Kei raro i ō tātou roro, he repe iti, engari he tino hira. Ka kiia e tātou ko te Repe Pituitary. Ahakoa he iti, he rite tonu tana mahi ki te rangatira nui o tō tātou tinana. He maha ngā mea tino hira e whakahaere ana i a ia, pērā i tō tātou tipu, te tere o te manawa, me te āheinga ki te whānau tamariki. Koinei anō hoki te mea e kī ana ki ētahi atu repe o te tinana, "Āe, hangaia ō homoni." Koia mātou i kī ai ko te "Repe Matua."
Nō reira, ina tīmata te tipu rerekē o ēnei pūtau repe pituitary, ā, kāore e taea te whakahaere, ka kiia e mātou he pukupuku pituitary. Engari ko te mea e wehingia ana e te tini o te tangata i konei ko te mea he mate pukupuku. Inaa, ko te nuinga o ngā pukupuku pituitary ehara i te mate pukupuku. He tino onge te mate pukupuku pituitary. Heoi, ahakoa ehara ēnei pukupuku i te mate pukupuku, ka taea e rātou te whakararuraru nui nā te rahi (ngā pukupuku nui) nā te mea rānei ka whakaputahia e rātou he homoni tāpiri kāore e hiahiatia ana e te tinana (ngā pukupuku mahi). Ko te tikanga ka rongoatia tēnei mā te pokanga, te rongoā, te rongoā irahiko rānei.
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He aha i puta ai ēnei pukupuku pituitary?
Ina hoki, kāore anō kia tino mārama ngā tākuta he aha te take o ēnei pukupuku. I ētahi wā ka puta he panoni i roto i ngā ira o ngā pūtau pituitary, engari te āhua nei ka puta noa mai.
Heoi anō, kei reira ētahi āhuatanga ira e nui ake ai te tūponotanga o te hunga whai mate pukupuku pituitary. Ko ētahi o ēnei āhuatanga ko:
- Te matatini o Carney: He āhuatanga ira onge tēnei e puta ai te maha o ngā pukupuku kore-matepukupuku i roto i te tinana.
- Te adenoma pituitary motuhake whānau (FIPA): He āhuatanga onge anō hoki tēnei. Ka nui ake te tinana i te mea noa.
- Te mate acromegaly whānau motuhake: He rite tēnei ki te FIPA.
- Te mate McCune-Albright: Ka puta he rerekētanga i roto i ngā wheua me te kiri i tēnei āhuatanga onge.
- Ngā neoplasia endocrine maha, momo I me te momo IV (MEN1, MEN4): Ka taea e ēnei āhuatanga te hanga pukupuku i roto i ngā repe o te tinana.
Ngā tohu i puta mai i te whakanui ake o te pukupuku
Kei roto i tētahi wāhi iti rawa i raro i te roro te repe pituitary, e tata ana ki ngā io whatu e kawe ana i ngā karere i waenga i ngā kanohi me te roro. Nō reira, ina tupu he pukupuku nui i roto i tēnei wāhi iti, ka tīmata te pana ki ngā mea e karapoti ana. Ka puta he maha ngā tohu.
Ki te kī māmā noa iho, ko te pūtake o te raruraru, i te tipu haere o te puku, ka pēhia ngā whekau nui e karapoti ana i a ia, ka wātea he wāhi mōna.
Ko ngā tohu matua e puta mai ana i tēnei pupuhi ko:
- Ānini upoko: He maha ngā wā, he kino hoki te ānini upoko i ētahi wā.
- Ngā raruraru tirohanga:Ngā āhuatanga pēnei i te ngaronga o te tirohanga taha me te tirohanga takirua, inā koa ina titiro tika whakamua.
Waihoki, ki te pēhia e tēnei pukupuku te repe pituitary tonu, ka heke pea te nui o ngā homoni e hangaia ana e te repe. Kātahi ka puta pea ngā tohu pēnei i ēnei:
- Mō ngā tāne: te whanaketanga o ngā ū, te ngaronga o ngā huruhuru kanohi, me te ngoikore o te moepuku.
- Mō ngā wāhine: te paheketanga koretake, te paheketanga kua mutu, te whakamutu o te whāngai ū me te kore e whānau he tamariki.
- Mō ngā tamariki: Te puhoi o te tipu me te pakeketanga ā-ira tangata.
- Mea noa: te hekenga o te hiahia moepuku, te ruaki, te mamae o te puku, te huri o te taumaha, me te mātao i ngā wā katoa.
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Check Availability →Ngā tohu i puta mai i ngā pukupuku e whakaputa ana i ngā homoni
Ko ētahi pukupuku (ngā pukupuku mahi) ka whakaputa i ngā homoni tāpiri kāore e hiahiatia ana e te tinana. Ko ngā tohu ka puta mai ka whakawhirinaki ki te homoni e nui rawa ana te whakaputa. Kia kite tātou me pēhea te mahi.
| Ko te homoni e tino hangaia ana | Āhua me ngā tohu |
|---|---|
| Te homoni Adrenocorticotropic (ACTH) | Ka whakahaere tēnei i te homoni cortisol. Ina piki ake te ACTH, ka puta he āhuatanga e kiia nei ko te mate a Cushing . Ngā Tohu: Ngāwari te marō, te toto toto tiketike, te huka toto tiketike, ngā tohu totoro papura, māwhero rānei, te mata porotaka rawa, te ngoikore o te uaua, te angiangi o ngā waewae me te mata, te kaki, me te tinana kua nui haere. |
| Homoni Tipu | Ka whakahaere tēnei i te tipu o te tinana, te huka, me te whakamahinga o te ngako. Mēnā ka piki ake tēnei: Tamariki: Te tipu roa atu i te mea noa ( Gigantism ) Ngā Pakeke: Te whakanui ake i ngā wheua o te mata, ngā ringa, me ngā waewae ( Acromegaly ) Ētahi atu tohu: mate manawa, huka toto tiketike, mamae hononga, werawera nui. |
| Prolactin | Ka whakaoho tēnei i te whakaputanga o te waiū ū i roto i ngā wāhine. Mēnā ka piki ake tēnei: Mō ngā wāhine: Te turuturu o te waiū ū i te wā kāore i te hapu, kāore rānei i te whānau tamariki, te heke o te hiahia moepuku, te mutu o te paheketanga, te uaua ki te hapu. Mō ngā tāne: te hekenga o te maha o ngā parāoa me te koretake o te moepuku. |
| Te homoni whakaoho tairoi (TSH) | Ka tohutohu tēnei i te repe tairoi kia whakaputa i ngā homoni. Ka whakahaere ēnei i te tipu, te pāmahana, me te tere o te manawa. Mena he teitei te TSH: Ngā Tohu: Te tere o te manawa, te koretake rānei o te ngakau, te nekeneke pinepine o te puku, te raruraru moe, te wiri, te werawera nui, te ngaronga taumaha. |
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te kite i tētahi tākuta me ēnei tohu, ka pātai tuatahi ia ki a koe i tētahi pātai taipitopito mō ō tohu me tō hītori hauora. Kātahi ka whakahaerehia he whakamātautau tinana.
Hei tāpiri, ka taea te whakahaere i ngā whakamātautau pēnei i:
- Whakamātautau kanohi: Tirohia mēnā kua pāngia tō tirohanga e te pukupuku.
- Whakamātautau io: Tirohia te mahi a tō roro, tō tuaiwi, me ngā io.
- Ngā whakamātautau toto me te mimi: Tirohia ō taumata homoni kia tino kitea ai he aha.
- Whakaahua: Hei whakaū mēnā kei roto he pukupuku mā te titiro ki roto i te tinana. He tikanga tēnei mā te matawai CT , ā, i ētahi wā ka taea te mahi mā te matawai MRI .
He aha ngā maimoatanga mō tēnei?
Kāore te nuinga o ngā pukupuku pituitary e hiahia ana ki te rongoā. Heoi, ki te hiahia tō pukupuku ki te rongoā, ko te tikanga e whiriwhiria ka whakawhirinaki ki te momo pukupuku, tōna rahi, me tō hauora whānui.
Pokanga
Koinei te maimoatanga tino noa. Ki te kore he pukupuku e whakaputa ana i te prolactin, ka tangohia te nuinga o ngā pukupuku mā te pokanga. Hei mahi i tēnei pokanga, ka tapahia pea e te tākuta mā te ihu, mā te tapahi i runga ake i te ngutu o runga, mā te tapahi rānei i te angaanga. Ko te tikanga ka mahia te pokanga mā te angaanga mō ngā pukupuku nui ake, mō ngā pukupuku rānei kua horapa i roto i te huarahi uaua.
Te Whakaora Irahiko
Ka whakamahia e tēnei maimoatanga ngā hihi-X kaha-teitei hei whakangaro i te pukupuku. He pai tēnei maimoatanga mēnā kāore e taea te tango katoa i te pukupuku mā te pokanga, mēnā rānei kua hoki mai te pukupuku. He rerekē ngā momo rongoā irahiko, mai i te maimoatanga kotahi te horopeta nui (stereotactic radiosurgery) ki te maimoatanga iti te horopeta e hoatu ana i ētahi wā i te wiki mō te 4-6 wiki.
Rongoā
I runga i te momo pukupuku kei a koe, ka whakamātau pea tō tākuta i te rongoā tuatahi. Ina koa mēnā kei te whakaputa tō pukupuku i te prolactin, ka taea e te rongoā te whakaiti i te whakaputanga o taua homoni me te āwhina i te pukupuku kia whakaiti. He pai hoki ngā rongoā mō ngā pukupuku e whakaputa ana i te homoni tipu me te whakahaere i ngā āhuatanga pēnei i te mate Cushing me te acromegaly.
Karere Tangohia ki te Kāinga
- Ehara te nuinga o ngā pukupuku pituitary i te matepukupuku, nō reira kaua e manukanuka noa iho.
- Tērā pea ka puta ngā tohu pēnei i te ānini me te panoni o te tirohanga i runga i te rahi o te pukupuku. Tērā pea ka puta anō hoki ngā tohu nā ngā panoni o ngā homoni i roto i te tinana.
- Mena ka puta mai ēnei tohu, he mea nui kia toro atu koe ki tētahi tākuta whai tohu i te wā e taea ai.
- He maha ngā maimoatanga whai hua mō tēnei, pērā i te pokanga, te rongoā irahiko, me ngā rongoā.
- Kōrerohia ō pātai mō tō āhua me tō maimoatanga ki tō tākuta.
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