Miiri k’a filɛ, i taara dɔgɔtɔrɔso la bawo i kunkolodimi tun bɛ i la kabini tile damadɔ. I bɛna mun miiri ni dɔgɔtɔrɔ y'a ɲini i fɛ i ka i kunkolo sɛgɛsɛgɛli kɛ ani ni kunnafoni in y'a fɔ ko "Empty Sella"? I bɛ se ka siran, "Yala nin ye yɔrɔ lankolon ye hakili la wa? Mun bɛ sen na?" Nka, i kana i hakili ɲagami. O tɛ ko jugu ye i n’a fɔ mɔgɔ caman b’a miiri cogo min na. An ka kuma o kan cogo nɔgɔman na bi.
N’an y’a fɔ cogo nɔgɔman na, Syndrome Empty Sella ye mun ye?
An kunkolo kɔnɔ, kunkolo jukɔrɔ, kolotuguda fitini dɔ bɛ yen, i n’a fɔ bɔgɔdaga fitinin. Furakɛcogo la, o bɛ wele ko sella turcica . Nin kaburu fitinin in kɛrɛnkɛrɛnnen ye ko pituitaire gland , n’o ye an farikolo ka ɔrimɔni ɲɛnabɔbaga ŋana ye, o bɛ lakana ani ka mara nin sella turcica in kɔnɔ.
O la, mɔgɔ dɔw la, farikolo tangalan min bɛ kunsɛmɛ lamini, n’o bɛ wele ko kunsɛmɛji (walima kɔkoloji), o bɛ daminɛ ka bɔ o yɔrɔ la min bɛ wele ko ‘sella turcica’. O kɔ, o ji in degun kosɔn, ɲɛgɛnɛsira fitini bɛ mugumugu, ka kɛ fla ye, ka nɔrɔ sella turcica kogo la. Sisan, n’i y’a lajɛ ‘MRI’ walima ‘CT’ sɛgɛsɛgɛli la, yɔrɔ min bɛ wele ko ‘sella turcica’, o bɛ i n’a fɔ a lankolon don. A tɛ lankolon ye tiɲɛ na, a bɛ i ko ten dɔrɔn barisa pituitaire gland bɛ flakɛ. An bɛ o de wele ko ‘Syndrome Empty Sella’ (ESS) .
Yala nin fana suguya dɔw bɛ yen wa?
Ɔwɔ, suguya fla de bɛ yen kosɛbɛ.
1. Sella lankolon fɔlɔ (`ESS fɔlɔ`): Nin ye suguya ye min ka teli ka kɛ. A bɛ sɔrɔ ni kunsɛmɛnasumayaji bɛ don sella teresa kɔnɔ a yɛrɛ la, k’a sɔrɔ kɛnɛyako kɛrɛnkɛrɛnnen si tɛ a la. A bɛ se ka ye fana tuma dɔw la bana dɔw bɛ mɔgɔ minnu na i n’a fɔ `pseudotumor cerebrii`, o bɛ kɛ sababu ye ka degunw caya u yɛrɛ ma kunsɛmɛ na.
2. Sella lankolon filanan (`ESS filanan`): O bɛ sɔrɔ sababu wɛrɛ fɛ. I n'a fo:
- A kɛlen ka opereli kɛ pituitaire (banakisɛfagalan) dɔ la.
- Ka kɛɲɛ ni radiyo furakɛli ye ka taa o yɔrɔ la.
- Kungolo jogin jugumanba.
A suguya fila bɛɛ man teli ka nɔba bila i ka kɛnɛya bɛɛ la. A ka ca a la, dɔgɔtɔrɔw bɛ o bana in sɔrɔ a danma, k’a sɔrɔ u bɛ bana wɛrɛ sababu ɲini.
Jɔn de ka teli ka nin ko in sɔrɔ?
Hali ni nin bana in bɛ se ka kɛ mɔgɔ bɛɛ la, a ka ca mɔgɔ dɔw la.
- A ka ca musow la ka tɛmɛ cɛw kan.
- Mɔgɔ minnu fasalen don , olu ka teli ka a sɔrɔ.
- a ka ca fana tansiyɔn jiginni bɛ mɔgɔ minnu na .
O taamasiɲɛw ye mun ye?
Min nafa ka bon yan , o ye ko `Empty Sell Syndrome` bɛ mɔgɔ minnu na , olu fanba tɛ taamasiɲɛ si sɔrɔ . O kɔrɔ ye ko 99% ɲɔgɔn bɛ se ka ɲɛnamaya kɛ cogo la min bɛ bɛn gɛlɛya foyi ma.
