Ininzi intloko, ngelixa zibuhlungu kwaye ziphazamisekile ebomini bethu, azibonakalisi kwimeko yokwelapha. Kwiimeko ezingavamile, nokuba kunjalo, intloko yakho ingaba ngumqondiso wokuqala wokuba into enobungozi eqhubekayo emzimbeni. I-tumor tumor apoplexy ngumzekelo omnye wesimo esingabonakaliyo kodwa esinobungozi obunobomi obangela i-headache ephazamisayo.
Basics Pituitary
I-"pituitary" inxalenye yale meko ibhekisela kwisigcawu, i-organ ehlala kwisiseko sobuchopho. Le gland isoloko ibizwa ngokuba yinkosi ngenxa yokuba ikhupha inani lama hormone emzimbeni. Ingqungquthela engezantsi uluhlu lweemodemoni ezenziwe yintsimbi ye-pituitary:
- I-hormone evuselela i-Thyroid ("TSH") : Ikhuthaza intsimbi ye - thyroid- ifakwe entanyeni-ukukhulula i-hormone, elawula indlela umzimba owenza ngayo kwaye isebenzise amandla.
- I-adrenocorticotropic hormone ("ACTH") : Inyuse i-adrenal glands-ihlanganiswe phezulu kweentso-ukukhulula i-hormone cortisol, elawula indlela umzimba ulawula ngayo izinga lokushukela kunye noxinzelelo.
- I-Luteinizing iHormone / I-Follicle-Inyusa iHormone : Inyusela i-ovari kwi-femini ukukhulula i-estrogen kunye ne-progesterone kunye namathambo kumntu ukukhulula i- testosterone .
- Iprolactin : Ikhuthaza ukuveliswa kwebisi kumabhinqa ahlambisayo.
- Ukukhula kweHormone : Ilawula ukukhula kunye ne-muscle / fat balance.
I-Pituitary Tumor Apoplexy
Kwi-pituitary apoplexy, kukho ukuphuma kwegazi kwi-pituitary gland okanye ukulahleka kwegazi kwi-gland. Eninzi, kodwa kungekhona onke amacala e-pituitary apoplexy, isigulane esele sine-tumor. I-tumor iyakhula ngaphezu kwe-gland kwaye iphinda ivimbele ukukhululwa kwamahomoni athile, ngakumbi ukuba i-tumor ikhulu.
Kodwa ngamanye amaxesha umntu akayazi ukuba unesisu kuze kube yilapho i-apoplexy okanye i-bleeding in gland ivela.
Izizathu
Ngokomsebenzi we-2001 ku-Emory University School of Medicine kwi- Journal of Neurology, i-Neurosurgery, kunye ne-Psychiatry , izinto ezandisa amathuba omntu wokuphuhlisa i-pituitary apoplexy ziquka:
- ngxakini
- khulelwa
- ugula olubi njengentliziyo yesifo
- usuleleko olukhulu
Iimpawu
Umntu onesifo somzimba we-tumor apoplexy ngokuqhelekileyo unokuqala ngokukhawuleza, enentloko ekhanda phambi kwentloko kunye / okanye emva kwesibini okanye zombini amehlo. Umntu unokuthi abe ne-hormone ukusilela kwi-tumor ephaphayo, echaphazela ukukhupha i-pituitary's ability to release hormones. Ngokomzekelo, umntu onobuncwane be-pituitary angaba nomxhesho ophantsi wegazi kunye noshukela ophantsi wegazi ukusuka ku-ACTH.
Ezinye iimpawu ze-tumor tumor apoplexy zingaquka:
- Isihlunu / ukuhlanza
- Umbono utshintsha
- Fever
- Intamo yentsimbi
- Ukudideka
Ukuxilongwa kunye noTyango
I-tumor tumor apoplexy yingozi yonyango kwaye idinga ukucinga ngokukhawuleza nge-CT scan okanye i-MRI yengqondo. Ingakwazi ukufana nezinye iimeko zonyango ezidweliswe ngezantsi, ngoko kubalulekile ukufumana uvavanyo olusisigxina ngugqirha wegumbi loxakeka. Imizekelo yezinye iziganeko ezinzulu zonyango ezinokubangela ukuba i-headache ekhutheleyo, ngokukhawuleza efana ne-pituitary tumor apoplexy iquka:
- Imihla yokumisa imitha
- I-cerebral venous thrombosis
- I-Meningitis / Encephalitis
- Uxinzelelo olusenyongweni
- I-Artery Arter Dissection
Xa umntu sele efumene ukuba unesifo se-tumor apoplexy, uya kufakwa i-fluid kunye ne-steroid ngokusebenzisa umgubo, ngakumbi ukuba ukulahleka kwe-ACTH kukhankanywa. Emva koko umntu uya kujongwa ngokuthe ngqo kwisibhedlele nayiphi na imbono, i-neurological, okanye i-hormone utshintsho. Ngamanye amaxesha ukuhlinzwa kwengqondo kuyadingeka ukuzinzisa ukuphaphaza kunye / okanye ukususa i-tumor.
Ukulandelelana kwexesha elide kubalulekile kubantu abane-tumor tumor apoplexy. Umntu uya kufuneka ukuba afune ukubona i-neurosurgeon kunye ne-endocrinologist yokuphinda imifanekiso ye-MRI ye-pituitary gland kunye neemvavanyo zegazi ze-hormone eziqhelekileyo.
Okukwintsusa
Nangona le meko ingabonakali kwaye ininzi yesifo ayinaso isizathu esibuhlungu, kubalulekile ukuba uqaphele iipatheni zentloko, iziphumo, kunye nekhosi. Ukuba intloko yakho ineempawu zokwazisa, kubalulekile ukufuna unyango ngokukhawuleza.
Imithombo:
Agostoni E, Rigamonti A. Iintloko eziyingozi. Neurol Sci . 2008; 29: S107-9.
I-Biousse V, uNewman N, Ovesiku N. Izizathu zokunciphisa kwi-pituitary apoplexy. J Neurol Neurosurg Psychiatry . 2001; 71 (4): 542-5.
UNawar RN, u-AbdelMannan D, uSelman WR, uArafah BM. I-tumor tumor apoplexy: ukuhlaziywa. J Intensive Care Med . 2008; 23 (2): 75-90.
Ranabir S, MP MP. Pituitary apoplexy. Indian J Endocrinol Metab . Ngo-2011; I-Suppl 3: 188-96.
Welt CK. I-hypothalamic-pituitary axis. Ku: U-UpToDate, iBasow DS (Ed), UpToDate, Waltham, MA, 2013.