Chii chinonzi bundu mune iyo pituitary gland, yakakosha zviratidzo uye kurapwa

Zvemukati

• Kune mushonga here mune iyo pituitary gland?
• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Zvinogona kukonzerwa
• Kurapwa kunoitwa sei

Bundu riri pituitary gland, iro rinozivikanwawo sekuti pituitary bundu, rinosanganisira kukura kwesimba risingaenzanisike iro rinoonekwa mune yepituitary gland, iri pazasi pehuropi. Iyo pituitary gland inyanzvi gland, inoitisa kudzora mamwe maronda mumuviri kuburitsa mahormone ayo, saka kana bundu rikaonekwa mudunhu rino, zviratidzo zvinoverengeka zvinogona kunge zviripo, sekushanduka kwetachiona, kushaya mbereko kana kuwedzerwa kumanikidzwa, semuenzaniso .

Kazhinji, pituitary tumors zvine hunyanzvi uye nekudaro hazvigone kutaridzika segomarara, kunzi pituitary adenomas, asi izvi zvinogona kukonzeresa zvakakomba hutano hutano, nekuti mazhinji acho anogadzira mahormone akawandisa, achikanganisa muviri wese, uye nekudaro anoongororwa nachiremba wezveuropi uye endocrinologist ndokurapwa saizvozvo.

Kune mushonga here mune iyo pituitary gland?

Mamota eBenign pituitary haapararire mumuviri wese, nekuti iwo haazi carcinoma, uye anowanzo gara ari muchigaro cheTurkey, inova nzvimbo diki pane iyo pituitary gland iripo, zvisinei, ivo vanogona kukura uye kumanikidza kunzvimbo dzepedyo semidziyo ropa, tsinga uye zvitadzo, asi zvinowanzo kuve nyore kurapa uye zvinogona kubviswa zvachose, nemikana mikuru yekurapa.

Zviratidzo zvikuru

Zviratidzo zvepituitary bundu zvinoenderana nesaizi uye nzvimbo, asi zvinogona kuve:

Tumor mune anterior pituitary (kazhinji kazhinji)

• Kuwedzeredza kukura kwenhengo kana mapfupa, anonzi acromegaly, nekuda kwekuwedzera kugadzirwa kwekukura kwehomoni (GH);
• Hyperthyroidism nekuda kwekuwedzera kwehutachiona-inosimudzira kemoni (TSH), iyo inogadzirisa utachiona;
• Kukurumidza kuwedzera uremu uye kuwanda kwemafuta, nekuda kwekuwedzera kugadzirwa kweacth hormone inotungamira kuchirwere cheCushing;
• Kuderedza kugadzirwa kwemazai kana chirume, izvo zvinogona kukonzera kushaya mbereko, nekuda kweshanduko mukugadzirwa kwe luteinizing hormone (LH) uye follicle inosimudzira mahormone (FSH);
• Kugadzirwa kwemvura chena nezamu, pazviitiko zveprolactin-inogadzira bundu, izvo zvinotungamira kune yakakwira prolactin uye yekudzivirira mukaka nemazamu evakadzi vasiri kuyamwisa, anonzi galactorrhea. Maitiro ayo pavarume akafanana uye chiratidzo ichi ndiko kuongororwa kwerudzi urwu rwebundu, rinozivikanwa seprolactinoma.

Tumor mune yepashure pituitary gland (isingawanzo)

• Kakawanda kuda kuita weti uye kuwedzerwa kumanikidzwa nekuda kwekuvapo kwechirwere cheshuga insipidus, inokonzerwa nekuwedzera kweantidiuretic hormone (ADH);
• Uterine cramps, nekuda kwekuwedzera oxytocin, iyo inotungamira muchibereko chechibereko.

