I lu chhunga i pituitary gland chu thisen a chhuak nghal em? (Pituitary Apoplexy) I fimkhur ang u!

Lu na, na tak, mitdel, mit pahnih, mitmeng tla chhuak emaw i nei ngai em? Hei hi a tlem hle nachungin, a hnungah hian chhan lian tak a awm thei. Chu chu vawiin a kan sawi tur emergency condition, ``Pituitary Apoplexy'' tih chu a ni. Hlau suh, he thu hi awlsam takin sawi ila.

Pituitary Apoplexy hi eng nge ni?

A awlsam zawngin, `(Pituitary Apoplexy)` chu kan thluaka gland te tak te, pituitary gland -a thisen kal chu a tawp nghal (i.e., thisen supply a block), a nih loh leh gland chhungah thisen a chhuak (`(Hemorrhage)`) a ni. Hei hi natna khirh tak a nih theih avangin emergency medical treatment mamawh hun a awm bawk.

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

Ngaihtuah teh, kan thluak lai takah, kan hnar kawngkhar hnung lamah hian pea ang maia lian gland te tak te a awm a. Chu chu pituitary gland kan tih chu a ni. Hei hi kan taksa endocrine system-a gland lian ber pakhat a ni . Hormone siamtu leh control tu a ni a, chu chu chemical messenger an ni a, kan taksaah hna pawimawh tak tak an thawk a ni.

Kan taksa hnathawh tam tak hi heng hormone-ah hian a innghat a ni. Entirna tlemte chu hetiang hi a ni:

• Kan thisen sang control dan .
• Naupai theihna leh mipat hmeichhiatna hman dan.
• Taksa thanlenna leh thanlenna.

Pituitary gland atanga hormone chhuak te hian endocrine gland dangte hnenah signal thawnin an hormone siam chhuak thin. Kan taksaah hian commander tlemte ang maiin a che thin.

Pituitary Adenoma hi eng nge ni?

A tam zawkah chuan he ``Pituitary Apoplexy'' an tih hi pituitary gland-a benign (cancerous) tumor nei, chu chu ``Pituitary Adenoma'' tihna a ni.

Mahse, mi tam tak chuan `(Pituitary Adenoma)` an nei tih pawh an hre lo. A châng chuan he tumor hi chhan dang vanga `(Imaging Test)` tih laiin a lo lang chhuak ṭhin. Mi thenkhat tan chuan he `(Pituitary Apoplexy)` an tih hi `(Pituitary Adenoma)` an neih chhinchhiahna hmasa ber a ni.

Heng ``Pituitary Adenomas`` te hi classified a nih hian hormone an chhuah leh chhuah loh atanga thlir a ni.

• Hormone-secreting tumors: Hengte hian hormone thenkhat a siam tam lutuk thei.
• Adrenocorticotropic hormone (ACTH): Hei hian kan adrenal glands te chu cortisol tih hormone siam turin a tichak a ni. Cortisol hi hormone a ni a, stress dona kawngah a pui a, infection a do a, thisen sang, thisen sugar leh metabolism a control thei bawk.
• Prolactin tih hi a ni.Taksa hnathawh tam takah inrawlh mah se, hnute tissue thanna leh bawnghnute siam chhuahna atan a pawimawh ber a ni. A pun chuan hmeichhiaah thlasik hun mumal lo a thlen thei a, mipaah ​​mipat hmeichhiatna duhna a ti tlem thei bawk.
• Growth Hormone: Naupangte thanlenna a control a, puitling taksa thau, thisen sugar leh cell repair te a control bawk.
• Nonfunctioning Pituitary Adenomas: Hengte hian hormone an tichhuak lo. Pituitary Apoplexy hi heng nonfunctioning pituitary adenomas nei te hian an hmu tam ber a ni.

Tute nge Pituitary Apoplexy vei tam ber?

