Ua "ʻole" anei kou kelepa pituitary? E aʻo e pili ana i ka Empty Sella Syndrome (ESS)!

Loaʻa mau anei iā ʻoe ke poʻo ʻeha i kekahi manawa? A i ʻole manaʻo ʻoe he mea ia e pili ana i kāu mau hormones? Inā ʻōlelo ke kauka e pono lākou e hana i kahi scan "(CT)" o kou poʻo a i ʻole kahi scan "(MRI)", e ʻike paha lākou he "ʻole" ka wahi i loaʻa ai kou pituitary gland. ʻO ia ka mea a mākou e kapa nei he Empty Sell. Akā he pilikia nui mau anei ia? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.

He aha ka Empty Sella Syndrome (ESS)?

I ka ʻōlelo maʻalahi, he maʻi laha ʻole ka Empty Sella Syndrome (ESS). Hana ia i ka wā e palahalaha a ʻemi ʻia paha kou pituitary gland - kahi gland liʻiliʻi akā koʻikoʻi loa ma ke kumu o kou lolo - ma kona wahi, he lua iwi i kapa ʻia ʻo sella turcica . E noʻonoʻo i kēia ʻano, ua like ka sella turcica me kahi hale liʻiliʻi e pale ana i ka pituitary gland. No kekahi kumu, hiki i kēia 'hale' ke lilo i mea nui loa, e hoʻoulu ai i ka pituitary gland e puʻupuʻu a liʻiliʻi.

Mai ka ʻōlelo Latina mai ka huaʻōlelo 'sella turcica', ʻo ia hoʻi 'noho Tureke'. Ua kapa ʻia ʻo ia pēlā no ka mea ua like ia me ke ʻano o ka noho lio. Hiki i kekahi poʻe me ka ESS ke ʻike i nā hōʻailona e like me ke kaulike ʻole o ka hormonal , nā ʻeha poʻo pinepine, a me nā loli o ka ʻike .

Ua ʻike anei ʻoe he ʻāpana koʻikoʻi loa ka pituitary gland o kā mākou ʻōnaehana endocrine , ʻo ia hoʻi ka ʻōnaehana hana hormone. Hoʻopuka ia i nā hormones koʻikoʻi he nui i loko o ko mākou kino. Hoʻomalu kēia mau hormones i nā glands ʻē aʻe i loko o ko mākou kino.

He aha ka ʻokoʻa ma waena o ka Empty Sella a me ka Empty Sella Syndrome?

He mea huikau iki kēia, no laila e hoʻolohe pono. ʻOiai ke hoʻohana ʻia nei nā huaʻōlelo 'empty cell' a me 'empty cell syndrome' i kekahi manawa me ke ʻano like ʻole, aia kahi ʻokoʻa iki. I ka pōkole, he ʻike radiological kahi cell hakahaka , ʻoiai he maʻi olakino ka empty cell syndrome.

ʻO 'Empty Sella' ka wā e ʻike ʻia ai kou kelepa pituitary ua palahalaha a ʻūlū paha ma kahi scan. I kēia hihia, ʻaʻole hiki i nā kauka ke ʻike pono i ka kelepa pituitary ma ke scan. No laila, ʻo ka hakahaka kahi i loaʻa ai ka kelepa pituitary, i kapa ʻia ʻo sella turcica, ke nānā aku nei he 'ʻole'. Mai laila mai ka inoa 'empty sella'.

Eia naʻe, ