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Une bundu pa pituitary gland yako here? (Pituitary Adenoma) Ngatidzidzei nezvazvo!

Une bundu pa pituitary gland yako here? (Pituitary Adenoma) Ngatidzidzei nezvazvo!
Dzimwe nguva unombonzwawo musoro pasina chikonzero here? Kana kuti unonzwa sekunge maziso ako haana simba, uye haugone kuona zvinhu zvichibva kumativi zvakanaka here? Kana kuti, une kusagadzikana kunokonzerwa nekuchinja kwemahormone emuviri wako here? Pamwe chikonzero chezvinhu izvi ibundu diki rinokura mugland rako repituitary. Nhasi, tichataura zvakadzama nezvechirwere ichi chinonzi `Pituitary Adenoma` . Usazvidya moyo, iyi haisi kenza.

Chii chinonzi pituitary adenoma?

Zvichitaurwa zviri nyore, pituitary adenoma ibundu risiri rekenza (risina njodzi) rinokura mugland rako repituitary. Haripararire kune dzimwe nhengo dzemuviri dzakadai sekenza. Ndicho chinhu chakakosha. Zvisinei, sezvo adenoma iyi ichikura, inogona kudzvanya zvinhu zvakaita setsinga netsinga dzeropa dzakaipoteredza. Ndipo panotanga kuoneka zviratidzo.

Saka, chii chinonzi pituitary gland iyi?

Fungidzira, kuseri kwemhino dzedu, dzakabatana nehwaro hweuropi, "Hypothalamus", kune gland diki rakakura sepizi. Ndizvo zvinonzi gland yepituitary. Kunyangwe iri diki, inoita basa rakakosha mumuviri wedu. Gland iri rine zvikamu zviviri zvikuru:
  • Lobe Yepamberi
  • Lobe repashure
Zvikamu izvi zvose zvinoburitsa nekuburitsa mhando dzakasiyana dzemahormone muropa. Mahormone akafanana nemakemikari anotonga uye anoronga mabasa akasiyana-siyana mumuviri wedu. Anofamba nemuropa uye anotumira mashoko anodiwa kunhengo dzedu, tsandanyama, nedzimwe nhengo dzemuviri. Heano mamwe emahormone akakosha anogadzirwa negland repituitary:
  • Adrenocorticotropic hormone (ACTH kana Corticotropin)
  • Mahormone ekudzivirira diuretic (ADH kana Vasopressin)
  • Homoni inokurudzira follicle (` FSH` )
  • Homoni yekukura (`GH`)
  • Hormone yeLuteinizing (`LH`)
  • Oxytocin (` Oxytocin` )
  • Prolactin
  • Homoni inokurudzira thyroid ('TSH')
Hazvisi izvi chete, pituitary gland "inoratidzawo" mamwe ma endocrine glands mumuviri wedu kuti agadzire mahormone. Saka unogona kunzwisisa kuti kana paine dambudziko neiyi pituitary gland, senge adenoma, mashandiro ehormone imwe chete kana akawanda mahormone anogona kukanganisika.

Mhando idzi dzeadenomas dzinosiyaniswa sei?

Vanachiremba vanoisa pituitary adenomas mumapoka maviri makuru: 1. Zvichienderana nekuti dzinogadzira here mahormone kana kuti kwete:
  • Kushanda/Kuburitsa Adenoma:Pamusoro pezvo, mhando idzi dze adenomas dzinogadzira rimwe kana akawanda mahormone epituitary. Nokudaro, zviratidzo zvakasiyana nemamiriro ezvinhu zvinogona kuitika zvichienderana nehomoni inogadzirwa zvakanyanya.
  • Ma adenoma asingashande/asingabudisi: Ma adenoma aya haaburitse mahormone. Zvisinei, kana akakura, anogona kukonzera zviratidzo nekudzvanya nzvimbo dzeuropi dziri pedyo kana tsinga . Iyi ndiyo mhando ye adenoma inowanzo sangana navanachiremba.
2. Nehukuru:
  • Microadenomas: Aya mabundu madiki pane mamirimita gumi (kureva, sendimita imwe chete).
  • Macroadenomas: Aya mabundu akakura kupfuura mamirimita gumi. Macroadenomas anowanikwa kaviri kupfuura microadenomas. Ane mukana wekuti anokonzera mwero wakaderera wehomoni imwe kana kupfuura yepituitary (chirwere chinonzi hypopituitarism).

Izvi zvinoonekwa segomarara remuuropi here?

Gland repituitary chaizvoizvo chimiro chiri che endocrine system, uye hachisi chikamu cheuropi. Rinobatanidzwa nehwaro hweuropi. Zvisinei, vanachiremba vanoona pituitary adenomas serudzi rwegomarara reuropi . Pituitary adenomas inongotora 10% chete yemagomarara ekutanga europi.

Ndiani anowanzobatwa neizvi? Zvakajairika sei?

Mapundu epituitary anogona kukura chero pazera ripi zvaro. Zvisinei, anowanzoonekwa muvanhu vari mumakore avo ekuma30 ne40 . Vakadzi vane mukana wekukura nawo zvishoma kupfuura varume. Anowanzoitika zvekuti anosvika 10% kusvika 15% yemapundu ese anokura mudehenya. Zvichienderana nehuwandu, vanhu vanosvika 77 pa100,000 vane chirwere ichi. Zvisinei, vaongorori vanotenda kuti vanhu vazhinji, pamwe vanosvika 20%, vachakura rimwe pane imwe nguva muhupenyu hwavo. Kazhinji, kunyanya avo vane ma microadenomas (`microadenomas`), havana zviratidzo, saka havaonekwe.

Ndezvipi zviratidzo zve pituitary adenoma?

Zviratidzo zve pituitary adenoma zvinogona kusiyana zvakanyanya kubva pamunhu kuenda kumunhu. Zvinonyanya kuenderana nezvinhu zvakati wandei:
  • Kana adenoma ichikura muhukuru uye ichikuvadza pituitary gland pachayo, kana kuti inokonzera "kukanganisa kukuru" pazvivako zvakapoteredza.
  • Ihomoni inoburitsa mahormone here ('functioning') adenoma? Kana zvakadaro, zviratidzo zvinoenderana nerudzi rwehomoni yainoburitsa.

Zviratidzo zve 'Mass Effect' zvinokonzerwa ne 'Macroadenomas' (mabundu makuru)

