He aha ka tumo i ka pituitary gland, nā hōʻailona nui a me ka mālama ʻana

Anter

• Aia kekahi lāʻau i ka pituitary gland?
• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau

ʻO ka tumo i ka pituitary gland, ʻo ia hoʻi ka pituitary tumor, kahi o ka ulu ʻana o kahi nuipaʻa ʻole e ʻike ʻia i ka pituitary gland, aia ma ke kumu o ka lolo. ʻO ka pituitary gland kahi kumu gland, kuleana no ka kaohi ʻana i nā glands ʻē aʻe i loko o ke kino e hana i kāna mau hormones, no laila ke kū kahi tumo i kēia wahi, hiki ke loaʻa nā hōʻailona he nui, e like me nā loli i ka thyroid, infertility a i ʻole hoʻonui i ke kaomi, e laʻa .

ʻO ka maʻamau, maikaʻi ʻole nā ​​pituitary tumors a no laila ʻaʻole hiki ke noʻonoʻo ʻia he maʻi ʻaʻai, i kapa ʻia ʻo pituitary adenomas, akā hiki i kēia mau mea ke hoʻopilikia i nā pilikia olakino koʻikoʻi, no ka mea he nui nā mea e hana i nā homone i ʻoi aku, e pili ana i ke kino holoʻokoʻa, a no laila e loiloi ʻia e ka neurologist a me ka endocrinologist. a mālama ʻia e like me ia.

Aia kekahi lāʻau i ka pituitary gland?

ʻAʻole hoʻolaha nā pituitary tumors ma loko o ke kino, no ka mea ʻaʻole ia he carcinoma, a noho mau ia ma ka noho Turkey, kahi wahi liʻiliʻi kahi e loaʻa ai ka pituitary gland, akā naʻe, hiki iā lākou ke ulu a kaomi i nā wahi kokoke e like me nā moku. ke koko, nā aʻalolo a me nā sinus, akā maʻalahi ka mālama maʻamau a hiki ke hoʻopau loa ʻia, me nā manawa kūpono loa e hoʻōla ai.

Nā hōʻailona nui

Aia nā ʻōuli o kahi tumo pituitary i kona nui a me kona wahi, akā hiki ke:

Tumor i ka pituitary mua (pinepine pinepine)

• Hoʻonui i ka ulu ʻana o nā lālā a i ʻole nā ​​iwi, i kapa ʻia ʻo acromegaly, ma muli o ka hoʻonui ʻia o ka hana ʻana o ka hormone ulu (GH);
• Hyperthyroidism ma muli o ka hoʻonui ʻia o ka thyroid-stimulate hormone (TSH), ka mea e hoʻoponopono ai i ka thyroid;
• Loaʻa ka loaʻa wikiwiki a me ka hōʻiliʻili momona, ma muli o ka hoʻonui ʻia o ka hana o ka hormone ACTH e alakaʻi ai i ka maʻi o Cushing;
• Hoʻoemi i ka hana ʻana o nā hua manu a i ʻole sperm, hiki ke kumu i ka infertility, ma muli o nā loli i ka hana ʻana o ka hormone luteinizing (LH) a me ka hormone stimulate follicle (FSH);
• Iecaianoaaiiie o ke keʻokeʻo wai e ka nipple, i nā hihia o ka prolactin-hana tumor, i hiki aku ai i kiʻekiʻe prolactin a me ka waiū lū e nā umauma o nā wahine i ka mea ole umauma, i kapaia galactorrhea. ʻO ka hopena ma nā kāne he like ia a ʻo kēia hōʻailona ka hōʻailona o kēia ʻano tumo, i ʻike ʻia ʻo prolactinoma.

ʻO ka Tumor i ka pituitary gland posterior (kākaʻikahi)

• Makemake pinepine e mimiki a hoʻonui i ke kaomi ma muli o ke kū ʻana o ka Diabetes insipidus, i ulu ʻia e ka hoʻonui ʻia ʻana o ka hormone antidiuretic (ADH);
• Hoʻopili ka Uterine, ma muli o ka hoʻonui ʻia o ka oxytocin, e alakaʻi ai i ka hoʻoliʻiliʻi uterine.

Hoʻohui ʻia, ʻike ʻia kekahi mau ʻōuli ʻē aʻe, e like me ka pinepine a nui hoʻi o ka headache, nā pilikia o ka hihiʻo, ka luhi nui, ka palaho a me ka luaʻi, ʻoiai inā ke kaomi nei ka tumo i nā ʻāpana ʻē aʻe o ka lolo.

Nā ʻōuli o Macroadenoma

Ke ʻoi aku ka nui o ka tumo pituitary ma mua o 1 cm i ke anawaena i manaʻo ʻia he macroadenoma, a laila hiki iā ia ke kaomi ma nā wahi ʻē aʻe o ka lolo, e like me ke aʻalolo optic a chiasma paha, e hana ana i nā hōʻailona e like me:

• Strabismus, ʻo ia ka manawa ke hoʻoponopono pono ʻole ʻia nā maka;
• Blur a i ʻole ʻike pālua;
• Ua hoʻemi ka nānā ʻana i ke kihi, me ka nalo ʻana o ka hihi ākea;
• ʻEha poʻo poʻo;
• ʻEha a i ʻole maka o ka numbness i ka maka;
• Pōpō a maule paha.

E ʻike i nā hōʻailona ʻē aʻe o ka tumo o ka lolo i: Nā ʻōuli o ka tumo lolo.

Pehea e hōʻoia ai i ke kuhi

Hoʻokumu ʻia ke kuhi o kahi tumo i ka pituitary gland ma muli o nā ʻōuli a ke kanaka e hōʻike ai a ma o nā hoʻokolohua koko, a me nā hoʻokolohua kiʻi ʻana e like me ke kiʻi ʻana o ka resonance ʻumeʻume, a i kekahi mau hihia, noi paha ke kauka i kahi biopsy, akā ʻaʻohe mea mau. pono e hana i kēia hope loa.

ʻO nā adenoma pituitary liʻiliʻi e hana ʻole i nā hormoni nui a ʻike hewa ʻia, ke hana nei i kahi MRI a i ʻole scan compa tomography compute, ʻaʻole paha e koi ʻia kahi lapaʻau kūikawā, e koi ana i nā hoʻokolohua wale nō i kēlā me kēia 6 mau mahina a i ʻole 1 makahiki, e ʻike inā ua hoʻonui ka nui. , kaomi ʻana i nā wahi ʻē aʻe o ka lolo.

Nā kumu kūpono

ʻO nā kumu o ka tumo i ka pituitary gland ma muli o ka predisposition genetic i loaʻa i ke kanaka, ma muli o nā loli i kāna DNA ponoʻī, a ʻaʻole pinepine kēia ʻano tumo i ka ʻohana like, a ʻaʻole hoʻoilina.

ʻAʻohe kumu o ke kaiapuni i ʻike ʻia a i ʻole nā ​​mea ʻē aʻe e pili ana i ka ulu ʻana o kēia ʻano tumo, maikaʻi a maikaʻi ʻole paha, a ʻaʻohe mea i hiki i ke kanaka ke hana a loaʻa ʻole kēia tumo.

Pehea e hana ai i ka lāʻau

Hiki i ka lapaʻau ke hōʻola loa i ka pituitary tumor, pono e alakaʻi ʻia e kahi neurosurgeon a hoʻomaka pinepine me ke ʻoki ʻana e wehe i ka tumo ma o ka ihu a i ʻole kahi ʻoki o ka iwi poʻo, nona ka 80% ka manawa o ke kūleʻa. Ke nui loa ka tumo a hoʻopili i nā wahi ʻē aʻe o ka lolo, ʻoi aku ka nui o ka makaʻu o ka hōʻeha ʻana i ka ʻili o ka lolo, kahi ʻoi aku ka maikaʻi o ka hana. Kūleʻa nā pilikia i ka wā a ma hope paha o ke kaha ʻana, e like me ke kahe ʻana o ke kahe, nā maʻi a i ʻole nā ​​hopena i ka anesthesia, akā hiki iā lākou ke hana.

Eia nō naʻe, inā ʻaʻole nui loa ka tumo i ka pituitary gland, hiki i ka radiotherapy a i ʻole nā ​​hoʻoponopono hormonal, e like me Parlodel a i ʻole Sandostatin, ke hoʻohana ʻia e pale a pale i kāna ulu. Ke nui ka tumo, hiki i ke kauka ke koho e hoʻomaka i ka mālama ʻana me ka radiotherapy a i ʻole ka lāʻau e hōʻemi ai i ka nui o ka tumo, a laila wehe iā ia ma o ka ʻoki kino ʻana.

Hiki i ka nānā ʻana i ka hihia ke hana ʻia e ka neurologist a i ʻole endocrinologist me nā hoʻokolohua e pono ai e hana maʻamau e nānā i ke olakino olakino o kēlā kanaka.