Panhypopituitarism: zvazviri, zviratidzo uye kurapwa kunoitwa

Zvemukati

• Zviratidzo zvikuru
• Kurapwa kunoitwa sei
• Zvinogona kukonzerwa

Panhypopituitarism chirwere chisingawanzoenderana chinoenderana nekuderera kana kushomeka kwekugadzirwa kwemahormone akati wandei nekuda kwekushandurwa kwepituitary gland, inova gland iri muuropi inoitisa kudzora mamwe magland mumuviri uye, nekudaro, inotungamira kune kugadzirwa kwemahormone akakosha kuitira kushanda kwakanaka kweiyo muviri.

Kushaikwa kwemahormone kunogona kutungamira pakuonekwa kwezviratidzo zvakati wandei, senge kuonda, kushanduka pakuenda kumwedzi, kuderedzwa kukwirira, kuneta zvakanyanya uye matambudziko ekubereka, semuenzaniso. Nekudaro, iyo nzira huru yekudzora zviratidzo zvepanhypopituitarism iri kuburikidza nekutsiva kwehomoni, iyo inofanirwa kuitwa maererano nekutungamira kweye endocrinologist.

Zviratidzo zvikuru

Zviratidzo zvepanhipopituitarismo zvinoenderana nemahomoni api asina kugadzirwa kana kuburitswa mune mashoma mashoma, semuenzaniso:

• Kurema kwehuremu nekuda kwekudzikira kwehormone mahomoni
• Kurasikirwa nechido;
• Kuneta zvakanyanya;
• Maitiro anochinja;
• Zvakaoma kubata pamuviri uye kupererwa kwekuenda kumwedzi, nekuda kwekudzikira kwekugadzirwa kwehadzi dzebonde mahormone;
• Kuderedza kugona kwemukaka mumadzimai;
• Kuderera kwechimiro uye kunonoka kuyaruka muvana, sekugadzirwa kwehormone yekukura (GH) kukanganiswa;
• Kurasikirwa nendebvu uye matambudziko ane chekuita nekubereka muvarume, nekuda kwekuderera kwekugadzirwa kwe testosterone uye, nekudaro, kukura kwehurume.

Kubva pane izvo zviratidzo zvinotsanangurwa nemunhu uye bvunzo dzevarabhoritari dzinovavarira kuyera mahormone muropa, endocrinologist anokwanisa kupedzisa kuongororwa uye kuratidza kuti ndeapi mishonga munhu anofanirwa kutora.

Vanhu vane panhypopituitarism vane mukana wekukudziridza chirwere cheshuga insipidus, chinoitika nekuda kwekudzikira kwekugadzirwa kweantidiuretic hormone (ADH), iyo inotungamira mukuwedzera kweropa glucose kuwanda nekuda kwekudzikira kwemvura, kuwedzera mukushomeka kwemvura uye Kunyota kwazvo. Dzidza zvakawanda nezve chirwere cheshuga insipidus.

Kurapwa kunoitwa sei

Mushonga unoitwa zvinoenderana nekutungamira kweye endocrinologist uye kunoitwa kuburikidza nekutsiva kwehomoni kuburikidza nekushandisa mishonga. Sezvo pituitary gland inodzora kugadzirwa kwehomoni dzinoverengeka, zvinogona kuve zvakafanira kuti munhu atsiure:

• ACTH, inonziwo adrenocorticotrophic hormone kana corticotrophin, inogadzirwa nepituitary gland uye inomutsa kugadzirwa kwecortisol, inova hormone inoitisa kudzora kushushikana uye nekubvumidza muviri kugadzikana kune mamiriro matsva. Nzwisisa chinonzi cortisol;
• TSH, inonziwo thyroid-inosimudzira mahormone, iyo inogadzirwa neiyo pituitary gland uye ine basa rekusimudzira iyo thyroid kuti ibudise mahormone T3 uye T4, ayo anotamba akakosha masetabolism;
• LH, inozivikanwa se luteinizing hormone, iyo inomutsa kugadzirwa kwe testosterone muvarume uye progesterone muvakadzi, uye FSH, inozivikanwa se follicle inosimudzira mahormone, iyo inobvumidza kudzora kwekugadzirwa kwourume uye kukura kwezai. Nekudaro, kana paine kuderera mukugadzirwa kweaya mahormone nekuda kwematambudziko ari pituitary gland, semuenzaniso, pane kuderera mukubereka kwevarume nevakadzi mukuwedzera pakurasikirwa nevhudzi uye kuregererwa kwekuenda kumwedzi, semuenzaniso. Dzidza zvakawanda nezve iyo hormone FSH;
• GH, inozivikanwa sekukura kwehormone kana somatotropin, inogadzirwa neiyo pituitary gland uye inokonzeresa kukura kwevana nevechiri kuyaruka, mukuwedzera pakubatsira mumitezo yemagetsi.

Uye zvakare, nekuda kweshanduko yemafungire nekuda kwekuchinja kwehomoni, chiremba anogona kukurudzira kushandiswa kweanodzvinyirira antidipressants uye kunyangwe anxiolytics kudzikisira zviratidzo zvine chekuita nekukurumidza kusanduka kwemamiriro

Chiremba anogona zvakare kukurudzira kutsiviwa kwecalcium uye potasium, ayo akakosha zvicherwa zvezvakasiyana metabolic maitiro mumuviri, sezvo mamwe mahormone shanduko anotungamira mukudzikira kwehusungwa hweaya maminera muropa.

Zvinogona kukonzerwa

Chikonzero chakajairika chepanhypopituitarism ibundu mune iyo pituitary gland, iyo, zvichienderana nedanho rebundu, ingangoda kubviswa kwepituitary gland. Zvisinei, kwete nguva dzose kuti kwave kune bundu mune iyo pituitary gland zvinoreva kuti munhu anotambura nepanhypopituitarism, izvo zvinongoitika kana gland ichida kubviswa.

Uye zvakare, panhypopituitarism inogona kuitika nekuda kwehutachiona hunokanganisa huropi, senge meningitis, semuenzaniso, Simmonds syndrome, inova chirwere chekuzvarwa, kana kutombove mugumisiro wemhedzisiro yemwaranzi.