Whakaarohia tētahi tangata e whakahaere ana i tō tinana katoa, e mahi ana me te Tumu Whakahaere o tētahi kamupene nui, engari he iti noa iho, pērā i te pī. Ko taua tangata ko te Repe Pituitary . Kāore pea koe i rongo i tēnei ingoa. Engari he mīharo te mahi e mahia ana e ia. He maha ngā mea nui e pā ana ki a ia, mai i te tipu roa ki te whānautanga o tētahi pēpi. Nō reira, i tēnei rā, me kōrero tātou mō tēnei rangatira iti.
He aha te Repe Pituitary?
He whakarāpopototanga noa iho, he repe iti te repe pituitary, he rite te rahi ki te pīni, kei te pūtake o tō roro , i muri tata i te piriti o tō ihu, i raro i te hypothalamus. Ko te repe he okana e hanga ana i ngā mea pēnei i ngā homoni . Ko te repe pituitary he wāhanga o tā tātou pūnaha endocrine.
Ko tāna mahi matua he whakaputa i ētahi homoni nui mō te tinana, me te kī atu ki ētahi atu repe , "Āe, tukuna ō homoni inaianei." Koia mātou i kī ai ko te "Repe Matua."
He rite ngā homoni ki ngā karere e rere ana i roto i ō tātou tinana. Ka haere rātou i roto i te toto, ka kawe karere ki ia okana, ki te kiri, me te uaua. Ko ēnei homoni te mea e kī mai ana kia mahi tātou i tēnei, kia mahi i tēnei wā tonu.
E rua ngā wāhanga matua o te repe pituitary.
1. Te Pituitary o mua: Koinei te wāhanga nui rawa atu.
2. Pituitary o Muri: Te wāhanga iti kei muri.
E hono ana tēnei repe ki te hypothalamus i roto i te roro mā tētahi wāhanga iti rite ki te kakau. Koinei te wāhi e whiwhi ai te repe i ngā tohu mai i te roro.
Ko ēhea ngā homoni tino nui e whakaputaina ana e te repe pituitary?
Ahakoa he ahua pūtaiao tēnei, kia māmā noa iho. Nā te mea he nui te pānga o ēnei homoni ki ō tātou oranga. Ka whakatakotoria e au tēnei ki tētahi ripanga pai kia māmā ai te mārama ki a koe.
| Ingoa o te homoni | Wāhanga kua tukuna | He aha te mea matua e mahia ana e koe? |
|---|---|---|
| Te homoni Adrenocorticotropic (ACTH) | Wāhanga o mua | Ina pāngia tātou e te ahotea, ka āwhina i a tātou ki te aro atu. Ka whakaoho i ngā repe adrenal, kei runga ake i ngā whatukuhu, kia whakaputa i te cortisol, te "hormone ahotea". |
| Homoni whakaoho-pūmua (FSH) | Wāhanga o mua | Ka āwhina i te whakaputa parāoa i roto i ngā tāne . Ka whakaoho i ngā ovaries i roto i ngā wāhine ki te whakaputa i te homoni estrogen, ā, ka āwhina hoki i te pakari o ngā hua manu. |
| Te Homoni Tipu (GH) | Wāhanga o mua | He mea nui mō te tipu tinana o ngā tamariki , tae atu ki te teitei. Ka āwhina i te pupuri i te hauora o ngā uaua me ngā wheua i roto i ngā pakeke , ā, ka whakahaere hoki i te tohatoha o te ngako. |
| Hormone Luteinizing (LH) | Wāhanga o mua | Ka āwhina i ngā wāhine ki te whakaputa hua. Ka āwhina i ngā tāne ki te whakaputa testosterone mai i ō rātou rae. |
| Prolactin | Wāhanga o mua | Koinei te homoni matua e āwhina ana i ngā whaea ki te whakaputa waiū i muri i te whānautanga. Ka pā anō hoki ki te momonatanga o ngā pakeke. |
| Te homoni whakaohooho tairoi (TSH) | Wāhanga o mua | Ka tohu i te repe tairoi i te kaki kia "tīmata te mahi." Ko ngā homoni tairoi te kaiwhakahaere o ngā mea pēnei i te pākia o te tinana me ngā taumata pūngao. |
| Hormone ārai-tiuretika (ADH) | Wāhanga o muri | Ka whakahaere i te taurite o te wai me te konutai (tote) i roto i te tinana. Mēnā ka iti iho tēnei, ka mimi pinepine. |
| Oxytocin | Wāhanga o muri | Ka āwhina i te kōpū kia kōpiri hei whānau i te pēpi . Ka āwhina hoki i te rere o te waiū i te wā e whāngai ana i te u, ā, ka āwhina hoki ki te hanga hononga i waenganui i te whaea me te tamaiti. |
Ka taea e te tangata te ora me te kore he repe pituitary?
