He ngenge tonu koe? Tērā pea he raruraru tēnei nō tō repe pituitary? (Hypopituitarism)

Kei te ahua ngoikore tō tinana i ētahi wā, me te mea kei te ngaro tetahi mea? Tērā pea ko te take o tēnei he raruraru iti i roto i tētahi o ngā repe iti rawa, engari he mea tino nui i roto i tō tinana. I tēnei rā ka kōrero tātou mō te hypopituitarism , he mate onge e puta ana i roto i te repe pituitary . Kaua e manukanuka, ka kōrerohia e tātou tēnei mea, i roto i te huarahi e mārama ai koe.

He aha te hypopituitarism?

Ki te kī ngāwari, ko te hypopituitarism te wā kāore e nui ngā homoni e whakaputaina ana e tō repe pituitary . Inaianei kei te whakaaro pea koe he aha ēnei homoni. He rite ngā homoni ki ngā karere matū e kawe ana i ngā karere hei whakahaere i te mahi tika o ō tātou tinana. He maha ngā mea e whakahaerehia ana e ngā homoni pituitary, tae atu ki te pākia o te tinana, te tipu o te tinana, te whanaketanga ā-ira tangata, me te whakaputa uri.

Whakaarohia he rite ki tētahi pokapū whakahau iti i roto i tō tātou tinana, te repe pituitary. Engari kāore e mahi takitahi. Ka āwhinahia e tētahi atu wāhanga nui o te roro e kiia nei ko te hypothalamus . Ka kī atu te hypothalamus ki te repe pituitary, "Āe, tukuna te homoni inaianei." Ka whakahaere hoki te hypothalamus i ngā mea pēnei i te toto totoka, te tere o te ngakau, te pāmahana o te tinana, me te nakunaku. Nō reira, ki te mea he kino, he mate rānei ki te repe pituitary, ki te hypothalamus rānei, ka taea e koe te whakawhanake i te hypopituitarism.

Ka puta ohorere pea tēnei āhuatanga, ahakoa i muri i tētahi aituā. Ka taea rānei te whanake haere i roto i ngā marama, i ngā tau rānei. He maha ngā wā, me tango rongoā ēnei tāngata mō te toenga o ō rātou oranga hei whakahaere i ō rātou tohu. Kaua e manukanuka, ka tirotirohia koe e tō tākuta, ā, ka hoatu e ia te maimoatanga e tika ana.

He rerekē ngā momo hypopituitarism?

Āe, ka taea te wehewehe kia rua ngā momo matua. Ko tētahi e hangai ana ki te nui o te homoni e ngaro ana .

• Te ngoikore motuhake o te pituitary: I tēnei, kotahi anake te homoni pituitary e ngoikore ana.
• Te korenga o te maha o ngā homoni pituitary: Koinei te wā e kore e rua, neke atu rānei ngā homoni pituitary e whai kiko ana.
• Panhypopituitarism: He āhua iti ake te kino o tēnei mate, ā, ka heke te nui o ngā homoni katoa e hangaia ana e te repe pituitary.

Muri iho, ka whakarōpūtia rātou i runga i te pūtake me te pānga ki te repe pituitary :

• Te ngoikore o te pituitary gland: Ka puta mai tēnei i te kino, i te mate rānei e pā tika ana ki te repe pituitary gland.
• Te hypopituitarism tuarua: Ka puta tēnei i te kino, i te mate rānei o te hypothalamus. Kia maumahara, ko te hypothalamus te mea e tuku tohutohu ana ki te repe pituitary.
• Te ngoikore o te pituitari: I ētahi wā, kāore e taea te kimi i te pūtake.

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He aha ngā tohu o te Hypopituitarism?

Ka rerekē ngā tohu i runga i te homoni e ngoikore ana . Ka whai wāhi anō hoki ēnei āhuatanga:

• Tō ira tangata .
• Tō tau i te tīmatanga o tēnei mate .
• Te take o te hypopituitarism.
• Te tere o te hekenga o ngā homoni .

Nā, kia titiro tātou he aha ngā tohu ka puta mai ina iti te taumata o ia homoni.

Ngā Tohu o te Kore o te Homoni Tipu (GH)

Mō ngā pēpi whānau hou:

• Te iti o te huka toto (Hypoglycemia) .
• He iti rawa te ure tāne (Micropenis) .

Mō ngā tamariki nohinohi:

• He tino puhoi te tipu , kāore rānei i te tino puhoi. Hei tauira, ki te kore tō tamaiti e tipu roa ake i ērā atu tamariki o tōna tau, he tohu pea tēnei.
• Teitei poto .
• Te whakaroa, te ngaro rānei o te whanaketanga ā-ira tangata i te wā o te pakeketanga.

Mō ngā pakeke:

• Te ngenge nui tonu . Te āhua kua mate te pākahiko.
• Te iti ake o te harikoa me te makona ki te ao.
• Te hekenga o te hiahia me te mahi moepuku .
• Te nui haere o te ngako e putu ana, inā koa i te taha o te hope .
• Kua heke te ātete ki te makariri me te wera .
• Te iti o te papatipu uaua .
• Ka heke te kaha me te manawanui i te wā e whakakori tinana ana.

Ngā Tohu o te Kore o te Hormone Whakaoho Thyroid (TSH)

Mō ngā pēpi whānau hou:

• Te ngoikore o te uaua (karekau he ora o ngā peka).
• Te iti o te pāmahana tinana (Hypothermia) .
• Te ahua pupuhi .
• E tangi ana me te reo pākū, pakoko .

Mō ngā tamariki nohinohi me ngā pakeke:

He rite ngā tohu o tēnei ki ērā o te hypothyroidism , nā te mea ka whakaoho te homoni TSH i te repe tairoi kia whakaputa i āna ake homoni.

• Te ngenge nui .
• Te kiri maroke me te angiangi/ngaro o te makawe .
• Te kōroke .
• Te pikinga o te taumaha .
• Te ngoikore o te uaua .
• Te hekenga o te kaha ki te tu atu i te makariri .
• Ngā āhuatanga hinengaro pēnei i te pouri .
• Tērā pea ka pāngia ngā wāhine e te paheketanga koretake , e te toto nui atu rānei i te tikanga .

Ngā Tohu o te Follicle-Stimulating Hormone (FSH) me/ranei te Luteinizing Hormone (LH) koretake

He homoni te FSH me te LH e kiia nei ko ngā gonadotropins . Ka pā tika ēnei ki tō tātou pūnaha whakaputa uri .

Mō ngā pēpi tāne whānau hou:

• He iti rawa te ure tāne (Micropenis) .
• Ngā ure kāore i heke iho .

Mō ngā tamariki nohinohi:

• Te korenga o te whanaketanga o ngā ū i roto i ngā kōtiro.
• Kāore ngā poro o ngā tama e whakanui .
• Kāore te tinana e pāngia e te pikinga ohorere o te teitei (te tere o te tipu) i te wā o te pakeketanga.

Mō ngā tāne:

• Te hekenga o te hiahia moepuku .
• Te ngenge nui .
• Te kore tamariki .
• Te ngoikore o te ure .
• Te ngaronga o ngā huruhuru o te mata, o te tinana rānei .

Mō ngā wāhine:

• Te iti o te hiahia taikaha .
• Te ngenge nui .
• Te kore tamariki .
• Te werawera - He kare ā-roto ohorere o te wera i roto i te tinana.
• Te paheketanga koretake , te mutunga katoa rānei o te paheketanga (Amenorrhea) .
• Te ngaronga o te huruhuru i te puku o raro .
• Te korenga e whakaputa i te waiū ū i muri i te whānautanga o te pēpi .

