Pituitary qog: cov tsos mob, kev kuaj mob, kev kho mob

Cov txheej txheem:

Pituitary qog: cov tsos mob, kev kuaj mob, kev kho mob
Pituitary qog: cov tsos mob, kev kuaj mob, kev kho mob
Anonim

Lub caj pas pituitary yog ib qho tseem ceeb heev uas yog lub luag haujlwm tsim cov tshuaj hormones tsim nyog. Txawm tias muaj tseeb tias nws yog me me, kev ua haujlwm ntawm lub cev tuaj yeem ua rau muaj qhov tshwm sim loj. Feem ntau, tib neeg muaj qhov teeb meem xws li qog pituitary, cov tsos mob uas koj yuav xav txog hauv qab no. Feem ntau, neoplasm yog benign, txawm tias qhov no tsis yog ib txwm muaj. Yog li cia wb mus saib ntxiv.

Kev kawm yog dab tsi?

Cov tsos mob ntawm qog pituitary
Cov tsos mob ntawm qog pituitary

Ib qog pituitary, cov tsos mob uas peb yuav tham hauv qab no, feem ntau yog cov kab mob uas tsis yog oncological. Ntawd yog, koj yuav tsum tsis txhob ntshai tias koj yuav muaj metastases. Txawm li cas los xij, tus kab mob muaj nws qhov tshwm sim, thiab rau tag nrho cov kab mob. Qhov tseeb yog lub caj pas pituitary nyob rau hauv ib feem tseem ceeb ntawm lub hlwb.

Cov qog tuaj yeem ua rau puas tsuaj rau cov hlab ntsha ib puag ncig los ntawm kev ua rau lawv. Thiab cov neoplasm kuj nce qhov kev siv ntawm cov tshuaj hormone ntau lawm, uas cuam tshuam rau ob qho tib si hauv nruab nrog cev thiab cov tsos mob ntawm tus neeg mob.

ua rau ntawm pathology

Cov qog pituitary uas nws cov tsos mob tsis meej tuaj yeem tshwm sim los ntawm ntau yam. Piv txwv li, xws li:

  • kev cuam tshuam thaum cev xeeb tub;
  • siv qee yam tshuaj uas muaj cov tshuaj hormones;
  • kev raug mob ntawm pob txha taub hau thiab lub hlwb;
  • kab mob sib kis uas tshwm sim hauv lub paj hlwb;
  • kev hloov pauv.

Yog tias koj muaj qog pituitary, qhov ua rau muaj teeb meem zoo li no yuav tsum raug txiav txim los ntawm tus kws kho mob. Yuav kom ua tau li no, nws yuav tsum ua tib zoo tshuaj xyuas tus neeg mob.

Cov tsos mob ntawm pathology

Pituitary qog cov tsos mob kho
Pituitary qog cov tsos mob kho

Cov qog pituitary, cov tsos mob uas tau piav qhia hauv qab no, yog ib qho kab mob tsis zoo thiab txaus ntshai, vim nws ua rau muaj kev cuam tshuam ntawm tag nrho cov kab mob. Raws li nws cov cim qhia, lawv yuav tsis pom txhua (hauv 20% ntawm cov neeg mob) lossis lawv yuav tshwm sim heev. Pathology feem ntau tshwm sim los ntawm cov cim xws li:

  • kev qaug zog, kev ua haujlwm tsis zoo, mob taub hau thiab tsaug zog;
  • poob lossis nce;
  • hloov pauv ntawm tus nplaig, ntsej muag, qhov tsos ntawm edema;
  • nce qhov loj ntawm xib teg thiab ko taw;
  • plaub hau poob;
  • nce kev chim siab, xeev siab, hloov pauv ntawm tactile rhiab heev;
  • txhawj xeeb;
  • pom kev tsis pom kev;
  • kev tshwm sim ntawm tus poj niam theem nrab kev sib deev yam ntxwv ntawm cov txiv neej;
  • kev coj khaub ncaws tsis zoo hauv cov ntxhais.

Hauv paus ntsiab lus, cov tsos mob yuav txawv. Raws li koj tuaj yeem pom, cov cim qhia tsis meej, yog li lawv feem ntau tsis quav ntsej, uas ua rau cov qog loj hlob. Yog li ntawd, cov qog pituitary yuav tsum tau kuaj los ntawm tus kws kho mob paub txog.

Cov tsos mob ntawm cov qog pituitary hauv cov poj niam
Cov tsos mob ntawm cov qog pituitary hauv cov poj niam

Ntau hom qog

Hauv paus ntsiab lus, muaj ntau qhov kev faib tawm ntawm tus kab mob no, tab sis feem ntau nws yog qhov txawv ntawm cov tshuaj hormones uas neoplasm tsim. Yog li, nws tuaj yeem paub qhov txawv ntawm hom kab mob no.

  1. Adenoma uas tsis ua haujlwm. Nws yog qhov nyuaj tshaj plaws rau kev kuaj mob thaum ntxov. Qhov tseeb yog tias nws tsis tsim cov tshuaj hormones. Nws tshwm sim tsuas yog thaum nws loj hlob mus rau ib qho me me thiab pib ua rau lub siab ntawm cov ntaub so ntswg thiab cov hlab ntsha uas nyob ib puag ncig. Yog tias koj muaj cov qog pituitary li no, cov tsos mob (kev kho tsis tuaj yeem ua raws li lawv xwb) tau kuaj pom lig. Feem ntau, qhov no yog qhov tsis pom kev thiab mob taub hau tas li.
  2. ACTH-producing neoplasm. Cov qog no tsim cov tshuaj hormone adrenocorticotropic. Ib qho ntxiv ntawm cov tshuaj no tsis muaj txiaj ntsig zoo rau lub cev, vim nws cuam tshuam cov metabolism thiab ua rau lub cev tiv thaiv kab mob. Yog tias koj tau kuaj pom tus mob qog pituitary, cov tsos mob (kev kho yuav tsum tau pom zoo nrog tus kws kho mob) pom meej heev. Ntawd yog, ib tug neeg muaj cov rog rog nyob tom qab, hauv siab, ntsej muag, ua rau cov pob txha tsis muaj zog (Cushing's syndrome).
  3. YProlactinoma. Cov neoplasms no muaj peev xwm tsim cov poj niam cov tshuaj hormone prolactin. Nyob rau tib lub sijhawm, hauv cov txiv neej, tus kab mob tuaj yeem ua rau impotence thiab kev loj hlob ntawm poj niam cov yam ntxwv ntawm kev sib deev (mob loj). Hauv cov menyuam ntxhais uas muaj qhov pathology no, kev coj khaub ncaws tsis zoo. Ib qho ntawm cov qog no yog tias nws xyaum tsis loj hlob.
  4. Neoplasms uas txhawb kev tsim cov thyroid-stimulating hormone, uas, dhau los, txhim kho cov haujlwm ntawm cov thyroid caj pas. Cov formations no loj hlob sai thiab tuaj yeem ncav cuag qhov loj me. Tib lub sijhawm, tus neeg mob muaj cov tsos mob hauv qab no: teeb meem pw tsaug zog thiab tsaug zog, raws plab, nce qab los noj mov, tshee hnyo.
  5. Cov txheej txheem uas txhim kho kev loj hlob hormone. Hauv qhov no, cov pob txha nce nrawm heev. Cov neeg mob nyob rau hauv cov ntaub ntawv no yog siab heev, nrog loj caj npab, ob txhais ceg thiab lub ntsej muag. Nyob rau tib lub sijhawm, cov neeg no raug kev txom nyem los ntawm kev mob pob qij txha thiab tawm hws ntau dhau. Lub plawv yeej tsis tuaj yeem tiv nrog pawg loj li no.

Diagnosis

benign pituitary qog
benign pituitary qog

Tam sim no xav txog yuav ua li cas txhawm rau kuaj pom tus kab mob no kom raug. Lawm, tus neeg mob cov tsos mob thiab kev tsis txaus siab ib leeg tsis tuaj yeem muab daim duab tiav. Ntawm chav kawm, nws yog ib qho tsim nyog yuav tau sau cov ntshav thiab zis kuaj. Qhov no yog qhov tsim nyog txhawm rau txiav txim siab seb cov tshuaj hormones twg tsim tawm ntau dhau.

Ntxiv rau, nws yuav tsum ua CT scan ntawm lub taub hau thiab MRI. Qhov no yuav muab sijhawm los txiav txim qhov loj thiab qhov chaw ntawm cov qog. Tsis tas li ntawd, kev tshuaj xyuas dua yuav pab kom nkag siab tias qhov neoplasm loj hlob sai npaum li cas.

Ib txwm, tus kws kho mob yuav tsum tau kuaj cov qog nqaij hlav kom paub seb nws puas zoo lossis tsis zoo. Rau qhov no, siv ib rab koob ntev tshwj xeeb.

Kev xaiv kev kho mob

Yog tias koj muaj cov qog pituitary, ces tus kws kho mob yuav tsum pab koj txiav txim siab txog cov txheej txheem uas yuav pab txo lossis tshem tawm qhov tsim. Muaj txoj hauv kev los daws tus kab mob no:

  • surgery;
  • gamma riam;
  • qog irradiation (sab nraud);
  • Txoj kev siv tshuaj tiv thaiv kab mob.

