Ðe wò pituitary gland "ƒuƒlu"a? Srɔ̃ nu tso Empty Sella Syndrome (ESS) ŋu!

Ðe ta ɖua wò ɣesiaɣia? Alo ɖe nèsusu be edo ƒome kple wò lãmetsiŋusẽwoa? Ne ɖɔkta gblɔ be ehiã be yewoawɔ ``(CT)`` scan na wò ta alo ``(MRI)`` scan la, woateŋu akpɔe be teƒe si wò pituitary gland le la adze "ƒuƒlu." Emae nye nusi míeyɔna be Empty Sell. Gake ɖe wònye kuxi gã aɖe ɣesiaɣia? Mina míaƒo nu tso esia ŋu tsitotsito.

Nukae Nye Sella Ƒuƒlu ƒe Dɔléle (ESS)?

Kpuie ko la, Empty Sella Syndrome (ESS) nye dɔléle si mebɔ kura o. Edzɔna ne wò lãkusi – si nye lãkusi sue aɖe si le vevie ŋutɔ si le wò ahɔhɔ̃ ƒe gɔme – va le gbadzaa alo le sue ɖe eteƒe, si nye ƒu ƒe do si woyɔna be sella turcica . Bu eŋu kpɔ ale, sella turcica le abe aƒe sue aɖe si kpɔa pituitary gland ta ene. Le susu aɖewo ta la, ‘aƒe’ sia ate ŋu alolo akpa, si ana ƒunukpeƒea nado eye wòazu sue.

Nya ‘sella turcica’ tso Latingbe me, si gɔmee nye ‘Turkeytɔwo ƒe zikpui’. Wotsɔ ŋkɔ nɛ nenema elabena eɖi sɔ ƒe sɔti ƒe nɔnɔme. Ame aɖewo siwo ŋu ESS le ate ŋu akpɔ dzesiwo abe lãmetsiŋusẽ ƒe masɔmasɔ , taɖuame enuenu , kple ŋku ƒe tɔtrɔ .

Ènya be lãkusi nye míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe akpa vevi aɖe ŋutɔ , si nye lãmetsiŋusẽ ƒe dɔwɔwɔa. Ewɔa lãmetsi vevi geɖewo le míaƒe ŋutilã me. Lãmetsiŋusẽ siawo kpɔa ŋusẽ ɖe míaƒe ŋutilã ƒe lãkusi bubuwo dzi.

Vovototo kae le Empty Sella kple Empty Sella Syndrome dome?

Esia tɔtɔa ame vie, eyata ɖo to nyuie. Togbɔ be wozãa nya siwo nye ‘lãmenugbagbevi ƒuƒlu’ kple ‘lãmenugbagbevi ƒuƒlu ƒe dɔléle’ ɣeaɖewoɣi tsɔ ɖɔlia wo nɔewo hã la, vovototo sue aɖe le wo dome. Kpuie ko la, lãmenugbagbevi ƒuƒlu nye nusi ŋu woke ɖo le keklẽŋusẽ me , evɔ lãmenugbagbevi ƒuƒlu ƒe dɔléle ya nye atikewɔwɔ me nɔnɔme.

‘Empty Sella’ nye ne wò pituitary gland dze abe ɖe wòle gbadzaa alo le sue ene le scan me. Le go sia me la, ɖɔktawo mate ŋu akpɔ pituitary gland nyuie le scan la dzi o. Eyata teƒe si pituitary gland le, si woyɔna be sella turcica, dzena ‘ƒuƒlu’. Afi mae ŋkɔ ‘sella ƒuƒlu’ tso.

Gake le nyateƒe me la, sella turcica la mele ƒuƒlu o. Zi geɖe la, ahɔhɔ̃mekawo me tsi (CSF) yɔa eme fũ . CSF siae nye tsi si ƒo xlã míaƒe ahɔhɔ̃ kple aklã eye wòkpɔa eta. Le ‘sella ƒuƒlu’ nɔnɔme me la, CSF tsi sia sina yia sella turcica me eye wòdea nyaƒoɖeamenu ɖe ​​pituitary gland dzi. Nyaƒoɖeamenu ma nana lãkusia dzi ɖena kpɔtɔna alo nɔa gbadzaa.

