Chikofu Rathke kuti homwe: zvinokonzera uye kurapwa

Chikofu Rathke kuti homwe - ichi kwakakomba zvokurwara wouropi. Kuwedzera kukura zviri kubatana compression pamusoro pituitary shwanu uye optic tsinga, izvo isakarurama kunokanganisa mararamiro evanhu. Nyaya ino edza kunzwisisa chii chinokonzera achitungamirira chimiro cysts, zvokuita kana rokutanga zviratidzo zvayo.

Chii mashandiro Rathke kuti homwe?

Chimiro anatomical kuchimuka mukutanga zvokukura mudumbu kukura mudumbu. Naizvozvo, zviri vatendeuke kuva mugove mberi pakati uropi pituitary shwanu. Kazhinji, munhu utano achangoberekwa Rathke kuti homwe vasipo. Mune dzimwe vanhu, ichi chivako nezvimedu zviripo. Vanoumba yakazvimirira kamuri. Zvinonzi munzvimbo yepakarepo kunharaunda pituitary shwanu uye ndiyo hwaro pamusoro kwaita cystic inotungamirwa.

Mamiriro Akaita pathological muitiro

Rathke kuti homwe chikofu - a benign bundu. Inside zviri mudungwe pamwe chete paiva epithelium, uye kunze kwake kuchizvivanza munhu segirazi Kamudzira. Zviri rimwe chikofu imvura, yemanyorero yeyero ruvara. Dzimwe chakavanzika ane grayish kana rinokwanisa kucheneruka tinge. Maererano ayo kusachinja-chinja, zvinogona gobvu kana gelatin. Vazhinji enzanisa zviri namamota namafuta injini.

Zvii vanotsamwisa zvokurwara?

Chaiyo zvinokonzera kuwanikwa uye kukura anomera harina dzatangwa. Doctors govera zvinhu zvinoverengeka, kuvapo iyo kunowedzera ndingangokuvara panowanikwa cysts. Idzi dzinosanganisira:

• nemagene kubatwa;
• nemavhairasi chirwere ane nhoroondo pamusoro;
• anogumbura pezvakaitwa;
• hypoxia;
• kudhaka mimba;
• irradiation, nemwaranzi;
• kuberekwa zvakaoma;
• Kunwisa kugara UV mwaranzi.

Neoplasm achiumbwa embryonic munguva achiri. Vanachiremba vanoti residues kubvira ayo paucheche, mumwe mamiriro - the Anterior pituitary. Chikofu Rathke kuti homwe uye kwemakemikari anobudiswa shwanu uropi zvakafanana mavambo. Naizvozvo, vanachiremba chiwanzo chokudavira kuti pathological bundu uye pituitary adenoma anogona ichishanduka mu zvakafanana.

Ndivanaani vari panjodzi?

Zvinorondedzerwa munyaya vachiberekwa abnormality - imwe nguva nenguva chaiyo. Nezvokuvandudzika chete 1% nguva, pakati pezvimwe neoplasms benign hunhu. Asi nyanzvi vakakwanisa kuziva boka revanhu vane nhengo vangangowedzera kukudziridza chirwere. Zvinosanganisira:

1. Vakadzi vari kuuya zera. Pfungwa kuwedzera bhurasho Ukuru pakuonekwa zviratidzo waro kuchengetwa pashure pemakore 40.
2. Varwere pashure yomumuzongoza kana encephalitis chipi etiology.
3. Varwere vanenge nesitiroko.
4. Vashandi vari ngozi namakemikari kugadzirwa.
5. Vanhu vane hama vakanga nechirwere bundu muuropi.

Nanganisa imwe kana kupfuura zvinhu zvakarongwa pamusoro apa anoratidza mikana yokuita anomera. vanhu vakadaro vanofanira kubatwa ngwariro chaiyo pachavo utano hwavo, iva nechokwadi kuti zvakaitika kuongorora muviri.

The zvinoratidza zvokurwara rokutanga

Rathke kuti homwe chikofu kunoratidzwa refu asymptomatic. Kazhinji varwere havazivi akadaro achinyengera chirwere muuropi. kazhinji kuziva nezvazvo pashure kuwana chinhu MRI kana zvimwe chokudzivirira bvunzo. Zviratidzo zvokutanga pachena neoplasms sezvo kuwedzera kukura kwayo. Rathke kuti homwe chikofu anotanga dzvinya optic etsinga uye pituitary shwanu pacharo. Somugumisiro dzichiri pathological nenyonganiso muuropi wacho ropa wedzerai, kukanganisika zvayo zvinokosha hurongwa. Uyezve, zvinokwanisika kuti chidzoke anotevera zvirwere:

• dzungu;
• kushaya hope;
• zvisipo;
• svoto uye kurutsa;
• tinnitus;
• pfupi-rokuyeuka dzakaipa;
• gwenya Kufambisa zvirwere.

Muna 80% varwere zvokurwara achabatsirwa zvirwere kwemakemikari anobudiswa hurongwa. Uyewo, vazhinji cherechedza kwaita chirwere chepfungwa, kuvhiringidzika mupfungwa. The dhigirii rokuratidzwa kunotoda kurapwa zviratidzo zvikuru zvinobva kukura namamota, kumanikidza simba pamusoro pedyo tsinga nemidziyo ropa.

fungidzira yematambudziko

Zvii zvinoguma zvaitika zvingaita chikofu Rathke kuti homwe? Danger haasi pachayo bundu, uye ayo mwero kukura. Saka, mushure kuziva miedzo zvokurwara murwere kwekanguva pasi yachiremba cherechedzo. Nechepakati simba kukura inoratidza kukurumidza kuvhiyiwa. Kusavapo zvakakwana mushonga kungaita kuti nemigumisiro. Chokutanga, murwere anorasikirwa chiratidzo. Zvadaro, chiremba mufananidzo vaisanganisa pamwe zvoutano pfungwa uye kuparadzwa pituitary shwanu. In kunyanya zvakakomba zviitiko, chikofu degeneration kuva akaipa bundu.

nzira nechirwere

Kana uchifungidzira munhu chikofu Rathke muhomwe murwere unofanira kutanga kushanyira imwe endocrinologist. Dzimwe nguva zvinoda mamwe zano chiremba wetsinga. Kuzosimbisa chirwere uye kuona kukura namamota anotevera chirwere nzira dzinoshandiswa:

1. MR. nzira iyi kutsvakurudza kuonekwa zvikuru anodzidzisa. On mifananidzo chiremba anogona kufungidzira kukura panzvimbo localization uye anatomical zvechadenga cysts. Data All zvaidikanwa mamwe kurapwa.
2. CT. Computed tomography kunotibatsira kuti tizive calcification. Kuvapo izvi kazhinji rinoratidza nzira chirwere - craniopharyngioma.
3. Angiography kwouropi midziyo.

Kubvisa akaipa hunhu namamota, zvingada tichiongorora pa oncologist. Kazhinji, inosanganisira kugamuchira ponji zvakatonyanya kudzidza zvinhu murabhoritari.

kuchinja kurapa

Zvaiitwa zvokurwara pakutsvaga chiremba. Kazhinji napo Sezviri kunotoda mufananidzo, utano murwere uye kukura bhurasho. Kana ukaramba wakarinda yokumirira anosarudzwa asymptomatic pathological muitiro. Chiremba monitors weraramo murwere, anoyera MRI uropi simba. Kana kukura dzidzo zvidiki, pane Isimba rakadini rinogona kubudiswa zviratidzo, kemikari kurapa anogadzwa. Kugadzirira vanosarudzwa nomumwe.

kuvhiya kupindira

Siyanei nzira zvakafanira kuwedzera kukura chikofu Rathke kuti homwe. Treatment muchiitiko ichi uyewo kunotanga hormone nzira. , The oparesheni riri basa kana kurapa anoratidza basa, murwere kwakaipa. Nhasi, ari kudzidzira, pane mhando mbiri maoparesheni, imwe neimwe ine pachake zvachiri.

• Classical transfenoidalnaya oparesheni. Ipfupi kuti kubviswa chikofu kuburikidza incision ari turbinate. Access kuna Rathke kuti homwe zvinogoneka chete kuburikidza sphenoid sinus. Saka zvakanaka kuona kuvhiya munda, chiremba anoshandisa binocular maikorosikopu.
• Chinonyanya dzakakurumbira achiri laparoscopic kuvhiyiwa. Zvinonzi kuitwa zano chairo - endoscope. Pakuvhiya, chiremba anogona kubvisa zviri nyore bundu, pasina kunokuvadza ropa midziyo uye tsinga pedyo pituitary. The cranium Chiremba akapindawo kuburikidza nasal ndima.

Pashure nokubviswa chikofu, zvose zvirimo kunodiwa kuti akatumira murabhoritari. Histological Kuongorora secretions hakubvisi akaipa yezvakaita chirwere. Zvinorondedzerwa chete pamusoro zvomusejari kusarudza ndivo chete nzira inobudirira rokurwisa dambudziko iri sezvo ari chikofu Rathke kuti homwe. Mabatirwo chevarwere mishonga iri zvachose contraindicated.

The for kupora

Panguva Chaiyo kuziva miedzo cysts ndiko nokukurumidza kuzoita mabasa muviri. Endocrinopathy kana chiono matambudziko dzimwe nguva vanogona kusingarapiki. Chinhu chikuru - usarera chiremba kurapwa audzwa. In varwere vakawanda vane chirwere iri basa oparesheni, panguva iyo excised zvachose homwe chikofu Rathke vake. Migumisiro zvakaipa hunhu mune iyi inogona kuderedzwa kushoma. The dzokororo zvazvingava avhiyiwa idukusa 5%.