I pituitary gland-ah tumor i nei em? (Pituitary Adenoma) A chanchin hi i zir chiang ang u!

Nang pawhin chhan awm lovin a chang chuan lu na i nei thin em? A nih loh leh i mit chu tlem a chak lo deuhin i hria a, a sir atanga thil lo chhuak pawh i hmu tha thei lo em ni? A nih loh leh, i taksa hormone inthlak danglamna engemaw zat avanga lungawi lohna i nei em? Heng thilte chhan hi i pituitary gland-a tumor te tak te lo awm vang pawh a ni mai thei. Vawiin hian he natna `Pituitary Adenoma` tih hi chipchiar takin kan sawi dawn a ni. Lungngai suh, hei hi cancer a ni lo.

Pituitary adenoma tih hi eng nge ni?

A awlsam zawngin sawi ila, pituitary adenoma hi cancer ni lo (benign) tumor a ni a, i pituitary gland-ah a lo awm a ni. Cancer angin taksa peng dangah a darh lo. Chu chu a pawimawh ber a ni. Mahse, he adenoma hi a lo lian chhoh zel chuan a chhehvela nerve leh thisen kalna kawngte ang chi thilte chu a press thei a ni. Chutah chuan symptoms a lo lang tan ta a ni.

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

Kan hnar hnung lamah, thluak bul, ``Hypothalamus`` nena inzawm hian pea ang maia lian gland te tak te a awm tih han ngaihtuah teh. Chu chu pituitary gland an tih chu a ni. A te hle nachungin kan taksaah hna pawimawh tak a thawk a ni. He gland hian hmunpui pahnih a nei a:

• A hmalam Lobe
• Hnunglam Lobe (Posterior Lobe) a ni

Heng peng pahnihte hian hormone chi hrang hrang thisenah an siam chhuak a, an chhuah bawk. Hormone te hi chemical messenger ang mai an ni a, kan taksaa thil tih hrang hrang control leh coordinate a ni. Thisen kal tlangin an kal a, kan taksa peng, taksa peng leh taksa peng dangte hnenah thuchah tul tak tak an thlen thin. Pituitary gland siam hormone pawimawh thenkhat chu hetiang hi a ni:

• Adrenocorticotropic hormone (ACTH emaw Corticotropin emaw) hmanga siam a ni.
• Antidiuretic hormone (ADH emaw Vasopressin emaw) a ni.
• Follicle tichaktu hormone (` FSH` ) .
• Hmasawn theihna hormone (`GH`) .
• Luteinizing hormone (`LH`) tih a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a . .
• Prolactin a ni
• Thyroid tichaktu hormone (`TSH`) .

Hei mai ni lovin, pituitary gland hian kan taksa chhunga endocrine gland dangte chu hormone siam turin "signal" a pe bawk. Chuvangin he pituitary gland-ah hian harsatna, adenoma ang chi a awm chuan hormone pakhat emaw hormone engemaw zat emaw hnathawh a nghawng thei tih i hrethiam thei ang.

Engtin nge heng adenoma chi hrang hrangte hi an thliar hrang?

Doctor-te chuan pituitary adenomas hi chi hnih ah an then a: 1. Hormone an siam chhuah leh siam loh a zirin:

• Adenoma hnathawh/Secreting: 1.1.Chu bâkah, heng adenoma chi hrang hrangte hian pituitary hormone pakhat emaw, a aia tam emaw an siam chhuak bawk . Chuvangin, hormone siam chhuah tam lutuk dan azirin symptom leh condition hrang hrang a awm thei.
• Nonfunctioning/Non-secreting adenomas: Heng adenomas te hian hormone an siam chhuak lo. Mahse, an lo lian chuan an hnaih ber thluak hmun emaw, nerve emaw an press a, symptoms an siam thei a ni . Hei hi doctor-te’n an tawn tam ber adenoma chi a ni.

