Mutu wambiri, ngakhale wopweteketsa komanso wosokoneza miyoyo yathu, sichizindikiro cha matenda aakulu kwambiri. Komabe, mwachilendo, mutu wanu ukhoza kukhala chizindikiro choyamba kuti chinachake chowopsa chikuchitika m'thupi. Chotupitsa chotupa ndizochitika chimodzi chokha koma chowopsya chomwe chimayambitsa matenda aakulu, mwadzidzidzi.
Zomwe Zimakhalira Pachikhalidwe
Mbali ya "matenda" imeneyi imatanthawuza chithokomiro, chiwalo chomwe chimakhala pansi pa ubongo. Mtundu uwu umatchulidwa kuti master gland chifukwa umatulutsa mahomoni ambiri m'thupi. Kuphatikizidwa pansipa ndi mndandanda wa mahomoni opangidwa ndi gland:
- Homoni (stimulating hormone) ("TSH") : Imayambitsa khungu la chithokomiro- yosungidwa mu khosi-kutulutsa mahomoni, omwe amachititsa momwe thupi limapangidwira ndi kugwiritsa ntchito mphamvu.
- Adrenocorticotropic hormone ("ACTH") : Imayambitsa zida za adrenal -ziika pamwamba pa impso-kutulutsa hormone cortisol, yomwe imalamulira mmene thupi limayendera shuga ndi nkhawa.
- Luteinizing Hormone / Follicle-stimulating Hormone : Imayambitsa mazira m'mimba mwazimayi kuti amasulire estrogen ndi progesterone komanso mitsempha yamwamuna kuti ikamasule testosterone .
- Prolactin : Kumalimbikitsa kupanga mkaka mwazimayi odyetsa.
- Kukula kwa Hormone : Kumayendetsa kukula kwa msinkhu ndi minofu / mafuta.
Chikumbumtima Chokhalira Poplexy
Pituitary apoplexy, amatha kutuluka m'magazi kapena kutayika magazi. Ambiri, koma osati onse odwala pituitary apoplexy, wodwalayo ali kale ndi chotupa chopuma. Chotupa chimakula pamtunda ndipo nthawi zambiri chimatulutsa kutulutsa mahomoni ena, makamaka ngati chotupacho ndi chachikulu.
Koma nthawi zina munthu sakudziwa kuti ali ndi chotupa mpaka apoplexy kapena magazi m'matumbo amapezeka.
Zimayambitsa
Malingana ndi kafukufuku wina wa 2001 ku Emory University School of Medicine m'magazini ya Journal of Neurology, Neurosurgery, ndi Psychiatry , zomwe zimapangitsa munthu kukhala ndi mwayi wopanga pituitary apoplexy ndi awa:
- kusokonezeka
- mimba
- matenda aakulu monga matenda a mtima
- matenda aakulu
Zizindikiro
Munthu yemwe ali ndi chifuwa chokhala ndi chifuwa chimakhala ndi modzidzimutsa, mutu waukulu kutsogolo kwa mutu komanso / kapena kumbuyo kwa maso kapena maso. Munthu angakhalenso ndi zofooka za hormone kuchokera ku chifuwa chochokera m'magazi, chomwe chimakhudza luso la pituitary lotha kumasula mahomoni. Mwachitsanzo, munthu amene ali ndi pituitary apoplexy akhoza kukhala ndi mphamvu ya magazi yochepa komanso shuga wotsika kwambiri ku ACTH.
Zizindikilo zina za chifuwa chokhala ndi phokoso chophatikizapo phokoso zingakhale monga:
- Kusuta / kusanza
- Masomphenya amasintha
- Fever
- Khosi lamtundu
- Kusokonezeka
Kuzindikira ndi Chithandizo
Chotupitsa chithandizo chachipatala ndi chithandizo chamankhwala ndipo chimafuna kujambula zithunzi ndi CT kapena MRI ya ubongo. Ikhoza kufanana ndi matenda ena omwe atchulidwa pansipa, choncho ndi kofunika kupeza kafukufuku wokwanira ndi dokotala wa chipatala. Zitsanzo za matenda ena aakulu omwe angayambitse matenda aakulu, mwadzidzidzi ngati ofanana ndi chotupitsa chotupa apoplexy ndi awa:
- Kuchuluka kwa Madzi
- Matenda a mitsempha ya ubongo
- Maningitis / Encephalitis
- Empergency Emergency
- Cervical Artery Dissection
Munthu akapezeka kuti ali ndi chifuwa cha apoplexy, nthawi zambiri amapatsidwa madzi ndi steroid kudzera mu mitsempha, makamaka ngati kusowa kwa ACTH kukudandaula. Ndiye munthu adzayang'anitsitsa kwambiri kuchipatala chifukwa cha masomphenya, maso, kapena kusintha kwa mahomoni. Nthawi zina opaleshoni ya ubongo imafunika kuti thupi likhale lokhazikika komanso / kapena kuchotsa chotupacho.
Kuwongolera kwa nthawi yayitali n'kofunika kwa anthu omwe ali ndi chifuwa cha aporoxy. Munthu nthawi zambiri ayenera kuwona katswiri wa mapulogalamu a m'maganizo ndi olemba mapuloteni kuti apitirize kujambula zithunzi za MRI za mankhwala a pituitary ndi mayesero a magazi a nthawi zonse.
Pansi
Ngakhale kuti matendawa ndi osowa ndipo ambiri amatha kupwetekedwa mutu, ndikofunika kuti muzindikire machitidwe a mutu, zoyambitsa, ndi zina. Ngati mutu wanu uli ndi zizindikiro zowonetsera, ndizofunika kuti mupeze chithandizo nthawi yomweyo.
Zotsatira:
Agostoni E, Rigamonti A. Mutu wopweteka. Neurol Sci . 2008; 29: S107-9.
Mphepete V, Newman N, Ovesiku N. Zokonzekera mu pituitary apoplexy. J Neurol Neurosurg Psychiatry . 2001; 71 (4): 542-5.
Nawar RN, AbdelMannan D, Selman WR, Arafah BM. Chotupa chokhala ndi phokoso chotsutsa: ndemanga. J Kusamalitsa Kwambiri . 2008; 23 (2): 75-90.
Ranabir S, Baruah MP. Pituitary apoplexy. Indian J Endocrinol Metab . 2011; 15 Suppl 3: 188-96.
Welt CK. Pulogalamu ya hypothalamic-pituitary. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.