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autoimmune hypophysitis

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Dear Rhia,

 

Namaste.

 

Thank you for your email.

 

Medical Background:

 

Autoimmune hypophysitis is a chronic inflammation of

the pituitary gland caused by autoimmunity. This

disease is most commonly known in the literature as

lymphocytic hypophysitis, although the term

" lymphocytic " is imprecise. After the original

description, the disease was called, more precisely,

" lymphocytic adenohypophysitis " because the

lymphocytic infiltration was limited to the anterior

hypophysis. It was then realized that the autoimmune

attack could also and exclusively involve the

infundibular stem and the posterior lobe, and so the

term " lymphocytic infundibulo-neurohypophysitis " was

created. Finally it was realized that the lymphocytic

infiltration can affect both the adenoyhypophysis and

the infunbibulo-neurohypophysis and so the term

" lymphocytic infundibulo-hypophysitis " arose. We

prefer the simpler term autoimmune hypophysitis,

followed by the specific anatomic location when known

(anterior, posterior or both).

 

Autoimmune hypophysitis was first described in 1962 by

Goudie and Pinkerton (from Glasgow, UK). They reported

a 22 year old woman who died of adrenal insufficiency

14 months after the birth of her second child.

Symptoms had begun approximately 3 months post-partum,

with lassitude, goiter and amenorrhea. At autopsy the

anterior pituitary was diffusely infiltrated by

lymphocytes (the posterior lobe was normal), the

thyroid showed Hashimoto’s thyroiditis and the adrenal

glands could not be found and thus presumed severely

atrophic. We found, however, in the autopsy archives

of the Johns Hopkins hospital, an earlier patient

(1932) with the features of autoimmune hypophysitis.

 

Autoimmune hypophysitis is rare, but part of the

rarity is due to the fact that many physicians do not

know about it and therefore do not diagnose it.

Introduction of magnetic resonance imaging (MRI) in

the mid 1980s has made physicians more aware of

autoimmune hypophysitis.

 

Symptoms

The clinical presentation of Autoimmune Hypophysitis

includes 4 categories of symptoms.

-The most common are symptoms derived from mass

effect, such as headaches (47% of patients) and visual

disturbances (33%).

 

-Then there are symptoms derived from the hypofunction

of one or more of the adenohypophyseal hormones: the

most frequent endocrine cells affected are the

corticotropes (33%) and the thyreotropes (13%),

followed by lactotropes (31%) and gondadotropes (26%).

 

 

-The third category includes the symptoms indicating

an involvement of the neurohypophysis (polyuria and

polydipsia), which were present in 27% of the

patients.

 

-Last are the symptoms due to hyperprolactinemia

(mainly amenorrhea/oligomenorrhea and galactorrhea),

which were present in 23% of the patients.

 

These symptoms of AH are indistinguishable from those

of any expanding mass located the sella turcica.

 

Typical Clinical Scenarios

Autoimmune Hypophysitis affects young females most

frequently

In 81% of cases, Autoimmune Hypophysitis affects

women. Several autoimmune processes prefer females as

their favorite " target " . This high prevalence probably

correlates with genetic and environmental factors.

Because autoimmune processes are more prevalent after

puberty or near menopause, researchers think that

estrogens may represent one of the multifactorial

triggers in developing autoimmune disorders. This

theory can also explain why, sometimes, estrogen

treatment may worsen some autoimmune diseases

(Systemic Lupus Erythematosus, SLE, for example).

(learn more about autoimmunity)

 

Females are affected especially in the early

postpartum period

Autoimmune Hypophysitis usually becomes clinically

evident after a delivery, in the early postpartum

period. The reason for this, is not completely known,

but has been observed in other autoimmune diseases,

such as in autoimmune thyroid diseases. The most

accepted theory is based on immunological and hormonal

bases. During pregnancy, the autoimmune system turns

off some of the physiologic ways to discovering the

exogenous enemies, because a tolerance of the fetus

(half belongs to the mother, but half to the father)

is needed. After delivery, the immune system turns its

defenses back on. This can also produce an attack

against the self, as an autoimmune reaction occurs.

The role of the hormones in triggering autoimmune

disease has been studied for a long time. The hormonal

changes that happen during pregnancy and after

delivery, may influence the autoimmune overreaction,

but these putative sex differences need to be well

established.

 

Early symptoms are visual impairment and headache

The autoimmune process produces the enlargement of the

pituitary, because a lot of autoimmune cells, such as

lymphocytes and others hematopoietic cells, migrate

into the pituitary tissue. The gland situated just

behind the optic chiasm, starts to press the optical

structures. The result of this anatomical injury is a

visual impairment: the patients reports that they

cannot see things as well. Specifically, the

peripheral part of the field of vision decreases,

determining the clinical condition also named

Bitemporal Hemianopsia. Hemianopsia derives from the

old Greek: " hemi " means a half and " anopsy " means

without vision; " bitemporally " refers to the fact that

both halves near the temporal bones of the skull are

deficient. For this reason ophthalmologists are

sometimes the physicians which diagnose the disease

first, because the patient reports impaired peripheral

vision.

 

 

Another frequent symptom is headache. This is probably

caused by the compression that the inflamed and

enlarged gland produces on the dura mater, the

membrane covering the brain.

 

Usually tends to recover spontaneously, but sometimes

a persistent, partial or total, pituitary defect can

remain

Autoimmune Hypophysitis differs from other autoimmune

diseases. The visual impairment can represent the

proof of the gland enlargement, without any sign of

hormonal defect. But, especially when the field of

vision contraction is the first symptom, a wrong

diagnosis can be made, because of the radiological

misunderstanding. Clinical history (recent pregnancy,

sex, and a family history for autoimmune disease) can

help in the correct handling of the patient.