Hetiang dinhmun hi hmeichhia aiin mipaah ​​a let hnih zetin a tam zawk. Kum 37 leh 58 inkar te a nghawng tam ber.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Pituitary Adenoma hi a hluar dan chungchangah ngaihdan hrang hrang a awm. Hei hi mi tam takin symptom an lan loh vang a ni. General expert ngaihdan chuan an tam hle tih hi a ni. Pituitary Adenoma vei zinga 2% leh 12% inkar chuan Pituitary Apoplexy an vei thei a ni.

Pituitary Apoplexy natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuah dan hi:

• Thisen chhuah zat.
• Thisen supply hloh vanga pituitary gland chhunga tissue thi zat.
• A hring (edema) chu eng ang nge a nih a zirin.

A lan chhuah dan tlangpui chu lu na tak, na tak a ni. Mi a chanve aia tam pawhin mitdelna an nei bawk . Hei hi thluak atanga mit (the optic nerves) thlenga kal nerve-te pressure a san vang a ni. Chung zingah chuan:

• Double vision hmuh theihna.
• Mitmeng a tla thla .
• Mit pakhat emaw, mit pahnih emawa mit hmuhna hloh vek emaw, a then emaw .

Symptom dangte chu thluaka inthlak danglamna avanga lo awm a ni. Chûngte chu a châng chuan thluak lam natna dang, meningitis . Heng symptoms te hi:

• Rilru tibuai.
• Chauhna nasa tak a awm.
• Khawsik.
• Nausea leh luak chhuak.
• Eng laka hriatna (Photophobia).

Pituitary apoplexy hian hormone hnathawh a nghawng thei em?

Ni e, a dik tak zet. Pituitary gland a chhiat chuan a thunun endocrine gland dangte hnathawh dan te, an siam chhuah hormone te hnathawh dan te, taksain chu hormone control te chu a process a ni.

Hormone natna tlanglawn tak chu adrenocorticotropic hormone (ACTH) tlakchhamna a ni. Hei hian adrenal glands hnathawh a nghawng a, a chang chuan nunna atana hlauhawm tak a ni thei bawk. A natna lan chhuah dante chu:

• Thisen sang hniam (Hypotension).
• Thisen thlum hniam (Hypoglycemia).
• Thisenah sodium level hniam (Hyponatremia).
• Nausea leh luak chhuak.

Pituitary Apoplexy hi engte nge ni?

Dik tak chuan a chhan dik tak chu a la chiang lo.

Zirna thenkhatah chuan 10% atanga 40% inkar chu damdawi lam kalphung, hriselna dinhmun leh damdawi thenkhat nena inzawm a ni tih hmuhchhuah a ni. Entirna thenkhat chu hetiang hi a ni:

• Anticoagulation damdawi hi deep vein thrombosis leh pulmonary embolism nei te hnenah pek thin a ni.
• Parkinson natna leh restless legs syndrome atana hman tur dopamine tichaktu damdawi.
• Endocrine stimulation testing hi endocrine system natna chi hrang hrang hriat theihna tur a ni.
• Gonadotropin-releasing hormone (GnRH) therapy, hnute cancer vei hmeichhe thenkhat hnena pek thin hian ovarian function a ti tlahniam a ni.
• Lu hliam (tlu, car accident ang chi).
• Surgery, a bik takin orthopaedic surgery leh cardiac surgery te hi a ni.

Mithiamte chuan heng thilte hi a chang chuan ``Pituitary Apoplexy`` nena inzawm a nih chhan hi hriatthiam an la tum reng a ni.He zirchianna hian doctor-te chu pituitary adenomas vei enkawlnaah he apoplexy condition hi venna atan a pui thei ang.

Engtin nge Pituitary Apoplexy hi an hriat theih?

I doctor chuan a enfiah ang che (Physical Examination), i natna lan chhuah dan a zirchiang ang a, (Imaging Tests) ang chi test a order ang.

I dinhmun a nasat dan azirin emergency treatment i mamawh mai thei . Emergency room-ah chuan doctor-te chuan CT scan an ti ang a, a chhan chu result rang tak a pe thei a, stroke ang chi natna dang a awm thei lo. Mahse, hun a phal chuan MRI hi a tha ber. Pituitary gland chhiatna chungchang chipchiar zawkin a pe thei a ni.

