Adenoma pituitary: calaamadaha dumarka, daaweynta, saadaasha, saamaynta, photo. Sababaha iyo astaamaha adenoma pituitary ee haweenka

xuubkii jilibka ee maskaxda qanjirka pituitary ee saamayn ku formation of burooyin aan halis ahayn in dumarka, oo la yidhaahdo adenoma pituitary ee. Calaamadaha dumarka, daaweynta, saadaasha, oo ka dhalan kara cudurkan halista ah u baahan tixgelin faahfaahsan.

Waa maxay adenoma pituitary ah?

qanjirka pituitary laftiisa waa qanjir muhiim ah, xaalad ah in si toos ah saamiyeed si ay u asalka isku dheeli tiran oo hormoon ee jirka aadanaha. Tani waa mid ka mid ah cudurada ugu caamsan ee unugyada maskaxda. Pituitary adenoma sheegay in 10 kiis oo ka mid ah 100 noocyada kala duwan ee burooyinka hore. Intaa waxaa dheer, statistics ma aha la yaabka sare: 20% ee dumarka soo maray 30-sano ah, ka cabanaya daliilka bahal hawlaha pituitary ee qaabab kala duwan.

adenomas Advantageously wakiil noocyo kala duwan oo burooyinka oo kuma hantaan darro calaamadaha morphological kansarka. Si kastaba ha ahaatee, haddii aan la daaweyn habboon suurtagalnimada of xumaanshaha of adenoma ah in buro malignant waa weyn oo ku filan. Si kastaba ha ahaatee, khatarta dheeraad ah oo ku keeni kara gobollada maskaxda dariska ah. Waxay isu amaahiyaan halista ah ee maroojin nugul shanta hablood koritaanka cusub, kaas oo inta badan u keenaysaa in xanuunada hormoonada jidhka, dhibaatooyinka maskaxda ah, sii xumaanaysa ee maqalka iyo aragga.

Sababaha iyo halista dumarka

Inkastoo guulaha qaar ee daawada, cilmi casri ah sax ma cadayn karto sababaha taas oo ay jirto adenoma pituitary ah. Calaamadaha dumarka sababa cudurada this, caawin karaan go'aaminta isha cudurka iyo in la yareeyo kala duwan ee arrimaha xanaajin halista in kiis kasta.

saynisyahano Qaar ka mid ah waxay aaminsan yihiin in kororka aan dabiici ahayn oo unug u jilacsan waa ay sabab u tahay wax soo saarka hoose oo ka mid ah kuwa meelaha ka baxsan nidaamka hormoonada jidhka ama at dhalin kacsantahay hormoonnada Hypothalamus. Taas waxaa raacda in sababaha adenoma pituitary ee haweenka waa dabeecadda kala duwan ka soo jeedo, iyo in dhakhaatiirta ugu caansan oo lagu kalsoonaan karo waxaa ka mid ah sida:

• lesions intracranial hartey weeraryahanka (maskaxda, xagtimaha, hemorrhage);
• cudurada faafa, saamaysay xaaladda habdhiska dhimirka (meningitis, polio, qaaxada, encephalitis, waraabow, iwm);
• dhibaatooyin xilliga dhalmada;
• qaadashada joogtada ah ee piller hormoon;
• gaadhista shucaaca,
• isbeddel ah ee qaab-dhismeedka DNA ee heer hidaha.

Inta badan khatar ugu dayrta, ma aha oo kaliya haweenka, laakiin sidoo kale ragga u taariikhda qoyska ka mid ah, ama ugu yaraan mid ka mid ah cudurada kor ku xusan, madadaalo u muuqaalka kore ee burooyin. Xaaladdan oo kale, adenoma pituitary ee haweenka (waxa la og yahay in badan, oo lahaa in ay la kulmaan dhibaato this nolosha) ayaa inta badan ka dhasha neoplasia, Gommadihinnana wuu xasilloon ka ab dhowr ah oo isku qoys ah. Kiisaska cudurka this carruurta ilaa marka ay qaan yaraatee aanay dhicin.

dirka burooyinka

kala duwan oo ka mid ah calaamadaha kala duwan oo dhan burooyin aan halis ahayn horumariyaan qaybo ka mid ah maskaxda, oo ay ku jiraan adenoma pituitary ee. Calaamadaha dumarka dhacaan ku xiran tahay noocyada cudurka, taas oo ay wadaagaan in shuruudaha asaasiga ah sida:

• Nooca adenoma - functional (saaraan hormoonada) ama nonfunctional (dadban);
• size buro - macroadenoma (in ka badan 10 mm) oo microadenomas (10 mm).

