Ese icyuma cyawe cya pituitary gikora cyane? (Hyperpituitarisme) Reka tubiganireho mu buryo bworoshye!

Ese wabonye impinduka zikomeye mu mubiri wawe mu buryo butunguranye? Wenda wariyongereye ibiro mu buryo butunguranye, isura yawe yarahindutse, cyangwa wumva unaniwe umunsi wose uko waba usinziriye kose? Akenshi twibagirwa ibi bintu, twibwira ko ari ibisanzwe. Ariko se wari uzi ko inyuma ya bimwe muri ibi bintu, hashobora kubaho impinduka mu mikorere y'agatsi gato ariko gafite akamaro cyane mu bwonko bwacu. Ibyo nibyo tuvuga uyu munsi.

Iyi gland ya pituitary yitwa iki? Kuki ari ingenzi cyane?

Tekereza umubiri wawe nk'ikigo kinini. Umuyobozi mukuru w'iyo sosiyete, umuyobozi ugenzura byose, ni ingirabuzimafatizo ya pituitary . Iyi ni ingirabuzimafatizo nto, zingana n'amashaza, iherereye mu nsi y'ubwonko bwacu, zingana n'ikirahure. Nubwo ari nto, ikora akazi kenshi. Niyo mpamvu rimwe na rimwe yitwa "ingirabuzimafatizo nkuru".

Mu magambo make, igenzura imikorere y’izindi ngirabuzimafatizo mu mubiri wacu. Urugero, ingirabuzimafatizo, ingirabuzimafatizo z’intanga ngabo, n’urusobe rw’imyororokere rwacu, nk’intanga ngabo cyangwa udusabo tw’intanga ngabo, bigenzurwa n’imisemburo iva muri pituitary gland.

Kimwe na thermostat mu nzu yacu. Ihora igenzura ubushyuhe mu nzu kandi ikarinda ubushyuhe ku rugero rumwe binyuze mu gucana/gufunga AC cyangwa icyuma gishyushya, sibyo? Mu buryo nk'ubwo, icyuma gishyushya gihora gikurikirana urugero rw'imisemburo mu mubiri wacu kandi cyohereza ubutumwa ku zindi ngirabuzimafatizo kugira ngo zirekure imisemburo ikenewe mu gihe gikwiye.

None se iyi hyperpituitarism ni iki?

Muri make, hyperpituitarisme ni igihe iyi gland yavuzwe haruguru ikora cyane, ikarekura imisemburo myinshi mu maraso yacu kuruta uko bikenewe. Ni nk'aho umuyobozi w'ikigo akora cyane kandi akangiza ibintu byose.

Akenshi, ni ukuvuga hafi 99% by'igihe, impamvu iba ari ikibyimba gito kitari kanseri (kitari kibi). Mu buvuzi, iki kibyita adenoma y'ubwonko . Iki kibyimba gikangura imvubura kandi kigatuma ikora imisemburo myinshi kuruta uko bikwiye.

Imisemburo ikorwa n'agace k'ubwonko (pituitary gland) n'imikorere yabyo

Hari ibice bitatu by'ingenzi bya gland ya pituitary. Buri gice gisohora imisemburo itandukanye. Reka turebe ibyo ari byo n'ibiba kuri byo.

Indwara zishobora guterwa n'ingufu za pituitary zikora cyane

Indwara ibaho iratandukanye bitewe n'imisemburo ikorwa cyane n'agace k'ubwonko gakoresha pituitary. Reka turebe indwara nyamukuru zigaragara.

• Indwara ya Cushing: Iyo imisemburo ya ACTH ikozwe cyane, urugero rwa cortisol mu mubiri wacu ruriyongera cyane. Ibi byitwa Indwara ya Cushing.
• Acromegaly: Iyi ndwara ibaho iyo imisemburo yo gukura (GH) ikozwe cyane mu gihe cy'ubukure. Ibi bituma amagufwa y'amaboko, ibirenge, n'isura bikura bikabije. Iyo ibi bibaye mu bwana, byitwa gigantism .
• Hyperthyroidism: Iyo habayeho TSH nyinshi (ibi biba gake cyane), tiroyide ikora cyane kandi imikorere y'umubiri ikongera kwihuta.
• Prolactinoma: Ikibyimba (adenoma) mu turemangingo dukora imisemburo ya prolactine gitera ikorwa ryinshi ry'imisemburo. Ibi bishobora kugira ingaruka zikomeye ku buzima bw'imyororokere.

Ni ibihe bimenyetso by'izi ndwara?

Ibimenyetso bizana na buri kimwe muri ibi biratandukanye. Niba ufite kimwe muri ibi bimenyetso, ni ngombwa cyane kujya kwa muganga.

Ni gute iki kibazo bigira ingaruka ku bana?

