Kua ngenge koe, kua ngoikore, kua pōuri rānei? Tērā pea kua piki ake, kua heke rānei tō taumaha, kāore i te mārama te take, kua pāngia rānei koe e ētahi atu huringa rerekē. Tērā pea nā tētahi 'repe rangatira' iti, engari he tino kaha, i roto i tō roro ēnei āhuatanga katoa. Koinei tā tātou e kōrero nei i tēnei rā. E mōhiotia ana tēnei āhuatanga i roto i te rongoā ko te hypopituitarism .
He aha te repe pituitary me te hypopituitarism?
He whakarāpopototanga noa iho, he repe rite te rahi ki te pīni te repe, kei te pūtake o tō tātou roro, i muri i tō tātou ihu. Ahakoa tōna iti, koia te 'repe matua' o te pūnaha homoni o tō tātou tinana. Koinei te mea e kī ana ki te repe tairoi, ki ngā repe adrenal, me te maha atu o ngā repe, "Āe, nāu tēnei homoni e hanga."
Ko te hypopituitarism te wā kāore e nui te whakaputanga o te repe pituitary, te kaiwhakahaere matua, i te homoni kotahi, neke atu rānei. I ētahi wā, ka taea te whakaiti i ngā homoni katoa e hangaia ana e te repe pituitary. Ka kiia tēnei ko te Panhypopituitarism . Ka pā pea tēnei āhuatanga ki ngā tamariki me ngā pakeke. Ka taea hoki te puta mai i te mate o te hypothalamus, te wāhanga o te roro e whakahaere ana i ngā tohu e tae mai ana ki te repe pituitary.
Ka whakahaerehia e ēnei homoni ngā mahi nui o te tinana, pērā i te tipu, te whakaputa uri, te toto toto tiketike, me te pākia o te tinana . Nō reira, ki te kore tētahi o ēnei, ka raru pea ngā tukanga tinana e pā ana.
He aha ngā homoni nui e whakaputaina ana e te repe pituitary?
He maha ngā momo homoni e whakaputaina ana e te repe pituitary. Me titiro tātou ki ngā mea matua me ā rātou mahi. He mea tino nui kia mōhio koe ki tēnei.
| Homoni | Te Mahi i roto i te Tinana |
|---|---|
| Te homoni Adrenocorticotropic (ACTH) | Ka whakaoho i ngā repe adrenal (ngā repe kei runga ake i ngā whatukuhu) ā, ka āwhina i te whakaputa i te homoni cortisol, e whakahaere ana i te toto toto me te pākia o te tinana. |
| Te homoni whakaohooho tairoi (TSH) | Ka whakaoho i te repe tairoi i te kaki, ā, ka āwhina i te whakaputa i ngā homoni tairoi, he mea nui mō te pākia o te tinana, te tipu, me te whanaketanga. |
| Te homoni whakaoho-follicle (FSH) me te homoni Luteinizing (LH) | Ka whakahaere ēnei i te mahi ā-ira me te whakaputa uri i roto i ngā wāhine me ngā tāne, e tohu ana i te whakaputanga o te estrogen mai i ngā ovaries i roto i ngā wāhine me te testosterone mai i ngā rauropi i roto i ngā tāne. |
| Homoni tipu (GH) | E ai ki te ingoa, he mea nui mō te whanaketanga noa o ngā wheua me ngā kiko, inā koa i te wā o te tamarikitanga. |
| Prolactin | Ka whakaoho i te whanaketanga o ngā ū o ngā wāhine, me te whakaputa waiū mō te whāngai ū. |
| Hormone ārai-tiuretika (ADH) | Ko ngā whatukuhu te kaiwhakahaere o te putanga wai mai i te tinana. Mēnā ka whakaitihia tēnei, ka nui rawa te mimi ka puta. |
| Oxytocin | Ka āwhina i te kōpū kia kōpiri i te wā whānau, ā, ka āwhina hoki i te rere o te waiū i te wā e whāngai ana i te u. He mea nui anō hoki tēnei homoni mō te hononga i waenganui i te whaea me te tamaiti. |
He aha ngā take o te hypopituitarism?
Ka puta tēnei āhuatanga i te kino o te repe pituitary, te hypothalamus rānei. I ētahi wā, kāore pea e kitea te pūtake. Anei ētahi o ngā tino take:
- Ngā pukupuku i roto, i te taha rānei o te repe pituitary
- Te rongoā irahiko mō te mate pukupuku
- Te pokanga i te roro, i te repe pituitary rānei
- Ngā mate urutā pērā i te meningitis
- Ngā whara nui o te upoko
- Te whiu , te toto rānei i roto i te roro
- Ētahi rongoā
- Te mumura i puta mai i ngā raruraru o te pūnaha ārai mate
- Te toto nui i te wā e whānau ana (te mate a Sheehan)
- Ētahi take ira ( ngā whakarerekētanga ira )
- Ētahi atu āhuatanga hauora pēnei i te sarcoidosis me te kohi
He aha te āhua o ngā tohu?
Ka whakawhirinaki ngā tohu ki te homoni e ngaro ana , me te tere o te whanaketanga o te mate. Tērā pea kāore he tohu o ētahi tāngata, ka puhoi rānei te whanaketanga o ngā tohu. Tērā pea ka pāngia ētahi e te ohorere o ngā tohu kino.
Tirohia te ripanga i raro nei mō ngā tohu e pā ana ki ia ngoikoretanga homoni.
| Te ngoikore o te homoni | Ngā Tohu pea |
|---|---|
| Te ngoikore o te ACTH | Te ngenge tonu, te ngenge, te toto toto iti, te hekenga taumaha, te whakapairuaki, te ruaki, te pouri. |
| Te korenga o te TSH | Te kōroke, te piki o te taumaha, te kore e taea te aro atu ki te makariri, te ngaronga o te kaha, te mamae o ngā uaua, te ngoikore rānei. |
| Te korenga o te FSH me te LH | Mō ngā wāhine: te paheketanga koretake, te paheketanga kua mutu rānei, te uaua ki te whānau tamariki (te kore tamariki). Mō ngā tāne: te ngaronga o ngā huruhuru o te mata me te tinana, te ngoikore, te ngaronga o te hiahia ki te moepuku, te kore e taea te ure, te uaua ki te hapu. |
| Te korenga o te GH | Mō ngā tamariki: te koretake o te tipu, te kohikohinga ngako i te hope me te mata, ā, te ngoikore o te tipu whānui. Mō ngā pakeke: te ngoikore o te pūngao, te uaua ki te whakakorikori tinana, te piki o te taumaha, te ngoikore o te papatipu uaua, te manukanuka, te pouri rānei. |
| Te korenga o te prolactin | Mō ngā wāhine: Te korenga e whakaputa waiū ū i muri i te whānautanga. |
| Te ngoikore o te ADH | Te matewai nui me te mimi pinepine, nui rawa (Diabetes Insipidus). |
| Te korenga o te oxytocin | Mō ngā wāhine: he uaua ki te heke o te waiū. |
Ki te pā mai tētahi, ētahi rānei o ēnei tohu ki a koe, kaua e warewaretia . Kia mahara ki te toro atu ki tō tākuta, me te kōrero mō tēnei.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina kite koe i te tākuta, ka āta whakarongo ia ki ō tohumate, ā, ka tuku i a koe mō ngā whakamātautau e tika ana.
- Ngā Whakamātautau Toto: Koinei te mea tino nui. Ka ine i ngā taumata o ngā homoni rerekē i roto i ō toto. I ētahi wā, ka hoatu he homoni, kātahi ka mahia he whakamātautau motuhake (whakamātautau whakaohooho, whakamātautau pehi rānei) hei tirotiro i ngā huringa o te toto i roto i ētahi haora. Hei tauira: 'Whakamātautau whakaohooho ACTH (Cortrosyn)', 'Whakamātautau whakaohooho GH'.
- Whakaahua: Tērā pea ka mahia he matawai MRI, CT rānei hei tirotiro mō tētahi pukupuku pituitary.
- Ngā Whakamātautau Tirohanga: Nā te mea ka tata ngā io e hono ana ki ngā kanohi ki te repe pituitary, ka whakamātauria te tirohanga kia kitea ai mēnā he mea pēnei i te pukupuku kei te pēhi i aua io.
- Ngā hihi-X mō ngā tamariki: Ka mahia he hihi-X o ngā ringa o ngā tamariki hei tirotiro mēnā kei te whanake noa ngā wheua.
Me pēhea te rongoā?
E rua ngā whāinga matua mō te rongoā i tēnei mate. Ko tētahi ko teTe rongoā i te pūtake o te mate (hei tauira, te tango i te pukupuku). Ko te tuarua, ko te mea nui rawa atu, ko te whakakapi i ngā homoni ngaro i roto i te tinana . Ka kiia tēnei ko te Whakaora Whakakapinga Homoni .
Ngā rongoā
Ka tohua e te tākuta te rongoā e tika ana, i runga i te nui o te homoni e kore e taea e koe te tango.
- Mō te korenga o te ACTH: Ka hoatu ngā glucocorticoids (hei tauira, te hydrocortisone) hei whakatika i ngā taumata cortisol.
- Mō te korenga o te TSH: Ka hoatu ngā rongoā pēnei i te 'Levothyroxine' hei whakatika i ngā taumata o te homoni tairoi.
- Mō te korenga o te homoni ira tangata: Ka hoatu te testosterone ki ngā tāne, me te estrogen (tērā pea me te progesterone) ki ngā wāhine.
- Mō te korenga o te GH: Ka tukuna ngā werohanga o te Homoni Tipu (GH) hei āwhina i te tipu, inā koa mō ngā tamariki. I ētahi wā ka tukuna hoki tēnei maimoatanga ki ngā pakeke hei āwhina i te kaha me te tipu o ngā uaua.
- Mō te kore tamariki: He maimoatanga homoni motuhake pērā i te Gonadotropin hei whakaoho i te pakari o te hua manu, i te whakaputanga parāoa rānei.
Pokanga
Mena he pukupuku te take o tēnei āhuatanga, me pokanga pea hei tango, i runga i te momo me te wāhi o te pukupuku.
He aha ngā whakaaro mō āpōpō? (Tirohanga)
Ko te rongo pai, ki te tika te tautuhi i te mate, ā, ki te tika te whakahaere i te rongoā whakakapinga homoni, ka taea te ora i te oranga pai me te hauora . Tērā pea ka roa te maimoatanga mō te wā katoa.
Ko te mea nui ko te whai i te wā tika ki tō tākuta . Nā te mea ka rerekē pea ngā hiahia o tō tinana ki ngā homoni i roto i te wā, he mea nui kia noho tonu koe ki te whakapā atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te hypopituitarism te wā kāore e nui te whakaputa a te repe pituitary, te 'repe matua' o te tinana, i ngā homoni e tika ana.
- He rerekē ngā tohu i ia tangata, i ia tangata, i runga i te homoni kāore i te tika. Ko ētahi o ngā tohu ko te ngenge, te taumaha, me te koretake o te moepuku.
- Mena ka puta mai ngā tohu pēnei i a koe kāore anō kia whakamāramatia, me toro atu ki te tākuta tonu .
- Ka taea te tautuhi tika i tēnei mate mā roto i ngā whakamātautau toto me ngā karapa.
- Ko te maimoatanga he hoatu i ngā homoni ngoikore ki waho. He tino whai hua tēnei maimoatanga.
- I muri i te tīmatanga o te maimoatanga, me tūtaki ki te tākuta i te wā kua whakaritea.He mea tino nui te whakarerekē i ngā horopeta.
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