2. A lian zawng a zirin:

• Microadenomas: Hei hi tumor millimeter 10 (chu chu centimeter 1) aia te a ni.
• Macroadenomas: Hei hi tumor millimeter 10 aia lian a ni. Macroadenoma hi microadenomas aiin a let hnih velin a tam zawk a ni. Tin, pituitary hormone pakhat emaw a aia tam emaw (hypopituitarism an tih condition) level hniam tak an thlen tam zawk bawk.

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

Pituitary gland hi a takah chuan endocrine system-a awm a ni a, technically chuan thluaka a tel lo. Thluak bulpuiah a inzawm tlat a ni. Mahse, doctor-te chuan pituitary adenomas hi thluaka tumor chi khat niin an ngai a ni . Pituitary adenomas hian primary brain tumor zinga 10% chauh a huam a ni.

Hengte hi tuin nge dawng tam zawk? Engtiang chiahin nge a hluar?

Pituitary adenomas hi kum eng pawhah a lo awm thei. Mahse, kum 30 leh 40 inkar ah an tam ber . Hmeichhia pawhin mipa aiin an nei tam zawk. An tam em em a, luruh chhunga tumor lo thang zawng zawng zinga 10% atanga 15% vel an ni. Statistics atanga a lan dan chuan mi 100,000 zinga 77 velin he natna hi an nei a ni. Mahse, zirchiangtute chuan mi tam zawk, 20% vel pawh ni thei, an dam chhungin engtik lai pawhin pakhat an nei leh dawn niin an ngai. Vawi tam tak, a bik takin microadenomas (`microadenomas`) nei te hian symptom an nei lo va, chuvangin hmuhchhuah lohvin an awm thin.

Pituitary adenoma natna lan chhuah dan chu engte nge ni?

Pituitary adenoma symptoms hi mi hrang hrangah a inang lo thei hle. Thil engemaw zatah a innghat ber a ni:

• Adenoma hi a lianin a lian a, pituitary gland ngei pawh a tichhe em tih te, a chhehvela thil awmte chungah ``mass effect'' a thlen em tih te.
• Hormone chhuak (`functioning`) adenoma a ni em? Chutiang a nih chuan a natna lan chhuah dan chu a hormone siam chhuah chi hrang hrangah a innghat ang.

`Mass Effect` symptoms hi `Macroadenomas` (tumor lian) avanga lo awm a ni.

Adenomas lian tak tak (`Macroadenomas`) hian symptoms a thlen chhan ber chu a chhehvel tissue-a pressure vang a ni.

Ngaihtuah teh, thil lian tak chu pindan tenau takah i dah a nih chuan thil dang dahna tur hmun a awm lo va, mipui an tam hle ang.

• Mit lama harsatna nei:

Pituitary adenoma lian tak nei zinga 40% atanga 60% velMit hmuh hloh (blurred vision, double vision) a awm thin. Hei hi adenoma hian mit leh thluak inzawmkhawmtu optic chiasm a press vang a ni. Hei hian peripheral vision a hloh thei a, a bik takin a sir lamah a tichhe thei a ni. Sakawr pakhatin a sir lehlamah a mit a hloh ang mai a ni.

• Lu na : 1.1.

Pituitary adenomas vei tam tak chuan lu na fo thin an ni. Hei hi tumor hian a chhehvel tissue a press vang pawh a ni thei. Mahse, lu na hi thil tam tak avanga lo awm a nih tlangpui avangin thil dang vang pawh a ni thei.

• Hormone tlakchhamna: 1.1.

Adenomas lian (`Macroadenomas`) hian pituitary gland tissue a tichhe thei a, pituitary hormone pakhat emaw a aia tam emaw siam chhuah a ti tlem thei bawk. Hetiang dinhmun hi `Hypopituitarism` an ti a. Hormone tin tihtlem a nih chuan symptoms lo awm thin pawh a inang lo.

