Ese wigeze wumva unaniwe, unaniwe, cyangwa utishimye? Wenda ibiro byawe byiyongereye cyangwa byaragabanutse mu buryo butunguranye, cyangwa wahuye n'izindi mpinduka zidasanzwe. Ibi byose bishobora guterwa n'agace gato k'ubwonko bwawe ariko gakomeye cyane. Ni cyo tuvuga uyu munsi. Iyi ndwara izwi mu buvuzi nka hypopituitarism .
Indwara ya pituitary na hypopituitarism ni iki?
Mu magambo make, agahu ka pituitari ni agahu kangana n'amashaza gaherereye mu nsi y'ubwonko bwacu, inyuma y'izuru ryacu. Nubwo ari gato, gakora nk' 'agahu kanini' k'urusobe rw'imisemburo mu mubiri wacu. Ni ko kabwira agahu ka tiroyide, agahu ka adrenal, n'izindi misemburo nyinshi kati "Sawa, noneho ugakora iyi misemburo."
Hypopituitarism ni igihe ingirabuzimafatizo ya pituitary, ari yo nyigo y’ibanze, idakora imisemburo imwe cyangwa nyinshi bihagije. Hari igihe imisemburo yose ikorwa n’ingirabuzimafatizo ya pituitary ishobora kugabanuka. Ibi twita Panhypopituitarism . Iyi ndwara ishobora kwibasira abana ndetse n’abantu bakuru. Ishobora kandi guterwa n’indwara ya hypothalamus, igice cy’ubwonko kigenzura ibimenyetso biza mu ngirabuzimafatizo ya pituitary.
Iyi misemburo igenzura imikorere y'ingenzi mu mubiri wacu, nko gukura, kororoka, umuvuduko w'amaraso, no gukora imikorere y'umubiri . Rero niba hari kimwe muri ibi kibura, imikorere y'umubiri ifitanye isano ishobora guhungabana.
Ni iyihe misemburo y'ingenzi ikorwa n'agace ka pituitary?
Imisemburo ya pituitary ikora ubwoko butandukanye bw'imisemburo. Reka turebe iy'ingenzi n'icyo ikora. Bizaba ingenzi cyane kuri wewe kubimenya.
| Imisemburo | Imikorere mu mubiri |
|---|---|
| Imisemburo ya Adrenocorticotropic (ACTH) | Ikangura imiterere y'uturemangingo tw'intanga ngabo (uturemangingo tuba hejuru y'impyiko) kandi igafasha mu gukora imisemburo ya cortisol, igenzura umuvuduko w'amaraso n'imikorere y'umubiri. |
| Imisemburo itera imbaraga za tiroyide (TSH) | Ikangura ingirabuzimafatizo ya tiroyide mu ijosi kandi igafasha mu gukora imisemburo ya tiroyide, ikenewe cyane mu mikorere y'umubiri, mu mikurire no mu iterambere. |
| Imisemburo itera imbaraga za follicle (FSH) na Luteinizing (LH) | Ibi bigenzura imikorere y'imibonano mpuzabitsina n'imyororokere ku bagore no ku bagabo, bikaba bigaragaza ko estrogen ikorwa mu ntanga ngore ku bagore na testosterone ikorwa mu mabya ku bagabo. |
| Imisemburo yo gukura (GH) | Nk'uko izina ribigaragaza, ni ingenzi cyane ku mikurire isanzwe y'amagufwa n'ingingo, cyane cyane mu bwana. |
| Prolactine | Bitera iterambere ry'amabere ku bagore no gutanga amashereka yo konsa. |
| Imisemburo irwanya imiyoboro y'amaraso (ADH) | Impyiko zigenzura uburyo amazi asohoka mu mubiri. Iyo bigabanutse, umuntu ashobora kunyara cyane. |
| Oxytocin | Ifasha umura kwifata mu gihe cyo kubyara kandi igafasha amashereka gutembera mu gihe cyo konsa. Iyi misemburo ni ingenzi kandi mu guhuza umubyeyi n'umwana. |
Ni izihe mpamvu zitera hypopituitarisme?
Iyi ndwara iterwa no kwangirika kwa pituitary gland cyangwa hypothalamus. Hari igihe impamvu ishobora kutaboneka. Dore zimwe mu mpamvu nyamukuru:
- Ibibyimba biri mu gasabo k'ubwonko cyangwa hafi yabyo
- Uburyo bwo kuvura kanseri hakoreshejwe imirasire
- Kubagwa ku bwonko cyangwa ingirabuzimafatizo ya pituitary
- Indwara nka meningite
- Ibikomere bikomeye ku mutwe
- Gucika amaraso mu bwonko cyangwa gucika amaraso mu bwonko
- Imiti imwe n'imwe
- Ububyimbirwe buterwa n'ibibazo by'ubudahangarwa bw'umubiri
- Kuva amaraso menshi mu gihe cyo kubyara (syndrome ya Sheehan)
- Zimwe mu mpamvu zitera imiterere y'uturemangingo ( mutation y'uturemangingo )
- Izindi ndwara nka sarcoidosis n'igituntu
Ibimenyetso bimeze bite?
Ibimenyetso biterwa n'imisemburo ibura n'uburyo indwara yihuta. Hari abantu bashobora kutagira ibimenyetso na gato, cyangwa ibimenyetso bishobora kwiyongera buhoro buhoro. Abandi bashobora kugaragaza ibimenyetso bikomeye mu buryo butunguranye.
Reba imbonerahamwe iri hepfo kugira ngo umenye ibimenyetso bifitanye isano n'ibura rya buri misemburo.
| Kubura imisemburo | Ibimenyetso bishoboka |
|---|---|
| Kubura ACTH | Umunaniro uhoraho, gucika intege, umuvuduko w'amaraso muke, kugabanya ibiro, isesemi, kuruka, kwiheba. |
| Kubura TSH | Kurya impatwe, kwiyongera ibiro, kudashobora kwihanganira ubukonje, gutakaza imbaraga, ububabare bw'imitsi cyangwa intege nke. |
| Kubura FSH na LH | Ku bagore: imihango idahoraho cyangwa yahagaze, kugorwa no kubyara (kutabyara). Ku bagabo: gutakaza umusatsi mu maso no ku mubiri, intege nke, gutakaza ubushake bwo gukora imibonano mpuzabitsina, kudakora neza mu bijyanye n'imibonano mpuzabitsina, kugorwa no gutwita. |
| Kubura GH | Ku bana: gukura nabi, ibinure byiyongera mu rukenyerero no mu maso, ndetse no gukura nabi muri rusange. Ku bantu bakuru: kugabanuka kw'ingufu, kugorwa no gukora siporo, kwiyongera ibiro, kugabanuka kw'imitsi, guhangayika cyangwa kwiheba. |
| Kubura prolactine | Ku bagore: Kunanirwa gukora amashereka nyuma yo kubyara. |
| Kubura ADH | Kugira inyota nyinshi no kunyara kenshi (Diabetes Insipidus). |
| Kubura Oxytocin | Ku bagore: ingorane zo kugabanya amashereka. |
Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, nyamuneka ntubyirengagize . Menya neza ko wagiye kwa muganga wawe ukaganira kuri byo.
Ubibona ute, Muganga?
Iyo ugiye kwa muganga, azagutega amatwi witonze ibimenyetso byawe maze akwohereze kugira ngo upimwe ibikenewe.
- Ibipimo by'amaraso: Iki ni cyo cy'ingenzi cyane. Bipima urugero rw'imisemburo itandukanye mu maraso yawe. Hari igihe, imisemburo itangwa hanyuma hagakorwa ibizamini byihariye (ibipimo byo gukangura cyangwa gufunga) kugira ngo harebwe impinduka mu maraso mu masaha make. Ingero: `ACTH (Cortrosyn) stimulation test`, `GH stimulation test`.
