Ingaba i-pituitary gland yakho engaphakathi entlokweni yakho yopha ngequbuliso? (I-Pituitary Apoplexy) Masiqaphele!

Ngaba wakha waba nentloko ebuhlungu ngequbuliso, umbono ofipheleyo, umbono ophindwe kabini, okanye iliso liphuma? Nangona oku kungaqhelekanga, kunokubakho unobangela omkhulu emva kwako. Leyo yimeko engxamisekileyo esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-"Pituitary Apoplexy". Musa ukoyika, masithethe ngale nto ngokulula.

Yintoni i-Pituitary Apoplexy?

Ngamafutshane, `(Pituitary Apoplexy)` yimeko apho ukuhanjiswa kwegazi kwi-pituitary gland , i-gland encinci engqondweni yethu, kuyeka ngequbuliso (oko kukuthi, ukuhanjiswa kwegazi kuvaliwe), okanye ukopha kwenzeka ngaphakathi kwi-gland (`(Ukopha kwegazi)`). Le inokuba yimeko enzima, ngoko ke kukho amaxesha apho kufuneka unyango olungxamisekileyo .

Ngoko ke yintoni le pituitary gland?

Khawuthelekelele, kanye embindini wobuchopho bethu, ngasemva kwebhulorho yempumlo yethu, kukho idlala elincinci elilingana ne-pea. Yiloo nto siyibiza ngokuba yi-pituitary gland. Eli lelinye lamadlala aphambili kwinkqubo ye-endocrine yomzimba wethu. Lilo elivelisa kwaye lilawula iihomoni, ezizizithunywa zeekhemikhali ezenza umsebenzi obalulekileyo emzimbeni wethu.

Imisebenzi emininzi yemizimba yethu ixhomekeke kwezi hormone. Nazi imizekelo embalwa:

• Ukulawula uxinzelelo lwethu lwegazi .
• Ukuzala kunye nomsebenzi wesondo.
• Ukukhula nophuhliso lomzimba.

Iihormone ezikhutshwa yi-pituitary gland zithumela imiqondiso kwezinye ii-endocrine glands ukuze zivelise iihormone zazo. Zisebenza njengomlawuli omncinci emzimbeni wethu.

Yintoni i-Pituitary Adenoma?

Inkoliso yeemeko ezibizwa ngokuba yi-"Pituitary Apoplexy" zenzeka kubantu abane-tumor engeyongozi (engeyomhlaza) kwi-pituitary gland, oko kukuthi, i-"Pituitary Adenoma".

Nangona kunjalo, abantu abaninzi abazi nokuba bane-`(Pituitary Adenoma)`. Ngamanye amaxesha le tumor ifunyanwa ngengozi ngexesha le-`(Imaging Test)` eyenziwe ngesizathu esithile. Kwabanye, le meko ibizwa ngokuba yi-`(Pituitary Apoplexy)` luphawu lokuqala lokuba bane-`(Pituitary Adenoma)`.

Xa kuhlulwa ezi "Pituitary Adenomas", kusekelwe ekubeni zikhupha iihomoni okanye azikhuphi.

• Iithumba ezikhupha iihomoni: Ezi zinokuvelisa iihomoni ezithile ezininzi kakhulu.
• I-hormone ye-Adrenocorticotropic (ACTH): Oku kukhuthaza amadlala ethu e-adrenal ukuba avelise i-hormone ebizwa ngokuba yi -cortisol . I-Cortisol yi-hormone enceda ukuphendula kuxinzelelo, ukulwa nosulelo, kunye nokulawula uxinzelelo lwegazi, iswekile yegazi, kunye ne-metabolism.
• Iprolactin:Nangona ibandakanyeka kwimisebenzi emininzi yomzimba, ibaluleke kakhulu ekukhuleni kwezicubu zebele kunye nokuveliswa kobisi. Ukuba iyanda, inokubangela imijikelo yokuya exesheni engaqhelekanga kubasetyhini kwaye inciphise umnqweno wesondo kumadoda.
• I-Growth Hormone: Ilawula ukukhula kwabantwana kwaye ilawula amafutha omzimba, iswekile yegazi, kunye nokulungiswa kweeseli kubantu abadala.
• Ii-Adenomas zePituitary ezingasebenziyo: Ezi azikhuphi iihomoni. I-Pituitary Apoplexy ixhaphake kakhulu kubantu abanezi adenomas zepituitary ezingasebenziyo.

Ngubani onokuthi abe ne-Pituitary Apoplexy?

Le meko inamathuba aphindwe kabini okuba semadodeni kunakwabasetyhini. Ixhaphake kakhulu kubantu abaneminyaka ephakathi kwama-37 nama-58 ubudala.

Ixhaphake kangakanani le meko?

