Ngaba ukhe waphawula utshintsho olukhulu emzimbeni wakho ngequbuliso? Mhlawumbi utyebile ngequbuliso, ubuso bakho butshintshile, okanye uzive udiniwe imini yonke nokuba ulala kangakanani na? Sihlala silibala ngezi zinto, sicinga ukuba ziqhelekile. Kodwa ubusazi ukuba emva kwezinye zezi zinto, kunokubakho utshintsho ekusebenzeni kwegland elincinci, kodwa elibaluleke kakhulu engqondweni yethu. Yiloo nto sithetha ngayo namhlanje.
Ibizwa ngokuba yintoni le gland ye-pituitary? Kutheni ibaluleke kangaka?
Khawuthelekelele umzimba wakho njengenkampani enkulu. Umphathi oyintloko waloo nkampani, umphathi olawula yonke into, yi -pituitary gland . Le yi-gland encinci, enobukhulu obufana ne-pea, ekwisiseko sobuchopho bethu, enobukhulu obufana ne-cherry. Nangona incinci, yenza umsebenzi omninzi. Yiyo loo nto ngamanye amaxesha ibizwa ngokuba yi-"master gland."
Ngamafutshane, ilawula ukusebenza kwamanye amadlala e-endocrine emzimbeni wethu. Umzekelo, i-thyroid gland, amadlala e-adrenal, kunye nenkqubo yethu yokuzala, njengee-ovari okanye ama-testes, zilawulwa zii -hormones ezikhutshwa yi-pituitary gland.
Njenge-thermostat ekhayeni lethu. Ihlala ijonga ubushushu endlwini kwaye igcina ubushushu bukwinqanaba elifanayo ngokuvula/ukucima i-AC okanye i-heater, akunjalo? Ngendlela efanayo, i-pituitary gland ihlala ijonga amanqanaba eehomoni emzimbeni wethu kwaye ithumela imiqondiso kwamanye ama-glands ukuba akhuphe iihomoni ezifunekayo ngexesha elifanelekileyo.
Ngoko ke yintoni le hyperpituitarism?
Ngamafutshane, i-Hyperpituitarism ibangelwa kukusebenza kakhulu kwe-pituitary gland, ikhupha iihomoni ezininzi egazini lethu kunokuba kuyimfuneko. Kufana nomphathi wenkampani osebenza kakhulu aze angcolise yonke into.
Uninzi lwexesha, oko kukuthi, malunga ne-99% yexesha, unobangela yithumba elincinci, elingenamhlaza (elingengomhlaza). Ngokwezonyango, eli thumba silibiza ngokuba yi-pituitary adenoma . Eli thumba livuselela indlala kwaye liyibangele ukuba ivelise iihomoni ezingaphezulu kunokuba kufanele.
Into ebalulekileyo kukuba ezi thumba azinawo umhlaza, kodwa iihomoni ezongezelelweyo ezizivelisayo zinokuba nemiphumo eyahlukeneyo emizimbeni yethu.
IiHormone eziveliswa yi-pituitary gland kunye nemisebenzi yazo
Kukho iinxalenye ezintathu eziphambili ze-pituitary gland. Inxalenye nganye ikhupha iihomoni ezahlukeneyo. Makhe sijonge ukuba ziyintoni kwaye kwenzeka ntoni kuzo.
| Ihomoni | Yintoni omawuyenze ngokulula |
|---|---|
| Ilobe yangaphambili | |
| Ihomoni ye-Adrenocorticotropic (ACTH) | Iindlala zethu ze-adrenal ziyakhuthazwa kwaye zivelisa i-hormone i- cortisol, esinceda sikwazi ukumelana noxinzelelo. |
| Ihomoni yokukhula (GH) | Ilawula ukukhula, imetabolism, kunye nokwakheka komzimba (amafutha, izihlunu) zabantwana ngokukodwa. |
| I-hormone evuselela i-thyroid (TSH) | Inceda i-thyroid gland ivelise iihomoni ze-thyroid, ezilawula amanqanaba amandla emizimba yethu. |
| IiGonadotropins (LH kunye neFSH) | Ivuselela ama-ovari kubasetyhini kunye nama-testicles kumadoda, ivelisa iihomoni zesini ezifunekayo ekuzaleni. |
| Iprolactin | Ikhuthaza ukuveliswa kobisi lwebele emva kokuzala umntwana. |
| Ilobe yangasemva | |
| Ihomoni yokulwa nomchamo (ADH) | Ilawula ibhalansi yamanzi kunye ne-electrolyte yomzimba. |
| I-Oxytocin | Ilawula ukufinyela kwesibeleko kunye nokukhululwa kobisi lwebele ngexesha lokubeleka. |
Izifo ezinokwenzeka ngenxa ye-pituitary gland esebenza kakhulu
Imeko yesifo esenzekayo iyahluka ngokuxhomekeke ekubeni yeyiphi i-hormone eveliswa ngokugqithisileyo yi-pituitary gland. Makhe sijonge iimeko eziphambili ezibonwayo.
- I-Cushing's Syndrome: Ukuba i-ACTH hormone iveliswa ngokugqithisileyo, inqanaba le-cortisol emizimbeni yethu liyanda kakhulu. Oku kubizwa ngokuba yi-Cushing's Syndrome.
- I-Acromegaly: Le meko yenzeka xa i-growth hormone (GH) iveliswa kakhulu ngexesha lokukhula. Oku kubangela ukuba amathambo ezandla, iinyawo, kunye nobuso akhule ngendlela engaqhelekanga. Ukuba oku kwenzeka ngexesha lobuntwana, kubizwa ngokuba yi-gigantism .
- I-Hyperthyroidism: Ukuba kuveliswa i-TSH eninzi kakhulu (oku kunqabile), i-thyroid gland iba nefuthe eligqithisileyo kwaye imetabolism yomzimba ikhawuleza.
- I-Prolactinoma: Ithumba (i-adenoma) kwiiseli ezivelisa i-hormone i-prolactin libangela ukuveliswa kwe-hormone ngokugqithisileyo. Oku kunokuba nefuthe elikhulu kwimpilo yokuzala.
Zithini iimpawu zezi zifo?
Iimpawu ezihambisana nenye yezi meko zahlukile. Ukuba unayo nayiphi na kwezi mpawu, kubaluleke kakhulu ukubona ugqirha.
| Imeko yezonyango | Iimpawu eziqhelekileyo |
|---|---|
| Isifo sikaCushing |
|
| I-Acromegaly | |
| I-Hyperthyroidism | |
| I-Prolactinoma |
Le meko ibachaphazela njani abantwana?
I-Hyperpituitarism ayiqhelekanga ebantwaneni. Ukuba iyenzeka, idla ngokubangelwa yi-adenoma encinci ye-pituitary. Uhlobo oluqhelekileyo lwe-tumor ebantwaneni yi-tumor evelisa i-prolactin (ii-Prolactinomas).
- Kumantombazana: Ukufikisa okulibazisekileyo, ukuyeka ukuya exesheni (i-amenorrhea), kunye nokungasebenzi kakuhle kwesibeleko seqanda kunokwenzeka.
- Abafana: Iithumba ezinkulu (macroprolactinomas) zinokwenzeka ngakumbi ukuba zikhule. Ngenxa yokuba ezi thumba zikhulu, zinokucinezela imithambo-luvo engqondweni, zibangele iintloko ezibuhlungu kunye neengxaki zokubona. Zinokubangela nokubambezeleka kokufikisa kunye neengxaki zokukhula.
Ugqirha usifumanisa njani esi sifo?
Xa usixelela ngeempawu zakho, ugqirha uza kuqala akuhlole ngononophelo. Emva koko, banokwenza iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
1. Uvavanyo lwegazi nomchamo: Olu vavanyo luya kulinganisa amanqanaba eehomoni egazini lakho kwaye mhlawumbi nomchamo. Umzekelo, baya kujonga amanqanaba eprolactin, i-cortisol, kunye nehomoni yokukhula.
2. Iiskeni zeMifanekiso:Ukuba kufunyenwe ukungaqheleki kwamanqanaba eehomoni, kwenziwa iskeni ukuze kuhlolwe ithumba le-pituitary. Eyona scan ixhaphakileyo esetyenziswa koku yi- MRI (Magnetic Resonance Imaging) . Kumntu ongakwaziyo ukwenza i-MRI (umzekelo, umntu one-pacemaker), iskeni ye-CT (Computed Tomography) nayo inokwenziwa.
3. Uvavanyo olukhethekileyo: Ngamanye amaxesha, ukuze kufunyaniswe ngokuchanekileyo iimeko ezifana ne-Cushing's syndrome, uvavanyo olukhethekileyo, olufana nokulinganisa amanqanaba e-cortisol yesaliva, lunokufuneka.
Zithini iindlela zonyango?
Unyango lwale meko luxhomekeke kwizinto ezifana nohlobo lwesifo onaso, ubungakanani bethumba, kunye nempilo yakho iyonke. Kukho iindlela ezintathu eziphambili zonyango.
1. Amayeza
Amaxesha amaninzi, unyango lokuqala lunyango. La mayeza asetyenziselwa:
- Ukulawula amanqanaba eehomoni.
- Ngamanye amaxesha ukunciphisa ubukhulu bethumba.
- Amayeza asebenza kakhulu kwi-prolactinoma, apho amanqanaba eehomoni ebuyela kwisiqhelo kwiimeko ezingaphezu kwama-80%.
2. Utyando
Ukuba amayeza awakwazi ukulawula ithumba, okanye ukuba ithumba likhule ngokwaneleyo ukuba lichaphazele umbono, inyathelo elilandelayo kukususa ithumba ngotyando.
- Olona tyando luqhelekileyo lubizwa ngokuba yi-transsphenoidal adenomectomy . Oku kuquka ukwenza umngxuma omncinci ngempumlo okanye ngaphakathi komlomo ongaphezulu ukuze kufikelelwe kwi-pituitary gland kwaye kususwe ithumba ngaphandle kokonakalisa ingqondo.
- Ukuba olu tyando lwenziwa ngugqirha onamava, izinga lempumelelo lingaphezulu kwe-80%.
3. Unyango lweMisebe
Unyango ngemitha lusetyenziswa ukuba inxalenye yethumba isele emva kotyando, okanye ukuba utyando alunakwenzeka.
- Oku kuquka ukujolisa imitha yamandla aphezulu kwithumba nokutshabalalisa ezo seli.
- Iindlela zanamhlanje ezifana nonyango lwe-stereotactic zinokunciphisa kakhulu umonakalo kwizicwili eziphilileyo ezingqongileyo.
Ngaba kunokwenzeka ukuba ube sempilweni xa unesi sifo?
Ewe, ngokuqinisekileyo. Uninzi lweemeko ezibangelwa yi-hyperpituitarism zinokulawulwa kakuhle ngamayeza kunye nolunye unyango. Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha kwangoko nje ukuba iimpawu zibonakale kwaye ulandele unyango olumiselweyo ngokuchanekileyo. Ezinye iimeko zinokufuna amayeza exesha elide okanye ulwalathiso lwezonyango. Nangona kunjalo, ngolawulo olufanelekileyo, uninzi lwabantu lunokuphila ubomi obusempilweni, obonwabisayo, nobuqhelekileyo.
Umyalezo Wokuya Ekhaya
- I-pituitary gland ifana "nomphathi" wenkqubo yeehomoni zomzimba wethu. Ilawula izinto ezininzi.
- I-Hyperpituitarism kuxa eli gland lisebenza kakhulu. Oku kudla ngokubangelwa sisimila esincinci esingengomhlaza.
- Yiba nexhala ukuba kukho utshintsho olungalindelekanga nolungachazekiyo kwinkangeleko yomzimba wakho, ubunzima, ulusu, umjikelo wokuya exesheni, okanye ukusebenza ngokwesondo.
- Ukuba uneempawu ezinje, musa ukucinga nje ukuba, "Ezi zizinto eziqhelekileyo," kodwa qiniseka ukuba ubonana nogqirha wakho.
- Kukho amayeza asebenzayo kakhulu, utyando, kunye nezinye iindlela zonyango zezi meko. Okukhona zifunyaniswa kwangoko, kokukhona kulula ukuzinyanga.

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