Pituitary apoplexy

Pituitary apoplexy ba kasafai yake faruwa ba, amma mummunan yanayin gland din pituitary.

Pituitary karamar glandace a gindin kwakwalwa. Pituitary yana samar da yawancin homonin da ke sarrafa mahimmancin tsarin jiki.

Pituitary apoplexy na iya haifar da zubar jini a cikin pituitary ko ta hanyar toshewar jini zuwa ga pituitary. Apoplexy yana nufin zub da jini zuwa gaɓaɓɓiyar jini ko asarar gudan jini zuwa gaɓar.

Rashin kwayar cutar na faruwa ne sanadiyyar zub da jini a cikin wani ciwo mara ciwo (mara kyau) na cutar pituitary. Wadannan cututtukan suna da yawa sosai kuma galibi ba a gano su. Pituitary ya lalace lokacinda kumburin ya kara girma. Kodai jini yayi cikin pituitary din ko kuma ya toshe jinin zuwa ga pituitary din. Girman ƙari, mafi girman haɗarin don apoplexy na yau da kullun.

Lokacin da zubar jini na jini ya faru a cikin mace yayin haihuwa ko dama bayan haihuwa, ana kiranta ciwo na Sheehan. Wannan yanayi ne mai matukar wuya.

Abubuwan haɗarin haɗari ga marasa ƙarfi a cikin marasa ciki ba tare da ƙari ba sun haɗa da:

• Rashin jini
• Ciwon suga
• Raunin kai
• Radiation zuwa pituitary gland shine yake
• Amfani da injin numfashi

Rashin daidaituwa a cikin waɗannan yanayi ba safai ake samu ba.

Pituitary apoplexy yawanci yana da gajeren lokaci na bayyanar cututtuka (m), wanda zai iya zama barazanar rai. Kwayar cutar sau da yawa sun haɗa da:

• Tsananin ciwon kai (mafi munin rayuwar ku)
• Shan inna na tsokar ido, yana haifar da hangen nesa sau biyu (ophthalmoplegia) ko matsalolin bude fatar ido
• Rashin hangen nesa gefe ko rashin gani duka a ido ɗaya ko duka biyun
• Pressureananan hawan jini, tashin zuciya, rashin ci, da amai daga rashin ƙarancin adrenal
• Halin mutum yana canzawa saboda taƙaitaccen ɗayan jijiyoyin cikin kwakwalwa (jijiyoyin baya na kwakwalwa)

Kadan da yawa, rashin lafiyar jiki na iya bayyana a hankali. A cikin ciwo na Sheehan, alal misali, alamun farko na iya zama rashin nasarar samar da madara wanda rashin kwayar prolactin ta haifar.

Bayan lokaci, matsaloli tare da wasu kwayoyin cutar pituitary na iya haɓaka, haifar da alamun alamun waɗannan yanayin:

• Rashin haɓakar hormone
• Rashin ƙarancin adrenal (idan ba a riga an gabatar ba ko ba a bi da shi ba)
• Hypogonadism (glandon jima'i na jiki yana haifar da kadan ko babu hormones)
• Hypothyroidism (thyroid gland shine yake ba ya isa isasshen hormone thyroid)

A cikin al'amuran da ba safai ba, lokacin da na baya (ɓangaren baya) na pituitary ya ƙunsa, alamu na iya haɗawa da:

• Rashin mahaifar tayi kwanciya don haihuwar jariri (a cikin mata)
• Rashin samar da nono (a cikin mata)
• M urination akai-akai da kuma tsananin ƙishirwa (ciwon sukari insipidus)

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamunku.

Gwajin da za'a iya yin oda sun hada da:

• Gwajin ido
• MRI ko CT scan

Za a yi gwajin jini don bincika matakan:

• ACTH (adrenocorticotropic hormone)
• Cortisol
• FSH (hormone mai motsa jiki)
• Ci gaban hormone
• LH (luteinizing hormone)
• Prolactin
• TSH (hormone mai motsa jiki)
• Growtharfin haɓakar insulin-1 (IGF-1)
• Sodium
• Rashin jini a cikin jini da fitsari

M apoplexy na iya buƙatar tiyata don taimakawa matsa lamba a kan pituitary da inganta alamun gani. Abubuwa masu tsanani suna buƙatar tiyata ta gaggawa. Idan hangen nesa baya tasiri, yawanci tiyata baya zama dole.

Ana iya buƙatar gaggawa tare da homonin maye gurbin (glucocorticoids). Ana ba da waɗannan kwayoyin ta hanyar jijiya (ta hanyar IV). Sauran ƙwayoyin cuta na iya ƙarshe maye gurbinsu, gami da:

• Ci gaban hormone
• Jima'i na jima'i (estrogen / testosterone)
• Hormone na thyroid
• Maganin Vasopressin (ADH)

Mutuwar pituitary apoplexy na iya zama barazanar rai. Hangen nesa yana da kyau ga mutanen da suke da rashi na rashin ƙarfi na yau da kullun wanda aka binciko kuma aka magance shi.

Matsalolin rashin saurin pituitary apoplexy na iya haɗawa da:

• Rikicin adrenal (yanayin da ke faruwa lokacin da babu isasshen cortisol, wani sinadarin hormone da gland adrenal ke samarwa)
• Rashin hangen nesa

Idan ba a maye gurbin sauran kwayoyin hormones da suka ɓace ba, alamun cututtukan hypothyroidism da hypogonadism na iya haɓaka, gami da rashin haihuwa.

Kirawo mai ba ku sabis idan kuna da alamun rashin ƙarfi na rashin ƙarfi na yau da kullun.

Je zuwa dakin gaggawa ko kira lambar gaggawa na cikin gida (kamar su 911) idan kuna da alamomin saurin afuwa, ciki har da

• Raunin jijiyoyin ido ko rashin gani
• Ba zato ba tsammani, tsananin ciwon kai
• Pressureananan jini (wanda zai iya haifar da suma)
• Ciwan
• Amai

Idan ka ci gaba da waɗannan alamun kuma an riga an gano ka tare da ciwon ƙwayar cuta, nemi taimakon likita nan da nan.

Pituitary infarction; Pituitary ƙari apoplexy

• Endocrine gland

Hannoush ZC, Weiss RE. Pituitary apoplexy. A cikin: Feingold KR, Anawalt B, Boyce A, et al, eds. Otearshen [Intanet]. Kudu Dartmouth, MA: MDText.com. 2000-. www.ncbi.nlm.nih.gov/books/NBK279125. An sabunta Afrilu 22, 2018. An shiga Mayu 20, 2019.

Melmed S, Kleinberg D.Pituitary talakawa da marurai. A cikin: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Littafin Williams na Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016: babi na 9.