• LH leh FSH hormone a tlahniam (`Hypogonadism`): Hmeichhiaah ` Oestrogen` leh mipaah ​​` Testosterone` level a tlahniam a. Hei hian natna lan chhuahna a thlen thei a, chu chu thawmhnaw hah lutuk , hmeichhiaah vaginal dryness, mipaah ​​` Erectile Dysfunction`, hmai leh taksa sam sei tlem, mipa pahnihah mood swing, mipat hmeichhiatna lama duhna tlahniam, leh hah lutuk te a thlen thei a ni.
• TSH hormone level a tlahniam chuan (`Hypothyroidism`): Thyroid gland atanga hormone siam chhuah zat a tlahniam. Hei hian symptoms a thlen thei a, chu chu hahna, chaw ei kham, heart rate slow, vun vawt, ke ruh hring, leh reflexes tihchhiat te a ni.
• ACTH hormone a hniam chuan (`Adrenal Insufficiency`): Taksain hormone `Cortisol` a siam chhuah hi a tlahniam a. Hei hian thisen sang hniam, luak chhuak, luak chhuak, pum na, ei duh lohna te a thlen thei a ni.
• GH (Growth Hormone Deficiency): Kum a zirin natna lan chhuah dan a inang lo. Puitlingte chuan hahna leh taksa ruh (muscle mass) hloh an nei thei.

Adenomas hnathawk thei chhinchhiahna

Hormone pakhat emaw a aia tam emaw a chhuah bakah hian functional adenoma hian hormone tin nena inzawm symptom leh condition hrang hrang a thlen thei a ni.

• Prolactinomas (Lactotroph Adenomas tia hriat bawk):

Heng adenomas te hian hormone prolactin an siam tam lutuk a ni . Hetiang dinhmun hi hyperprolactinemia an ti a. Pituitary tumor 10 zinga 4 vel chauh hi hetiang chi hi an ni. Hei hi pituitary adenoma chi khat zingah chuan a tam ber a ni.Prolactin level a san chuan hmeichhia leh mipa reproductive system hnathawh dan pangngai chu a tibuai thei a ni.

• Hmeichhia leh mipa tan pawh nau pai theih lohna (infertility) a ni.
• Naupai loh lai pawhin hnute atanga tui chhuak (`Galactorrhea`).

• Somatotroph Adenomas te hi a awm a.

Heng adenomas te hian growth hormone (`Growth Hormone` emaw `Somatotropin`) tam lutuk an siam chhuak thin. Pituitary tumor 10 zinga 2 vel chu hetiang chi hi an ni. Hemi avanga natna lan chhuah dan hi kum a zirin a inang lo.

• Puitling: Natna hmuh tur awm lo mahse na tak `Acromegaly` an tih hi a awm thin. Hemiah hian taksa ruh leh tissue te chu a pangngai lo takin an thang lian thin. Hun a kal zel a, kut, ke leh lu te chu a lian chho zel a, hmai pianzia pawh a inthlak danglam thin. Thisen thlum control a nghawng bawk a, heart muscle pawh a lian thei bawk.
• Naupang leh puitling tleirawl: Gigantism an tih dinhmun a awm thin. Growth hormone tam lutuk vangin a sang lo hle.

• Corticotroph Adenomas te hi a awm thei lo.

Heng adenomas te hian ACTH (adrenocorticotropic hormone) an siam tam lutuk a ni . Pituitary tumor 10 zinga 1 vel chu hetiang chi hi an ni. ACTH hormone hian adrenal glands te chu a tichak a, steroid hormone cortisol ang chi tam zawk a siam chhuak thin. Hei hian Cushing’s Syndrome (cortisol tam lutuk) a thlen thin.

• Thisen sang a sang.
• Muscle chak lohna.
• Bruising awlsam tak.
• Pum chhungah hian purple stripe zau tak (`Stretch Marks`) a lang a.
• Ruh natna (Osteoporosis) a awm.
• Compression hmanga tihchhiat a ni.
• Type 2 Diabetes Mellitus a ni.

• Thyrotroph Adenomas te chu a awm a.

