ʻO Hyperpituitarism

Anter

• Hōʻike Overview
• Nā ʻōuli
• He aha nā kumu?
• Nā koho lapaʻau
• Laau Lapaʻau
• ʻOki kino
• Pāhawewe
• Pehea ia ʻike?
• Nā pilikia a me nā kūlana e pili ana
• Outlook

Hōʻike Overview

ʻO ka pituitary gland kahi gland liʻiliʻi aia ma ke kumu o kou lolo. Pili ia i ka nui o ka pi. He ʻāina endocrine ia. Kū ke ʻano hyperpituitarism ke hoʻomaka kēia gland i ka hana i nā hormoni. Hana ka pituitary gland i nā hormones e hoʻoponopono i kekahi o nā hana nui o kou kino. ʻO kēia mau hana nui o ke kino e pili ana i ka ulu ʻana, ke koko, ka metabolism, a me ka hana moekolohe.

Hiki i ka Hyperpituitarism ke hoʻopilikia i nā hana o kou kino. Pākuʻi ʻia kēia mau mea:

• hooponopono ulu
• ʻōpio i nā keiki
• pigmentation ʻili
• hana moekolohe
• ka hana ʻana i ka waiū no nā wahine e lactating
• hana thyroid
• hoʻoulu hou ʻana

Nā ʻōuli

Hoʻololi nā ʻōuli o hyperpituitarism ma muli o ke ʻano o ke kumu. E nānā mākou i kēlā me kēia kūlana a me nā ʻōuli pū me kēlā me kēia.

Hiki i nā ʻōuli o Cushing syndrome ke hoʻopili i kēia mau mea:

• ʻoi aku ka momona o ke kino o luna
• ʻokoʻa ka nui o nā lauoho maka i nā wahine
• paopao maʻalahi
• haʻihaʻi nā iwi a palupalu paha
• poni a ʻōmaʻomaʻo ʻōpū

Hiki i nā ʻōuli o gigantism a i ʻole acromegaly ke hoʻopili i kēia mau mea:

• nā lima a me nā wāwae e ulu nui aʻe
• i hoʻonui ʻia a i ʻole ʻano koʻikoʻi i ka helehelena
• ʻili lepili
• pilau o ke kino a sweating nui loa
• nāwaliwali
• leo kani husky-kani
• ʻeha poʻo
• alelo hoʻonui ʻia
• ʻeha ami a me ka neʻe palena
• pahu umauma
• wā kūlike ʻole
• ka hana erectile

ʻO nā ʻōuli o galactorrhea a i ʻole prolactinoma paha i loko o kēia mau mea:

• umauma palupalu i nā wahine
• nā umauma e hoʻomaka e hana i ka waiū i nā wahine hāpai ʻole a liʻiliʻi i nā kāne
• nā hua hānau
• kū mau nā wā kūpono ʻole a i ʻole ke oki pōʻai
• infertility
• kaʻa hoʻohaʻahaʻa haʻahaʻa
• ka hana erectile
• pae ikehu haʻahaʻa

Hiki i nā ʻōuli o hyperthyroidism ke hoʻopili i kēia mau mea:

• hopohopo a hopohopo paha
• kōmi puʻuwai wikiwiki
• puʻuwai kūlohelohe ʻole
• luhi
• nāwaliwali o nā mākala
• lilo o ke kaupaona

He aha nā kumu?

ʻO kahi hana pono ʻole i ka pituitary gland e like me hyperpituitarism ka mea i loaʻa ʻia e kahi tumo. Kāhea ʻia ka ʻano tumo maʻamau he adenoma a noncancerous. Hiki i ka tumo ke kumu i ka pituitary gland e hoʻonui i nā hormoni. ʻO ka tumo, a i ʻole ka wai e hoʻopiha a puni, e kaomi paha ia i ka pituitary gland. Hiki i kēia kaomi ke hopena i ka hana ʻana i ka nui o ka hormone a i ʻole ka liʻiliʻi o ka hana ʻana, kahi e kumu ai ka hypopituitarism.

ʻAʻole ʻike ʻia ke kumu o kēia ʻano tumors. Eia nō naʻe, he hoʻoilina ke kumu o ka tumo. Hoʻokumu ʻia kekahi mau ʻōpuʻu hoʻoilina e kahi ʻano i ʻike ʻia ma ke ʻano he endocrine neoplasia syndromes.

Nā koho lapaʻau

E loli ka mālama ʻana i ka hyperpituitarism ma muli o ka ʻike kikoʻī o ke ʻano o kēia ʻano. Eia nō naʻe, hiki i ka mālama ʻana ke hoʻopili i hoʻokahi a ʻoi paha o kēia mau mea:

Laau Lapaʻau

Inā hiki i kahi tumo kāu hyperpituitarism a laila hiki ke hoʻohana ʻia i ka lāʻau e hōʻemi iā ia. Hana ʻia kēia ma mua o ke kaha ʻana e wehe i ka tumo. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau ma luna o ka tumo inā ʻaʻole koho ke koho ʻana nāu. No nā kūlana hyperpituitarism ʻē aʻe, hiki i nā lāʻau lapaʻau ke kōkua e mālama a mālama iā lākou.

