Pituitary ko pituitary apoplexy cuta ce mai wuya amma mai tsanani. Yana da gaggawa na likita wanda ke buƙatar gudanarwa da ta dace.

definition

Pituitary apoplexy shine bugun zuciya ko zub da jini wanda ke faruwa a cikin adenoma na pituitary (mara kyau, ƙwayar endocrine mara cutar kansa wanda ke tasowa daga glandan pituitary a cikin kwakwalwa). A cikin fiye da rabin lamuran, apoplexy yana bayyana adenoma wanda bai ba da alamun ba.

Sanadin 

Ba a fahimci dalilan da ke haifar da afuwar pituitary. Pituitary adenomas sune ciwace -ciwacen da ke zubar da jini ko mutuwa cikin sauƙi. Necrosis na iya zama saboda raunin vascularization. 

bincike

Hoton gaggawa (CT ko MRI) yana ba da damar yin bincike ta hanyar nuna adenoma yayin aiwatar da necrosis ko zubar jini. Hakanan ana ɗaukar samfuran jini na gaggawa. 

Mutanen da abin ya shafa 

Pituitary apoplexy na iya faruwa a kowane zamani amma ya fi yawa a cikin 3s. Maza sun fi mata lahani. Pituitary apoplexy yana shafar 2% na mutanen da ke da adenoma na pituitary. A cikin fiye da 3/XNUMX na lokuta, marasa lafiya ba sa gane wanzuwar adenoma kafin babbar wahala. 

hadarin dalilai 

Mutanen da ke da adenoma na pituitary galibi suna da abubuwan tsinkaye ko haifar da yanayi: shan wasu magunguna, gwaje-gwaje masu haɗari, cututtukan haɗari masu haɗari (ciwon sukari mellitus, gwajin angiographic, cututtukan coagulation, anti-coagulation, gwajin motsawar pituitary, radiotherapy, ciki, magani tare da bromocriptine, isorbide , chlorpromazine…)

Koyaya, yawancin bugun jini yana faruwa ba tare da wani dalili ba.

Pituitary ko pituitary apoplexy hade ne da alamu da yawa, wanda zai iya bayyana sama da awanni ko kwanaki. 

ciwon kai 

Ciwon kai mai tsanani shine alamar farko. Ciwon kai mai launin shuɗi yana cikin fiye da kashi uku na lokuta. Ana iya haɗa su da tashin zuciya, amai, zazzabi, rikicewar hankali, ta haka ne ake samun ciwon sankarau. 

Tashin hankali na gani 

A cikin fiye da rabi na lokuta na pituitary apoplexy, rikicewar gani yana da alaƙa da ciwon kai. Waɗannan su ne sauye -sauyen filin gani ko asarar gani na gani. Mafi na kowa shine hemianopia na bitemporal (asarar filin gani na gefe a gefe na filin gani). Oculomotor paralysis shima na kowa ne. 

Alamar endocrine 

Pituitary apoplexy galibi yana tare da ƙarancin ƙarancin pituitary (hypopituitarism) wanda ba koyaushe yake cika ba.

Gudanar da apoplexy pituitary yana da ɗimbin yawa: likitan ido, likitan kwakwalwa, neurosurgeons da endocrinologists. 

Maganin apoplexy galibi likita ne. Ana aiwatar da maye gurbin Hormonal don gyara raunin endocrinological: maganin corticosteroid, maganin hormone na thyroid. A hydro-electrolytic farfadowa. 

Apoplexy na iya zama batun maganin jiyya. Wannan yana da nufin rugujewar tsarin gida da musamman hanyoyin gani. 

Corticosteroid far yana da tsari, ko ana kula da aoplexy neurosurgically ko sa ido ba tare da tiyata ba (musamman a cikin mutanen da basu da filin gani ko rashin lafiyar gani da rashin lahani). 

Lokacin shiga tsakani yana da sauri, ana iya dawo da jimillar duka, yayin da a cikin jinkirin warkewa ana iya samun makanta na dindindin ko hemianopia. 

A cikin watanni masu zuwa bayan apoplexy ana sake nazarin aikin pituitary, don ganin idan akwai raunin pituitary na dindindin.

Ba zai yiwu a iya hana apoplexies na pituitary ba. Koyaya, bai kamata ku yi watsi da alamun da ke iya zama na adenoma na pituitary ba, musamman rikicewar gani (adenomas na iya damun jijiyoyin idanu). 

Yankin tiyata na adenoma yana hana wani lamari na apoplexy na pituitary. (1)

(1) Arafah BM, Taylor HC, Salazar R., Saadi H., Selman WR Apoplexy na adenoma na pituitary bayan gwaji mai ƙarfi tare da hormone mai sakin gonadotropin Am J Med 1989; 87: 103-105