Ese ufite ikibyimba ku gasabo ka pituitary? (Pituitary Adenoma) Reka tubyigeho!

Ese hari igihe urwara umutwe nta mpamvu? Cyangwa wumva amaso yawe afite intege nke, kandi ntubone ibintu bivuye ku mpande neza? Cyangwa, hari ikibazo ufite giterwa n'impinduka zimwe na zimwe mu misemburo y'umubiri wawe? Birashoboka ko impamvu y'ibi bintu ari ikibyimba gito gikura mu gasabo k'ubwonko. Uyu munsi, tuzaganira birambuye kuri iyi ndwara yitwa 'Pituitary Adenoma' . Ntugahangayike, iyi si kanseri.

Adenoma ya pituitary ni iki?

Muri make, adenoma ya pituitary ni ikibyimba kitari kanseri (kitari kibi) kivuka mu gasabo ka pituitary. Ntigikwirakwira mu bindi bice by'umubiri nka kanseri. Icyo ni cyo kintu cy'ingenzi cyane. Ariko, uko iyi adenoma ikura, ishobora gukanda ibintu nk'imitsi n'imitsi y'amaraso iyikikije. Ni bwo ibimenyetso bitangira kugaragara.

None se, iyi gland ya pituitary ni iki?

Tekereza, inyuma y'izuru ryacu, rihujwe n'ishingiro ry'ubwonko, "Hypothalamus" (Hypothalamus), hari akantu gato kangana n'amashaza. Ni cyo kitwa agace k'ubwonko gafata umugongo. Nubwo ari gato, gakora akazi gakomeye cyane mu mubiri wacu. Aka gace gafite ibice bibiri by'ingenzi:

• Imbere y'imbere
• Agace k'inyuma k'inyuma

Ibi bice byombi bisohora kandi bigasohora ubwoko butandukanye bw'imisemburo mu maraso. Imisemburo ni nk'intumwa z'ibinyabutabire zigenzura kandi zigahuza ibikorwa bitandukanye mu mubiri wacu. Zinyura mu maraso zigatanga ubutumwa bukenewe ku ngingo zacu, imitsi, n'izindi ngingo. Dore zimwe mu misemburo y'ingenzi ikorwa n'agace ka pituitary:

• Imisemburo ya Adrenocorticotropic (ACTH cyangwa Corticotropin)
• Imisemburo irwanya diuretike (ADH cyangwa Vasopressin)
• Imisemburo itera imbaraga za follicle (` FSH` )
• Imisemburo yo gukura (`GH`)
• Imisemburo ya Luteinizing (`LH`)
• Oxytocin (` Oxytocin` )
• Prolactine
• Imisemburo itera imbaraga za tiroyide (`TSH`)

Si ibi gusa, imyuka ya pituitary inatanga "ibimenyetso" ku zindi misemburo y'imisemburo mu mubiri wacu kugira ngo ikore imisemburo. Bityo rero, urashobora kumva ko niba hari ikibazo kuri iyi myenge ya pituitary, nka adenoma, imikorere y'imisemburo imwe cyangwa imisemburo myinshi ishobora kugira ingaruka.

Ubwo bwoko bwa adenoma butandukanywa bute?

Abaganga bashyira adenomas zo mu bwonko mu byiciro bibiri by'ingenzi: 1. Hashingiwe ku kuba zikora imisemburo cyangwa zitayikora:

• Imikorere/Isohora Adenoma:Byongeye kandi, ubwo bwoko bwa adenoma butanga imisemburo imwe cyangwa myinshi ya pituitary. Kubwibyo, ibimenyetso n'indwara bitandukanye bishobora kubaho bitewe n'imisemburo ikorwa cyane.
• Adenoma idakora/Idasohora: Izi adenoma ntizikora imisemburo. Ariko, iyo zikubye, zishobora gutera ibimenyetso binyuze mu gukanda ahantu hazegereye ubwonko cyangwa imitsi . Ubu ni bwo bwoko bwa adenoma abaganga bakunze guhura nabwo.

2. Ingano:

• Microadenomas: Izi ni ibibyimba bito kurusha milimetero 10 (ni ukuvuga santimetero 1).
• Macroadenomas: Izi ni ibibyimba binini birenga milimetero 10. Macroadenomas zikunze kugaragara inshuro ebyiri kurusha microadenomas. Zishobora kandi gutera urugero ruto rw'imisemburo imwe cyangwa nyinshi za pituitary (indwara yitwa hypopituitarism).