Uye zvakare, zvimwe zviratidzo zvinogona zvakare kuoneka, senge kazhinji uye zvakanyanya kutemwa nemusoro, matambudziko ekuona, kuneta zvakanyanya, kusvotwa uye kurutsa, kunyanya kana bundu richiisa kumanikidza kune mamwe mativi ehuropi.

Macroadenoma zviratidzo

Kana bundu repituitary rakapfuura 1 cm muhupamhi inonzi macroadenoma, mune iyo mamiriro inogona kumanikidza kune dzimwe nzvimbo dzehuropi, senge optic nerve kana chiasma, zvichikonzera zviratidzo zvakaita se:

• Strabismus, inova iyo apo maziso asina kunyatsogadziriswa;
• Kukanganiswa kana kuona kaviri;
• Kupera kwekutarisa kona, pamwe nekurasikirwa kwemupendero kuona.
• Kurwadziwa nemusoro;
• Kurwadziwa kana kunzwa kwekusanzwa kumeso;
• Dzungu kana kupera simba.

Tsvaga kuti ndezvipi zvimwe zviratidzo zvebundu reuropi zviri: Zviratidzo zvebundu repfungwa.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwebundu mune iyo pituitary gland kunoitwa zvichienderana nezviratidzo zvinounzwa nemunhu uye kuburikidza nekuongororwa kweropa, uye yekufungidzira bvunzo dzakadai semagineti resonance imaging, uye mune dzimwe nguva, chiremba anogona kukumbira biopsy, asi hapana nguva dzose kuda kuita iyi yekupedzisira.

Diki pituitary adenomas isingaburitse mahormone akawandisa uye ayo akawanikwa netsaona, kana uchiita MRI kana computed tomography scan, inogona kusada kurapwa chaiko, ichingoda bvunzo chete pamwedzi mitanhatu kana gore rimwe chete, kuti uone kana paine kuwedzera kwehukuru , kudzvanya dzimwe nzvimbo dzehuropi.

Zvinogona kukonzerwa

Izvo zvinokonzeresa bundu mune iyo pituitary gland inokonzerwa nehunhu hunokosheswa hune munhu, nekuda kweshanduko muDNA yake, uye rudzi urwu rwebundu haruwanzoitika mumhuri imwechete, uye haisi nhaka.

Iko hakuna kunozivikanwa kwezvakatipoteredza zvikonzero kana zvimwe zvinhu zvine chekuita nekuvandudzwa kwerudzi urwu rwebundu, kungave kuri kutyisa kana kuonda, uye hapana chinhu icho munhu anogona kunge akaita kuti ave kana kusave neichi bundu.

Kurapwa kunoitwa sei

Iyo yekurapa inogona kurapa zvachose pituitary bundu, inofanirwa kutungamirwa neurosurgeon uye kazhinji inotanga nekuvhiya kubvisa bundu kuburikidza nemhino kana kucheka mudehenya, iro rine mukana we80% wekubudirira. Kana bundu iri rakakura uye richikanganisa dzimwe nzvimbo dzehuropi, pane mukana mukuru wekukuvadza hura hwehuropi, inova nzira ine njodzi zvakanyanya. Matambudziko panguva kana mushure mekuvhiyiwa, senge kubuda ropa, kutapukirwa kana maitiro kuanesthesia hazviwanzo, asi zvinogona kuitika.

Nekudaro, kana bundu riri mune pituitary gland risina kunyanya kukura, radiotherapy kana mishonga yemahormone, yakadai saParlodel kana Sandostatin, inogona kushandiswa kudzivirira kana kudzosera kukura kwayo. Kana bundu rakakura, chiremba anogona kusarudza kutanga kurapwa ne radiotherapy kana mishonga yekudzikisa saizi yebundu, obva abvisa kuburikidza nekuvhiyiwa.

Kuongororwa kwenyaya yacho kunogona kuitwa nachiremba wezveuropi kana endocrinologist nemiyedzo inofanirwa kuitwa nguva nenguva kuti utarise hutano hwomunhu.