Matumbu makuru (`Macroadenomas`) anokonzera zviratidzo zvakanyanya nekuda kwekumanikidzwa kwenyama dzakapoteredza.
Chimbofungai, kana mukaisa chinhu chikuru mukamuri kadiki, zvinoita sekunge hapana nzvimbo yakakwana yezvimwe zvinhu uye vanhu vakawanda.
  • Matambudziko ekuona:
Vanhu vanosvika 40% kusvika 60% vane pituitary adenoma yakakuraKurasikirwa nekuona (kuona kusina kujeka, kuona kaviri) kunoitika. Izvi zvinoitika nekuti adenoma inodzvanya pane optic chiasm, iyo inobatanidza maziso neuropi. Izvi zvinogona kukonzera kurasikirwa nekuona kwekunze, kunyanya parutivi. Zvakafanana nebhiza rinorasikirwa nekuona kwaro kumativi ese. Vanhu vazhinji vane pituitary adenomas vanonyunyuta nezvemusoro unogara uchirwadza. Izvi zvinogona kunge zvichikonzerwa nebundu rinodzvanya nyama dzakaripoteredza. Zvisinei, sezvo musoro uchiwanzokonzerwa nezvinhu zvakawanda, unogona zvakare kukonzerwa nezvimwe zvinhu.
  • Kushaikwa kwemahormone:
Mahomoni makuru (`Macroadenomas`) anogona kukuvadza tsinga dzepituitary gland uye kuderedza kugadzirwa kwehomoni imwe chete kana anopfuura epituitary. Dambudziko iri rinonzi `Hypopituitarism`. Zviratidzo zvinoitika kana homoni imwe neimwe yadzikira zvinosiyanawo.
  • Kana mahormone eLH neFSH akadzikira (`Hypogonadism`): Huwandu hwe`Oestrogen` muvakadzi uye` Testosterone` muvarume hunodzikira. Izvi zvinogona kukonzera zviratidzo zvakaita sekudikitira zvakanyanya, kuoma kwechikadzi muvakadzi,` Kusashanda zvakanaka kweErectile` muvarume, kudzikira kwekukura kwebvudzi pachiso nemuviri, kuchinja-chinja kwemanzwiro muvarume vese, kudzikira kwechido chebonde, uye kuneta zvakanyanya.
  • Kana huwandu hwehormone yeTSH hukadzikira (`Hypothyroidism`): Huwandu hwemahormone anogadzirwa nethyroid gland hunoderera. Izvi zvinogona kukonzera zviratidzo zvakaita sekuneta, kuvimbiwa, kurova kwemoyo kunonoka, ganda rakaoma, kuzvimba kwemakumbo, uye kusagadzikana kwesimba remuviri.
  • Kana ACTH hormone yakaderera (`Adrenal Insufficiency`): Kugadzirwa kwe hormone inonzi `Cortisol` mumuviri kunoderera. Izvi zvinogona kukonzera zviratidzo zvakaita se BP yakaderera, kuda kurutsa, kurutsa, kurwadziwa mudumbu, uye kurasikirwa nechido chekudya.
  • GH (Kushomeka kweHormone Yekukura): Zviratidzo zvinosiyana zvichienderana nezera. Vakuru vanogona kuneta uye kurasikirwa nehuremu hwetsandanyama.

Zviratidzo zvekushanda kweadenomas

Kuwedzera pakubudisa rimwe kana akawanda mahormone, adenoma inoshanda inogona kukonzera zviratidzo zvakasiyana-siyana uye mamiriro ezvinhu ane chekuita nehormone yega yega.
  • MaProlactinomas (anozivikanwawo seLactotroph Adenomas):
Matumbu aya anokonzera prolactin yakawandisa. Chirwere ichi chinonzi hyperprolactinemia. Matumbu mana chete pagumi epituitary bundu ndiwo erudzi urwu. Urwu ndirwo rudzi rwakajairika rwepituitary adenoma.Kana huwandu hweprolactin hukawedzera, kushanda zvakanaka kwehurongwa hwekubereka muvakadzi nevarume kunogona kukanganiswa.
  • Kusabereka (kusabereka) kuvarume nevakadzi.
  • Kubuda kwemukaka mumazamu kunyangwe usiri nepamuviri (`Galactorrhea`).
  • Somatotroph Adenomas:
Ma adenoma aya anogadzira huwandu hwakawanda hwehomoni yekukura (`Growth Hormone` kana `Somatotropin`) . Matumbu maviri pagumi epituitary bundu anowanikwa murudzi urwu. Zviratidzo zvinokonzerwa neizvi zvinosiyana nezera.
  • Vakuru: Chirwere chisingawanzoitiki asi chakakomba chinonzi `Acromegaly` chinoitika. Muizvi, mapfupa nenyama yemuviri zvinokura zvisina kujairika. Nekufamba kwenguva, maoko, tsoka, nemusoro zvinokura, uye chimiro chechiso chinochinja. Zvinokanganisawo kudzora shuga muropa, uye tsandanyama dzemwoyo dzinogonawo kukura.
  • Vana nevechidiki: Chirwere chinonzi gigantism chinoitika. Vanokura varefu zvisina kujairika nekuda kwekuwedzera kwehomoni yekukura.
  • Corticotroph Adenomas:
Ma adenoma aya anogadzira ACTH yakawandisa (adrenocorticotropic hormone) . Inenge 1 pagumi dzematumbu epituitary ndeerudzi urwu. Homoni yeACTH inokurudzira ma adrenal glands kuti agadzire ma steroid akawanda akadai se cortisol. Izvi zvinokonzera Cushing's Syndrome (cortisol yakawandisa).
  • Kukwira kweropa.
  • Kushaya simba kwetsandanyama.
  • Kukuvara kuri nyore.
  • Mitsetse yakafara (inopfuura 1 cm) yepepuru (`Stretch Marks`) inoonekwa padumbu.
  • Kuora Kwemapfupa.
  • Kupwanyika kwemakumbo.
  • Chirwere cheshuga cherudzi rwechipiri (Type 2 Diabetes Mellitus).
  • Thyrotroph Adenomas: Zviratidzo zveThyrotroph Adenomas:
Ma adenoma aya anogadzira huwandu hwakawanda hweTSH (thyroid stimulating hormone) . Aya haawanzoitiki. TSH inokurudzira thyroid gland kuti igadzire mahormone akawanda ethyroid. Izvi zvinokonzera 'Hyperthyroidism' (chirwere chethyroid chinoshanda zvakanyanya), izvo zvinokurumidzisa metabolism yemuviri.
  • Kurova kwemoyo kwakawedzera.
  • Kuderedza uremu pasina chikonzero.
  • Kugara uchitsvedza zvituru.
  • Kudikitira.
  • Kudedera kwemaoko.
  • Kuzvidya mwoyo.
Zvakakosha: Kune zvimwe zvakawanda zvinokonzera hyperthyroidism. Kuora kwepituitary adenoma chinhu chisingawanzoitiki.
  • Gonadotroph Adenomas: Kukura kwemasero emudumbu
Ma adenoma aya anogadzira gonadotropins yakawandisa (kureva mahormone eLH neFSH). Izvi hazviwanzoitikiwo.
  • Izvi zvinogona kukonzera kuti vakadzi vasave nenguva yekuenda kumwedzi isina kurongeka uye zvirwere zvakaita seOvarian Hyperstimulation Syndrome (OHSS).
  • Varume vanogona kuona zviratidzo zvakaita sekukura kwemachende, kudzika kwezwi, kurasikirwa nebvudzi (kumashure kwenzeve), uye kukura nekukurumidza kwebvudzi rechiso.
  • Vana vanogonawo kutanga kuyaruka vasati vasvika panguva yekuzvitakura.

Ndezvipi zvikonzero zve pituitary adenoma?

