I pituitary hormone zawng zawng hi a hniam vek em? Panhypopituitarism chungchang hi han sawi ila!

A chang chuan kan taksaa thil awmte hi beisei angin a thawk lo a ni lawm ni? Hormone hi kan taksa chhunga thil thleng zawng zawng deuhthaw-ah hian palai pawimawh tak tak pawl an ni. He hormone system-ah hian harsatna a awm chuan kan nun pumpui a nghawng thei a ni. Vawiin hian mi zawng zawngin kan hriat chian tur thil awm lo tak kan sawi dawn a ni. Chu chu panhypopituitarism a ni.

Panhypopituitarism tih hi eng nge ni?

A awlsam zawngin sawi ila, panhypopituitarism hi kan thluaka gland te tak te, pituitary gland hian a siam chhuah tlem emaw, a siam chhuah hormone zawng zawng a tlakchham emaw a ni. "Pan" tih hi "engkim" tihna a ni. Hetiang dinhmun hian naute, naupang leh puitlingte a nghawng thei a ni.

Tunah chuan, "Heng hormone te hi eng nge ni? Engvangin nge an pawimawh em em?" Okay, chu chu han thlir ila.

Hormone te hi kan taksaa palai ang mai an ni. Chemical bik an ni. Kan thisen kal tlangin, taksa peng hrang hrang, taksa peng hrang hrang leh taksa peng hrang hrangah thuchah an keng tel a ni. Anni hian an inrem a, chu chu kan taksa thiltih hrang hrangte chu an thunun a, an inrualrem a, "hei hi ti rawh, he hun lai hian ti rawh, hetiang hian ti rawh" tiin an hrilh a ni.

Kan pituitary gland hi pea ang vel a ni. Kan thluak bulpuiah a awm a, hypothalamus hnuai chiahah a awm a ni. (Hypothalamus hi thluaka thil pawimawh tam tak thunun theitu lian ber a ni a, kan autonomic nervous system pawh a thunun a ni.) A lian lo hle nachungin, pituitary gland hian kan endocrine system-ah hmun pawimawh tak a chang a ni. Chu chu, heng pituitary hormone te hian kan taksa chhunga thil tam tak, metabolism, thanlenna leh reproduction te thununtu an ni tihna a ni.

A tlangpuiin kan taksa hian heng hormone level te hi uluk takin a tidanglam thin. Mahse, heng hormone zinga pakhat tal a hniam lutuk chuan symptom hrang hrang leh hriselna lama harsatna a thlen thei a ni. Panhypopituitarism chu pituitary gland atanga hormone siam zawng zawng a hniam lutuk a, chu chuan symptom hrang hrang a thlen a ni.

Panhypopituitarism leh Hypopituitarism hi eng nge an danglamna?

Heng hming pahnih hi a inang deuh a, chuvangin a buaithlak thei hle. Ngaihtuah teh, hypopituitarism hi pituitary gland atanga hormone pakhat emaw a aia tam emaw siam chhuah a ni. Panhypopituitarism hi chutiang bawka case bik, a huam zau zawk a ni. Chu chu panhypopituitarism chu pituitary gland siam hormone zawng zawng tlakchhamna a ni. "Pan" tih thumal hian "all" tihna a ni a, chuvangin he dinhmun hi a sawifiah a ni.

Pituitary gland hian eng hormone nge a siam chhuah?

Kan pituitary gland siam leh chhuah (chhuah) hormone chi hrang hrang a awm a. An vai hian hna bik an nei vek a. Eng nge an nih hi han thlir ila:

• Adrenocorticotropic hormone (ACTH or corticotropin): Hei hian kan adrenal glands te chu cortisol tih hormone siam turin a tichak a. He cortisol hi ‘stress hormone’ an ti bawk. Thisen sang leh thisen glucose level control nan a pawimawh hle.
• Follicle-stimulating hormone (FSH): He hormone hian mipa sperm siam chhuahna tichak turin a pui a, hmeichhiaah chuan ovary te chu hormone estrogen siam chhuah nan leh egg puitling turin a tichak bawk.
• Growth hormone (GH): A hmingin a sawi angin naupangte thanlenna atan a pawimawh hle. Puitlingah pawh taksa ruh leh ruh hrisel tak a awm theih nan a pui bawk a, taksa thau sem darh dan a nghawng bawk. GH hi kan metabolism ah pawh a tel ve bawk.
• Luteinizing hormone (LH): Hmeichhia ovulation tichak tur leh mipa testosterone siam chhuahna tichak turin LH hi a mamawh a ni.
• Prolactin: He hormone hian naute pian hnua nu hnute siam chhuahna a tichak a. Hmeichhia thlasik hun chhung leh puitlingah nau neih leh mipat hmeichhiatna hman dan a nghawng thei bawk.
• Thyroid-stimulating hormone (TSH): Hei hian kan thyroid gland chu thyroid hormone siam turin a tichak a, chu chuan metabolism, energy leh nervous system te a enkawl a ni.

