He aha te Hypopituitarism? Tohutohu, Take, me te Maimoatanga

Ka puta te Hypopituitarism ina kore te whatukuhu pituitary e hanga i te nui o tetahi, neke atu rānei o ngā homoni e hiahia ana tō tinana. Whakaarohia tō whatukuhu pituitary hei ‘pokapū mana whakahaere’ mō tō tinana – he whatukuhu iti, rite te rahi ki te pī, kei raro i tō roro, e kī ana ki ētahi atu whatukuhu kia mahi.

Ina kore e mahi tika tēnei whatukuhu iti engari kaha, ka pā pea ki ngā wāhanga maha o tō tinana, nā te mea ka whakahaeretia e ngā homoni ngā mea katoa, mai i ō taumata kaha tae atu ki tō tipu. Ko te rongo pai, mā te maimoatanga tika, ka taea e te nuinga o te hunga e pangia ana e te hypopituitarism te noho ora, hauora.

He aha te hypopituitarism?

Ko te hypopituitarism tētahi āhuatanga kei reira te whatukuhu pituitary e whakaputa ana i te iti rawa o ētahi homoni. Ka tukuna e tō whatukuhu pituitary ngā homoni waru rerekē e whakahaere ana i ētahi atu whatukuhu puta noa i tō tinana.

Ina he iti rawa te taumata o tetahi, neke atu rānei o ēnei homoni, ka hanga he pānga. Kāore pea e whiwhi ō whatukuhu tairoirī, ngā whatukuhu adrenal, ngā tūmomo whakaputa uri, me ētahi atu pūnaha nui i ngā tohu e hiahia ana rātou kia mahi tika.

Ka taea e tēnei āhuatanga te whanake haere mō ngā marama, neke atu rānei i ngā tau, koia te take i puta ai ngā tohu i te ngāwari. Ko ētahi ka whānau mai me te āhuatanga nei, ko ētahi atu ka whanake i muri mai nā te whara, neke atu rānei i te mate.

He aha ngā tohu o te hypopituitarism?

Ko ngā tohu e pā ana ki a koe e whakawhirinaki ana ki tehea homoni e pā ana, me te kaha o te pānga. Nā te mea ka whakahaeretia e ngā homoni rerekē ngā mahi tinana rerekē, ka rereke pea ngā tohu mai i te tangata ki te tangata.

Ko ēnei ngā tohu tino noa ka kitea pea e koe:

• Te ngenge nui e kore e pai ake mā te okioki
• Te ngaro taimaha e kore e whakamāramahia, neke atu rānei i te uaua ki te pupuri i te taimaha
• Te makariri tonu
• Te toto iti me te māuiui ina tū
• Ngā wā whakaputa uri kore ranei, kore rānei i ngā wāhine
• Te iti o te hiahia moepuku i ngā tāne me ngā wāhine
• Te ngoikore o ngā uaua me te mamae o ngā hononga
• Te pouri, neke atu rānei i ngā huringa ngākau
• Te uaua ki te aro, neke atu rānei i te māngere o te roro

I ngā take nui ake, ka pāngia pea koe e te ruaki, te ruaki, neke atu rānei i ngā manawa ngāwari. Ka whakaatu pea ngā tamariki e pangia ana e tēnei āhuatanga i te tipu puhoi, neke atu rānei i te whakaroa o te pakeketanga, ka taea te awhina i ngā tākuta ki te whakatau i te raruraru i mua.

He aha ngā momo hypopituitarism?

Ka whakarōpūhia e ngā tākuta te hypopituitarism i runga i tehea homoni e pā ana, me te wā e whanake ana te āhuatanga. Ko te mārama ki ēnei momo ka awhina i tō rōpū hauora ki te hanga i te mahere maimoatanga tino whai hua mōu.

Ko ngā momo matua ko:

• Hypopituitarism wāhanga: Kotahi anake, neke atu rānei i ngā homoni e pā ana, ka arahi ki ngā tohu ngāwari
• Hypopituitarism katoa: He maha ngā homoni i whakaitihia rawa, ka puta he pānga whānui ake
• Hypopituitarism whānau: Kei te noho mai i te whānautanga nā ngā take ira, neke atu rānei i ngā take whanaketanga
• Hypopituitarism whiwhi: Ka whanake i muri mai i te ora nā te whara, te mate, neke atu rānei i ngā take

Ka whakatau tō tākuta te momo kei a koe mā ngā whakamātautau toto me ngā rangahau whakaahua. Ka awhina tēnei whakarōpū i te kī he aha ngā tohu e tino pāngia ana e koe, ā, ka ārahi i ngā whakatau maimoatanga.

He aha ngā take o te hypopituitarism?

He maha ngā take rerekē ka pakaru i tō whatukuhu pituitary, neke atu rānei i te whakaroa i tō mahi noa. Ko ētahi take he tino noa atu i ētahi atu, ā, ko te mārama ki te take take ka awhina i ngā tākuta ki te whakarite i te huarahi maimoatanga pai.

Ko ngā take tino noa ko:

• Ngā mate pukupuku pituitary: Ka taea e ngā tipu mate pukupuku me ngā tipu kore mate pukupuku te pēhi i ngā kiko hauora
• Ngā whara o te upoko: Ka taea e te tukino nui mai i ngā aituā, neke atu rānei i ngā whara hākinakina te pakaru i te whatukuhu
• Te pokanga roro: Ka pā pea ngā mahi tata ki te rohe pituitary ki tō mahi
• Te maimoatanga radiation: Ngā maimoatanga mate pukupuku e āta whai ana i te rohe o te upoko, neke atu rānei i te kaki
• Ngā mate: Ka taea e te meningitis, neke atu rānei i ētahi atu mate roro te whakaoho i te mumura
• Te pōka: Ngā raruraru rere toto e pā ana ki te rohe pituitary

Ko ngā take iti ake engari ka taea ko ngā āhuatanga autoimmune kei reira tō pūnaha ārai mate e whakaeke ana i te whatukuhu pituitary, ētahi rongoā, neke atu rānei i ngā mate ira. I etahi wā, kāore e taea e ngā tākuta te whakatau i te take motuhake, ka āhua whakahawea pea, engari kāore e whakarereke i te meka kei reira ngā maimoatanga whai hua.

Nōhea te haere ki te tākuta mō te hypopituitarism?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā kei te pāngia koe e ngā tohu maha kaore he whakamārama mārama, inā koa kei te pānga ki tō oranga o ia rā. Ka taea e te whakatau me te maimoatanga i mua te aukati i ngā raruraru, ā, ka awhina i a koe kia pai ake te āhua.

Rapua te tiaki hauora mēnā ka kite koe i te ngenge roa, ngā huringa taimaha e kore e whakamāramahia, ngā raruraru ngākau, neke atu rānei i ngā huringa i tō huringa whakaputa uri, neke atu rānei i te mahi moepuku. He maha ngā take o ēnei tohu, engari he mea nui kia whakakorehia ngā raruraru homoni.

Waea atu mō te tiaki āwangawanga mēnā ka pāngia koe e ngā tohu nui penei i te ruaki roa, te ngoikore nui, te whakawareware, neke atu rānei i te ngāwari. Ka taea e ēnei te tohu i te koretake homoni nui e hiahia ana ki te maimoatanga wawe.

He aha ngā take morearea mō te hypopituitarism?

Ka taea e ētahi take te whakapiki ake i ō tūmanako ki te whanake i te hypopituitarism, ahakoa ko te whai i ngā take morearea kāore e tikanga ka whanake pea koe i te āhuatanga. Ko te mōhio ki ēnei take ka awhina i a koe me tō tākuta ki te tūpato mō ngā tohu wawe.

Ko ngā take morearea matua ko:

• Te hītori o te whara o te upoko, neke atu rānei i te whara o te roro
• Te pokanga roro o mua, neke atu rānei i te rongoā radiation
• Te hītori whānau o ngā mate pituitary
• Ngā mate autoimmune penei i te mate huka, neke atu rānei i ngā raruraru tairoirī
• Ētahi āhuatanga ira
• Te tau (ko ētahi momo he tino noa i ngā pakeke o waenganui)

Mēnā kei a koe tētahi o ēnei take morearea, kāore e tikanga me manukanuka tonu koe. Engari, ko te tikanga me mōhio koe ki ngā tohu pea, ā, me kōrero koe ki tō kaiwhakarato hauora mō ngā awangawanga i ngā tirotiro noa.

He aha ngā raruraru pea o te hypopituitarism?

Kaore he maimoatanga tika, ka taea e te hypopituitarism te arahi ki ngā raruraru hauora nui i te roa. Heoi, mā te rongoā whakakapi homoni tika, ka taea te aukati, neke atu rānei i te whakahaere pai i te nuinga o ngā raruraru.

Ko ngā raruraru pea ko:

• Te mate adrenal: He āhuatanga morearea ki te ora mēnā ka heke rawa te taumata cortisol
• Te huka toto iti rawa: Ka taea te whakaoho i te whakawareware, ngā hopu, neke atu rānei i te ngaro o te mohio
• Ngā raruraru ngakau: Kei roto i te ngakau kore ranei te ngakau
• Te ngaro wheua: Ka arahi ki te osteoporosis me te whakapiki ake i te morearea o te whati
• Ngā raruraru hua: Te uaua ki te hapu, neke atu rānei i te pupuri i te haputanga
• Te pouri nui: Kāore pea e whakautu ki ngā maimoatanga noa

Ko te rongo pai, ko ēnei raruraru he mea aukati nui mā te tiaki hauora tika. Ka taea e te tirotiro noa me te rongoā whakakapi homoni te awhina i a koe ki te pupuri i te hauora pai me te kounga o te ora.

Me pēhea te aukati i te hypopituitarism?

Ahakoa kāore e taea e koe te aukati i ngā take katoa o te hypopituitarism, inā koa ngā take e puta mai ana i ngā take ira, ka taea e koe te mahi i ngā mahi hei whakaiti i tō morearea o ngā momo āhuatanga whiwhi.

Ko ngā mahi tiaki kei roto i te kakahu i ngā taputapu haumaru tika i ngā hākinakina, neke atu rānei i ngā mahi ka taea te whakaoho i ngā whara o te upoko, te whai i ngā tikanga haumaru i te mahi me te wā e taraiwa ana, me te rapu i te tiaki hauora wawe mō ngā whara o te upoko, ahakoa he iti te āhua.

Mēnā kei te whiwhi koe i te rongoā radiation mō te maimoatanga mate pukupuku, kōrero atu ki tō oncologist mō te tiaki i tō whatukuhu pituitary i te wā e taea ana. Ka taea hoki e ngā tirotiro hauora noa te awhina i te kite i ngā raruraru i te wawe ina ngāwari ake te maimoatanga.

Me pēhea te whakatau i te hypopituitarism?

Ko te whakatau i te hypopituitarism e hiahia ana ki ngā whakamātautau maha hei ine i ō taumata homoni me te tirotiro i tō whatukuhu pituitary. Ka tīmata tō tākuta mā te kōrero taipitopito mō ō tohu me tō hītori hauora.

Ko te tukanga whakatau i te nuinga o te wā kei roto ngā whakamātautau toto hei ine i ngā taumata homoni maha, i te nuinga o te wā i te ata ina teitei te taumata. Ka tono pea tō tākuta i ngā whakamātautau whakaoho, kei reira koe e whiwhi ana i te werohanga, katahi ka tangohia he toto hei kite i te āhua o te whakautu a tō pituitary.

Ka awhina ngā rangahau whakaahua penei i ngā rangahau MRI i ngā tākuta ki te kite i te hanganga o tō whatukuhu pituitary me te tirotiro mō ngā mate pukupuku, neke atu rānei i ngā āhuatanga rerekē. I etahi wā, he mea hiahia ngā whakamātautau atu hei whakatau i tehea homoni motuhake e pā ana, me te kaha o te pānga.

He aha te maimoatanga mō te hypopituitarism?

Ko te maimoatanga mō te hypopituitarism e aro ana ki te whakakapi i ngā homoni kāore e hanga e tō tinana i te nui. Ko tēnei huarahi, e kiia nei ko te rongoā whakakapi homoni, ka taea te whakahaere pai i te nuinga o ngā tohu me te aukati i ngā raruraru.

Ko tō mahere maimoatanga pea kei roto:

• Te whakakapi cortisol: I te nuinga o te wā mā te hydrocortisone, neke atu rānei i te prednisone e tangohia ana i ia rā
• Te whakakapi homoni tairoirī: Ko te nuinga o te wā ko te levothyroxine e tangohia ana kotahi i ia rā
• Te whakakapi homoni moepuku: Testosterone mō ngā tāne, estrogen me te progesterone mō ngā wāhine
• Te homoni tipu: I etahi wā ka tūtohutia mō ngā pakeke e koretake nui ana
• Ngā whakakapi homoni atu: E hiahiatia ana i runga i ō koretake motuhake

Ka tīmata tō tākuta mā ngā rāpoi iti, ā, ka whakarite i runga i ō tohu me ngā hua whakamātautau toto. Ka awhina te tirotiro noa ki te whakarite kei te whiwhi koe i ngā rahinga tika. Mēnā he take take kei reira penei i te mate pukupuku, pea ka hiahia te maimoatanga motuhake.

Me pēhea te whakahaere i te hypopituitarism i te kāinga?

Ko te whakahaere i te hypopituitarism i te kāinga kei roto te tango tonu i ō rongoā me te tirotiro tika i ō tohu. Ka taea e te hanga i te mahinga o ia rā te awhina i a koe ki te mahara ki te tango i ō whakakapi homoni i ngā wā tika.

Pupurihia he tātai tohu hei aroturuki i te āhua o tō ngākau, ā, tuhia ēnei korero ki tō rōpū hauora. Ka awhina tēnei i a rātou ki te whakarite i tō maimoatanga e hiahiatia ana. He mea nui hoki te kakahu i te tohu whakatūpato hauora i te wā o ngā āwangawanga.

I ngā wā o te mate, neke atu rānei i te ahotea, pea ka hiahia koe ki te whakarite i tō whakakapi cortisol – ka whakaako tō tākuta i a koe ki te mahi i tēnei kia ora. Ko te pupuri i te oranga hauora mā te whakakori noa, te kai pai, me te moe tika ka tautoko i tō mahere maimoatanga whānui.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka awhina i a koe ki te whakamahi pai i tō wā me tō kaiwhakarato hauora. Tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou me te āhua o te pānga ki tō oranga o ia rā.

Mauria he rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua hua e tangohia ana e koe, tae atu ki ngā rāpoi me te auau. Mēnā kei a koe ngā hua whakamātautau o mua, neke atu rānei i ngā rēkōta hauora e pā ana ki ō tohu, mau mai ngā tārua me koe.

Tuhia ngā pātai e hiahia ana koe ki te ui, penei i ngā whakamātautau pea e hiahia ana koe, ngā whiringa maimoatanga e wātea ana, me te āhua o te pānga o te āhuatanga ki ō mahi o ia rā. Ko te whai hoa, neke atu rānei i te mema whānau whakawhirinaki ka taea te whakarato i te tautoko ngākau me te awhina i a koe ki te mahara ki ngā korero nui.

He aha te mea nui mō te hypopituitarism?

Ko te hypopituitarism he āhuatanga e taea te whakahaere e whakautu pai ana ki te maimoatanga tika. Ahakoa ka taea te whakaoho i ngā tohu nui e pā ana ki te kounga o tō ora, ka taea e te rongoā whakakapi homoni te awhina i te nuinga o te iwi kia pai ake te āhua, ā, ka aukati i ngā raruraru nui.

Ko te kī ki te angitu ko te mahi tata me tō rōpū hauora, te tango i ngā rongoā penei i te whakahaua, me te haere ki ngā hui whai muri noa. Mā te tiaki tika, ka taea e te nuinga o te hunga e pangia ana e te hypopituitarism te ora ora, mahi.

Kia mahara pea ka roa te wā ki te kimi i te whakakotahitanga tika me ngā rāpoi o ngā whakakapi homoni mōu. Kia manawanui ki te tukanga, ā, kōrero tika ki tō tākuta mō te āhua o tō ngākau.

Ngā pātai e ui pinepinetia ana mō te hypopituitarism

Ka taea te whakaora katoa i te hypopituitarism?

Ko te hypopituitarism he āhuatanga ora tonu e hiahia ana ki te rongoā whakakapi homoni haere tonu i te whakaora. Heoi, mēnā he take e taea te maimoatanga kei reira penei i te mate pukupuku, ko te whakautu i te take take pea ka whakahoki mai i ētahi mahi pituitary. Ka whakahaere pai te nuinga o te iwi i ō rātou tohu mā te maimoatanga tika, ā, ka taea te ora noa, hauora.

Me tango rānei au i ngā whakakapi homoni mō te toenga o toku ora?

I te nuinga o ngā take, āe – ko te rongoā whakakapi homoni he ora tonu, nā te mea kāore e ora ake te whatukuhu pituitary i tōna mahi katoa ina pakaru. Heoi, pea ka whakaritea ō rāpoi i te roa i runga i ngā hiahia e huri haere ana o tō tinana. Pea ka hiahia ētahi atu tangata e pangia ana e te hypopituitarism wāhanga i ngā whakakapi iti atu i ētahi atu e koretake homoni katoa.

Ka taea e ngā wāhine e pangia ana e te hypopituitarism te whānau tamariki?

Āe, he maha ngā wāhine e pangia ana e te hypopituitarism ka taea te hapu me te whānau tamariki hauora mā te whakahaere hauora tika. Pea ka hiahiatia ngā maimoatanga hua hei whakaoho i te ovulation, ā, me tirotiro tika ngā taumata homoni puta noa i te haputanga. Ko te mahi tahi me ngā tohunga i te endocrinology whakaputa uri ka taea te awhina i te whakarite i ō tūmanako mō te haputanga angitu.

He momo mate huka rānei te hypopituitarism?

Kāo, ehara te hypopituitarism i te mate huka, ahakoa ka taea te pānga ki ngā taumata huka toto. Ko te āhuatanga e pā ana ki te whatukuhu pituitary i te koretake ki te insulin, neke atu rānei i te whakahaere huka toto motuhake. Heoi, pea ka nui ake te morearea o te hunga e pangia ana e te hypopituitarism ki te whanake i te mate huka, no reira he mea nui te tirotiro noa.

Kia tere rānei te pai ake o toku āhua i muri i te tīmatanga o te maimoatanga?

Ka tīmata te nuinga o te iwi ki te kite i ngā whakapainga i roto i ngā wiki torutoru ki ngā marama torutoru i muri i te tīmatanga o te rongoā whakakapi homoni. Pea ka pai ake ngā tohu penei i ngā taumata kaha i te tere, engari pea ka roa ake ētahi atu penei i te ngākau, neke atu rānei i te mahi moepuku. Ka mahi tahi tō tākuta me koe ki te whakarite i ngā rāpoi kia pai rawa tō āhua, ka taea te roa o ngā marama o te whakarite.