Chotupa Rathke ndi thumba: zimayambitsa ndi mankhwala

thumba chotupa Rathke a - ichi ndi kudwala kwambiri ubongo. Kuwonjezeka kukula limodzi ndi psinjika za pituitary England ndi misempha chamawonedwe, amene zoipa zokhudza khalidwe la moyo. Nkhaniyi itithandiza kuyesetsa kumvetsa chimene chimachititsa patsogolo kwa maonekedwe a cysts, choti achite pamene woyamba zizindikiro zake.

ndi ntchito ya thumba Rathke n'chiyani?

Mlatho anatomical ikutuluka magawo oyambirira a mwana wosabadwayo kukula m'mimba. Kenako, ndi n'kukhala ndi gawo la kutsogolo kwa ubongo pituitary England. Mwachibadwa, thumba wathanzi akhanda Rathke ndi kwina. Mu anthu ena, izi dongosolo particles kukhala. Iwo apanga m'chipinda palokha. Malowa ali pamtunda pafupi yomweyo ya pituitary England ndi maziko zikamera ndi mapangidwe a enaake.

Features za ndondomeko pathological

Rathke ndi thumba chotupa - mtima wabwino chotupa. Mkati wodzaza ndi wosanjikiza umodzi wa epithelium, ndi kunja aphimbidwa ndi kapisozi mandala. Nkhani za chotupa ndi madzi, amangoona chikasu mtundu. Nthawi zina chinsinsi ali grayish kapena bluish kum'chitira. Malinga kugwiritsa ake, zingakhale wandiweyani kapena gelatin. Ambiri kuyerekeza nkhani za zotupa ndi mafuta injini.

Kodi zinthu zoyambitsa kudwala?

Zimayambitsa lenileni la yatsoka ndi chitukuko cha zotupa sichinayambe anakhazikitsa. Madokotala kuonetsetsa zinthu zingapo, pamaso amene kumawonjezera Mwina wa zosayembekezereka ya cysts. Njirazi ndi monga:

• kutengera za kumtundu;
• matenda tizilombo ndi mbiri ya pa;
• yotupa njira;
• hypoxia;
• kuledzera ndi pakati;
• walitsa, cheza;
• kovuta kubadwa;
• Kugwiritsa kukhudzana UV kunyezimira.

Neoplasm anapanga akadali nthawi embryonic. Madokotala amati zatsalira kuyambira ukhanda wake, dongosolo lina - ndi zapambuyo pituitary. Chotupa Rathke ndi thumba ndi endocrine England ubongo ndi chiyambi chomwecho. Choncho, madokotala amakonda kukhulupirira kuti pathological chotupa ndi pituitary adenoma akhoza kusintha mu kufanana.

ndani pa chiopsezo?

Anafotokoza m'nkhani kobadwa nako chosayenerera - chodabwitsa infrequent. Chimachititsa% 1 kokha nthawi, pakati neoplasms ena chosaopsa chikhalidwe. Koma akatswiri anali kudziwa gulu la anthu umene anthu ambiri angayambe matenda. Pamafunikanso:

1. Akazi akakula. Chizolowezi kuonjezera kukula burashi ndi maonekedwe zizindikiro zake zimawonedwa patapita zaka 40.
2. Odwala pambuyo oumitsa khosi kapena encephalitis wa etiology iliyonse.
3. Odwala amene sitiroko.
4. Ogwira woopsawo kupanga mankhwala.
5. Anthu ndi abale amene anali ndi matenda a chotupa mu ubongo.

Zikugwirizana zinthu limodzi kapena angapo mndandanda pamwamba kumasonyeza chiopsezo kukhala zotupa bwino. Anthu amenewa ayenera kusonyezedwa ndi mwapadera kuti umoyo wawo, onetsetsani pochitika Kupenda thupi.

Mawonetseredwe woyamba wa kudwala ndi

Rathke ndi thumba chotupa amakhala ndi nthawi asymptomatic. Nthawi zambiri odwala sadziwa matenda amenewa sioneka mu ubongo. kawirikawiri afufuze za izo pambuyo akukumana ndi Kujambula kapena mayeso ena njira. Zizindikiro zoyambirira neoplasms kudzaonekera pamene kuwonjezeka kukula kwake. Rathke ndi thumba chotupa chimayamba compress ndi mitsempha chamawonedwe ndi pituitary yomweyo. Chifukwa cha osauka chisokonezo pathological nawonso magazi ubongo, matenda mu nyumba amafotokoza. Komanso, n'zotheka zikamera matenda otsatirawa:

• chizungulire;
• tulo;
• kuyerekezera zinthu m'maganizo;
• kunyansidwa ndi kusanza;
• tinnitus;
• amayamba muzitha kukumbukira;
• mota kugwirizana matenda.

80% odwala ndi kudwala limodzi ndi matenda a dongosolo endocrine. Komanso, ambiri onani zikamera matenda a m'maganizo, kumasokoneza ubongo. Mlingo wa mawonetseredwe a zizindikiro matenda kwakukulukulu zimadalira kukula kwa zotupa, mphamvu kuthamanga pa mitsempha moyandikana ndi mitsempha ya magazi.

zosokonezeka Nkosatheka

Kodi zotsatira zingachititse thumba chotupa Rathke chiyani? Ngozi si yokha chotupacho, ndipo mlingo wake kukula. Choncho, pambuyo kudziwika kudwala mtima kwa kanthawi moyang'aniridwa ndi dokotala. Pa kukula wolimba limasonyeza opareshoni mwamsanga. Popeza mankhwala okwanira angakhale ndi zotsatira zosasangalatsa. Choyamba, wodwala wotaya masomphenya. Ndiye, chithunzi matenda ndi wodzilemekeza ndi mavuto maganizo thanzi ndi chiwonongeko cha pituitary England. Nthawi makamaka aakulu, chotupa alibe mu chotupa chotupa.

njira matenda

Ngati mukukayikira kuti chotupa thumba Rathke kwa wodwala mu malo oyamba ayenera kuti akakumane ndi m'thupi yemwenso. Nthawi zina pamafunika upo zina ndi matenda okhudza ubongo a. Kutsimikiza matenda ndi kudziwa kukula kwa zotupa zotsatirazi njira yodziwira ntchito:

1. MR. Njira imeneyi kafukufuku akuti ndi zowaphunzitsa kwambiri. Pa zithunzi adokotala akhoza amanena kukula kwa malo a kutanthauzira ndi makhalidwe anatomical wa cysts lapansi. deta zonse zofunikira chithandizo zina.
2. CT. Yopangidwa tomography amatilola kudziwa calcification. Pamaso pa ndondomeko kawirikawiri kumasonyeza matenda zina - craniopharyngioma.
3. Angiography ziwiya ubongo.

Kuthetsa chikhalidwe zilonda za zotupa, kungafune kupenda pa oncologist. Kawirikawiri, pali kudya puncture ndi liwunikidwenso nkhani zasayansi.

mankhwala ndiwofatsa

Kamwedwe kudwala anatsimikiza ndi dokotala. Pamlingo waukulu zimadalira m'munsichi matenda chithunzi, thanzi wodwalayo ndi kukula kwa burashi lapansi. Ngati maso podikira anasankha asymptomatic pathological ndondomeko. dokotala oyang'anira umoyo wa wodwalayo, amayankha mphamvu ubongo Kujambula. Ngati miyeso ya maphunziro ang'ono, pali zizindikiro zobisika mankhwala timadzi zakonzedwa. Kukonzekera amasankhidwa payekha.

alowererepo opaleshoni

Ndithu njira ina m'pofunika kuwonjezera kukula kwa thumba la chotupa Rathke a. Chithandizo Pankhaniyi komanso akuyamba ndi njira m'thupi. , Ntchito ya akapatsidwa ngati mankhwala likutsimikizira osamveka, wodwala akukhala poipa. Lero, mu kuchita, pali mitundu iwiri ya popanga munthu opaleshoni, omwe ali ndi makhalidwe yake.

• Chakale transfenoidalnaya ntchito. Yafupika kuchotsa chotupa cha mwa ang'ambe thupilo mu turbinate. Mabwinja thumba Rathke ndi zotheka chifukwa cha kutsekeka sphenoid. Zabwino kwambiri kuona munda opaleshoni, dokotalayo amagwiritsa ntchito maikulosikopu binocular.
• Wotchuka kwambiri akadali laparoscopic opaleshoni. Iwo ikuchitika ndi chipangizo wapadera - endoscope. Pa opaleshoni, dokotalayo mosavuta yochotsa chotupacho, popanda kuwononga mitsempha ya magazi ndi misempha pafupi pituitary lapansi. The cranium dokotala komanso wolowera ndime m'mphuno.

Pambuyo kuchotsa chotupa cha, zili zonse chofunika kuti atumizidwe kwa zasayansi. Histological Kupenda secretions kumatha chikhalidwe zilonda za matendawa. Anafotokoza pamwamba chabe njira opaleshoni lokha njira bwino kulimbana vuto limeneli m'mapaketi chotupa Rathke a. Chithandizo cha mankhwala wowerengeka ndi mosamalitsa contraindicated.

The Mapa apeze

Panthawi yake kudziwika cysts ndi kiyi kuchira mofulumira ntchito thupi. mavuto Endocrinopathy kapena masomphenya panthawi ina akhale sizingasinthe. Chinthu chachikulu - musanyalanyaze chithandizo malangizo dokotala. Odwala ambiri ndi matenda ulipo opareshoni, imene kwathunthu excised chotupa Rathke ndi thumba. Zotsatira za khalidwe oipa mu nkhani iyi ikhoza kuchepetsedwa yochepa. Mlingo zisadzachitikenso pambuyo ntchito ndi zochepa 5%.