Pituitary tumor (Pituitary Adenoma) hi hlau suh! Hemi chungchang hi han sawi ila

Kan lu-a "tumor" tih thumal kan hriat hian mi zawng zawng an hlau nghal vek a ni lawm ni? Chu chu thil pangngai a ni. Mahse kan hriatthiam tur pawimawh tak chu lu-a tumor lo awm zawng zawng hi cancer a ni vek lo tih hi a ni. Vawiin hian kan thluak hnuaia gland te tak te pakhata tumor lo awm, mahse a tam zawkah chuan cancer a ni lo tih kan sawi dawn a ni. Hei hi medical science-ah chuan pituitary adenoma an ti a. Chuvangin he thu hi chipchiar takin, awlsam takin han sawi ila.

A hmasain, Pituitary Adenoma chu eng nge ni?

A awlsam zawngin sawi ila, pituitary adenoma chu i pituitary gland-a tumor lo awm a ni. Mahse, benign tumor a ni. Chumi awmzia chu cancer angin taksa peng dangah a darh lo tihna a ni. Mahse heng tumor te hi an lo thanglian zel chuan a chhehvel tissue leh nerve te chu an press thei a ni. Chutah chuan symptom hrang hrang a lo lang tan ta a ni.

Chuti a nih chuan, he pituitary gland hi eng nge ni?

Pituitary gland hi ruh ang maia lian, thluak hnuai lam deuh, hnar hnung lama awm a ni. Thluaka hypothalamus nen a inzawm tlat a ni. He gland te tak te hian hmun hnih a nei a, chungte chu anterior lobe leh posterior lobe an ni. Heng peng pahnihte hian kan taksa tana pawimawh hormone engemaw zat an siam chhuak a.

Hormone te hi kan taksaa palai ang mai an ni. Thisen kal tlangin kan taksa peng hrang hrang, taksa peng leh taksa peng dangte chu hna hrang hrang thawk turin an zirtir a ni.

Pituitary gland atanga hormone siam chhuah ber thenkhat chu hetiang hi a ni:

• Adrenocorticotropic hormone (ACTH) hmanga tihdam theih a ni.
• Antidiuretic hormone (ADH) hmanga tihdam theih a ni.
• Follicle tichaktu hormone (FSH) a ni.
• Hmasawn theihna hormone (GH) .
• Luteinizing hormone (LH) tih a ni a, a man hi a to hle.
• Oxytocin a ni
• Prolactin a ni
• Thyroid tichaktu hormone (TSH) .

Tin, pituitary gland hian kan taksa chhunga endocrine gland dangte chu hormone siam turin signal a pe bawk. Head office ang mai a ni. Chuvangin he gland-ah hian tumor a lo awm chuan heng hormone pakhat emaw a aia tam emaw hnathawh hi a danglam thei ngei ang.

Engtin nge pituitary adenomas hi an classified?

Doctor-te chuan heng tumor te hi chi hnih ah an then a, extra hormone an siam leh siam loh a zirin, an lian leh te a zirin.

Hei hi thluak natna (brain tumor) anga ngaih a ni em?

Awle. Pituitary gland hi technically chuan thluak chhunga awm a ni lo va, thluak nena inzawm endocrine gland a ni zawk. Mahse, doctor-te chuan pituitary adenoma hi thluaka tumor angah an ngai thung. Hetiang tumor hi luruh chhunga tumor lo awm zinga 10% chauh a ni.

Pituitary adenoma natna lan chhuah dan chu engte nge ni?

Heng tumor te hi a lan chhuah dan hi a inang lo thei hle a, thil engemaw zat a zirin:

• Tumor chu a lo thang lian a, a chhehvel tissue a tichhe emaw, pituitary gland ngei pawh a tichhe emaw (hei hi mass effect an ti a).
• Hormone tichhuaktu functioning tumor a ni em, a nih chuan eng hormone nge a tam lutuk tihchhuah?

Tumor lian vanga pressure natna lan chhuah dan (Mass Effect) .

Heng symptoms te hi macroadenomas (tumor lian) ah hian a tam hle.

• Mit lama harsatna: Hei hi a lan chhuah dan ber a ni. Damlo 40%-60% chuan mitdelna (blurred vision, double vision) an nei thin. Hei hi a chhan chu tumor a lo lian chhoh zel chuan kan mit atanga optic nerve lo inzawmkhawmna optic chiasm a press vang a ni. Hei hian peripheral vision a hloh a, a bik takin mit lamah .
• Lu na: Tumor hian a chhehvel tissue a press avangin lu na a awm thei. Amaherawhchu, lu na hi a tam em em avangin chhan dang vangin a awm thei bawk.
• Hypopituitarism: Tumor lian tak hian pituitary gland cell te a tichhe thei a, hormone pakhat emaw a aia tam emaw siam chhuah a ti tlem thei a ni. Hormone tlakchhamna pakhat zel symptoms hi a inang lo.
• LH leh FSH hormone tlakchhamna: Hei hian hmeichhiaah estrogen level a ti hniam a, mipaah ​​testosterone level a ti hniam bawk. Hei hi hypogonadism an ti a . A natna lan chhuah dan chu thlasik hun mumal lo, mipa rilru hahna tlahniam, hah, leh mipat hmeichhiatna lama harsatna nei te a ni.
• TSH hormone tlakchhamna: Hei hian thyroid hormone siamchhuah a ti tlahniam a. Hei hi hypothyroidism an ti a . Hei hian hahna a thlen thei a, chaw ei kham, vun a vawt a, heart rate a ti hniam thei bawk.
• ACTH hormone tlakchhamna: Hei hian hormone cortisol siam chhuah a tihtlem phah a ni. Hei hi adrenal insufficiency an ti a . Thisen sang hniam, luak chhuak, luak chhuak, pum na, ei duh loh ang chi natna lanchhuahna a awm thei.
• GH hormone tlakchhamna: Growth hormone tlakchhamna chhinchhiahna hi kum a zirin a inang lo. Puitlingte chuan hahna leh taksa ruh chak lohna an nei thei.

Hormone extra siamtu tumor (Functioning Adenomas) avanga natna lan chhuah dan .

Heng tumor chi hrang hrangte hian hormone pakhat emaw a aia tam emaw a siam tam lutuk a, chu chuan hriselna lama harsatna hrang hrang a thlen thei a ni.

Engvangin nge pituitary adenomas hi a lo awm?

Scientist-te chuan a chhan dik tak chu an la hre lo a, mahse kan DNA-a random changes (mutations) avanga lo awm fo niin an ngai . Heng inthlak danglamna te hian pituitary gland chhunga cell te chu thunun theih lohvin a thang lian a, tumor a siam thin.

A châng chuan hengte hi thlah kal zelah thlah kal zelah, a tam zawkah chuan a lo thleng mai mai ṭhin, genetic condition nen a inzawm thei a ni.

Engtin nge he natna hi kan hriat theih ang?

I doctor chuan i symptoms a zirin hei hi hriat theih nan test a ti ang. A châng chuan, heng tumor te hi chhan dang vangin lu scan laiin accident-in hmuh tur a awm thei bawk.

I doctor-in he natna hi a rinhlelh chuan a hnuaia test hi a order thei ang:

• Thisen test: I natna lan chhuah dan azirin hormone level hrang hrang enfiah nan thisen test tir tur a ni.
• Imaging test: Lu MRI (Magnetic Resonance Imaging) emaw CT (Computed Tomography) scan hmangin he tumor hi a awm tih finfiah theih a ni.
• Mit enfiah: Mit lama harsatna i neih chuan i mit hnathawh dan enfiah nan visual field test tih a ni ang.

Enkawlnate chu engte nge ni?

Hei hi a tlangpuiin enkawlna kawng pathum a awm a, chungte chu operation, damdawi leh radiation therapy te an ni. I medical team chuan i tumor chi, a lian leh a lan dan a zirin eng damdawi nge i tana tha ber tih an rel ang.

1. Surgery: Tumor hian hormone inthlauhna emaw, mit lama harsatna emaw a thlen a nih chuan, doctor chuan a tumor zawng zawng emaw, a then emaw paih chhuah nan surgery neih a rawt thei ang.

• Chumi atana hman tlanglawn ber (95%) chu transsphenoidal surgery , a ni a, chutah chuan camera te tak te leh instrument te chu hnar kaltlangin dahin tumor chu lakchhuah a ni.
• Tumor a lian hle a nih chuan transcranial surgery hmanga tih a ngai mai thei a, chu chu luruh kaltlangin tih a ni.

2. Damdawi: Tumor chi thenkhat, a bik takin Prolactinomas , damdawi hmanga enkawl theih a ni. Heng damdawi te hian tumor chu a ti tlem a, symptoms a control bawk. A tlangpuiin hei atan hian damdawi cabergoline emaw bromocriptine emaw pek thin a ni. Damlo 80% chuan heng damdawi hmang hian result tha tak an hmu thin.

3. Radiation therapy: Hei hi high-energy X-ray hmanga tumor tihtlem emaw, a thanna tihtawp emaw a ni. Hei hi technique bik stereotactic radiosurgery tih hmanga tih a ni . Hei hian tumor chu radiation beam hmanga target a, a chhehvela tissue hrisel tihchhiatna tihtlem a huam a ni.

Enkawl hnuah eng nge thleng? Prognosis a ni

Hei hi a hmalam hun a tha hle. Enkawlna hmanga tumor chu a bo vek hnuah chuan mi tam zawk chuan nun famkim, hrisel takin an hmang thei a ni.

A chang chuan surgery emaw radiation therapy emaw hian pituitary gland a tichhe thei a, hormone level a tlahniam (hypopituitarism). Chutiang a nih chuan hormone level hniam tak thlak nan i dam chhung zawng hormone thlakna pill i ei a ngai mai thei.

Heng tumor te hi a chang chuan a lo lang leh thei a, chuvangin enkawl hnuah pawh medical checkup neih fo a pawimawh hle.

Enkawl loh chuan eng harsatna nge awm thei?

Enkawl loh chuan a bik takin tumor lian (macropadenomas) leh hormone siamtu tumor (functioning adenomas) te hian hriselna lama harsatna lian tak a thlen thei a ni.

Heta thil thleng hi chu tumor chu thisen a chhuak nghal a, tumor chhungah emaw, a chhuak emaw a ni. Tumor chu a lo lian nghal a, pituitary gland a tichhia a ni. Chumi chhinchhiahna chu a lo lang nghal vek a ni.

• Lu na na tak, rang tak a ni.
• Double vision emaw mit ruh hnathawh that loh vanga mitmeng hawn theih loh emaw.
• Mit hmuhna hloh nghal emaw, side vision hloh emaw.
• Thisen sang tlahniam nghal, luak chhuak leh luak chhuak.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah tlai lovin i pan tur a ni. Hei hi nunna atana hlauhawm emergency a ni.

Pituitary adenoma i vei tih hmuhchhuah a nih chuan hlauhna i neih hi thil pangngai a ni. Mahse, hengte hi cancer a ni lo fo tih hre reng ang che. Tin, tunlai enkawlna hmasawn tak tak hmang hian an dam vek thei bawk. I doctor nen zalen takin inbiakna nei la, i zawhna zawng zawng zawt rawh.