Hypophysectomy

Anter

• He aha nā ʻano ʻokoʻa o kēia kaʻina hana?
• Pehea e hana ai i kēia kaʻina hana?
• He aha ka hoʻōla e like me kēia kaʻina hana?
• He aha kaʻu e hana ai ke ola hou wau?
• He aha nā pilikia kūpono o kēia kaʻina hana?
• ʻO ka nānā aku

Hōʻike Overview

ʻO kahi hypophysectomy kahi ʻoki i hana ʻia e wehe i ka momona pituitary.

ʻO ka pituitary gland, i kapa ʻia ʻo hypophysis, kahi gland liʻiliʻi i waiho ʻia ma lalo o ka mua o kou lolo. Mālama ia i nā hormones i hana ʻia i loko o nā momona nui ʻē aʻe, e like me ka adrenal a me ka thyroid glands.

Hana ʻia ka hypophysectomy no nā kumu he nui, e like me:

• ka hoʻoneʻe ʻana i nā tumors a puni ka pituitary gland
• ka hoʻoneʻe ʻana i nā craniopharyngiomas, nā tumors i hana ʻia i ka ʻaʻa mai puni ka gland
• ka mālama ʻana i ka maʻi o Cushing, kahi hanana ke hōʻike ʻia kou kino i ka nui o ka hormone cortisol
• hoʻomaikaʻi i ka hihiʻo ma o ka hemo ʻana i nā kiko keu a i ʻole nā ​​lehulehu mai a puni ka gland

Hiki ke wehe ʻia kahi ʻāpana o ke gland ke wehe ʻia nā tumors.

He aha nā ʻano ʻokoʻa o kēia kaʻina hana?

Aia kekahi mau ʻano hypophysectomy:

• ʻO hypophysectomy transsphenoidal: Lawe ʻia ka pituitary gland ma o kou ihu ma o ka sinus sphenoid, kahi lua kokoke i ka hope o kou ihu. Hana pinepine ʻia kēia me ke kōkua o kekahi microscope ʻoki lāʻau a i ʻole ke kāmela endoscopic.
• Wehe craniotomy: Lawe ʻia ka pituitary gland ma ka hāpai ʻana iā ia mai lalo o ka mua o kou lolo ma o kahi puka liʻiliʻi i kou iwi poʻo.
• ʻO Radiosurgery Stereotactic: Hoʻokomo ʻia nā mea kani ma ka pāpale mahiole i loko o ka iwi poʻo ma o nā puka liʻiliʻi. Hoʻopau ʻia ka pituitary gland a me nā tumors a puni paha, e hoʻohana ana i ka radiation e hoʻoneʻe i nā kikoʻī kikoʻī ke mālama ʻia nā mea olakino a puni lākou. Hoʻohana nui ʻia kēia hana ma nā tumors liʻiliʻi.

Pehea e hana ai i kēia kaʻina hana?

Ma mua o ke kaʻina hana, e mākaukau ma ka hana ʻana i kēia mau mea:

• Lawe i kekahi mau lā mai ka hana a i ʻole nā ​​hana maʻamau.
• E lawe kekahi iā ʻoe i ka home ke ola hou ʻoe mai ke kaʻina hana.
• E hoʻolālā i nā hoʻokolohua kiʻi me kāu kauka i hiki iā lākou ke ʻike i nā kinona a puni kou gland pituitary.
• E kamaʻilio me kāu kauka lāʻau e pili ana i ke ʻano o ka hypophysectomy e kūpono loa iā ʻoe.
• Kau inoa i kahi palapala ʻae i ʻike ʻoe i nā pilikia āpau e pili ana i ke kaʻina hana.

Ke hiki ʻoe i ka haukapila, e hoʻokomo ʻia ʻoe i loko o ka haukapila a noi ʻia e hoʻololi i kahi lole no ka haukapila. Lawe aku kāu kauka iā ʻoe i ka lumi hana a hāʻawi iā ʻoe i ka anesthesia ākea e hiamoe ai i ke kaʻina hana.

Aia kahi kaʻina hypophysectomy i ke ʻano āu i ʻae ai a me kāu kauka.

E hana i kahi hypophysectomy transsphenoidal, ke ʻano maʻamau, kāu kauka

1. hoʻonoho iā ʻoe i kahi kūlana semi-reclining me kou poʻo i hoʻokūpaʻa ʻia i hiki ʻole ke neʻe
2. hana i kekahi mau ʻoki liʻiliʻi ma lalo o kou lehelehe luna a ma o i mua o kāu lua sinus
3. Hoʻokomo i kahi speculum e hāmama ai kou lua ihu
4. Hoʻokomo i kahi endoscope e nānā i nā kiʻi i hoʻolālā ʻia o kou ihu ihu ma ka pakuhi
5. hoʻokomo i nā pono hana kūikawā, e like me ke ʻano o ka forceps i kapa ʻia ʻo pituitary rongeurs, e hemo ai i ka puʻupuʻu a me ka ʻāpana a i ʻole ka pituitary gland āpau.
6. hoʻohana i ka momona, iwi, cartilage, a me kekahi mea ʻoki lāʻau e hana hou i kahi i lawe ʻia aku ka tumo a me ka gland
7. hoʻokomo i ka gauze i mālama ʻia me kahi hamo antibacterial i ka ihu e pale aku ai i ke kahe ʻana a me nā maʻi
8. humuhumu i nā ʻoki o ka lua sinus a ma ka lehelehe luna me nā sutures

He aha ka hoʻōla e like me kēia kaʻina hana?