- Gufata amashusho: MRI cyangwa CT scan bishobora gukorwa kugira ngo harebwe ikibyimba cy'ubwonko.
- Ibizamini byo Kureba: Kubera ko imitsi ihuza amaso inyura hafi y’agahu k’ubwonko, kureba birasuzumwa kugira ngo harebwe niba ikintu kimeze nk’ikibyimba kirimo gukanda kuri iyo mitsi.
- Imirasire ya X-ray ku bana: Imirasire ya X-ray y'amaboko y'abana irakorwa kugira ngo harebwe niba amagufwa arimo gukura neza.
Ivurwa ite?
Hari intego ebyiri z'ingenzi mu kuvura iki kibazo. Imwe ni ukuvuraKuvura impamvu nyamukuru (urugero, gukuraho ikibyimba). Ikintu cya kabiri kandi cy'ingenzi ni ugusimbuza imisemburo ibura mu mubiri . Ibi byitwa ubuvuzi bwo gusimbuza imisemburo .
Imiti
Muganga azaguha imiti ikwiye bitewe n'urugero rw'imisemburo ufite.
- Ku bura bwa ACTH: Glucocorticoids (urugero: hydrocortisone) zitangwa kugira ngo zikosore urugero rwa cortisol.
- Ku bura bwa TSH: Imiti nka 'Levothyroxine' iratangwa kugira ngo ikosore urugero rw'imisemburo ya tiroyide.
- Ku misemburo y'imibonano mpuzabitsina ibura: Testosterone ihabwa abagabo naho estrogen (bishoboka ko ihabwa progesterone) ihabwa abagore.
- Ku barwayi ba GH: Inshinge za GH zitangwa kugira ngo zifashe mu mikurire, cyane cyane ku bana. Abantu bakuru nabo rimwe na rimwe bahabwa ubu buvuzi kugira ngo bufashe mu mikurire no gukomera kw'imitsi.
- Ku bijyanye no kutabyara: Hari uburyo bwihariye bwo kuvura imisemburo nka Gonadotropin kugira ngo hakorwe ikura ry'intanga cyangwa intanga ngabo.
Kubaga
Niba ikibyimba ari cyo cyateye iyi ndwara, kubagwa bishobora kuba ngombwa kugira ngo gikureho, bitewe n'ubwoko n'aho ikibyimba giherereye.
Ni iki twagombye gutekerezaho ku byerekeye ahazaza? (Icyitegererezo)
Inkuru nziza ni uko iyo indwara imenyekanye neza kandi ikanahabwa imiti isimbura imisemburo neza, birashoboka kubaho ubuzima bwiza kandi bufite ubuzima bwiza . Ubuvuzi bushobora kumara ubuzima bwose.
Igikuru ni ugukurikirana muganga wawe ku gihe . Kubera ko ibyo umubiri wawe ukeneye mu misemburo bishobora guhinduka uko igihe kigenda gihita, ni ngombwa guhora ubonana na muganga wawe buri gihe.
Ubutumwa bwo kujyana mu rugo
- Hypopituitarism ni igihe ingirabuzimafatizo ya pituitary, 'ingirabuzimafatizo nkuru' y'umubiri wacu, idakora imisemburo ihagije ikenewe.
- Ibimenyetso biratandukanye bitewe n'umuntu ku giti cye, bitewe n'imisemburo idafite imisemburo. Ibimenyetso bishobora kuba birimo umunaniro, kwiyongera ibiro, no kudakora neza mu mibonano mpuzabitsina.
- Niba ufite ibimenyetso nk'ibi bidasobanutse, hita ubonana na muganga .
- Iyi ndwara ishobora gupimwa neza binyuze mu gupima amaraso no gupima.
- Uburyo bwo kuvura ni ugutanga imisemburo idahagije hanze. Ubu buryo burakora neza cyane.
- Nyuma yo gutangira kuvurwa, hura na muganga ku gihe cyagenwe.Guhindura ingano y'umuti ni ingenzi cyane.
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