Hypophysectomy

Zvemukati

• Ndeapi marudzi akasiyana eiyi maitiro?
• Maitiro aya anoitwa sei?
• Chii chiri kupora senge iyi maitiro?
• Chii chandinofanira kuita kana ndiri kupora?
• Ndezvipi zvingangonetseke zvemaitiro aya?
• Maonero

Mhedziso

Hypophysectomy kuvhiya kunoitwa kubvisa gland repituitary.

Iyo pituitary gland, inonziwo hypophysis, idiki gland rakavakirwa pasi pemberi kwepfungwa dzako. Iyo inodzora mahormone anoburitswa mune mamwe akakosha magezi, anosanganisira adrenal uye thyroid gland.

Hypophysectomy inoitwa nekuda kwezvikonzero zvinoverengeka, zvinosanganisira:

• kubviswa kwemamota akakomberedza pituitary gland
• kubviswa kwe craniopharyngiomas, bundu rakagadzirwa nematuru kubva kwakatenderedza gland
• kurapwa kweCushing's syndrome, kunoitika kana muviri wako ukaratidzwa kune yakawandisa mahormone cortisol
• kuvandudza maonero nekubvisa mamwe materu kana mashoma kubva kwakatenderedza gland

Chikamu chega cheglandi chinogona kubviswa panobviswa tumota.

Ndeapi marudzi akasiyana eiyi maitiro?

Kune akatiwandei mhando dzehypophysectomy:

• Transsphenoidal hypophysectomy: Iyo pituitary gland inoburitswa kuburikidza nemhino dzako kuburikidza nespenoid sinus, mhango padyo neshure kwemhino dzako. Izvi zvinowanzoitwa nerubatsiro rweimwe yekuvhiya maikorosikopu kana endoscopic kamera.
• Vhura craniotomy: Iyo pituitary gland inobviswa nekuisimudza ichiburitsa kubva pasi pemberi kweuropi hwako kuburikidza nekaburi kadiki mudehenya rako.
• Stereotactic Radiosurgery: Zvishandiso pane ngowani yekuvhiya inoiswa mukati mehenya kuburikidza nekuvhurika kudiki. Iyo pituitary gland uye mamota akakomberedza kana zvinyama zvinobva zvaparadzwa, pachishandiswa radiation kuti ibvise chaiwo matishu uchichengetedza hutano hwakanaka hwakavatenderedza. Maitiro aya anonyanya kushandiswa pamamota mashoma.

Maitiro aya anoitwa sei?

Asati maitiro, ita shuwa kuti wagadzirira nekuita zvinotevera:

• Tora mazuva mashoma kubasa kana zvimwe zviitiko zvakajairwa.
• Ita kuti mumwe munhu akuendese kumba kana iwe wapora kubva munzira.
• Rongedza bvunzo dzekufungidzira nachiremba wako kuitira kuti vakwanise kuziva matishu akakomberedza gland rako repituitary.
• Taura nachiremba wako wezvechiremba nezve rudzii rwehypophysectomy ichashanda zvakanyanya kwauri.
• Saina fomu rekubvumidza kuitira kuti iwe uzive njodzi dzese dzinowanikwa mukuita.

Paunosvika kuchipatara, unozopinzwa muchipatara uye wobvunzwa kuchinja mupfekero wechipatara. Chiremba wako anozokuendesa kuimba yekuvhiyira uye ndokupa iwe kwese kutindivadza kuti urambe wakarara panguva yekuita.

Maitiro e hypophysectomy anoenderana nerudzi rwunobvumirana nachiremba wako.

Kuti uite transsphenoidal hypophysectomy, iyo yakajairika mhando, chiremba wako anovhiya:

1. inokuisa iwe mune semi-kutsenhama chinzvimbo nemusoro wako wakasimbiswa kuti usakwanise kufamba
2. inogadzira akati wandei akacheka pasi pemuromo wako wepamusoro uye nepamberi pechitubu chako
3. inoisa speculum kuti uchengete mhino yako yakavhurika
4. inoisa endoscope kuti utarise mifananidzo yakatarwa yemhino yako pachiratidziri
5. inoisa maturusi akakosha, senge rudzi rwe forceps inonzi pituitary rongeurs, kubvisa bundu uye chikamu kana chese chepituitary gland.
6. inoshandisa mafuta, bhonzo, shwashwa, uye zvimwe zvekuvhiya kuvaka nzvimbo iyo bundu uye gland zvakabviswa
7. inoisa gauze inorapwa nemafuta ekurwisa mabhakitiriya mumhino kudzivirira kubuda ropa nezvirwere
8. inosona akachekwa mu sinus mhango uye pamuromo wepamusoro nemasuture

Chii chiri kupora senge iyi maitiro?

