Pituitary ama pituitary apoplexy waa cudur naadir ah laakiin halis ah. Waa xaalad degdeg ah oo caafimaad oo u baahan maarayn habboon.

Qeexid

Pituitary apoplexy waa wadne qabad ama dhiig-bax ku dhaca adenoma pituitary (buro aan kansar lahayn oo qanjirka 'pituitary gland' ee maskaxda ka soo baxa). In ka badan kala badh kiisaska, apoplexy waxay muujinaysaa adenoma oo aan bixin wax calaamado ah.

Sababaha 

Sababaha keena apoplexy pituitary si buuxda looma fahmin. Pituitary adenomas waa burooyin si fudud u dhiig baxa ama u dhinta. Necrosis waxaa laga yaabaa inay sabab u tahay yaraanta xididdada dhiigga. 

cudurka

Sawir-qaadista degdega ah (CT ama MRI) waxay suurtogal ka dhigtaa in la sameeyo baaritaanka iyadoo la muujinayo adenoma ee habka necrosis ama dhiig-baxa. Tijaabooyin dhiig degdeg ah ayaa sidoo kale laga qaadaa. 

Dadka ay khusayso 

Pituitary apoplexy wuxuu ku dhici karaa da' kasta laakiin wuxuu ku badan yahay 3-da jir. Ragga ayaa wax yar ka saameeya dumarka. Pituitary apoplexy wuxuu saameeyaa 2% dadka qaba adenoma pituitary. In ka badan 3/XNUMX ee kiisaska, bukaanadu ma aqoonsanayaan jiritaanka adenoma ka hor dhibaatada ba'an. 

Waxyaabaha khatarta 

Dadka qaba adenoma pituitary inta badan waxay leeyihiin waxyaabo soo jiidasho leh ama soo daadanaya: qaadashada daroogooyinka qaarkood, baaritaannada qallafsan, cudurada khatarta sare leh (sonkorowga mellitus, baaritaannada angiographical, cilladaha xinjirowga, ka hortagga xinjirowga, baaritaanka kicinta pituitary, radiotherapy, uurka, daaweynta bromocriptine, isorbide). , chlorpromazine…)

Si kastaba ha ahaatee, inta badan istaroogga ayaa ku dhaca iyada oo aan lahayn arrin soo degdegaysa.

Pituitary ama pituitary apoplexy waa isku darka calaamado dhowr ah, kuwaas oo soo bixi kara saacado ama maalmo. 

Madax 

Madax-xanuun daran ayaa ah calaamadaha bilowga ah. Madax-xanuun guduudan ayaa ku jira in ka badan afar meelood saddex xaaladood. Waxay la xiriiri karaan lallabbo, matag, qandho, miyir beelid, sidaas darteed lagu gaaro cudurka meningeal syndrome. 

Dhibaatooyinka aragga 

In ka badan kala badh kiisaska pituitary apoplexy, khalkhalka aragga ayaa lala xiriiriyaa madax-xanuun. Kuwani waa isbeddellada muuqaalka ah ama luminta feejignaanta aragga. Midda ugu badan waa hemianopia bitemporal (luminta muuqaalka lateral ee dhinacyada iska soo horjeeda ee goobta muuqaalka). Curyaaminta Oculomotor sidoo kale waa mid caadi ah. 

Calaamadaha endocrine 

Cudurka 'pituitary apoplexy' waxaa badanaa la socda cillad la'aanta pituitary ee ba'an (hypopituitarism) oo aan had iyo jeer dhammaystirnayn.

Maareynta apoplexy pituitary waa noocyo badan oo kala duwan: dhakhaatiirta indhaha, dhakhaatiirta neerfaha, dhakhaatiirta neerfaha iyo dhakhaatiirta endocrinologists. 

Daawaynta apoplexy waxay u badan tahay caafimaad. Beddelka hoormoonka waxaa loo fuliyaa si loo saxo cilladaha endocrinological: therapy corticosteroid, therapy hormone thyroid. Dib-u-soo-nooleyn biyo-electrolytic ah. 

apoplexy waxay noqon kartaa mawduuca daaweynta neerfaha. Tani waxay ujeedadeedu tahay inay hoos u dhigto dhismayaasha maxalliga ah iyo gaar ahaan waddooyinka indhaha. 

Daaweynta Corticosteroid waa mid nidaamsan, haddii aoplexy lagu daaweeyo neerfayaasha ama lala socdo qaliin la'aan (gaar ahaan dadka aan lahayn muuqaal muuqaal ah ama cillado indho-beelka aragga iyo miyir-beelka). 

Marka faragelintu ay degdegto, wadarta dib u soo kabashada ayaa suurtagal ah, halka ay dhacdo dib u dhac daweyn ah waxaa jiri kara indho-la'aan joogto ah ama hemianopia. 

Bilaha ka dambeeya apoplexy-ga dib-u-qiimaynta shaqada pituitary ayaa la sameeyaa, si loo eego haddii ay jiraan deficits joogtada ah ee pituitary.

Run ahaantii suurtagal maaha in laga hortago apoplexies pituitary. Si kastaba ha noqotee, waa inaadan iska indhatirin calaamadaha laga yaabo inay yihiin adenoma pituitary, gaar ahaan khalkhalka aragga (adenomas waxay cadaadin karaan dareemayaasha indhaha). 

Goynta adenoma ee qaliinka ayaa ka hortagaysa dhacdo kale oo ah apoplexy pituitary. (1)

(1) Arafah BM, Taylor HC, Salazar R., Saadi H., Selman WR Apoplexy ee adenoma pituitary ka dib markii la tijaabiyey firfircooni leh hormoonka sii daaya gonadotropin Am J Med 1989; 87: 103-105