Pituitary adenoma. Mgbaàmà, nhazi ọkwa

Pituitary adenoma bụ a benign neoplasm nke agwa. Ọ na-esite n'ebe akpụ mkpụrụ ndụ na ihu pituitary n'ọnụ ọnụ. Metụtara nanị akụkụ ụfọdụ neoplasm na sella, ke ukot nke okpokoro isi (ya tapered òkè). Dị ka a na-achị, ndị pituitary adenoma na-chọpụtara na ọrịa n'agbata afọ 20 na afọ 40. Ruo n'ókè dị ukwuu na mmepe nke etuto ahụ susceptible inyom. Dị ka ọnụ ọgụgụ, 22 na 30% niile intracranial etuto ahụ bụ a pituitary akpụ. Mgbaàmà nke ọrịa ime, dabere na nhazi ọkwa.

Benign guzobere ike hormonally arụsi ọrụ ike na hormonally-adịghị ejekwa ozi.

The mbụ na udi na-agụnye etuto ahụ ike nke na-amị tropic homonụ. The guzobere hormonally ifịk adenomas egosi a elu ọbara ọdịnaya nke ndị a homonụ (tropic) na ọnụnọ nke na-adakarị syndrome zuru ezu kwuru. The syndrome bụ a N'ihi nke mụbara mmepụta nke ma hormone. N'ihi na hormone-arụsi ọrụ ike etuto ahụ na-agụnye prolactinoma (prolactin-amị) kortikotropinomy (amị corticotropin, somatotropin (secreting ibu hormone - STH) na ndị ọzọ ga-ahụ kwuru ihe fọrọ nke nta ọkara nke hormonally ifịk adenomas emekwa ka prolactinoma ..

Ha na-eme ruo a obere akụkụ nke hormonally-adịghị ejekwa ozi etuto ahụ.

Na a dayameta nke na-erughị 10 mm guzobere emee microadenomas pituitary.

Ihe mere maka mmepe nke etuto ahụ guru ezughị.

Dị ka otu nke echiche, na e nwere a bụ isi lesion na hypothalamus na abụọ ndisịn idem nke akpụ anụ ahụ na usoro. Dị ka ọzọ echiche, e nwere a bụ isi lesion, nke na-kpụrụ n'ihi pituitary adenoma.

Mgbaàmà hormonally-arụsi ọrụ ike etuto ahụ na-agụnye endocrine na metabolic syndrome, na radiographic ngosipụta oftalmonevrologicheskie.

Osisi ike ngosipụta endocrine-exchange agwa bụ a echiche nke ịta nke gabigara ókè na-emepụta mmiri ọgwụ ahụ na ogo mmebi nke anụ ahụ na-daputara neoplasm.

Oftalmonevrologicheskie mgbaàmà na-egosi nke pituitary adenoma, onwe ya suprasellar ibu. Ọhụrụ a kpụworo nsogbu na diaphragm na Turkish sadulu akpalite isi ọwụwa dull agwa. A, ihe mgbu so site ọgbụgbọ bụghị adịghị adabere na toso na na-bụghị mgbe niile na-ewepụ site ahụ mgbu.

Mmebi owuwu na hypothalamic pituitary adenoma etolite-akpalite. Mgbaàmà n'ala Mgbasa neoplasm nwere ike na-egosi Itie gọzie gị oghere na CSF mmetụta nke gọzie gị mkpọchi. The uto nke neoplasms, nākpasu mkpakọ nke alaka nke cranial akwara, so ophthalmoplegia (anya muscle ọnya) na diplopia (abụọ ọhụụ).

Sikwuoro nke oké ike, ma ọ bụghị na-egbu egbu hemorrhage a na-ewere ọhụrụ guzobere. Ọ hụrụ na mgbe pituitary adenoma, nke mgbaàmà nke hemorrhage abawanye, nwere ike kpasuo n'amaghi "ọgwụgwọ". Na-emekarị, nke a onu bụ ihe e ji mara nke prolactin.

N'oge ime, na-emekarị enwekwu pituitary adenoma.

Mgbaàmà kpaliri n'oge radiographic nnyocha, kwuru na mgbanwe nke nha na shapes nke sella turcica, wedara n'ala na thinning nke ọkpụkpụ akụkụ, na otú pụta. CT nwere ike visualized onwe ya pituitary adenoma.

Mgbaàmà nke ụfọdụ hormone-arụsi ọrụ ike etuto ahụ nwere a kpọmkwem agwa. Mgbe ụfọdụ, prolactinomas nwanyi nwere ike iyi galactorrhea (Milky ọdịnaya nke ntọhapụ nke ara), ma ọ bụ ịhụ nsọ ụfọdụ. Ọtụtụ mgbe hụrụ jikọrọ okwu ndị a ihe mgbaàmà.