Pituitary microadenoma

pituitary microadenomas rinoreva benign namamota uye Ndakatengesa ayo Anterior akafukidza masero. The localization of bundu iri kuchengetwa mune sella. 30% kubva intracranial anomera ose adenoma (microadenomas) pituitary. Zvinonzi ainyanya kuwanikwa vanhu makumi maviri kusvika makumi mana namaviri. Kana kuona vakadzi kuitika kakawanda kupfuura vanhu.

pituitary microadenoma anogona musiyano chinokosha kubva macroadenoma. Musiyano kunooneka pacharo pakutanga, ukuru. Pituitary microadenomas ane dhayamita millimeters asingasviki gumi. Mukuwedzera, dzakasiyana uye kurapwa mararamiro uye pakupindura-siyana kurapa kushandiswa. Tumorlet ane zvishoma raidudzwa Kamudzira kana ayo vasipo.

Zvinofanira kucherechedzwa kuti ruzhinji namamota vane morphological zviratidzo malignancy. Zvisinei, vakawanda vanowanzoda kukura kupinda uropi (ayo goko zvakaoma) uye mapfupa mamiriro wakakomberedza pituitary shwanu.

Adenoma (microadenomas) pituitary. zviratidzo

Hormonally vakaneta mapundu regai kukonzera kutyorwa dzakajeka kwemakemikari anobudiswa-Exchange hunhu. The kunotoda kuratidza hormonally-basa mapundu inosanganisira kwemakemikari anobudiswa uye metabolic urwere, uye radiographic oftalmonevrologicheskie zviratidzo. Kusimba kwemakemikari anobudiswa-metabolic nepfungwa unoratidza mwero yakapoteredza kukuvara bundu rinenge.

Oftalmonevrologicheskih kuratidzwa zviratidzo ndicho chikuru atrophy ari optic tsinga, kuchinja munda maonero. kuchinyanya kwavo kunobva suprasellar adenoma kukura (microadenomas). Kumanikidzwa bundu iri nzvimbo sella diaphragm kunokonzera nemusoro kuti vemunyika mune zvenyama, frontal uye pozadiglaznichnoy nharaunda. Kazhinji, haisi achiperekedzwa svoto uye hakutsamiri muviri chinzvimbo. Hazvina nguva zvichiita kubvisa mishonga. Teverai of bundu kukura kunotungamirira kukunda hypothalamic hurongwa. Bundu kukura nenzira pasi nzvimbo yacho sella turcica, akaipetenura pamberi sinus anogona kuratidza manzwiro pamusoro nasal kuzara uye nevamwe kwazviri yacho CSF (cerebrospinal mvura).

The unopinza kuwedzera marwadzo uye oftalmonevrologicheskih zviratidzo kazhinji chokuita vakawedzera intensities kuti bundu kukura (semuenzaniso, pamuviri), kana ropa kupinda bundu. Sezvo tsika inoratidza kubuda kweropa - kazhinji zvakakwana, zvakakomba asi kwete dzinouraya kuomesa. Mune zvimwe zviitiko, inotungamirira kwete chete kune vawedzere marwadzo, ziso nenyonganiso, asiwo kune kamwe "kuporesa" pakati bundu.

Radiographic Zviratidzo kuchinja ukuru uye Maumbirwe Turkish Chigaro, kuparadza uye rive dete remafupa zvivako uye zvimwe zvinhu. Mune zvimwe zviitiko zvinokwanisika Visualization of bundu (CT scan).

Adenoma (microadenomas) pituitary. mabatiro

Zvichienderana mhando, kwokuomerwa zviratidzo, kukuvadza uye kukura mishonga vasanganiswa iri ushandiswe.

Pasina ziso zvirwere hormonally kushingaira bundu akadai prolactinoma, aibata kuchinja nzira uchishandisa dopamine Kanotokonya agonists. For refractory kushanda nzira dzinoshandiswa mishonga anomera. Kazhinji, akashandisa microsurgery. Namamota huru saizi achiona neNeurosurgery. Pashure pokuvhiyiwa, nemwaranzi kurapa anogadzwa.

Mune zvimwe zviitiko vechiduku varwere namamota kana mwero nekuomarara kuratidzwa pamwe Cushing nechirwere kana urwere, Nelson kunan'anura kwokunze danda radiotherapy. For namamota kuti kukura duku unowanzoshandiswa hwepurotoni irradiation.

Nokuti hormonally vakaneta adenomas vanoshandisa oparesheni uye nemwaranzi mishonga.