Zi geɖe la, ɖɔktawo ke ɖe ‘lãmenugbagbevi ƒuƒlu’ sia ŋu le vo me. Eyae nye be ne wowɔ ``(CT)`` scan alo ``(MRI)`` scan na ta le susu bubu aɖe ta.

Togbɔ be ‘lãmenugbagbevi ƒuƒluwo’ le ame aɖewo ŋu le woƒe fotoɖemɔ̃wo me hã la, dzesi aɖeke mate ŋu anɔ wo ŋu o eye woƒe lãkusi ate ŋu awɔ dɔ nyuie.

Gake ne ‘sella ƒuƒlu’ le ame aɖe ŋu eye eƒe lãkusi mele dɔ wɔm nyuie o la, emae míeyɔna be Empty Sella Syndrome (ESS) . Dɔléle si nye syndrome nye dzesi siwo do ƒome kplii ƒe ƒuƒoƒo. Ame siwo ŋu ESS le ate ŋu akpɔ nuwo abe lãmetsiŋusẽ ƒe masɔmasɔ, nukpɔkpɔ ƒe tɔtrɔ, kple taɖuame enuenu ene.

Sella Ƒuƒlu ƒomevi eve li, alo?

Ẽ, ne wò scan kpɔ ‘lãmenugbagbevi ƒuƒlu’ aɖe la, ɖɔktawo maae ɖe hatsotso eve me: gbãtɔ kple evelia.

• Primary Empty Sella (PES): Esiae nye ɣeyiɣi si me ɖɔktawo mete ŋu kpɔ nusi me kɔ si ta wò ʋuka si me ʋu sina tona la nadze gbadzaa o. Zi geɖe la, sella ƒuƒlu gbãtɔ mehea sella ƒuƒlu ƒe dɔléle vɛ o. Esia fia be ƒã hafi wòhea dzesiwo vɛ.
• Secondary Empty Sell (SES): Nɔnɔme bubu si woate ŋu ade dzesii si kpɔa ŋusẽ ɖe wò pituitary gland alo sella turcica ƒe wɔwɔme dzi gbɔe esia tso. Kpuie ko la, dɔléle alo nudzɔdzɔ bubu aɖe ƒe nugbegblẽ gbɔe wòtso. Le sella ƒuƒlu evelia (SES) gome la, sella ƒuƒlu ƒe dɔléle ate ŋu adze egɔme wu sella ƒuƒlu gbãtɔ (PES) gome.

Ðe Empty Sella Syndrome (ESS) sia ate ŋu ade ame ƒe agbe afɔku mea?

Ao, Empty Sella Syndrome (ESS) menye dɔléle si ate ŋu ade ame ƒe agbe afɔku me o. Woate ŋu atsɔ lãmetsiŋusẽtikewo adae eye ɣeaɖewoɣi hã woate ŋu awɔ dɔ nɛ.

Azɔ hã, esi wò ahɔhɔ̃mekawo gblɔ be ‘lãmenugbagbevi ƒuƒlu’ ta la, mefia be ede ame ƒe agbe afɔku me o. Le ‘lãmenugbagbevi ƒuƒlu’ ƒe akpa gãtɔ me la, dzesi aɖeke alo lãmenugbagbevi ƒuƒlu ƒe dɔléle aɖeke menɔa eŋu o.

Akpa kae Pituitary Gland wɔna?

Pituitary gland nye lãmenugbagbeviwo ƒe lãkusi vevi aɖe ŋutɔ le míaƒe ŋutilã me. Ewɔa lãmetsi vovovo geɖe. Egblɔna na lãkusi bubu siwo le míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ me hã be woaɖe lãmetsiŋusẽwo ɖa. Ema nye:

• Adrenal ƒe lãkusiwo
• Ovaries (le nyɔnuwo me) alo vidzidɔ (le ŋutsuwo me) .
• Thyroid ƒe lãkusi

Lãmetsiŋusẽwo le abe atikewo ƒe dɔlawo ene. Wozɔa mɔ to ʋua me hetsɔa gbedasiwo yia míaƒe ŋutinuwo, lãmekawo, kple lãmenugbagbevi bubuwo gbɔ. Gbedasi siawo gblɔa nusi wòle be ŋutilãa nawɔ kple ɣeyiɣi si wòawɔe.

