Ntxiv nrog rau cov thyroid caj pas, qhov keeb kwm ntawm hormonal nyob rau hauv tib neeg lub cev yog tswj los ntawm pituitary caj pas lossis pituitary caj pas. Nws nyob hauv qis seem ntawm lub hlwb qab lub qhov muag. Cov hlav ntawm lub cev no yog hu ua pituitary adenoma. Raws li txoj cai, nws yog benign thiab tsis yuav tsum tau kev kho tshwj xeeb, tab sis qee qhov nws muaj yog fraught nrog loj txim.
Adenoma ntawm pituitary caj pas ntawm lub hlwb - ua rau
Mus txog rau tam sim no, txawm ntev ntev ntawm cov kev tshawb fawb txog kev kho mob, nws tsis tau tsim nyog los tsim kom muaj pes tsawg ua rau pathology nug. Factors, raws li kws txawj, predispose mus rau tsim ntawm ib lub qog:
- mechanical kev puas tsuaj rau pob txha taub hau nrog cov nyhuv ntawm lub hlwb;
- kis kab mob ntawm cov hlab ntsiag;
- ntev thiab tsis tuaj yeem txais kev noj qab haus huv ntawm cov tshuaj tiv thaiv qhov ncauj;
- ntau yam kev phom sij rau ntawm tus me nyuam hauv plab thaum lub sij hawm gestation.
Qee lub sij hawm, qhov pituitary adenoma mob vim yog kev tshuaj ntsuam genetic predisposition, tab sis tsab ntawv no tsis muaj pov thawj tseeb, tab sis tsuas yog raws li cov ntaub ntawv tawm xwb.
Adenoma ntawm pituitary caj pas ntawm lub hlwb - cov tsos mob
Feem ntau tau piav qhia txog kev kho mob neoplasm thiab tsis cuam tshuam rau lub cev thiab cov txheej txheem hauv nws. Tab sis, nyob ntawm seb yam qog, nws tuaj yeem tsim cov tshuaj hormones, los yog tsis.
Hom mob adenoma:
- Cov adenoma tsis yog li niaj zaus uas yog tsis muaj hormones.
- Basophilic - secretes hormones ACTH, TTG, LH, FSH.
- Acidophilic adenoma ntawm pituitary gland los yog prolactinoma ua cov tshuaj hormones loj hlob, prolactin.
- Adenocarcinoma (malignant). Cwj pwm los ntawm kev loj hlob sai heev, nce hauv ntim, uas ua rau kom mob hlwb cov ntaub so ntswg. Muaj ntau yam metastases, yog tsawg kawg.
- Chromophobic adenoma ntawm pituitary caj pas yog qhov ua rau ntawm txoj kev loj hlob ntawm thyrotropic, lactotropic thiab gonadotropic hlav.
- Mixed - combines cov yam ntxwv ntawm acidophilic, basophilic thiab chromophobic neoplasms.
Thawj hom qog tsis muaj mob thiab feem ntau yog me me.
Cov ntawv ntxiv uas tau teev tseg (cov kev ua haujlwm - nrog rau cov tshuaj hormones) muaj cov kab mob ntawm adenoma tshwm sim los ntawm cov tsos mob xws li:
- lub Itenko-Cushing Syndrome;
- hyperthyroidism ;
- acromegaly;
- galactorrhea;
- hypothyroidism;
- gigantism;
- amenorrhea ;
- impotence;
- hypogonadism;
- hypertensive-hydrocephalic syndrome.
Pituitary adenoma - kev kho mob
Muaj 3 hom kev kho:
- medicinal;
- nqaj;
- phais.
Tshuaj kho mob muaj nyob rau hauv kev tswj hwm ntawm dopamine antagonists. Cov tshuaj no ua rau lub pob kom hlav thiab ua haujlwm tsis zoo.
Radiation therapy yog tsim rau cov kab mob me me xwb uas tsis tsim cov tshuaj hormones, thiab yog tias muaj teeb meem rau phais kev phais.
Cov kev tshem tawm ntawm qhov phais yog qhov ua tau zoo tshaj plaws. Qhov no ua rau qhov kev loj hlob ntxiv tom qab ntawm lub neoplasm, compression ntawm cov hlab ntsha paj hlwb thiab lub hlwb cov ntaub so ntswg. Tsis tas li ntawd, excision ntawm lub adenoma tiv thaiv hemorrhage nyob rau hauv lub rupture ntawm cov hlab ntsha.
Adenoma ntawm lub pituitary caj pas - lub txim tom qab kev phais
Yog tias qhov kev pabcuam phais tau zoo, tus neeg mob yuav raug rho tawm hauv 1-3 hnub tomqab kho nws. Qee zaum, ib qho hormonal luv luv
Pituitary adenoma - raug
Nyob rau hauv cov ntaub ntawv ntawm lub caij pib ntawm kev kho, lub qog yog kho zoo kawg nkaus thiab tsis ua rau irreversible txim.
Yav dhau los pom muaj kev ua txhaum ntawm kev siv qhov muag los yog hormonal tshuav qee zaum kuj tsis raug daws txawm tias tom qab lub sijhawm ua haujlwm. Thaum zoo li no, tus neeg mob tau txais ib qho kev tsis taus.