Hypopituitarism: cututtuka, hanyoyin da bincike da kuma magance

Hypopituitarism, bayyanar cututtuka na wanda in babu isasshen ganewar asali za a iya rikita batun tare da bayyanar cututtuka na sauran tsanani pathologies, shi ne mai rare cuta daga cikin pituitary gland shine yake. A wannan cuta, da pituitary gland shine yake ko dai samar kasa hormones, ko ba samar da daya ko fiye na hormones zama dole ga al'ada aiki na jikin mutum.

Pituitary gland shine yake - a kananan, wake-dimbin yawa gland shine yake located a tushe na kwakwalwa, bayan da hanci da kuma tsakanin kunnuwa. Duk da kananan size, wannan gland shine yake aikin wani m aiki: shi iko da aiki na asirin kusan duk kayan ciki da sassan jiki. Kullum ayyuka yi hormones - da rashin su iya nuna hypopituitarism. Alamun a yara sukan bayyana a cikin nau'i na tsumburai girma da kuma ta jiki ci gaba, a cikin manya - a take hakkin jini da kuma haihuwa aiki.

Iya samun rayuwa a cikin halitta da irin wannan ganewar asali ku sha kwayoyi, amma alamu da cutar za a iya sa a karkashin iko.

cututtuka

Bincikar Pathology a mafi yawan lokuta shi ne m, a yanayi. An ba ko da yaushe likita zai iya nan da nan gane asali "hypopituitarism": da cututtuka a yara da kuma manya iya duka biyu faruwa ba zato ba tsammani ko ci gaba sannu a hankali a kan shekaru da dama. Sau da yawa ãyõyin lalacewa, kuma ya aikata haka kadan hali cewa haƙuri ga wani dogon lokaci kawai ba biya su isa hankali.

Alamun cutar bambanta dangane da hormone, wanda rasa jiki saboda pituitary tabarbarewa. Bugu da kari, shi da zance yadda kaifi ne rashin wani takamaiman abu. A haƙuri iya samun:

• ji na kullum gajiya.
• rage libido.
• ƙara ji na ƙwarai to low yanayin zafi, sanyi.
• ci hasara.

Bugu da kari a wadannan majiyai da ãyõyin Pathology ne:

• unexplained nauyi asara.
• puffiness na fuska.
• anemia.
• rashin haihuwa.
• mata - zafi filasha, sababbu haila, ko rashin daga gare ta, pubic gashi hasara, rashin iyawa, don samar da nono da ciyar da jariri da jariran.
• namiji - asarar gashi girma a kan fuska ko jiki.
• da yara - low girma.

Lokacin da ganin likita

Idan ka zargin a hypopituitarism, da cututtuka da aka jera a sama, tsara wani shawara tare da wani m sana'a.

Shawarci afaretanka likita nan da nan idan wani alamun cutar bayyana kwatsam, kõ kuwa suna tare da tsanani da ciwon kai, Heart hangen nesa, disorientation a lokacin da sarari, ko da wani kaifi dakushe jini. Wannan ba hypopituitarism - bayyanar cututtuka da wannan yanayi zai iya nuna cewa da pituitary gland shine yake saukar nasara zub da jini (apoplexy), bukata da gaggawa likita shiga tsakani.

dalilai

Wannan cuta za a iya lalacewa ta hanyar haihuwa lahani, amma shi ne aka fi saya. A mafi yawan lokuta, hypopituitarism lalacewa ta hanyar wani pituitary ƙari. Kamar yadda ƙari zama manyan, shi matse da kuma diyya jiki nama, da ciwon wani mummunan sakamako a kan hormone samar. Bugu da kari, da ciwon daji na iya damfara da na gani jijiyoyi, game da shi, haddasa wata iri-iri na cuta, kuma hallucinations.

Sauran cututtuka, kazalika da wani yanayi ma zai iya lalata pituitary gland shine yake da jawo hypopituitarism (cututtuka, photos da muka gabatar a wannan labarin). Alamun cutar bambanta dangane da abubuwan da jawo ci gaban Pathology. Wadannan dalilai sun hada da:

• shugaban rauni.
• Brain ko pituitary ƙari.
• m aiki a kan kwakwalwa.
• radiotherapy magani hanyoyin.
• autoimmune kumburi (hypophysis).
• bugun jini.
• dauke da kwayar cutar kwakwalwa cututtuka (msl meningitis).
• da tarin fuka.
• infiltrative cuta (sarcoidosis - wani kumburi a dama ciki gabobin, histiocytosis Langerhans Kwayoyin - a cuta a cikin abin da mahaukaci Kwayoyin sa scarring a daban-daban gabobin da kuma sassa na jiki, yafi a cikin huhu da kuma kasusuwa. hemochromatosis - wuce kima jari na baƙin ƙarfe a cikin hanta da kuma sauran kyallen takarda).
• manyan jini asara a lokacin isarwa, wanda zai iya lalata agara pituitary (Simmonds cuta-Glinski ko zubar pituitary necrosis).
• kwayoyin maye gurbi da ya kai ga keta samar da hormones a cikin pituitary gland shine yake.
• hypothalamic cuta - kwakwalwa guntu, wanda aka located kawai sama da pituitary gland shine yake - kuma iya sa hypopituitarism.

Alamun (photo nuna da cutar tsari) bayyana saboda hypothalamus samar da kansa ba ji ba gani cewa tsara aiki na "makwabtaka" wake-dimbin yawa gland shine yake.

A wasu lokuta, da Farawa da cutar zauna ba a sani ba.

Kafin wannan ziyara ga likita

A mataki na farko ne zuwa shiga da a shawarar likita da likita. Idan dole, shi zai tura ka zuwa wani gwani a hormonal cuta - da endocrinologist.

• Gano a gaba ko kana bukatar ka bi da wani da ake bukata don tabbatar da daidaito da bincike gwaje-gwaje.
• Make wani cikakken jerin duk cuta cututtuka da ka kalla a gida. Idan ka zargin hypopituitarism, bayyanar cututtuka da cutar, a duban farko da alaqa da pituitary tabarbarewa, ya kamata kuma a hada a cikin wannan jerin.
• a rubuce gyara a key bayanan sirri, ciki har da manyan sikelin-canje-canje a cikin rayuwar ko gagarumin canza your ikon rike danniya.
• Record asali likita bayanai, ciki har da 'yan tiyata, lakabi a kai a kai daukan kwayoyi da kuma kullum cututtuka. Likita zai ma so ka san idan kana canjawa wuri zuwa wani sabo shugaban rauni.
• Ka zo da wani iyali, ko aboki wanda zai ba kawai zama son bayar da taimako, amma kuma taimake ku tuna da dukan shawarwari na gwani.
• Make jerin tambayoyi kana so ka tambayi likita.

tambayoyi endocrinologist

A bu mai kyau don yin jerin mafi ban sha'awa ga tambayoyi a gaba zuwa lokacin da shawara ba to rasa wurin da muhimmanci bayani. Idan ka na da damuwa hypopituitarism (cututtuka da jiyya ga cututtuka da kake sha'awar), hada a cikin jerin wadannan tambayoyi:

• Abin da ya haddasa da cuta cututtuka da kuma na yanzu a jihar?
• Shin zai yiwu a ãyõyin cuta lalacewa ta hanyar wani?
• Abin da kuke bukatar wuce jarrabawa?
• Shin na yanayin wucin gadi ko na kullum?
• Abin lura kada ku bayar da shawarar?
• Har yaushe ne kuke bukatar dauki shawarar magunguna?
• Ta yaya za ka saka idanu da tasiri na far?
• Ina da kullum da rashin lafiya. Yadda za a tabbatar da lokaci daya lura da duk cuta?
• Sai na bi da duk hane-hane?
• Akwai analogues wajabta muku kwayoyi?
• Ina son don samun ƙarin bayani game da abin da yake hypopituitarism. Alamun da ganewar asali ne bayyananne. abin da kayan game da daban-daban hanyoyin kwantar da hankali, za ku iya shawara?

Kada ku yi shakka a tambaye sauran tambayoyi, idan a lokacin da shawara kana so ka san wani abu na musamman gwani.

Abin da likita ya ce

Endocrinologist, bi da bi, za su tambaye ka wani adadin na da kansa tambayoyi. Daga gare su, mafi m, zai kasance da wadannan:

• Me kuke tunani kana da hypopituitarism?
• Alamun da Sanadin cutar da ka sami kanka, yarda da bayanin irin cuta a cikin likita adabi?
• Shin akwai wani alamu na Pathology canza da lokaci?
• Kada ka lura da wani na gani hanawa?
• Kada ka sha wahala daga tsananin ciwon kai?
• Shin, ba ka canja bayyanar? Wata ila ka rasa nauyi ko sun sami wani karu a cikin juz'i na gashi a jiki?
• Shin, ba ka rasa sha'awa cikin jima'i? An your hailar sake zagayowar canza?
• Ko kana faruwa a wannan lokacin da magani? Ko, watakila, haƙĩƙa, sun shige far a kwanan nan baya? Abin da cututtuka da aka kamu?
• Shin, ba ka kwanan nan ta haifi wani yaro?
• Shin, ka karbi jimawa ji rauni a kansa? Shin neurosurgical magani an hõre?
• Gane asali ko ka kusantar dangi pituitary cuta ko hormonal cuta?
• Me kuke tunani, yana taimaka don ya rage bayyanar cututtuka?
• Abin da, a cikin ra'ayi, na taimaka wa worsening da cututtuka?

bincikowa da

Ko likita zai iya nan da nan da ake zargi da hypopituitarism? Alamun kuma Yanã your m jihar tura wasu kwararrun sa shi, wannan na farko ganewar asali, don tabbatar da cewa kana so ka wuce da dama gwaje-gwaje domin sanin matakan daban-daban hormones a cikin jiki. Dalilin kafa irin wannan ganewar asali iya zama a matsayin 'yan shugaban rauni ko cikakken hanya na radiotherapy - wadannan matsalolin na daban ne quite iya zuwa kai ga ci gaban da cutar.

Yawan misali bincike gwaje-gwaje sun hada da:

• Jini gwaje-gwaje. In mun gwada sauki gwaje-gwaje iya gane rashi na wasu hormones, wanda ya tashi a sakamakon pituitary tabarbarewa. Alal misali, jini gwaje-gwaje za a iya gani a kan ƙananan matakan hormones samar da thyroid gland shine yake, adrenal bawo, ko al'aurar, - da rashin wadannan abubuwa ne sau da yawa hade tare da mai illa aiki na pituitary gland shine yake.
• Ruri, ko tsauri gwaje-gwaje. Ko da gwani yana da wuya a gane hypopituitarism. bayyanar cututtuka na yaro a duk iya zama kama da cututtuka da dama na kwayoyin cuta. Don samun cikakken bincike da sakamakon, likita zai fi yiwuwa miƙa ka zuwa wani gwani asibitin endocrinological karatu, inda za ka dauki farko tayin hadari kwayoyi zuwa ta samar da hormones, sa'an nan kuma duba zuwa ga yadda da karin girma na mugunya.
• kwakwalwa Dabarar binciken. Magnetic rawa Dabarar (MRI) na kwakwalwa iya gane wani ƙari da pituitary da sauran tsarin munanan.
• Eye jarrabawa. Special gwaje-gwaje na ƙayyade ko da pituitary ƙari girma sakamako a kan ikon ganin ko view.

magani

Hypopituitarism, da cututtuka gabatar da aka bayyana a sama, shi ne kusan ko da yaushe wani sakamako maimakon jinsin cutar. Jiyya ta tushen haddasawa, a mafi yawan lokuta, gusar da duk na bayyanar cututtuka na hormonal cuta dangantawa da tabarbarewa na pituitary gland shine yake. Idan da farko rashin lafiya far saboda wasu dalilai juya ta zama ba zai yiwu ba, ko m, ana bi da tare da hormonal far ga hypopituitarism. Bayan kama effects a jiki ba sosai magani kamar yadda sauyawa daga m abubuwa. Dosages kamata rubũta kawai sosai gwani endocrinologist, tun suna lasafta a kan wani mutum-akai da kuma reimbursed tsananin wadanda hormones kuma a yawa a cikin su wadda aka gabatar a cikin lafiya jiki. Sauyawa far iya šauki a rayuwa.

Idan ƙari ya sa hypopituitarism, cututtuka, magani da kuma m fi far zai dogara ne a kan tsarin yanayi da siffofin maruran. Yawanci wajabta tiyata don cire mahaukaci cell. A wasu lokuta, radiation far.

shirye-shirye

Medicaments substituents iya wakilta da wadannan magunguna:

• Corticosteroids. Wadannan kwayoyi (misalai na iya zama a matsayin hydrocortisone da prednisolone) sauya hormones a cikin al'ada jihar samar da adrenal bawo. Ba su ishe saboda adrenocorticotropic rashi. Corticosteroids dauka baki.
• "Levothyroxine" ( "LeVox" et al.). Da miyagun ƙwayoyi sauya thyroid hormone a cikin dacewa cuta.
• Sex ji ba gani. Kamar yadda mai mulkin, ga mutãne ne testosterone ga mata - estrogen ko hade estrogen da progesterone. Idan ka yi tunanin kana da hypopituitarism, cututtuka, da kuma rigakafin cuta na pituitary gland shine yake iya zama kama da cututtuka da kuma hanyoyin da rigakafin da cuta alaka jima'i ji ba gani. Idan abnormality aka yi fama da likita, don maye gurbin samarwar hormone kwayoyi amfani a takamaiman siffofin: gel ko testosterone injections ga maza da Allunan, mala'iku ko faci - na mata.
• Girmancin hormone. The abu ne ake kira a kiwon lafiya kimiyya somatropin da endocrine cuta, shiga jiki ta hanyar da subcutaneous allura. Girmancin hormone damar jiki don girma, tabbatar al'ada girma a yara. Manya kuma sanya vicarious allura, inganta general yanayin haƙuri, amma al'ada girma ba za a mayar.

monitoring

A endocrinologist zai saka idanu your matakan hormones a cikin jini, don tabbatar da wani isasshen, amma ba ya wuce kima adadin m abubuwa.

Za ka iya bukatar daidaita kashi na corticosteroids, idan kun kasance tsanani da rashin lafiya, ko zai sha wahala da tsanani jiki danniya. A irin wannan sau, jiki samar da wani karin hormone cortisol. Canza sashi iya da ake bukata a kuma waɗannan lokuta, idan ka kama wani sanyi, ba za ka sha wahala daga zawo ko amai, ko zai sha wahala tiyata ko hakori magani. Mutane da yawa marasa lafiya wajabta lokaci-lokaci CT ko MRI.