Pituitary gland do ƒome kple hypothalamus si le míaƒe ahɔhɔ̃ me.Ati aɖe si wotsɔ ʋukawo kple lãmekawo wɔe do ƒome kplii. Woyɔa esia be pituitary stalk. To atikutsetse sia dzie hypothalamus ƒoa nu kple pituitary gland eye wògblɔna be, ‘Enyo, azɔ ɖe asi le lãmetsi siawo ŋu.’ Hypothalamus nye míaƒe ahɔhɔ̃ ƒe akpa si kpɔa nuwo abe ʋu ƒe sisi, dzi ƒe tsotso, ŋutilã ƒe dzoxɔxɔ, kple nuɖuɖumeŋusẽ dzi.

Lãmetsiŋusẽ siwo gbɔna koŋue naa lãkusi si woyɔna be pituitary gland:

• Adrenocorticotropic hormone (ACTH): Esia ʋãa adrenal glands be woawɔ lãmetsiwo (e.g. cortisol) siwo wɔa nu ɖe ​​nuteɖeamedzi ŋu.
• Lãmetsi si tsia tsinyenye nu (ADH alo vasopressin): Ekpɔa ŋutilãa ƒe tsi ƒe dadasɔ dzi.
• Follicle-stimulating hormone (FSH): Ekpena ɖe azi tsitsi ŋu le nyɔnuwo me eye wòdzia ​​tsinyenye le ŋutsuwo me.
• Tsitsi ƒe lãmetsi (GH): Ekpena ɖe míaƒe ŋutilã ŋu wòtsina tso ɖevime va ɖo tsitsime, vevietɔ le ƒuwo kple lãmekawo me.
• Luteinizing hormone (LH): Ewɔa dɔ kple FSH be wòakpe ɖe vidzidzi ƒe dɔwɔwɔ ŋu. Ele vevie na fugboe ƒe dodo le nyɔnuwo me kple na testosterone ƒe wɔwɔ le ŋutsuwo me.
• Oxytocin: Ekpena ɖe vidzidɔa ŋu wòtsia vi le vidzidzi me eye notsi ƒe asiɖeɖe le eŋu le no nana me.
• Prolactin: Edoa ŋusẽ no me notsi wɔwɔ.
• Lãmetsiŋusẽ si doa ŋusẽ lãkusi (TSH): Egblɔna na lãkusi si le kɔ me be wòawɔ lãkusi me lãmetsiwo. Lãmetsiŋusẽ siawo kpɔa ŋusẽ ɖe alesi míaƒe ŋutilã zãa ŋusẽe dzi (metabolism).

Menye lãmetsiŋusẽ siawo katãe wowɔna ɖaa o. Woɖea akpa gãtɔ ɖe go le gbagbãƒe, anɔ abe gaƒoƒo ɖeka va ɖo etɔ̃ ɖesiaɖe ene.

Amekae Empty Sella Syndrome (ESS) gblẽa nu le wu?

Togbɔ be esia nye nɔnɔme si mebɔ o hã la, ɖeviwo kple ame tsitsiwo siaa ate ŋu axɔ empty sella syndrome (ESS).

Ke hã, primary empty cell (PES) – si fia be esi dzena le scan me ko evɔ dzesi aɖeke mele eŋu o – bɔ ɖe nyɔnuwo me abe zi gbɔ zi ene ene wu ŋutsuwo.

PES bɔ ɖe amesiwo xɔ tso ƒe 30 va ɖo ƒe 40. Ɣeaɖewoɣi la, ate ŋu adzɔ kaba le nyɔnuwo me wu ŋutsuwo. Nyɔnu siwo fɔ fu ɣeyiɣi bliboa koŋue le afɔku me be woaxɔ PES.

