Tsɔe be èyi ɖɔkta gbɔ le esi ta nɔ ɖum wò ŋkeke ʋɛ aɖewoe nye esia ta. Nukae nàsusu ne ɖɔktaa bia tso asiwò be nàwɔ ahɔhɔ̃mekadodo eye nyatakakaa gblɔ be "Empty Sella"? Àte ŋu avɔ̃ be, "Ðe esia nye teƒe ƒuƒlu le ahɔhɔ̃a mea? Nukae le edzi yim?" Gake mègatsi dzi o. Esia menye nu vevi abe alesi ame geɖe susui ene o. Mina míaƒo nu tso esia ŋu bɔbɔe ŋutɔ egbea.
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Kpuie ko la, nukae nye Empty Sella Syndrome?
Le míaƒe tagbɔ me, le ahɔhɔ̃a te la, ƒu kotoku sue aɖe le eme, abe atɔ sue aɖe ene. Le atikewɔwɔ me la, woyɔa esia be sella turcica . Nu tɔxɛ si le atɔ sue sia ŋue nye be wokpɔa pituitary gland , si nye míaƒe ŋutilã ƒe lãmetsiŋusẽ ƒe ɖoɖowɔla vevitɔ, ta hedzrana ɖo ɖe sella turcica sia me.
Eyata le ame aɖewo gome la, ametakpɔtsi si ƒo xlã ahɔhɔ̃a, si woyɔna be ahɔhɔ̃mekawo ƒe tsi (alo aklã me tsi), dzea sisi gɔme yia teƒe sia si woyɔna be ‘sella turcica’. Emegbe le tsi sia ƒe nyaƒoɖeamenu ta la, lãkusi sue si le lãkusia me la gbãna, edzena gbadzaa, eye wòléna ɖe sella turcica ƒe gli ŋu. Fifia, ne èlé ŋku ɖe eŋu le ‘MRI’ alo ‘CT’ scan dzi la, teƒe si woyɔna be ‘sella turcica’ dzena ƒuƒlu. Menye ƒuƒlu ŋutɔŋutɔe wònye o, ɖeko wòdzena nenema elabena pituitary gland la le gbadzaa. Emae nye nusi míeyɔna be ‘Empty Sella Syndrome’ (ESS) .
Ðe esia ƒomevi aɖewo hã lia?
Ẽ, ƒomevi eve koŋue li.
1. Primary Empty Sella Syndrome (Primary ESS): Esiae nye ƒomevi si bɔ wu. Edzɔna ne ahɔhɔ̃mekawo me tsi sina yia sella teresa me le dzɔdzɔme nu, evɔ gotagome nusi koŋ gbɔ wòtso o. Woateŋu akpɔe hã ɣeaɖewoɣi le amesiwo ŋu nɔnɔmewo abe pseudotumor cerebrii, si nana nyaƒoɖeamenu ƒoa ƒu le eɖokui si le ahɔhɔ̃a me.
2. Secondary Empty Sella Syndrome (Secondary ESS): Esia dzɔna le nu bubu aɖe ta. Le kpɔɖeŋu me:
- Esi wowɔ dɔ nɛ le ƒunukpeƒetetedɔ aɖe ta.
- Esi woxɔ keklẽŋusẽdɔdamɔnu na nuto ma ta.
- Abi gã aɖe si woxɔ le ta.
Ƒã hafi ƒomevi evea siaa kpɔa ŋusẽ gã aɖe ɖe wò lãmesẽ bliboa dzi. Zi geɖe la, ɖɔktawo va kea ɖe nɔnɔme sia ŋu le vo me, esime wole nusi gbɔ dɔléle bubu tso dim.
Amekae ate ŋu axɔ nusia wu?
Togbɔ be nɔnɔme sia ate ŋu adze ame sia ame dzi hã la, ebɔ ɖe ame aɖewo me wu.
- Ebɔ ɖe nyɔnuwo me wu ŋutsuwo.
- Ame siwo lolo akpa la ate ŋu axɔe.
- Ebɔ ɖe amesiwo ŋu ʋusɔgbɔdɔ le hã dome .
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Check Availability →Nukae nye esia ƒe dzesiwo?
Nu vevitɔ le afisia enye be ame akpa gãtɔ siwo ŋu Empty Sell Syndrome le la mekpɔa dzesi aɖeke o . Ema fia be amesiwo ade 99% ate ŋu anɔ agbe si sɔ kuxi aɖeke manɔmee.
Gake le go siwo mebɔ o me la, ame aɖewo ate ŋu adze dzesiwo gɔme. Ne nenemae la, na míakpɔ nusiwo dzesi mawo nye ɖa.
| Dzesi ƒomevi | Nuɖᴐɖᴐ |
|---|---|
| Dzesi siwo wokpɔna enuenu | |
| Taɖuame | Taɖuame enuenu si ŋu womate ŋu ade dzesi nusi gbɔ wòtso o. |
| Lãmetsiŋusẽ ƒe kuxiwo | Ate ŋu atso ŋusẽ si wòkpɔna ɖe pituitary gland dzi gbɔ. Le kpɔɖeŋu me: ɖeɖiteameŋu si gbɔ eme, dzinukpɔkpɔ si mewɔa dɔ nyuie o alo esi nu tsona le nyɔnuwo me, gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie (ŋutetemanɔŋu) le ŋutsuwo me, gbɔdɔdɔ ƒe dzodzro dzi ɖena kpɔtɔna, fufɔfɔ sesẽ. |
| Ʋusɔgbɔdɔ | Ʋusɔgbɔdɔ. |
| Dzesi siwo ƒã hafi wokpɔna | |
| Nyaƒoɖeamenu si le taɖua me | Sese le eɖokui me abe ɖe nyaƒoɖeamenu aɖe le ta me ene. |
| No me si le sisim | Tsi si dona le no me (sinusitis) si me dzamezã mele o. |
| Nukpɔkpɔ ƒe kuxiwo | Ŋkuwo ƒe vuvu, nukpɔkpɔ si me kɔ o. |
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne dzesi siwo le etame le ŋuwò la, yi ɖɔkta gbɔ enumake . Awɔ wò dɔlélea ŋutinya tsitotsito gbã eye emegbe wòakafui be woawɔ ahɔhɔ̃mekadodo atsɔ aɖo kpe nɔnɔmea dzi.
Scan ƒomevi vevi eve ye wozãna na esia:
- MRI (Magnetic Resonance Imaging) scan: Esia zãa magnet sesẽwo kple radio ƒutsotsoewo tsɔ ɖea wò ahɔhɔ̃ kple lãkusi ƒe foto siwo me kɔ ŋutɔ, tsitotsito. Mɔnu sia ate ŋu akpɔ sella turcica ƒe nɔnɔme nyuie wu.
- CT (Computerized Tomography) Scan: Esia zãa X-ray tsɔ ɖea wò ta ƒe foto tso dzogoe vovovowo dzi eye emegbe woƒoa wo nu ƒu ɖe kɔmpiuta dzi tsɔ wɔa nɔnɔmetata blibo.
Ðe atikewɔwɔ hiãa? Nukae woate ŋu awɔ?
Nya nyuitɔ kekeakee nye esi. Ne Empty Sella Syndrome le ŋuwò eye dzesi alo kuxi aɖeke mele ŋuwò o la, màhiã atike aɖeke o. Àte ŋu anɔ agbe si sɔ.
Gake ne dzesiwo le ŋuwò la, ɖɔktaa anɔ te ɖe dzesi mawo dzi aŋlɔ atike na wò.
Ðo ŋku edzi be wò dzesiwo kple ale si wò dɔlélea nu sẽe ye afia atikewɔwɔ. Eyata ele vevie be nàdzro nya sia me kple wò ɖɔkta eye nàwɔ ɖe eƒe aɖaŋuɖoɖo dzi.
Ne ehiã be woawɔ atike na ame la, esiawoe nye mɔnu vevitɔwo:
- Atike: Ne wò lãkusi mele lãmetsiŋusẽ siwo sɔ gbɔ wɔm o (e.g. thyroid hormones, sex hormones) la, wò ɖɔkta ana atikekuiwo alo lãmetsiŋusẽtike bubuwo wò be nàtsɔ aɖɔ lãmetsi mawo ƒe agbɔsɔsɔ ɖo.
- Amekoko: Ƒã hafi esia hiã. Ne ahɔhɔ̃mekawo me tsi yi edzi le dodom tso ŋɔti me la, ahiã be woawɔ dɔ sue aɖe nɛ be wòatɔ te.
Gbedasi si Wotsɔ Yi Aƒeme
- 'Empty Sella Syndrome' mefia be wò ahɔhɔ̃ ƒe akpa aɖe "ƒuƒlu." Efia be lãkusia vuvu eye wòle gbadzaa, ale be teƒea dzena ƒuƒlu le fotoɖeɖe me.
- Dzesi aɖeke mele amesiwo ŋu dɔléle sia le ƒe akpa gãtɔ ŋu o. Zi geɖe la, wova ke ɖe eŋu le vome.
- Ne èkpɔ nya siawo le wò scan report dzi la, mègatsi dzodzodzoe o. Ƒo nu tso eŋu kple wò ɖɔkta.
- Ne dzesiwo abe taɖuame enuenu kple lãmetsiŋusẽ ƒe tɔtrɔ ene le ŋuwò ko hafi wòahiã be nàbu atikewɔwɔ ŋu.
- Amesiwo ŋu dzesiwo le koe hiã atikewɔwɔ, eyata ele vevie be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.
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