Ese ibi bifatwa nk'ikibyimba cyo mu bwonko?

Ingirabuzimafatizo ya pituitary mu by’ukuri ni imiterere igize sisitemu y’imisemburo, kandi ntabwo ari igice cy’ubwonko. Ifatanye n’ishingiro ry’ubwonko. Ariko, abaganga bafata pituitary adenomas nk’ubwoko bwa kanseri yo mu bwonko . Ingirabuzimafatizo za pituitary zigize 10% gusa by’ibibyimba by’ibanze byo mu bwonko.

Ni nde ubibona kenshi? Ni ku rugero rungana iki?

Indwara zo mu bwonko zishobora kugaragara mu gihe icyo ari cyo cyose. Ariko, zikunze kugaragara cyane ku bantu bari mu kigero cy'imyaka 30 na 40. Abagore nabo bafite amahirwe make yo kurwara izi ndwara kurusha abagabo. Zikunze kugaragara cyane ku buryo zigize 10% kugeza kuri 15% by'ibibyimba byose bikurira mu gahanga. Dukurikije imibare, abantu bagera kuri 77 ku 100.000 bafite iyi ndwara. Ariko, abashakashatsi bemeza ko abantu benshi, wenda bagera kuri 20%, bazarwara iyi ndwara mu gihe runaka mu buzima bwabo. Inshuro nyinshi, cyane cyane abafite microadenomas (`microadenomas`), nta bimenyetso bagira, bityo ntibabimenye.

Ni ibihe bimenyetso by'indwara ya pituitary adenoma?

Ibimenyetso bya adenoma ya pituitary bishobora gutandukana cyane bitewe n'umuntu ku giti cye. Biterwa ahanini n'ibintu byinshi:

• Niba adenoma ikura mu bunini ikangiza ingirabuzimafatizo ya pituitary ubwayo, cyangwa niba itera "ingaruka nyinshi" ku ngingo ziyikikije.
• Ese ni adenoma ikora ('imikorere')? Niba ari uko bimeze, ibimenyetso bizaterwa n'ubwoko bw'imisemburo ikora.

Ibimenyetso bya `Ingaruka nyinshi` biterwa na `Macroadenomas` (ibibyimba binini)

Adenoma nini (`Macroadenomas`) zitera ibimenyetso ahanini bitewe n'igitutu ku ngingo zikikije.

Tekereza gato, iyo ushyize ikintu kinini mu cyumba gito, bisa nkaho nta mwanya uhagije wo gushyiramo ibindi bintu kandi byuzuye abantu.

• Ibibazo by'amaso:

Hafi 40% kugeza kuri 60% by'abantu bafite adenoma nini y'ubuhumekero bw'umuyoboro w'amarasoKubura amaso (kubona nabi, kubona kabiri). Ibi bibaho kubera ko adenoma ikandagira kuri optic chiasm, ihuza amaso n'ubwonko. Ibi bishobora gutuma umuntu atabona neza, cyane cyane mu ruhande. Ni nk'ifarashi itakaza amaso yayo ku mpande zombi.

• Kuribwa umutwe :

Abantu benshi bafite adenomas zo mu bwonko bw'umugongo binubira ko bakunze kuribwa umutwe. Ibi bishobora guterwa n'uko ikibyimba gikandagira ku ngingo zikikije. Ariko, kubera ko ubusanzwe kuribwa umutwe biterwa n'ibintu byinshi, bishobora no guterwa n'ibindi bintu.

• Kubura imisemburo:

Adenoma nini (`Macroadenomas`) zishobora kwangiza ingirabuzimafatizo za pituitary no kugabanya ikorwa ry’imisemburo imwe cyangwa myinshi ya pituitary. Iyi ndwara yitwa `Hypopituitarism`. Ibimenyetso bigaragara iyo buri misemburo igabanutse nabyo biratandukanye.