Txhua txoj kev no tuaj yeem siv tau yog tias koj muaj cov qog pituitary benign, tab sis nws zoo li loj hlob sai. Tab sis thaum xaiv txoj kev kho, lwm yam yuav tsum tau muab coj mus rau hauv tus account: lub dav dav ntawm tus neeg mob, hom thiab theem ntawm tus kab mob, lub siab ntev ntawm tej yam tshuaj, lub hnub nyoog ntawm tus neeg mob, nws tso cai rau siv ib txoj kev. los yog lwm tus.

Txoj kev kho mob ib txwm muaj ntawm pathology

Yog tias koj muaj qog pituitary, cov tsos mob (koj tuaj yeem pom daim duab hauv kab lus) yuav pab koj txiav txim siab txog hom kev kho mob. Yog tias neoplasm loj hlob qeeb heev, tsis yog oncological thiab tsis tsim cov tshuaj hormones, ces koj tuaj yeem tawm tsam nrog tshuaj.

Feem ntau nyob rau hauv cov ntaub ntawv no, cov tshuaj yog siv uas pab txhawb lub stabilization ntawm cov qog. Tib txoj kev siv yog tias tus neeg mob muaj prolactinoma. Hauv qhov no, cov tshuaj "Bromocriptine" pab. Tsis tas li ntawd, koj tuaj yeem siv tshuaj xws li "Cabergoline", "Abergin". Lawm, lawv tsuas yog siv raws li kws kho mob qhia.

Hauv lwm qhov xwm txheej, kev kho hluav taws xob yog siv. Txawm hais tias nws siv tau tsuas yog thaum cov qog me me thiab tsis cuam tshuam rau cov ntaub so ntswg thiab cov hlab ntsha nyob sib ze.

Cov tsos mob ntawm qog pituitary
Cov tsos mob ntawm qog pituitary

Kev kho mob pej xeem ntawm pathology: nws puas tuaj yeem ua tau?

Yog tias koj raug kuaj pom muaj qog pituitary, cov tsos mob (kev tshuaj xyuas ntau yam kev kho mob, zoo thiab tsis zoo), nrog rau lwm txoj kev kuaj mob, yuav pab txiav txim seb hom thiab qhov loj ntawm neoplasm. Nws kuj nyob ntawm txoj kev kho. Ntau tus neeg mob sim tsis txhob "mus hauv qab riam" vim lawv ntshai tias kev ua haujlwm yuav ua rau tus mob hnyav dua. Lawv sim siv cov zaub mov txawv. Piv txwv li, xws li:

  • Hemlock tincture. Koj yuav tsum tau dilute 10 tee ntawm cov tshuaj nyob rau hauv ib nrab ib khob dej thiab haus peb zaug ib hnub twg. Yog tias koj tsis haus cawv, tab sis muaj roj, koj tuaj yeem muab faus rau hauv koj lub qhov ntswg ib tee ib zaug.
  • Muab zib ntab, primrose nyom, hauv av qhiav, taub dag thiab noob hnav noob hauv qhov sib npaug. Sib tov no sib tov rau ib tug hmoov. Noj cov tshuaj no ib teaspoon plaub zaug ib hnub twg.

Thov nco ntsoov tias cov txheej txheem no tsis yog ib txwm qhia. Koj tsis tuaj yeem siv lawv li no:

  • yog tus neeg mob yog poj niam cev xeeb tub;
  • yog xav tau kev kho phais sai;
  • kev loj hlob sai heev ntawm neoplasm tau pom.

Ua ntej koj pib kho tsev, nco ntsoov nrog koj tus kws kho mob.

Cov tsos mob ntawm qog pituitary tshuaj xyuas
Cov tsos mob ntawm qog pituitary tshuaj xyuas

Surgery

Yog tias koj muaj qog pituitary, ces kev kho mob phais feem ntau ua. Muaj ob hom kev phais.

  1. Craniotomy. Ua li no, cov kws kho mob yuav tsum tau txiav qhib lub pob txha taub hau thiab tshem tawm ib feem ntawm cov pob txha. Tom ntej no, tus kws phais yuav tsum tshem tawm cov neoplasm, tshwj tsis yog, ntawm chav kawm, xws li cov txheej txheem yuav ua rau lub hlwb puas. Nws yuav tsum raug sau tseg tias kev ua haujlwm zoo li no suav tias yog qhov txaus ntshai tshaj plaws.
  2. Minimally invasive endonasal endoscopic phais. Nws yog ua tiav nrog ib lub cuab yeej tshwj xeeb uas tau muab tso rau ntawm lub qhov ntswg. Nyob rau tib lub sijhawm, tus neeg mob tsis tawm qhov caws pliav ntawm nws lub ntsej muag, lub sijhawm rov qab los txo qis, nws muaj peev xwm ua tau lwm cov txheej txheem kho mob uas tsis tuaj yeem ua tau ntev tom qab craniotomy.

YPituitary qog thaum cev xeeb tub

Cov tsos mob ntawm qog pituitary thiab cev xeeb tub
Cov tsos mob ntawm qog pituitary thiab cev xeeb tub

Cov tsos mob ntawm cov qog pituitary hauv cov poj niam yog xyaum tsis txawv ntawm cov cim qhia ntawm tus kab mob no, uas peb tau txiav txim siab. Txawm li cas los xij, qhov no pathology tuaj yeem cuam tshuam tsis tsuas yog kev noj qab haus huv xwb, tab sis kuj muaj kev ua me nyuam. Piv txwv li, prolactinoma, uas muaj ntau heev rau cov poj niam, tuaj yeem cuam tshuam kev coj khaub ncaws, thiab yog li tsim cov qe.

Ntawm, ntau tus neeg nyiam cov lus nug xws li "pituitary qog: cov tsos mob thiab cev xeeb tub." Hauv lub xeev no, kev kuaj mob yuav tsum tau ua kom zoo, tsis tas siv MRI. Tsis tas li ntawd, ib tug poj niam yuav tau mus ntsib kws kho mob ophthalmologist los yog neurologist. Ntxiv mus, cov kws kho mob yuav tsum qhia thoob plaws lub cev xeeb tub.

Cov tsos mob ntawm cov qog pituitary hauv cov poj niam hauv txoj haujlwm tsis tuaj yeem muab daim duab tiav, yog li yuav tsum tau kuaj. Kev kho mob yog muab los ntawm kws kho mob, vim tsis yog txhua yam tshuaj yuav muaj kev nyab xeeb rau tus menyuam hauv plab. Tom qab yug menyuam, tus neeg mob tau teem sijhawm rau MRI. Nws yuav tsum tau muab sau tseg tias thaum lub sij hawm pub niam mis, tej zaum yuav txo qis ntawm cov kua mis. Qhov no txhais tau hais tias cov qog tau nce ntau heev.

Txoj kev kho mob ntawm cov menyuam yaus

Ntau zaus, cov menyuam mos tau kuaj pom muaj kab mob xws li qog pituitary. Cov tsos mob hauv cov menyuam yaus yog: mob taub hau, xeev siab thiab ntuav, qaug zog lossis ua haujlwm ntau dhau. Yog tias cov qog tsim cov tshuaj hormones loj hlob, ces tus menyuam muaj gigantism lossis Cushing's syndrome. Tej zaum kuj yuav muaj teeb meem nrog kev loj hlob thiab puberty.

Kev kho tus mob pathology hauv cov menyuam yaus tsis txawv ntawm kev kho mob rau cov neeg laus. Yeej, tshuaj yog siv los tshem tawm cov qog. Txawm li cas los xij, yog tias xav tau kev phais, qhov kev cuam tshuam tsawg kawg nkaus ntawm endonasal endoscopic yog siv.

Cov tsos mob ntawm qog pituitary hauv cov menyuam yaus
Cov tsos mob ntawm qog pituitary hauv cov menyuam yaus

Huab cua

Yog tias koj muaj cov qog pituitary, cov tsos mob (qhov tshwm sim ntawm cov kab mob pathology yuav txawv, nyob ntawm seb tus kab mob thiab hom kev tsim) yuav pab tus kws kho mob sau ntawv kho kom txaus. Raws li rau kev kwv yees, nws zoo heev. Qhov ntawd yog, tus kab mob tuaj yeem kho tau, thiab cov neoplasm feem ntau yog qhov tsis zoo.

Qhov tsuas yog qhov tsis txaus ntseeg yog qhov qog pituitary qee zaum rov tshwm sim. Nws tag nrho yog nyob ntawm hom neoplasm. Qee zaum kev kho tus kheej tuaj yeem tshwm sim. Tej zaum qhov no tshwm sim yog tias ib tug neeg muaj prolactinoma.

ntsuas kev tiv thaiv

Ib qho kev ntsuas uas tuaj yeem cawm koj ntawm cov kab mob no yog tus cwj pwm zoo rau koj txoj kev noj qab haus huv. Sim noj txoj cai, txav mus, so. Tsis txhob raug mob taub hau kom ntau li ntau tau. Ntawm thawj cov tsos mob ntawm pathology, koj yuav tsum tau maj nrawm mus rau tus kws kho mob, thiab tsis pib kho tshuaj ntsuab. Koj tsuas tuaj yeem ua mob rau koj tus kheej los ntawm kev ua qhov no. Thov nco ntsoov tias kev noj qee yam tshuaj hormonal kuj tuaj yeem ua rau kev loj hlob ntawm qog.

Qhov ntawd yog tag nrho cov yam ntxwv ntawm cov kab mob nthuav tawm thiab txoj hauv kev rau nws tshem tawm. Nyob zoo!

Pom zoo: