Kua whakaaro kē koe ko wai te kaiwhakahaere o ngā tini mea o tō tinana, pērā i tō tipu, tō taumaha, tō ahotea, me te āheinga ki te whānau tamariki? Kei muri i ēnei mea katoa he mea iti engari he tino kaha. Ko te repe e kiia nei ko te Anterior Pituitary, kei te pūtake o tō tātou roro. I tēnei rā, ka kōrero tātou mō tēnei rangatira iti.
He aha te Anterior Pituitary?
Ko te Pituitary o mua e pā ana ki te wāhanga o mua o tō repe pituitary. E kiia ana hoki ko te "Adenohypophysis" i roto i te pūtaiao hauora. He tino iti tēnei repe pituitary, he rite ki te pī. Engari he tino nui tana mahi. Kei te pūtake o tō roro, i raro i te "Hypothalamus".
Whakaarohia he rite tō tātou tinana ki tētahi tira pūoro nui. Ko tēnei repe pituitary o mua te kaiārahi o taua tira pūoro. Koinei te kaiārahi e tuku mahi ana ki ngā repe maha atu o te tinana, ā, e whakarite ana kia tika te mahi a aua repe. Arā, he mahi nui tāna ki te pupuri i te taurite o te pūnaha homoni i roto i tō tātou tinana.
E rua ngā wāhanga matua o te repe pituitary:
1. Te Pūnaha o Mua: Koinei te Pūnaha Pituitary o Mua e kōrerohia ana i tēnei rā.
2. Te Pūwero o Muri: He maha atu anō ngā mahi a tēnei.
E ono (6) ngā homoni matua e tika ana mō te tinana e whakaputaina ana e te Pituitary o mua, ā, e tukuna ana hoki ki roto i te toto. He maha ngā mea e whakahaeretia ana e ēnei homoni i roto i te tinana.
- Te tipu
- Te Pūnaha Whakaora
- Te whakaputa uri
- Te urupare ki te ahotea
- Te whakaputa waiū ū (Te whāngai ū)
He aha ngā homoni e whakaputaina ana e te repe pituitary o mua?
Āe, me titiro tātou ki ngā homoni tino nui e ono e tukuna ana e tēnei rangatira iti ki roto i ō tātou tinana, me te aha e pā ana ki a rātou. Hei whakamaumahara i tēnei, me titiro tātou ki tētahi ripanga.
| Homoni | He aha te mea hei mahi noa |
|---|---|
| Te Hormone Adrenocorticotropic (ACTH) | Ka whakaoho i ngā repe adrenal, kei runga ake i ō tātou whatukuhu, kia whakaputa i te homoni cortisol , hei āwhina i a tātou ki te aro atu ki te ahotea. |
| Te homoni whakaoho-pūmua (FSH) | Ka whakaoho i ngā ovaries o ngā wāhine kia pakari ai, kia puta ai hoki te homoni estrogen . Ka whakaoho hoki i ngā testicles o ngā tāne kia puta ai he parāoa. |
| Hormone Luteinizing (LH) | Ka āwhina i ngā ovaries o ngā wāhine ki te whakaputa i te homoni progesterone . Ka āwhina hoki i ngā tāne ki te whakaputa i te homoni testosterone . |
| Te Homoni Tipu Tangata (HGH) | He mea nui mō te whanaketanga tinana o ngā tamariki. Āwhina ki te pupuri i ngā uaua me ngā wheua hauora o ngā pakeke, ā, ka whakahaere hoki i te tohatoha o te ngako tinana. |
| Prolactin | Ka whakaoho i te whakaputanga o te waiū ū i muri i te whānautanga. Ka pā hoki ki te huringa paheketanga, te momonatanga, me te mahi ā-ira tangata. |
| Te homoni whakaohooho tairoi (TSH) | Ka whakaoho i te repe tairoi i te kaki, ka puta ai he homoni tairoi. He mea nui ēnei homoni mō te whakahaere i te tere o te pākia o te tinana. |
He aha ngā mate e pā ana ki te repe pituitary o mua?
Nā te mea he maha ngā homoni e whakahaerehia ana e tēnei repe, ahakoa he iti noa te raruraru ka pā mai he maha ngā raruraru hauora. Ko te tikanga, ka taea te wehewehe i ēnei raruraru ki ngā momo matua e rua.
1. Te ngoikore o te pituitary gland: Ko te tikanga tēnei kāore te repe pituitary e mahi ana, arā, kāore e nui ngā homoni e whakaputaina ana e ia.
2. Te hyperpituitarism: Ko te tikanga tēnei he nui rawa te mahi a te repe pituitary, e whakaputa ana i ngā homoni he nui atu i te mea e tika ana.
He maha ngā take matua e puta ai ēnei āhuatanga:
- Ko ngā pukupuku e tupu ana i roto i te repe pituitary - ka kiia ēnei ko ngā "adenoma pituitary".
- Te kino ki te Pituitary o mua, ki te Hypothalamus, ki ngā awa rānei e hono ana i aua awa nā te whara, te mate, te toto rānei (`(pituitary apoplexy)`).
- Ko ētahi āhuatanga ira, hei tauira ko te 'multiple endocrine neoplasia (MEN)'.
Ngā mate e pā mai ana i te iti o ngā taumata homoni (Hypopituitarism)
Ka puta pea ēnei āhuatanga nā te hekenga o tētahi, neke atu rānei o ngā homoni e hangaia ana e te repe pituitary.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te ngoikore tuarua o te repe adrenal | Ka heke te mahi a ngā repe adrenal nā te iti o te hanga o te homoni ACTH. |
| Te korenga o te homoni tipu (GHD) | Kāore e ranea te nui o te homoni tipu (HGH). Koinei tētahi o ngā take e puhoi ai te tipu o ngā tamariki. |
| Te ngoikore o te roro i waenganui | Ka heke te nui o ngā homoni FSH me LH ka heke te hanga o ngā homoni ira tangata mai i ngā ovaries me ngā testicles. |
| Te hypothyroidism pokapū | Ka heke te mahi a te tairoi nā te iti o te homoni TSH. |
Ngā mate e pā mai ana i te pikinga o ngā taumata homoni (Hyperpituitarism)
Ko ēnei āhuatanga ka puta mai i te nui rawa o te whakaputanga o tētahi, neke atu rānei o ngā homoni pituitary.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Acromegaly | Te nui rawa o te whakaputanga o te homoni tipu pakeke (HGH), e hua ai te tipu rerekē o ngā wheua me ngā kiko (hei tauira, te whakanui ake i ngā ringa, ngā waewae, me te mata). |
| Te nui rawa o te tangata | Te nui rawa o te homoni tipu e whakaputaina ana i te wā tamarikitanga, taiohitanga rānei, ka hua ake he roa rawa atu. |
| Te mate a Cushing | Mā te nui rawa o te hanga o te homoni ACTH ka nui rawa te cortisol e puta mai i te tinana. He momo mate tēnei e kiia nei ko te 'Cushing's syndrome'. |
| Te nui o te prolactinemia | Ka nui rawa te whakaputanga o te homoni prolactin. |
| Te hyperthyroidism o waenganui | Ka nui rawa te mahi a te repe tairoi nā te nui rawa o te whakaputanga o te homoni TSH (he tino onge tēnei mate). |
Ko te mea nui, he rite tonu ēnei tohu ki ērā o ētahi atu mate. Nō reira, ki te whakaaro koe he pēnei tō raruraru, me toro atu ki tō tākuta tonu mō ētahi tohutohu.
Me pēhea te tirotiro a te tākuta i te hauora o tēnei repe?
Mena kei a koe ngā tohu o te raruraru o te repe pituitary, ka tirohia tuatahitia e tō tākuta ō taumata homoni. I te nuinga o te wā ka taea ēnei te mahi mā te whakamātautau toto .
Mena he rerekētanga kei roto i aua pūrongo whakamātautau, ka tūtohu pea tō tākuta i tētahi mea pēnei i te matawai MRI hei tirotiro tata atu i te repe pituitary.
Me pēhea taku pupuri i te hauora o taku repe pituitary o mua?
Ina hoki, kāore e taea te ārai i ngā raruraru o tēnei repe i ngā wā katoa. Engari kotahi te mea nui ka taea e tātou te mahi. Ko te tiaki i ō tātou mahunga.
Ka taea e ngā whara o te mahunga me ngā whara roro (TBI) te kino i te repe pituitary, ka hua ake ai te hekenga, te pikinga rānei o te hanga homoni.
Nā, anei ētahi mea ka taea e koe te mahi hei tiaki i tōu mahunga:
- Me mau te whitiki nohoanga i ngā wā katoa kei roto koe i te waka.
- Taraiwa haumaru.
- Mauria he potae i te wā e eke pahikara ana, e motopaika ana, e takaro hākinakina ana rānei (ina koa ko ngā hākinakina ka uru pea he tukinga).
- Me mahi i ngā mahi hei ārai i te hinganga. He mea nui rawa tēnei mō te hunga kaumātua. Tangohia ngā papa pahekeheke me ngā mea ka tūpono ai te hinganga.
- Mena he tamariki nohinohi āu, kia tino haumaru ngā wāhi e takaro ana, e noho tahi ana rātou.
He repe iti engari he kaha te Pituitary o mua, e awe ana i ngā āhuatanga maha o tō tātou hauora. Nō reira, ki te pā mai ētahi tohu hou, tohu āwangawanga rānei, kaua e whakaaro noa he mea kē atu, engari me kōrero tonu ki te tākuta. Ka taea e rātou te tiki pikitia tika mō tō hauora mā roto i ētahi whakamātautau māmā noa iho.
Karere Tangohia ki te Kāinga
- Ko te Pituitary o mua he repe rite te rahi ki te pī, engari he tino mea nui, kei te pūtake o tō roro.
- E ono ngā homoni e whakaputaina ana e ia hei whakahaere i ngā mahi nui o te tinana pēnei i te tipu, te pākia o te tinana, me te whakaputa uri.
- Ka puta pea ngā āhuatanga hauora maha nā te nui rawa (hyperpituitarism) nā te ngoikore rānei (hypopituitarism) o ēnei homoni.
- He mea tino nui te tiaki i te upoko, i te mea ka taea e ngā whara o te upoko te kino i tēnei repe.
- Mena kei a koe ngā tohu e pā ana ki tētahi raruraru homoni, kaua e mangere ki te toro atu ki tō tākuta tonu atu mō ētahi tohutohu.
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