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.