ABSTRACT
The pituitary gland is an endocrine gland that releases different hormones responsible for controlling the production of hormones in other glands, and maintaining the body's homeostasis. This tiny gland is located in a bone cavity known as the sellaturcica. Anomalous growth of some cells produces pituitary adenomas, which represent between 10 and 15% of intracranial tumors. In the majority of cases, the cause is unknown, but they are usually benign tumors with a slow growth rate. Due to the wide range of functions of the pituitary gland, it can present a wide variety of symptoms which tend to present once the adenoma has reached a certain size. The most commonly used currently access to the pituitary gland is the transphenoidal endoscopic approach. We present here the case of a 28 year old man diagnosed with a non-functioning pituitary macroadenoma, describing the health education, monitoring and emotional support provided during his hospital stay and the recommendations made on his discharge from hospital. It is important to emphasise the role of nursing in order to avoid complications and ensure that care is adapted to the needs of the individual at all times.
Subject(s)
Adenoma/nursing , Adenoma/surgery , Endoscopy , Pituitary Neoplasms/nursing , Pituitary Neoplasms/surgery , Adult , Humans , Male , Nursing ProcessABSTRACT
La hipófisis es una glándula endocrina que libera distintas hormonas encargadas de controlar la producción hormonal de otras glándulas, así como de mantener la homeostasis del organismo. Esta pequeña glándula se aloja en una cavidad ósea llamada silla turca. El crecimiento anómalo de algunas células produce el adenoma de hipófisis. Representa entre un 10 y un 15 % de los tumores intracraneales y en la mayoría de los casos se desconoce la causa, pero suelen ser tumores benignos que presentan un bajo grado de crecimiento. Debido a la funcionalidad de la glándula, la sintomatología es amplia y variada, y suele aparecer una vez el adenoma ha alcanzado cierto tamaño. El abordaje más utilizado hoy en día es la vía transesfenoidal endoscópica. Se presenta el caso clínico de un hombre de 28 años diagnosticado de macroadenoma hipofisario no funcionante. Se describe tanto la educación sanitaria como la vigilancia y soporte emocional que se le proporciona durante el ingreso, así como las recomendaciones al alta hospitalaria. Es importante resaltar el rol de la enfermera con el fin de evitar complicaciones y adecuar en todo momento los cuidados a las necesidades individuales de cada persona (AU)
The pituitary gland is an endocrine gland that releases different hormones responsible for controlling the production of hormones in other glands, and maintaining the bodys homeostasis. This tiny gland is located in a bone cavity known as the sellaturcica. Anomalous growth of some cells produces pituitary adenomas, which represent between 10 and 15% of intracranial tumors. In the majority of cases, the cause is unknown, but they are usually benign tumors with a slow growth rate. Due to the wide range of functions of the pituitary gland, it can present a wide variety of symptoms which tend to present once the adenoma has reached a certain size. The most commonly used currently access to the pituitary gland is the transphenoidal endoscopic approach. We present here the case of a 28 year old man diagnosed with a non-functioning pituitary macroadenoma, describing the health education, monitoring and emotional support provided during his hospital stay and the recommendations made on his discharge from hospital. It is important to emphasise the role of nursing in order to avoid complications and ensure that care is adapted to the needs of the individual at all times (AU)