Kukho izimvo ezahlukeneyo malunga nokuba iqheleke kangakanani i-Pituitary Adenoma. Oku kungenxa yokuba abantu abaninzi ababonisi zimpawu. Uluvo lweengcali ngokubanzi kukuba ziqhelekile. Phakathi kwe -2% kunye ne-12% yabantu abane-Pituitary Adenoma banokufumana i-Pituitary Apoplexy.

Zithini iimpawu ze-Pituitary Apoplexy?

Iimpawu zale meko zixhomekeke kwezi zinto zilandelayo:

• Ubungakanani bokopha.
• Ubungakanani bezicwili kwi-pituitary gland ezifayo ngenxa yokulahlekelwa yigazi.
• Kuxhomekeke ekubeni ukudumba (i-edema) kubonakala njani.

Uphawu oluqhelekileyo yintloko ebuhlungu ngequbuliso. Abantu abangaphezu kwesiqingatha nabo banengxaki yokubona . Oku kungenxa yoxinzelelo oluphezulu kwimithambo-luvo ehamba isuka ebuchotsheni iye emehlweni (imithambo-luvo yamehlo). Oku kungabandakanya:

• Umbono ophindwe kabini .
• Ijwabu eligobileyo .
• Ukulahlekelwa ngokupheleleyo okanye inxalenye yombono kwelinye okanye omabini amehlo.

Ezinye iimpawu zibangelwa lutshintsho engqondweni. Ngamanye amaxesha ezi zinokufana nezinye iimeko zemithambo-luvo, ezifana ne -meningitis . Ezi mpawu ziquka:

• Ukudideka.
• Ukudinwa kakhulu.
• Ifiva.
• Isicaphucaphu nokuhlanza.
• Uloyiko lokukhanya (i-Photophobia).

Ngaba i-pituitary apoplexy ingachaphazela ukusebenza kwehomoni?

Ewe, ngokuqinisekileyo. Xa i-pituitary gland yonakele, ichaphazela ukusebenza kwezinye ii-endocrine glands ezilawulayo, ii-hormone ezizivelisayo, kwaye umzimba usebenza ngezo hormones.

Ingxaki eqhelekileyo yehomoni kukungabikho kwehomoni ye-adrenocorticotropic (ACTH). Oku kuchaphazela ukusebenza kwamadlala e-adrenal kwaye ngamanye amaxesha kunokuba yingozi ebomini. Iimpawu zayo ziquka:

• Uxinzelelo lwegazi oluphantsi (iHypotension).
• Iswekile ephantsi egazini (iHypoglycemia).
• Amanqanaba aphantsi esodium egazini (Hyponatremia).
• Isicaphucaphu nokuhlanza.

Zithini izizathu ze-Pituitary Apoplexy?

Ukuthetha inyani, isizathu esichanekileyo soku asikacaci.

Ezinye izifundo zifumanise ukuba phakathi kwe-10% kunye ne-40% yamatyala anxulumene neenkqubo ezithile zonyango, iimeko zempilo, kunye namayeza. Nazi ezinye zemizekelo:

• Amayeza okuthintela ukugabha kwegazi anikwa abantu abane-deep vein thrombosis kunye ne-pulmonary embolism.
• Amayeza avuselela i-dopamine asetyenziselwa isifo sikaParkinson kunye nesifo semilenze esingapheliyo.
• Uvavanyo lokukhuthaza i-endocrine luvavanyo lokufumanisa izifo zenkqubo ye-endocrine.
• Unyango lwe-gonadotropin-releasing hormone (GnRH), olunikwa abanye abafazi abanomhlaza webele, lunciphisa ukusebenza kwe-ovarian.
• Ukwenzakala entloko (njengokuwa, iingozi zeemoto).
• Utyando, ingakumbi utyando lwamathambo kunye notyando lwentliziyo.

Iingcali zisazama ukuqonda ukuba kutheni ezi zinto ngamanye amaxesha zinxulunyaniswa ne-"Pituitary Apoplexy." Olu phando lunokunceda oogqirha ukuthintela le meko ye-apoplexy xa benyamekela abantu abane-pituitary adenomas.

Ifunyanwa njani i-Pituitary Apoplexy?

Ugqirha wakho uza kukuhlola (Uvavanyo lomzimba), ahlole iimpawu zakho, aze a-odole iimvavanyo ezifana (novavanyo lomfanekiso).

Ngokuxhomekeke kubunzima bemeko yakho, unokufuna unyango olungxamisekileyo . Kwigumbi longxamiseko, oogqirha baya kwenza i-CT scan kuba inokubonelela ngeziphumo ezikhawulezileyo kwaye ithintele ezinye iimeko, ezifana nestroke. Nangona kunjalo, ukuba ixesha liyavuma, i-MRI yeyona ndlela ilungileyo. Inokubonelela ngolwazi oluthe kratya malunga nomonakalo kwi-pituitary gland.