PES mebɔ ɖe ɖeviwo me o wu ame tsitsiwo. Ne edzɔ la, zi geɖe la, edoa ƒome kple atikewɔwɔ me nɔnɔme bubuwo, abe Turner ƒe dɔléle, Moyamoya ƒe dɔléle, kple Prader–Willi ƒe dɔléle ene.

Aleke gbegbee esia bɔe?

Empty Sella Syndrome (ESS) mebɔ kura o. Numekula aɖewo bu akɔnta be amesiwo ŋu ‘sella ƒuƒlu’ le la dometɔ siwo mede 1% o la dzea dzesiwo (i.e., woxɔa ESS).

Gake sella ƒuƒlu si me dzesi aɖeke mele o ƒe amesinɔnɔ bɔ wu sã. Nyatakaka aɖewo ɖee fia be ameawo ƒe 8% va ɖo 35% ate ŋu akpɔ sella ƒuƒlu. Nyatakaka bubuwo ɖee fia be ame siwo ade 12% ƒe sella ƒuƒlu le wo ŋu, le ahɔhɔ̃mekadodo me tsonu nu.

Nukae nye Empty Sella Syndrome (ESS) ƒe dzesiwo?

Dzesi vevitɔ si do ƒome kple empty sella syndrome (ESS) enye taɖuame si nɔa anyi didi. Gake numekulawo meka ɖe edzi haɖe be ESS gbɔe taɖuame siawo tso alo nenye be nusi dzɔ le vome koe wotso o. Esia le alea elabena ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) hã le ame geɖe siwo ŋu ESS le ŋu, si hã ate ŋu ana ta naɖu ame ne eva nu sẽ.

Zi geɖe la, ESS hea lãmetsiŋusẽ ƒe masɔmasɔ vɛ le esi wògblẽa nu le lãkusi si le lãkusia ŋu ta. Ame siwo ŋu ESS le ate ŋu akpɔ dzesi vovovowo le alesi woƒe lãkusi si le lãkusia gblẽe kple lãmetsiŋusẽ siwo ŋu wògblẽ nu le nu. Ne ESS le ŋuwò la, dzesi siwo gbɔna dometɔ aɖewo ate ŋu anɔ ŋuwò:

• Tsi si menye notsi o si dona tso no me (galactorrhea) (esia ate ŋu adzɔ ɖe ŋutsuwo hã dzi) .
• Tsitretsitsi ƒe dɔmawɔmawɔ nyuie ( na ŋutsuwo) .
• Dzinukpɔkpɔ edziedzi alo dzinukpɔkpɔ ƒe anyimanɔmanɔ kura (amenorrhea) (na nyɔnuwo) .
• Gbɔdɔdɔ ƒe dzodzro dzi ɖeɖe kpɔtɔ alo eƒe bu (vidzinu ƒe dzodzro si bɔbɔ) .
• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi (Ðɖiteameŋu) .

Ƒã ŋutɔ la, ame aɖewo siwo ŋu ESS le hã ate ŋu akpɔ dzesiwo abe:

• Nyaƒoɖeamenu si dzina ɖe edzi le taɖua me (benign intracranial pressure) .
• Cerebrospinal rhinorrhea (CSF ƒe sisi tso ŋɔti me) .
• Nukpɔkpɔ ƒe ʋuƒo si le ŋkua me ƒe vuvu (papilledema) le taɖua ƒe nyaƒoɖeamenu si dzi ɖe edzi ta
• Nukpɔkpɔ trɔna, le kpɔɖeŋu me, nukpɔkpɔ si me kɔ o.

Le afisia hã la, àte ŋu akpɔ ‘lãmenugbagbevi ƒuƒlu’ le ahɔhɔ̃mekadodo me, gake ɖewohĩ dzesi aɖeke madze le ŋuwò o. Le nyateƒe me la, dzesi aɖeke medzena le ame geɖe siwo si ‘lãmenugbagbevi ƒuƒluwo’ le la ŋu o eye womakpɔe gbeɖe o.