Heng bakah hian pituitary gland hian a tul hunah hormone dang pahnih a khawlkhawm a, a chhuah tir bawk. Mahse, hengte hi hypothalamus siam a ni:

• Antidiuretic hormone (ADH or vasopressin): He hormone hian kan taksaa tui leh sodium (salt) awm zat a tidanglam thin.
• Oxytocin: Hmeichhiain nau an neih laiin an nausen (uterus) a tikhawlo thei a, nu hnute tui luang chhuak turin a pui bawk. He hormone hian nu leh pa leh naute inzawmna a tichhe niin an sawi bawk.

En teh, he pituitary gland te tak te hian hna pawimawh tak a thawk em! Chuvangin, heng hormone zawng zawng tlahniam hian nghawng lian tak a nei thei a ni.

He panhypopituitarism natna hian tute nge a nghawng ber?

Dik tak chuan he panhypopituitarism an tih hi tu pawhah, kum eng pawhah a awm thei. Kum bithliah leh segment bik a awm lo.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi thil awm lo tak a ni. Khawvel pumah he natna hi kum khatah mi sang za zinga pali chauhvin an awm a ni. Chuvang chuan a chanchin hriat tam loh hi thil awmdan pangngai a ni.

Panhypopituitarism hi nunna atana hlauhawm a ni thei ang em?

Ni e, ṭhenkhatah chuan he dinhmun hi nunna atana hlauhawm tak a ni thei. A bik takin hormone adrenocorticotropic hormone (ACTH) a hniam hle a nih chuan a hlauhawm thei hle.

A chhan chu ACTH tlakchhamna hian emergency adrenal crisis an tih a thlen thei a ni . Hei hi ``acute cortisol insufficiency'' an ti bawk. ACTH hi kan cortisol level control tu a ni. Chuvangin ACTH a bo chuan cortisol a lo chhuak lo. He adrenal crisis hi damdawi lam pan vat ngai a ni a, nunna atana hlauhawm pawh a ni thei.

Adrenal crisis symptoms te chu:

• Khawsik
• Chak lohna nasa tak
• Buaina (hriatthiam theih loh) .
• Thisen sang hniam (hypotension) .
• Thinlung thawk chak tak (tachycardia) .
• Luak chhuak
• Kawthalo
• Thisen thlum hniam (hypoglycemia) 1.1.

Nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan damdawi in hnai ber pan nghal la emaw 1990 ah call la, hei hi emergency a ni!

Panhypopituitarism natna lan chhuahna chu engte nge ni?

He natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle a, chu chu pituitary hormone tin a tlakchham zat leh a natna a zual chak dan leh a lo zual zel danah a innghat a ni.

Naupang leh puitlingah hian a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Nausea emaw luak chhuak emaw
• Chauhna nasa tak a awm
• Depression leh/ emaw lungkhamna
• Hri kai fo thin
• Thisen thlum hniam (hypoglycemia) 1.1.
• Khua a tuar thei lo
• A danglam bik takin vun a vawt
• Chhan awm lovin taksa rihna tihtlem emaw tihpun emaw
• Thisen lipid leh cholesterol level mumal lo (dyslipidemia) .
• Thinlung thawk chak tak (tachycardia) .
• Tuihâl lutuk leh zun tam lutuk
• Hmeichhiaah thlasik hun mumal lo
• Hmeichhe nau pai theih lohna
• Mipa nau pai theih lohna

Nau piang thar, naute, leh/ emaw naupang tê tête a bik taka nghawng thei chhinchhiahna dang a awm bawk:

• Nau piang tharte zingah hun rei tak chhung jaundice a awm
• Nausen mipaah ​​penis te tak te (micropenis) .
• Stunted growth (a sang zawk lo) .
• Puberty hun sawn hlat

Heng symptoms te hi damdawi lam thil dang nen a inang thei a, chuvangin hetiang symptom thar emaw, awm reng emaw i neih chuan diagnosis dik tak neih a pawimawh hle. Chuvangin doctor rawn la, thurawn la rawh.

