Wake wazizwa ukhathele, ukhathele, noma ungajabule? Mhlawumbe isisindo sakho sikhuphuke noma sehlile ngendlela engaqondakali, noma uke wabhekana nezinye izinguquko ezingavamile. Konke lokhu kungaba ngenxa ye-'master gland' encane, kodwa enamandla kakhulu, ebuchosheni bakho. Yilokho esikhuluma ngakho namuhla. Lesi simo saziwa ngokwezokwelapha ngokuthi i-hypopituitarism .
Iyini i-pituitary gland kanye ne-hypopituitarism?
Kalula nje, i-pituitary gland iyi-gland engangophizi etholakala phansi kobuchopho bethu, ngemuva kwekhala lethu. Naphezu kobukhulu bayo obuncane, isebenza njenge-'master gland' yesimiso sama-hormone emzimbeni wethu. Yiyo etshela i-thyroid gland, izindlala ze-adrenal, kanye nezinye izindlala eziningi ukuthi, "Kulungile, manje yenza le hormone."
I-Hypopituitarism yilapho i-pituitary gland, i-master regulator, ingakhiqizi i-hormone eyodwa noma ngaphezulu eyanele. Ngezinye izikhathi, wonke ama-hormone akhiqizwa yi-pituitary gland angancishiswa. Lokhu sikubiza ngokuthi i -Panhypopituitarism . Lesi simo singathinta izingane kanye nabantu abadala. Kungabangelwa futhi yisifo se-hypothalamus, ingxenye yobuchopho elawula izimpawu eziza e-pituitary gland.
Lawa ma-hormone alawula imisebenzi ebalulekile emizimbeni yethu, njengokukhula, ukuzala, umfutho wegazi, kanye nokusetshenziswa kwe-metabolism . Ngakho-ke uma noma yikuphi kwalokhu kuntuleka, izinqubo zomzimba ezihlobene zingaphazamiseka.
Yimaphi ama-hormone abalulekile akhiqizwa yi-pituitary gland?
I-pituitary gland ikhiqiza izinhlobo eziningana zama-hormone. Ake sibheke ayinhloko nokuthi enzani. Kuzobaluleka kakhulu ukuthi ukwazi lokhu.
| I-hormone | Umsebenzi Emzimbeni |
|---|---|
| I-hormone ye-Adrenocorticotropic (ACTH) | Ivuselela izindlala ze-adrenal (izindlala ezitholakala ngaphezu kwezinso) futhi isiza ekukhiqizeni i-hormone i -cortisol, elawula umfutho wegazi kanye nokusetshenziswa kwe-metabolism. |
| I-hormone evuselela i-thyroid (TSH) | Ivuselela indlala yegilo entanyeni futhi isiza ekukhiqizeni amahomoni egilo, abalulekile ekusebenzeni komzimba, ekukhuleni nasekuthuthukisweni. |
| I-Follicle-stimulating hormone (FSH) kanye ne-Luteinizing hormone (LH) | Lokhu kulawula ukusebenza kocansi kanye nokuzala kokubili kwabesifazane nabesilisa, okubonisa ukukhiqizwa kwe-estrogen kusuka kuma-ovari kwabesifazane kanye ne-testosterone evela emasendeni kwabesilisa. |
| I-hormone yokukhula (GH) | Njengoba igama lisho, kubalulekile ekukhuleni okujwayelekile kwamathambo nezicubu, ikakhulukazi ngesikhathi sobuntwana. |
| I-Prolactin | Kukhuthaza ukukhula kwamabele kwabesifazane kanye nokukhiqizwa kobisi ukuze kunceliswe. |
| I-hormone yokulwa nokukhipha isisu (i-ADH) | Izinso zilawula ukuphuma kwamanzi emzimbeni. Uma lokhu kuncipha, ukuchama ngokweqile kungenzeka. |
| I-Oxytocin | Kusiza isibeletho ukuthi sifinyele ngesikhathi sokubeletha futhi kusiza ukugeleza kobisi ngesikhathi sokuncelisa. Le hormone ibalulekile futhi ekuhlanganiseni umama nengane. |
Ziyini izimbangela ze-hypopituitarism?
