Kazhinji misoro, apo inorwadza uye inokanganisa kumararamiro edu, haisi kuratidza kwehutano hwakanyanya hutano. Mune mamiriro asina kujairika, kunyange zvakadaro, musoro wako unogona kuva chiratidzo chekutanga kuti chimwe chinhu chinotyisa chiri kuitika mumuviri. Pituitary tumor apoplexy ndeimwe muenzaniso wechinhu chisingawanzi asi chinogona kutyisa upenyu chinokonzera kusuruvara, kamwe-kamwe musoro.
Pituitary Basics
Iyo "chikamu" chikamu chechimiro ichi chinoreva chirwere chepituitary, nhengo inogara pasi peuropi. Iyi gland inowanzonzi tenzi gland nokuti inobudisa mahomoni akawanda mumuviri. Yakapfupiswa pasi apa ndere urongwa hwemhomoni yakagadzirwa nehutuko hwepituitary:
- Thyroid-stimulating hormone ("TSH") : Inokurudzira chirwere chetrojeni-chinowanikwa mumutsipa-kusunungura mahomoni, anotungamirira kuti muviri unoita sei uye unoshandisa simba.
- Adrenocorticotropic hormone ("ACTH") : Inokurudzira zvipembenene zvinonzi adrenal-zvakagadzirirwa pamusoro peitsvo-kusunungura hormone cortisol, iyo inotungamirira kuti muviri unotarisira sei shuga uye kushungurudzika.
- Luteinizing Hormone / Follicle-Stimulating Hormone : Inokurudzira mavha mavari mumukadzi kuti asunungure estrogen uye progesterone uye mhete mumurume kuti isunungure testosterone .
- Prolactin : Inokurudzira kugadzirwa kwemukaka mumadzimai anonyengera.
- Growth Hormone : Inodzora kukura uye musimba / mafuta muyero.
Pituitary Tumor Apoplexy
Pituitary apoplexy, pane kubuda ropa mukati meganda repituitary kana kurasikirwa neropa kune gland. Muzhinji, asi kwete ose maitiro epituitary apoplexy, murwere anotova ne tumurusi wepituitary. Dumbu racho rinokura pamusoro peglandu uye rinowanzovhara kusunungurwa kwemamwe mahomoni, kunyanya kana chironda chikuru.
Asi dzimwe nguva munhu haazive kuti vane chirwere kusvikira apoplexy kana kubuda mukati meglande inoitika.
Zvinokonzera
Maererano nesangano ra2001 paEmory University School of Medicine mu Journal of Neurology, Neurosurgery, uye Psychiatry , zvinhu zvinowedzera mukanhu wemunhu wekudzidzira pituitary apoplexy zvinosanganisira:
- dambudziko
- pamuviri
- chirwere chakakomba sechirwere chemwoyo
- chirwere chakakomba
Zviratidzo
Munhu ane chirwere chinonzi pituitary tumor apoplexy anowanzosvika-kamwe-kamwe, kurwadza musoro kunotangira musoro uye / kana shure kweimwe kana maziso ose. Munhu angavewo ane hutachiona husina kunaka kubva mumarumbo anopa ropa, ayo anokanganisa kukwanisa kweganda kwepituitary kukwanisa kusunungura mahomoni. Semuenzaniso, munhu ane pituitary apoplexy angave ane chirwere chepamusoro cheropa uye shuga yakaderera ropa kubva kuAAC.
Zvimwe zviratidzo zvepituitary tumor apoplexy zvinogona kusanganisira:
- Nausea / kurutsa
- Vision inochinja
- Fever
- Stiff neck
- Kusanganiswa
Kuongorora nekurapa
Pituitary tumor apoplexy chirwere chekukurumidzira uye inoda kudonongodza mafungiro neC CT scan kana MRI yeuropi. Iyo inogona kufanana nezvimwe zvirwere zvinoratidzwa pasi apa, saka zvakakosha kuwana kuongororwa kwakakwana nechiremba chiitiko chekukurumidzira. Mienzaniso yezvimwe zvirwere zvakakomba zvinogona kukonzera kushungurudzika, musoro kamwe-kamwe kwakafanana nepituitary tumor apoplexy inosanganisira:
- Subarachnoid Hemorrhage
- Cerebral venous thrombosis
- Meningitis / Encephalitis
- Hypertensive Emergency
- Cervical Artery Dissection
Kamwe kana munhu aonekwa kuti ane chirwere chepituitary tumor apoplexy, anowanzopiwa mvura uye steroid kuburikidza nemuviri, kunyanya kana kushayikwa kweAACTH kunofungidzirwa. Zvadaro munhu achaongororwa zvakanyanya muchipatara kune chero chiratidzo, neurological, kana hormone inoshanduka. Dzimwe nguva chirwere cheuropi chinodiwa kuti chigadzikane nekubuda ropa uye / kana kubvisa tumarara.
Nguva yakareba yekutevera inokosha kune vanhu vane pituitary tumor apoplexy. Munhu anowanzodikanwa kuona neurosurgeon uye endocrinologist yekudzokorora kufungidzirwa kweMRI kwepituitary gland uye nguva dzose kuongororwa ropa kwehommone.
Pasi Pasi
Kunyange zvazvo ichi chiitiko chisingawanzovi uye huwandu hwemusoro huri nechinetso chinoshungurudza, zvakakosha kuti iwe unoziva maitiro emusoro wako, zvinokonzera, uye nzira. Kana musoro wako une zviratidzo zvekunyevera, zvakakosha kutsvaga kurapwa pakarepo.
Sources:
Agostoni E, Rigamonti A. Dangerous Headaches. Neurol Sci . 2008; 29: S107-9.
Kushungurudza V, Newman N, Ovesiku N. Precipitating factors mu pituitary apoplexy. J Neurol Neurosurg Psychiatry . 2001; 71 (4): 542-5.
Nawar RN, AbdelMannan D, Selman WR, Arafah BM. Pituitary tumor apoplexy: a review. J Kunyatsotarisirwa Med . 2008; 23 (2): 75-90.
Ranabir S, Baruah MP. Pituitary apoplexy. Indian J Endocrinol Metab . 2011; 15 Suppl 3: 188-96.
Welt CK. Hypothalamic-pituitary axeis. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.