Panhypopituitarism hi engte nge ni?

Hetiang dinhmun hi a chhan awm thei engemaw zat a awm. A châng chuan doctor-te chuan a chhan chiang tak an hmu thei lo. Hei hi idiopathic panhypopituitarism an ti a.

A tlangpuiin, a chhan ber chu kan hypothalamus leh/ emaw pituitary gland te hi eng emaw ti takin a chhia a, chu chuan pakhat emaw, pahnih emaw a thawk tha lo a ni.

Heng chhante hi hrethiam tur chuan kan hypothalamus leh pituitary gland te hnathawh dun dan hi hriatthiamna tlem i neih a ngai a ni.

Hypothalamus leh pituitary gland inzawmna

Company lian tak CEO leh manager angin kan hypothalamus, pituitary gland leh pituitary gland te hi han ngaihtuah teh. Heng pahnih hi an thawhhona chuan kan thluak control center ber (hypothalamus-pituitary complex) angin hna an thawk a, taksaa thil pawimawh tak takte chu an thunun a ni.

Hypothalamus hi kan thluak peng pakhat, taksa hnathawh bulpui engemaw zat thawktu a ni. Kan autonomic nervous system ah thuchah a thawn thin. Tin, pituitary gland chu "heng hormone te hi siam la, hengte hi chhuah tir rawh" tiin a hrilh bawk. Heng pituitary hormone te hian taksa peng dang a nghawng a.

Pituitary gland hi hypothalamus nen hian thisen kalna leh nerve fiber awmna stalk hmangin a inzawm a, chu chu ``pituitary stalk'' an ti a ni.He stalk hmang hian hypothalamus hian pituitary gland nen an inbiak theih a ni.

Hypothalamus hian pituitary gland tichak turin hormone engemaw zat a siam chhuak a:

• Corticotropin chhuahna hormone a ni
• Dopamine a ni
• Gonadotropin chhuahna hormone a ni
• Growth hormone tichhuaktu hormone
• Somatostatin a ni
• Thyrotropin chhuahna hormone a ni

Pituitary gland leh hypothalamus te hi an thawk dun em em a, pakhat tihchhiat hian pakhat zawk hormone function a nghawng thei a ni. Hei hi panhypopituitarism lo awm chhan bulpui ber a ni.

Pituitary gland nena inzawm thil te

Pituitary gland tichhe thei leh panhypopituitarism thlen thei dinhmunte chu:

• Pituitary adenomas (hei hi cancer nei lo tumor a ni) .
• Pituitary gland surgery (a tam zawkah chuan heng adenomas te hi paih chhuah nan) .
• Pituitary adenoma tan radiation therapy hmanga enkawl a ni
• Pituitary apoplexy (pituitary gland-a thisen supply tlahniam emaw thisen chhuah emaw avanga pituitary tissue tihchhiat nghal) .
• Pituitary gland hi a lo thang tha lo emaw, pian tirh lamah a lo piang dik lo emaw a ni.

Hypothalamus nena inzawm chhan

Hypothalamus tichhe thei leh panhypopituitarism thlen thei dinhmunte chu:

• Thluak hliam na tak (TBI) .
• Hypothalamus-ah emaw, a bulah emaw thluak surgery tih a ni
• Cancer ni lo tumor, hypothalamus-a lo awm (e.g. craniopharyngiomas) .
• Taksa hmun dang atanga hypothalamus-a darh (metastasized) cancer (e.g. lung, hnute cancer) .
• Hydrocephalus (thluaka tui tam lutuk avanga pressure) .
• Thai
• Tuberculous meningitis natna a ni

Engtin nge Panhypopituitarism hi an hriat theih?

He natna lanchhuahna i neih chuan i doctor chuan i natna lan chhuah dan leh i damdawi lam chanchin a zawt hmasa ang che a, chumi hnuah taksa enfiahna a nei leh ang.

Tichuan, panhypopituitarism dinhmun finfiah nan leh heng symptoms thlentu tur condition dang te pawh paih chhuah nan test tul tak tak tih tir an ni.

Diagnostic test te hi engte nge ni?

Doctor-te hian he natna hi hriat theih nan test eng emaw zat an ti tlangpui a, chung zingah chuan imaging test leh hormone level test te pawh a tel.

Imaging test te pawh a awm

Panhypopituitarism hi hypothalamus emaw pituitary gland emaw tihchhiat vang a ni a, a chhan hriat nan heng ang imaging test te hi tih theih a ni:

• Brain MRI (Magnetic Resonance Imaging) scan: MRI scan hian radio wave leh magnetic field chak tak hmangin taksa chhung lam chipchiar taka thlalak a siam chhuak thin. MRI scan hi pituitary tumor hmuhchhuahna tha ber nia ngaih a ni. Hypothalamus emaw pituitary gland emawa harsatna dang awmte hriatchhuahna kawngah pawh an pui thei bawk.
• CT (Computed Tomography) scan of the brain: CT scan hian X-ray leh computer hmangin thluak thlalak chipchiar tak tak a siam a. He test hmang hian thluaka tumor emaw pituitary adenoma emaw a awm leh awm loh enfiah theih a ni. Hypothalamus emaw pituitary gland emawa harsatna dang awmte hriatchhuahna kawngah pawh a pui thei bawk.

Hormone test a ni

Panhypopituitarism symptoms i neih chuan i doctor chuan pituitary gland atanga hormone chhuah zawng zawng level a teh a ngai ang. Hei hian hormone tinte chu engtiang chiahin nge a hniam tih hriat theih nan a pui ang a, natna dang pawh a paih chhuak thei bawk ang.

Pituitary hormone thenkhat chu kan thisenah a awm tlangpui laiin, hormone dang erawh chu nitin a inthlak danglam nasa hle thung. Chuvangin hormone test thenkhat chu thisen test awlsam tak angin tih theih a ni a, thenkhat erawh chu special stimulation test a ngai thung.

Hormone level test-naah hian:

• Thisen test: Thisen test awlsam tak hian pituitary hormone thyroid-stimulating hormone (TSH), prolactin, follicle-stimulating hormone (FSH), leh luteinizing hormone (LH) te chu a teh thei a ni. Pituitary hormone-in a nghawng hormone dang, thyroxine, estrogen, leh testosterone te pawh an teh thei bawk.
• ACTH tihchakna test: 1.1.Hei hian i adrenal glands te hian adrenocorticotropic hormone (ACTH) an chhan dan a test thin. Hei hian synthetic ACTH injection pek che a, a hun taka thisen sample lak a huam a ni.
• Growth hormone (GH) stimulation test: He test atan hian i doctor chuan damdawi a inject ang che. He damdawi hian pituitary gland chu growth hormone chhuah tir turin a tichak tlangpui. Tichuan, i thisen sample lak a ni ang a, i GH level te chu a teh ang.
• Insulin tolerance test: He test hian growth hormone (GH) leh ACTH tlakchhamna a hriat theih nan a pui a ni.

Panhypopituitarism hi engtin nge enkawl a nih?

He natna enkawl dan hi mi hrang hrangah a inang lo. Pituitary hormone level a hniam dan leh a chhan bulpui ber chu eng nge ni tih ah a innghat. Chuvangin, enkawl dan tur ruahmanna hi mimal tak a ni. I medical team chuan i tan enkawlna tur tha ber tur an ruat ang.

Enkawlna hman tlanglawn tak tak thenkhat chu:

• Hormone replacement therapy: Hei hian a tum ber chu pituitary hormone tlakchham tawhte chu hrisel taka siam leh a ni. Panhypopituitarism vei te hian a chhan bulpui enkawl theih a nih loh chuan dam chhung zawng hormone thlak danglamna therapy an mamawh dawn a ni. Hormone thlakna damdawi thenkhat chu pill angin an ei a, thenkhat chu injection angin an pe bawk.
• Surgery: He natna hi thluaka tumor emaw pituitary adenoma emaw avanga lo awm a nih chuan i doctor chuan a tumor lakchhuah nan operation neih a rawt thei ang.
• Radiation therapy: He natna hi thluaka tumor emaw pituitary adenoma emaw avanga lo awm a nih chuan tumor enkawl emaw tihtlem emaw nan radiation therapy hman a tha thei.
• Corticosteroids: Taksa emaw rilru emawa harsatna thlen thei thil thleng hma leh/ emaw, a awm lai pawhin corticosteroids dose sang tak i ei a ngai mai thei. Taksa lama harsatna thlentu chu natna, natna hrik kai leh operation te a ni. Heng corticosteroids te hi ACTH tlakchhamna avanga adrenal hormone siam chhuah loh thlak nan pek thin a ni. Heng hormone te hi taksa a stress lai hian a pawimawh hle.

Panhypopituitarism hi a dam kim thei ang em?