Masayendisiti haasati aziva kuti chii chinokonzera ma adenoma aya. Zvisinei, mamwe ma adenoma anofungidzirwa kuti ane chekuita nekuchinja-chinja kwemajini ('DNA') mumajini edu. Kuchinja kwemajini uku kunoita kuti masero ari mu pituitary gland akure nekukurumidza uye agadzire mass. Kuchinja kwemajini uku dzimwe nguva kunogona kugarwa nhaka kubva kuvabereki kuenda kuvana (nhaka), kana kuti kunogona kukura zvisina tsarukano zvachose. Pamusoro pezvo, ma adenoma e pituitary anogonawo kubatanidzwa nemamwe mamiriro ezvinhu emajini asingawanzoitiki . Mimwe mienzaniso ndeiyi:
  • ``Multiple Endocrine Neoplasia type 1 (MEN1)''
  • ``Multiple Endocrine Neoplasia type 4 (MEN4)''
  • `Carney complex`
  • `X-LAG syndrome`
  • "Succinate dehydrogenase-related family pituitary adenoma"
  • `Neurofibromatosis rudzi 1`
  • "Von Hippel-Lindau syndrome"
Munhu ane chirwere ichi chegene ari panjodzi yakakura yekubatwa nechirwere chepituitary adenoma. Zvisinei, zvakakosha kuyeuka kuti vanhu vasina chirwere ichi chegene vanogonawo kuwana chirwere ichi.

Vanachiremba vanoongorora sei chirwere ichi?

Maitiro ekuongorora pituitary adenoma anosiyana zvichienderana nerudzi rweadenoma yaunayo uye kana iri kukonzera zviratidzo. Kazhinji, munhu ane hormone-secreting adenoma (`Functioning Adenoma`) anotanga aonekwa aine hormonal imbalance (semuenzaniso `Cushing's Syndrome`, `Acromegaly`) zvichibva pazviratidzo. Ndipo chete apo adenoma inowanikwa kana chikonzero chaongororwa. Izvi zvinodaro nekuti zvirwere zvakawanda zvinokonzerwa nemahormone akawandisa zvinogona kunge zvine zvimwe zvikonzero kunze kwepituitary adenomas. Izvi zvinogona kutaurwawo nezvekushaikwa kwehomoni yepituitary (`Hypopituitarism`). Dzimwe nguva, pituitary adenoma inowanikwa se`Incidental Finding` panguva yekuongorora musoro (`Imageing Test`) kune chimwe chirwere. Mazhinji adenoma anowanikwa akadai anowanzova madiki uye haashande.

Ndedzipi bvunzo dzinoitwa pakuita izvi?

Kana chiremba wako achifungidzira kuti une pituitary adenoma, achanyatsoongorora zviratidzo zvako, nhoroondo yezvekurapa kwako, uye oita bvunzo yemuviri. Pamusoro pezvo, vanogona kukurudzira imwe kana kupfuura yemiedzo inotevera:
  • Kuongororwa Kweropa: Zvichienderana nezviratidzo zvako, kuongororwa kweropa kunogona kurairwa kuti utarise huwandu hwemahormone akasiyana-siyana epituitary.
  • Miedzo yeKufungidzira: Kuongororwa kwemusoro kana kuti MRI (Magnetic Resonance Imaging)Kuongororwa kwe `CT (Computed Tomography)` kunogona kuburitsa mifananidzo yakajeka yezvimiro zviri mukati memusoro. Miedzo iyi inogona kusimbisa kana pituitary adenoma iripo uye kuti yakakura sei. Kuongororwa kwe `MRI` ndiyo bvunzo yakakodzera uye inonzwisisika pane izvi.
  • Kuongororwa Kwemaziso: Kana muine matambudziko ekuona, chiremba wenyu anogona kuraira kuongororwa kwemaziso. Kuongororwa uku kwakakosha nekuti ma adenoma makuru epituitary anogona kukonzera matambudziko ekuona nekudzvanya tsinga yemaziso, iyo inobatanidza maziso neuropi.

Ko pituitary adenoma inorapwa sei?

Kune nzira nhatu huru dzekurapa pituitary adenomas: kuvhiyiwa, mishonga, uye radiation therapy. Dzimwe nguva imwe kana kupfuura dzenzira idzi dzinogona kushandiswa pamwe chete. Nekuti adenoma yemunhu wese nemamiriro ezvinhu zvakasiyana, iwe nechikwata chako chekurapa munogona kushanda pamwe chete kuti musarudze chirongwa chekurapa chakakunakirai.

Kuvhiyiwa kwekubvisa adenoma

Kana uine adenoma iri kukonzera kusawirirana kwemahormone kana kukanganisa kuona kwako, chiremba wako angangokurudzira kuvhiyiwa kubvisa adenoma yese kana chikamu chayo. Zvichienderana nehukuru hweadenoma uye kuoma kwezviratidzo zvako, kuvhiyiwa kunopfuura kamwe chete kunogona kudiwa. Vanachiremba vanowanzoita izvi vachishandisa nzira yekuvhiya inonzi `Transsphenoidal Surgery` . Izvi zvinosanganisira kupfuura nemumhino uye nesphenoid sinus (nzvimbo isina chinhu iri kuseri kwemhino, pasi pehuropi) kuti vasvike kugland repituitary uye vabvise adenoma. Inenge 95% yemabundu epituitary anobviswa nenzira iyi. Inzira yakachengeteka. Zvisinei, kana adenoma yakakura zvakanyanya kuti ibviswe nemhino kana iri panzvimbo yakaoma, chiremba angafanira kuita kuvhiyiwa kwetranscranial. Iyi inzira isingawanzoitiki yepituitary adenomas.

Kurapa nemishonga

Mamwe marudzi epituitary adenomas, kunyanya prolactinomas , anogona kudzorwa uye kuderedzwa nemishonga. Vanhu vane prolactinomas (idzi ndidzo mhando dzinonyanya kuwanikwa) vanotanga kurapwa nemushonga wedopamine agonist, wakadai seCabergoline (Dostinex®) kana Bromocriptine (Cycloset®), kwemwedzi yakati wandei.
Mashoko akanaka ndeekuti muzviitiko zvingangoita 80%, mishonga iyi inoderedza prolactinoma uye inodzorera huwandu hwehormone yeprolactin pahunhu hwakajairika.
Kana mishonga isingashande kana iri imwe mhando ye adenoma, chiremba wako anogona kukurudzira kuvhiyiwa.

Kurapa Nemwaranzi

Kurapa nemwaranzi kunoshandisa X-rays ine simba guru kuparadza masero e adenoma, kuderedza bundu kana kurimisa kukura kwaro.(semuenzaniso `Gamma Knife`®) Nzira yakakosha uye yakanyatsojeka yekurapa nemwaranzi inoshandiswa. Mukuita izvi, mwenje wemwaranzi wakawanda unonangidzirwa ku adenoma kubva kumativi akasiyana, zvichideredza kukuvara kwenyama yakakomberedza ine hutano. Nzira iyi inoshandiswa kunzvimbo dzakasara mushure mekuvhiyiwa kana mumamiriro ezvinhu apo kuvhiyiwa kusingagoneke.

Ndezvipi migumisiro yekurapwa?

Sezvinoitwa nemishonga yese, kurapwa kwepituitary adenoma kunogona kuva nemigumisiro yakaipa.
  • Mushure mekuvhiyiwa uye/kana kurapwa nemwaranzi, vanhu vanosvika 60% vane pituitary adenomas vanogona kutanga ne'Hypopituitarism' (kudzikira kwekugadzirwa kwehomoni imwe chete kana akawanda epituitary). Kunyangwe ichi chiri chirwere chehupenyu hwese, mishonga yekutsiva mahormone inogona kubatsira vanhu kurarama hupenyu hwakajairika.
  • Matambudziko angangoitika kubva pakuvhiyiwa:
  • Kubuda ropa.
  • Kubuda kwemvura mumhino (Cerebrospinal Fluid (CSF)) (mvura inobuda mumhino).
  • Meningitis (utachiona hwematumbu anofukidza uropi).
  • Chirwere cheshuga insipidus (kunyanya kuita weti uye nyota yakawandisa nekuda kwekushaikwa kwehomoni inorwisa diuretic).
  • Migumisiro inowanzo shandiswa nemishonga yedopamine agonist yeprolactinoma inosanganisira: musoro, kuda kurutsa, kurutsa, dzungu, uye dzimwe nguva maitiro ekumanikidzwa.
  • Migumisiro inogona kuitika yekurapa nemwaranzi:
  • Kushaikwa kwehomoni yepituitary (kunogona kuitika nekufamba kwenguva).
  • Kusakwanisa Kubereka.
  • Kurasikirwa nekuona uye kukuvara kwetsinga dzeuropi (zvishoma kwazvo).
  • Rimwe bundu rinogona kukura panzvimbo imwe chete makore mushure mekurapwa (risingawanzoitiki).

Kuumbwa kweadenomas idzi kunogona kudzivirirwa here?

Zvinosuwisa kuti hapana chaunogona kuita kudzivirira pituitary adenomas. Kazhinji, zvinoitika netsaona. Zvisinei, zvinogona kunge zvakabatana nezvimwe zvezvirwere zvemajini zvisingawanzoitika zvataurwa kare. Kana nhengo yemhuri yepedyo (mukoma, hanzvadzi, kana mubereki) ine chirwere chemajini chakadai, unogona kutaura nachiremba wako nezvekupa mazano ezvemajini uye kuongororwa kuti uone kana iwe uinewo chirwere ichi. Kana ukadaro, chiremba wako anogona kukutarisa zvakanyanya uye kuona nekurapa chero adenomas inokura nekukurumidza.

Chii chinonzi fungidziro yechirwere ichi?

Maonero ekuti chirwere chepituitary adenoma, kureva kuti, kupora kwako uye hutano hwako hweramangwana, zvinoenderana nehukuru uye rudzi rwechirwere ichi, uye kurapwa kwaunowana .
Mashoko akanaka ndeekuti kazhinji, kana adenoma ikabviswa zvachose kana kudzorwa nekurapwa, varwere vanogona kurarama hupenyu hwakazara, hune hutano zvakare.
Mune zvimwe zviitiko, kurapwa kunogona kuderedza kugadzirwa kwemahormone nepituitary gland. Kana izvi zvikaitika, ungangoda kutora mishonga yekutsiva mahormone kwehupenyu hwako hwese kuti utsive mahormone akaderera. Dzimwe nguva maAdenoma anogona kudzoka. Izvi zvinoreva kuti angangoda kurapwa zvakare mushure mechinguva. Nhamba dzinoratidza kuti vanhu vanosvika 18% vane maAdenoma asina simba uye vanhu vanosvika 25% vane prolactinoma vangangoda kurapwa zvakare mune ramangwana. Saka, zvakakosha kuti ugare uchisangana nachiremba wako nguva dzose uye ugare uchiongororwa.

Zvinokwanisika here kurarama ne pituitary adenoma?

Ehe, unogona. Kana pituitary adenoma iri diki uye isingakonzeri zviratidzo, unogona kurarama nayo zvakajairika. Kutaura zvazviri, vanhu vazhinji vanongoona kuti vane adenoma kana vakaongororwa musoro nechimwe chikonzero. Zvisinei, kana adenoma ikaramba ichikura kana kuti ikatanga kukonzera zviratidzo, zvechokwadi uchada kurapwa. Kana uine pituitary adenoma yakakura uye/kana inoshanda (inogadzira mahormone), zvechokwadi uchada kurapwa. Izvi zvinodaro nekuti mamwe ma pituitary adenoma anogona kukanganisa hutano hwako uye hupenyu hwako.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Kana zvikasarapwa, mamwe ma adenoma epituitary - kunyanya ma adenoma makuru (`Macroadenomas`) uye ma adenoma anoshanda (`Secreting`) - anogona kukonzera matambudziko makuru ehutano . Matambudziko aya ehutano anonyanya kuenderana nerudzi rwehormone inoburitswa ne adenoma (takakurukura izvi pakutanga muchikamu che`Symptoms`). Dambudziko risingawanzoitiki asi rine njodzi zvikuru rema adenoma epituitary asina kurapwa i`Pituitary Apoplexy`. Iyi i`Medical Emergency`. Izvi zvinoitika kana paine kubuda ropa mukati kana kunze kwe pituitary gland. `Pituitary Apoplexy` inowanzo kukonzerwa nekubuda ropa mu pituitary adenoma. Bundu rinongoerekana rakura, richikuvadza pituitary gland. Kana adenoma yakakura, njodzi yekuve ne`Pituitary Apoplexy` yakakura. Zviratidzo zve`Pituitary Apoplexy` zvinowanzoonekwa nekukurumidza uye zvinogona kutyisidzira hupenyu . Zviratidzo zvikuru ndeizvi:
  • Musoro wakanyanya kuoma (semusoro wakaipisisa wandati ndambova nawo muhupenyu hwangu).
  • Kuona kaviri kana kutadza kusimudza ziso nekuda kwekusashanda zvakanaka kwetsandanyama dzeziso.
  • Kurasikirwa nekuona divi kana kurasikirwa zvachose nekuona muziso rimwe chete kana ese ari maviri.
  • Kusakwana kwe adrenal cortex kunokonzera kuderera kwe BP, kuda kurutsa, uye kurutsa.
  • Kuchinja kwehunhu (semuenzaniso, kuvhiringidzika) nekuda kwekukanganisika kamwe kamwe kwetsinga yeuropi yepamberi.
Chirwere chepituitary apoplexy hachiwanzoitiki, asi chakakomba zvikuru. Kana ukaona chimwe chezviratidzo izvi kana kupfuura, fonera masevhisi ekurapa ekukurumidzira (akadai se911) nekukasika kana kuti mumwe munhu akuendese kuchipatara chiri pedyo.

Unofanira kuona chiremba rini?

  • Kana uine matambudziko ekuona (kuona zvisina kujeka, kuona kaviri, kuona zvishoma nezvishoma) uye/kana kurwadziwa nemusoro kunoramba kuripo kana kudzokororwa (kunyanya pahuma), ona chiremba wovaudza nezvazvo.
  • Kana wakatoonekwa kuti une chirwere chepituitary adenoma, unofanira kuona chiremba wako nguva nenguva kuti utarise mamiriro echirwere ichi uye kuti uve nechokwadi chekuti kurapwa kuri kushanda nemazvo.

Pakupedzisira, yeuka zvinhu izvi:

Zvakajairika kunzwa kutya uye kunetseka paunoona kuti une bundu. Zvisinei, mashoko akanaka nezve pituitary adenomas ndeekuti kazhinji (anopfuura 99%) haasi ekenza (asina kuipa) uye kazhinji, kurapwa kunogona kutungamira kumhedzisiro yakanaka kwazvo. Yeuka, chiremba wako ndiye mubatsiri wako mukuzadzisa hutano hwako hwakanakisa. Saka, usambozeza kuzivisa chiremba wako nezve chero zviratidzo, kusagadzikana, kana mibvunzo yaungave nayo nezvekurapa kwako. Neruzivo rwakakodzera uye kurapwa nenguva, unogona kubata chirwere ichi zvinobudirira.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Une bundu pa pituitary gland yako here? (Pituitary Adenoma) Ngatidzidzei nezvazvo!
Mashandiro Anoita Muviri2026 Chikunguru 15

Une bundu pa pituitary gland yako here? (Pituitary Adenoma) Ngatidzidzei nezvazvo!

Dzimwe nguva unombonzwawo musoro pasina chikonzero here? Kana kuti unonzwa sekunge maziso ako haana simba, uye haugone kuona zvinhu zvichibva kumativi zvakanaka here? Kana kuti, une kusagadzikana kunokonzerwa nekuchinja kwemahormone emuviri wako here? Pamwe chikonzero chezvinhu izvi ibundu diki rinokura mugland rako repituitary. Nhasi, tichataura zvakadzama nezvechirwere ichi chinonzi `Pituitary Adenoma` . Usazvidya moyo, iyi haisi kenza.

Chii chinonzi pituitary adenoma?

Zvichitaurwa zviri nyore, pituitary adenoma ibundu risiri rekenza (risina njodzi) rinokura mugland rako repituitary. Haripararire kune dzimwe nhengo dzemuviri dzakadai sekenza. Ndicho chinhu chakakosha. Zvisinei, sezvo adenoma iyi ichikura, inogona kudzvanya zvinhu zvakaita setsinga netsinga dzeropa dzakaipoteredza. Ndipo panotanga kuoneka zviratidzo.

Saka, chii chinonzi pituitary gland iyi?

Fungidzira, kuseri kwemhino dzedu, dzakabatana nehwaro hweuropi, "Hypothalamus", kune gland diki rakakura sepizi. Ndizvo zvinonzi gland yepituitary. Kunyangwe iri diki, inoita basa rakakosha mumuviri wedu. Gland iri rine zvikamu zviviri zvikuru:
  • Lobe Yepamberi
  • Lobe repashure
Zvikamu izvi zvose zvinoburitsa nekuburitsa mhando dzakasiyana dzemahormone muropa. Mahormone akafanana nemakemikari anotonga uye anoronga mabasa akasiyana-siyana mumuviri wedu. Anofamba nemuropa uye anotumira mashoko anodiwa kunhengo dzedu, tsandanyama, nedzimwe nhengo dzemuviri. Heano mamwe emahormone akakosha anogadzirwa negland repituitary:
  • Adrenocorticotropic hormone (ACTH kana Corticotropin)
  • Mahormone ekudzivirira diuretic (ADH kana Vasopressin)
  • Homoni inokurudzira follicle (` FSH` )
  • Homoni yekukura (`GH`)
  • Hormone yeLuteinizing (`LH`)
  • Oxytocin (` Oxytocin` )
  • Prolactin
  • Homoni inokurudzira thyroid ('TSH')
Hazvisi izvi chete, pituitary gland "inoratidzawo" mamwe ma endocrine glands mumuviri wedu kuti agadzire mahormone. Saka unogona kunzwisisa kuti kana paine dambudziko neiyi pituitary gland, senge adenoma, mashandiro ehormone imwe chete kana akawanda mahormone anogona kukanganisika.

Mhando idzi dzeadenomas dzinosiyaniswa sei?

Vanachiremba vanoisa pituitary adenomas mumapoka maviri makuru: 1. Zvichienderana nekuti dzinogadzira here mahormone kana kuti kwete:
  • Kushanda/Kuburitsa Adenoma:Pamusoro pezvo, mhando idzi dze adenomas dzinogadzira rimwe kana akawanda mahormone epituitary. Nokudaro, zviratidzo zvakasiyana nemamiriro ezvinhu zvinogona kuitika zvichienderana nehomoni inogadzirwa zvakanyanya.
  • Ma adenoma asingashande/asingabudisi: Ma adenoma aya haaburitse mahormone. Zvisinei, kana akakura, anogona kukonzera zviratidzo nekudzvanya nzvimbo dzeuropi dziri pedyo kana tsinga . Iyi ndiyo mhando ye adenoma inowanzo sangana navanachiremba.
2. Nehukuru:
  • Microadenomas: Aya mabundu madiki pane mamirimita gumi (kureva, sendimita imwe chete).
  • Macroadenomas: Aya mabundu akakura kupfuura mamirimita gumi. Macroadenomas anowanikwa kaviri kupfuura microadenomas. Ane mukana wekuti anokonzera mwero wakaderera wehomoni imwe kana kupfuura yepituitary (chirwere chinonzi hypopituitarism).

Izvi zvinoonekwa segomarara remuuropi here?

Gland repituitary chaizvoizvo chimiro chiri che endocrine system, uye hachisi chikamu cheuropi. Rinobatanidzwa nehwaro hweuropi. Zvisinei, vanachiremba vanoona pituitary adenomas serudzi rwegomarara reuropi . Pituitary adenomas inongotora 10% chete yemagomarara ekutanga europi.

Ndiani anowanzobatwa neizvi? Zvakajairika sei?

Mapundu epituitary anogona kukura chero pazera ripi zvaro. Zvisinei, anowanzoonekwa muvanhu vari mumakore avo ekuma30 ne40 . Vakadzi vane mukana wekukura nawo zvishoma kupfuura varume. Anowanzoitika zvekuti anosvika 10% kusvika 15% yemapundu ese anokura mudehenya. Zvichienderana nehuwandu, vanhu vanosvika 77 pa100,000 vane chirwere ichi. Zvisinei, vaongorori vanotenda kuti vanhu vazhinji, pamwe vanosvika 20%, vachakura rimwe pane imwe nguva muhupenyu hwavo. Kazhinji, kunyanya avo vane ma microadenomas (`microadenomas`), havana zviratidzo, saka havaonekwe.

Ndezvipi zviratidzo zve pituitary adenoma?

Zviratidzo zve pituitary adenoma zvinogona kusiyana zvakanyanya kubva pamunhu kuenda kumunhu. Zvinonyanya kuenderana nezvinhu zvakati wandei:
  • Kana adenoma ichikura muhukuru uye ichikuvadza pituitary gland pachayo, kana kuti inokonzera "kukanganisa kukuru" pazvivako zvakapoteredza.
  • Ihomoni inoburitsa mahormone here ('functioning') adenoma? Kana zvakadaro, zviratidzo zvinoenderana nerudzi rwehomoni yainoburitsa.

Zviratidzo zve 'Mass Effect' zvinokonzerwa ne 'Macroadenomas' (mabundu makuru)