Nā kūlana e pono ai ka lāʻau no ka mālama ʻana a i ʻole ka mālama ʻana me:

• Prolactinoma. Hiki i nā lāʻau ke hoʻohaʻahaʻa i kāu mau pae o ka prolactin.
• Acromegaly a gigantism paha. Hiki i ka lāʻau ke hoʻohaʻahaʻa i ka nui o nā homone ulu.

ʻOki kino

Hana ʻia ke ʻoki e wehe i kahi tumo mai ka pituitary gland. Kapa ʻia kēia ʻano ʻoki kino he adenomectomy transsphenoidal. I mea e wehe ai i ka tumo, e ʻokiʻoki ai kāu kaukipoki i kou lehelehe luna a ihu paha. E ʻae kēia ʻokiʻoki i ke kaukipō e kiʻi i ka pituitary gland a hemo i ka tumo. Ke hana ʻia e kahi kauka lōkō loa, ʻoi aku ka nui o kēia ʻano ʻoki ma kahi o 80 pakeneka o ka kūleʻa.

Pāhawewe

ʻO ka uila kekahi koho ʻē aʻe inā ʻaʻole hiki iā ʻoe ke ʻoki kino e hemo i ka tumo. Hiki iā ia ke kōkua i ka hemo ʻana i nā puʻupaʻa i waiho ʻia ma hope mai kahi ʻoki mua. Hoʻohui ʻia, hiki ke hoʻohana i ka radiation no nā tumors e pane ʻole i nā lāʻau. ʻElua mau ʻano pāhawewe i hiki ke hoʻohana ʻia:

• Hoʻoikaika radiation radiation. Hāʻawi ʻia nā lāʻau liʻiliʻi ma kahi o ʻehā a ʻeono pule. Hiki ke hōʻino ʻia nā pūnaewele puni i kēia ʻano radiation radiation.
• Hoʻoikaika Stereotactic. Hoʻonohonoho ʻia kahi kukuna o ka radiation radiation kiʻekiʻe ma ka tum tum. Hana pinepine ʻia kēia i hoʻokahi kau. Ke hana ʻia i hoʻokahi kau, aia ka liʻiliʻi o ka hōʻino ʻana i nā mea a puni. Pono paha ia e hoʻomau i ka hoʻōla hou ʻana ma ka hormone ma hope.

Pehea ia ʻike?

ʻOkoʻa nā hōʻike diagnostical Hyperpituitarism i ka hilinaʻi ʻia i kāu mau ʻōuli a me ka mōʻaukala olakino. Ma hope o ke kūkākūkā ʻana i kāu mau hōʻailona a hāʻawi iā ʻoe i kahi hoʻokolohua kino, e hoʻoholo ana kāu kauka i nā hoʻokolohua diagnostics e pono e hoʻohana ai. Hiki i ke ʻano o nā hoʻāʻo ke komo pū me:

• hoʻāʻo koko
• hoʻāʻo tolerance kō glucose waha
• nā hoʻāʻo sample koko kūikawā
• nā hoʻokolohua kiʻi me MRI a i ʻole CT scan inā kuhi ʻia kahi tumo

Hiki i kāu kauka ke hoʻohana i hoʻokahi a i ʻole ka hui pū ʻana o kēia mau hoʻokolohua e hele mai me kahi hōʻailona kūpono.

Nā pilikia a me nā kūlana e pili ana

Hiki i ka Hyperpituitarism ke kumu i nā ʻano ʻano like ʻole. Loaʻa kēia mau ʻano i kēia:

• Cushing maʻi maʻi
• gigantism a i ʻole acromegaly
• galactorrhea a i ʻole prolactinoma
• hyperthyroidism

Hoʻololi nā pilikia o ka hyperpituitarism ma muli o ke ʻano o ke kumu. ʻO kahi komplication kūpono ma hope o ke kahakaha ʻana e wehe i ka tumo ia ʻoe paha kahi makemake mau e lawe i nā lāʻau hoʻōla hormonone.

Outlook

ʻO ka nānā aku no ka poʻe me hyperpituitarism maikaʻi. ʻO kekahi o nā kūlana e hiki ai ke koi i nā lāʻau e hoʻomau nei no ka mālama pono ʻana i nā ʻōuli. Eia nō naʻe, hiki ke mālama pono ʻia me ka mālama kūpono, ʻoki kino inā pono, a me nā lāʻau e like me ke kuhikuhi. No ka loaʻa ʻana o ka lāʻau kūpono a me ka hoʻokele, pono ʻoe e nīnau i nā kauka lapaʻau i ʻike ʻia me ka hyperpituitarism.