Pituitary Apoplexy hi engtin nge enkawl a nih?

Hei hi enkawlna atan damdawi leh surgery te a awm a.

Adrenocorticotropic hormone (ACTH) tlakchhamna ven nan Corticosteroids (oral medications) hi a pawimawh hle. A tam zawkah chuan damlote chu damdawi ei hian an dam tha zawk thin.

Mahse i natna lan chhuah dan a na zual chuan i doctor chuan operation neih a rawt thei ang . Hei hi a tlangpuiin minimally invasive approach hmanga tih a ni. Chumi awmzia chu i doctor chuan:

• I hnar kawngkhar pakhatah hian tube te tak te i dah ang.
• Ruh chhungah hian khur te tak te siam a ni a, chu chuan hnar leh thluak a then a.
• Chu tube kaltlangin camera dahin tumor chu an enfiah a.
• Tichuan, chu tube hmang chuan tumor emaw pituitary tissue chhia emaw chu lakchhuah a ni.

Hetiang tih dan hi transnasal surgery an ti a.`(Transnasal surgery)` an ti bawk.

Pituitary Apoplexy hi ka veng thei ang em?

Vanduaithlak takin he dinhmun hi ven dan tur chiang tak a awm lo.

Mahse ``Pituitary Adenoma'' i neih chuan he apoplexy condition hi a awm theih dan hi i hriat a ngai a ni. Lu na nasa tak i neih thut emaw, mit a danglam emaw a nih chuan emergency treatment zawng nghal rawh.

Pituitary Apoplexy hi eng nge a nih?

Natna hi hriat hmasak a pawimawh hle a , enkawl tan a pawimawh hle . Hetiang dinhmun avanga thihna hi 2% vel a ni.

Mi tam tak tan chuan mitdelna hi damdawi emaw, zai emaw hmangin a tidam thei a ni. Full vision hi 40% velin a lo awm leh thin. Mahse, mi 80% vel chuan hun rei tak chhunga hormone thlak danglamna therapy an mamawh a ni . Hei hi pituitary gland a underactive vang a ni. He hormone therapy hi chi hrang hrang a awm a:

• Gel chi hrang hrang.
• Injection te pawh a awm.
• Ka chhungah a melt thin.
• Hnar hmanga spray hman thin.
• Patch a awm bawk.
• Pellets chu vun hnuaia dah a ni.
• Pill pangngai ei thin.

Pituitary Apoplexy i neih tawh chuan damdawi lam enkawlna (Follow-up care) chhunzawm zel i mamawh ang. Chung zingah chuan:

• I vision chu teh rawh.
• Tumor chu a chhuak vek tawh tih enfiah rawh.
• I hormone level te enfiah thin ang che.

Engtikah nge emergency room-ah ka kal ang?

Mit lama harsatna thar i neih emaw , lu na tak tak i neih chuan emergency doctor pan nghal rawh . Ṭhenkhat chuan he lu natna hi "ka lu natna nasa ber" tiin an sawi.

Pituitary Apoplexy hi a lo awm nghal avangin, lu natna nasa tak leh mitdelna ang chi symptom i neih chuan hmalak vat a pawimawh hle.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi thin kha i hrethiam zawk tawh a, Pituitary Apoplexy. Hei hi thil thleng nghal mai a ni tih hre reng ang che. Mahse chanchin lawmawm tak chu a enkawlna tur a awm tih hi a ni. Enkawlna hian mit hmuhna a siam tha leh thei tlangpui. Mahse, mi tam tak chuan hun rei tak chhung hormone tlakchhamna an nei thei a ni.

Chuvangin, i doctor thupek zawm te, a hun taka Doctor hmuh te, a enkawl dan tur i ei te hian i hormone level control nan leh nunphung tha tak i vawng reng thei dawn a ni. Hlauthawng suh, mahse heng symptoms te hi i neih chuan doctor thurawn la nghal ngei ang che.

` Pituitary apoplexy, pituitary gland, hormone, lu na, mit lama harsatna, thluaka thisen chhuak, pituitary tumor te