Hyperpituitarism

Zvemukati

• Mhedziso
• Zviratidzo
• Ndezvipi zvikonzero?
• Kurapa nzira
• Mishonga
• Kuvhiya
• Radiation
• Inoonekwa sei?
• Matambudziko uye mamiriro akabatana
• Outlook

Mhedziso

Iyo pituitary gland idiki gland iri pasi peuropi hwako. Icho chakada kukura saizi. Iyo endocrine gland. Mamiriro ezvinhu hyperpituitarism anoitika apo shwanu iyi inotanga kuburitsa mahormone. Iyo pituitary gland inogadzira mahormone anodzora mamwe emabasa makuru emuviri wako. Aya makuru mabasa emuviri anosanganisira kukura, kuwedzerwa kweropa, metabolism, uye basa repabonde.

Hyperpituitarism inogona kukanganisa maitiro mazhinji emuviri wako. Izvi zvinogona kusanganisira:

• mutemo wekukura
• kuyaruka muvana
• ganda pigmentation
• basa repabonde
• kugadzirwa kwemukaka wemukaka kune vakadzi vari kuyamwisa
• utachiona basa
• kubereka

Zviratidzo

Zviratidzo zve hyperpituitarism zvinosiyana zvichienderana nemamiriro azvinokonzera. Tichatarisa mamiriro ega ega uye zviratidzo zvinowirirana zvakasiyana.

Zviratidzo zveCushing syndrome zvinogona kusanganisira zvinotevera:

• kuwandisa kwepamusoro kwemafuta emuviri
• huwandu husina kujairika hwebvudzi kumeso pane vakadzi
• kupwanya kuri nyore
• mapfupa anotsemuka nyore kana kusimba
• dumbu rinotambanuka mamaki ayo ari epepuru kana epingi

Zviratidzo zvegigantism kana acromegaly zvinogona kusanganisira zvinotevera:

• maoko netsoka zvinokura
• kukudzwa kana chimiro chakakurumbira chechiso
• matanda eganda
• kunhuwirira kwemuviri uye kudikitira zvakanyanya
• kushaya simba
• husky-kurira izwi
• kutemwa nemusoro
• rurimi rwakawedzerwa
• kurwadza kwemajoini uye kufamba kushoma
• dhiramu bhokisi
• zvisina kukodzera nguva
• kusagadzikana kwe erectile

Zviratidzo zvegalactorrhea kana prolactinoma zvinogona kusanganisira zvinotevera:

• mazamu nyoro muvakadzi
• mazamu anotanga kuburitsa mukaka mumadzimai asina nhumbu uye asingawanzo kuve mune varume
• kubereka dysfunctions
• zvisina kukodzera nguva kana kumwedzi kumisa
• kushaya mbereko
• yakaderera bonde drive
• kusagadzikana kwe erectile
• yakaderera simba nhanho

Zviratidzo zvehutachiona zvinogona kusanganisira zvinotevera:

• kushushikana kana kutya
• kukurumidza kurova kwemoyo
• kurova kwemoyo zvisina kujairika
• kupera simba
• kushaya simba kwetsandanyama
• kuonda

Ndezvipi zvikonzero?

Iko kusashanda mukati mepituitary gland senge hyperpituitarism ingangodaro inokonzerwa nebundu. Rudzi rwakajairika kwazvo bundu rinonzi adenoma uye harina cancer. Bundu rinogona kukonzera kuti chirwere chepituitary chinyanye kuwedzera mahormone. Bundu, kana fluid inozadza yakatenderedza, inogona zvakare kumanikidza pituitary gland. Iko kumanikidza kunogona kukonzera kuwanda kwehomoni kugadzirwa kana kushoma kugadzirwa, izvo zvinokonzeresa hypopituitarism.

Chikonzero chemhando idzi dzemamota hachizivikanwe. Zvisinei, chikonzero chebundu chinogona kuva nhaka. Mamwe mamota enhaka anokonzerwa nemamiriro anozivikanwa seakawanda endocrine neoplasia syndromes.

