Mafi yawan ciwon kai, yayin da muke ciwo mai raɗaɗi da raunana rayuwarmu, ba alamar yanayin rashin lafiya ba. A cikin yanayi na daban, ko da yake, ciwon kai yana iya zama alamar farko cewa wani abu mai hatsari yana faruwa a jiki. Pituitary tumor apoplexy daya misali ne na yanayi mai hadarin gaske amma mai hadarin gaske wanda zai haifar da ciwon kai mai wuya.
Pituitary Basics
Halin "pituitary" wani ɓangare na wannan yanayin yana nufin glanden kwakwalwa, wani sashi wanda yake zaune a gindin kwakwalwa. Wannan gland shine sau da yawa ana kiransa gland shine don ya sake yawan kwayoyin hormones cikin jiki. An taƙaita a kasa anan jerin jimmoni wanda glandon gwanin yayi:
- Hanyoyin hawan kuɗi (Thyroid-stimulating hormone) : Tana ƙarfafa glandon thyroid - a cikin wuyansa - don sakin hormones, wanda ke kula da yadda jiki yayi da amfani da makamashi.
- Adonocorticotropic hormone ("ACTH") : Yada hanzarin ƙuƙwalwa - wanda aka yi a saman kodan-don sakin cortisol hormone, wanda ke sarrafa yadda jiki yake kula da matakan sukari da damuwa.
- Luteinizing Hormone / Follicle-Stimulating Hormone : Yada hankalin ovaries a cikin mace don saki estrogen da progesterone da kwayoyin a cikin namiji don saki testosterone .
- Prolactin : Yada hankalin samar da madara a cikin lactating mata.
- Girman ciwo : Tsarin girma da kuma tsoka / mai ma'auni.
Pituitary Tumor Apoplexy
A cikin kwayar cutar ta jiki, akwai zub da jini a cikin gland ko kuma asarar jini zuwa gland. A mafi yawan, amma ba duk lokuta na pituitary apoplexy, mai haƙuri riga yana da ciwon tumo. Tumar ke tsiro akan glanden kuma yakan hana sakin wasu kwayoyin hormones, musamman ma idan kututture ya yi yawa.
Amma wani lokaci wani mutum bai san cewa suna da ciwon tumo har sai anyi zubar da jini ko cikin jini.
Dalilin
Bisa ga binciken da aka yi a shekara ta 2001 a Makarantar Magungunan Medicine a Jami'ar Emory a cikin Jaridar Neurology, Neurosurgery, da Psychiatry , dalilai da ke bunkasa damar mutum na bunkasa kamfanoni masu zaman kansu sun hada da:
- ciwo
- ciki
- rashin lafiya mai tsanani kamar ciwon zuciya
- kamuwa da cuta mai tsanani
Cutar cututtuka
Mutumin da ke ɗauke da ciwon tumo yana da saukowa, yana da ciwo mai tsanani a gaban shugaban da / ko a baya daya ko duka idanu. Mutum na iya samun cututtukan hormone daga zubar da jini, wanda zai rinjayar da ikon gland na iya saki hormones. Alal misali, mutumin da ke ɗauke da kwakwalwa zai iya samun ƙananan jini da kuma jini mai saurin jini daga rashi ACTH.
Sauran alamun bayyanar cututtuka na ƙwayar tumatir na iya hada da:
- Nausea / vomiting
- Hasan canzawa
- Fever
- Sweff wuyansa
- Rikici
Sanin asali da Jiyya
Ciwon ƙwayar cutar kwakwalwa ta Pituitary wani gaggawa ne na gaggawa kuma yana buƙatar ɗaukar hoto tare da ko dai CT scan ko MRI na kwakwalwa. Zai iya kama da sauran yanayin kiwon lafiya da aka jera a ƙasa, don haka yana da muhimmanci a samu gwadawa sosai ta likitan likita. Misalan wasu cututtukan likita masu tsanani waɗanda zasu iya haifar da mummunan ciwon zuciya, kamar ciwon kai na kamala da kwakwalwa na ƙwayar cutar tumatir sun hada da:
- Subarachnoid Gubar jini
- Crobral venous thrombosis
- Meningitis / Encephalitis
- Harkokin Harkokin Harkokin Harkokin Gida
- Citical Artery Dissection
Da zarar an bincikar mutum tare da cutar kututture ƙwayar cuta, za a ba shi yawan ruwa da kuma steroid ta hanyar kwayar cutar, musamman idan an yi la'akari da rashi na ACTH. Sa'an nan kuma za a kula da mutum a asibiti a kowane asibiti don ganin wani sauye-sauye, juyi, ko yaduwa. Wani lokaci aikin tiyata yana buƙatar don tabbatar da zub da jini da / ko cire tumɓir.
Tsarin lokaci mai tsawo yana da mahimmanci ga mutanen da ke dauke da ciwon sukari. Mutum zai fi son ganin wani neurosurgeon da kuma endocrinologist don sake maimaita MRI game da glandon kwance da kuma gwajin jini na yau da kullum.
Layin Ƙasa
Duk da yake wannan yanayin yana da wuya kuma mafi yawan ciwon kai ba su da wata damuwa, yana da muhimmanci cewa kana da masaniya game da alamomin da ke cikin lahani, abubuwan da ke damuwa, da kuma hanya. Idan ciwon kai yana da alamun gargadi, yana da wuyar neman likita a hankali.
Sources:
Agostoni E, Rigamonti A. Mai hadarin ciwon kai. Neurol Sci . 2008; 29: S107-9.
Biousse V, Newman N, Ovesiku N. Yanke dalilai a cikin pituitary apoplexy. J Neurol Neurosurg Sizai . 2001; 71 (4): 542-5.
Nawar RN, AbdelMannan D, Selman WR, Arafah BM. Pituitary ƙwayar cutar tumatir: wani bita. J Jakar Kulawa Mai Kulawa . 2008; 23 (2): 75-90.
Ranabir S, Baruah MP. Pituitary apoplexy. Indian J Endocrinol Metab . 2011; 15 Gudanarwa 3: 188-96.
Welt CK. Aikin hypothalamic-pituitary. A: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.