Ðe Empty Sella Syndrome (ESS) nana ame ƒe lolome dzina ɖe edzia?

Ne wò lãkusi mewɔa lãmetsi si doa ŋusẽ ʋumenugbagbeviɣidɔ (TSH) wòsɔ gbɔ o le empty sella syndrome (ESS) ta la, mɔnukpɔkpɔ li be nàlolo.

TSH ʋãa lãkusi si le wò kɔ ƒe ŋgɔgbe, le ŋutigbalẽa te, be wòaɖe lãkusi me lãmetsiwo ɖa. Dɔ vevitɔ si thyroid gland wɔnae nye be wòawɔ thyroid hormones, siwo kpɔa alesi nètrɔa nuɖuɖu si nèɖuna wòzua ŋusẽ, alo wò lãmenugbagbeviwo ƒe dɔwɔwɔ dzi .

Ne wò pituitary gland mele TSH wɔm wòsɔ gbɔ o le ESS ta la, ke ɖewohĩ wò thyroid gland mele thyroid hormones wɔm wòsɔ gbɔ o. Esia ate ŋu ana wò lãmenugbagbeviwo ƒe dɔwɔwɔ nagbɔdzɔ le esi thyroid hormone ƒe agbɔsɔsɔ si mede o ta, si ate ŋu ana wò lolo nadzi ɖe edzi.

Nukae hea Empty Sella Syndrome (ESS) vɛ?

Sella ƒuƒlu ƒe dɔléle (ESS) ate ŋu atso sella ƒuƒlu gbãtɔ (PES) alo sella ƒuƒlu evelia (SES) gbɔ. Gake sella ƒuƒlu evelia (SES) ate ŋu ahe ESS vɛ wu.

Nusiwo Hea Sella Ƒuƒlu Gbãtɔ ƒe Dɔléle (PES) vɛ .

Nuɖuɖutomedɔléle gbãtɔ (PES) dzɔna ne lãkusi siwo tsyɔ wò ahɔhɔ̃ ƒe gota gome (arachnoid layer) dometɔ ɖeka, si nye sella turcica, do ɖe eme, eye wòte ɖe ʋuka si me ʋu sina tona ŋu.

Ðɔktawo mete ŋu de dzesi nusi tututu gbɔ sella ƒuƒlu ƒe dɔléle gbãtɔ tsona haɖe o.

Nufiafia ɖekae nye be gbɔdzɔgbɔdzɔ si wodzina le lãmeka si tsyɔ ahɔhɔ̃a me la nana ahɔhɔ̃mekawo me tsi (CSF) gena ɖe sella turcica me, si wɔnɛ be lãkusi si le lãkusia me la nɔa gbadzaa. Le nɔnɔme mawo me la, zi geɖe la, esesẽna be woakpɔ pituitary gland le scan me, gake zi geɖe la, ewɔa dɔ nyuie, eyata empty sella syndrome medzɔna o.

Nusiwo Hea Tsitretsitsi ƒe Dɔmawɔmawɔ nyuie (SES) vɛ .

Secondary empty sella (SES) dzɔna ne dɔléle alo nudzɔdzɔ bubu gblẽ nu le wò pituitary gland alo sella turcica ŋu. Eyata nu geɖe li siwo ate ŋu ahe SES vɛ. Le goawo katã me la, nu vevi siwo gbɔ nugbegblẽ sia tsonae nye:

• Ahɔhɔ̃ me dɔdzẽ aɖe .
• Kekeli ƒe atikewɔwɔ .
• Wowɔ dɔ na ahɔhɔ̃a le nuto si ƒo xlã ƒunukpeƒetetedɔa.
• Ta ƒe abi gã aɖe, le kpɔɖeŋu me, ahɔhɔ̃ me abi si nu sẽ.

