Ingabe wonke ama-hormone akho e-pituitary aphansi? Ake sixoxe nge-Panhypopituitarism!

Ngezinye izikhathi izinto emizimbeni yethu azisebenzi njengoba kulindelekile, akunjalo? Ama-hormone ayiqembu lezithunywa ezibaluleke kakhulu ezihilelekile cishe kuyo yonke inqubo emizimbeni yethu. Uma kunenkinga ngalesi simiso sama-hormone, ingathinta impilo yethu yonke. Namuhla sizokhuluma ngesimo esingavamile okufanele wonke umuntu asiqaphele. Leso yi-panhypopituitarism.

Kuyini i-Panhypopituitarism?

Kalula nje, i-panhypopituitarism yisimo esingavamile lapho i-pituitary gland, i-gland encane ebuchosheni bethu, ingakhiqizi ngokwanele noma intula kuwo wonke ama-hormone ewakhiqizayo. Ingxenye ethi "pan" isho "konke." Lesi simo singathinta izingane, izingane kanye nabantu abadala.

Manje mhlawumbe uyazibuza, "Yini la ma-hormone? Kungani ebaluleke kangaka?" Kulungile, ake sibheke lokho.

Ama-hormone afana nezithunywa emizimbeni yethu. Angamakhemikhali akhethekile. Ahamba egazini lethu futhi athwale imiyalezo ezithweni ezahlukene, emisipheni, nakwezinye izicubu. Aqondisa, okungukuthi, alawula futhi aqondisa izenzo ezahlukene zomzimba wethu, ebatshela ukuthi "benze lokhu, bakwenze ngalesi sikhathi, bakwenze ngale ndlela."

Indlala yethu ye-pituitary icishe ibe usayizi we-pea. Itholakala phansi kobuchopho bethu, ngaphansi nje kwe-hypothalamus. (I-hypothalamus iyisikhungo esikhulu ebuchosheni esilawula izinto eziningi ezibalulekile, kufaka phakathi uhlelo lwethu lwezinzwa oluzimele.) Naphezu kobukhulu bayo obuncane, indlala ye-pituitary idlala indima ebaluleke kakhulu ohlelweni lwethu lwe-endocrine. Okusho ukuthi, yilawa ma-hormone e-pituitary alawula izinto eziningi emzimbeni wethu, njengokugaya ukudla, ukukhula, kanye nokuzala.

Ngokuvamile, imizimba yethu ilawula ngokucophelela la mazinga ama-hormone. Kodwa-ke, uma noma yiliphi lala ma-hormone liba phansi kakhulu, lingabangela izimpawu ezahlukahlukene nezinkinga zempilo. I-Panhypopituitarism yilapho wonke ama-hormone akhiqizwa yi-pituitary gland ephansi kakhulu, okubangela izimpawu ezahlukahlukene.

Uyini umehluko phakathi kwe-Panhypopituitarism ne-Hypopituitarism?

La magama amabili afana kancane, ngakho-ke angadida. Cabanga ngakho, i-hypopituitarism yisimo lapho i-hormone eyodwa noma ngaphezulu ikhiqizwa yi-pituitary gland. I-Panhypopituitarism iyisimo esikhethekile nesibanzi kakhulu. Okusho ukuthi, i-panhypopituitarism ukuntuleka kwawo wonke ama-hormone akhiqizwa yi-pituitary gland. Igama elithi "pan" lisho "konke", ngakho-ke lichaza lesi simo.

Yimaphi ama-hormone akhiqizwa yi-pituitary gland?

Kunezinhlobo eziningana zama-hormone enziwa futhi akhishwe (akhishwa) yi-pituitary gland yethu. Ngayinye yazo inomsebenzi othize. Ake sibheke ukuthi ayini:

• I-hormone ye-Adrenocorticotropic (ACTH noma i-corticotropin): Lokhu kuvuselela izindlala zethu ze-adrenal ukuthi zikhiqize i-hormone ebizwa ngokuthi i-cortisol. Le cortisol ibizwa nangokuthi 'i-hormone yokucindezeleka'. Ibaluleke kakhulu ekulawuleni umfutho wegazi kanye namazinga kashukela egazini.
• I-follicle-stimulating hormone (FSH): Le hormone isiza ekukhuthazeni ukukhiqizwa kwesidoda kwabesilisa futhi ivuselela ama-ovari kwabesifazane ukuthi akhiqize i-hormone i-estrogen kanye namaqanda avuthiwe.
• I-hormone yokukhula (GH): Njengoba igama lisho, ibalulekile ekukhuleni kwezingane. Iphinde isize ekugcineni imisipha namathambo aphilile kubantu abadala, futhi ithinta ukusatshalaliswa kwamafutha emzimbeni. I-GH nayo ihilelekile ekugayweni kwethu kwezakhi zomzimba.
• I-Luteinizing hormone (LH): I-LH iyadingeka ukuze kukhuthazwe ukuvuthwa kwamaqanda kwabesifazane futhi kukhuthazwe ukukhiqizwa kwe-testosterone kwabesilisa.
• I-Prolactin: Le hormone ivuselela ukukhiqizwa kobisi lwebele ngemva kokuzalwa komntwana. Ingathinta nomjikelezo wokuya esikhathini kwabesifazane kanye nokuzala kanye nokusebenza kocansi kubantu abadala.
• I-hormone evuselela i-thyroid (TSH): Lokhu kuvuselela i-thyroid gland yethu ukuthi ikhiqize ama-hormone e-thyroid, alawula imetabolism, amandla, kanye nesistimu yezinzwa.

Ngaphezu kwalokhu, i-pituitary gland igcina futhi ikhiphe amanye ama-hormone amabili uma kudingeka. Kodwa-ke, lawa enziwa yi-hypothalamus:

• I-hormone ye-antidiuretic (ADH noma i-vasopressin): Le hormone ilawula inani lamanzi kanye ne-sodium (usawoti) emzimbeni wethu.
• I-Oxytocin: Isiza abesifazane ukuthi banciphise isibeletho sabo ngesikhathi sokubeletha, futhi isisiza nokugeleza kobisi lwebele. Kuthiwa le hormone ithinta nobudlelwano phakathi kwabazali nezingane.

Bheka, yeka umsebenzi obalulekile owenziwa yile ndlala encane ye-pituitary! Ngakho-ke, ukwehla kwawo wonke la ma-hormone kungaba nomthelela omkhulu.

Ubani othinteka kakhulu yilesi simo se-panhypopituitarism?

Eqinisweni, lesi simo esibizwa ngokuthi i-panhypopituitarism singenzeka kunoma ubani, kunoma yimuphi ubudala. Akukho mkhawulo weminyaka noma ingxenye ethile.

Sivame kangakanani lesi simo?

Lesi yisimo esingavamile kakhulu . Emhlabeni wonke, lesi sifo sibikwa kubantu abane kuphela kwabayizinkulungwane eziyikhulu ngonyaka. Ngakho-ke, kuvamile ukungazwa okuningi ngaso.

Ingabe i-Panhypopituitarism ingaba yingozi empilweni?

Yebo, kwezinye izimo lesi simo singasongela impilo. Ikakhulukazi uma i-hormone i-adrenocorticotropic hormone (ACTH) iphansi kakhulu, ingaba yingozi.

Isizathu salokhu ukuthi ukuntuleka kwe-ACTH kungabangela isimo esiphuthumayo esibizwa ngokuthi i-adrenal crisis . Lokhu kubizwa nangokuthi "ukuntuleka kwe-cortisol okunamandla". I-ACTH yikona okulawula amazinga ethu e-cortisol. Ngakho-ke uma i-ACTH isiphelile, i-cortisol ayikhiqizwa. Le crisis ye-adrenal yisimo esidinga ukunakekelwa kwezokwelapha ngokushesha futhi singasongela ngisho nokuphila.

Izimpawu zenkinga ye-adrenal zingafaka:

• Imfiva
• Ubuthakathaka obukhulu
• Ukudideka (ukungaqondakali)
• Umfutho wegazi ophansi (i-hypotension)
• Ukushaya kwenhliziyo okusheshayo (i-tachycardia)
• Ukuhlanza
• Uhudo
• Ushukela ophansi egazini (hypoglycemia)

Uma wena noma ingane yakho ninezinye zalezi zimpawu, iya esibhedlela esiseduze ngokushesha noma ushayele ku-1990. Lesi yisimo esiphuthumayo!

Ziyini izimpawu ze-Panhypopituitarism?

Izimpawu zalesi sifo zingahluka kakhulu kumuntu nomuntu, kuye ngokuthi ingakanani i-hormone ye-pituitary entulekayo nokuthi lesi simo siqhubeka ngokushesha noma kancane kangakanani.