A then phei chuan panhypopituitarism hi a chhan bulpui enkawlna hmangin tihdanglam theih a ni (entir nan, pituitary gland-a pressed tawh pituitary adenoma chu surgery hmanga lakchhuah a ni a, gland a chhiat loh chuan). Mahse, a tam zawkah chuan , panhypopituitarism avanga hormone tlakchhamna hian dam chhung enkawl a ngai a ni.

Hetiang dinhmun hi ven theih a ni em?

A tam zawkah chuan panhypopituitarism hi ven dan tur a awm lo. Mahse, he natna hi i hlauhawm a nih chuan a hmaa hriat theih dan a awm.

A hnuaia mi hi i tawng tawh a nih chuan panhypopituitarism i vei theihna a sang zawk a ni:

• Thluak emaw pituitary gland emaw operation i neih tawh chuan.
• Thluak leh/ emaw pituitary gland-a radiation hmanga enkawlna i neih tawh chuan.
• Thluak hian accident (Traumatic brain injury) avanga shock a tawk a nih chuan.
• Hydrocephalus (thluaka tui awm zat) i vei a nih chuan.

I hlauhawm a nih chuan i doctor chuan i pituitary gland leh/ emaw hypothalamus hnathawh leh hriselna enfiah turin a rawt fo ang.

Panhypopituitarism hi eng prognosis nge ni?

He natna thlirna, chu chu nakin lawka damlo dinhmun tur chu thil engemaw zatah a innghat a ni:

• Pituitary hormone tin hi engzat nge a hniam.
• Natna a lo chhuah tirh khan i kum.
• He dinhmun hi zawi zawiin nge a lo thang chak ang?
• Engtiang chiahin nge natna hi hriatchhuah a, enkawl tan theih ang?

Panhypopituitarism hi nunphung leh dam rei zawng tihhniamna nasa tak nen a inzawm tih hmuhchhuah a ni.

Hetiang natna vei te hian thau lutuk, taksa thau lo tlahniam, leh rilru lam natna te an nei tam fo thin. Tin, osteoporosis (ruh hring) leh ruh tliak te pawh an nei sang thei bawk.

Mahse, fimkhur taka, hormone thlak danglamna therapy kimchang tak leh cardiovascular risk factors uluk taka enfiah hian outcome a ti tha thei a ni. Chuvangin damdawi lam thurawn zawm a pawimawh hle.

Panhypopituitarism i neih chuan engtikah nge doctor i hmuh ang?

Panhypopituitarism symptoms i neih chuan, emaw, he natna hi i vei tih hmuhchhuah a nih chuan endocrinologist, hormone-related disorders enkawlna lama tui doctor pan a ngai mai thei.

I hormone replacement therapy a thawk tha em tih leh hormone thlak tam lutuk loh nan i dam chhungin i endocrinologist i hmuh fo a ngai dawn a ni.

Diagnosis thar i hmuh hian hlauhna i neih hi thil pangngai a ni. Mahse panhypopituitarism chungchang hi doctor hnenah zawhna zawh hreh suh. Nun chhung zawnga enkawl leh hormone enfiah a ngai fo avangin doctor pan fo a pawimawh. Symptom thar emaw, ngaihtuahawm tak emaw i neih chuan doctor hnenah hriattir nghal rawh. I tanpui turin an awm reng a ni.

Thil pawimawh hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thenkhat chu khaikhawm ila:

• Panhypopituitarism hi thil awm lo mahse na tak a ni a, pituitary gland atanga hormone siam zawng zawng a tlahniam vek a ni.
• Hei hi chhan tam tak a awm thei a, a bik takin pituitary gland emaw hypothalamus emaw tihchhiat a ni.
• Symptoms a inang lo va, a chang chuan nunna atana hlauhawm tak tak , adrenal crisis ang chi pawh a awm thei bawk. Chuvangin, natna lanchhuahna i neih chuan damdawi lam thurawn la nghal rawh.
• Diagnosis dik tak neih nan thisen test leh MRI/CT scan ang chi thil a ngai a ni.
• Enkawlnaah hian dam chhung zawnga hormone thlak danglamna therapy a awm fo thin.
• I doctor nena thawhhona tha tak leh test leh enkawlna dik tak i neih chuan he natna hi hlawhtling takin i nung thei ang.

He thu hi in tan a tangkai ngei ka beisei. Nangmah chauh i ni lo tih hre reng la, doctor leh healthcare provider-te pawhin tanpui turin an awm reng a ni.

` Panhypopituitarism, pituitary gland, hormone tlakchhamna, hypothalamus, hormone therapy, thluaka tumor, ACTH