Matumbu makuru (`Macroadenomas`) anokonzera zviratidzo zvakanyanya nekuda kwekumanikidzwa kwenyama dzakapoteredza.
Chimbofungai, kana mukaisa chinhu chikuru mukamuri kadiki, zvinoita sekunge hapana nzvimbo yakakwana yezvimwe zvinhu uye vanhu vakawanda.
  • Matambudziko ekuona:
Vanhu vanosvika 40% kusvika 60% vane pituitary adenoma yakakuraKurasikirwa nekuona (kuona kusina kujeka, kuona kaviri) kunoitika. Izvi zvinoitika nekuti adenoma inodzvanya pane optic chiasm, iyo inobatanidza maziso neuropi. Izvi zvinogona kukonzera kurasikirwa nekuona kwekunze, kunyanya parutivi. Zvakafanana nebhiza rinorasikirwa nekuona kwaro kumativi ese. Vanhu vazhinji vane pituitary adenomas vanonyunyuta nezvemusoro unogara uchirwadza. Izvi zvinogona kunge zvichikonzerwa nebundu rinodzvanya nyama dzakaripoteredza. Zvisinei, sezvo musoro uchiwanzokonzerwa nezvinhu zvakawanda, unogona zvakare kukonzerwa nezvimwe zvinhu.
  • Kushaikwa kwemahormone:
Mahomoni makuru (`Macroadenomas`) anogona kukuvadza tsinga dzepituitary gland uye kuderedza kugadzirwa kwehomoni imwe chete kana anopfuura epituitary. Dambudziko iri rinonzi `Hypopituitarism`. Zviratidzo zvinoitika kana homoni imwe neimwe yadzikira zvinosiyanawo.
  • Kana mahormone eLH neFSH akadzikira (`Hypogonadism`): Huwandu hwe`Oestrogen` muvakadzi uye` Testosterone` muvarume hunodzikira. Izvi zvinogona kukonzera zviratidzo zvakaita sekudikitira zvakanyanya, kuoma kwechikadzi muvakadzi,` Kusashanda zvakanaka kweErectile` muvarume, kudzikira kwekukura kwebvudzi pachiso nemuviri, kuchinja-chinja kwemanzwiro muvarume vese, kudzikira kwechido chebonde, uye kuneta zvakanyanya.
  • Kana huwandu hwehormone yeTSH hukadzikira (`Hypothyroidism`): Huwandu hwemahormone anogadzirwa nethyroid gland hunoderera. Izvi zvinogona kukonzera zviratidzo zvakaita sekuneta, kuvimbiwa, kurova kwemoyo kunonoka, ganda rakaoma, kuzvimba kwemakumbo, uye kusagadzikana kwesimba remuviri.
  • Kana ACTH hormone yakaderera (`Adrenal Insufficiency`): Kugadzirwa kwe hormone inonzi `Cortisol` mumuviri kunoderera. Izvi zvinogona kukonzera zviratidzo zvakaita se BP yakaderera, kuda kurutsa, kurutsa, kurwadziwa mudumbu, uye kurasikirwa nechido chekudya.
  • GH (Kushomeka kweHormone Yekukura): Zviratidzo zvinosiyana zvichienderana nezera. Vakuru vanogona kuneta uye kurasikirwa nehuremu hwetsandanyama.

Zviratidzo zvekushanda kweadenomas

Kuwedzera pakubudisa rimwe kana akawanda mahormone, adenoma inoshanda inogona kukonzera zviratidzo zvakasiyana-siyana uye mamiriro ezvinhu ane chekuita nehormone yega yega.
  • MaProlactinomas (anozivikanwawo seLactotroph Adenomas):
Matumbu aya anokonzera prolactin yakawandisa. Chirwere ichi chinonzi hyperprolactinemia. Matumbu mana chete pagumi epituitary bundu ndiwo erudzi urwu. Urwu ndirwo rudzi rwakajairika rwepituitary adenoma.Kana huwandu hweprolactin hukawedzera, kushanda zvakanaka kwehurongwa hwekubereka muvakadzi nevarume kunogona kukanganiswa.
  • Kusabereka (kusabereka) kuvarume nevakadzi.
  • Kubuda kwemukaka mumazamu kunyangwe usiri nepamuviri (`Galactorrhea`).
  • Somatotroph Adenomas:
Ma adenoma aya anogadzira huwandu hwakawanda hwehomoni yekukura (`Growth Hormone` kana `Somatotropin`) . Matumbu maviri pagumi epituitary bundu anowanikwa murudzi urwu. Zviratidzo zvinokonzerwa neizvi zvinosiyana nezera.
  • Vakuru: Chirwere chisingawanzoitiki asi chakakomba chinonzi `Acromegaly` chinoitika. Muizvi, mapfupa nenyama yemuviri zvinokura zvisina kujairika. Nekufamba kwenguva, maoko, tsoka, nemusoro zvinokura, uye chimiro chechiso chinochinja. Zvinokanganisawo kudzora shuga muropa, uye tsandanyama dzemwoyo dzinogonawo kukura.
  • Vana nevechidiki: Chirwere chinonzi gigantism chinoitika. Vanokura varefu zvisina kujairika nekuda kwekuwedzera kwehomoni yekukura.
  • Corticotroph Adenomas:
Ma adenoma aya anogadzira ACTH yakawandisa (adrenocorticotropic hormone) . Inenge 1 pagumi dzematumbu epituitary ndeerudzi urwu. Homoni yeACTH inokurudzira ma adrenal glands kuti agadzire ma steroid akawanda akadai se cortisol. Izvi zvinokonzera Cushing's Syndrome (cortisol yakawandisa).
  • Kukwira kweropa.
  • Kushaya simba kwetsandanyama.
  • Kukuvara kuri nyore.
  • Mitsetse yakafara (inopfuura 1 cm) yepepuru (`Stretch Marks`) inoonekwa padumbu.
  • Kuora Kwemapfupa.
  • Kupwanyika kwemakumbo.
  • Chirwere cheshuga cherudzi rwechipiri (Type 2 Diabetes Mellitus).
  • Thyrotroph Adenomas: Zviratidzo zveThyrotroph Adenomas:
Ma adenoma aya anogadzira huwandu hwakawanda hweTSH (thyroid stimulating hormone) . Aya haawanzoitiki. TSH inokurudzira thyroid gland kuti igadzire mahormone akawanda ethyroid. Izvi zvinokonzera 'Hyperthyroidism' (chirwere chethyroid chinoshanda zvakanyanya), izvo zvinokurumidzisa metabolism yemuviri.
  • Kurova kwemoyo kwakawedzera.
  • Kuderedza uremu pasina chikonzero.
  • Kugara uchitsvedza zvituru.
  • Kudikitira.
  • Kudedera kwemaoko.
  • Kuzvidya mwoyo.
Zvakakosha: Kune zvimwe zvakawanda zvinokonzera hyperthyroidism. Kuora kwepituitary adenoma chinhu chisingawanzoitiki.
  • Gonadotroph Adenomas: Kukura kwemasero emudumbu
Ma adenoma aya anogadzira gonadotropins yakawandisa (kureva mahormone eLH neFSH). Izvi hazviwanzoitikiwo.
  • Izvi zvinogona kukonzera kuti vakadzi vasave nenguva yekuenda kumwedzi isina kurongeka uye zvirwere zvakaita seOvarian Hyperstimulation Syndrome (OHSS).
  • Varume vanogona kuona zviratidzo zvakaita sekukura kwemachende, kudzika kwezwi, kurasikirwa nebvudzi (kumashure kwenzeve), uye kukura nekukurumidza kwebvudzi rechiso.
  • Vana vanogonawo kutanga kuyaruka vasati vasvika panguva yekuzvitakura.

Ndezvipi zvikonzero zve pituitary adenoma?