Āe, e taea ana. Engari he āhuatanga kei reira. Ko te tangata kāore he repe pituitary , me tango e ia ngā homoni nui e hangaia ana e taua repe hei rongoā mō te toenga o tōna oranga. Ki te kore ēnei homoni, he maha ngā tukanga nui o roto i tō tātou tinana e kore e puta. Nō reira, ki te kore e rongoatia, ka taea te ngaronga o ngā homoni pituitary katoa hei morearea ki te ora.
Nā, he aha ngā mahi matua a te repe pituitary?
Kia mārama tātou ki tēnei mā te whakamahi i tētahi tauira tino māmā. Whakaarohia te whakamahana hau i roto i tō hauhautanga i te kāinga. Ka aroturuki tonu i te pāmahana o te rūma, ā, ka whakaweto/whakakā i te hauhautanga ina hiahiatia kia noho ki te taumata e pai ana, tika?
He rite te repe pituitary ki te pūmahana wera o te tinana. E aroturuki tonu ana i ngā mahi a te tinana, e tuku karere ana, e kiia nei ko ngā homoni ki ngā momo okana me ngā repe, e kī ana ki a rātou, "Āe, me mahi i tēnei inaianei," "Whakanuia ake te taumata o tēnei," "Kati tēnei inaianei."
Ngā mahi matua i te poto:
- Te whakahaere i te tipu o te tinana .
- Te Pūnaha Whakaora - Koinei te huarahi e huri ai tātou i te kai e kainga ana e tātou hei pūngao.
- Te whakaputa uri , arā, te āheinga ki te whānau tamariki.
- Te urupare ki te ahotea, ki te tūpono rānei.
- Te whakaputanga waiū ū.
- Te whakahaere i te taumata wai me te tote o te tinana.
- Āwhina i te tukanga whānautanga.
He aha ngā mate ka taea te hono atu ki te repe pituitary?
Ina ngoikore te mahi a tēnei repe iti, ka puta he maha ngā raruraru. Ka taea te wehewehe i ēnei ki ngā momo e whā.
1. Ngā Adenoma Pituitary
He pukupuku kore-matepukupuku (pai) ēnei e puta mai ana i roto i te repe pituitary. E 10%-15% pea o ngā pukupuku o roto o te angaanga te take. He maha ngā wā ka tino nui haere ēnei pukupuku.
- Mena ka tipu te puku: Ka pēhi pea i ngā io e karapoti ana i a ia, inā koa ko ērā e pā ana ki te tirohanga. Ka pā mai pea te ānini me ngā raruraru tirohanga (ina koa ko te ngaronga o te tirohanga taha).
- Ngā pukupuku whakaputa homoni: Ka whakaputa homoni rerekē ētahi pukupuku. Hei tauira, ko te pukupuku e whakaputa nui rawa ana i te homoni prolactin (Prolactinoma) ka puta he wai miraka mai i ngā ū o ngā wāhine kāore e whāngai u ana, me ngā huringa paheketanga koretake.
- Ngā pukupuku kore-hormonal: Kāore ētahi pukupuku e whakaputa i ngā homoni. Ka raru noa iho mēnā ka nui te pukupuku, ā, ka pēhi i ngā io tata.
2. Te ngoikore o te pituitari
Koinei te wā e iti iho ai te nui o te kotahi, neke atu rānei o ngā homoni e whakaputaina ana e te repe pituitary i te nui e hiahiatia ana. Tērā pea ka puta tēnei i te kino o te repe, i te pokanga, i te maimoatanga irahiko rānei ki te roro.
3. Te mate pūkahukahu nui
Koinei te wā e nui ake ai te kotahi, neke atu rānei o ngā homoni e whakaputaina ana e te repe pituitary i te mea e hiahiatia ana. He maha ngā wā ka puta mai tēnei i te adenoma pituitary e whakaputa homoni ana.
Kia titiro tātou ki ngā āhuatanga matua e hua mai ana i ngā koretake o ngā homoni.
| Tūnga | Whakaahuatanga |
|---|---|
| Acromegaly | Te nui rawa o te homoni tipu (GH) i te wā pakeketanga. E tohuhia ana e te whakanui rerekē o ngā wāhanga o te tinana pēnei i ngā ringa, ngā waewae, me ngā wheua o te mata. |
| Te nui rawa o te tangata | Mā te nui rawa o te homoni tipu (GH) i te wā tamarikitanga ka roa rawa te tamaiti. |
| Te mate a Cushing | Te pikinga o ngā taumata cortisol nā te nui rawa o te whakaputanga o te homoni ACTH . Ko te tohu o tēnei ko ngā putunga ngako i ētahi wāhi o te tinana (te mata, te puku, te tuara o te kaki), te toto toto tiketike, me te taumata huka tiketike. |
| Te korenga o te homoni tipu | Te whakapōturi me te whakapōturi o te tipu o ngā tamariki. Ngā raruraru pākia o te pūnaha io i roto i ngā pakeke. |
| Te Mate Huka Insipidus o te Waenganui | Te korenga o te homoni ADH . Nā tēnei ka kore te tinana e pupuri i te wai, ā, ka nui rawa te mimi e tukuna ana. (Ehara tēnei i te mate huka, arā, te mate huka). |
| Te ngoikore o te ngākau (Te ngoikore o te ngākau i waenganui) | Te korenga o ngā homoni LH me FSH . Ka puta ngā raruraru mahi ā-ira me te momona i roto i ngā tāne me ngā wāhine. |
4. Te Mate Pūkahukahu o Sella
He mate onge tēnei. Ka puta mai i te raruraru o te pēke wheua (sella turcica) kei reira te repe pituitary, ka pātata, ka whakaiti rānei te repe. He maha ngā wā ka kitea tēnei i runga i te matawai. Mena he noa ngā taumata homoni, kāore he raruraru e pā mai ana.
Me pēhea te mōhio mēnā he raruraru kei te repe pituitary? He aha ngā tohu?
He rerekē rawa ngā tohu o te raruraru o te repe pituitary, i runga i te homoni e pāngia ana, me te mea he pukupuku, me tōna rahi.
Ngā tohu noa (nā te nui o ngā pukupuku):
- Ngā mamae o te upoko e maha ana, e mau tonu ana.
- Ngā huringa o te tirohanga, inā koa te ngaronga o te tirohanga taha.
Ngā tohu ka puta mai i te koretake o te taurite o ngā homoni:
- He puhoi, he tere rawa rānei te tipu o ngā tamariki.
- Te kore tamariki i roto i ngā tāne me ngā wāhine.
- Ka koretake, ka mutu rānei te huringa paheketanga o te wahine.
- Te piki, te heke rānei o te taumaha, kahore he take.
- Te pouri, te manukanuka rānei.
- Te ahua o te ngenge nui rawa o te tinana.
Ki te mea kei a koe ngā tohu hou, e mau tonu ana pēnei i ēnei, kaua e warewarehia. Tērā pea he hononga ki te repe pituitary, kāore rānei. Nō reira, ko te mea pai ko te toro atu ki tō tākuta me te tiki tohutohu.
Mā wai ēnei momo raruraru e rongoā? Me pēhea te tautuhi i te mate?
Ka rongoatia ngā raruraru o te repe pituitary me ngā homoni e te tākuta endocrinologist. Ka taea e ia te whakahaere i ngā whakamātautau e tika ana i runga i ō tohu, te tātaritanga i te āhua, me te whakamahere maimoatanga. Mena me tango e koe tetahi mea pēnei i te pukupuku mā te pokanga, me rapu awhina pea koe i te taote roro .
Ko ngā whakamātautau e whai ake nei e whakamahia ana mō te tautuhi mate:
- Ngā whakamātautau toto: He maha ngā mōhiohio ka taea te whiwhi mā te ine i ngā taumata o ngā homoni rerekē i roto i te toto.
- Matawai MRI: He mea tino nui tēnei kia mārama ai te āhua o te roro me te repe pituitary, kia kitea ai mēnā he pukupuku, he rerekētanga rānei.
Me pēhea te pupuri i te hauora o tō tātou repe pituitary?
Ko te mea pai rawa atu ka taea e tātou ko te tiaki i ō tātou mahunga. Ka taea e ngā whara roro (TBI) te kino i tēnei repe ngawari. Nō reira,
- Me mau te whitiki nohoanga i ngā wā katoa kei roto koe i te waka.
- Kia mau ki te potae i a koe e eke pahikara ana, e motopaika ana, e takaro hākinakina ana rānei.
- Āraia koe kei hinga. Kia tūpato ki ngā wāhi pahekeheke, mōrearea hoki o tō whare, inā koa he kaumātua tōu.
- Mena he tamariki nohinohi āu, kia tino haumaru te taiao e tākaro ana, e noho tahi ana rātou.
Ka āwhina nui ēnei tikanga iti nei ki te ārai i te kino o te roro me tēnei repe utu nui.
Karere Tangohia ki te Kāinga
- He okana rite te rahi ki te pī te repe pituitary kei raro i tō roro, engari he okana tino kaha e mahi ana hei "Repe Matua" o te tinana.
- He maha ngā mea, pēnei i te tipu o tō tinana, te pākia o te tinana, te whakaputa uri, me te tauhohenga ki te ahotea, e whakahaerehia ana e ngā homoni e tukuna ana i konei.
- Ka nui rawa, ka iti rawa rānei te hanga homoni i ngā raruraru o tēnei repe, ka puta ai ngā momo tohu maha.
- Mena kei te pāngia tonu koe e te ānini, ngā panoni tirohanga, me ētahi atu panoni rerekē o tō tinana (ngā panonitanga o te taumaha, ngā raruraru o te huringa paheketanga), tera pea he raruraru kei te repe pituitary.
- Kaua rawa e warewarehia ēnei tohu. Tirohia tō tākuta tonu mō ētahi tohutohu.
Te repe pituitary, ngā homoni, ngā raruraru homoni, ngā pukupuku roro, ngā homoni pituitary, te endocrinologist
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