Lawe ʻia kahi hypophysectomy hoʻokahi a ʻelua mau hola. ʻO kekahi mau kaʻina hana, e like me stereotaxis, lawe paha i 30 mau minuke a ʻoi iki paha.

E hoʻolōʻihi ʻoe ma kahi o 2 mau hola i ke keʻena mālama ma hope o ka hana ma ka haukapila. A laila, lawe ʻia ʻoe i kahi keʻena haukapila a hoʻomaha i ka pō me kahi laina wai hoʻouluulu (IV) e mālama pono iā ʻoe i kou ola hou ʻana.

ʻOiai ʻoe e ola nei:

• No hoʻokahi a ʻelua paha mau lā, hele wāwae ʻoe me ke kōkua o kahi kahu hānai a hiki i kou hiki ke hele wāwae iā ʻoe iho. E nānā ʻia ka nui āu e pee ai.
• No nā lā mua ma hope o ke kaha ʻana, e hana ʻoe i nā hoʻokolohua koko a me nā hoʻāʻo ʻike e ʻike pono ʻole ka hopena o kāu ʻike. E kahe paha ke koko mai kou ihu i kekahi mau manawa.
• Ma hope o ka haʻalele ʻana i ka haukapila, hoʻi hou ʻoe ma kahi o ʻeono a ʻewalu mau pule no ke koho hope. E hui ʻoe me kāu kauka a me kahi endocrinologist e ʻike pehea ka pane ʻana o kou kino i nā loli hiki ke hana ʻia i ka hormone. Hiki i kēia hoʻonohonoho ke komo i kahi ʻoki poʻo a me nā hoʻāʻo ʻana o ke koko a me ka ʻike.

He aha kaʻu e hana ai ke ola hou wau?

Aia a ʻōlelo kāu kauka he maikaʻi ke hana pēlā, e hōʻalo i ka hana ʻana i kēia mau mea:

• Mai puhi, maʻemaʻe, a hoʻopaʻa i kekahi mea i kou ihu.
• Mai kūlou i mua.
• Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o 10 paona.
• Mai ʻauʻau, ʻauʻau, a i ʻole hoʻokomo i kou poʻo i lalo o ka wai.
• Mai hoʻokele a hana paha i nā mīkini nui.
• Mai hoʻi i ka hana a i kāu hana maʻamau i kēlā me kēia lā.

He aha nā pilikia kūpono o kēia kaʻina hana?

ʻO kekahi mau kūlana i hiki ke hopena mai kēia ʻoki ʻana:

• Lāʻau Cerebrospinal (CSF) kulu: Hoʻopuka ka wai CSF a puni kou lolo a me ka iwi kuamoʻo i loko o kāu ʻōnaehana. Pono kēia i ka mālama ʻana me ke kaʻina hana i kapa ʻia he lumbar puncture, kahi e hoʻopili ai i kahi nila i loko o kou iwi kuamoʻo e hoʻokahe i ka nui o ka wai.
• Hypopituitarism: ʻAʻole hiki i kou kino ke hana pono i nā homone. Pono e mālama ʻia kēia me ka hormone replacement therapy (HRT).
• Diabetes insipidus: ʻAʻole mālama pono kou kino i ka nui o ka wai i kou kino.

E ʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau pilikia ma hope o kāu kaʻina hana.

• ihu ihu pinepine
• manaʻo ʻino loa o ka make wai
• nalo o ka hihiʻo
• kahe kahe mai kou ihu
• ʻono paʻakai i ka hope o kou waha
• ʻoi aku ka nui ma mua o ka maʻamau
• ʻeha ke poʻo i hala ʻole me nā lāʻau ʻeha
• wela wela (101 ° a ʻoi aku)
• ke hiamoe mau a luhi paha ma hope o ke kahakaha ʻana
• ke kīloi pinepine ʻana a i ʻole he diarrhea paha

ʻO ka nānā aku

ʻO ka wehe ʻana i kāu gland pituitary kahi hana nui e hiki ke hoʻopili i ka hiki i kou kino ke hana i nā homone.

Akā hiki i kēia ʻoki ke kōkua i ka mālama ʻana i nā pilikia olakino i hiki ke loaʻa i nā pilikia koʻikoʻi.

Loaʻa nā lapaʻau he nui e pani i nā hormoni i hiki ʻole i kou kino ke hana hou i ka nui.