Ingabe i-pituitary gland yakho engaphakathi kwekhanda lakho yopha ngokuzumayo? (I-Pituitary Apoplexy) Masiqaphele!

Wake waba nekhanda elibuhlungu ngokuzumayo, elibi kakhulu, umbono ofiphele, umbono ophindwe kabili, noma ijwabu liphuma? Nakuba lokhu kungavamile, kungaba khona imbangela enkulu ngemuva kwakho. Leso yisimo esiphuthumayo esizokhuluma ngaso namuhla, esibizwa ngokuthi "i-Pituitary Apoplexy". Ungesabi, ake sixoxe ngalokhu kalula.

Kuyini i-Pituitary Apoplexy?

Kalula nje, `(Pituitary Apoplexy)` yisimo lapho ukunikezwa kwegazi kuyi-pituitary gland , i-gland encane ebuchosheni bethu, kuyeka ngokuzumayo (okungukuthi, ukunikezwa kwegazi kuvinjiwe), noma ukuphuma kwegazi kwenzeka ngaphakathi kwe-gland (`(Ukopha kwegazi)`). Lesi kungaba yisimo esibucayi, ngakho-ke kunezikhathi lapho kudingeka khona ukwelashwa okuphuthumayo .

Ngakho-ke iyini le ndlala ye-pituitary?

Cabanga nje, phakathi kobuchopho bethu, ngemuva kwebhuloho lekhala lethu, kukhona indlala encane engange-pea. Yilokho esikubiza ngokuthi indlala ye-pituitary. Lena ingenye yezindlala eziyinhloko ohlelweni lwe-endocrine lomzimba wethu. Yileyo ekhiqiza futhi ilawule ama-hormone, okuyizithunywa zamakhemikhali ezenza umsebenzi obaluleke kakhulu emzimbeni wethu.

Imisebenzi eminingi yemizimba yethu incike kula ma-hormone. Nazi izibonelo ezimbalwa:

• Ukulawula umfutho wegazi wethu.
• Ukuzala kanye nokusebenza kocansi.
• Ukukhula nokuthuthukiswa komzimba.

Ama-hormone akhishwa yi-pituitary gland athumela izimpawu kwezinye izindlala ze-endocrine ukuze zikhiqize ama-hormone azo. Asebenza njengomlawuli omncane emzimbeni wethu.

Kuyini i-Pituitary Adenoma?

Ngokuvamile, lesi simo esibizwa ngokuthi "i-Pituitary Apoplexy" senzeka kubantu abanesimila esingesona umdlavuza (esingesona umdlavuza) endlaleni ye-pituitary, okungukuthi, "i-Pituitary Adenoma".

Kodwa-ke, abantu abaningi abazi nokuthi bane-`(Pituitary Adenoma)`. Ngezinye izikhathi lesi simila sitholakala ngengozi ngesikhathi se-`(Image Test)` esenziwe ngesizathu esithile. Kwabanye, lesi simo esibizwa ngokuthi `(Pituitary Apoplexy)` siyisibonakaliso sokuqala sokuthi bane-`(Pituitary Adenoma)`.

Uma kuhlelwa lawa ma-"Pituitary Adenomas", kusekelwe ekutheni akhipha ama-hormone noma cha.

• Izimila ezikhipha ama-hormone: Lezi zingakhiqiza ama-hormone athile amaningi kakhulu.
• I-hormone ye-Adrenocorticotropic (ACTH): Lokhu kuvuselela izindlala zethu ze-adrenal ukuthi zikhiqize i-hormone ebizwa ngokuthi i-cortisol . I-Cortisol iyi-hormone esiza ukuphendula ekucindezelekeni, ukulwa nezifo, nokulawula umfutho wegazi, ushukela wegazi, kanye nokusetshenziswa kwe-metabolism.
• I-Prolactin:Nakuba ihilelekile emisebenzini eminingi yomzimba, ibaluleke kakhulu ekukhuleni kwezicubu zebele kanye nokukhiqizwa kobisi. Uma ikhula, ingabangela imijikelezo yokuya esikhathini engajwayelekile kwabesifazane futhi yehlise isifiso sobulili kwabesilisa.
• I-Growth Hormone: Ilawula ukukhula kwezingane futhi ilawula amafutha omzimba, ushukela wegazi, kanye nokulungiswa kwamaseli kubantu abadala.
• Ama-Adenoma e-Pituitary Angasebenzi: Lawa awakhiphi ama-hormone. I-Pituitary Apoplexy ivame ukubonakala kubantu abanala ma-adenoma e-pituitary angasebenzi.

Ubani okungenzeka kakhulu ukuthi athole i-Pituitary Apoplexy?

Lesi simo sinamathuba aphindwe kabili okwenzeka kwabesilisa kunakwabesifazane. Sivame ukuhlasela abantu abaneminyaka ephakathi kuka-37 no-58.

Sivame kangakanani lesi simo?

Kunemibono ehlukahlukene mayelana nokuthi i-Pituitary Adenoma ivame kangakanani. Lokhu kungenxa yokuthi abantu abaningi ababonisi izimpawu. Umbono wochwepheshe jikelele uthi zivamile. Phakathi kuka -2% no-12% wabantu abane-Pituitary Adenoma bangase babe ne-Pituitary Apoplexy.

Ziyini izimpawu ze-Pituitary Apoplexy?

Izimpawu zalesi simo zincike ku:

• Inani lokopha.
• Inani lezicubu endlaleni ye-pituitary elifayo ngenxa yokulahlekelwa igazi.
• Kuye ngokuthi ukuvuvukala (i-edema) kubukeka kanjani.

Uphawu oluvame kakhulu ikhanda elibuhlungu ngokuzumayo. Abantu abangaphezu kwengxenye nabo babhekana nezinkinga zokubona . Lokhu kungenxa yokucindezela okukhulu kwemizwa ehamba isuka ebuchosheni iye emehlweni (izinzwa ze-optic). Lokhu kungafaka:

• Ukubona okukabili .
• Ijwabu leso eligobile .
• Ukulahlekelwa umbono okuphelele noma okuyingxenye kwelinye noma womabili amehlo.

Ezinye izimpawu zibangelwa izinguquko ebuchosheni. Ngezinye izikhathi lezi zingafana nezinye izimo zezinzwa, njenge -meningitis . Lezi zimpawu zifaka:

• Ukudideka.
• Ukukhathala okukhulu.
• Imfiva.
• Isicanucanu nokuhlanza.
• Ukuzwela ukukhanya (i-Photophobia).

Ingabe i-pituitary apoplexy ingathinta ukusebenza kwama-hormone?

Yebo, impela. Uma i-pituitary gland yonakele, ithinta ukusebenza kwezinye izindlala ze-endocrine ezilawulayo, ama-hormone eziwakhiqizayo, kanye nezinqubo zomzimba ezilawula lawo ma-hormone.

Isifo esivamile samahomoni ukuntuleka kwe-adrenocorticotropic hormone (ACTH). Lokhu kuthinta ukusebenza kwezindlala ze-adrenal futhi ngezinye izikhathi kungaba yingozi empilweni. Izimpawu zaso zifaka:

• Umfutho wegazi ophansi (i-Hypotension).
• Ushukela ophansi egazini (i-Hypoglycemia).
• Amazinga aphansi e-sodium egazini (i-Hyponatremia).
• Isicanucanu nokuhlanza.

Yiziphi izimbangela ze-Pituitary Apoplexy?

Uma ngikhuluma iqiniso, isizathu esiqondile salokhu asikacaci.

Ezinye izifundo zithole ukuthi phakathi kuka-10% no-40% wamacala ahlobene nezinqubo ezithile zezokwelapha, izimo zempilo, kanye nemithi. Nazi ezinye izibonelo:

• Imithi yokulwa nokuqina kwegazi inikezwa abantu abane-deep vein thrombosis kanye ne-pulmonary embolism.
• Imithi evuselela i-dopamine esetshenziselwa isifo sikaParkinson kanye nesifo semilenze esingelapheki.
• Ukuhlolwa kokukhuthazwa kwe-endocrine kuwukuhlolwa kokuxilonga izifo zesistimu ye-endocrine.
• Ukwelashwa nge-gonadotropin-releasing hormone (GnRH), okunikezwa abanye besifazane abanomdlavuza webele, kunciphisa ukusebenza kwesibeletho.
• Ukulimala ekhanda (njengokuwa, izingozi zemoto).
• Ukuhlinzwa, ikakhulukazi ukuhlinzwa kwamathambo kanye nokuhlinzwa kwenhliziyo.

Ochwepheshe basazama ukuqonda ukuthi kungani lezi zici ngezinye izikhathi zihlotshaniswa ne-"Pituitary Apoplexy." Lolu cwaningo lungasiza odokotela ukuvimbela lesi simo se-apoplexy lapho benakekela abantu abane-pituitary adenomas.

Itholakala kanjani i-Pituitary Apoplexy?

Udokotela wakho uzokuxilonga (Ukuhlolwa Komzimba), ahlole izimpawu zakho, bese e-oda ukuhlolwa okufana (Ukuhlolwa Kwezithombe).

Kuye ngobukhulu besimo sakho, ungase udinge ukwelashwa okuphuthumayo . Egumbini lezimo eziphuthumayo, odokotela bazokwenza i-CT scan ngoba inganikeza imiphumela esheshayo futhi isuse ezinye izimo, njenge-stroke. Kodwa-ke, uma isikhathi sivuma, i-MRI iyindlela engcono kakhulu. Ingakunikeza ulwazi oluningiliziwe mayelana nomonakalo we-pituitary gland.

Iphathwa kanjani i-Pituitary Apoplexy?

Kunemithi kanye nokuhlinzwa njengendlela yokwelapha lokhu.

Ama-corticosteroids (imithi yomlomo) abalulekile ukuvimbela ukuntuleka kwe-adrenocorticotropic hormone (ACTH). Ezimweni eziningi, iziguli ziba ngcono ngemithi.

Kodwa uma izimpawu zakho ziba zimbi kakhulu, udokotela wakho angase akuncome ukuhlinzwa . Lokhu kuvame ukwenziwa kusetshenziswa indlela engangenisi kakhulu. Lokho kusho ukuthi udokotela wakho uzokwenza okulandelayo:

• Kuzofakwa ipayipi elincane kwelinye lamakhala akho.
• Kwenziwa imbobo encane ethanjeni ehlukanisa umgodi wempumulo nobuchopho.
• Kufakwa ikhamera ngaleyo tube bese kuhlolwa isimila.
• Ngemuva kwalokho, isimila noma izicubu ze-pituitary ezonakele ziyasuswa ngaleyo tube.

Le ndlela ibizwa ngokuthi ukuhlinzwa kwe-transnasal.Futhi kubizwa ngokuthi `(ukuhlinzwa kwe-transnasal)`.

Ngingakwazi yini ukuvimbela i-Pituitary Apoplexy?

Ngeshwa, ayikho indlela eqinisekile yokuvimbela lesi simo.

Kodwa uma une-`(i-Pituitary Adenoma)`, kufanele uqaphele ukuthi kungenzeka ukuthi lesi simo se-apoplexy singenzeka. Uma uzwa ikhanda elibuhlungu noma ushintsho lombono ngokuzumayo, funa ukwelashwa okuphuthumayo ngokushesha.

Iyini inhloso ye-Pituitary Apoplexy?

Kubaluleke kakhulu ukuxilonga lesi sifo kusenesikhathi bese uqala ukwelashwa . Izinga lokufa ngenxa yalesi simo licishe libe ngu-2%.

Kwabaningi, izinkinga zokubona zingathuthukiswa ngemithi noma ngokuhlinzwa. Ukubona okugcwele kuyabuyiselwa ezimweni ezingaba ngu-40%. Kodwa-ke, cishe abantu abangu-80% badinga ukwelashwa kokufaka esikhundleni samahomoni isikhathi eside . Lokhu kungenxa yokuthi indlala ye-pituitary ayisebenzi kahle. Lokhu kwelashwa kwamahomoni kuza ngezindlela ezahlukene:

• Izinhlobo zamajeli.
• Imijovo.
• Iyancibilika emlonyeni.
• Izifutho zekhala.
• Ama-patches.
• Ama-pellet afakwa ngaphansi kwesikhumba.
• Amaphilisi avamile.

Uma uke waba ne-Pituitary Apoplexy, uzodinga ukubhekwa okuqhubekayo kwezokwelapha (Ukunakekelwa Kokulandelela). Lokhu kufaka phakathi:

• Hlola umbono wakho.
• Qiniseka ukuthi isimila sisusiwe ngokuphelele.
• Qapha amazinga akho ama-hormone.

Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Funa usizo lwezokwelapha oluphuthumayo ngokushesha uma unezinkinga ezintsha zokubona noma ikhanda elibuhlungu elizumayo . Abanye bachaza leli khanda ngokuthi "ikhanda elibuhlungu elibi kakhulu engake ngaba nalo."

Ngenxa yokuthi i-Pituitary Apoplexy iqala ngokuzumayo, kubalulekile ukuthatha isinyathelo ngokushesha uma unezimpawu ezifana nobuhlungu obukhulu bekhanda kanye nokushintsha kombono.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho, i-Pituitary Apoplexy. Khumbula, lesi yisimo esiphuthumayo. Kodwa izindaba ezinhle ukuthi kukhona ukwelashwa kwaso. Ukwelashwa ngokuvamile kungabuyisela umbono. Kodwa-ke, abantu abaningi bangaba nokuntuleka kwama-hormone isikhathi eside.

Ngakho-ke, ukulandela imiyalelo kadokotela wakho, ukubona udokotela wakho ngesikhathi, kanye nokuthatha ukwelashwa okunqunyiwe kuzokusiza ukulawula amazinga akho ama-hormone futhi ugcine impilo yakho isezingeni elihle. Ungesabi, kodwa uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ufuna iseluleko sikadokotela ngokushesha.

I- pituitary apoplexy, i-pituitary gland, ama-hormone, ikhanda elibuhlungu, izinkinga zokubona, ukopha ebuchosheni, izimila ze-pituitary