Hypopituitarism: zizindikiro, njira ya matenda ndi mankhwala

Hypopituitarism, zizindikiro zimene sitili pa matenda okwanira akhoza kusokonezedwa ndi zizindikiro za pathologies ena aakulu, ndi matenda osowa wa pituitary England. Mu matenda, ndi pituitary yomweyo kapena umabala mahomoni osakwanira, kapena sabala chimodzi kapena zingapo mwa mahomoni koyenera kuti uziyenda zachilendo m'thupi la munthu.

Pituitary England - yaing'ono, nyemba woboola pakati England ili m'munsi mwa ubongo, kumbuyo mphuno ndi pakati makutu. Ngakhale kukula yaing'ono, iyo ili imagwira ntchito yofunika: izo akulamulira ntchito chinsinsi cha ziwalo pafupifupi onse mkati ndi ziwalo. ntchito zolimbana anachita mahomoni - chosowa iwo zingasonyeze hypopituitarism. Zizindikiro ana nthawi zambiri anawonetseredwa mu mawonekedwe a kukula kungokhala ndi kukula, akuluakulu - kuphwanya magazi ndi ntchito yobereka.

Akhoza kukhala moyo mu chiphunzitso cha matenda ngati inu kumwa mankhwala, koma zizindikiro za matenda kusungidwa pansi pa ulamuliro.

zizindikiro

Kusanthula kudwala nthawi zambiri ndi mwapang'onopang'ono chikhalidwe. Si nthawi zonse dokotala athanso oterewa "hypopituitarism": zizindikiro ana ndi akulu angathe zidzachitika mwadzidzidzi kapena kukhala pang'onopang'ono zaka zingapo. Kawirikawiri zizindikiro zoti amachita khalidwe zochepa kuti wodwalayo kwa nthawi yaitali chabe sanalabadire kuzisamalira zokwanira.

Zizindikiro za matenda ikhoza kusintha kutengera timadzi, amene adzasowe thupi chifukwa pituitary kukanika. Komanso chofunika mmene lakuthwa ndi kusowa kwa mankhwala enieni. Wodwala akhoza kuona:

• kumverera kwa kutopa;
• utachepa libido;
• kuchuluka kudziwa otsika kutentha, kuzizira;
• chilakolako imfa.

Kuwonjezera zotengeka izi zizindikiro za kudwala ndi:

• osadziŵika kuwonda;
• puffiness wa nkhope;
• magazi m'thupi;
• osabereka;
• akazi - azimva kutentha, osasamba msambo, kapena kupanda kwake obisika tsitsi imfa, kulephera kutulutsa mkaka wa m'mawere kuti kudyetsa ana akhanda;
• mwamuna - imfa ya tsitsi kukula pa nkhope kapena thupi;
• ana - kukula otsika.

Pamene kuwona dotolo

Ngati mukukayikira pa hypopituitarism, zizindikiro tatchulazi, amakonza kukambirana ndi dokotala wodziwa bwino.

Dokotala anu yomweyo ngati zizindikiro zilizonse za matendawa mwadzidzidzi kapena limodzi ndi mutu kwambiri, kusawona bwino, disorientation mu nthawi ndi malo, kapena kuchepa lakuthwa magazi. Izi si hypopituitarism - zizindikiro za chikhalidwe ichi zingasonyeze kuti pituitary England anaulula yojambula magazi (enaake owononga), napempha mwamsanga alowererepo zachipatala.

zifukwa

matenda bwino zimayamba ndi kubadwa wopunduka, koma ambiri amangoti anagula. Nthawi zambiri, hypopituitarism chifukwa cha pituitary chotupa. Monga chotupa kukhala lalikulu, izo akakufinyani ndi minofu kumawononga thupi, zoyipa pa kupanga timadzi. Komanso, chotupa akhoza compress misempha chamawonedwe, potero kupangitsa zosiyanasiyana matenda ndi kuyerekezera zinthu m'maganizo.

matenda ena, komanso zinthu zina komanso ingawononge pituitary England ndi choyambitsa hypopituitarism (zizindikiro, zithunzi ife azipereka m'nkhani ino). Zizindikiro za matenda ikhoza kusintha kutengera zinthu zimene zinayambitsa chitukuko cha kudwala. zinthu zimenezi ndi izi:

• mwakayakaya mutu;
• Brain kapena pituitary chotupa;
• ntchito opaleshoni pa ubongo;
• njira radiotherapy chithandizo;
• kutupa autoimmune (hypophysis);
• sitiroko;
• matenda opatsirana ubongo (mwachitsanzo kakhosi);
• chifuwa chachikulu;
• matenda infiltrative (sarcoidosis - kutupa ziwalo zambiri mkati, Langerhans selo histiocytosis - matenda amene maselo nthenda chifukwa amamuyambitsa timabala ziwalo zosiyanasiyana ndi ziwalo, makamaka mu mapapo, ndi mafupa; hemochromatosis - kwambiri kudzikundikira chitsulo chiwindi ndi zimakhala ena);
• chachikulu magazi imfa nthawi yobereka, amene angathe kuwononga pituitary zapambuyo (Simmonds matenda Glinski kapena postpartum pituitary necrosis);
• masinthidwe majini zomwe zinachititsa kuti kuyan'anila za ulimi wa mahomoni mu pituitary England;
• hypothalamic matenda - ubongo mpukutu, limene lili pamwamba chabe pa pituitary England - zina chifukwa hypopituitarism.

Zizindikiro (chithunzi amasonyeza ndondomeko matenda) Kodi ndi mavuto chifukwa ubongo imene imalamulira kutentha umabala mahomoni yake kuti zonse kugwira ntchito "loyandikana" England nyemba woboola pakati.

Mu zina, chiyambi cha matenda akhala osadziwika.

Pamaso pa ulendo dokotala

Sitepe yoyamba ndi kulembetsa dokotala kufunsa dokotala. Ngati ndi kotheka, izo kufika ku katswiri pa matenda m'thupi - ndi m'thupi yemwenso.

• Tikupeza pasadakhale ngati mukufuna kutsatira lamulo lililonse kuonetsetsa olondola mayesero matenda.
• Lembani mwatsatanetsatane zizindikiro matenda onse kuti usunge kunyumba. Ngati mukukayikira hypopituitarism, zizindikiro za matenda, pa koyamba zifukwa kwa pituitary kukanika, ayeneranso m'gulu mndandanda.
• mu kulemba kukonza deta kiyi munthu, kuphatikizapo kusintha zikuluzikulu mu moyo kapena kwambiri amasintha luso lanu la kusamalira nkhawa.
• Lembani mfundo zofunika mankhwala, kuphatikizapo opaleshoni posachedwapa, maudindo zonse amatenga mankhwala ndi matenda aakulu. Madokotala ndikufuna kudziwa ngati inu anasamutsidwa ndi choipa posachedwapa mutu.
• Bweretsani wachibale kapena mnzanu amene osati kukhala wokonzeka kupereka thandizo makhalidwe abwino, koma kukuthandizani kukumbukira malangizo onse a katswiri.
• Lembani mafunso mukufuna kufunsa dokotala.

mafunso m'thupi yemwenso

Iwo m'pofunika kuti aonetse mndandanda wa chidwi kwambiri mafunso anu kufika pa upo si kuiwala mfundo zofunika. Ngati mukufuna hypopituitarism (zizindikiro ndi mankhwala matenda mukufuna), monga mu mndandanda wanu mafunso otsatirawa:

• Kodi chimayambitsa zizindikiro chisokonezo ndi boma wanga?
• Kodi n'zotheka kuti zizindikiro za matenda chifukwa cha wina?
• Kodi muyenera pochitika kumupima?
• Kodi vuto langa zosakhalitsa kapena okhalitsa?
• Kodi mankhwala mukupangira chiyani?
• yaitali Kodi muyenera kutenga mankhwala osavomerezeka?
• Kodi inu kuwunika mphamvu ya mankhwala?
• Ndili ndi matenda aakulu. Kodi kuonetsetsa chithandizo munthawi yomweyo matenda onse?
• Kodi ndiyenera kutsatira malamulo alionse?
• Kodi pali analogues Kwalamulidwa inu mankhwala?
• Ndikufuna kuti mudziwe zambiri za zimene hypopituitarism. Zizindikiro ndi matenda ali bwino; katundu za njira zosiyanasiyana inu mukuti chiyani?

Kodi funsani mafunso ngati pa upo mukufuna kuwadziwa katswiri yeniyeni.

Zomwe adokotala anena

M'thupi yemwenso, nawonso, adzakhala ndikufunseni inu mafunso angapo yake. Pakati pawo, osalephera, adzakhala zotsatirazi:

• N'chifukwa chiyani mukuganiza kuti muli hypopituitarism?
• Zizindikiro ndi zimayambitsa matenda amene inu nokha, amagwirizana ndi malongosoledwe a matenda mabuku ya zipatala?
• Kodi pali zizindikiro za kudwala papita nthawi?
• Kodi inu munazindikira kuwonongeka aliyense pophunzitsa?
• Kodi mumavutika ndi mutu kwambiri?
• Kodi khalidwe lanu? Mwina wonenepa kapena tapeza kuchepa mu buku la tsitsi pa thupi?
• Kodi chidwi kugonana? Kodi mkombero wanu kusamba anasintha?
• Kaya mukupita pa chithandizo mphindi? Kapena, mwinamwake, anadutsa mankhwala m'mbuyomu posachedwapa? Kodi matenda akhala matenda?
• Kodi posachedwapa anabereka mwana?
• Mwalandira posachedwapa ndi choipa mutu? Kodi mankhwala neurosurgical anali pansi?
• Oterewa ngati achibale anu pafupi pituitary matenda kapena matenda m'thupi?
• Kodi mukuganiza, zimathandiza kuthetsa zizindikiro?
• Nanga maganizo anu, kumathandiza kuti akuchuluka zizindikiro?

diagnostics

Kaya dokotala athanso amaganiziridwa hypopituitarism? Zizindikiro ndi amachititsa boma lanu salimbikitsa kukankha ena katswiri ananenera, matenda ichi poyamba, kuti atsimikizire kuti mukufuna mayeso angapo kudziwa kuchuluka kwa timadzi osiyanasiyana m'thupi. Chifukwa wakhala ngati matenda atha kutumikira ngati choipa posachedwapa mutu kapena njira wathunthu wa radiotherapy - pazifukwa zimenezi angathe ndithu kuyambitsa chitukuko cha matenda.

chiwerengero cha mayesero muyezo matenda monga:

• MAGAZI. Ndi mayesero zosavuta kungathandize kudziwa akusowa mahomoni, amene anauka chifukwa cha pituitary kukanika. Mwachitsanzo, MAGAZI Tingaone pa milingo m'munsi mahomoni opangidwa ndi mabele England, adrenal kotekisi, kapena kumaliseche, - chosowa zinthu zimenezi amaganizira mkhutu ntchito kwa pituitary England.
• Kukondoweza kapena mayesero zazikulu. Ngakhale kuti katswiri ndi kovuta kuzindikira hypopituitarism; zizindikiro za mwana pa onse akhale ofanana ndi zizindikiro zosiyanasiyana matenda chibadwa. Kupeza zotsatira zolondola matenda a dokotala nthawi zambiri amanena kuti katswiri chipatala maphunziro endocrinological, pamene inu kutenga woyamba kupereka mankhwala abwino kupangidwa mahomoni, ndiyeno fufuzani kuti muone bwino buku la katulutsidwe.
• ubongo kulingalira kuphunzira. Maginito kumveka kulingalira (Kujambula) ubongo angazindikire chotupa wa pituitary ndi kuvutika ena structural.
• mayeso diso. mayesero Special kuona ngati pituitary chotupa kukula mphamvu pa luso lotha kapena view.

chithandizo

Hypopituitarism, zizindikiro zimene zikukambidwa ndipo tafotokozazi, ndi pafupifupi nthawi zonse chifukwa osati matenda osiyana. Chithandizo cha zimayambitsa ake, nthawi zambiri kumatha onse a zizindikiro za matenda m'thupi kugwirizana ndi kukanika kwa pituitary England. Ngati koyamba matenda mankhwala pazifukwa zina kunapezeka kuti n'zosatheka osamveka, asonyezedwa mankhwala m'thupi kwa hypopituitarism. Pa mavuto ofanana pa thupi si chithandizo kwambiri monga m'malo a zinthu akusowa. Mlingo ayenera mankhwala yekha m'thupi yemwenso kwambiri waluso, popeza mopitirira anthu paokhapaokha wowirikiza mosamalitsa mahomoni anthu ndi zedi imene iwo anapereka thupi wathanzi. M'malo mankhwala odalirika.

Ngati chotupa cha wachititsa hypopituitarism, zizindikiro, mankhwala ndi wotsatira konzanso mankhwala kudzadalira chikhalidwe structural ya zotupa za. Childs Kwalamulidwa opaleshoni kuti achotse selo nthenda. Nthawi zina, cheza mankhwala.

kukonzekera

Medicaments substituents akhoza umaimiridwa ndi mankhwala zotsatirazi:

• Corticosteroids. Mankhwalawa (zitsanzo ikhale hydrocortisone ndi prednisolone) mahomoni mmalo m'chigawo yachibadwa opangidwa ndi kotekisi adrenal. Iwo N'zosatheka chifukwa chakuchepa adrenocorticotropic. Corticosteroids anatengedwa pakamwa.
• "Levothyroxine" ( "LeVox" neri Al.). Mankhwala m'malo mabele timadzi matenda a AIDS.
• Kugonana mahomoni. Monga ulamuliro, kwa amuna ndi testosterone kuti akazi - esitirojeni kapena osakaniza esitirojeni ndi progesterone. Ngati mukuganiza kuti muli hypopituitarism, zizindikiro, ndi kupewa matenda a pituitary England zikhoza kukhala zofanana ndi zizindikiro ndi njira zopewera matenda okhudzana ndi mahomoni kugonana. Ngati chosayenerera amawapeza dokotala, m'malo mankhwala chosowacho timadzi ntchito m'njira yeniyeni: gel kapena testosterone jakisoni amuna ndi miyala, angakhale angelo kapena yamawangamawanga - akazi.
• Growth timadzi. thunthu amatchedwa sayansi mankhwala somatropin ndi matenda endocrine, alowa m'thupi kudzera jekeseni subcutaneous. Growth timadzi zimathandiza thupi kukula, kuonetsetsa kukula yachibadwa ana. Akulu akulu imfa yoopsa jekeseni, bwino chikhalidwe onse wodwala, koma kukula yachibadwa sati limzake.

zowunika

The m'thupi yemwenso liyang'anire milingo wanu mahomoni m'magazi, kuonetsetsa ndi chokwanira, koma osati kwambiri kuchuluka kwa zinthu zofunika kwambiri.

Mungafunike kusintha mlingo wa corticosteroids, ngati inu muli kudwala kapena adzavutika maganizo kwambiri thupi. Panthawi zimenezi, thupi limapanga zina timadzi tochepa. Kusintha mlingo ukafunidwe milandu aja, pamene inu chimfine, mudzakhala akudwala m'mimba kapena kusanza, kapena adzavutika opaleshoni kapena mano chithandizo. odwala ambiri zotchulidwa nthawi CT kapena Kujambula.