Bohlooho bo bongata, ha bo le bobe ebile bo sitisa bophelo ba rona, ha bo bontše boemo ba bongaka bo tebileng. Leha ho le joalo, maemong a sa tloaelehang, hlooho ea hao e ka 'na ea e-ba letšoao la pele la hore ho na le ntho e kotsi e etsoang' meleng. Pituitary tumor apoplexy ke mohlala o mong oa boemo bo sa tloaelehang empa bo ka 'na ba e-ba kotsi bophelong bo bakang hlooho e bohloko, ea tšohanyetso.
Lithuto tsa Pituitary
Karolo ea "pituitary" ea boemo bona e bua ka lesela la pituitary, setho se lutseng botong ba boko. Khase ena e atisa ho bitsoa "master gland" hobane e ntša lihomone tse ngata 'meleng. Ho akaretsoa ka tlaase mona ke lethathamo la lihomone tse entsoeng ke lesela la pituitary:
- H hormone ea qoqotho ("TSH") : E susumetsa qoqotho ea qoqotho-e kenngoa molala-ho lokolla li-hormone, tse laolang tsela eo 'mele o etsang le ho sebelisa matla ka eona.
- Adrenocorticotropic hormone ("ACTH") : E matlafatsa liphatsa tsa lefutso-tse kenngoa ka holim'a liphio-ho lokolla hormone ea cortisol, e laolang tsela eo 'mele o sebetsang ka eona maemong a tsoekere le khatello ea kelello.
- Luteinizing Hormone / Follicle-Stimulating Hormone : E susumelletsa mae a bomme ho mosali e le hore a lokolle estrogen le progesterone le lipalesa ka moshanyana ho lokolla testosterone .
- Prolactin : E susumeletsa tlhahiso ea lebese ho basali ba nang le bothata.
- Khōlo ea Hormone : E laola ho hōla le mesifa le mafura.
Pituitary Tumor Apoplexy
Pituitary apoplexy, e ka 'na eaba e tsoa mali ho pholisi ea pituitary kapa ho lahleheloa ha mali mali. Ka bongata, empa hase linyeoe tsohle tsa pituitary apoplexy, mokuli o se a ntse a na le hlahala ea pituitary. Tšoao e ntse e hōla holim'a mokokotlo 'me hangata e thibela ho lokolloa ha lihomone tse ling, haholo-holo haeba hlahala e khōlō.
Empa ka linako tse ling motho ha a tsebe hore o na le hlahala ho fihlela ha motho a le mong kapa a tsoa mali a tsoa ho eona.
Lisosa
Ho ea ka phuputso e entsoeng ka 2001 ho Emory University School of Medicine ea Journal of Neurology, Phekolo ea Neurosurgery le Psychiatry , lisosa tse eketsang monyetla oa motho oa ho hlahisa pituitary apoplexy li akarelletsa:
- tšitiso
- ho ima
- boloetse bo bobe bo kang lefu la pelo
- tšoaetso e matla
Matšoao
Motho ea nang le lefuba la pituitary apoplexy hangata o na le tšohanyetso-pele, hlooho e bohloko ka pel'a hlooho le / kapa ka morao kapa mahlo a mabeli. Motho a ka 'na a ba le bofokoli ba hormone ho tswa ho hlahala e tsoang mali, e amang tsela ea planditary ea bokhoni ba ho lokolla lihomone. Ka mohlala, motho ea nang le pituitary apoplexy a ka 'na a ba le khatello e tlaase ea mali le tsoekere e tlaase ea mali ho tloha ho haello ea ACTH.
Matšoao a mang a pituitary tumor apoplexy a kenyeletsa:
- Ho senya / ho hlatsa
- Pono e fetoha
- Feberu
- Khoele e thata
- Pherekano
Tlhahlobo le Phekolo
Pituitary tumor apoplexy ke tšohanyetso ea bongaka 'me e hloka litšoantšo tse potlakileng tse nang le CT kapa MRI ea boko. E ka tšoana le maemo a mang a bongaka a thathamisitsoeng ka tlase, kahoo ke habohlokoa hore u fumane tlhahlobo e feletseng ea ngaka ea boemo ba tšohanyetso. Mehlala ea maemo a mang a kotsi a meriana a ka bakang hlooho e bohloko, ea tšohanyetso e tšoana le pituitary tumor apoplexy e kenyeletsa:
- Hemorrhage e ka tlaase ho naha
- Thrombose e bakoang ke lefu la pelo
- Meningitis / Encephalitis
- Emergency Emergency
- Cervical Artery Dissection
Hang ha motho a fumanoa a e-na le lefu la pituitary tumor apoplexy, hangata o fuoa metsoako le steroid ka har'a methapo, haholo-holo haeba ho haelloa ke ACTH. Ebe motho o tla hlahlojoa haufi-ufi sepetlele bakeng sa liphetoho leha e le life tsa pono, meriana kapa li-hormone. Ka linako tse ling ho buuoa ke bokooa ho hlokahala ho tsitsisa mali le / kapa ho tlosa hlahala.
Ho latela litlaleho tsa nako e telele ke habohlokoa ho batho ba nang le lefu la pituitary apoplexy. Hangata motho o tla hloka ho bona setsebi sa methapo ea pelo le setsebi sa phetoho ea ho iphelisa ho pheta-pheta litšoantšo tsa mori oa pituitary le liteko tsa kamehla tsa mali tsa hormone.
Ntho e ka tlaase
Le hoja boemo bona bo sa tloaeleha 'me bongata ba hlooho ha bo na lebaka le sithabetsang, ke habohlokoa hore u tsebe mekhoa ea hlooho ea hlooho ea hau, lits'ebetso tse hlahisang maikutlo, le tse ling. Haeba hlooho ea hlooho ea hau e na le matšoao a lemosang, ke habohlokoa hore u fumane ngaka hang-hang.
Lisebelisoa:
Agostoni E, Rigamonti A. Kotsi ea Hlooho e kotsi. Neurol Sci . 2008; 29: S107-9.
Moferefere V, Newman N, Ovesiku N. Lintlha tse fokolang ka pituitary apoplexy. J Neurol Neurosurg Psychiatry . 2001; 71 (4): 542-5.
Nawar RN, AbdelMannan D, Selman WR, Arafah BM. Moferefere oa pituitary apoplexy: tlhahlobo. J Tlhokomelo e Tebileng Med . 2008; 23 (2): 75-90.
Ranabir S, Baruah MP. Pituitary apoplexy. Indian J Endocrinol Metab . 2011; 15 Tlatsetso 3: 188-96.
Welt CK. Hypothalamic-pituitary axis. Ka: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.