Masayendisiti haasati aziva kuti chii chinokonzera ma adenoma aya. Zvisinei, mamwe ma adenoma anofungidzirwa kuti ane chekuita nekuchinja-chinja kwemajini ('DNA') mumajini edu. Kuchinja kwemajini uku kunoita kuti masero ari mu pituitary gland akure nekukurumidza uye agadzire mass. Kuchinja kwemajini uku dzimwe nguva kunogona kugarwa nhaka kubva kuvabereki kuenda kuvana (nhaka), kana kuti kunogona kukura zvisina tsarukano zvachose. Pamusoro pezvo, ma adenoma e pituitary anogonawo kubatanidzwa nemamwe mamiriro ezvinhu emajini asingawanzoitiki . Mimwe mienzaniso ndeiyi:
  • ``Multiple Endocrine Neoplasia type 1 (MEN1)''
  • ``Multiple Endocrine Neoplasia type 4 (MEN4)''
  • `Carney complex`
  • `X-LAG syndrome`
  • "Succinate dehydrogenase-related family pituitary adenoma"
  • `Neurofibromatosis rudzi 1`
  • "Von Hippel-Lindau syndrome"
Munhu ane chirwere ichi chegene ari panjodzi yakakura yekubatwa nechirwere chepituitary adenoma. Zvisinei, zvakakosha kuyeuka kuti vanhu vasina chirwere ichi chegene vanogonawo kuwana chirwere ichi.

Vanachiremba vanoongorora sei chirwere ichi?

Maitiro ekuongorora pituitary adenoma anosiyana zvichienderana nerudzi rweadenoma yaunayo uye kana iri kukonzera zviratidzo. Kazhinji, munhu ane hormone-secreting adenoma (`Functioning Adenoma`) anotanga aonekwa aine hormonal imbalance (semuenzaniso `Cushing's Syndrome`, `Acromegaly`) zvichibva pazviratidzo. Ndipo chete apo adenoma inowanikwa kana chikonzero chaongororwa. Izvi zvinodaro nekuti zvirwere zvakawanda zvinokonzerwa nemahormone akawandisa zvinogona kunge zvine zvimwe zvikonzero kunze kwepituitary adenomas. Izvi zvinogona kutaurwawo nezvekushaikwa kwehomoni yepituitary (`Hypopituitarism`). Dzimwe nguva, pituitary adenoma inowanikwa se`Incidental Finding` panguva yekuongorora musoro (`Imageing Test`) kune chimwe chirwere. Mazhinji adenoma anowanikwa akadai anowanzova madiki uye haashande.

Ndedzipi bvunzo dzinoitwa pakuita izvi?

Kana chiremba wako achifungidzira kuti une pituitary adenoma, achanyatsoongorora zviratidzo zvako, nhoroondo yezvekurapa kwako, uye oita bvunzo yemuviri. Pamusoro pezvo, vanogona kukurudzira imwe kana kupfuura yemiedzo inotevera:
  • Kuongororwa Kweropa: Zvichienderana nezviratidzo zvako, kuongororwa kweropa kunogona kurairwa kuti utarise huwandu hwemahormone akasiyana-siyana epituitary.
  • Miedzo yeKufungidzira: Kuongororwa kwemusoro kana kuti MRI (Magnetic Resonance Imaging)Kuongororwa kwe `CT (Computed Tomography)` kunogona kuburitsa mifananidzo yakajeka yezvimiro zviri mukati memusoro. Miedzo iyi inogona kusimbisa kana pituitary adenoma iripo uye kuti yakakura sei. Kuongororwa kwe `MRI` ndiyo bvunzo yakakodzera uye inonzwisisika pane izvi.
  • Kuongororwa Kwemaziso: Kana muine matambudziko ekuona, chiremba wenyu anogona kuraira kuongororwa kwemaziso. Kuongororwa uku kwakakosha nekuti ma adenoma makuru epituitary anogona kukonzera matambudziko ekuona nekudzvanya tsinga yemaziso, iyo inobatanidza maziso neuropi.

Ko pituitary adenoma inorapwa sei?

Kune nzira nhatu huru dzekurapa pituitary adenomas: kuvhiyiwa, mishonga, uye radiation therapy. Dzimwe nguva imwe kana kupfuura dzenzira idzi dzinogona kushandiswa pamwe chete. Nekuti adenoma yemunhu wese nemamiriro ezvinhu zvakasiyana, iwe nechikwata chako chekurapa munogona kushanda pamwe chete kuti musarudze chirongwa chekurapa chakakunakirai.

Kuvhiyiwa kwekubvisa adenoma

Kana uine adenoma iri kukonzera kusawirirana kwemahormone kana kukanganisa kuona kwako, chiremba wako angangokurudzira kuvhiyiwa kubvisa adenoma yese kana chikamu chayo. Zvichienderana nehukuru hweadenoma uye kuoma kwezviratidzo zvako, kuvhiyiwa kunopfuura kamwe chete kunogona kudiwa. Vanachiremba vanowanzoita izvi vachishandisa nzira yekuvhiya inonzi `Transsphenoidal Surgery` . Izvi zvinosanganisira kupfuura nemumhino uye nesphenoid sinus (nzvimbo isina chinhu iri kuseri kwemhino, pasi pehuropi) kuti vasvike kugland repituitary uye vabvise adenoma. Inenge 95% yemabundu epituitary anobviswa nenzira iyi. Inzira yakachengeteka. Zvisinei, kana adenoma yakakura zvakanyanya kuti ibviswe nemhino kana iri panzvimbo yakaoma, chiremba angafanira kuita kuvhiyiwa kwetranscranial. Iyi inzira isingawanzoitiki yepituitary adenomas.

Kurapa nemishonga

Mamwe marudzi epituitary adenomas, kunyanya prolactinomas , anogona kudzorwa uye kuderedzwa nemishonga. Vanhu vane prolactinomas (idzi ndidzo mhando dzinonyanya kuwanikwa) vanotanga kurapwa nemushonga wedopamine agonist, wakadai seCabergoline (Dostinex®) kana Bromocriptine (Cycloset®), kwemwedzi yakati wandei.
Mashoko akanaka ndeekuti muzviitiko zvingangoita 80%, mishonga iyi inoderedza prolactinoma uye inodzorera huwandu hwehormone yeprolactin pahunhu hwakajairika.
Kana mishonga isingashande kana iri imwe mhando ye adenoma, chiremba wako anogona kukurudzira kuvhiyiwa.

Kurapa Nemwaranzi

Kurapa nemwaranzi kunoshandisa X-rays ine simba guru kuparadza masero e adenoma, kuderedza bundu kana kurimisa kukura kwaro.(semuenzaniso `Gamma Knife`®) Nzira yakakosha uye yakanyatsojeka yekurapa nemwaranzi inoshandiswa. Mukuita izvi, mwenje wemwaranzi wakawanda unonangidzirwa ku adenoma kubva kumativi akasiyana, zvichideredza kukuvara kwenyama yakakomberedza ine hutano. Nzira iyi inoshandiswa kunzvimbo dzakasara mushure mekuvhiyiwa kana mumamiriro ezvinhu apo kuvhiyiwa kusingagoneke.

Ndezvipi migumisiro yekurapwa?

Sezvinoitwa nemishonga yese, kurapwa kwepituitary adenoma kunogona kuva nemigumisiro yakaipa.
  • Mushure mekuvhiyiwa uye/kana kurapwa nemwaranzi, vanhu vanosvika 60% vane pituitary adenomas vanogona kutanga ne'Hypopituitarism' (kudzikira kwekugadzirwa kwehomoni imwe chete kana akawanda epituitary). Kunyangwe ichi chiri chirwere chehupenyu hwese, mishonga yekutsiva mahormone inogona kubatsira vanhu kurarama hupenyu hwakajairika.
  • Matambudziko angangoitika kubva pakuvhiyiwa:
  • Kubuda ropa.
  • Kubuda kwemvura mumhino (Cerebrospinal Fluid (CSF)) (mvura inobuda mumhino).
  • Meningitis (utachiona hwematumbu anofukidza uropi).
  • Chirwere cheshuga insipidus (kunyanya kuita weti uye nyota yakawandisa nekuda kwekushaikwa kwehomoni inorwisa diuretic).
  • Migumisiro inowanzo shandiswa nemishonga yedopamine agonist yeprolactinoma inosanganisira: musoro, kuda kurutsa, kurutsa, dzungu, uye dzimwe nguva maitiro ekumanikidzwa.
  • Migumisiro inogona kuitika yekurapa nemwaranzi:
  • Kushaikwa kwehomoni yepituitary (kunogona kuitika nekufamba kwenguva).
  • Kusakwanisa Kubereka.
  • Kurasikirwa nekuona uye kukuvara kwetsinga dzeuropi (zvishoma kwazvo).
  • Rimwe bundu rinogona kukura panzvimbo imwe chete makore mushure mekurapwa (risingawanzoitiki).

Kuumbwa kweadenomas idzi kunogona kudzivirirwa here?

Zvinosuwisa kuti hapana chaunogona kuita kudzivirira pituitary adenomas. Kazhinji, zvinoitika netsaona. Zvisinei, zvinogona kunge zvakabatana nezvimwe zvezvirwere zvemajini zvisingawanzoitika zvataurwa kare. Kana nhengo yemhuri yepedyo (mukoma, hanzvadzi, kana mubereki) ine chirwere chemajini chakadai, unogona kutaura nachiremba wako nezvekupa mazano ezvemajini uye kuongororwa kuti uone kana iwe uinewo chirwere ichi. Kana ukadaro, chiremba wako anogona kukutarisa zvakanyanya uye kuona nekurapa chero adenomas inokura nekukurumidza.

Chii chinonzi fungidziro yechirwere ichi?

Maonero ekuti chirwere chepituitary adenoma, kureva kuti, kupora kwako uye hutano hwako hweramangwana, zvinoenderana nehukuru uye rudzi rwechirwere ichi, uye kurapwa kwaunowana .
Mashoko akanaka ndeekuti kazhinji, kana adenoma ikabviswa zvachose kana kudzorwa nekurapwa, varwere vanogona kurarama hupenyu hwakazara, hune hutano zvakare.
Mune zvimwe zviitiko, kurapwa kunogona kuderedza kugadzirwa kwemahormone nepituitary gland. Kana izvi zvikaitika, ungangoda kutora mishonga yekutsiva mahormone kwehupenyu hwako hwese kuti utsive mahormone akaderera. Dzimwe nguva maAdenoma anogona kudzoka. Izvi zvinoreva kuti angangoda kurapwa zvakare mushure mechinguva. Nhamba dzinoratidza kuti vanhu vanosvika 18% vane maAdenoma asina simba uye vanhu vanosvika 25% vane prolactinoma vangangoda kurapwa zvakare mune ramangwana. Saka, zvakakosha kuti ugare uchisangana nachiremba wako nguva dzose uye ugare uchiongororwa.

Zvinokwanisika here kurarama ne pituitary adenoma?

Ehe, unogona. Kana pituitary adenoma iri diki uye isingakonzeri zviratidzo, unogona kurarama nayo zvakajairika. Kutaura zvazviri, vanhu vazhinji vanongoona kuti vane adenoma kana vakaongororwa musoro nechimwe chikonzero. Zvisinei, kana adenoma ikaramba ichikura kana kuti ikatanga kukonzera zviratidzo, zvechokwadi uchada kurapwa. Kana uine pituitary adenoma yakakura uye/kana inoshanda (inogadzira mahormone), zvechokwadi uchada kurapwa. Izvi zvinodaro nekuti mamwe ma pituitary adenoma anogona kukanganisa hutano hwako uye hupenyu hwako.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Kana zvikasarapwa, mamwe ma adenoma epituitary - kunyanya ma adenoma makuru (`Macroadenomas`) uye ma adenoma anoshanda (`Secreting`) - anogona kukonzera matambudziko makuru ehutano . Matambudziko aya ehutano anonyanya kuenderana nerudzi rwehormone inoburitswa ne adenoma (takakurukura izvi pakutanga muchikamu che`Symptoms`). Dambudziko risingawanzoitiki asi rine njodzi zvikuru rema adenoma epituitary asina kurapwa i`Pituitary Apoplexy`. Iyi i`Medical Emergency`. Izvi zvinoitika kana paine kubuda ropa mukati kana kunze kwe pituitary gland. `Pituitary Apoplexy` inowanzo kukonzerwa nekubuda ropa mu pituitary adenoma. Bundu rinongoerekana rakura, richikuvadza pituitary gland. Kana adenoma yakakura, njodzi yekuve ne`Pituitary Apoplexy` yakakura. Zviratidzo zve`Pituitary Apoplexy` zvinowanzoonekwa nekukurumidza uye zvinogona kutyisidzira hupenyu . Zviratidzo zvikuru ndeizvi:
  • Musoro wakanyanya kuoma (semusoro wakaipisisa wandati ndambova nawo muhupenyu hwangu).
  • Kuona kaviri kana kutadza kusimudza ziso nekuda kwekusashanda zvakanaka kwetsandanyama dzeziso.
  • Kurasikirwa nekuona divi kana kurasikirwa zvachose nekuona muziso rimwe chete kana ese ari maviri.
  • Kusakwana kwe adrenal cortex kunokonzera kuderera kwe BP, kuda kurutsa, uye kurutsa.
  • Kuchinja kwehunhu (semuenzaniso, kuvhiringidzika) nekuda kwekukanganisika kamwe kamwe kwetsinga yeuropi yepamberi.
Chirwere chepituitary apoplexy hachiwanzoitiki, asi chakakomba zvikuru. Kana ukaona chimwe chezviratidzo izvi kana kupfuura, fonera masevhisi ekurapa ekukurumidzira (akadai se911) nekukasika kana kuti mumwe munhu akuendese kuchipatara chiri pedyo.

Unofanira kuona chiremba rini?

  • Kana uine matambudziko ekuona (kuona zvisina kujeka, kuona kaviri, kuona zvishoma nezvishoma) uye/kana kurwadziwa nemusoro kunoramba kuripo kana kudzokororwa (kunyanya pahuma), ona chiremba wovaudza nezvazvo.
  • Kana wakatoonekwa kuti une chirwere chepituitary adenoma, unofanira kuona chiremba wako nguva nenguva kuti utarise mamiriro echirwere ichi uye kuti uve nechokwadi chekuti kurapwa kuri kushanda nemazvo.

Pakupedzisira, yeuka zvinhu izvi:

Zvakajairika kunzwa kutya uye kunetseka paunoona kuti une bundu. Zvisinei, mashoko akanaka nezve pituitary adenomas ndeekuti kazhinji (anopfuura 99%) haasi ekenza (asina kuipa) uye kazhinji, kurapwa kunogona kutungamira kumhedzisiro yakanaka kwazvo. Yeuka, chiremba wako ndiye mubatsiri wako mukuzadzisa hutano hwako hwakanakisa. Saka, usambozeza kuzivisa chiremba wako nezve chero zviratidzo, kusagadzikana, kana mibvunzo yaungave nayo nezvekurapa kwako. Neruzivo rwakakodzera uye kurapwa nenguva, unogona kubata chirwere ichi zvinobudirira.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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