Heng adenomas te hian TSH (thyroid stimulating hormone) tam lutuk an siam chhuak thin . Hengte hi a tlem hle. TSH hian thyroid gland a tichak a, thyroid hormone tam zawk siam turin a tichak a ni. Hei hian `Hyperthyroidism` (overactive thyroid condition) a thlen a, chu chuan taksa metabolism a ti chak hle.

• Heart rate a sang chho zel.
• Chhan awm lovin taksa rihna tihtlem.
• Stool loose fo thin.
• Thawmhnaw hak.
• Kut a nghing.
• Hlauhthawnna.

Pawimawh: Hyperthyroidism hi a chhan dang tam tak a awm a. Pituitary adenoma hi a awm lo hle.

• Gonadotroph Adenomas te hi a awm a.

Heng adenomas te hian gonadotropins (i.e., hormone LH leh FSH) tam lutuk an siam chhuak thin. Hei pawh hi a tlem hle.

• Hei hian hmeichhiate chu thlasik hun mumal lo leh Ovarian Hyperstimulation Syndrome (OHSS) ang chi dinhmun a thlen thei a ni.
• Mipa hian natna lan chhuah dan chu, testicles lian, aw thuk, sam tlakchham (beng hnunglam), leh hmai sam lo sei chak lutuk te hi an nei thei a ni.
• Naupangte pawhin precocious puberty an tawng thei bawk.

Pituitary adenoma hi engte nge ni?

Scientist te hian heng adenomas te hi eng thil nge a thlen tih chiang takin an la hre lo. Mahse, adenoma thenkhat chu kan cell-a genes (`DNA`) random change (`mutations`) nen a inzawm nia ngaih a ni. Heng genetic changes te hian pituitary gland chhunga cell te chu rang takin a tipung a, mass a siam thin. Heng genetic changes te hi a chang chuan nu leh pa atanga fate hnena rochun (hereditary) a ni thei a, a nih loh leh random takin a lo awm thei bawk. Chu bakah, pituitary adenomas hi genetic condition hmuh tur awm lo thenkhat nen pawh a inzawm thei bawk . Entirna thenkhat chu:

• ``Multiple Endocrine Neoplasia chi 1 (MEN1) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo''.
• ``Multiple Endocrine Neoplasia chi 4 (MEN4) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo''.
• `Carney complex` tih a ni
• `X-LAG syndrome` tih a ni
• ``Succinate dehydrogenase nena inzawm chhungkaw pituitary adenoma''.
• `Neurofibromatosis chi 1` a ni
• ``Von Hippel–Lindau natna a ni'' tih hi a ni.

Hetiang genetic condition nei hi pituitary adenoma vei theihna a sang hle. Mahse, chutiang genetic condition nei lote pawhin heng adenomas te hi an nei thei tih hriat reng a pawimawh.

Engtin nge doctor-te hian he natna hi an hriat theih?

Pituitary adenoma hriat dan hi adenoma i neih chi hrang hrang leh a symptoms thlentu a nih leh nih loh a zirin a inang lo. A tam zawkah chuan hormone-secreting adenoma (`Functioning Adenoma`) nei chu a natna lan chhuah dan a zirin hormone imbalance (e.g. `Cushing’s Syndrome`, `Acromegaly`) a nei tih hmuhchhuah hmasak a ni. Chumi hnuah chauh chuan adenoma hi a chhan chhui chian a nih chuan hmuhchhuah a ni. Hei hi a chhan chu hormone tam lutuk avanga natna tam tak hian pituitary adenomas bakah hian chhan dang a nei thei a ni. Chutiang bawk chu pituitary hormone tlakchhamna (`Hypopituitarism`) chungchangah pawh sawi theih a ni. A chang chuan, pituitary adenoma hi natna dang avanga lu scan (`Imaging Test`) neih laiin `Incidental Finding` anga hmuhchhuah a ni. Hetianga adenoma hmuh tam zawk hi a lian lo va, a thawk thei lo tlangpui.

Hei atan hian eng test nge tih thin?

I doctor chuan pituitary adenoma i nei nia a rinhlelh chuan i natna lan chhuah dan te, i damdawi lam chanchin te ngun takin a enfiah ang a, taksa enfiahna a nei ang. Chu bâkah, a hnuaia test pakhat emaw, a aia tam emaw pawh an rawt thei bawk:

• Thisen Test: I natna lan chhuah dan azirin pituitary hormone hrang hrang level enfiah nan thisen test tir tur a ni.
• Imaging Tests: MRI (Magnetic Resonance Imaging) hmanga lu emaw...`CT (Computed Tomography)` scan hmangin lu chhunga thil awmte chu chiang takin a lang thei a ni. Heng test te hian pituitary adenoma a awm leh awm loh leh a lian zia a finfiah thei a ni. Chumi atan chuan `MRI` test hi a remchang ber leh sensitive ber a ni.
• Mit Exam: Mit lama harsatna i neih chuan i doctor chuan visual field test a ti thei ang. He test hi a pawimawh a, a chhan chu pituitary adenomas lian tak takte hian mit leh thluak inzawmkhawmtu optic nerve chu a compress avangin mit hmuhna lama harsatna a thlen thei a ni.

Pituitary adenoma hi engtin nge enkawl a nih?

Pituitary adenomas enkawl dan tlangpui pathum a awm a, chungte chu operation, damdawi leh radiation therapy te an ni. A châng chuan heng hmanrua pakhat emaw, a aia tam emaw hi hman dun theih a ni. Mi zawng zawng adenoma leh dinhmun a inang lo vek avangin nang leh i medical team te chuan i tan a tha ber tur treatment plan chu i siam thei ang.

Adenoma tihbo nan operation tih a ni

Hormone inthlauhna thlentu emaw, i mit tichhe thei emaw adenoma i neih chuan i doctor chuan adenoma zawng zawng emaw, a then emaw paih chhuah nan operation neih a rawt mai thei. Adenoma lian tham leh i natna lan chhuah dan nasat dan azirin vawi khat aia tam operation neih a ngai mai thei. Surgeon te hian he procedure hi `Transsphenoidal Surgery` tih hmangin an ti fo thin. Hei hian hnar kaltlangin leh sphenoid sinus (hnar hnung lama hmun hrui, thluak hnuai lam) kaltlangin pituitary gland thleng a, adenoma chu paih chhuah a ngai a ni. Hetiang hian pituitary tumor 95% vel chu lakchhuah a ni. Procedure a him tawk hle. Mahse, adenoma hi a lian lutuk a, hnar hmanga lakchhuah theih loh emaw, hmun harsa takah a awm emaw chuan surgeon chuan transcranial surgery a tih a ngai mai thei. Hei hi pituitary adenomas tan chuan tih dan tur awm lo tak a ni.

Damdawi hmanga enkawl

Pituitary adenomas chi thenkhat, a bik takin prolactinomas , chu damdawi hmangin control theih leh tihtlem theih a ni. Prolactinomas (heng chi hrang hrang hi a tam ber) vei te hi a tirah chuan dopamine agonist, Cabergoline (Dostinex®) emaw Bromocriptine (Cycloset®) emaw hmangin thla engemaw zat an enkawl thin.

Thu lawmawm tak chu 80% velin heng damdawi te hian prolactinoma chu a ti tlem a, prolactin hormone level chu a pangngaiah a hruai kir leh thin.

Damdawi hian hna a thawk lo emaw, adenoma chi dang emaw a nih chuan i doctor chuan operation tih a rawt thei ang.

Radiation hmanga enkawlna a ni

Radiation therapy hian high-energy X-ray hmangin adenoma cells te chu a tichhia a, tumor chu a ti tlem emaw, a lo thang lian tur a titawp emaw a ni. Pituitary Adenomas te tan Stereotactic Radiosurgery hmanga tih a ni(e.g. `Gamma Knife`®) Radiation therapy hmanraw bik, chiang tak tak hman a ni. Hei hian radiation beam engemaw zat chu adenoma chu kawng hrang hrang atangin a kap a, a chhehvela tissue hrisel tihchhiatna a tlem phah a ni. Hetiang method hi operation hnua residual area emaw, surgery tih theih lohna hmunah emaw hman a ni.

Enkawlna hian eng side effect nge a neih?

Damdawi dang ang bawkin pituitary adenoma enkawlna hian side effect engemaw zat a nei thei a ni.

• Surgery leh/ emaw radiation therapy hnuah pituitary adenomas vei zinga 60% vel chuan `Hypopituitarism` (pituitary hormone pakhat emaw a aia tam emaw siam chhuah tlem) an nei thei a ni . Hei hi damchhung dinhmun ni mah se, hormone thlakna damdawi hian mite chu nun pangngaia nunpui turin a pui thei a ni .
• Surgery avanga harsatna awm thei te:
• Thisen chhuak.
• Cerebrospinal Fluid (CSF) leak (hnar atanga tui chhuak).
• Meningitis (thluak khuh tu membrane-a natna hrik awm).
• Diabetes Insipidus (antidiuretic hormone tlakchham vanga zun tam lutuk leh tuihal lutuk).
• Prolactinoma tana dopamine agonist damdawi hmansualna tlangpui chu: lu na, luak chhuak, luak chhuak, luak chhuak, leh a chang chuan compulsive behavior te hi a ni .
• Radiation therapy avanga nghawng tha lo awm thei te:
• Pituitary hormone tlakchham (hun kal zelah a awm thei).
• Fertility tihchhiat.
• Mit hmuh hloh leh thluak tissue tihchhiat (a tlem hle).
• Enkawl hnu kum tam takah hmun khatah tumor dang a lo awm thei bawk (a tlem hle).

Heng adenomas lo piang hi a veng thei ang em?

Vanduaithlak takin pituitary adenomas venna tur hian engmah tih theih a awm lo. A tam zawkah chuan random takin an thleng thin. Mahse, a hmaa kan sawi tawh ang khan genetic condition hmuh tur awm lo thenkhat nen an inzawm thei a ni. Chhungkaw member hnai tak (unaupa, unaunu emaw nu leh pa emaw) hian hetiang hian genetic condition a nei a nih chuan, i doctor nen genetic counseling leh testing chungchang i sawipui thei a, nang pawhin he natna hi i nei em tih i en thei ang. Chutianga i tih chuan i doctor chuan uluk takin a enkawl thei che a, adenomas lo awm hma zawng zawng chu a hmuchhuak thei a, a enkawl thei bawk.

Hetiang dinhmun hi eng prognosis nge ni?

Pituitary adenoma, chu chu i dam lehna leh nakin lawka i hriselna tur thlirna chu adenoma lian leh te, leh enkawlna i dawn danah a innghat a ni

Thu lawmawm tak chu a tam zawkah chuan adenoma chu tihbo vek emaw, enkawlna hmanga control a nih chuan damlote chu nun famkim, hrisel takin an nung leh thei a ni.

A then phei chuan enkawlna hian pituitary gland-in hormone a siam chhuah a ti tlem thei a ni. Chutiang a nih chuan hormone tihtlem tawhte thlak nan i dam chhung zawng hormone thlakna damdawi i ei a ngai mai thei. Adenomas hi a chang chuan a lo lang leh thei bawk. Chumi awmzia chu hun engemaw chen hnuah enkawl leh a ngai mai thei tihna a ni. Statistics atanga a lan dan chuan inactive adenomas vei zinga 18% vel leh prolactinoma vei zinga 25% vel chuan nakin lawkah enkawl an mamawh leh thei a ni. Chuvangin doctor nena inbiak reng a pawimawh hle a, check-up neih reng a pawimawh hle.

Pituitary adenoma nen hian nun theih a ni em?