Kurapa nzira

Kurapa kweiyo hyperpituitarism kunosiyana zvichienderana neicho chaicho kuongororwa kwechimiro chairi kukonzera. Zvisinei, kurapwa kunogona kusanganisira imwe kana kupfuura zvinotevera:

Mishonga

Kana bundu riri kukonzeresa yako hyperpituitarism saka mishonga inogona kushandiswa kuidzikisa. Izvi zvinogona kuitwa usati wavhiyiwa kubvisa bundu. Mishonga inogona zvakare kushandiswa pachironda kana kuvhiya isiriyo sarudzo kwauri. Kune mamwe mamiriro ehutachiona, mishonga inogona kubatsira kubata kana kubata.

Mamiriro ezvinhu angangoda mishonga yekutungamira kana kurapwa anosanganisira:

• Prolactinoma. Mishonga inogona kudzikisa ako mazinga eprolactin.
• Acromegaly kana gigantism. Mishonga inogona kudzikisa huwandu hwekukura kwemahormone.

Kuvhiya

Kuvhiya kunoitwa kubvisa bundu kubva pituitary gland. Rudzi urwu rwekuvhiya runonzi transsphenoidal adenomectomy. Kuti ubvise bundu, chiremba wako achaita kucheka kudiki mumuromo wako wepamusoro kana mumhino. Iyi incision inobvumidza chiremba wekuvhiya kuti asvike kune iyo pituitary gland uye kubvisa bundu. Paunenge waitwa nachiremba ane ruzivo, mhando iyi yekuvhiya ine inopfuura chikamu che80 muzana yekubudirira.

Radiation

Radiation imwe sarudzo kana iwe usingakwanise kuvhiyiwa kubvisa bundu. Inogona zvakare kubatsira kubvisa chero bundu turu iro rinogona kunge rakasiiwa kumashure kubva pakuvhiya kwekutanga. Pamusoro pezvo, radiation inogona kushandiswa kumamota asingapindure kumushonga. Kune mhando mbiri dze radiation dzinogona kushandiswa:

• Yakajairwa radiation kurapwa. Madhizaini madiki anopiwa kweanopfuura mana- matanhatu evhiki nguva. Maturusi akakomberedza anogona kukuvara panguva yerudzi rweyi radiation kurapwa.
• Stereotactic kurapa. Danda rehigh-dose radiation rinotarisana nebundu. Izvi zvinowanzoitwa muchikamu chimwe chete. Paunenge waitwa muchikamu chimwe chete, pane mukana mushoma wekukuvadza mhuka dzakatenderedza. Zvinogona kuda kuenderera mberi kwehomoni kutsiva kurapwa mushure.

Inoonekwa sei?

Hyperpituitarism yekuongorora bvunzo inosiyana zvichienderana nezviratidzo zvako uye nhoroondo yekurapa. Mushure mekukurukura zviratidzo zvako uye nekukupa bvunzo yemuviri, chiremba wako achaona kuti ndeapi maedzo ekuongorora anofanira kushandiswa. Rudzi rweyedzo runogona kusanganisira:

• kuongororwa ropa
• muromo glucose kushivirira bvunzo
• nyanzvi dzekuenzanisira zveropa
• imaging bvunzo neMRI kana CT scan kana bundu rikafungidzirwa

Chiremba wako anogona kushandisa imwe kana mubatanidzwa wezviedzo izvi kuti uwane chirwere chakakodzera.

Matambudziko uye mamiriro akabatana

Hyperpituitarism inogona kukonzera akati wandei akasiyana mamiriro. Aya mamiriro anosanganisira anotevera:

• Cushing chirwere
• gigantism kana acromegaly
• galactorrhea kana prolactinoma
• hyperthyroidism

Matambudziko e hyperpituitarism anosiyana zvichienderana nemamiriro ezvinhu ainoita. Imwe ingangoita dambudziko mushure mekuvhiyiwa kubvisa bundu iri kuti iwe unogona kuramba uchingoda kutora mahormone ekurapa mishonga.

Outlook

Maonero evaya vane hyperpituitarism akanaka. Mimwe yemamiriro ezvinhu ainogona kukonzera inoda mishonga inoenderera yekutarisira kwakakodzera kwezviratidzo. Nekudaro, inogona kutarisirwa zvinobudirira nekutarisirwa kwakakodzera, kuvhiyiwa kana zvichidikanwa, uye mishonga sekurairwa. Kuti ugamuchire kurapwa kwakakodzera uye manejimendi, iwe unofanirwa kuve neshuwa yekutaurirana navanachiremba vane ruzivo ne hyperpituitarism.