Lesi simo sibangelwa ukulimala kwe-pituitary gland noma i-hypothalamus. Ngezinye izikhathi imbangela ingase ingatholakali. Nazi ezinye zezimbangela eziyinhloko:
- Izimila ngaphakathi noma eduze kwe-pituitary gland
- Ukwelashwa ngemisebe yomdlavuza
- Ukuhlinzwa ebuchosheni noma endlaleni ye-pituitary
- Izifo ezifana ne -meningitis
- Ukulimala okukhulu ekhanda
- Uhlangothi noma ukuphuma kwegazi ebuchosheni
- Eminye imithi
- Ukuvuvukala okubangelwa izinkinga ngesimiso somzimba sokuzivikela
- Ukopha ngokweqile ngesikhathi sokubeletha (i-Sheehan's syndrome)
- Ezinye izimbangela zofuzo ( ukuguquka kofuzo )
- Ezinye izimo zezokwelapha ezifana ne-sarcoidosis nesifo sofuba
Zinjani izimpawu?
Izimpawu zincike ekutheni iyiphi i-hormone entulekayo nokuthi lesi simo sikhula ngokushesha kangakanani . Abanye abantu bangase bangabi nazimpawu nhlobo, noma izimpawu zingase zikhule kancane kakhulu. Abanye bangase babe nezimpawu ezinzima ngokuzumayo.
Bheka ithebula elingezansi ukuthola izimpawu ezihlobene nokuntuleka kwama-hormone.
| Ukuntuleka kwama-hormone | Izimpawu Ezingenzeka |
|---|---|
| Ukuntuleka kwe-ACTH | Ukukhathala njalo, ukudinwa, umfutho wegazi ophansi, ukwehla kwesisindo, isicanucanu, ukuhlanza, ukucindezeleka. |
| Ukuntuleka kwe-TSH | Ukuqunjelwa, ukukhuluphala, ukungakwazi ukubekezelela umkhuhlane, ukulahlekelwa amandla, ubuhlungu bemisipha noma ubuthakathaka. |
| Ukuntuleka kwe-FSH ne-LH | Kwabesifazane: ukungahlali isikhathi eside noma ukuyeka ukuya esikhathini, ubunzima bokuthola abantwana (ukungazali). Kwabesilisa: ukulahlekelwa izinwele ebusweni nasemzimbeni, ubuthakathaka, ukulahlekelwa intshisekelo emisebenzini yocansi, ukungasebenzi kahle kwenduku yobulili, ubunzima bokukhulelwa. |
| Ukuntuleka kwe-GH | Ezinganeni: ukukhula okulinganiselwe, ukunqwabelana kwamafutha okhalweni nasebusweni, kanye nokukhula okungekuhle ngokuphelele. Kwabantu abadala: ukwehla kwamandla, ubunzima bokuzivocavoca, ukukhuluphala, ukwehla kwesisindo semisipha, ukukhathazeka noma ukucindezeleka. |
| Ukuntuleka kwe-prolactin | Kwabesifazane: Ukwehluleka ukukhiqiza ubisi lwebele ngemva kokubeletha. |
| Ukuntuleka kwe-ADH | Ukoma ngokweqile kanye nokuchama kaningi, okuphindaphindekayo (i-Diabetes Insipidus). |
| Ukuntuleka kwe-Oxytocin | Kwabesifazane: ubunzima bokunciphisa ubisi. |
Uma unesinye noma ngaphezulu salezi zimpawu, sicela ungazinaki . Qiniseka ukuthi ubona udokotela wakho futhi ukhulume ngakho.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela, uzolalela ngokucophelela izimpawu zakho futhi akuthumelele ukuhlolwa okudingekayo.
- Ukuhlolwa Kwegazi: Lokhu kubaluleke kakhulu. Kulinganisa amazinga ama-hormone ahlukahlukene egazini lakho. Ngezinye izikhathi, kunikezwa i-hormone bese kwenziwa ukuhlolwa okukhethekile (ukuhlolwa kokukhuthaza noma kokucindezela) ukuze kubhekwe izinguquko egazini emahoreni ambalwa. Izibonelo: `Ukuhlolwa kokukhuthaza kwe-ACTH (Cortrosyn)`, `Ukuhlolwa kokukhuthaza kwe-GH`.