 

Sometimes the autoimmune process is so aggressive that

most of the gland is injured. In this case a hormonal

defect is present, because pituitary is no longer able

to produce those hormones necessary to regulate the

function of the peripheral endocrine gland. The most

important and dangerous hormone deficiency is that

which affects the adrenal glands. In fact, a rapid and

severe develop in cortisol production, can cause

cardiovascular failure (hypovolemic shock) and

subsequently death. But also thyroid and gonadal

functions could be affected, and respectively

hypothyroidism or a precocious menopause (with

infertility) can develop. When the clinic history

suggests that one or more hormones are defective, a

functional study of the gland is needed. The hormone

defect can be transient or, unlikely, persistent. In

the last case, a hormone replacement therapy is needed

for the rest of the patient's life.

Source: John Hopkins Pathology, Hypophysitis Research

Center

 

Pranic Healing:

 

1. Invoke and scan before, during and after

treatment.

 

2. General sweeping several times.

 

3. Apply pranic psychotherapy for stress.

 

4. Localized thorough sweeping on the front, sides

and back of the lungs. Directly energize the lungs

through the back of the lungs with LWG, LWO and LWR.

Point your fingers away from the patient's head when

energizing with O.

 

5. Localized thorough sweeping on the basic chakra

alternately with LWG and LWO. Energize it with LWR.

 

6. Localized thorough sweeping on the arms and legs

with emphasis on their minor chakrasalternately with

LWG and LWO. Energize the minor chakras with lWR.

 

7. Localized thorough sweeping on the front and back

heart chakra. Energize the heart chakra through the

back heart chakra with LWG and more of ordinary LWV.

 

8. Localized thorough sweeping on the front and back

solar plexus chakra. Energize with LWG and then with

more of ordinary LWV.

 

9. For experienced, advanced pranic healers, apply

localized thorough sweeping on the front and back

solar plexus chakra, and on the liver alternately with

LWG and LWO. Energize the solar plexus chakra with

LWB, LWG and then with LWO.

 

10. Localized thorough sweeping on the front and back

spleen chakra with LWG. Energize the spleen chakra

wit LWG then with oridnary LWV. This has to be done

with caution.

 

11. Localized thorough sweeping on the kidneys

alternately with LWG and LWO. Energize with LWR.

 

12. Localized thorough sweeping on the meng mein

chakra.

 

13. Localized thorough sweeping on the sex chakra

alternately with LWG and LWO. Energize with LWR.

 

14. Localized thorough sweeping on the throat chakra.

Energize with a little of LWG then with more of

ordinary LWV.

 

15. Localized thorough sweeping on the anja chakra

and the pituitary gland alternately with LWG and

ordinary LWV.

 

16. Energize the pituitary gland with LWB for

localizing effect.

 

17. Energize the pituitary gland and the ajna chakra

with a little LWG then with more of ordinary LWV.

While energizing the ajna chakra, gently but firmly

instruct the ajna chakra to normalize, and to

harmonize all the other chakras and organs.

 

18. Stabilize and release projected pranic energy.

 

19. Repeat treatment three times per week.

 

Supplementary:

 

1. Regular proper practice of the Meditation on Twin

Hearts everyday. Alternate MTH for psychological

well-being with MTH for physical healing.

 

2. Pranic abdominal breathing for 5 to 10 minutes

several times per day especially when experiencing

stress.

 

3. Regular bath in water with salt.

 

Love,

 

Marilette

 

======================================================

 

Hello Marilette

Hope it's all going well for you.

We have chatted before a few months back about a very

dear girlfirend of mine with a benign tumour in her

breast. Since those emails she has now been recently

diagnosed (to this stage anyway) with polycystic

fibrosis and after an MRI, what I imagine to be

getting closer to the root cause of her condition in

western medical terms, with autoimmune hypophysitis.

The manifestations of the inflammation are that she is

not producing any cortisone, her blood sugar levels

are all over the place and she hasn't menstruated

since July - for all of these indications she is

taking medication, but she has been told that nothing

can be done directly for the pituatary inflammation

and that either it will spontaneously disappear or she

may be taking such medication for life.

In PH terms, how does an/any autoimmune disease fit in

- are we dealing more with a pranic psychotherapy

situation here? Specifically for the pituatary, the

Ajna and................... I started to list other

chakras but I realise that all chakras will need to be

treated as the whole endocrine system needs attention.

 

Also a couple of years ago, most of her thyroid was

removed due to nodes, but ongoing blood tests have

indicated no need for thyroid hormone replacements.

She's getting really worn down and out. There is a

bit of a window of opportunity here while her boss

(who is a difficult woman and an energy vampire - I

don't say this lightly) is away for three months.

If you have any thoughts or suggestions they would be

very gratefully received.

This email is being sent from my work email address so

it's fine to reply here, or to my home address which

is rhiannondouglas

Thank you and blessings

Rhia

 

=====

Pranic Healing is not intended to replace orthodox medicine, but rather to

complement it. If symptoms persist or the ailment is severe, please consult

immediately a medical doctor and a Certified Pranic Healer . ~ Master Choa Kok

Sui

 

Miracles do not happen in contradiction to nature, but only to that which is

known to us in nature. ~ St. Augustine

 

Ask or read the uptodate pranic healing protocols by joining the group through

http://health./

 

For the latest International Information regarding GMCKS Pranic Healing, visit

http://www.pranichealing.org.

 

 

 

 

 

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