• Iyo imisemburo ya LH na FSH igabanutse (`Hypogonadism`): Urugero rwa ` Oestrogen` mu bagore na ` Testosterone` mu bagabo ruragabanuka. Ibi bishobora gutera ibimenyetso nko kubira ibyuya byinshi, kuma mu gitsina cy'abagore, 'Kudakora neza k'uburibwe bw'intanga ngabo' mu bagabo, kugabanuka k'umusatsi wo mu maso no ku mubiri, guhinduka k'ibyiyumvo ku bagabo bombi, kugabanuka k'ubushake bw'imibonano mpuzabitsina, n'umunaniro ukabije.
• Iyo urugero rw'imisemburo ya TSH rugabanutse (`Hypothyroidism`): Ingano y'imisemburo ikorwa n'imisemburo ya tiroyide iragabanuka. Ibi bishobora gutera ibimenyetso nko kunanirwa, kuribwa mu nda, umutima utera buhoro, uruhu rwumye, kubyimba kw'ingingo, no kutagira ubushobozi bwo gusubiza ibintu mu buryo.
• Iyo imisemburo ya ACTH iri hasi (`Adrenal Insufficiency`): Ikorwa ry'imisemburo ya `Cortisol` mu mubiri riragabanuka. Ibi bishobora gutera ibimenyetso nko kugabanuka k'umuvuduko w'amaraso, isesemi, kuruka, kubabara mu nda, no kubura ubushake bwo kurya.
• GH (Gukena kwa Hormone mu Mikurire): Ibimenyetso biratandukanye bitewe n'imyaka. Abantu bakuru bashobora kugira umunaniro no kugabanuka kw'imitsi.

Ibimenyetso by'imikorere y'uturemangingo tw'umubiri

Uretse gusohora imisemburo imwe cyangwa nyinshi, adenoma ikora ishobora gutera ibimenyetso bitandukanye n'indwara zijyanye na buri misemburo.

• Prolactinomas (izwi kandi nka Lactotroph Adenomas):

Izi adenoma zikora imisemburo myinshi ya prolactine . Iyi ndwara yitwa hyperprolactinemia. Ibibyimba 4 kuri 10 bya pituitary ni byo byonyine biba muri ubwo bwoko. Ubu ni bwo bwoko bukunze kugaragara bwa pituitary adenoma.Iyo urugero rwa prolactine rwiyongereye, imikorere isanzwe y’urusobe rw’imyororokere ku bagore no ku bagabo ishobora guhungabana.

• Ubugumba (ubugumba) ku bagabo no ku bagore.
• Kuva amabere asa n'amata nubwo utari utwite (`Galactorrhea`).

• Adenoma ya Somatotroph:

Izi adenoma zikora imisemburo ikabije yo gukura (`Growth Hormone` cyangwa `Somatotropin`) . Hafi 2 kuri 10 ibibyimba byo mu bwonko ni ibi. Ibimenyetso biterwa na byo biratandukanye bitewe n'imyaka.

• Abantu bakuru: Indwara idakunze kugaragara ariko ikomeye yitwa 'Acromegaly' ibaho. Muri ibi, amagufwa n'ingingo z'umubiri bikura mu buryo budasanzwe. Uko igihe kigenda gihita, amaboko, ibirenge n'umutwe birakura, kandi imiterere y'isura irahinduka. Bigira ingaruka kandi ku igenzura ry'isukari mu maraso, kandi imitsi y'umutima nayo ishobora kwaguka.
• Abana n'abakuze: Indwara yitwa gigantism ibaho. Bakura barebire cyane bitewe n'imisemburo myinshi yo gukura.

• Corticotroph Adenomas:

Izi adenoma zikora ACTH nyinshi cyane (adrenocorticotropic hormone) . Hafi 1 muri 10 za pituitary tumo muri ubwo bwoko. Imisemburo ya ACTH itera imbaraga adrenal glands gukora imisemburo myinshi nka cortisol. Ibi bitera Cushing's Syndrome (cortisol irenze urugero).

• Umuvuduko w'amaraso ukabije.
• Intege nke z'imitsi.
• Gukomereka byoroshye.
• Imirongo migari (irenga cm 1) y'umuhengeri (`Stretch Marks`) igaragara ku nda.
• Indwara yo kwangirika kw'amagufwa (Osteoporosis).
• Gucika intege kw'ingingo.
• Diyabete yo mu bwoko bwa 2.

• Adenoma ya Thyrotroph:

Izi adenoma zikora TSH nyinshi cyane (hormone itera thyroid stimulating hormone) . Izi ni gake cyane. TSH itera thyroid gland gukora imisemburo myinshi ya tiroyide. Ibi bitera `Hyperthyroidism` (ikibazo cya tiroyide ikora cyane), bigatuma umubiri wihuta mu mikorere y’umubiri.

