Ko pituitary gland yako iri mumusoro mako yakangoerekana yabuda ropa here? (Pituitary Apoplexy) Ngatichenjererei!

Wakambonzwa musoro wakakomba, wakanyanya kurwadza, kuona zvisizvo, kuona zvinhu zviviri, kana kuti maziso ako achidonha here? Kunyangwe izvi zvisingawanzoitiki, panogona kunge paine chikonzero chakakomba chiri shure kwazvo. Ndiyo mamiriro ezvinhu atichataura nezvawo nhasi, anonzi "Pituitary Apoplexy". Usatya, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi Pituitary Apoplexy?

Zvichitaurwa zviri nyore, `(Pituitary Apoplexy)` chirwere apo ropa rinoenda kugland repituitary , gland diki riri muuropi hwedu, rinomira kamwe kamwe (kureva kuti, ropa rinovharika), kana kubuda ropa mukati megland (`(Kubuda ropa)`). Ichi chinogona kunge chiri chirwere chakakomba, saka pane dzimwe nguva apo kurapwa kwekukurumidzira kunodiwa.

Saka chii chinonzi pituitary gland iyi?

Fungidzira, pakati chaipo pehuropi hwedu, seri kwebhiriji remhino dzedu, kune gland diki diki rakaita sepizi. Ndiyo yatinodaidza kuti gland yepituitary. Iri ndiro rimwe remagland makuru muhurongwa hwe endocrine yemuviri wedu. Ndiro rinogadzira uye rinodzora mahormone, ayo ari ma chemical messenger anoita basa rakakosha mumuviri wedu.

Mazhinji emabasa emuviri wedu anoenderana nemahormone aya. Heano mimwe mienzaniso:

• Kudzora BP yedu.
• Kubereka uye kushanda kwepabonde.
• Kukura nekukura kwemuviri.

Mahormone anoburitswa negland repituitary anotumira zviratidzo kune mamwe magland eendocrine kuti agadzire mahormone awo. Anoshanda semutongi mudiki mumuviri wedu.

Chii chinonzi Pituitary Adenoma?

Kazhinji, chirwere ichi chinonzi "Pituitary Apoplexy" chinoitika kuvanhu vane bundu risina njodzi (risina kenza) mugland repituitary, kureva kuti, "Pituitary Adenoma".

Zvisinei, vanhu vazhinji havatombozivi kuti vane `(Pituitary Adenoma)`. Dzimwe nguva bundu iri rinowanikwa netsaona panguva ye`(Image Test)` yakaitwa nekuda kwechimwe chikonzero. Kune vamwe, chirwere ichi chinonzi `(Pituitary Apoplexy)` ndicho chiratidzo chekutanga chekuti vane `(Pituitary Adenoma)`.

Pakuisa aya ma "Pituitary Adenomas" muzvikamu, zvinoenderana nekuti anoburitsa mahormone here kana kuti kwete.

• Matumbu anoburitsa mahormone: Aya anogona kugadzira mamwe mahormone akawandisa.
• Adrenocorticotropic hormone (ACTH): Izvi zvinokurudzira ma adrenal glands edu kuti agadzire hormone inonzi cortisol . Cortisol ihormone inobatsira kupindura kushushikana, kurwisa hutachiona, uye kudzora BP, shuga yeropa, uye metabolism.
• Prolactin:Kunyangwe ichibatsira mumabasa akawanda emuviri, inonyanya kukosha pakukura kwenyama yemazamu uye kugadzirwa kwemukaka. Kana ikawedzera, inogona kukonzera kumwedzi kusina kurongeka kuvakadzi uye kuderedza chishuwo chebonde kuvarume.
• Hormone Yekukura: Inodzora kukura kwevana uye inodzora mafuta emuviri, shuga yeropa, uye kugadziriswa kwemasero muvanhu vakuru.
• MaAdenoma ePituitary Asingashande: Aya haaburitse mahormone. Pituitary Apoplexy inonyanya kuonekwa muvanhu vane aya maAdenoma epituitary asingashande.

Ndiani anonyanya kukonzera chirwere chepituitary apoplexy?

Dambudziko iri rinowanzoitika kuvarume kaviri pane revakadzi. Rinowanzobata vanhu vane makore ari pakati pe37 ne58.

Dambudziko iri rakajairika zvakadii?

Kune maonero akasiyana-siyana pamusoro pekuti chirwere chePituitary Adenoma chakajairika sei. Izvi zvinokonzerwa nekuti vanhu vazhinji havaratidzi zviratidzo. Pfungwa yenyanzvi ndeyekuti chirwere ichi chakajairika. Pakati pe2% ne12% yevanhu vane chirwere chePituitary Adenoma vanogona kubatwa nechirwere chePituitary Apoplexy.

Ndezvipi zviratidzo zvePituitary Apoplexy?

Zviratidzo zvechirwere ichi zvinoenderana ne:

• Huwandu hwekubuda ropa.
• Huwandu hwenyama mugland repituitary hunofa nekuda kwekushaikwa kweropa.
• Zvichienderana nekuti kuzvimba (edema) kwakaita sei.

Chiratidzo chinowanzoitika musoro unongoerekana wanyanya. Vanhu vanopfuura hafu vanotamburawo nematambudziko ekuona . Izvi zvinokonzerwa nekumanikidzwa kwakanyanya kwetsinga dzinofamba kubva muuropi kuenda kumaziso (optic nerves). Izvi zvinogona kusanganisira:

• Kuona kaviri .
• Maziso akarembera .
• Kurasikirwa zvachose kana chikamu chekuona kwemaziso rimwe chete kana ese ari maviri.

Zvimwe zviratidzo zvinokonzerwa nekuchinja kweuropi. Dzimwe nguva izvi zvinogona kufanana nezvimwe zvirwere zvetsinga, zvakaita semeningitis . Zviratidzo izvi zvinosanganisira:

• Kuvhiringidzika.
• Kuneta kwakanyanya.
• Kupindwa nechando.
• Kusvotwa nekurutsa.
• Kunzwa chiedza (Photophobia).

Ko pituitary apoplexy inogona kukanganisa mashandiro emahormone here?

Ehe, zvechokwadi. Kana pituitary gland ikakuvara, inokanganisa mashandiro emamwe ma endocrine glands ainodzora, mahormone aanogadzira, uye muviri unodzora mahormone iwayo.

Dambudziko rinowanzoitika remahormone kushomeka kweadrenocorticotropic hormone (ACTH). Izvi zvinokanganisa mashandiro eadrenal glands uye dzimwe nguva zvinogona kuisa hupenyu panjodzi. Zviratidzo zvacho zvinosanganisira:

• Kuderera kweropa (Hypotension).
• Shuga shoma muropa (Hypoglycemia).
• Kuderera kwe sodium muropa (Hyponatremia).
• Kusvotwa nekurutsa.

Ndezvipi zvikonzero zvePituitary Apoplexy?

Kutaura chokwadi, chikonzero chaicho cheizvi hachisati chajeka.

Dzimwe ongororo dzakawana kuti pakati pe10% ne40% yevanhu vane chirwere ichi vane chekuita nedzimwe nzira dzekurapa, mamiriro ehutano, uye mishonga. Heano mimwe mienzaniso:

• Mishonga inorwisa ropa rinovhara ropa inopiwa kuvanhu vane deep vein thrombosis uye pulmonary embolism.
• Mishonga inosimudzira dopamine inoshandiswa pakurapa chirwere cheParkinson uye chirwere chemakumbo asingadzoreki.
• Kuongororwa kwekukurudzirwa kwe endocrine inzira yekuongorora zvirwere zve endocrine system.
• Kurapa neGonadotropin-releasing hormone (GnRH), uko kunopiwa kune vamwe vakadzi vane kenza yemazamu, kunoderedza kushanda kwemasero emuzamu.
• Kukuvara mumusoro (sekudonha, tsaona dzemotokari).
• Kuvhiyiwa, kunyanya kuvhiyiwa kwemapfupa nemwoyo.

Nyanzvi dzichiri kuedza kunzwisisa kuti sei zvinhu izvi dzimwe nguva zvichibatanidzwa ne "Pituitary Apoplexy." Tsvagiridzo iyi inogona kubatsira vanachiremba kudzivirira chirwere ichi chekusagadzikana pavanenge vachitarisira vanhu vane pituitary adenomas.

Chirwere chePituitary Apoplexy chinoonekwa sei?

Chiremba wako achakuongorora (Kuongororwa Kwemuviri), kuongorora zviratidzo zvako, uye kukuraira bvunzo dzakadai se (Kuongororwa Kwemifananidzo).

Zvichienderana nekuoma kwechirwere chako, ungangoda kurapwa nekukurumidza . Mukamuri rekukurumidzira, vanachiremba vanozoita CT scan nekuti inogona kupa mhedzisiro nekukurumidza uye kubvisa zvimwe zvirwere, zvakaita sestroke. Zvisinei, kana nguva ikabvumidza, MRI ndiyo sarudzo yakanakisa. Inogona kupa ruzivo rwakadzama nezvekukuvadzwa kwepituitary gland.