Nazi ezinye izimpawu ezivamile ezingabonakala ezinganeni nakubantu abadala:

• Isicanucanu noma isiyezi
• Ukukhathala okukhulu
• Ukucindezeleka kanye/noma ukukhathazeka
• Ukutheleleka okuvamile
• Ushukela ophansi egazini (hypoglycemia)
• Ukungakwazi ukubekezelela umkhuhlane
• Isikhumba esomile ngendlela engavamile
• Ukwehlisa isisindo noma ukuzuza ngaphandle kwesizathu
• Amazinga angavamile e-lipid egazini kanye ne-cholesterol (i-dyslipidemia)
• Ukushaya kwenhliziyo okusheshayo (i-tachycardia)
• Ukoma ngokweqile kanye nokuchama njalo
• Imijikelezo yokuya esikhathini engajwayelekile kwabesifazane
• Ukungabi nabantwana kwabesifazane
• Ukungazali kwabesilisa

Kunezinye izimpawu ezithinta ngqo izinsana ezisanda kuzalwa, izinsana, kanye/noma izingane ezincane:

• I-jaundice ende ezinganeni ezisanda kuzalwa
• Ipenisi encane ezinganeni zesilisa (i-micropenis)
• Ukukhula okubambezelekile (akukhuli isikhathi eside)
• Ukuthomba okulibazisekile

Ngenxa yokuthi lezi zimpawu zingafana nezinye izimo zezokwelapha, kubalulekile ukuthola ukuxilongwa okufanele uma unezimpawu ezintsha noma eziqhubekayo njengalezi. Ngakho-ke, bona udokotela ukuze uthole iseluleko.

Ziyini izimbangela ze-panhypopituitarism?

Kunezimbangela eziningi ezingaba khona zalesi simo. Ngezinye izikhathi odokotela abakwazi ukuthola imbangela ethile. Lokhu kubizwa ngokuthi i-idiopathic panhypopituitarism.

Ngokuvamile, isizathu esiyinhloko salokhu ukuthi i-hypothalamus yethu kanye/noma i-pituitary gland yonakele ngandlela thile, okubangele ukuthi eyodwa noma zombili zingasebenzi kahle.

Ukuze uqonde lezi zizathu, udinga ukuqonda okuncane ukuthi i-hypothalamus yethu kanye ne-pituitary gland zisebenza kanjani ndawonye.

Ubudlelwano be-hypothalamus-pituitary gland

Cabanga nge-hypothalamus yethu, i-pituitary gland, kanye ne-pituitary gland njenge-CEO kanye nomphathi wenkampani enkulu. Ndawonye, ​​lezi ezimbili zisebenza njengesikhungo esiyinhloko sokulawula ubuchopho bethu (i-hypothalamus-pituitary complex), zilawula izinqubo ezibaluleke kakhulu emzimbeni.

I-hypothalamus yingxenye yobuchopho bethu ephethe imisebenzi eminingana eyisisekelo yomzimba. Ithumela imiyalezo ohlelweni lwethu lwezinzwa oluzimele. Iphinde itshele indlala ye-pituitary ukuthi "yenze lawa ma-hormone, iwakhulule." Lawa ma-hormone e-pituitary athinta ezinye izingxenye zomzimba.

I-pituitary gland ixhunywe kwi-hypothalamus ngesiqu esiqukethe imithambo yegazi kanye nemicu yezinzwa ebizwa ngokuthi ``isiqu se-pituitary.'' Yilesi siqu lapho i-hypothalamus ixhumana khona ne-pituitary gland.

I-hypothalamus ikhiqiza ama-hormone amaningana ukuze ivuselele i-pituitary gland:

• I-hormone ekhulula i-corticotropin
• I-Dopamine
• I-hormone ekhulula i-Gonadotropin
• I-hormone yokukhulisa ekhulula i-hormone
• I-Somatostatin
• I-hormone ekhulula i-Thyrotropin

Ngenxa yokuthi i-pituitary gland kanye ne-hypothalamus zisebenza eduze kakhulu, ukulimala kwenye kungathinta ukusebenza kwamahomoni kwenye. Lesi yisizinda esiyisisekelo sokuthuthukiswa kwe-panhypopituitarism.

