Wakambonzwa kuneta, kuneta, kana kusafara here? Pamwe huremu hwako hwakawedzera kana kudzikira zvisinganzwisisike, kana kuti wakasangana nedzimwe shanduko dzisinganzwisisike. Zvese izvi zvinogona kunge zvichikonzerwa ne "master gland" diki, asi ine simba guru, iri muuropi hwako. Ndizvo zvatiri kutaura nezvazvo nhasi. Chirwere ichi chinozivikanwa mukurapa sehypopituitarism .
Chii chinonzi pituitary gland uye hypopituitarism?
Zvichitaurwa zviri nyore, pituitary gland igomarara rakakura sepizi riri pasi pehuropi hwedu, kuseri kwemhino dzedu. Pasinei nehukuru hwaro hudiki, rinoshanda se'guruva guru' rehurongwa hwemahormone emuviri wedu. Ndiro rinoudza thyroid gland, adrenal glands, nedzimwe glands dzakawanda kuti, "Zvakanaka, ikozvino gadzira iyi hormone."
Hypopituitarism inoitika kana pituitary gland, iyo inonyanya kudzora, isingabudise mahormone akawanda. Dzimwe nguva, mahormone ese anogadzirwa nepituitary gland anogona kuderedzwa. Tinodaidza izvi kuti Panhypopituitarism . Dambudziko iri rinogona kukanganisa vana pamwe nevakuru. Rinogonawo kukonzerwa nechirwere chehypothalamus, chikamu cheuropi chinodzora zviratidzo zvinouya kupituitary gland.
Mahormone aya anodzora mabasa akakosha mumuviri wedu, akadai sekukura, kubereka, BP, uye metabolism . Saka kana paine chimwe cheizvi chisina, mashandiro emuviri anoenderana nawo anogona kukanganiswa.
Ndeapi mahormone akakosha anogadzirwa negland repituitary?
Gland repituitary rinoburitsa marudzi akasiyana-siyana emahormone. Ngatitarisei makuru acho nezvaanoita. Zvichave zvakakosha kuti uzive izvi.
| Makemikoro | Basa Mumuviri |
|---|---|
| Adrenocorticotropic hormone (ACTH) | Inosimudzira matumbu eadrenal (matumbu ari pamusoro peitsvo) uye inobatsira kugadzira hormone inonzi cortisol, iyo inodzora BP uye metabolism yemuviri. |
| Homoni inokurudzira thyroid (TSH) | Inosimudzira gland re thyroid riri mumutsipa uye inobatsira kugadzira mahormone e thyroid, ayo akakosha pakugadzirwa kwemuviri, kukura, uye kukura. |
| Hormone inokurudzira follicle (FSH) uye hormone inokurudzira luteinizing (LH) | Izvi zvinodzora mashandiro epabonde uye kubereka muvakadzi nevarume, zvichiratidza kugadzirwa kweestrogen kubva mumazai muvakadzi uye testosterone kubva mumachende muvarume. |
| Homoni yekukura (GH) | Sezvinotaurwa nezita racho, zvakakosha pakukura kwakanaka kwemapfupa nenyama, kunyanya panguva yehudiki. |
| Prolactin | Inokurudzira kukura kwemazamu mumadzimai uye kugadzirwa kwemukaka wekuyamwisa. |
| Homoni inorwisa diuretic (ADH) | Itsvo dzinodzora kubuda kwemvura mumuviri. Kana izvi zvikaderedzwa, weti yakawandisa inogona kuitika. |
| Oxytocin | Inobatsira chibereko kuti chikwidibike panguva yekusununguka uye inobatsira kuti mukaka ufambe zvakanaka panguva yekuyamwisa. Hormone iyi inokoshawo pakubatana pakati paamai nemwana. |
Ndezvipi zvinokonzera hypopituitarism?
Dambudziko iri rinokonzerwa nekukuvara kwegland repituitary kana hypothalamus. Dzimwe nguva chikonzero chingasawanikwe. Heano mamwe ematambudziko makuru:
- Mamota ari mukati kana pedyo nepituitary gland
- Kurapa kenza nemwaranzi
- Kuvhiyiwa kweuropi kana pituitary gland
- Zvirwere zvakaita se meningitis
- Kukuvara kwakakomba mumusoro
- Kurohwa kana kubuda ropa muuropi
- Mimwe mishonga
- Kuzvimba kunokonzerwa nematambudziko ekudzivirira muviri
- Kubuda ropa rakawanda panguva yekusununguka (Sheehan's syndrome)
- Zvimwe zvikonzero zvemajini ( genetic mutation )
- Zvimwe zvirwere zvakaita se sarcoidosis ne TB
Zviratidzo zvacho zvakaita sei?
Zviratidzo zvinoenderana nekuti ihormone ipi iri kushaikwa uye kuti chirwere ichi chinokurumidza kukura nekukurumidza sei . Vamwe vanhu vanogona kunge vasina zviratidzo zvachose, kana kuti zviratidzo zvinogona kukura zvishoma nezvishoma. Vamwe vanogona kutanga zviratidzo zvakakomba kamwe kamwe.
Ona tafura iri pazasi yezviratidzo zvine chekuita nekushaikwa kwehomoni imwe neimwe.
| Kushaikwa kwemahormone | Zviratidzo Zvinogona Kuitika |
|---|---|
| Kushaikwa kweACTH | Kuneta nguva dzose, kuneta, BP yakaderera, kudzikira kwehuremu, kuda kurutsa, kurutsa, kuora mwoyo. |
| Kushaikwa kweTSH | Kuzvimba, kuwedzera uremu, kutadza kushivirira dzihwa, kurasikirwa nesimba, kurwadziwa kwetsandanyama kana kushaya simba. |
| Kushomeka kweFSH neLH | Kuvakadzi: kuenda kumwedzi kusina kurongeka kana kuti kurega kuenda kumwedzi, kuoma kuva nevana (kusabereka). Kuvarume: kurasikirwa nebvudzi rechiso neremuviri, kushaya simba, kurasikirwa nechido chekuita zvepabonde, kutadza kuita zvepabonde, kuoma kubata pamuviri. |
| Kushomeka kweGH | Kuvana: kukura zvishoma nezvishoma, mafuta akawanda muchiuno nekumeso, uye kukura kusina kunaka. Kuvanhu vakuru: kushaya simba, kuoma kwekuita maekisesaizi, kuwedzera uremu, kudzikira kwetsandanyama, kuzvidya mwoyo kana kuora mwoyo. |
| Kushomeka kweprolactin | Kuvakadzi: Kutadza kugadzira mukaka wemuzamu mushure mekusununguka. |
| Kushomeka kweADH | Nyota yakawandisa uye kuita weti yakawandisa (Diabetes Insipidus). |
| Kushaikwa kweOxytocin | Kuvakadzi: kunetseka nekuderedza mukaka. |
Kana uine chimwe chezviratidzo izvi kana kupfuura, usazviregeredza . Iva nechokwadi chekuona chiremba wako wotaura nezvazvo.
Unoona sei izvi, Chiremba?
Kana ukaona chiremba, achanyatsoteerera zviratidzo zvako uye achakutumira kuti unoongororwa.
- Kuongororwa kweRopa: Uku ndiko kwakakosha zvikuru. Kunoyera huwandu hwemahormone akasiyana-siyana muropa rako. Dzimwe nguva, hormone inopihwa uye bvunzo dzakakosha (kuyedzwa kwekukurudzira kana kudzvinyirira) dzinoitwa kuti dzitarise shanduko muropa mumaawa mashoma. Mienzaniso: `ACTH (Cortrosyn) stimulation test`, `GH stimulation test`.
- Kufungidzira: MRI kana CT scan inogona kuitwa kuti ionekwe bundu repituitary.
- Kuyedzwa Kwekuona: Sezvo tsinga dzinobatana nemaziso dzichipfuura pedyo nepituitary gland, kuona kunoedzwa kuti kuonekwe kana chimwe chinhu chakaita sebundu chiri kudzvanya tsinga idzodzo.
- MaX-ray evana: Maoko evana anotorwa neX-ray kuti vaone kana mapfupa ari kukura zvakanaka.
Inorapwa sei?
Pane zvinangwa zvikuru zviviri pakurapa chirwere ichi. Chimwe ndechekuita kutiKurapa chikonzero chiripo (semuenzaniso, kubvisa bundu). Chechipiri uye chinonyanya kukosha ndechekutsiva mahormone asipo mumuviri . Izvi zvinonzi Hormone Replacement Therapy .
Mishonga
Chiremba achakupa mishonga yakakodzera zvichienderana nehuwandu hwemahormone auri kushaya.
- Kune kushomeka kweACTH: Glucocorticoids (semuenzaniso hydrocortisone) inopihwa kugadzirisa huwandu hwe cortisol.
- Kune kushomeka kweTSH: Mishonga yakaita se'Levothyroxine' inopiwa kugadzirisa huwandu hwemahormone ethyroid.
- Pakushaikwa kwemahormone epabonde: Testosterone inopiwa kuvarume uye estrogen (zvichida neprogesterone) inopiwa kuvakadzi.
- Pakushaikwa kweGH: Majekiseni eGrowth Hormone (GH) anopiwa kubatsira pakukura, kunyanya kuvana. Vakuru dzimwe nguva vanopihwawo mushonga uyu kubatsira pakukura kwemhasuru uye simba.
- Kune vanhu vasina mbereko: Kune mishonga yakakosha yemahormone yakaita seGonadotropin yekukurudzira kukura kwemazai kana kugadzirwa kwembeu.
Kuvhiya
Kana bundu riri iro rinokonzeresa chirwere ichi, kuvhiyiwa kungadiwa kuti ribviswe, zvichienderana nerudzi uye nzvimbo yebundu racho.
Chii chatinofanira kufunga nezveramangwana? (Maonero)
Mashoko akanaka ndeekuti kana chirwere chikaonekwa nemazvo uye mushonga wekutsiva mahormone ukashandiswa nemazvo, zvinokwanisika kurarama hupenyu hwakanaka uye hune hutano . Kurapwa kunogona kutora hupenyu hwese.
Chinhu chinonyanya kukosha ndechekutevera chiremba wako nenguva . Nekuti zvinodiwa nemuviri wako zvemahormone zvinogona kuchinja nekufamba kwenguva, zvakakosha kugara uchitaura nachiremba wako nguva dzose.
Mharidzo Yekuenda Nayo Kumba
- Hypopituitarism inoitika apo pituitary gland, iyo 'guru guru' remuviri wedu, risingaburitse mahormone anodiwa zvakakwana.
- Zviratidzo zvinosiyana kubva pamunhu kuenda kumunhu, zvichienderana nekuti ihormone ipi isina kukwana. Zviratidzo zvinogona kusanganisira kuneta, kuwedzera uremu, uye kusagadzikana pabonde.
- Kana uine zviratidzo zvisina kutsanangurwa zvakaita seizvi, enda kuna chiremba nekukasika .
- Dambudziko iri rinogona kuongororwa nemazvo kuburikidza nekuongororwa kweropa uye kuskena.
- Kurapa kwacho ndekwekupa mahormone asina kukwana kunze. Kurapa uku kunoshanda zvikuru.
- Mushure mekutanga kurapwa, sangana nachiremba panguva yakatarwa.Kugadzirisa madosi emushonga kwakakosha zvikuru.
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