tak neih theih a ni Enkawlna chu dam chhung zawng a ni thei.
A pawimawh ber chu a hun taka doctor nen follow up neih hi a ni . Hun kal zelah i taksa hormone mamawh a danglam thei a, chuvangin doctor nen inbiak reng a pawimawh.
Take-Home Thuchah a ni
- Hypopituitarism chu kan taksa ‘master gland’ pituitary gland-in a tul anga hormone a siam chhuah tawk loh vang a ni.
- Mi tin hian natna lan chhuah dan a inang lo a, eng hormone nge tlakchham tih a zirin a inang lo. A lan chhuah dan chu hahna, taksa rihna sang, leh mipat hmeichhiatna lama harsatna te a ni thei.
- Hetiang symptoms sawifiah theih loh i neih chuan doctor pan nghal rawh .
- Hetiang dinhmun hi thisen test leh scan hmangin dik takin a hriat theih a ni.
- Enkawlna chu hormone tlakchhamna chu pawn lam atanga pek a ni. He enkawlna hi a hlawk hle.
- Enkawl tan hnuah doctor nen hun ruatah inhmu thin ang che.Dose siamrem hi a pawimawh hle.
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