Hypophysectomy inotora imwe kana maviri maawa. Dzimwe nzira, senge stereotaxis, inogona kutora maminetsi makumi matatu kana mashoma.

Iwe uchapedza angangoita maawa maviri uchipora muchikamu chekuchengeta-kushanda muchipatara. Ipapo, iwe uchaendeswa kukamuri yemuchipatara uye unozorora husiku neine intravenous (IV) fluid fluid yekukuchengetedza iwe uine hydrate iwe uchipora.

Paunenge uchipora:

• Kwezuva rimwe chete kana maviri, uchafamba uchibatsirwa nemukoti kusvikira wakwanisa kufamba wega wega. Mari iyo yaunotarisa ichaongororwa.
• Kwemazuva mashoma ekutanga mushure mekuvhiyiwa, iwe uchaongororwa ropa uye kuongororwa kwemaonero kuti uone kuti chiratidzo chako hachina kukanganiswa. Ropa rinogona kubuda kubva mumhino dzako nguva nenguva.
• Mushure mekubva muchipatara, iwe unozodzoka mukati memavhiki matanhatu kusvika masere kuitira musangano wekutevera. Iwe uchasangana nachiremba wako uye endocrinologist kuti uone kuti muviri wako uri kupindura sei kungangoita shanduko mukugadzirwa kwehomoni. Kusarudzwa uku kunogona kusanganisira kuongorora musoro pamwe neropa uye kuona bvunzo.

Chii chandinofanira kuita kana ndiri kupora?

Kusvikira chiremba wako ati zvakanaka kuti uite kudaro, dzivisa kuita zvinotevera:

• Usaridze, kuchenesa, kana kunamira chero chinhu mumhino dzako.
• Usakotama kumberi.
• Usasimudze chero chinhu chinorema kudarika mapaundi gumi.
• Usashambira, kugeza, kana kuisa musoro wako pasi pemvura.
• Usatyaire kana kushandisa chero michina hombe.
• Usadzokera kubasa kana zviito zvako zvezuva nezuva.

Ndezvipi zvingangonetseke zvemaitiro aya?

Mimwe mamiriro ezvinhu anogona kukonzerwa nekuvhiya uku anosanganisira:

• Cerebrospinal fluid (CSF) inodonha: CSF fluid yakatenderedza uropi hwako uye musana unodonhedza muhurongwa hwako hwemitsipa. Izvi zvinoda kurapwa neyakaitwa inonzi lumbar puncture, iyo inosanganisira kuisa tsono mumuzongoza wako kuti ubudise zvakawandisa mvura.
• Hypopituitarism: Muviri wako haugadzi mahormone nemazvo. Izvi zvingangoda kurapwa nehomoni kutsiva kurapa (HRT).
• Chirwere cheshuga insipidus: Muviri wako haunyatso kudzora huwandu hwemvura mumuviri wako.

Ona chiremba wako ipapo kana iwe ukacherekedza chero eanotevera matambudziko mushure mekuita kwako:

• kazhinji kubuda mhino
• kunzwa kwakanyanya kwenyota
• kurasikirwa kwemaonero
• yakajeka mvura inodonha kubva mumhino dzako
• munyu munyu kuseri kwemuromo wako
• Kutura kupfuura zvakajairika
• kutemwa nemusoro kusingaendi nemishonga yekurwadziwa
• kupisa muviri (101 ° kana kupfuura)
• kunzwa kugara wakarara kana kuneta mushure mekuvhiyiwa
• kurutsa kumusoro kazhinji kana kuita manyoka

Maonero

Kubvisa gland rako repituitary inzira huru inogona kukanganisa kugona kwemuviri wako kuburitsa mahormone.

Asi kuvhiyiwa uku kunogona kubatsira kubata nyaya dzehutano dzinogona kuve nematambudziko akakomba.

Mazhinji marapirwo aripo kutsiva mahormone ayo muviri wako ungasakwanise kuburitsa zvakakwana zvekare.