Eebbe burooyinka nonfunctional toos ah ku tiirsan yihiin waxa size doonaa pituitary adenoma. Calaamadaha dumarka, daaweynta, saadaal ka mid ah cudurada maskaxda waxay ku xiran tahay heerka uu kordhay ee burada. buro weyn ayaa xoog compressive xoog leh ma aha oo kaliya on hardware laftiisa, laakiin sidoo kale on dhismayaasha kale si dhow u dhaxeyso ee maskaxda. Darnaanta ifafaale bahal go'aamiyo heerka uu neoplasm cadaadis.

dhaqdhaqaaqa Functional burada pituitary ayaa sidoo kale kordhin karta dhexroor. Xaaladdan oo kale, bukaan waqti isku mid halis dhibaatooyinka ka yimaada xad-dhaaf ah oo hormoon ah iyo calaamadaha la xidhiidha riixo ee burada kordhay.

macroadenoma nonfunctional

Calaamadaha adenoma pituitary ee dumarka, non-functional burooyin nooca caan (in ka badan 1 cm)

• Waxaa jira dhibaatooyin la qeexidda iyo aragtida oo midabo, midabo; dhammaan waxyaabaha la arki karo ka muuqdo buka expressionless oo yaraaday.
• Waxaad lumin toosan muuqaal ah iyo sidoo kale sii kordhaya buro, weeraryahanka rajo gelin darteed, taabto dareemaha iftiinka. waxyaabaha ku xeeran noqon cawlan bukaanka, sida haddii ay ka hoolmay off geesaha.
• baaba'aa fursad si uu u daawado geeska of ishiisa. khasaaraha ka mid ah aragtida durugsan waxaa lagu ogaan karaa oo keliya foom adag cudurka.

Saamaynta ay buradu ku saabsan qanjirka pituitary ee

Muhiim u tahay xaqiiqda ah in waxbarasho tayo wanaagsan-a, gaarey qiimo xad gaar ah, waxaa laga yaabaa in la qanjirka pituitary ee hawlaha dabiiciga ah ay, taas oo inta badan keenta in kaafi pituitary faragelin. Intaa waxaa dheer, bukaan bixiyo in dabeecadda, soo noqnoqoshada, iyo inta jeer ee calaamadaha keena adenoma pituitary ee dumarka dareenka. Cawaaqib xumada cudurka ee kaafi pituitary waa kala duwan haddii ay dhacdo kasta oo gaar ah. Inta badan haweenka xitaa ma diiradda on shuruudaha soo socda:

• dhalmo la'aan (diagnosis waa natiijo ah oo degdeg ah hoos hormoonnada jinsiga soo saaray);
• hypothyroidism (nabaad ama la'aan buuxda oo luma, daal uncharacteristic, miisaanka oo kordha, Wareersan);
• caadada joogto ahayn (isbeddel ah ee qaab dabeecadda caadada dheecaanka hoos iyo mudada socodka);
• kaafi adrenal (hoos hormone cortisol);
• galactorrhea (quudinta naaska).

Symptomatology adenomas functional

Astaamaha cudurka waxa lagu muujiyey in hadba unugyada kaas oo la aasaasay adenoma pituitary functional firfircoon. Calaamadaha dumarka, daaweynta, saadaal iyo fursadaha looga bogsado ku xiran tahay in hoormoonka la soo saaray in ka badan. Waxaa xusid mudan in inta lagu guda jiro cudurka ee dhakhaatiirta inta badan la ogaado burooyinka non-functional. Hormonally burooyinka pituitary firfircoon isu mariyo sida soo socota:

• koror ah thyroid stimulating hormone;
• kordhinta hormone adrenocorticotropic;
• koror ah prolactin;
• kordhinta hormone koritaanka.

Dad badan oo dhib iyo raaxo u bixiyaa bukaanka calaamo ugu dambeeya ee jiritaanka cudurka, taasoo keeni karta adenoma pituitary hormone-firfircoon. Calaamadaha dumarka (photo muujiyeen in la caddeeyo) la-soo-saarka kordhaysa oo ah hormoonka koritaanka waxaa lagu muujiyey in ay kor ugu kaceen gacmaha iyo lugaha.