• Umutima utera cyane.
• Kugabanya ibiro nta mpamvu iyo ari yo yose.
• Kwicara intebe zidafite isuku kenshi.
• Kubira ibyuya.
• Gutigita kw'amaboko.
• Guhangayika.

Icy'ingenzi: Hari izindi mpamvu nyinshi zitera hyperthyroidism. Adenoma ya pituitary ni impamvu idakunze kugaragara.

• Adenoma ya Gonadotroph:

Izi adenoma zikora gonadotropini nyinshi cyane (ni ukuvuga imisemburo ya LH na FSH). Ibi nabyo ni gake cyane.

• Ibi bishobora gutuma abagore bagira imihango idahwitse ndetse n'indwara nka Ovarian Hyperstimulation Syndrome (OHSS).
• Abagabo bashobora kugira ibimenyetso nko kuba amabya yagutse, ijwi rirushaho kwiyongera, gutakaza umusatsi (inyuma y'amatwi), no gukura vuba k'umusatsi wo mu maso.
• Abana bashobora kandi kugira ubwangavu mbere y'igihe.

Ni izihe mpamvu zitera adenoma y'ububobere bw'ubwonko (pituitary adenoma)?

Abahanga mu bya siyansi ntibaramenya neza icyatera izi adenoma. Ariko, zimwe mu adenoma zikekwaho kuba zifitanye isano n'impinduka zitunguranye (`mutations`) mu turemangingo (`DNA`) mu turemangingo twacu. Izi mpinduka mu turemangingo zituma uturemangingo two mu turemangingo twa pituitary dukura vuba kandi tugakora ikibyimba. Izi mpinduka mu turemangingo rimwe na rimwe zishobora kuragwa n'ababyeyi ku bana (uruhererekane), cyangwa zishobora gukura burundu ku buryo butunguranye. Byongeye kandi, adenoma zo mu turemangingo zishobora kandi kuba zifitanye isano n'indwara zimwe na zimwe zidasanzwe mu turemangingo . Ingero zimwe ni izi:

• "Indwara nyinshi z'imisemburo yo mu bwoko bwa 1 (MEN1)"
• "Multiple Endocrine Neoplasia type 4 (MEN4)"
• `Urusobe rwa Carney`
• ``Indwara ya X-LAG``
• "Adenoma y'ubwoko bwa pituitary ifitanye isano na succinate dehydrogenase"
• `Neurofibromatosis ubwoko bwa 1`
• "Indwara ya Von Hippel–Lindau"

Umuntu ufite iyi ndwara y’uturemangingo (gene) aba afite ibyago byinshi byo kurwara adenoma ya pituitary. Ariko, ni ngombwa kwibuka ko abantu badafite iyo ndwara y’uturemangingo nabo bashobora kurwara iyi adenoma.

Ni gute abaganga basuzuma iyi ndwara?

Uburyo bwo gusuzuma adenoma ya pituitary buhinduka bitewe n'ubwoko bwa adenoma ufite ndetse niba itera ibimenyetso. Kenshi na kenshi, umuntu ufite adenoma isohora imisemburo (`Functioning Adenoma`) abanza kuvurwa afite imisemburo idahuye neza (urugero: `Cushing's Syndrome`, `Acromegaly`) hashingiwe ku bimenyetso. Icyo gihe ni bwo adenoma iboneka iyo hasuzumwe impamvu. Ibi biterwa nuko indwara nyinshi ziterwa n'imisemburo myinshi zishobora kugira izindi mpamvu zitari adenoma ya pituitary. Ibyo ni nako bishobora kuvugwa ku kubura imisemburo ya pituitary (`Hypopituitarism`). Rimwe na rimwe, adenoma ya pituitary iboneka nk'`Incidental Finding` mugihe cyo gupima umutwe (`Imaging Test`) kugira ngo hamenyekane indi ndwara. Adenoma nyinshi ziboneka muri ubu buryo akenshi ziba ari nto kandi ntizikora.

Ni ibihe bizamini bikorwa kuri ibi?

