Ðe wò scan nyatakaka gblɔ be ‘Empty Sella’? Mina míaƒo nu tso esia (Empty Sella Syndrome) ŋu .

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.

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.

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 .

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.

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.

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.