Ni e, i ti thei. Pituitary adenoma hi a te a, a lan chhuah loh chuan a pangngaiin i nung thei a ni. Dik tak chuan mi tam tak chuan adenoma an neih hi chhan dang avanga lu scan an neih hian an hre thei chauh a ni. Mahse, adenoma hi a lo lian zel emaw, a lan chhuah tan emaw chuan enkawlna i mamawh ngei ang. Pituitary adenoma lian leh/ emaw active (hormone siamtu) i neih chuan enkawlna i mamawh ngei ang. Hei hi a chhan chu pituitary adenomas thenkhat hian i hriselna leh nunphungah nghawng lian tak a nei thei a ni.

Enkawl loh chuan eng harsatna nge awm thei?

Enkawl loh chuan pituitary adenomas thenkhat – a bik takin adenomas lian tak tak (`Macroadenomas`) leh functional (`Secreting`) adenomas te hian hriselna lama harsatna lian tak a thlen thei a ni Heng hriselna lama harsatnate hi adenoma-in hormone a tihchhuah chi hrang hrangah a innghat nasa hle (hei hi `Symptoms` section-ah khan kan sawi tawh a ni). Pituitary adenomas enkawl loh avanga harsatna awm lo tak, mahse hlauhawm tak chu `Pituitary Apoplexy` a ni. Hei hi `Medical Emergency` a ni. Hei hi pituitary gland chhunga thisen chhuak emaw, chhuak emaw a awm chuan a thleng thin. `Pituitary Apoplexy` hi pituitary adenoma-a thisen chhuah vang a ni tlangpui. Tumor chu a lian nghal a, pituitary gland a tichhia a ni. Adenoma a lian poh leh `Pituitary Apoplexy` vei theihna a sang zawk. `Pituitary Apoplexy` symptoms hi a lang rang hle tlangpui a , nunna atana hlauhawm thei a ni . A lan chhuah dan ber chu:

• Lu na na tak (ka dam chhunga ka lu na ber ang chi).
• Double vision emaw mit ruh hnathawh that loh vanga mitmeng pakhat chawi thei lo emaw.
• Mit pakhat emaw, mit pahnih emawa side vision hloh emaw, mit hmuhna hloh vek emaw.
• Acute adrenal insufficiency hian thisen sang a ti hniam a, a luak chhuak a, a luak chhuak thei bawk.
• Thluaka anterior cerebral artery a tawi nghal vat avangin mize danglam (e.g., buai) a awm thin.

Pituitary apoplexy hi a awm lo hle a, mahse a na hle. Heng symptoms zinga pakhat emaw a aia tam emaw i neih chuan emergency medical services (911 ang chi) call nghal la, a nih loh leh hospital emergency room hnai ber ah mi pakhatin hruai rawh.

Engtikah nge doctor i hmuh ang?

• Mit lama harsatna (blurred vision, double vision, decreased peripheral vision) leh/ emaw lu na reng reng emaw, lo na leh zel emaw (a bik takin hmai lam hmunah) i neih chuan doctor pan la, chu chu hrilh rawh.
• Pituitary adenoma i vei tih hmuhchhuah tawh i nih chuan i doctor pan fo a ngai ang a, adenoma dinhmun enfiah tur leh enkawlna chu a thawk tha em tih hriat chian a ngai ang.

A tawp berah chuan hengte hi hre reng ang che:

Tumor i nei tih i hriat chuan hlauhna leh lungkhamna i neih hi thil pangngai tak a ni. Mahse, pituitary adenomas chungchanga thu lawmawm tak chu a tam zawk (99% aia tam) non-cancerous (benign) an ni a, a tam zawkah chuan enkawlna hian rah tha tak a chhuah thei a ni. I hriselna tha ber neih theihna tura i doctor hi i thawhpui a ni tih hre reng ang che. Chuvangin, i enkawlna chungchanga i natna lan chhuah dan, i lungawi lohna leh zawhna i neih apiang chu i doctor hnenah hriattir hreh ngai suh. Thu dik leh a hun taka enkawlna i neih chuan he natna hi hlawhtling takin i enkawl thei ngei ang.