- Izithombe: Kungenziwa i-MRI noma i-CT scan ukuze kuhlolwe isimila se-pituitary.
- Ukuhlolwa Kokubona: Njengoba imizwa exhumene namehlo idlula eduze kwe-pituitary gland, umbono uyahlolwa ukuze kubonakale ukuthi into efana nesimila icindezela yini kuleyo mizwa.
- Ama-X-ray ezingane: Kwenziwa i-X-ray yezandla zezingane ukuze kuhlolwe ukuthi amathambo akhula kahle yini.
Iphathwa kanjani?
Kunemigomo emibili eyinhloko yokwelapha lesi simo. Eyokuqala iwukubaUkwelapha imbangela eyinhloko (isibonelo, ukususa isimila). Into yesibili nebaluleke kakhulu ukufaka esikhundleni sama-hormone angekho emzimbeni . Lokhu kubizwa ngokuthi i-Hormone Replacement Therapy .
Imithi
Udokotela uzokunikeza imithi efanele kuye ngokuthi unezinga elingakanani lama-hormone ongalithola.
- Uma untula i-ACTH: Ama-Glucocorticoids (isib. i-hydrocortisone) anikezwa ukulungisa amazinga e-cortisol.
- Uma untula i-TSH: Imithi efana ne-'Levothyroxine' inikezwa ukulungisa amazinga e-hormone ye-thyroid.
- Uma ukuntuleka kwama-hormone ocansi: I-Testosterone inikezwa amadoda kanti i-estrogen (mhlawumbe ne-progesterone) inikezwa abesifazane.
- Ngokuntuleka kwe-GH: Imijovo ye-Growth Hormone (GH) inikezwa ukusiza ekukhuleni, ikakhulukazi ezinganeni. Abantu abadala nabo ngezinye izikhathi banikezwa lokhu kwelashwa ukusiza ngamandla nokukhula kwemisipha.
- Ngokungazali: Kunezindlela zokwelapha ezikhethekile zama-hormone njenge-Gonadotropin ukukhuthaza ukuvuthwa kwamaqanda noma ukukhiqizwa kwesidoda.
Ukuhlinzwa
Uma isimila siyimbangela yalesi simo, kungase kudingeke ukuhlinzwa ukuze sisuswe, kuye ngohlobo nendawo yesimila.
Yini okufanele siyicabange ngekusasa? (I-Outlook)
Izindaba ezinhle ukuthi uma lesi sifo sitholakala kahle futhi ukwelashwa kokufaka ama-hormone kunikezwa kahle, kungenzeka ukuthi uphile impilo enhle kakhulu nenempilo . Ukwelashwa kungaba impilo yonke.
Into ebaluleke kakhulu ukulandela udokotela wakho ngesikhathi . Ngenxa yokuthi izidingo zama-hormone emzimbeni wakho zingashintsha ngokuhamba kwesikhathi, kubalulekile ukuthi uhlale uxhumana nodokotela wakho njalo.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypopituitarism ilapho i-pituitary gland, 'i-master gland' yomzimba wethu, ingakhiqizi ama-hormone anele adingekayo.
- Izimpawu ziyahlukahluka kumuntu nomuntu, kuye ngokuthi yiliphi i-hormone elintulayo. Izimpawu zingafaka ukukhathala, ukukhuluphala, kanye nokungasebenzi kahle kocansi.
- Uma unezimpawu ezinjengalezi ezingachazeki, xhumana nodokotela ngokushesha .
- Lesi simo singahlolwa ngokunembile ngokuhlolwa kwegazi kanye nokuskena.
- Ukwelashwa kuwukunikeza ama-hormone antulayo ngaphandle. Lokhu kwelashwa kusebenza kahle kakhulu.
- Ngemva kokuqala ukwelashwa, hlangana nodokotela ngesikhathi esibekiwe.Ukulungisa imithamo kubaluleke kakhulu.
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