Ngā Tohu o te Kore o te Adrenocorticotropic Hormone (ACTH, Corticotropin rānei)

Mō ngā pēpi whānau hou:

• Te iti o te huka toto (Hypoglycemia) .
• He puhoi rawa te pikinga o te taumaha (Kāore e tupu pai) . Me te mea nei kāore te pēpi e mimiti ana ahakoa e nui ana te waiū e inu ana ia.
• Ngā hopuhopu .
• Te kōwhai o te kiri (Jaundice) .

Mō ngā tamariki nohinohi me ngā pakeke:

• Te ngenge nui .
• Te ngaronga taumaha me te kore he take .
• Te toto toto iti (hypotension) .
• Whakapairuaki me te ruaki .
• Te iti o te huka toto (Hypoglycemia) .
• Te pōuri, te ngaro o te māramatanga .

Ngā tohu o te korenga o te Prolactin

Ko te āhuatanga matua o tēnei ko te korenga o te whakaputanga waiū ū i muri i te whānautanga o te pēpi .

Ngā Tohu o te Korekore o te Oxytocin

• Ngā raruraru ki te whāngai ū i muri i te whānautanga o te pēpi.
• He uaua ki te hono atu ki te tamaiti i muri i te whānautanga.
• Te kore o te aroha ki ngā mamae o ētahi atu.
• Te uaua ki te taunekeneke ki ētahi atu.

Ngā Tohu o te Kore o te Hormone Antidiuretic (ADH, Vasopressin, Arginine Vasopressin rānei)

Mō ngā pēpi whānau hou:

• Te ruaki .
• Ngā kirika kāore i te mōhiotia te take .
• Te tangi nui rawa .
• Te whakaheke taumaha .
• Te kōroke .
• Te mākū pinepine o ngā nāpi (Ngā nāpi tino mākū) .

Mō ngā tamariki nohinohi:

• Te uaua ki te whakangungu wharepaku .
• Te whakamakuku i te moenga .
• Te tere o te ngenge .

Mō ngā pakeke:

• Te mimi pinepine .
• Te matewai nui rawa .
• Ngā taurite kore o te irahiko .

He mea nui: Kaua e manukanuka mēnā kei a koe tētahi, e rua rānei o ēnei tohu, engari ki te mau tonu, he pai ake te rapu tohutohu hauora.

He aha ngā take o te hypopituitarism?

He maha ngā take mō tēnei āhua. I ētahi wā, kāore e taea e ngā tākuta te tohu i te tino take. I te nuinga o te wā, e toru ngā take matua e pā mai ai:

1. Te pēhi i te repe pituitary, te hypothalamus rānei.

2. Te kino ki te repe pituitary, ki te hypothalamus rānei.

3. He mate onge kei a koe, he mate rānei e puta ai te hypopituitarism.

Ngā āhuatanga e pā ana ki te repe pituitary, te hypothalamus rānei

Ko ngā āhuatanga ka taea te pēhi i ēnei wāhanga o te roro, ka puta ai te hypopituitarism:

• Ngā adenoma pituitary: He pukupuku pai ēnei e puta mai ana i roto i te repe pituitary. Ka taea e rātou te whakarerekē i te āhua o te whakaputanga o ngā homoni.
• Ngā pukupuku roro: Ka taea e ngā pukupuku e tupu tata ana ki te hypothalamus, ki te pituitary rānei te whakararuraru i te hanga homoni.
• Te ngoikore o te roro (LH): He āhuatanga onge tēnei. I konei, ka whakaekea e ngā pūtau e kiia nei ko ngā lymphocytes te repe pituitary. (Kaua tēnei LH e pohehe ki te Luteinizing Hormone i whakahuatia i mua ake nei, tika?!)
• Te sarcoidosis o te pituitary, hypothalamus rānei: Ko te Sarcoidosis he mate e puta ai te mumura.

Ngā kaupapa e kino ai te pituitary gland, te hypothalamus rānei

• Pokanga: Ngā raruraru i te wā o te pokanga roro (ina koa ko te pokanga hei tango i ngā adenoma pituitary).
• Whakaora irahiko: Te rongoā irahiko hei rongoā i ngā maimoatanga matepukupuku o mua, i ngā adenoma pituitary rānei.
• Ngā whara nui o te upoko (Whara roro whara - TBI):Ngā mea pēnei i ngā aituā motuka, ngā hinganga, me ngā whara hākinakina.
• Te mate pituitary apoplexy: Te whakangaromanga ohorere o te kiko o te repe pituitary.

Ngā āhuatanga hauora onge

• Hemochromatosis tuku iho: He mate ira tēnei. Ka nui rawa te rino e kohia ana i roto i te toto. Ka kino pea te repe pituitary i tēnei.
• Te meningitis huakita: Ahakoa he onge, ka puta pea te hypopituitarism hei raruraru o te meningitis huakita.
• Ngā whakarerekētanga ira: Ka taea e ētahi āhuatanga ira onge te whakararu i te ngoikore o ngā homoni pituitary.

He aha ngā āhuatanga mōrearea?

Ko ngā āhuatanga, ngā huihuinga rānei e whai ake nei ka waiho hei take mōrearea mō te hypopituitarism:

• Kua oti kē te rongoā mate pukupuku me te rongoā irahiko i mua.
• Whara o te upoko, o te roro rānei: I waenga i te 27% me te 32% o te hunga kua pāngia e te whara o te upoko (TBI) ka pāngia e te hypopituitarism.
• Anemia pūtau hāripiri: Ka taea e tēnei mate te whakararu i te ngoikore o ngā homoni pituitary.
• Mate huka momo 1: Ka taea e te mate huka momo 1 kāore i te whakahaeretia te whakararu i tēnei mate nā te kino o ngā io me ngā oko toto.
• Te haputanga me te whānautanga: Ka taea e te toto nui i muri i te whānautanga te kino i te repe pituitary. Ka kiia tēnei mate ko te mate Sheehan .

Ngā raruraru pea

Ko te korenga o ngā homoni e haere tahi ana me te hypopituitarism ka arahi pea ki te whanaketanga o ētahi atu mate. Ka rerekē ēnei pānga i runga i te homoni e kore e whai kiko ana. Anei ētahi tauira:

• Ka taea e te korenga o te GH (hormone tipu) te whakamomona , te cholesterol tiketike , me te mate pāwera .
• Ka taea e te korenga o ngā homoni estrogen (nā te korenga o te FSH) te whakararu i te osteoporosis ( te angiangi o ngā wheua) i roto i ngā wāhine.
• Ka taea e te korenga o te ACTH te whakararu i te pūnaha adrenal , he āhuatanga ohorere e morearea ana ki te ora.

He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei mate?

Ka taea e tō tākuta te tono i tētahi o ēnei whakamātautau hei tautuhi i te hypopituitarism:

• Ngā whakamātautau toto mō ngā taumata homoni: I runga i ō tohu, ka tono pea tō tākuta i ngā whakamātautau toto e ine ana i ngā taumata homoni rerekē.
• Ngā whakamātautau whakaoho homoni: I tēnei whakamātautau, ka hoatu e tō tākuta he rongoā hei whakaoho i tō repe pituitary kia tukuna te homoni e whakamatautauria ana. Kātahi ka tangohia he tauira toto ka tukuna ki te taiwhanga hei whakamātautau.
• Whakamātautau ātete ki te insulin: Ka taea e tēnei te kite i te ngoikore o te homoni tipu (GH) me te ACTH.
• Ngā whakamātautau osmolality mō te toto me te mimi: Ka whakamātauhia e tēnei te ngoikore o te homoni antidiuretic (ADH).
• Matawai MRI (Whakaahua Āhua Aukume): Ka tangohia e ngā matawai MRI ngā pikitia taipitopito o roto o tō tinana. E kiia ana ko ngā matawai MRI o te roro te huarahi pai ki te kimi i ngā pukupuku pituitary e puta ai te hypopituitarism.
• Matawai CT (Tomography Rorohiko): Ka taea te whakamahi i tēnei whakamātautau hei tirotiro mēnā he pukupuku roro, he adenoma pituitary rānei te take o tēnei āhuatanga.