Niba umuganga wawe akeka ko ushobora kuba ufite adenoma ya pituitary, azasuzuma neza ibimenyetso byawe, amateka y'ubuzima bwawe, kandi agukorere isuzuma ry'umubiri. Byongeye kandi, bashobora kukugira inama yo gukora kimwe cyangwa byinshi muri ibi bikurikira:

• Gupima amaraso: Bitewe n'ibimenyetso byawe, bishobora gutegekwa gupima amaraso kugira ngo harebwe urugero rw'imisemburo itandukanye ya pituitary.
• Ibizamini byo Gupima: Gupima umutwe cyangwa MRI (Magnetic Resonance Imaging)Isuzuma rya `CT (Computed Tomography)` rishobora gutanga amashusho asobanutse y’imiterere y’umutwe. Ibi bizamini bishobora kwemeza niba hari adenoma ya pituitary n’ingano yayo. Ikizamini cya `MRI` ni cyo kizamini gikwiye kandi cy’ubuhanga kuri ibi.
• Isuzuma ry'amaso: Niba ufite ikibazo cyo kureba, muganga wawe ashobora kugutegeka gupimwa mu gice cyo kureba. Iki kizamini ni ingenzi kuko adenoma nini za pituitary zishobora gutera ibibazo byo kureba binyuze mu gukanda imitsi y'amaso, ihuza amaso n'ubwonko.

Indwara ya pituitary adenoma ivurwa ite?

Hari uburyo butatu bw'ingenzi bwo kuvura adenomas zo mu bwoko bwa pituitary: kubaga, imiti, no kuvura hakoreshejwe imirasire. Hari igihe bumwe cyangwa bwinshi muri ubu buryo bushobora gukoreshwa hamwe. Kubera ko adenoma ya buri wese n'imiterere ye bitandukanye, wowe n'itsinda ry'abaganga mushobora gukorana kugira ngo mumenye gahunda y'ubuvuzi ikubereye.

Kubagwa kugira ngo hakurweho adenoma

Niba ufite adenoma itera imisemburo idahwitse cyangwa igira ingaruka ku kureba kwawe, muganga wawe ashobora kukugira inama yo kubaga kugira ngo akureho adenoma yose cyangwa igice cyayo. Bitewe n'ingano ya adenoma n'uburemere bw'ibimenyetso byawe, bishobora kuba ngombwa kubagwa inshuro zirenze imwe. Abaganga bakunze gukora ubu buryo bakoresheje uburyo bwo kubaga bwitwa `Transsphenoidal Surgery` . Ibi bikubiyemo kunyura mu mazuru no mu gice cy'izuru (ahantu hari ubucucike inyuma y'izuru, munsi y'ubwonko) kugira ngo bagere ku gasabo k'ubwonko no gukuraho adenoma. Hafi 95% by'ibibyimba bya pituitary bikurwa muri ubu buryo. Ni uburyo butekanye. Ariko, niba adenoma ari nini cyane ku buryo idashobora gukurwamo binyuze mu mazuru cyangwa iri ahantu hagoye, umuganga ashobora kubagwa mu bwonko. Ubu ni uburyo budasanzwe ku ndwara ya pituitary adenomas.

Kuvura hakoreshejwe imiti

Amoko amwe ya pituitary adenomas, cyane cyane prolactinomas , ashobora kugenzurwa no kugabanuka hakoreshejwe imiti. Abantu bafite prolactinomas (izi ni zo zikunze kugaragara cyane) babanza kuvurwa n'umuti ugabanya ubukana bwa dopamine, nka Cabergoline (Dostinex®) cyangwa Bromocriptine (Cycloset®), mu gihe cy'amezi menshi.

Inkuru nziza ni uko mu manza zigera kuri 80%, iyi miti igabanya prolactinoma kandi igasubiza urugero rw'imisemburo ya prolactine ku rugero rusanzwe.

Niba imiti idakora cyangwa niba ari ubwoko butandukanye bwa adenoma, muganga wawe ashobora kukugira inama yo kubagwa.

Ubuvuzi bushingiye ku mirasire

Ubuvuzi bushingiye ku mirasire bukoresha imirasire ya X ifite ingufu nyinshi kugira ngo isenye uturemangingo twa adenoma, igabanye ikibyimba cyangwa ikagihagarika gukura.(urugero: `Gamma Knife`®) Uburyo bwihariye kandi bwizewe bwo kuvura hakoreshejwe imirasire bukoreshwa. Muri ubu buryo, imirasire myinshi igamije kuvura adenoma iturutse mu byerekezo bitandukanye, bigabanye kwangirika kw'ingingo nzima ziyikikije. Ubu buryo bukoreshwa ahantu hasigaye nyuma yo kubagwa cyangwa mu gihe kubagwa bidashoboka.

