倦怠沒食慾 腦下垂體腫瘤作怪 – 中時電子報
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倦怠沒食慾 腦下垂體腫瘤作怪
2015年06月19日 04:10
中國時報 張立勳/台北報導
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一名72歲老婦近年來有倦怠、食慾不振、視力模糊病兆,一直不以為意,因脊椎壓迫性骨折開刀,出院後疲累情況更嚴重,就醫檢查發現腦下垂體腫瘤,經手術切除,同時服用類固醇及甲狀腺素藥物治療後,才逐漸改善。收治病患的台北市聯合醫院中興院區新陳代謝科醫師郭雅雯說,該女性因為脊椎壓迫性骨折就醫,開刀出院後倦怠和吃不下飯的現象更嚴重,甚至呈現嗜睡狀態。老婦就診抽血顯示電解質不正常,進一步發現有泛腦下垂體功能低下、鈉離子偏低,研判是甲狀腺和腎上腺功能失常引起,核磁共振檢查發現原來是有1顆2.8公分腦下垂體腫瘤,還壓迫視神經交叉,才造成視力模糊。
倦怠沒食慾 腦下垂體腫瘤作怪 - 中時電子報
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倦怠沒食慾 腦下垂體腫瘤作怪
2015年06月19日 04:10
中國時報 張立勳/台北報導
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一名72歲老婦近年來有倦怠、食慾不振、視力模糊病兆,一直不以為意,因脊椎壓迫性骨折開刀,出院後疲累情況更嚴重,就醫檢查發現腦下垂體腫瘤,經手術切除,同時服用類固醇及甲狀腺素藥物治療後,才逐漸改善。收治病患的台北市聯合醫院中興院區新陳代謝科醫師郭雅雯說,該女性因為脊椎壓迫性骨折就醫,開刀出院後倦怠和吃不下飯的現象更嚴重,甚至呈現嗜睡狀態。老婦就診抽血顯示電解質不正常,進一步發現有泛腦下垂體功能低下、鈉離子偏低,研判是甲狀腺和腎上腺功能失常引起,核磁共振檢查發現原來是有1顆2.8公分腦下垂體腫瘤,還壓迫視神經交叉,才造成視力模糊。
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郭雅雯指出,腦下垂體功能異常會影響身體代謝狀況,常見症狀有月經失調、不孕、性慾降低、疲憊、食慾減少和體重減輕,嚴重的話可能會昏迷或死亡,新陳代謝疾病造成長期倦怠並不少見,但也呼籲民眾別輕乎內分泌的重要性。(中國時報),