Kodi mudayamba mwakhalapo ndi mutu woopsa mwadzidzidzi, kusawona bwino, kuwona kawiri, kapena kugwa kwa chikope? Ngakhale izi sizichitika kawirikawiri, pakhoza kukhala chifukwa chachikulu chomwe chikuyambitsa izi. Umenewo ndi vuto ladzidzidzi lomwe tikambirane lero, lotchedwa ``Pituitary Apoplexy''. Musachite mantha, tiyeni tikambirane za izi mosavuta.
Kodi Pituitary Apoplexy ndi chiyani?
Mwachidule, `(Pituitary Apoplexy)` ndi vuto lomwe magazi amapita ku pituitary gland , yomwe ndi gland yaying'ono muubongo wathu, imasiya mwadzidzidzi (monga, magazi amatsekedwa), kapena kutuluka magazi kumachitika mkati mwa gland (`(Kutuluka magazi)`). Imeneyi ikhoza kukhala vuto lalikulu, kotero nthawi zina pamafunika chithandizo chamankhwala chadzidzidzi .
Ndiye kodi pituitary gland iyi ndi chiyani?
Tangoganizirani, pakati pa ubongo wathu, kumbuyo kwa mlatho wa mphuno zathu, pali kachiwalo kakang'ono kofanana ndi nandolo. Ndicho chimene timachitcha kuti pituitary gland. Ichi ndi chimodzi mwa tinthu tating'onoting'ono ta m'thupi lathu. Ndi chomwe chimapanga ndikuwongolera mahomoni, omwe ndi mankhwala omwe amagwira ntchito yofunika kwambiri m'thupi lathu.
Ntchito zambiri za thupi lathu zimadalira mahomoni amenewa. Nazi zitsanzo zingapo:
- Kulamulira kuthamanga kwa magazi athu.
- Kubereka ndi ntchito yogonana.
- Kukula ndi kukula kwa thupi.
Mahomoni omwe amatulutsidwa ndi pituitary gland amatumiza zizindikiro ku ma endocrine glands ena kuti apange mahomoni awo. Amagwira ntchito ngati kapitawo kakang'ono m'thupi lathu.
Kodi Pituitary Adenoma ndi chiyani?
Kawirikawiri, vuto limeneli lotchedwa ``Pituitary Apoplexy'' limapezeka mwa anthu omwe ali ndi chotupa chosaopsa (chosakhala khansa) mu pituitary gland, kutanthauza ``Pituitary Adenoma''.
Komabe, anthu ambiri sadziwa ngakhale kuti ali ndi `(Pituitary Adenoma)`. Nthawi zina chotupachi chimapezeka mwangozi panthawi ya `(Image Test)` yochitidwa pazifukwa zina. Kwa ena, vuto ili lotchedwa `(Pituitary Apoplexy)` ndi chizindikiro choyamba chakuti ali ndi `(Pituitary Adenoma)`.
Pogawa "Pituitary Adenomas" awa m'magulu, amadalira ngati amatulutsa mahomoni kapena ayi.
- Zotupa zomwe zimatulutsa mahomoni: Izi zimatha kupanga mahomoni enaake ambiri.
- Homoni ya Adrenocorticotropic (ACTH): Izi zimapangitsa kuti tiziwalo ta adrenal tipange homoni yotchedwa cortisol . Cortisol ndi homoni yomwe imathandiza kuyankha kupsinjika, kulimbana ndi matenda, komanso kuwongolera kuthamanga kwa magazi, shuga m'magazi, ndi kagayidwe kachakudya m'thupi.
- Prolactin:Ngakhale kuti imagwira ntchito zambiri m'thupi, ndi yofunika kwambiri pakukula kwa minofu ya m'mawere ndi kupanga mkaka. Ngati ikukula, ingayambitse kusakhazikika kwa msambo mwa akazi ndikuchepetsa chilakolako chogonana mwa amuna.
- Homoni Yokulira: Imalamulira kukula kwa ana ndipo imalamulira mafuta m'thupi, shuga m'magazi, ndi kukonzanso maselo mwa akuluakulu.
- Ma Pituitary Adenoma Osagwira Ntchito: Izi sizimatulutsa mahomoni. Ma Pituitary Apoplexy amapezeka kwambiri mwa anthu omwe ali ndi ma pituitary adenomas osagwira ntchito.
Ndani amene ali ndi mwayi waukulu wopeza Pituitary Apoplexy?
Vutoli limapezeka mwa amuna kawiri kuposa akazi. Limakhudza kwambiri anthu azaka zapakati pa 37 ndi 58.
Kodi vutoli ndi lofala bwanji?
Pali malingaliro osiyanasiyana okhudza momwe Pituitary Adenoma imakhalira yofala. Izi zili choncho chifukwa anthu ambiri sasonyeza zizindikiro. Lingaliro la akatswiri ambiri ndilakuti matendawa ndi ofala kwambiri. Pakati pa 2% ndi 12% ya anthu omwe ali ndi Pituitary Adenoma akhoza kukhala ndi Pituitary Apoplexy.
Kodi zizindikiro za Pituitary Apoplexy ndi ziti?
Zizindikiro za vutoli zimadalira:
- Kuchuluka kwa magazi.
- Kuchuluka kwa minofu mu pituitary gland yomwe imafa chifukwa cha kutayika kwa magazi.
- Kutengera ndi momwe kutupa (edema) kumaonekera.
Chizindikiro chofala kwambiri ndi mutu wopweteka mwadzidzidzi. Anthu opitilira theka amakumananso ndi mavuto a maso . Izi zimachitika chifukwa cha kupanikizika kwa mitsempha yomwe imayenda kuchokera muubongo kupita m'maso (mitsempha ya maso). Izi zitha kuphatikizapo:
- Kuona kawiri .
- Chikope chopindika .
- Kutaya kwathunthu kapena pang'ono kwa maso m'diso limodzi kapena onse awiri.
Zizindikiro zina zimayambitsidwa ndi kusintha kwa ubongo. Izi nthawi zina zimatha kufanana ndi matenda ena amitsempha, monga meningitis . Zizindikiro izi zikuphatikizapo:
- Chisokonezo.
- Kutopa kwambiri.
- Malungo.
- Kusanza ndi kusanza.
- Kusamva kuwala (Photophobia).
Kodi pituitary apoplexy ingakhudze ntchito ya mahomoni?
Inde, ndithudi. Pamene pituitary gland yawonongeka, imakhudza ntchito ya ma endocrine glands ena omwe imalamulira, mahomoni omwe amapanga, ndipo thupi limayang'anira mahomoni amenewo.
Matenda ofala kwambiri a mahomoni ndi kusowa kwa adrenocorticotropic hormone (ACTH). Izi zimakhudza kugwira ntchito kwa adrenal glands ndipo nthawi zina zimatha kupha munthu. Zizindikiro zake ndi izi:
- Kuthamanga kwa magazi pang'ono (Hypotension).
- Shuga wochepa m'magazi (Hypoglycemia).
- Kuchepa kwa sodium m'magazi (Hyponatremia).
- Kusanza ndi kusanza.
Kodi ndi zifukwa ziti za Pituitary Apoplexy?
Kunena zoona, chifukwa chenicheni cha izi sichikudziwikabe.
Kafukufuku wina wapeza kuti pakati pa 10% ndi 40% ya milandu imagwirizana ndi njira zina zachipatala, matenda, ndi mankhwala. Nazi zitsanzo zina:
- Mankhwala oletsa magazi kuundana amaperekedwa kwa anthu omwe ali ndi vuto la deep vein thrombosis ndi pulmonary embolism.
- Mankhwala oyambitsa dopamine omwe amagwiritsidwa ntchito pa matenda a Parkinson ndi matenda a miyendo yosakhazikika.
- Kuyesa kwa Endocrine ndi mayeso oyesera kuzindikira matenda a endocrine system.
- Mankhwala a gonadotropin-releasing hormone (GnRH), omwe amaperekedwa kwa amayi ena omwe ali ndi khansa ya m'mawere, amachepetsa ntchito ya mazira.
- Kuvulala mutu (monga kugwa, ngozi zamagalimoto).
- Opaleshoni, makamaka opaleshoni ya mafupa ndi opaleshoni ya mtima.
Akatswiri akuyesetsabe kumvetsetsa chifukwa chake zinthuzi nthawi zina zimagwirizanitsidwa ndi ``Pituitary Apoplexy``. Kafukufukuyu angathandize madokotala kupewa vutoli akamasamalira anthu omwe ali ndi pituitary adenomas.
Kodi matenda a Pituitary Apoplexy amachiritsidwa bwanji?
Dokotala wanu adzakuyesani (Kuyezetsa Thupi), adzayesa zizindikiro zanu, ndikuyitanitsa mayeso monga (Kuyezetsa Zithunzi).
Kutengera ndi kuopsa kwa vuto lanu, mungafunike chithandizo chadzidzidzi . Mu chipinda chodzidzimutsa, madokotala adzachita CT scan chifukwa ingapereke zotsatira mwachangu ndikuchotsa matenda ena, monga sitiroko. Komabe, ngati nthawi ilola, MRI ndiyo njira yabwino kwambiri. Ingapereke zambiri zokhudzana ndi kuwonongeka kwa pituitary gland.
Kodi matenda a Pituitary Apoplexy amachiritsidwa bwanji?
Pali mankhwala ndi opaleshoni monga mankhwala a izi.
Mankhwala a Corticosteroids (mankhwala omwa) ndi ofunikira kwambiri popewa kusowa kwa adrenocorticotropic hormone (ACTH). Nthawi zambiri, odwala amachira ndi mankhwala.
Koma ngati zizindikiro zanu zikuipiraipira, dokotala wanu angakulangizeni opaleshoni . Izi nthawi zambiri zimachitika pogwiritsa ntchito njira yochepetsera kuvulala. Izi zikutanthauza kuti dokotala wanu:
- Chubu chaching'ono chidzalowetsedwa mu imodzi mwa mphuno zanu.
- Bowo laling'ono limapangidwa m'fupa lomwe limalekanitsa mphuno ndi ubongo.
- Kamera imayikidwa kudzera mu chubu chimenecho ndipo chotupacho chimafufuzidwa.
- Kenako, chotupa kapena minofu ya pituitary yowonongeka imachotsedwa kudzera mu chubu chimenecho.
Njira imeneyi imatchedwa opaleshoni ya m'mphuno.Amatchedwanso `(opaleshoni ya m'mphuno)`.
Kodi ndingapewe matenda a Pituitary Apoplexy?
Mwatsoka, palibe njira yotsimikizika yopewera vutoli.
Koma ngati muli ndi "Pituitary Adenoma", muyenera kudziwa za kuthekera kwa vutoli. Ngati mwadzidzidzi mutu wanu wapweteka kwambiri kapena maso anu asintha, funani chithandizo chadzidzidzi nthawi yomweyo.
Kodi chiyembekezo cha Pituitary Apoplexy ndi chiyani?
Ndikofunikira kwambiri kuzindikira matendawa msanga ndikuyamba kulandira chithandizo . Chiwerengero cha anthu omwe amafa chifukwa cha vutoli ndi pafupifupi 2%.
Kwa anthu ambiri, mavuto a masomphenya amatha kuthetsedwa ndi mankhwala kapena opaleshoni. Kuona bwino kumabwezeretsedwa pafupifupi 40% ya milandu. Komabe, pafupifupi 80% ya anthu amafunika chithandizo cholowa m'malo mwa mahomoni kwa nthawi yayitali . Izi zili choncho chifukwa chakuti pituitary gland sigwira ntchito mokwanira. Chithandizo cha mahomonichi chimabwera m'njira zosiyanasiyana:
- Mitundu ya ma gels.
- Majakisoni.
- Zimasungunuka mkamwa.
- Ma spray a mphuno.
- Mapepala.
- Ma pellets omwe amaikidwa pansi pa khungu.
- Mapiritsi wamba.
Ngati mwakhalapo ndi Pituitary Apoplexy, mudzafunika kuyang'aniridwa ndi dokotala nthawi zonse (Chisamaliro chotsatira). Izi zikuphatikizapo:
- Yesani masomphenya anu.
- Onetsetsani kuti chotupacho chachotsedwa kwathunthu.
- Yang'anirani kuchuluka kwa mahomoni anu.
Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?
Fufuzani thandizo lachipatala mwamsanga ngati muli ndi vuto la masomphenya atsopano kapena mutu wopweteka mwadzidzidzi . Ena amati mutu umenewu ndi "mutu woopsa kwambiri womwe ndakhala nawo."
Popeza kuti Pituitary Apoplexy imayamba mwadzidzidzi, ndikofunikira kuchitapo kanthu mwachangu ngati muli ndi zizindikiro monga mutu waukulu komanso kusintha kwa masomphenya.
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, tsopano mwamvetsa bwino zomwe takhala tikulankhula, Pituitary Apoplexy. Kumbukirani, iyi ndi vuto ladzidzidzi. Koma nkhani yabwino ndi yakuti pali chithandizo chake. Chithandizo nthawi zambiri chimabwezeretsa masomphenya. Komabe, anthu ambiri amatha kukhala ndi vuto la mahomoni kwa nthawi yayitali.
Choncho, kutsatira malangizo a dokotala wanu, kuonana ndi dokotala wanu pa nthawi yake, komanso kumwa mankhwala omwe mwapatsidwa kudzakuthandizani kuwongolera kuchuluka kwa mahomoni anu ndikukhala ndi moyo wabwino. Musachite mantha, koma ngati mukukumana ndi zizindikiro izi, onetsetsani kuti mwapeza upangiri wa dokotala nthawi yomweyo.
Kutupa kwa pituitary, pituitary gland, mahomoni, mutu, mavuto a masomphenya, kutuluka magazi muubongo, zotupa za pituitary











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