Wakamboona shanduko huru mumuviri wako kamwe kamwe here? Pamwe wawedzera uremu kamwe kamwe, chiso chako chachinja, kana kuti unonzwa kuneta zuva rese zvisinei nekuti unorara zvakadii? Tinowanzo kanganwa nezvezvinhu izvi, tichifunga kuti zvakajairika. Asi waizviziva here kuti shure kwezvimwe zvezvinhu izvi, panogona kunge paine shanduko mukushanda kwegland diki, asi rinokosha zvikuru muuropi hwedu. Ndizvo zvatiri kutaura nezvazvo nhasi.
Gland iri repituitary rinonzi chii? Sei richikosha kudaro?
Fungidzira muviri wako sekambani hombe. Mukuru wekambani iyoyo, mukuru wekambani iyoyo anodzora zvese, igland repituitary . Iri gland diki, rakakura sepizi, riri pasi pehuropi hwedu, rakakura secherry. Kunyangwe riri diki, rinoita basa rakawanda. Ndosaka dzimwe nguva richinzi "guruva guru."
Zvichitaurwa zviri nyore, inodzora mashandiro emamwe ma "endocrine glands" mumuviri wedu. Semuenzaniso, thyroid gland, adrenal glands, uye system yedu yekubereka, senge maovari kana matestes, zvinodzorwa nemahormone anoburitswa nepituitary gland.
Kungofanana nethermostat iri mumba medu. Inogara ichitarisa tembiricha iri mumba uye inochengetedza tembiricha iri padanho rimwe chete nekubatidza/kudzima AC kana heater, handiti? Nenzira imwecheteyo, pituitary gland inogara ichitarisa mazinga emahormone mumuviri wedu uye inotumira zviratidzo kune mamwe mahormone kuti abudise mahormone anodiwa panguva yakakodzera.
Saka chii chinonzi hyperpituitarism iyi?
Zvichitaurwa zviri nyore, Hyperpituitarism inguva apo pituitary gland yataurwa pamusoro apa inotanga kushanda zvakanyanya, ichiburitsa mahormone akawanda muropa redu kupfuura zvinodiwa. Zvakafanana nemukuru wekambani ari kushanda zvakanyanya uye achikanganisa zvese.
Kazhinji, kureva kuti, inenge 99% yenguva, chikonzero chacho ibundu diki, risiri rekenza (risina njodzi). Mukurapa, tinodana izvi kuti pituitary adenoma . Bundu iri rinomutsa gland uye rinoita kuti rigadzire mahormone akawanda kupfuura zvarinofanira kuita.
Chinhu chakakosha ndechekuti mabundu aya haasi ekenza, asi mahormone anowedzera aanogadzira anogona kuva nemigumisiro yakasiyana-siyana pamiviri yedu.
Mahormone anogadzirwa nepituitary gland uye mabasa avo
Kune zvikamu zvikuru zvitatu zvegland repituitary. Chikamu chimwe nechimwe chinoburitsa mahormone akasiyana. Ngationei kuti chii uye chii chinoitika kwazviri.
| Makemikoro | Zvekuita zviri nyore |
|---|---|
| Lobe Yepamberi | |
| Adrenocorticotropic hormone (ACTH) | Matumbu edu eadrenal anokurudzirwa uye anogadzira hormone inonzi cortisol, iyo inotibatsira kugadzirisa kushushikana. |
| Homoni yekukura (GH) | Inodzora kukura, kushandiswa kwemuviri, uye maumbirwo emuviri (mafuta, tsandanyama) zvevana kunyanya. |
| Homoni inokurudzira thyroid (TSH) | Inobatsira gland re thyroid kugadzira mahormone e thyroid, ayo anodzora simba remuviri wedu. |
| Gonadotropins (LH neFSH) | Inosimudzira mazai emukadzi uye machende emurume, zvichigadzira mahormone epabonde anodiwa pakubereka. |
| Prolactin | Zvinokurudzira kugadzirwa kwemukaka wemuzamu mushure mekubereka mwana. |
| Lobe repashure | |
| Homoni inorwisa diuretic (ADH) | Inodzora kuenzana kwemvura ne electrolyte mumuviri. |
| Oxytocin | Inodzora marwadzo emudumbu uye kuburitswa kwemukaka wezamu panguva yekusununguka. |
Zvirwere zvinogona kuitika nekuda kwekushanda zvakanyanya kwepituitary gland
Chirwere chinoitika chinosiyana zvichienderana nekuti ndeipi hormone inogadzirwa zvakanyanya ne pituitary gland. Ngatitarisei zvirwere zvikuru zvinoonekwa.
- Cushing's Syndrome: Kana ACTH hormone ikagadzirwa yakawandisa, huwandu hwecortisol mumuviri wedu hunowedzera zvakanyanya. Izvi zvinonzi Cushing's Syndrome.
- Acromegaly: Dambudziko iri rinoitika kana hormone yekukura (GH) ikagadzirwa yakawandisa panguva yekukura. Izvi zvinoita kuti mapfupa emaoko, tsoka, nechiso akure zvisina kujairika. Kana izvi zvikaitika panguva yehudiki, zvinonzi gigantism .
- Hyperthyroidism: Kana TSH yakawandisa ikaburitswa (izvi hazviwanzoitiki), thyroid gland inotanga kushanda zvakanyanya uye metabolism yemuviri inokurumidza.
- Prolactinoma: Bundu (adenoma) riri mumasero anogadzira hormone inonzi prolactin rinokonzera kugadzirwa kwakanyanya kwehormone iyi. Izvi zvinogona kukanganisa hutano hwekubereka.
Ndezvipi zviratidzo zvezvirwere izvi?
Zviratidzo zvinouya nechirwere chimwe nechimwe zvakasiyana. Kana uine chimwe chezviratidzo izvi, zvakakosha kuti uone chiremba.
| Dambudziko rehutano | Zviratidzo zvakajairika |
|---|---|
| Chirwere cheCushing |
|
| Acromegaly | |
| Hyperthyroidism | |
| Prolactinoma |
Mamiriro ezvinhu aya anokanganisa sei vana?
Kurwara kwepituitarism hakuwanzoitiki muvana. Kana zvikaitika, zvinowanzokonzerwa nekakuvara kadiki kepituitary. Rudzi rwegomarara rinowanzoonekwa muvana igomarara rinogadzira prolactin (Prolactinomas).
- Kuvasikana: Kunonoka kuyaruka, kurega kuenda kumwedzi (amenorrhea), uye kusashanda zvakanaka kwemaovari zvinogona kuitika.
- Vakomana: Matumbu makuru (macroprolactinomas) ane mukana mukuru wekubuda. Nekuti matumbu aya makuru, anogona kudzvanya tsinga muuropi, zvichikonzera musoro nezvinetso zvekuona. Anogonawo kukonzera kunonoka kuyaruka nematambudziko ekukura.
Chiremba anoongorora sei chirwere ichi?
Kana ukatiudza nezvezviratidzo zvako, chiremba achatanga akuongorora nokungwarira. Zvadaro, vanogona kuita bvunzo dzinoverengeka kuti vasimbise chirwere chako.
1. Kuongororwa kweropa neweti: Izvi zvinoyera huwandu hwemahormone muropa rako uye pamwe weti. Semuenzaniso, zvinoongorora huwandu hweprolactin, cortisol, uye growth hormone yako.
2. Kudhirowa Mifananidzo:Kana pakawanikwa kusarongeka kwemazinga emahormone, scan inoitirwa kuti vaone kana bundu repituitary riripo. Scan inonyanya kushandiswa pakuongorora uku iMRI (Magnetic Resonance Imaging) . Kune munhu asingakwanise kuita MRI (semuenzaniso munhu ane pacemaker), scan yeCT (Computed Tomography) inogona kuitwawo.
