Pituitary adenoma. Cov tsos mob, kev faib

Pituitary adenoma yog ib tug benign neoplasm ntawm cov ua cim. Nws originates los ntawm lub qog hlwb nyob rau hauv lub anterior pituitary lobe. Laus neoplasm nyob rau hauv Sella, nyob rau hauv paus ntawm lub pob txha taub hau (nws tapered feem). Raws li ib tug txoj cai, lub pituitary adenoma thiaj paub tias yog nyob rau hauv cov neeg mob uas muaj hnub nyoog 20 mus rau 40 xyoo. Yuav kom ib tug loj raws li txoj kev loj hlob ntawm cov qog raug cov poj niam. Raws li statistics, 22 mus rau 30% ntawm tag nrho cov intracranial hlav yog ib tug pituitary qog. Cov tsos mob ntawm tus kab mob tshwm sim, nyob ntawm seb lub cais.

Benign tsim tej zaum yuav hormonally active thiab hormonally tsaug zog.

Tus thawj qeb muaj xws li qog muaj peev xwm ntawm cov Tropic cov tshuaj hormones. Cov tsim ntawm hormonally active adenomas qhia ib tug siab ntshiab cov ntsiab lus ntawm cov tshuaj hormones (Tropic) thiab muaj cov kev soj ntsuam syndrome sufficiently qhia. Lub syndrome yog ib tug ntawm muaj zog zus ntawm tog twg los lawm. Rau lawm-active hlav xws li prolactinoma (prolactin-ua) kortikotropinomy (ua corticotropin, somatotropin (secreting txoj kev loj hlob hormone - sth) thiab lwm yam yuav tsum tau muab sau tseg hais tias yuav luag ib nrab ntawm cov hormonally active adenomas tshwm sim tawm lub prolactinoma ..

Lawv ua li ib tug me me ib feem ntawm hormonally tsaug zog hlav.

Nrog ib lub cheeb ntawm tsawg tshaj li 10 hli tsim tshwm sim microadenomas pituitary.

Yog vim li cas rau txoj kev loj hlob ntawm cov qog kawm kom deb li deb yog tsis txaus.

Raws li ib tug ntawm cov tswv yim, muaj yog ib tug thawj lesion nyob rau hauv lub hypothalamus nrog theem nrab koom tes ntawm lub qog cov ntaub so ntswg nyob rau hauv tus txheej txheem. Raws li mus rau lwm lub tswvyim, muaj yog ib tug thawj lesion, uas yog tsim vim pituitary adenoma.

Cov tsos mob hormonally-active hlav xws li endocrine thiab metabolic syndrome, thiab radiographic ces oftalmonevrologicheskie.

Siv ces endocrine-pauv tus cwj pwm yog ib tug rog xav txog ntawm lub concentration ntawm excessively ua lawm thiab cov neeg kawm ntawv ntawm kev puas tsuaj rau cov ntaub so ntswg uas nyob ib ncig lub neoplasm.

Oftalmonevrologicheskie cov tsos mob Muab ntawm pituitary adenoma, ywj siab los ntawm nws cov suprasellar txoj kev loj hlob. Nyob rau hauv no tshiab tsim siab rau lub diaphragm nyob rau hauv lub Turkish eeb provokes mob taub hau npub cim. Feem ntau, mob nrog xeev siab tsis tsis yog nyob ntawm seb npog tas ib ce thiab tsis yeej ib txwm tshem tawm los ntawm painkillers.

Kev puas tsuaj rau lug nyob rau hauv hypothalamic pituitary adenoma hlob provokes. Cov tsos mob downward hais tawm neoplasm tej zaum yuav qhia rau cov zaj uas lub qhov ntswg kab noj hniav thiab lub CSF kev xav ntawm qhov ntswg congestion. Cov kev loj hlob ntawm neoplasms, provoking compression ntawm cov ceg ntawm cranial qab haus huv, nrog ophthalmoplegia (qhov muag nqaij txhab) thiab diplopia (ob chav pom kev).

Mob loj heev, tab sis tsis tuag hemorrhage yog suav tias yog nyob rau hauv lub tshiab tsim. Nws pom hais tias thaum lub sij hawm pituitary adenoma, uas cov tsos mob ntawm hemorrhage nce, tej zaum yuav ntxias txawj "kho". Feem ntau, qhov no tshwm sim yog ntau cov yam ntxwv ntawm prolactin.

Thaum lub sij hawm uas cev xeeb tub, feem ntau yog tsub kom pituitary adenoma.

Cov tsos mob elicited thaum lub sij hawm radiographic kev xeem, qhia nyob rau hauv kev hloov ntawm ntau thiab tsawg thiab duab ntawm lub Sella turcica, degradation thiab thinning ntawm cov pob txha lug, thiab li ntawd. CT yuav visualized nws tus kheej pituitary adenoma.

Cov tsos mob ntawm ib co tshuaj-active hlav muaj ib lub cim. Nyob rau hauv tej rooj plaub, prolactinomas nyob rau hauv cov poj niam tej zaum yuav tshwm sim galactorrhea (ntais txheem ntawm qhov kev tso tawm ntawm lub mis), los yog coj khaub irregularities. Feem ntau pom neej coj qhia ntawm cov tsos mob no.