Izimbangela ezihlobene ne-pituitary gland

Izimo ezingalimaza i-pituitary gland futhi zibangele i-panhypopituitarism zifaka:

• Ama-adenoma e-pituitary (lawa amathumba angewona umdlavuza)
• Ukuhlinzwa kwe-pituitary gland (ngokuvamile ukususa la ma-adenoma)
• Ukwelashwa ngemisebe ye-pituitary adenoma
• I-pituitary apoplexy (ukubhujiswa okungazelelwe kwezicubu ze-pituitary ngenxa yokuncipha kokunikezwa kwegazi endlaleni ye-pituitary noma ukopha)
• Indlala ye-pituitary ayikhuli kahle noma yakheka ngendlela engavamile lapho izalwa.

Izimbangela ezihlobene ne-hypothalamus

Izimo ezingalimaza i-hypothalamus futhi zibangele i-panhypopituitarism zifaka:

• Ukulimala kobuchopho okubuhlungu (TBI)
• Ukuhlinzwa kobuchopho okwenziwa ku-hypothalamus noma eduze kwayo
• Izimila ezingezona ezomdlavuza ezikhula ku-hypothalamus (isib. i-craniopharyngiomas)
• Umdlavuza osakazeke (osuvele wasakazeka) waya kwi-hypothalamus usuka kwenye indawo emzimbeni (isib. umdlavuza wamaphaphu, webele)
• I-Hydrocephalus (ingcindezi ebangelwa ukwakheka koketshezi ebuchosheni)
• Isifo sohlangothi
• I-meningitis enesifo sofuba

I-Panhypopituitarism ihlolwa kanjani?

Uma unezimpawu zalesi sifo, udokotela wakho uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha, bese ekwenza ukuhlolwa ngokomzimba.

Ngemuva kwalokho, kuyalelwa ukuhlolwa okudingekayo ukuqinisekisa isimo se-panhypopituitarism nokukhipha ezinye izimo ezingase zibangele lezi zimpawu.

Yiziphi izivivinyo zokuxilonga?

Odokotela bavame ukwenza izivivinyo eziningana ukuze bathole lesi sifo, okuhlanganisa izivivinyo zezithombe kanye nokuhlolwa kwezinga lama-hormone.

Ukuhlolwa kwezithombe

I-Panhypopituitarism ibangelwa ukulimala kwe-hypothalamus noma i-pituitary gland, futhi ukuhlolwa kwezithombe okunjengalokhu kungenziwa ukuthola imbangela:

• Iskena se-Brain MRI (Magnetic Resonance Imaging): Iskena se-MRI sisebenzisa amaza omsakazo kanye nensimu enamandla yamagnetic ukukhiqiza izithombe ezinemininingwane yangaphakathi lomzimba. Iskena se-MRI sibhekwa njengendlela engcono kakhulu yokuthola izimila ze-pituitary. Zingasiza futhi ekuxilongeni ezinye izinkinga nge-hypothalamus noma i-pituitary gland.
• Ukuskena kobuchopho nge-CT (Computed Tomography): Ukuskena nge-CT kusebenzisa i-X-ray kanye nekhompyutha ukudala izithombe ezinemininingwane zobuchopho. Lokhu kuhlolwa kungasetshenziswa ukuhlola isimila sobuchopho noma i-pituitary adenoma. Kungasiza futhi ekuxilongeni ezinye izinkinga nge-hypothalamus noma i-pituitary gland.

Ukuhlolwa kwamahomoni

Uma unezimpawu ze-panhypopituitarism, udokotela wakho kuzodingeka alinganise amazinga ehomoni ngayinye ekhishwa yi-pituitary gland. Lokhu kuzosiza ekunqumeni ukuthi ihomoni ngayinye iphansi kangakanani futhi kususe ezinye izimo.

Nakuba amanye ama-hormone e-pituitary evame ukuba khona egazini lethu ngezinga elifanayo, amanye amazinga ama-hormone ayashintshashintsha kakhulu phakathi nosuku. Ngakho-ke, okunye ukuhlolwa kwama-hormone kungenziwa njengokuhlolwa kwegazi okulula, kanti okunye kudinga ukuhlolwa okukhethekile kokukhuthaza.

Ukuhlolwa kwezinga lama-hormone kuhlanganisa:

• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi okulula kungalinganisa ama-hormone e-pituitary njenge-hormone evuselela i-thyroid (TSH), i-prolactin, i-follicle-stimulating hormone (FSH), kanye ne-luteinizing hormone (LH). Kungalinganisa namanye ama-hormone athintwa ama-hormone e-pituitary, njenge-thyroxine, i-estrogen, kanye ne-testosterone.
• Ukuhlolwa kokukhuthazwa kwe-ACTH:Lokhu kuhlola ukuthi izindlala zakho ze-adrenal zisabela kanjani ku-hormone ye-adrenocorticotropic (ACTH). Lokhu kuhilela ukukunika umjovo we-ACTH yokwenziwa kanye nokuthatha amasampula egazi njalo.
• Ukuhlolwa kokukhuthazwa kwe-Growth hormone (GH): Kulolu vivinyo, udokotela wakho uzokujova ngomuthi. Lo muthi uvame ukuvuselela i-pituitary gland ukuthi ikhiphe i-growth hormone. Ngemuva kwalokho, kuzothathwa isampula yegazi lakho bese kulinganiswa amazinga akho e-GH.
• Ukuhlolwa kokubekezelela i-insulin: Lokhu kuhlolwa kusiza ekuboneni ukuntuleka kwe-hormone yokukhula (GH) kanye ne-ACTH.

Iphathwa kanjani i-Panhypopituitarism?

Ukwelashwa kwalesi simo kuyahlukahluka kumuntu nomuntu. Kuya ngokuthi amazinga e-pituitary hormone aphansi kangakanani nokuthi iyini imbangela eyisisekelo. Ngakho-ke, uhlelo lokwelashwa luhlukile kakhulu. Ithimba lakho lezokwelapha lizonquma uhlelo lokwelashwa olungcono kakhulu kuwe.

Ezinye izindlela zokwelapha ezisetshenziswa kakhulu yilezi:

• Ukwelashwa kokushintsha ama-hormone: Umgomo walokhu ukubuyisela ama-hormone e-pituitary ancishisiwe abe sezingeni elinempilo. Abantu abane-panhypopituitarism bazodinga ukwelashwa kokushintsha ama-hormone impilo yonke ngaphandle kokuthi imbangela eyisisekelo ingelashwa. Eminye imithi yokushintsha ama-hormone ithathwa njengamaphilisi, kanti eminye inikezwa njengomjovo.
• Ukuhlinzwa: Uma lesi simo sibangelwa umdlavuza wobuchopho noma i-pituitary adenoma, udokotela wakho angase ancome ukuhlinzwa ukuze kususwe umdlavuza.
• Ukwelashwa ngemisebe: Uma lesi simo sibangelwa umdlavuza wobuchopho noma i-pituitary adenoma, ukwelashwa ngemisebe kunganconywa ukwelapha noma ukunciphisa umdlavuza.
• Ama-Corticosteroids: Kungase kudingeke ukuthi uthathe imithamo ephezulu yama-corticosteroids ngaphambi noma ngesikhathi sanoma yisiphi isenzakalo esibangela ukucindezeleka ngokomzimba noma ngokwengqondo. Izinto ezibangela ukucindezeleka ngokomzimba zifaka phakathi ukugula, ukutheleleka, kanye nokuhlinzwa. Lawa ma-corticosteroids anikezwa ukuze athathe indawo yama-hormone e-adrenal angakhiqizwa ngenxa yokuntuleka kwe-ACTH. Lawa ma-hormone abalulekile uma umzimba ungaphansi kokucindezeleka.

Ingabe i-Panhypopituitarism ingalapheka ngokuphelele?

Kwezinye izimo, i-panhypopituitarism ingaguqulwa ngokwelapha imbangela eyisisekelo (isibonelo, ukususa ngokuhlinzwa i-pituitary adenoma eyayicindezela i-pituitary gland, uma i-gland ingonakali). Kodwa-ke, ezimweni eziningi , ukuntuleka kwamahomoni okubangelwa i-panhypopituitarism kudinga ukwelashwa impilo yonke.

Ingabe lesi simo singavinjelwa?

Ezimweni eziningi, ayikho indlela yokuvimbela i-panhypopituitarism. Kodwa-ke, uma usengozini yalesi simo, kunezindlela zokusithola kusenesikhathi.