Chirwere chePituitary Apoplexy chinorapwa sei?

Kune mishonga uye kuvhiyiwa senzira yekurapa izvi.

Mishonga yeCorticosteroids (mishonga inonwiwa) inokosha kudzivirira kushomeka kwehomoni yeadrenocorticotropic (ACTH). Kazhinji, varwere vanopora nemishonga.

Asi kana zviratidzo zvako zvikawedzera, chiremba wako anogona kukurudzira kuvhiyiwa . Izvi zvinowanzoitwa uchishandisa nzira isingapindi zvakanyanya. Izvi zvinoreva kuti chiremba wako acha:

• Chubhu diki ichaiswa mune imwe yemhino dzako.
• Kaburi kadiki kanogadzirwa mubhonzo rinoparadzanisa mhino neuropi.
• Kamera inopinzwa nepachubhu iyoyo uye bundu rinoongororwa.
• Zvadaro, bundu kana kuti nyama yepituitary yakakuvara inobviswa nepachubhu iyoyo.

Nzira iyi inonzi transnasal surgery.Inonziwo `(kuvhiyiwa kwemumhino)`.

Ndinogona here kudzivirira Pituitary Apoplexy?

Zvinosuwisa kuti hapana nzira chaiyo yekudzivirira mamiriro ezvinhu aya.

Asi kana uine "Pituitary Adenoma", unofanira kuziva nezve mukana wekuti chirwere ichi chiitike. Kana ukangoerekana wava nemusoro wakanyanya kana kuti maonero ako akachinja, tsvaga rubatsiro rwekukurumidzira nekukurumidza.

Ndeipi tarisiro yePituitary Apoplexy?

Zvakakosha zvikuru kuona chirwere ichi pachine nguva uye kutanga kurapwa . Huwandu hwevanhu vanofa nekuda kwechirwere ichi hunosvika 2%.

Kune vanhu vazhinji, matambudziko ekuona anogona kugadziriswa nemishonga kana kuvhiyiwa. Kuona zvizere kunodzoserwa muzviitiko zvinenge 40%. Zvisinei, vanhu vanosvika 80% vanoda kurapwa kwenguva refu nehomoni . Izvi zvinodaro nekuti pituitary gland haishande zvakanaka. Kurapa kwehomoni uku kunouya nenzira dzakasiyana:

• Mhando dzemajeli.
• Majekiseni.
• Inonyunguduka mumuromo.
• Mapfapfaidzo emhino.
• Mapepa.
• Mapellets anoiswa pasi peganda.
• Mapiritsi enguva dzose.

Kana wakambova nePituitary Apoplexy, uchada kuramba uchitarisirwa nachiremba (Follow-up care). Izvi zvinosanganisira:

• Ongorora chiono chako.
• Iva nechokwadi chekuti bundu rabviswa zvachose.
• Tarisa huwandu hwemahormone ako.

Ndinofanira kuenda kuchipatara riini?

Tsvaga rubatsiro rwechiremba nekukurumidza kana uine matambudziko matsva ekuona kana kuti musoro wakakomba kamwe kamwe . Vamwe vanotsanangura musoro uyu se "musoro wakaipisisa wandati ndambova nawo."

Nekuti chirwere chePituitary Apoplexy chinoitika kamwe kamwe, zvakakosha kuti uite chimwe chinhu nekukurumidza kana uine zviratidzo zvakaita semusoro wakakomba uye kuchinja kwemaonero.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka ikozvino wava kunzwisisa zviri nani zvatiri kutaura nezvazvo, Pituitary Apoplexy. Yeuka, ichi chirwere chinowanzoitika kamwe kamwe. Asi mashoko akanaka ndeekuti pane mushonga wacho. Kurapa kunogona kudzoreredza kuona. Zvisinei, vanhu vazhinji vanogona kuva nekushomeka kwemahormone kwenguva refu.

Saka, kutevedzera mirairo yachiremba wako, kuona chiremba wako nenguva, uye kutora mushonga wakanyorwa kuchakubatsira kudzora huwandu hwemahormone ako uye kuchengetedza hupenyu hwakanaka. Usatya, asi kana ukaona chimwe chezviratidzo izvi, iva nechokwadi chekutsvaga rubatsiro rwechiremba nekukasika.

" Pituitary apoplexy, pituitary gland, mahormone, musoro, matambudziko ekuona, kubuda ropa muuropi, bundu repituitary."