Iphathwa njani i-Pituitary Apoplexy?

Kukho amayeza kunye notyando njengonyango loku.

Ii-corticosteroids (amayeza athathwa ngomlomo) zibalulekile ukuthintela ukunqongophala kwe-adrenocorticotropic hormone (ACTH). Kwiimeko ezininzi, izigulana ziba ngcono ngamayeza.

Kodwa ukuba iimpawu zakho ziya zisiba mandundu, ugqirha wakho unokucebisa utyando . Oku kudla ngokwenziwa ngendlela engenakungenelela kakhulu. Oko kuthetha ukuba ugqirha wakho uya:

• Ityhubhu encinci iya kufakwa kwenye yeempumlo zakho.
• Kwenziwa umngxuma omncinci ethanjeni owahlula umngxuma wempumlo kunye nengqondo.
• Ikhamera ifakwa ngaloo mbhobho kwaye ithumba liyahlolwa.
• Emva koko, ithumba okanye izicubu zepituitary ezonakeleyo ziyasuswa ngaloo mbhobho.

Le ndlela ibizwa ngokuba lutyando lwe-transnasal.Ikwabizwa ngokuba yi-`(utyando lwe-transnasal)`.

Ndingayithintela na i-Pituitary Apoplexy?

Ngelishwa, akukho ndlela iqinisekileyo yokuthintela le meko.

Kodwa ukuba une-"Pituitary Adenoma", kufuneka uqaphele ukuba kunokwenzeka ukuba le meko ibangele ukuphelelwa ngamandla. Ukuba ngequbuliso uva intloko ebuhlungu okanye utshintsho embonweni, funa unyango olukhawulezileyo ngoko nangoko.

Iyintoni ikamva le-Pituitary Apoplexy?

Kubaluleke kakhulu ukufumanisa isifo kwangethuba uze uqale unyango . Izinga lokufa ngenxa yesi sifo limalunga ne-2%.

Kwabaninzi abantu, iingxaki zokubona zinokuphucuka ngamayeza okanye ngotyando. Ukubona ngokupheleleyo kuyabuyiselwa kwiimeko ezimalunga nama-40%. Nangona kunjalo, malunga nama-80% abantu bafuna unyango lokutshintshwa kweehomoni ixesha elide . Oku kungenxa yokuba i-pituitary gland ayisebenzi kakuhle. Olu nyango lweehomoni luza ngeendlela ezahlukeneyo:

• Iintlobo zeejeli.
• Iinaliti.
• Iyanyibilika emlonyeni.
• Izitshizi zeempumlo.
• Iziqwenga.
• Iipellets ezifakwa phantsi kwesikhumba.
• Iipilisi eziqhelekileyo.

Ukuba ukhe waba nePituitary Apoplexy, kuya kufuneka usoloko ujongiwe ngugqirha (Unyango olulandelelanayo). Ezi ziquka:

• Vavanya umbono wakho.
• Qinisekisa ukuba ithumba lisusiwe ngokupheleleyo.
• Jonga amanqanaba akho eehomoni.

Ndingaya nini kwigumbi likaxakeka?

Funa uncedo lwezonyango olungxamisekileyo ngokukhawuleza ukuba uneengxaki ezintsha zokubona okanye intloko ebuhlungu ngequbuliso . Abanye bayichaza le ntloko "njengentloko ebuhlungu kakhulu endakha ndanayo."

Ngenxa yokuba i-Pituitary Apoplexy ifika ngequbuliso, kubalulekile ukuba uthathe amanyathelo ngokukhawuleza ukuba uneempawu ezifana neentloko ezibuhlungu kakhulu kunye notshintsho lombono.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo, i-Pituitary Apoplexy. Khumbula, le yimeko eyenzeka ngequbuliso. Kodwa iindaba ezimnandi zezokuba kukho unyango lwayo. Unyango lunokubuyisela umbono. Nangona kunjalo, abantu abaninzi banokufumana ukusilela kweehomoni ixesha elide.

Ngoko ke, ukulandela imiyalelo kagqirha wakho, ukubona ugqirha wakho ngexesha, kunye nokuthatha unyango oluchaziweyo kuya kukunceda ulawule amanqanaba akho eehomoni kwaye ugcine umgangatho wobomi bakho ulungile. Musa ukoyika, kodwa ukuba ufumana naziphi na kwezi mpawu, qiniseka ukuba ucela ingcebiso kagqirha ngoko nangoko.

I- pituitary apoplexy, i-pituitary gland, iihomoni, iintloko ezibuhlungu, iingxaki zokubona, ukopha ebuchosheni, iithumba ze-pituitary