Nu bubu aɖewo koŋ siwo ate ŋu akpɔ ŋusẽ ɖe tsinyegoea ƒe ƒuƒlu evelia dzi lae nye esi:

• Ahɔhɔ̃ me dɔdzẽ: Ɣeaɖewoɣi la, ahɔhɔ̃ me dɔdzẽ ate ŋu ana wò ahɔhɔ̃a ƒe nyaƒoɖeamenu nadzi ɖe edzi (intracranial pressure), si ate ŋu aƒoe ɖe pituitary gland la dzi.
• Idiopathic intracranial hypertension (IIH): IIH nye nyaƒoɖeamenu si le taɖua me ƒe dzidziɖedzi le ahɔhɔ̃mekawo me tsi (CSF) ƒe ƒuƒoƒo ɖe wò ahɔhɔ̃ ŋu ta. Nyaƒoɖeamenu sia si gbɔ eme ate ŋu aƒo ƒu si woyɔna be pituitary gland la nu ƒu.
• Pituitary adenomas: Esiawo nye dɔdzẽ siwo dona le pituitary gland me. Zi geɖe la, womenyea kansa o (siwo me dɔlékui aɖeke mele o). Adenoma siawo ate ŋu aƒoe ɖe pituitary gland la nu eye wòagblẽ nu le eŋu.
• Sheehan ƒe dɔléle: Esia nye nɔnɔme si ate ŋu adzɔ ɣeaɖewoɣi ne ʋu le dodom fũu akpa, si ate ŋu ade ame ƒe agbe afɔku me le vidzidzi me. Esia ate ŋu ana ya si woyɔna be oxygen manɔ ŋutilãa me o eye wòagblẽ nu le pituitary gland ŋu.

Aleke wokpɔa Empty Sella Syndrome (ESS) ƒe dɔlélea?

Zi geɖe la, ɖɔktawo kpɔa sella ƒuƒlu aɖe le vo me, ne wowɔa tadɔ le susu bubu aɖe ta. Azɔ hã, ame geɖe siwo ŋu sella ƒuƒlu le la mexɔa sella ƒuƒlu ƒe dɔlélea gbeɖe o eye womekpɔa dzesi aɖeke gbeɖe o.

Gake ne dzesi siwo do ƒome kple lãmenugbagbevi ƒuƒluwo ƒe dɔléle le ŋuwò, abe taɖuame enuenu kple lãmetsiŋusẽ ƒe masɔmasɔ ene la, wò ɖɔkta abia wò atikewɔwɔ ŋutinya, awɔ ŋutilãmedɔ na wò, eye anɔ eme godoo be wòaɖe gbe be woawɔ ta kple ahɔhɔ̃ ƒe dodokpɔ.

Scan siwo wozãna tsɔ dea dzesi ESSe nye:

• Brain CT (computed tomography) scan: CT scan nye mɔnu si dzi nàto aɖe wò ahɔhɔ̃ kple pituitary gland ƒe foto siwo me kɔ nyuie to X-ray kple kɔmpiuta zazã me.
• Ahɔhɔ̃a ƒe magnetic resonance imaging (MRI) scan: MRI scan zãa radio ƒutsotsoewo kple magnet sesẽwo tsɔ wɔa akpa siwo le wò ŋutilã me, abe wò sella turcica ene, ƒe nɔnɔmetata siwo me kɔ ŋutɔ.

Wò ɖɔkta ate ŋu aɖe gbe hã be woawɔ dodokpɔ bubuwo, abe ʋudodokpɔ ene, be woatsɔ akpɔ wò lãmetsiŋusẽ ƒe agbɔsɔsɔ.

Ɣeaɖewoɣi la, ɖɔktawo ate ŋu awɔ dodokpɔwo abe esiawo ene hã atsɔ akpɔe ɖa be nyaƒoɖeamenu dzi ɖe edzi le wò ahɔhɔ̃ me hã:

• Na ŋkudɔdala nado ŋku ƒe ŋkume ƒe akpa si le wò ŋku me la kpɔ.
• Lumbar puncture (spinal tap) – Esia dzidzea aklã me tsi ƒe nyaƒoɖeamenu.

Nukae nye atike siwo wozãna na Empty Sella Syndrome (ESS)?

Ne wò scan-wo ɖe ‘lãmenugbagbevi ƒuƒlu’ fia hã la, ne wò pituitary gland le dɔ wɔm nyuie la, màhiã atikewɔwɔ aɖeke o. Esiae dzɔna zi geɖe.

Gake ne Empty Sella Syndrome (ESS) le ŋuwò eye wò pituitary gland mele dɔ wɔm nyuie o la, atikewɔwɔa nye atike siwo woatsɔ aɖɔ lãmetsiŋusẽ ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi ɖo. Eyae nye be wonɔa te ɖe lãmetsiŋusẽ si mebɔ o dzi dea dzesi atike si woazã.

Ne ESS na ahɔhɔ̃mekawo me tsi (CSF) do le wò ŋɔti me (CSF rhinorrhea) la, ɖewohĩ ahiã be woawɔ dɔ na wò atsɔ adzra wò sella turcica ɖo.

Nukawoe nye nusiwo ate ŋu ana woaxɔ Empty Sella Syndrome (ESS)?

Ðɔktawo meka ɖe nusi tututu hea sella ƒuƒlu ƒe dɔléle vɛ le ame aɖewo siwo ŋu sella ƒuƒlu le dzi o. Gake sella ƒuƒlu ƒe dɔlélea ate ŋu adze egɔme kple sella ƒuƒlu evelia (SES) wu sella ƒuƒlu gbãtɔ (PES). Esia fia be ne nu bubu aɖe gbɔe sella ƒuƒlu la tso, abe ahɔhɔ̃ me dɔdzẽ, keklẽŋusẽdɔdamɔnu, alo ta ƒe abixɔxɔ ene la, anɔ eme be àkpɔ dzesiwo.

Nukae nye ŋgɔdonya na amesi ŋu Empty Sella Syndrome (ESS) le?

Zi geɖe la, mɔkpɔkpɔ na amesi ŋu sella ƒuƒlu ƒe dɔléle (ESS) le la nyona. Atikewo li siwo woatsɔ ada lãmetsiŋusẽ ƒe masɔmasɔ. Ne lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie le ŋuwò le ESS ta la, ahiã be nàno atike le wò agbemeŋkekewo katã me.

Ɣekaɣie wòle be nàkpɔ ɖɔkta ne lãmenugbagbevi ƒuƒlu ƒe dɔléle le ŋuwò?

Ne wokpɔe be Empty Sella Syndrome (ESS) le ŋuwò, eye dzesi yeyewo va dze ŋuwò alo ne wò dzesi siwo li xoxo la gavloe ɖe edzi la, yi ɖɔkta gbɔ enumake.

Ne èle atikewo nom na lãmetsiŋusẽ ƒe masɔmasɔ le dɔgbo ƒuƒlu ƒe dɔléle ta la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be wò atikeawo le dɔ wɔm nyuie.

Eyata nuka dzie wòle be míaɖo ŋkui tso esia me?

Enyo, le nyateƒe me la, Empty Sella Syndrome (ESS) nye dɔléle si mebɔ kura o. Gake ebɔ ŋutɔ be nàkpɔe be nane si woyɔna be ‘lãmenugbagbevi ƒuƒlu’ le ye si le ahɔhɔ̃mekawo ƒe fotoɖeɖe me. Eyata mègavɔ̃ le esi ɖɔkta aɖe gblɔe ta ko o. Zi geɖe la, dzesi aɖeke menɔa amesiwo ŋu ‘lãmenugbagbevi ƒuƒlu’ le ŋu o eye womexɔa Empty Sella Syndrome o.

Ne nya aɖe le asiwò ku ɖe wò scan report ŋu la, mègavɔ̃ be yeabia wò ɖɔkta o. Wole afima be yewoakpe ɖe ŋuwò. Wò lãmesẽ dzi kpɔkpɔe nye nu vevitɔ kekeake.

` Sella Ƒuƒlu ƒe Dɔléle, Pituitary gland, Lãmetsiŋusẽ, Ahɔhɔ̃ ƒe fotoɖeɖe, Sellae Tursica