Pituitary microadenoma

microadenomas pituitary amatanthauza zotupa chosaopsa ndi chimaposa maselo ake zapambuyo Lobe. The kutanthauzira chotupa cha zimawonedwa mu sella. 30% ya zotupa zonse intracranial wa adenoma (microadenomas) pituitary. Iwo makamaka opezeka anthu kwa zaka makumi awiri ndi anai. Ngati wapezeka mu akazi nthawi zambiri kuposa amuna.

pituitary microadenoma akhoza kukhala kusiyana kwambiri kwa macroadenoma. kusiyana kwake kumaonekera mu malo oyamba, mu kukula. microadenomas Pituitary ali ndi awiri millimeters osachepera khumi. Komanso, mosiyana ndi njira yachipatala ndi poyankha zosiyanasiyana mankhwala ntchito. Tumorlet ali kapisozi zochepa kutchulidwa kapena sanamwe.

Tikumbukenso kuti ambiri a zotupa ndi zizindikiro morphological a chotupa chija. Komabe, ambiri amakonda kukula mu ubongo (chigoba chake molimbika) ndi dongosolo fupa azinga pituitary England.

Adenoma (microadenomas) pituitary. zizindikiro

Hormonally zotupa anafooka musati chifukwa chophwanya bwino endocrine-kuwombola khalidwe. Mawonetseredwe matenda a zotupa hormonally-yogwira zikuphatikizapo endocrine ndi matenda kagayidwe kachakudya, ndi zizindikiro radiographic oftalmonevrologicheskie. Mphamvu ya matenda endocrine-kagayidwe kachakudya amasonyeza mlingo wa ozungulira chotupa minofu kuwonongeka.

Oftalmonevrologicheskih mawonetseredwe a zizindikiro chofunika manja a misempha chamawonedwe, kusintha m'munda wa view. mwamphamvu zawo zimadalira kukula suprasellar adenoma (microadenomas). Mavuto chotupa pa dera sella zakulera amayambitsa kupweteka kuti isanafalikire mu kanthawi, mazunzo ndi pozadiglaznichnoy m'deralo. Monga ulamuliro, si limodzi ndi kunyansidwa ndi sikudalira malo thupi. Izo Sizotheka kuchotsa mankhwala. Londola kukula chotupa amatsogolera kukunda nyumba hypothalamic. Chotupa kukula mu malangizo a dera pansi pa sella turcica, ndi kufalikira mu nkusani pa angasonyeze Timatha kuchulukana m'mphuno ndi kusakonda therefrom ndi CSF (cerebrospinal madzimadzi).

Kuwonjezeka lakuthwa mu ululu ndi oftalmonevrologicheskih zizindikiro zambiri kucheza ndi anthu intensities chitukuko chotupa (mwachitsanzo, mimba), kapena kukha magazi mu chotupa. Monga mmene kumapeto, kukhetsa - zambiri zokwanira, akuluakulu koma osati oopsa vuto. Nthawi zina, tidzapeza osati kuti padzakhala ululu, zipolowe zithunzi, komanso mwadzidzidzi "machiritso" chotupa cha.

Zizindikiro Radiographic kusintha kukula ndi mawonekedwe a Turkey chishalo, chiwonongeko ndi kupatulira wa nyumba fupa ndi zinthu zina. Nthawi zina n'zotheka zowonera a chotupa (CT Jambulani).

Adenoma (microadenomas) pituitary. chithandizo

Malinga mtundu, zovuta zizindikiro, choopsa ndi kukula kwa mankhwala ophatikizana Kwalamulidwa.

Popeza zithunzi matenda hormonally yogwira chotupa monga prolactinoma anachitira ndiwofatsa njira ntchito dopamine cholandilira agonists. Njira refractory kugwira ntchito ntchito mankhwala zotupa. Monga ulamuliro, ntchito microsurgery. Zotupa wa chachikulu chokuchititsani neurosurgery. Pambuyo pa opaleshoni, mankhwala cheza zakonzedwa.

Nthawi zina achinyamata amene akudwala ndi zotupa kapena zolimbitsa kusalekerera mawonetseredwe ndi matenda Cushing wa kapena matenda, Nelson tisonyezeni mtengo radiotherapy kunja. Pakuti zotupa miyeso yaing'ono kawirikawiri amagwiritsidwa ntchito purotoni walitsa.

Pakuti adenomas hormonally anafooka ntchito opaleshoni ndi mankhwala cheza.