Rashin aikin Hypothalamic

Rashin aikin Hypothalamic matsala ce a wani ɓangare na ƙwaƙwalwa da ake kira hypothalamus. Hypothalamus yana taimakawa sarrafa pituitary gland kuma yana daidaita ayyukan jiki da yawa.

Hypothalamus yana taimakawa kiyaye ayyukan cikin jiki cikin daidaito. Yana taimaka tsarawa:

• Ci da nauyi
• Zafin jiki
• Haihuwa
• Motsin rai, hali, ƙwaƙwalwa
• Girma
• Samar da nono
• Gishiri da daidaitawar ruwa
• Jima'i
• Baccin-bacci da agogon jiki

Wani muhimmin aiki na hypothalamus shine sarrafa planditary gland. Pituitary karamar glandace a gindin kwakwalwa. Yana kwance a ƙasan hypothalamus. Pituitary, bi da bi, yana sarrafa:

• Adrenal gland
• Ovaries
• Gwaji
• Glandar thyroid

Akwai dalilai da yawa da ke haifar da rashin aiki na hypothalamic. Mafi yawan abubuwa sune tiyata, raunin ƙwaƙwalwar ƙwaƙwalwa, ciwace-ciwacen jini, da kuma radiation.

Sauran dalilai sun hada da:

• Matsalolin abinci mai gina jiki, irin su matsalar cin abinci (anorexia), rage nauyi mai nauyi
• Matsalolin jijiyoyin jini a cikin kwakwalwa, kamar su kwayar halitta, rashin kwayar cutar pituitary apoplexy, zubar jini na subarachnoid
• Rashin kwayar halitta, kamar cutar Prader-Willi, ciwon inginidus na iyali, cutar Kallmann
• Cututtuka da kumburi (kumburi) saboda wasu cututtukan garkuwar jiki

Kwayar cutar galibi galibi ne saboda homonon ko siginar kwakwalwa da suka ɓace. A cikin yara, za a iya samun matsalolin ci gaba, ko dai ci gaba da yawa ko ƙarami. A wasu yara, balaga na faruwa da wuri ko latti.

Alamomin cutar tumor na iya haɗawa da ciwon kai ko rashin gani.

Idan thyroid ya shafi, za'a iya samun alamun bayyanar cututtukan thyroid (hypothyroidism). Kwayar cutar na iya haɗawa da jin sanyi koyaushe, maƙarƙashiya, gajiya, ko karɓar nauyi, da sauransu.

Idan adrenal gland ya shafa, za'a iya samun alamun rashin aikin adrenal mara kyau. Kwayar cutar na iya haɗawa da gajiya, rauni, rashin cin abinci, ragin nauyi, da kuma rashin sha'awar ayyukan.

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

Ana iya yin oda na jini ko na fitsari don tantance matakan hormones kamar:

• Cortisol
• Estrogen
• Ci gaban hormone
• Hannun jikin mutum
• Prolactin
• Testosterone
• Thyroid
• Sodium
• Jini da fitsari osmolality
  

Sauran gwaje-gwajen da zasu yiwu sun haɗa da:

• Allurar Hormone tare da samfurin jini lokaci
• MRI ko CT scans na kwakwalwa
• Gwajin filin ido na gani (idan akwai ƙari)

Jiyya ya dogara da dalilin lalacewar hypothalamic:

• Don ciwace-ciwacen ƙwayoyi, ana iya buƙatar tiyata ko radiation.
• Don raunin haɓakar hormonal, ana buƙatar maye gurbin homonin da ya ɓace ta shan magani. Wannan yana da tasiri ga matsalolin pituitary, da kuma gishiri da daidaitawar ruwa.
• Magunguna yawanci basu da tasiri don canje-canje a yanayin zafi ko tsarin bacci.
• Wasu magunguna na iya taimakawa tare da matsalolin da suka danganci ƙa'idodin ci.

Yawancin dalilan rashin aikin hypothalamic ana iya magance su. Yawancin lokaci, ana iya maye gurbin homonin da suka ɓace.

Matsalolin rashin aiki na hypothalamic sun dogara da dalilin.

KWAYOYIN KWAJI

• Makanta na dindindin
• Matsaloli masu alaƙa da yankin ƙwaƙwalwa inda ƙari yake faruwa
• Rashin hangen nesa
• Matsalolin sarrafa gishiri da daidaiton ruwa

MAGANIN HYPOTHYROIDISM

• Matsalar zuciya
• Babban cholesterol

ADRENAL INSUFFICIENCY

• Rashin iya magance damuwa (kamar tiyata ko kamuwa da cuta), wanda ka iya zama barazanar rai ta hanyar haifar da ƙarancin jini

LALACEWAR GANGAR JIMA'I

• Ciwon zuciya
• Matsalar tashin hankali
• Rashin haihuwa
• Bonesananan ƙasusuwa (osteoporosis)
• Matsalolin shayar da nono

CIKAKAR HAMMAN HOJJI

• Babban cholesterol
• Osteoporosis
• Statananan gajere (a cikin yara)
• Rashin ƙarfi

Kira mai ba ku sabis idan kuna da:

• Ciwon kai
• Kwayar cututtukan cututtukan hormone ko rashi
• Matsalar hangen nesa

Idan kana da alamun rashin isasshen cututtukan ciki, tattauna maganan maye gurbinka da mai baka.

Ciwan Hypothalamic

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe
• Hypothalamus

Giustina A, Braunstein GD. Ciwan Hypothalamic. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi 10.

Weiss RE. Neuroendocrinology da tsarin neuroendocrine. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 210.