Nka, a man teli ka kɛ, bana taamasiɲɛw bɛ se ka kɛ mɔgɔ dɔw la. N’o don, an k’a lajɛ o taamasiɲɛw ye mun ye.
| A taamasiɲɛ suguya | Cogojirali |
|---|---|
| Taamasiɲɛ minnu bɛ ye tuma caman na | |
| Kungolodimi | Kungolodimi min bɛ kɛ tuma caman na, a sababu tɛ dɔn. |
| Ɔrimɔni gɛlɛyaw | A bɛ se ka sɔrɔ nɔ minnu bɛ sɔrɔ ɲɛgɛnɛsira la. Misali la: sɛgɛn kojugu, kalolabɔ tɛ kɛ tuma bɛɛ walima a jɔli musow la, cɛya ni musoya gɛlɛya (`impotence`) cɛw la, cɛnimusoya nege dɔgɔyali, kɔnɔta gɛlɛya. |
| Tansiyɔn jiginni | Tansiyɔn jiginni. |
| Taamasiɲɛ minnu man teli ka ye | |
| Degun min bɛ kɛ kungolo kɔnɔ | A bɛ kɛ i n’a fɔ degun dɔ bɛ kunkolo kɔnɔ. |
| Nu bɔgɔbɔgɔli | Ji bɛ bɔ nugu la (sinusitis) ni farigan tɛ a la. |
| Yeli gɛlɛyaw | Ɲɛw fununi, yelikɛcogo fitini. |
I bɛ nin sɔrɔ cogo di, Dɔgɔtɔrɔ?
Ni nin taamasiɲɛ ninnu bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona . A bɛna fɔlɔ ka i ka bana tariku sɛbɛn ka ɲɛ, o kɔfɛ, a bɛna a fɔ ko i ka kunsɛmɛ sɛgɛsɛgɛli kɛ walasa ka bana in sɛgɛsɛgɛ.
Scan suguya belebele fila bɛ yen minnu bɛ kɛ o kama:
- MRI (Magnetic Resonance Imaging) scan (Magnetic Resonance Imaging) scan (Magnetic Resonance Imaging) scan (Magnetic Resonance Imaging) scan: O bɛ kɛ ni magɛnni barikamaw ye ani arajo-fiɲɛw ye walasa ka ja jɛlenw ta, minnu bɛ i ka kunsɛmɛ ni i ka pituitaire gland ja ɲɛfɔlenw ye. Nin fɛɛrɛ in bɛ se ka sella turcica cogoya jateminɛ ka ɲɛ.
- CT (Computerized Tomography) Scan: O bɛ kɛ ni X-ray ye walasa ka i kun ja ta ka bɔ yɔrɔw la minnu tɛ kelen ye, ka tila k’u fara ɲɔgɔn kan ɔridinatɛri kan walasa ka ja dafalen dilan.
Yala furakɛli ka kan wa? Mun bɛ se ka kɛ?
Kibaru dumanw filɛ nin ye. Ni aw ye Empty Sella Syndrome sɔrɔ ani ni taamasiɲɛ walima gɛlɛya si tɛ aw la, aw mago tɛna kɛ furakɛli si la. I bɛ se ka ɲɛnamaya kɛ cogo bɛnnen na.
Nka, ni bana taamasiɲɛw bɛ aw la, dɔgɔtɔrɔ bɛna furakɛli sɛbɛn ka da o taamasiɲɛw kan.
Aw ye aw hakili to a la ko furakɛli bɛ dɔn aw ka bana taamasiɲɛw ni aw ka bana juguya fɛ. O la, a nafa ka bon ka baro kɛ o kan ni dɔgɔtɔrɔ ye ani ka tugu a ka laadilikanw kɔ.
Ni furakɛli ka kan ka kɛ, ninnu ye fɛɛrɛ kunbabaw ye:
- Fura : Ni aw ka ɲɛgɛnɛsira tɛ ɔrimɔni caman bɔ (misali la, sɔgɔsɔgɔninjɛ, cɛnimusoya ɔrimɔni), aw ka dɔgɔtɔrɔ bɛna furakisɛw walima ɔrimɔni furakɛli wɛrɛw di aw ma walasa ka o ɔrimɔni hakɛw latilen .
- Opereli: O man teli ka kɛ wajibi ye. Ni kunsɛmɛji tora ka bɔ nugu la, opereli fitini bɛ se ka kɛ walasa ka a jɔ.
Take-Home cikan
- ‘Syndrome Empty Sella’ kɔrɔ tɛ ko i hakili yɔrɔ dɔ ye “lankolon” ye. O kɔrɔ ye ko ɲɛgɛnɛsira bɛ kurukuru ani ka kɛ fla ye, o la yɔrɔ lankolon bɛ ye sɛgɛsɛgɛli la.
- Nin bana in bɛ mɔgɔ minnu na, olu fanba tɛ taamasiɲɛ foyi sɔrɔ. A ka c’a la, a bɛ sɔrɔ a danma.
- Ni aw ye nin kumaw ye aw ka sɛgɛsɛgɛli rapɔɔri kan, aw kana siran. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la.
- Aw ka kan ka furakɛli jateminɛ dɔrɔn ni taamasiɲɛw bɛ aw la i n’a fɔ kungolodimi tuma caman ani ɔrimɔni caman cili.
- Taamasiɲɛ bɛ mɔgɔ minnu na, olu dɔrɔn de mako bɛ furakɛli la, o la a nafa ka bon ka dɔgɔtɔrɔ ka laadilikanw labato.











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