Ingaruka mbi z'ubuvuzi ni izihe?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, kuvura adenoma ya pituitary bishobora kugira ingaruka mbi.

• Nyuma yo kubagwa no/cyangwa kuvurwa hakoreshejwe imirasire, abantu bagera kuri 60% bafite adenoma ya pituitary bashobora kurwara `Hypopituitarism` (kugabanuka k'umusaruro w'imisemburo imwe cyangwa nyinshi za pituitary). Nubwo iyi ari indwara y'ubuzima bwose, imiti isimbura imisemburo ishobora gufasha abantu kubaho ubuzima busanzwe.
• Ingorane zishobora guterwa no kubagwa:
• Kuva amaraso.
• Kuvoma kw'amazi yo mu bwonko (CSF) (amazi y'umugongo asohoka mu mazuru).
• Meningite (ubwandu bw'udusimba dutwikiriye ubwonko).
• Diyabete Insipidus (kwihagarika cyane no kugira inyota nyinshi bitewe no kubura imisemburo irwanya diuretike).
• Ingaruka zikunze kugaragara ku miti ifata dopamine agonist kuri prolactinoma zirimo: kuribwa umutwe, isesemi, kuruka, kuzerera, ndetse rimwe na rimwe no kugira imyitwarire idahwitse.
• Ingaruka mbi zishobora guterwa no gukoresha imirasire:
• Kubura imisemburo y'ubwonko (ishobora kubaho uko igihe kigenda gihita).
• Uburumbuke budafite ubushobozi bwo kubyara.
• Gutakaza ubushobozi bwo kureba no kwangirika kw'ingingo z'ubwonko (bidakunze kubaho cyane).
• Indi ndwara ishobora kugaragara aho hantu nyuma y'imyaka myinshi ivuwe (ikunze kubaho gake cyane).

Ese iyi adenoma ishobora kwirindwa?

Ikibabaje ni uko nta kintu na kimwe wakora kugira ngo wirinde indwara zo mu bwonko zifata umugongo. Akenshi, zibaho ku buryo butunguranye. Ariko, zishobora kuba zifitanye isano na zimwe mu ndwara zidasanzwe zifata umugongo zavuzwe haruguru. Niba umuntu wo mu muryango wawe wa hafi (murumuna we, mushiki we, cyangwa umubyeyi) afite indwara nk'iyi, ushobora kuvugana na muganga wawe ku birebana n'ubujyanama n'ibizamini bya genetiki kugira ngo arebe niba nawe ufite iyo ndwara. Iyo ubikoze, muganga wawe ashobora kugukurikiranira hafi no kumenya no kuvura indwara iyo ari yo yose ifata umugongo itangiye hakiri kare.

Ni iki giteganyijwe kugira ngo iyi ndwara igaragare?

Uko adenoma ya pituitary izagenda, ni ukuvuga gukira kwawe n'ubuzima bwawe bw'ejo hazaza, biterwa n'ingano n'ubwoko bwa adenoma, ndetse n'ubuvuzi uzahabwa .

Inkuru nziza ni uko akenshi, iyo adenoma ikuweho burundu cyangwa ikagenzurwa hakoreshejwe uburyo bwo kuyivura, abarwayi bashobora kongera kubaho ubuzima bwiza kandi bwuzuye.

Mu bihe bimwe na bimwe, kuvurwa bishobora kugabanya ikorwa ry'imisemburo ikomoka ku gahu k'ubwonko. Ibi bibaye, ushobora gukenera gufata imiti isimbuza imisemburo ubuzima bwawe bwose kugira ngo usimbuze imisemburo yagabanutse. Rimwe na rimwe adenoma zishobora kugaruka. Ibi bivuze ko zishobora kongera kuvurwa nyuma y'igihe runaka. Imibare igaragaza ko abantu bagera kuri 18% bafite adenoma zidakora na 25% by'abantu bafite prolactinoma bashobora kongera gukenera kuvurwa mu gihe kizaza. Kubwibyo, ni ngombwa cyane gukomeza kubonana na muganga wawe buri gihe no kwisuzumisha buri gihe.

Ese birashoboka kubaho ufite adenoma y'ubwonko?

