Fa no sɛ wokɔɔ oduruyɛfo nkyɛn esiane sɛ na wo ti ayɛ wo yaw nna kakraa bi nti. Sɛ oduruyɛfo no ka kyerɛ wo sɛ yɛ amemene mu nhwehwɛmu na amanneɛbɔ no ka sɛ "Empty Sella" a, dɛn na wubesusuw? Ebia wobɛsuro sɛ, "So eyi yɛ baabi a hwee nni amemene no mu? Dɛn na ɛrekɔ so?" Nanso mma ɛnhaw wo. Eyi nyɛ aniberesɛm sɛnea nnipa pii susuw no. Momma yɛnka eyi ho asɛm tiawa koraa nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Empty Sella Syndrome?
Yɛn ti nhwi mu, amemene no ase no, nnompe kotoku ketewaa bi wɔ hɔ, te sɛ afiri ketewa bi. Wɔ nnuruyɛ mu no, wɔfrɛ eyi sella turcica . Ade titiriw a ɛwɔ saa afiri ketewa yi mu ne sɛ wɔbɔ pituitary gland , a ɛyɛ yɛn nipadua mu nkwaadɔm nhyehyɛe no sohwɛfo titiriw no ho ban na wɔde sie sella turcica yi mu.
Enti, wɔ nnipa binom mu no, nsuo a ɛbɔ amemene no ho ban, a wɔfrɛ no cerebrospinal fluid (anaasɛ akyi berɛmo mu nsuo) no firi aseɛ tu kɔ saa beaeɛ yi a wɔfrɛ no ‘sella turcica’. Afei, esiane nsu yi nhyɛso nti, pituitary ntini ketewaa no bubu, ɛyɛ petee, na ɛbata sella turcica no fasu ho. Afei, sɛ wohwɛ no wɔ ‘MRI’ anaa ‘CT’ scan so a, ɛte sɛ nea baabi a wɔfrɛ no ‘sella turcica’ no da mpan. Ɛnyɛ hwee ankasa, ɛte sɛ nea ɛte saa ara efisɛ pituitary gland no ayɛ petee. Ɛno ne nea yɛfrɛ no ‘Empty Sella Syndrome’ (ESS) .
So eyi nso ahorow bi wɔ hɔ?
Yiw, ahorow abien titiriw na ɛwɔ hɔ.
1. Primary Empty Sella Syndrome (`Primary ESS`): Eyi ne nea ɛtaa ba. Ɛba bere a amemene mu nsu pue kɔ sella teresa no mu wɔ awosu mu, a abɔnten so biribi pɔtee biara nni mu no. Ɛtɔ da bi nso a wotumi hu wɔ nnipa a wɔwɔ tebea horow te sɛ `pseudotumor cerebrii`, a ɛma nhyɛso boaboa ano ara kwa wɔ amemene no mu.
2. Secondary Empty Sella Syndrome (`Secondary ESS`): Eyi ba esiane ade foforo a ɛde ba nti. Nhwɛsoɔ:
- Esiane sɛ wɔayɛ no oprehyɛn wɔ pituitary tumor bi ho nti.
- Esiane sɛ wɔanya radiation therapy akɔ saa beae no nti.
- Ti a wɔapirapira kɛse.
Ahorow abien no nyinaa ntaa nnya w’akwahosan nyinaa so nkɛntɛnso kɛse. Mpɛn pii no, nnuruyɛfo hu tebea yi wɔ akwanhyia mu, bere a wɔrehwehwɛ nea ɛde yare foforo ba no.
Hena na ɛda adi sɛ obenya eyi?
Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso ɛtaa ba nnipa binom mu.
- Ɛtaa ba mmea so sen mmarima.
- Nnipa a wɔayɛ kɛse mmoroso no taa nya bi.
- Ɛtaa ba nnipa a mogya mmoroso nso mu .
Dɛn ne eyi ho sɛnkyerɛnne?
Adeɛ a ɛho hia wɔ ha ne sɛ nnipa dodoɔ no ara a wɔwɔ `Empty Sell Syndrome` no nnya sɛnkyerɛnne biara . Ɛno kyerɛ sɛ bɛyɛ 99% betumi atra ase sɛnea ɛte daa a ɔhaw biara nni ho.
Nanso, wɔ nsɛm a ɛntaa nsi mu no, nnipa binom betumi anya yare no ho sɛnkyerɛnne. Sɛ saa a, ma yɛnhwɛ nea saa sɛnkyerɛnne ahorow no yɛ.
| Nsɛnkyerɛnne no su | Nkyerɛmu |
|---|---|
| Nsɛnkyerɛnne a wɔtaa hu | |
| Ti a ɛyɛ yaw | Ti a ɛtaa yɛ no yaw a wontumi nhu nea ɛde ba. |
| Hormone ho haw ahorow | Ebia efi nkɛntɛnso a ɛwɔ pituitary gland no so. Sɛ nhwɛso no: ɔbrɛ a ɛboro so, brayɛ a ɛnkɔ so daa anaasɛ egyae wɔ mmea mu, nna mu ɔhaw (`impotence`) wɔ mmarima mu, nna ho akɔnnɔ a ɛso tew, ɛyɛ den sɛ wobenyinsɛn mma. |
| Mogya mmoroso | Mogya Nhyɛso a Ɛkɔ Anim. |
| Nsɛnkyerɛnne a wɔntaa nhu | |
| Nhyɛso a ɛwɔ ti nhwi no mu | Sɛ́ wobɛte nka sɛ nhyɛso bi wɔ ti no mu. |
| Hwene a ɛretu | Nsuo a ɛfiri hwene mu (sinusitis) a atiridiinini nni mu. |
| Anisoadehu mu haw ahorow | Aniwa a ɛho ahonhon, aniwa a ɛyɛ kusuu. |
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ wowɔ atifi hɔ sɛnkyerɛnne ahorow no a, kɔ oduruyɛfo nkyɛn ntɛm ara . Obedi kan akyerɛw wo tebea no ho abakɔsɛm a edi mũ na afei ɔkamfo kyerɛ sɛ wɔnyɛ w’amemene mu nhwehwɛmu de si tebea no so dua.
Scan ahorow atitiriw abien na wɔde di dwuma ma eyi:
- MRI (Magnetic Resonance Imaging) scan: Eyi de magnet a ano yɛ den ne radio asorɔkye di dwuma de twa w’amemene ne pituitary gland ho mfonini a emu da hɔ yiye na ɛkɔ akyiri. Saa kwan yi betumi ahwɛ sɛnea sella turcica no te yiye.
- CT (Computerized Tomography) Scan: Eyi de X-ray twa wo ti mfonini fi mmeae ahorow na afei ɛka bom wɔ kɔmputa so ma ɛyɛ mfonini a edi mũ.
So ayaresa ho hia? Dɛn na wobetumi ayɛ?
Asɛmpa a eye sen biara ni. Sɛ wowɔ Empty Sella Syndrome na wo nni sɛnkyerɛnne anaa ɔhaw biara a, worenhia ayaresa biara. Wubetumi abɔ bra sɛnea ɛsɛ.
Nanso, sɛ wowɔ sɛnkyerɛnne ahorow a, oduruyɛfo no begyina saa sɛnkyerɛnne ahorow no so akyerɛ wo ayaresa.
Kae sɛ, wogyina wo yare no ho sɛnkyerɛnne ne sɛnea wo tebea no mu yɛ den so na ɛkyerɛ ayaresa. Enti, ɛho hia sɛ wo ne wo duruyɛfo susuw eyi ho na wudi n’afotu akyi.
Sɛ ɛho hia sɛ wɔsa yare a, eyinom ne akwan titiriw no:
- Aduru: Sɛ wo pituitary gland no ntumi nyɛ hormone a ɛdɔɔso (e.g. thyroid hormones, sex hormones) a, wo duruyɛfo bɛma wo nnuru anaa hormone ayaresa afoforo de asiesie saa hormone dodow no.
- Oprehyɛn: Eyi ntaa nhia. Sɛ amemene mu nsu kɔ so tu fi hwene no mu a, ebia ɛho behia sɛ wɔyɛ oprehyɛn ketewaa bi na ama wɔagyae.
Nkrasɛm a Wɔde Kɔ Fie
- 'Empty Sella Syndrome' nkyerɛ sɛ w'amemene no fã bi "da mpan." Ɛkyerɛ sɛ pituitary gland no abubu na ayɛ petee, ma enti ɛte sɛ nea baabi da mpan wɔ scan mu.
- Nnipa a wɔwɔ saa tebea yi mu dodow no ara nni sɛnkyerɛnne biara. Mpɛn pii no, ɛba ara kwa na wohu.
- Sɛ wuhu saa nsɛmfua yi wɔ wo scan amanneɛbɔ no so a, mma wo ho nnyɛ wo hu. Wo ne wo duruyɛfo nka ho asɛm.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ tiyɛ a ɛtaa yɛ wo yaw ne nkwaadɔm mu nsakrae nkutoo a, nea ehia sɛ wususuw ayaresa ho.
- Wɔn a wɔwɔ yare no ho sɛnkyerɛnne nkutoo na wohia ayaresa, enti ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi.
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