Me pēhea te rongoā i te hypopituitarism?

Ahakoa kāore he rongoā, ka taea te rongoā . Ko te maimoatanga e whakawhirinaki ana ki ngā homoni kāore i te whai kiko me te take o tō mate . Mā tō rōpū hauora koe e āwhina ki te whakawhanake i tētahi mahere maimoatanga e pai ana mōu. Ko ngā kōwhiringa maimoatanga noa ko:

• Whakaora homoni: Ko te whāinga o tēnei he whakahoki i ngā homoni pituitary kua heke ki ngā taumata noa. I te nuinga o te wā, me tango rongoā mō te toenga o tō oranga.
• Pokanga: Ko te hunga whai adenoma pituitary me pokanga pea hei tango i a rātou.
• Whakaora irahiko: Ka taea e te rongoā irahiko te āwhina ki te whakaiti i ngā adenomas pituitary.

Ka tūtohu pea tō tākuta kia mauria e koe he kāri tuakiri hauora, he poroporo rānei i ngā wā katoa, mēnā ka puta he āhuatanga ohorere.

He aha te matapae mō te hypopituitarism?

He rerekē te tirohanga, i runga i ēnei āhuatanga:

• Tō tau i te tīmatanga o ō tohu .
• Te take o tō āhuatanga .
• Te iti o te pānga ki ngā homoni .
• Te urupare a tō tinana ki te maimoatanga .

He maha ngā tāngata e pāngia ana e te hypopituitarism e ora hauora ana. Heoi, ki te mea he kino te pituitary mō te wā roa, tera pea he poto ake te roanga o te oranga i tērā o te tangata o taua tau engari kāore i pāngia e te mate. Heoi, ko te tikanga kāore e whakaitihia te roanga o te oranga mō te hunga e whai ana i tētahi mahere maimoatanga tika .

A, mēnā he āhuatanga ohorere? Mēnā ka puta ohorere te hypopituitarism, ka kino rawa atu, ā, kāore i te rongoatia, ka taea te noho hei āhuatanga ohorere hauora, ā, ka mate pea koe. Nō reira, ki te kite koe i ngā tohu, me toro atu ki te tākuta tonu.

Āhea ahau me toro atu ki te tākuta?

I te nuinga o te wā, me aro turuki tonu ngā homoni e pāngia ana mō te hypopituitarism mō te wā katoa . Tirohia tō tākuta i ia wā, kia mōhio ai kei te whai hua tō mahere maimoatanga.Mena kei a koe ngā tohu hou, ngā tohu āwangawanga rānei, whakapā atu ki tō tākuta i te wā e taea ai.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kua tāpaetia koe he hypopituitarism, me pātai atu pea koe ki tō tākuta i ēnei pātai:

• He aha te momo hypopituitarism kei a au?
• He aha ngā homoni kei roto i ahau e iti ana?
• He aha te take mō tēnei?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He pānga taha kei te puta mai i taku maimoatanga?
• Kia pēhea te roa me tango e au te rongoā?
• Ka pā tēnei ki taku momonatanga?
• Ka pā tēnei ki taku hāputanga?
• Ka taea hoki tēnei te pā ki aku tamariki?

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

He mea whakamataku pea te tautuhi mate hou, engari kaua e wehi ki te pātai ki tō tākuta mō te hypopituitarism. I te nuinga o te wā, me whai maimoatanga mō te wā katoa me te aroturuki i ngā homoni. Koia te mea nui kia kite tonu koe i tō tākuta. Mena he tohu hou, he tohu āwangawanga rānei āu, whakapā atu ki tō tākuta. Kei reira rātou hei āwhina i a koe. Mā te whakahaere tika, ka taea e koe te noho ora, oraora.