Yego, urashobora. Niba adenoma ya pituitary ari nto kandi nta bimenyetso itera, ushobora kuyibana nayo bisanzwe. Mu by'ukuri, abantu benshi bamenya gusa ko bafite adenoma iyo bakorewe isuzuma ry'umutwe ku yindi mpamvu. Ariko, niba adenoma ikomeje gukura cyangwa igatangira gutera ibimenyetso, uzakenera kuvurwa. Niba ufite adenoma ya pituitary nini kandi/cyangwa ikora (imisemburo) ikora, uzakenera kuvurwa nta kabuza. Ibi biterwa nuko adenoma zimwe na zimwe za pituitary zishobora kugira ingaruka zikomeye ku buzima bwawe no ku mibereho yawe.

Ni izihe ngorane zishobora kubaho iyo zitavuwe?

Iyo bitavuwe, zimwe mu ndwara zo mu bwoko bwa pituitary adenomas – cyane cyane adenomas nini (`Macroadenomas`) na adenomas zikora (`Secreting`) – zishobora gutera ibibazo bikomeye by’ubuzima . Ibi bibazo by’ubuzima biterwa ahanini n’ubwoko bw’imisemburo ivanwa na adenomas (twabiganiriyeho mbere mu gice cya `Symptoms`). Ingorane idasanzwe ariko iteje akaga cyane ya adenomas za pituitary zitavuwe ni `Pituitary Apoplexy`. Iyi ni `Ubutabazi bw’Ubuzima`. Ibi bibaho iyo hari amaraso yinjira cyangwa asohoka mu gatsi k’ubwonko. `Pituitary Apoplexy` ikunze guterwa no kuva amaraso mu gatsi k’ubwonko. Ikibyimba kirakura mu buryo butunguranye, kikangiza agatsi k’ubwonko. Uko adenoma iba nini, niko ibyago byo kurwara `Pituitary Apoplexy` biba byinshi. Ibimenyetso bya `Pituitary Apoplexy` bikunze kugaragara vuba cyane kandi bishobora gushyira ubuzima mu kaga . Ibimenyetso by’ingenzi ni ibi:

• Umutwe ukabije cyane (nk'umutwe mubi cyane nigeze kugira mu buzima bwanjye).
• Kubona kabiri cyangwa kudashobora kuzamura ijisho bitewe n'imikorere mibi y'imitsi y'amaso.
• Kubura amaso cyangwa gutakaza amaso burundu mu jisho rimwe cyangwa yombi.
• Kunanirwa gukabije kw'intanga ngore bitera umuvuduko muke w'amaraso, isesemi no kuruka.
• Impinduka mu miterere y'umuntu (urugero: urujijo) bitewe no kugabanuka gutunguranye kw'imitsi yo mu bwonko y'imbere.

Indwara ya pituitary apoplexy ni indwara idasanzwe, ariko ni mbi cyane. Niba ubonye kimwe cyangwa byinshi muri ibi bimenyetso, hamagara serivisi z’ubuvuzi bwihutirwa (nka 911) ako kanya cyangwa uhamagare umuntu akujyane mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe.

Ni ryari ukwiye kujya kwa muganga?

• Niba ufite ikibazo cyo kutabona neza (kutabona neza, kutabona neza, kutabona neza mu mpande) cyangwa kubabara umutwe bidashira cyangwa bigaruka kenshi (cyane cyane mu gahanga), gana muganga umubwire ibyawe.
• Niba waramaze gufatwa n'indwara ya pituitary adenoma, uzakenera kujya kwa muganga wawe buri gihe kugira ngo akurikirane uko adenoma imeze no kureba neza ko ubuvuzi bukora neza.

Hanyuma, ibuka ibi bintu:

Ni ibisanzwe cyane kumva ufite ubwoba no guhangayika iyo umenye ko ufite ikibyimba. Ariko, inkuru nziza ku ndwara zo mu bwonko ziterwa n'ububabare bw'imitsi ni uko akenshi (zirenga 99%) zitari kanseri (zitari mbi) kandi mu bihe byinshi, kuvura bishobora gutanga umusaruro mwiza cyane. Wibuke ko muganga wawe ari umufatanyabikorwa wawe mu kugera ku buzima bwiza. Kubwibyo, ntugatinye kumenyesha muganga wawe ibimenyetso, ububabare, cyangwa ibibazo ushobora kuba ufite ku bijyanye n'ubuvuzi bwawe. Ufite amakuru akwiye kandi ukavurwa ku gihe, ushobora kwihanganira iki kibazo neza.