Uma uke wabhekana nanoma yikuphi kwalokhu okulandelayo, usengozini enkulu yokuthola i-panhypopituitarism:

• Uma uke wahlinzwa ebuchosheni noma endlaleni ye-pituitary.
• Uma uke welashwa ngemisebe ebuchosheni kanye/noma e-pituitary gland.
• Uma ubuchopho buhlaselwe ukushaqeka ngenxa yengozi (ukulimala kobuchopho okubuhlungu).
• Uma unesifo se-hydrocephalus (ukwakheka koketshezi ebuchosheni).

Uma usengozini, udokotela wakho uvame ukuncoma ukuthi kuhlolwe ukusebenza kanye nempilo ye-pituitary gland yakho kanye/noma i-hypothalamus.

Iyini i-prognosis ye-panhypopituitarism?

Umbono walesi sifo, okungukuthi, ukuthi isiguli sizophila kanjani esikhathini esizayo, uncike ezintweni eziningana:

• Ingakanani i-hormone ngayinye ye-pituitary ephansi.
• Ubudala bakho lapho lesi sifo saqala khona.
• Ingabe lesi simo sizokhula kancane noma ngokushesha?
• Lesi sifo singatholakala ngokushesha kangakanani futhi ukwelashwa kuqale nini?

I-Panhypopituitarism itholakale ihlotshaniswa nokwehla okukhulu kwekhwalithi yokuphila kanye nobude besikhathi sokuphila.

Abantu abanalesi simo bavame ukuba sengozini enkulu yokukhuluphala, ukuncipha kwesisindo somzimba, kanye nesifo senhliziyo. Bangase babe sengozini enkulu ye-osteoporosis (ukuncipha kwamathambo) kanye nokuqhekeka kwamathambo.

Kodwa-ke, ukwelashwa kokufaka esikhundleni sama-hormone ngokucophelela nangokuphelele kanye nokuqapha ngokucophelela izici eziyingozi zenhliziyo kungathuthukisa imiphumela. Ngakho-ke, kubaluleke kakhulu ukulandela iseluleko sezokwelapha.

Kufanele ubonane nini nodokotela uma une-panhypopituitarism?

Uma unezimpawu ze-panhypopituitarism, noma utholakale unesifo, cishe kuzodingeka ubonane nodokotela we-endocrinologist, udokotela ochwepheshe ekwelapheni izifo ezihlobene nama-hormone.

Kuzodingeka ubone udokotela wakho we-endocrinologist njalo empilweni yakho yonke ukuze uqiniseke ukuthi ukwelashwa kwakho kokushintsha ama-hormone kusebenza kahle futhi ugweme ukufaka ama-hormone amaningi esikhundleni sawo.

Kuvamile ukuzizwa wesaba uma uthola ukuxilongwa okusha. Kodwa ungesabi ukubuza udokotela wakho imibuzo mayelana ne-panhypopituitarism. Njengoba kuvame ukudinga ukwelashwa impilo yonke kanye nokuqapha ama-hormone, kubalulekile ukubona udokotela wakho njalo. Uma uba nezimpawu ezintsha noma ezikhathazayo, yazisa udokotela wakho ngokushesha. Bakhona ukukusiza.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sifingqe ezinye zezinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-Panhypopituitarism yisimo esingavamile kodwa esibi lapho wonke ama-hormone akhiqizwa yi-pituitary gland encishiswa khona.
• Kungaba nezizathu eziningi zalokhu, ikakhulukazi umonakalo ku-pituitary gland noma i-hypothalamus.
• Izimpawu ziyahlukahluka, futhi ngezinye izikhathi ngisho nezimo ezisongela ukuphila njengenkinga ye-adrenal zingavela. Ngakho-ke, funa iseluleko sezokwelapha ngokushesha uma unezimpawu.
• Izinto ezifana nokuhlolwa kwegazi kanye nokuskena kwe-MRI/CT kuyadingeka ukuze kutholakale ukuxilongwa okunembile.
• Ukwelashwa kuvame ukuhilela ukwelashwa kokufaka esikhundleni samahomoni impilo yonke.
• Ngokusebenzisana eduze nodokotela wakho nokuthola izivivinyo nokwelashwa okufanele, ungaphila ngempumelelo nalesi simo.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Khumbula, awuwedwa, futhi odokotela nabahlinzeki bezempilo bakhona ukuzokusiza.

I- Panhypopituitarism, i-pituitary gland, ukuntuleka kwama-hormone, i-hypothalamus, ukwelashwa kwama-hormone, izimila zobuchopho, i-ACTH