Mob muag muag syndrome

Mob ntsws muag hauv lub cev yog cov mob uas lub caj pas pituitary ntsws los sis ua kom thooj.

Lub pituitary yog ib lub caj pas me me nyob hauv qab lub hlwb. Nws txuas rau hauv hauv qab ntawm lub hlwb los ntawm lub ntsej muag pituitary. Lub pituitary tso hauv chav pw-zoo li nyob hauv pob txha taub hau hu ua sella turcica. Hauv Latin, nws txhais tau tias lub rooj lus Turkish.

Thaum lub caj pas pituitary ntsws me me los yog pluav, nws yuav tsis pom ntawm MRI scan. Qhov no ua rau thaj chaw ntawm lub caj pas pituitary zoo li "khoob muag." Tab sis sella tsis yog qhov khoob. Nws yog feem ntau ntim nrog cerebrospinal kua (CSF). CSF yog kua dej uas nyob ib puag ncig ntawm lub hlwb thiab tus txha caj qaum. Nrog khoob sella syndrome, CSF tau xau rau hauv sella turcica, tso lub zog ntawm lub thaj. Qhov no ua rau lub caj pas ua kom qis lossis flatten.

Thawj qhov muag txaus cov leeg mob tshwm sim thaum ib qho ntawm cov khaubncaws sab nraud (arachnoid) npog tawm sab nraud ntawm lub hlwb kev cia rau hauv qhov muag thiab nias ntawm lub qhov pituitary.

Secondary khoob sella tshwm sim thaum muag cov khoob vim cov pituitary caj pas tau puas los ntawm:

• Ib cov qog
• Kev siv hluav taws xob
• Kev phais mob
• Kev poob plig

Mob muag hauv cov tsos mob yuav pom nyob rau hauv cov mob hu ua pseudotumor cerebri, uas feem ntau cuam tshuam rau cov tub ntxhais hluas, cov poj niam rog thiab ua rau CSF muaj kev nyuaj siab dua.

Lub caj pas pituitary ua rau ntau cov tshuaj hormones uas tswj lwm cov qog hauv lub cev, suav nrog:

• Adrenal qog
• Zes qe menyuam
• Cov noob qes
• Lub qog

Qhov teeb meem nrog lub qog pituitary tuaj yeem ua teeb meem nrog ib qho ntawm cov qog saum toj no thiab cov qib qog ntshav tsis txaus ntawm cov qog no.

Feem ntau, tsis muaj cov tsos mob lossis ploj ntawm lub zog pituitary.

Yog tias muaj cov tsos mob, lawv yuav suav nrog ib qho hauv qab no:

• Teeb meem Erection
• Mob taub Hau
• Kev coj khaub ncaws tsis xwm yeem lossis qhaj
• Tsawg lossis tsis muaj siab rau kev sib deev (tsis tshua muaj libido)
• Qaug zog, tsis muaj zog
• Txiv mis tawm

Tus neeg mob muag yeeb yam feem ntau tshwm sim thaum MRI lossis CT scan ntawm lub taub hau thiab lub hlwb. Pituitary muaj nuj nqi feem ntau tsis sib xws.

Tus kws saib xyuas kev noj qab haus huv tuaj yeem xaj kuaj mus ua kom lub caj pas pituitary ua haujlwm zoo li qub.

Qee zaum, kev ntsuam xyuas seb puas muaj ntshav siab hauv lub hlwb yuav ua tiav, xws li:

• Kev kuaj mob ntawm tus kabmob retina los ntawm kws kho keeb
• Xaus caj pas (txha caj qaum)

Rau cov thawj muag syndrome:

• Tsis muaj kev kho yog tias kev ua haujlwm pituitary zoo li qub.
• Tshuaj kho mob tej zaum yuav raug muab tshuaj los kho ib qib txawv txav tsis txaus.

Txog rau theem muag khoob syndrome, kev kho mob cuam tshuam nrog kev hloov cov tshuaj hormones uas ploj lawm.

Qee qhov xwm txheej, kev phais mob txhawm rau txhawm rau kho kho tus mob turcica.

Thawj cov khoom lag luam sella tsis ua rau muaj mob, thiab nws tsis cuam tshuam lub neej cia siab.

Teeb meem ntawm cov tshuaj khoob khoob ua ntej muag khoom muaj xws li qib siab dua li ib txwm ntawm prolactin. Qhov no yog yam tshuaj tsim los ntawm lub caj pas pituitary. Prolactin txhawb kev loj hlob ntawm lub mis thiab kev tsim kua mis hauv cov poj niam.

Lwm yam kev mob tshwm sim ntawm qhov muaj muag seem cuam tshuam nrog ua rau muaj tus mob pituitary caj pas los yog ua rau lub cev puas tsawg dhau ntawm cov leeg hlwb (hypopituitarism).

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm lub raum pituitary txawv txav, xws li teeb meem kev coj khaub ncaws los yog mob tsis xwm yeem.

Pituitary - khoob muag syndrome; Ib nrab khoob muag

• Pituitary caj pas

Kaiser U, Ho KKY. Pituitary physiology thiab tshuaj xyuas kev txheeb xyuas. Hauv: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Phau Ntawv ntawm EndocrinologyCov. 13th ed. Philadelphia, PA: Elsevier; 2016: chap 8.

Maya M, Pressman BD. Pituitary kev kos duab. Hauv: Melmed S, ed. Lub Neej PhemCov. 4 tug ed. Philadelphia, PA: Elsevier; 2017: cha 23.

Molitch KUV. Ua ntej plam. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 224.