Pituitary adenoma. Zviratidzo, kupatsanura

Pituitary adenoma chinhu benign neoplasm nezvounhu. It zvinobva bundu masero Anterior pituitary akafukidza. Vemunyika neoplasm muna sella, mujinga Nemadehenya (ayo tapered mugove). Kazhinji, kuti pituitary adenoma kunokwanisa kuonekwa Varwere pakati pemakore 20 kusvika 40 makore. Kazhinji kukura anomera muvamwe vakadzi. Maererano nenhamba, 22 kusvika 30% kubva intracranial anomera zvose zviri munhu pituitary bundu. Zviratidzo chirwere kuitika, zvichienderana kupatsanura.

Benign inotungamirwa kungava hormonally kushingaira uye hormonally vakaneta.

chikamu chokutanga chinosanganisira mapundu aigona kubudisa tropic mahormone. Paumbwe hormonally vanoshingaira adenomas kunoratidza refu serum zviri mahormone izvi (tropic) uye kuvapo kurapwa chirwere zvakakwana akaratidza. The chirwere iri mugumisiro yakawedzera kugadzirwa kana kemikari. Nokuti kemikari-basa mapundu zvinosanganisira prolactinoma (prolactin-zvibereko) kortikotropinomy (unobereka corticotropin, somatotropin (secreting kukura kemikari - STH) uye dzimwe dzinofanira kucherechedzwa kuti vanenge hafu hormonally vanoshingaira adenomas vanoumba prolactinoma ..

Vanoumba chiduku chikamu hormonally basa anomera.

Aine dhayamita kuti asingasviki 10 mm inotungamirwa kunoitika microadenomas pituitary.

Zvikonzero pokumuka namamota vakadzidza saka kure hakuna kukwana.

Maererano nomumwe pfungwa, pane chikuru lesion iri hypothalamus pamwe yechipiri kunobatanidza bundu rinenge riri kwacho. Maererano neimwe pfungwa pane chikuru lesion, iyo yakaumbwa nokuda pituitary adenoma.

Zviratidzo hormonally-basa mapundu zvinosanganisira kwemakemikari anobudiswa uye metabolic urwere, uye radiographic anokuzviratidza oftalmonevrologicheskie.

Kuchinyanya kuratidzwa kwemakemikari anobudiswa-Exchange hunhu chinoratidza wevasungwa kuti zvakanyanyisa anogadzirwa kemikari uye ukuru kuvadza zvinyama kuti runopoteredza neoplasm.

Oftalmonevrologicheskie zviratidzo anoratidza pituitary adenoma, vasingatungamirirwi ayo suprasellar kukura. Vakagadzirira ichi chitsva vomanikidza diaphragm iri Turkish Chigaro chinokurwadzai nomusoro mikukutu hunhu. Kazhinji, marwadzo achiperekedzwa svoto haana hakubvi pane mutumbi uye hakusi kupera nokusukwa inonyaradza marwadzo omusoro.

Kukuvara zvivako munzvimbo hypothalamic pituitary adenoma inokura chinokurwadzai. Zviratidzo rigone kupararira neoplasm aratidze ndima nasal mhango uye CSF kunzwa nasal kuzara. Kukura neoplasms, Nokumukira compression pematanda ose cranial tsinga, achiperekedzwa ophthalmoplegia (ziso tsandanyama maronda) uye diplopia (chiratidzo kaviri).

Kuomesa chakakomba, asi kwete zvinouraya ropa iri munyaya nokuumbwa itsva. It Vakawana kuti apo pituitary adenoma, izvo zviratidzo ropa kuwedzera, anogona kutsamwisa "mushonga" kwatangwa. Kazhinji, Fani iyi zvikuru runozivisa prolactin.

Panguva pamuviri, kazhinji anowedzera pituitary adenoma.

Zviratidzo zvikaita munguva radiographic kuongororwa, chinoratidzwa dzokuchinja hukuru uye Zvekare zvimiro zvemhashu zvakaita sella turcica, kudzikisirana uye rive dete remafupa zvivako, uye zvichingodaro. CT inogona mufanidziro pacharo pituitary adenoma.

Zviratidzo zvevamwe kemikari-basa mapundu vane chaiyo hunhu. Mune zvimwe zviitiko, prolactinomas vakadzi kuonekwe galactorrhea (samafuta zviri nokubudiswa nechityu), kana kumwedzi hadzina kufambiswa zvakanaka. Kazhinji akawanikwa yaisanganisa okuti zvezviratidzo izvi.