Pituitary microadenoma

pituitary microadenomas na-ezo aka benign etuto ahụ na wee si n'aka ya ihu n'ọnụ ọnụ mkpụrụ ndụ. The orunótu nke akpụ a hụrụ na sella. Up 30% niile intracranial etuto ahụ nke adenoma (microadenomas) pituitary. Ọ na tumadi dị ndị mmadụ si di ọgu arọ abua. Ọ bụrụ na ọ na-ahụrụ na ndị inyom ime karịa mmadụ.

pituitary microadenoma nwere ike a dị ịrịba ama dị iche si macroadenoma. Ihe dị iche-egosipụta onwe ya na akpa ebe, na size. Pituitary microadenomas nwere a dayameta erughị iri millimeters. Ke adianade do, dị iche iche na-adakarị N'ezie na omume iche iche na ụdị ọgwụ eji. Tumorlet nwere a obere akpọ Capsule ma ọ bụ ya na-anọghị.

Ọ ga-kwuru na ọtụtụ ndị etuto ahụ nwere morphological ịrịba ama nke malignancy. Otú ọ dị, ọtụtụ ndị na-eto eto n'ime ụbụrụ (ya ike shei) na ọkpụkpụ Ọdịdị gbara ya gburugburu na pituitary gland.

Adenoma (microadenomas) pituitary. mgbaàmà

Hormonally-adịghị ejekwa ozi etuto ahụ ghara ime ka doro anya imebi nke endocrine-exchange agwa. The adakarị ngosipụta nke hormonally-arụsi ọrụ ike etuto ahụ na-agụnye endocrine na metabolic syndrome, na radiographic oftalmonevrologicheskie mgbaàmà. Ike nke endocrine-metabolic ọrịa na-egosipụta na larịị nke gbara ya gburugburu akpụ anụ ahụ mebiri.

Oftalmonevrologicheskih ngosipụta nke mgbaàmà bụ isi optic atrophy, mgbanwe na visual ubi. Ha ike na-adabere na suprasellar adenoma ibu (microadenomas). Nrụgide nke akpụ na ebe nke sella diaphragm akpata a isi ọwụwa na-metụtara nanị akụkụ ụfọdụ na temporal, frontal na pozadiglaznichnoy ebe. A, ọ na-adịghị esonyere site na ọgbụgbọ na bụ na ọ bụghị ahụ ọnọdụ. Ọ bụghị mgbe niile kwere omume wepụ ọgwụ. Ụdi akpụ ibu elu-edu merie hypothalamic owuwu. Akpụ ibu na ntụziaka nke ala ebe nke sella turcica, na-agbasa ya na imi pụrụ igosipụta sensashion nke gọzie gị mkpọchi na-akpa iche na ya na-CSF (cerebrospinal ọmụmụ).

The nkọ na-abawanye na ihe mgbu na oftalmonevrologicheskih mgbaàmà agakọkarị na ụba intensities nke akpụ mmepe (e.g., afọ ime), ma ọ bụ hemorrhage n'ime akpụ. Dị ka omume-egosi, ọbara ọgbụgba - ọtụtụ mgbe ezuru, oké njọ ma adịghị egbu egbu sikwuoro. Mgbe ụfọdụ, ọ na-eduga ọ bụghị nanị na ihe mgbu ka ukwuu, visual disturbances, ma na mberede "na-agwọ ọrịa" nke ngwọta.

Radiographic mgbaàmà na-agbanwe agbanwe na size na udi nke Turkish sadulu, mbibi na thinning nke ọkpụkpụ owuwu na ihe ndị ọzọ. N'ọnọdụ ụfọdụ, ọ bụ na o kwere omume anya nke akpụ (CT iṅomi).

Adenoma (microadenomas) pituitary. ọgwụgwọ

Dabere ụdị, ogo mgbaàmà, ogo na size nke jikọtara ọgwụ na-kenyere.

Na-anọghị nke visual ọrịa hormonally ifịk akpụ dị ka prolactinoma, emeso mgbanwe usoro eji dopamine ihe nnabata agonists. N'ihi refractory ịkpa ụzọ na-eji ọgwụ etuto ahụ. Dị ka a na-achị, na-eji microsurgery. Etuto ahụ nke nnukwu size ata neurosurgery. Mgbe usiakidem, radieshon ọgwụ a kara aka.

Mgbe ụfọdụ na-eto eto ọrịa na etuto ahụ ma ọ bụ agafeghị oke ogo ediyarade na Cushing ọrịa ma ọ bụ ọrịa, Nelson ikpo mpụga doo Radiotherapy. N'ihi na etuto ahụ nke obere akụkụ-eji proton irradiation.

N'ihi hormonally-adịghị ejekwa ozi adenomas iji ịwa ahụ na ụzarị ọkụ na ọgwụ.