Hyperpituitarisme ikunze kugaragara ku bana. Iyo ibayeho, akenshi iterwa n'agahu gato k'ubwonko. Ubwoko bwa kanseri bukunze kugaragara ku bana ni ikibyimba gitanga prolactine (Prolactinomas).

• Ku bakobwa: Gutinda mu bugimbi, guhagarika imihango (amenorrhea), no kudakora neza k'udusabo tw'intanga bishobora kubaho.
• Abahungu: Ibibyimba binini (macroprolactinomas) bikunze kugaragara. Kubera ko ibi bibyimba ari binini, bishobora gutera imitsi mu bwonko, bigatera kuribwa umutwe no kutabona neza. Bishobora kandi gutera gutinda mu gihe cy'ubugimbi n'ubwangavu no kugira ibibazo byo gukura.

Ni gute muganga asuzuma iyi ndwara?

Iyo utubwiye ibimenyetso byawe, muganga abanza kugusuzuma neza. Hanyuma, bashobora gukora ibizamini byinshi kugira ngo bemeze ko wanduye.

1. Ibipimo by'amaraso n'inkari: Ibi bizapima urugero rw'imisemburo mu maraso yawe ndetse wenda n'inkari. Urugero, bizasuzuma urugero rwa prolactine, cortisol, na hormone yo gukura mu mubiri wawe.

2. Gupima amashusho:Iyo hagaragaye ikibazo mu misemburo, hakorwa isuzuma kugira ngo harebwe ikibyimba cy’ubwonko. Isuzuma rikunze gukoreshwa kuri ibi ni isuzuma rya MRI (Magnetic Resonance Imaging) . Ku muntu udashobora gukora isuzuma rya MRI (urugero: umuntu ufite pacemaker), isuzuma rya CT (Computed Tomography) naryo rishobora gukorwa.

3. Ibizamini byihariye: Hari igihe, kugira ngo hamenyekane neza indwara nka Cushing's syndrome, ibizamini byihariye, nko gupima urugero rwa cortisol mu macandwe, bishobora kuba ngombwa.

Ni ubuhe buryo bwo kuvura?

Uburyo bwo kuvura iyi ndwara buterwa n'ibintu nk'ubwoko bw'indwara ufite, ingano ya kanseri, n'ubuzima bwawe muri rusange. Hari uburyo butatu bw'ingenzi bwo kuvura.

1. Imiti

Akenshi, uburyo bwa mbere bwo kuvura ni imiti. Iyi miti ikoreshwa muri ibi bikurikira:

• Kugenzura urugero rw'imisemburo.
• Hari igihe bigabanya ingano y'ikibyimba.
• Imiti irakora cyane, cyane cyane kuri prolactinoma. Abantu barenga 80% basubira ku rugero rusanzwe rw'imisemburo.

2. Kubagwa

Niba imiti idashobora kugenzura ikibyimba, cyangwa niba ikibyimba cyarakuze bihagije kugira ngo kigire ingaruka ku maso, intambwe ikurikiraho ni ukubaga iki kibyimba.

• Uburyo bukunze gukoreshwa cyane bwo kubaga bwitwa transsphenoidal adenomectomy . Ibi bikubiyemo gukata gato unyuze mu mazuru cyangwa imbere mu munwa wo hejuru kugira ngo ugere ku gasabo k'ubwonko hanyuma ukureho ikibyimba nta kwangiza ubwonko.
• Iyo ubu buvuzi bukozwe n'umuganga w'inzobere mu kubaga, igipimo cy'intsinzi kiba kirenze 80%.

3. Ubuvuzi bushingiye ku mirasire

Ubuvuzi bushingiye ku mirasire bukoreshwa iyo igice cy'ikibyimba gisigaye nyuma yo kubagwa, cyangwa niba kubagwa bidashoboka.

• Ibi bikubiyemo kwibanda ku mirasire ifite ingufu nyinshi kuri iki kibyimba no kurimbura utwo turemangingo.
• Uburyo bugezweho nka therapy ya stereotactic bushobora kugabanya cyane kwangirika kw'ingingo nzima zikikije.

Ese birashoboka kugira ubuzima bwiza ufite iyi ndwara?

Yego rwose. Indwara nyinshi ziterwa na hyperpituitarisme zishobora gukemurwa neza hakoreshejwe imiti n'ubundi buryo bwo kuvura. Ikintu cy'ingenzi ni ukugisha inama kwa muganga ibimenyetso bikigaragara no gukurikiza neza uburyo wahawe. Hari indwara zishobora gusaba imiti y'igihe kirekire cyangwa ubugenzuzi bw'abaganga. Ariko, iyo abantu benshi bafashwe neza, bashobora kubaho ubuzima bwiza, bwishimye kandi busanzwe.