Features iyo hababka daaweynta ee adenoma pituitary

mabda'a ugu weyn on kaas oo ku salaysan habka bogsashada oo dhan ma aha oo kaliya in ay bixiyaan saamayn togan ku burada benign, laakiin sidoo kale tirtiridda calaamadaha loo kasin, saameynta xun ee burada.

Waayo, kansarka badan, isagoo dabeecadda non-malignant (sida adenoma pituitary ee haweenka a), si loogu daweeyo daroogada ku saleysan noqon karaan kuwo ku ool ah. Si kastaba ha ahaatee, tani khuseysaa oo keliya in aan caadi ahayn la ogaado in marxaladaha hore ee horumarinta.

Xaaladaha intooda badan, habka daaweynta ku lug leedahay isticmaalka daroogada in xannibi receptors aragtida hormone koritaanka. Waayo, fursadaha daaweynta adag oo dheeraad ah u baahan tahay inaad ka mid radiosurgery iyo neurosurgery. Radiosurgery faragelinta fiican loogama kaliya sida a soo dhaafay habka loo isticmaalo in ay dhacdo in aan ku filnayn wax ku oolnimada of qalliinka geedi socodka.

daaweynta qalliinka cudurada

Qaadashada nidaamka neurosurgical qaadanayaa ilaa laba saacadood. Gelinta galay dhaladii iyada oo marinka sanka. Isticmaalka microscope si gaara loo habeeyey iyo qalab kale oo lagama maarmaan ah, dhakhtar qalliin oo gaarey pituitary ee. Qalliinka ka dib bukaanka maalin kale noqon doonaa iyada oo ay kormeerayaan ku takhasusay qaybta daryeelka degdegga ah. The soo socda maalintii, in ay dhacdo guul hawlgalka iyo lagu qanci karo dareen-celin ah bukaanka ee jirka doonista lagu wareejiyo guud qaybta. Isticmaalka cunto habeenka ugu horreeya waa u, laakiin dhamaadka maalinta ugu horeysa waxaa loo ogol yahay inay biyo ka cabbaan kabashooyin yar yar, ka dibna isku day in aad hesho oo soco. Sida caadiga ah, daaweynta ugu cuduradan via neurosurgery si ammaan ah oo dhameystiran oo ah waxa lagu gartaa muddo dhaqancelinta degdeg ah. Ma aha marka laga reebo iyo pituitary adenoma. Calaamadaha dumarka kuwaas oo daaweyn ay fuliyeen qalliin, wuxuu noqon karaa qof ka dambeeya qalliinka iyo muujiyaan wareer halka a, lallabo.

Cawaaqib xumada ka saarista ee adenoma pituitary

Fursadaha soo kabashada waa horrayn ka walaacsan sida weyn adenoma pituitary ee. Calaamadaha dumarka, daaweynta, saadaasha ah ee dib u soo kabashada, ka dhalan kara - waxa ay ku xiran baaxadda kasoobaxyo. Sida ugu saxsan ee suurtagal ah si ay u sameeyaan qorshe dhaqancelinta iyo ujeeddo leedahay qiimeeyo suurtagalnimada ee soo kabashada ogolaan xuduudaheedu caafimaad oo cusub ka dhasha dib-u-baaritaanka. doorka A weyn ayaa halkan jooga ciyaaray by gabagabeeyo qalliin, dhakhtar indhaha ah iyo endocrinologist loo baahan yahay inay isku ururiso sawir buuxa oo ah bukaan socodka.

Saadaasha baxnaaninta

Mar kale, eegto tirakoobka, waxa aan arki karnaa in adenoma pituitary ee haweenka kasteba soo kabashada buuxda ee 85 bukaan ka mid ah boqol. kabashada buuxda ee kartida muuqaal ah waxay ku xiran tahay xadgudubyada sida dheer adkaystay oo ka mid ah xubnaha aragga. Markii muddo-gaaban ee dib u soo celinta fursadaha cudurka waa qaali, laakiin shaqada muuqaal ah lagama yaabo inuu ku laabto buuxda in ay dhacdo dabcan muddo dheer cudurka sida adenoma pituitary ee dumarka ah. Wax kasta oo la micno tahay, hawsha kaliya ee qalliinka ugu yaraan tirin karaa on ilaalinta ee heerka at daaweynta la bilaabay.