Kei te kaha rawa te mahi a tō repe pituitary? (Hyperpituitarism) Me kōrero māmā noa iho tēnei!

Kua kite ohorere koe i ngā panonitanga nui o tō tinana? Kua piki ake pea tō taumaha, kua rerekē tō mata, kua ngenge rānei koe i te rā katoa ahakoa te nui o te moe? He maha ngā wā ka wareware tātou ki ēnei mea, me te whakaaro he mea noa. Engari i mōhio koe kei muri i ētahi o ēnei mea, tera pea he panonitanga kei roto i te mahi a tētahi repe iti, engari he mea nui rawa atu i roto i tō tātou roro. Koinei tā tātou e kōrero nei i tēnei rā.

He aha te ingoa o tēnei repe pituitary? He aha te hiranga o tēnei?

Whakaarohia tō tinana hei kamupene nui. Ko te tumuaki whakahaere o taua kamupene, ko te rangatira e whakahaere ana i ngā mea katoa, ko te repe pituitary . He repe iti tēnei, tata ki te rahi o te pī, kei te pūtake o tō tātou roro, tata ki te rahi o te cherry. Ahakoa he iti, he nui āna mahi. Koia te take i ētahi wā ka kiia ai ko te "repe rangatira".

I te whakarapopototanga, ka whakahaerea e ia te mahi a ētahi atu repe endocrine i roto i tō tātou tinana. Hei tauira, ko te repe thyroid, ko ngā repe adrenal, me tō tātou pūnaha whakaputa uri, pērā i ngā ovaries, ngā testes rānei, ka whakahaerea e ngā homoni e tukuna ana e te repe pituitary.

Pērā i te thermostat i roto i tō tātou whare. Ka aroturuki tonu i te pāmahana o roto i te whare, ā, ka pupuri i te pāmahana kia rite tonu mā te tahuri/whakaweto i te AC, te whakamahana rānei, tika? Waihoki, ka aroturuki tonu te repe pituitary i ngā taumata homoni i roto i tō tātou tinana, ā, ka tuku tohu ki ētahi atu repe kia tukuna ngā homoni e tika ana i te wā tika.

Nā, he aha tēnei hyperpituitarism?

Ki te kī māmā noa, ko te Hyperpituitarism te wā ka nui rawa te mahi a te repe pituitary kua whakahuatia ake nei, ka tukuna he nui atu i ngā homoni ki roto i ō tātou toto i te mea e tika ana. He rite ki te rangatira o te kamupene e mahi nui rawa ana, e whakararuraru ana i ngā mea katoa.

I te nuinga o te wā, arā, tata ki te 99% o te wā, ko te pūtake he pukupuku iti, ehara i te matepukupuku (pai). I roto i ngā kupu hauora, ka kiia tēnei he pituitary adenoma . Ka whakaoho tēnei pukupuku i te repe, ā, ka nui ake ngā homoni e whakaputaina ana e ia i te mea e tika ana.

Ngā homoni i hangaia e te repe pituitary me ā rātou mahi

E toru ngā wāhanga matua o te repe pituitary. He rerekē ngā homoni e tukuna ana e ia wāhanga. Me titiro tātou ki ēnei, me ngā mea e pā ana ki a rātou.

Ngā mate ka puta mai i te kaha rawa o te repe pituitary

Ka rerekē te āhua o te mate e puta ana i runga i te homoni e whakaputaina nuitia ana e te repe pituitary. Me titiro tātou ki ngā āhuatanga matua e kitea ana.

• Te Mate Cushing: Ki te nui rawa te hanga o te homoni ACTH, ka tino piki ake te taumata o te cortisol i roto i te tinana. Ka kiia tēnei ko te Mate Cushing.
• Acromegaly: Ka puta tēnei āhuatanga ina nui rawa te whakaputanga o te homoni tipu (GH) i te wā pakeke. Ka tupu nui rawa ngā wheua o ngā ringa, o ngā waewae, me te mata. Ki te puta tēnei i te wā tamarikitanga, ka kiia ko te gigantism .
• Te mate taikaha nui: Ki te nui rawa te TSH e whakaputaina ana (he mea onge tēnei), ka kaha rawa te mahi a te repe tairoi, ā, ka tere ake te pākia o te tinana.
• Prolactinoma: Ka nui rawa te hanga o te homoni e te pukupuku (adenoma) i roto i ngā pūtau e whakaputa ana i te homoni prolactin. Ka pā kino tēnei ki te hauora uri.

He aha ngā tohu o ēnei mate?

He rerekē ngā tohu e pā ana ki ia o ēnei āhuatanga. Mēnā kei a koe tētahi o ēnei tohu, he mea nui kia toro atu koe ki te tākuta.

He aha te pānga o tēnei āhuatanga ki ngā tamariki?

He tino onge te hyperpituitarism i roto i ngā tamariki. Mēnā ka puta, he maha ngā wā ka puta mai i tētahi adenoma pituitary iti. Ko te momo pukupuku tino noa i roto i ngā tamariki ko te pukupuku whakaputa prolactin (Prolactinomas).

• Mō ngā kōtiro: Tērā pea ka roa te pakeketanga, ka mutu te paheketanga (amenorrhea), me te kore mahi tika o ngā whatukuhu.
• Ngā Tama: He nui ake te tūponotanga ka puta ngā pukupuku nui (macroprolactinomas). Nā te mea he nui ēnei pukupuku, ka taea e rātou te pēhi i ngā io o te roro, ka puta ai ngā ānini me ngā raruraru tirohanga. Ka taea hoki e rātou te whakaroa i te pakeketanga me ngā raruraru tipu.

Me pēhea te tautuhi a te tākuta i tēnei mate?

Ina kōrero mai koe i ō tohumate, ka tirotirohia koe e te tākuta i te tuatahi. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau hei whakaū i te mate.

1. Ngā whakamātautau toto me te mimi: Mā ēnei ka ine i ngā taumata o ngā homoni i roto i tō toto, me te mimi pea. Hei tauira, ka tirohia e rātou ō taumata o te prolactin, te cortisol, me te homoni tipu.

2. Ngā Matawai Whakaahua:Mena ka kitea he rerekētanga o ngā taumata homoni, ka mahia he matawai hei tirotiro mēnā he pukupuku pituitary. Ko te matawai e whakamahia whānuitia ana mō tēnei ko te matawai MRI (Magnetic Resonance Imaging) . Mō te tangata kāore e taea te whiwhi MRI (hei tauira, he tangata whai pacemaker), ka taea hoki te mahi i te matawai CT (Computed Tomography) .

3. Ngā whakamātautau motuhake: I ētahi wā, hei tautuhi tika i ngā mate pēnei i te mate a Cushing, me whai whakamātautau motuhake, pēnei i te ine i ngā taumata cortisol huware.

He aha ngā maimoatanga?

Ko te maimoatanga mō tēnei mate ka whakawhirinaki ki ngā āhuatanga pēnei i te momo mate kei a koe, te rahi o te pukupuku, me tō hauora whānui. E toru ngā kōwhiringa maimoatanga matua.

1. Rongoā

He maha ngā wā, ko te rongoā te maimoatanga tuatahi. Ka whakamahia ēnei rongoā hei:

• Te whakahaere i ngā taumata homoni.
• I ētahi wā ka whakaitihia te rahi o te pukupuku.
• He tino whai hua ngā rongoā, inā koa mō te prolactinoma. Neke atu i te 80% o te tangata ka hoki ki ngā taumata homoni noa.

2. Pokanga

Mena kāore e taea e ngā rongoā te whakahaere i te pukupuku, mēnā rānei kua nui te tipu o te pukupuku ka pā ki te tirohanga, ko te mahi e whai ake nei ko te tango i te pukupuku mā te pokanga.

• Ko te pokanga tino noa ko te transsphenoidal adenomectomy . Ko tēnei ko te tapahi i tētahi wahi iti mā roto i te ihu, i roto rānei i te ngutu o runga kia tae atu ai ki te repe pituitary me te tango i te pukupuku me te kore e kino ki te roro.
• Mena ka whakahaerehia tēnei pokanga e te taote pokanga mohio, neke atu i te 80% te ōrau angitu.

3. Te Whakaora Irahiko

Ka whakamahia te rongoā irahiko mēnā kei te toe tētahi wāhanga o te pukupuku i muri i te pokanga, mēnā rānei kāore e taea te pokanga.

• Ko te tikanga o tēnei ko te arotahi ki ngā hihi pūngao nui ki te pukupuku, me te whakangaro i aua pūtau.
• Ka taea e ngā tikanga hou pēnei i te rongoā stereotactic te whakaiti i te kino ki ngā kiko hauora e karapoti ana.

Ka taea te noho hauora me tēnei mate?

Āe, tino tika. Ko te nuinga o ngā āhuatanga e puta mai ana i te hyperpituitarism ka taea te whakahaere pai mā te rongoā me ētahi atu maimoatanga. Ko te mea nui ko te rapu tohutohu hauora i te wā tonu e puta ai ngā tohu, me te whai i te maimoatanga kua whakaritea. Ko ētahi āhuatanga ka hiahiatia he rongoā mō te wā roa, he tirotiro hauora rānei. Heoi, mā te whakahaere tika, ka taea e te nuinga o te tangata te noho hauora, harikoa, me te noho noa.