3. Kuongororwa kwakanangana: Dzimwe nguva, kuti pave nekuongorora zvirwere zvakaita seCushing's syndrome nemazvo, bvunzo dzakananganana, dzakadai sekuyera mazinga ecortisol mumate, dzinogona kudiwa.
Ndezvipi zviri kurapwa?
Kurapwa kwechirwere ichi kunoenderana nezvinhu zvakaita serudzi rwechirwere chaunacho, saizi yebundu, uye hutano hwako hwese. Kune nzira nhatu huru dzekurapa.
1. Mishonga
Kazhinji, mushonga wekutanga ndiwo mushonga. Mishonga iyi inoshandiswa ku:
- Kudzora huwandu hwemahormone.
- Dzimwe nguva kuderedza kukura kwebundu.
- Mishonga inoshanda zvikuru, kunyanya pakurapa prolactinoma. Vanhu vanopfuura 80% vanodzokera padanho remahormone rakajairika.
2. Kuvhiyiwa
Kana mishonga isingakwanise kudzora bundu, kana bundu racho rakakura zvakakwana kuti rikanganise kuona, danho rinotevera nderekubvisa bundu racho nekuvhiyiwa.
- Kuvhiyiwa kunonyanya kuitwa kunonzi transsphenoidal adenomectomy . Izvi zvinosanganisira kuchekwa kadiki nepamhino kana mukati memuromo wepamusoro kuti usvike pagland repituitary uye kubvisa bundu pasina kukuvadza uropi.
- Kana kuvhiyiwa uku kuchiitwa nachiremba ane ruzivo, mwero wekubudirira unopfuura 80%.
3. Kurapa Nemwaranzi
Kurapa nemwaranzi kunoshandiswa kana chikamu chebundu chasara mushure mekuvhiyiwa, kana kana kuvhiyiwa kusingagoneke.
- Izvi zvinosanganisira kunanga mwaranzi ine simba guru kugomarara uye kuparadza masero iwayo.
- Nzira dzemazuva ano dzakadai se stereotactic therapy dzinogona kuderedza zvakanyanya kukuvara kwenyama yakakomberedza ine hutano.
Zvinokwanisika here kuva neutano hwakanaka nechirwere ichi?
Ehe, zvechokwadi. Matambudziko mazhinji anokonzerwa nehyperpituitarism anogona kurapwa zvakanaka nemishonga nedzimwe nzira dzekurapa. Chinhu chakakosha kutsvaga mazano echiremba kana zviratidzo zvangoonekwa uye kutevedzera kurapa kwakanyorwa. Mamwe matambudziko angada mishonga yenguva refu kana kutarisirwa nachiremba. Zvisinei, kana akatarisirwa zvakanaka, vanhu vazhinji vanogona kurarama hupenyu hwakanaka, hunofadza, uye hwakajairika.
Mharidzo Yekuenda Nayo Kumba
- Gland repituitary rakafanana ne "mukuru" wehurongwa hwemahormone emuviri wedu. Rinodzora zvinhu zvakawanda.
- Hyperpituitarism inoitika kana gland iri richishanda zvakanyanya. Izvi zvinowanzokonzerwa nebundu diki risiri rekenza.
- Iva nehanya kana ukangoerekana wachinja zvisingatsananguriki pakuonekwa kwemuviri wako, huremu, ganda, kumwedzi, kana kushanda kwepabonde.
- Kana uine zviratidzo zvakaita seizvi, usangofungidzira kuti, "Izvi zvinhu zvakajairika," asi edza kuona chiremba wako.
- Kune mishonga inoshanda zvikuru, kuvhiyiwa, uye mamwe marapirwo ezvirwere izvi. Kana zvikaonekwa nekukurumidza, zvinova nyore kurapa.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment