Hypopituitarism: zviratidzo, nzira nechirwere uye kurapwa

Hypopituitarism, zviratidzo izvo pasina zvakakwana nechirwere anogona kuvhiringidzwa zviratidzo zvimwe pathologies chakakomba, haiwanzowaniki chirwere pamusoro pituitary shwanu. In chirwere ichi, kuti pituitary shwanu kana pave kukwana mahormone, kana regai kubereka mumwe kana kupfuura mahormone zvakafanira kuti dzose kushanda kunoita muviri.

Pituitary shwanu - duku, shwanu bhinzi serin'i riri mujinga uropi, shure mhuno uye pakati nenzeve. Pasinei duku kukura, shwanu uyu anoita unokosha basa: nayo anodzora kushanda chakavanzika zvinenge zvose zvomukati uye dzomuviri. Pamutemo mabasa anoitwa mahormone - kushaya kwavo zvingaratidza hypopituitarism. Zviratidzo zviri vana kazhinji wakaratidzwa chimiro kukakanganiswa kukura uye kwomuviri, vanhu vakuru - zvaipesana BP uye pamuviri ushande.

Angava hwose ari Pfungwa yakadaro nechirwere ukanwa zvinodhaka, asi akaramba kudzora zviratidzo chirwere chinogona.

zviratidzo

Vakaongorora zvokurwara kakawanda zviri mberi muzvinhu zvakasikwa. Hakusi nguva dzose chiremba anogona pakarepo rokuongorora "hypopituitarism": zviratidzo muvana uye vakuru vanogona vose kuitika kamwe kana kutanga zvishoma nezvishoma pamusoro akawanda. Kazhinji zviratidzo kusakara uye anozviita muduku hunhu kuti murwere kwenguva refu nguva kungoti haana uvabhadhare zvakakwana nzeve.

Zviratidzo zvirwere zvinosiyana zvichienderana kemikari, iyo isina muviri nokuda pituitary dysfunction. Uyezve, zvichikosha kuti rakapinza kushaya zvimwe fuma. Murwere vanogona:

• kunzwa echirwere kuneta;
• ungaderedza libido;
• yakawedzera aikanganiswa yakaderera tembiricha chando;
• Nzara kurasikirwa.

Kuwedzera nezvekufadza izvi kune zviratidzo zvokurwara vari:

• hazvitaurwi uremu;
• puffiness chiso;
• kupererwa neropa;
• kushaya mbereko;
• Vakadzi - kupiswa, mugari kumwedzi, kana kushaya kwayo, pubic bvudzi kurasikirwa, kutadza kubereka mukaka zvokudya vana vachangoberekwa;
• munhurume - kwebvudzi kukura pachiso kana muviri;
• Vana - yakaderera kukura.

Kana kuona chiremba

Kana uchifungidzira panguva hypopituitarism, zviratidzo pamusoro apa, kuronga zano anokwanisa nyanzvi.

Chiremba wako pakarepo kana zviratidzo chirwere akazviratidza pakarepo kana vari pamwe anotemwa nemusoro, madzerere, nekuvhiri- ngika munguva uye nzvimbo, kana munhu unopinza kuderera BP. Izvi hazvisi hypopituitarism - zviratidzo zvakasikwa ichi zvingaratidza kuti pituitary shwanu kwakaratidza budiriro ropa (apoplexy), rinoda kukurumidza kurapwa kupindira.

zvikonzero

chirwere ichi zvinogona kukonzerwa pakupona, asi anowanzodanwa watengwa. Kazhinji, hypopituitarism yakakonzerwa pituitary bundu. Sezvo bundu ava guru, izvozvo akakudzvinya uye kukuvadza muviri rinenge kuva kunambwa kemikari kugadzirwa. Mukuwedzera, bundu anogona dzvinya optic tsinga, nokudaro achiita dzakasiyana-siyana zvirwere uye fungidziro.

Zvimwe zvirwere, uyewo mamwe mamiriro ezvinhu anogona kukuvadza pituitary shwanu uye rukungiso hypopituitarism (zviratidzo, mapikicha ratinoparidza munyaya ino). Zviratidzo zvirwere zvinosiyana zvichienderana zvinoita kuti pave kukura zvokurwara. Zvinhu izvi zvinosanganisira:

• musoro kunotevera;
• Brain kana pituitary mota;
• zvomusejari akavhiyiwa pamusoro uropi;
• radiotherapy kurapwa nzira;
• autoimmune kuzvimba (hypophysis);
• Kurohwa;
• zvinotapukira uropi zvirwere (semuenzaniso yomumuzongoza);
• tiibhii;
• infiltrative zvirwere (sarcoidosis - kuzvimba dzakawanda nhengo dzomukati, Langerhans sero histiocytosis - kukanganisika umo mumasero kanganisika kukonzera scarring siyana nhengo uye dzomuviri, kunyanya mumapapu, uye mapfupa; hemochromatosis - kunyanya kuunganidza simbi iri chiropa uye mune dzimwe nzvimbo dzomuviri);
• guru ropa kurasikirwa pakukurukura, izvo zvinogona kukuvadza Anterior pituitary (Simmonds chirwere-Glinski kana postpartum pituitary necrosis);
• nemagene kunotouraya zvakazoita kuti kutyorwa pagadzirwe mahormone vari pituitary shwanu;
• hypothalamic chirwere - pfungwa kukamuka, riri chete kumusoro pituitary shwanu - anogonawo kukonzera hypopituitarism.

Zviratidzo (mufananidzo inoratidza chirwere muitiro) muka nokuti hypothalamus unobereka pachavo mahormone dzacho waidzora kushanda bhinzi serin'i shwanu "pedyo".

Mune zvimwe zviitiko, Genesisi chirwere chinoramba isingazivikanwi.

Pamberi kushanya kwachiremba

Danho rokutanga kunyoresa yezvokurapa zano chiremba. Kana zvakakodzera, zvichaita Redirect kuti nyanzvi mune hormone nepfungwa - the endocrinologist.

• Tsvaka pachine kana unofanira kuita zvinodiwa kuitira rakarurama chirwere nemiedzo.
• Itai ndandanda zvose chirwere zviratidzo kuti uchengete pamba. Kana uchifungidzira hypopituitarism, zviratidzo nehosha, pakutanga kuaona chokuita pituitary dysfunction, anofanirawo kuverengerwa pazvinhu izvi.
• kunyora kugadzirisa kiyi pachavo data, kusanganisira pamwero mukuru kuchinja muupenyu kana Kuchinja mano ako kugadzirisa kunetseka.
• Vanyore zvokurapa mashoko zvinokosha, kusanganisira achangopfuura kuvhiyiwa, mazita kugara anotora zvinodhaka uye nezvirwere. Chiremba Uchadawo kuziva kana uri kune imwe ichangobva kukuvara musoro.
• Uyai womumhuri kana shamwari kwete vachava chete vachida kutsigira tsika, asi kukubatsira kuyeuka zvose kunenge yose nyanzvi.
• Nyora mibvunzo uchida kubvunza chiremba wako.

mibvunzo endocrinologist

Zvinokurudzirwa kuti mazita zvikuru mubereko mibvunzo yako pachine nguva kuti panguva zano hakusi tichiona zvinokosha mashoko. Kana iwe uri kunetseka hypopituitarism (Zviratidzo uye kurapwa zvirwere uri kuda), kusanganisira zvaunonyora mibvunzo inotevera:

• Chii chinokonzera chirwere zviratidzo uye yangu mamiriro?
• Zvinoita kuti zviratidzo chirwere anokonzerwa mumwe?
• Chii unofanira kupfuura kuongorora?
• Ko mamiriro angu pfupi kana refu?
• Chii kurapwa iwe akakurudzira?
• sei refu unofanira kutora yakarumbidza mishonga?
• Munozoona sei kubudirira mishonga?
• Ndine chirwere chisingaperi. Sei nechokwadi mawa dambudziko zvirwere zvose?
• Ndine zvinoenderana chero mitemo?
• Pane analogues ushandiswe imi zvinodhaka?
• Ndinoda kuwana ruzivo pamusoro pezviri hypopituitarism. Zviratidzo uye chirwere zviri pachena; chii zvinhu pamusoro Kurapa siyana unogona zano?

Usazeza kubvunza mibvunzo kana panguva zano zvaunoda kuziva chinhu chaicho nyanzvi.

Zvinotaurwa chiremba anoti

Endocrinologist, zvichaita akakubvunza inoverengeka pachavo mibvunzo yacho. Pakati pavo, kazhinji, achava zvinotevera:

• Munofunga une hypopituitarism?
• Zviratidzo uye zvinokonzera chirwere chaunowana pachako, vanobvuma rondedzero chirwere mumabhuku zvokurapa?
• Pane zviratidzo zvokurwara zvakachinja pamusoro nguva?
• Unoona chero kutadza kuona zvakanaka?
• Ko iwe chirwere chakakomba nomusoro?
• Wati akashandura chitarisiko chako? Zvichida iwe vakarasikirwa uremu kana ndawana vasanyanye bhuku bvudzi riri muviri?
• Wakambofirwa here kufarira bonde? Ko wenyu kumwedzi achinja?
• Ungave uri kuenda panguva pakurapwa? Kana, zvimwe, vakapfuura kurapa munguva ichangopfuura kare? Ndezvipi zvirwere vanacho?
• Vachangobva iwe akabereka mwana?
• Wati wakagamuchira manjemanje akuvara musoro? Ita neurosurgical kurapwa vakanga pasi?
• Rokuongorora kana pedyo nehama dzako pituitary zvinetso kana hormone zvirwere?
• Unofungei, zvinobatsira kuderedza zviratidzo?
• Chii Unofunga, kunoita kuti achiipa nezviratidzo?

Diagnostics

Kana chiremba anogona pakarepo vanofungidzirwa hypopituitarism? Zviratidzo uye anoita yako hakuvaki mamiriro vanosundira vamwe nyanzvi akariisa, ichi kwokutanga nechirwere, kusimbisa kuti unoda zvakaitika nemiedzo yakawanda kuona kwevari mahormone siyana pamuviri. Chikonzero pakururamisa chirwere chakadai inogona kukuvara musoro kuchangobva kana kosi zvakakwana radiotherapy - izvi zvinokonzera njodzi chaizvo vanokwanisa kutungamirira kukudziri- chirwere.

Kuwanda vomureza chirwere miedzo dzinosanganisira:

• miedzo ropa. Tichishandisa nemiedzo nyore unogona kuona kushayiwa zvimwe mahormone, izvo akasimuka somugumisiro pituitary dysfunction. Somuenzaniso, kuongorora ropa chinogona kuoneka hwakaderera kwevari mahormone zvinoberekwa thyroid shwanu, adrenal cortex, kana sikarudzi, - kushaya izvi zvinhu runowanzotaurwa nezvarwo havachanyatsogoni kushanda pituitary shwanu.
• Kukuchidzira kana simba nemiedzo. Kunyange nyanzvi zvakaoma kuziva hypopituitarism; Zviratidzo zviri mwana zvachose zvingava zvakafanana zviratidzo zvakasiyana-siyana nemagene zvirwere. Kuti vawane yakarurama chirwere zvabuda, chiremba ingangova anotaura kuti nyanzvi kukiriniki endocrinological zvidzidzo, apo iwe tora wokutanga kupa dzakachengeteka zvinodhaka kuti zvinowedzera kugadzirwa hormone, uye ipapo kuti vaone sei rakawedzera Vhoriyamu secretion.
• uropi kuri kudzidza. Magnetic resonance kuri (MRI) uropi anogona kuziva bundu iri pituitary nezvimwe STRUCTURAL abnormalities.
• Eye bvunzo. Special miedzo kuona kana pituitary bundu kukura chaizvo kukwanisa kuona kana maonero.

mabatiro

Hypopituitarism, zviratidzo akauya uye pamusoro apa, zviri inenge nguva imwe mugumisiro pane akasiyana chirwere. Mabatirwo mudzi wawo zvinokonzera, kazhinji, anobvisa zvose zviratidzo hormone zvirwere chokuita dysfunction pamusoro pituitary shwanu. Kana kwokutanga chirwere mishonga nokuda kwechikonzero zvakazoonekwa kuti hazviiti kana basa, vari kubatwa hormone kurapa nokuda hypopituitarism. Pamusoro zvakafanana migumisiro pamusoro muviri hausi zvokuti kurapwa sezvo yaitsiva asipo zvinhu. Dosages vanofanira mishonga chete zvikuru unyanzvi endocrinologist, sezvo vari dzaona nomunhu uye reimbursed kunoparirwa hormone avo uye akawanda umo zvavari nenzira imwe kumuviri. Replacement mushonga hunogara kwoupenyu hwose.

Kana bundu zvakonzera hypopituitarism, zviratidzo, kurapwa kwaizotevera vapore kurapa achaenderana STRUCTURAL zvakaita anomera. Yemanyorero ushandiswe kuvhiyiwa kubvisa mwero muchitokisi. Mune zvimwe zviitiko, nemwaranzi kurapa.

gadziriro

Medicaments substituents anogona anomiririrwa zvinotevera mishonga:

• Corticosteroids. zvinodhaka izvi (mienzaniso dzingava hydrocortisone uye prednisolone) kuchiiswa mahormone mune kuipa mamiriro neve adrenal cortex. Havadi zvakakwana nokuda adrenocorticotropic kukanganisika. Corticosteroids akatorwa nomuromo.
• "Levothyroxine" ( "LeVox" and said.). The mushonga unotsiva thyroid kemikari iri akakodzera zvirwere.
• Sex mahormone. Kazhinji, vanhu ndiko testosterone vakadzi - inonzi estrogen kana mubatanidzwa inonzi estrogen pamwe progesterone. Kana uchifunga une hypopituitarism, zviratidzo, uye kudzivirira zvirwere zviri pituitary shwanu angava akafanana zviratidzo uye nzira kudzivirira zvirwere chokuita zvepabonde mahormone. Kana abnormality kunokwanisa kuonekwa chiremba, kutsiva chisipo kemikari mishonga inoshandiswa chaiyo siyana: gel kana testosterone majekiseni kuti varume mahwendefa, gels kana makwapa akasvibirika - vakadzi.
• Growth kemikari. The fuma akadanwa sayenzi yezvokurapa somatropin pamwe kwemakemikari anobudiswa zvinetso, anopinda muviri kuburikidza subcutaneous jekiseni. Kukura kemikari kunoita muviri kuti ukure, kuona zvakajairika kwevana. Vakuru zvakare kugadza zvazova jekiseni, anovandudza mukuru ezvinhu omurwere, asi zvakajairika kukura haangavi kuchadzorerwa.

zvichiongororwa

The endocrinologist kuchaita kuongorora nhanho dzako mahormone muropa, nechokwadi mukana wakakwana, asi kwete kwokunyepera uwandu zvinokosha zvinhu.

Ungafanira kugadzirisa dose pamusoro corticosteroids, kana iwe kurwarisisa kana vachatambura zvakakomba chaiko mupfungwa. Panguva dzakadaro, muviri unobereka mberi kemikari cortisol. Kuchinja chipimo chemushonga kungadiwa idzodzo nguva apo iwe kubata dzihwa, iwe uchatambura kubva manyoka kana kurutsa, kana vachatambura kuvhiyiwa kana mazino kurapwa. Varwere vakawanda ushandiswe nguva nenguva CT kana MRI.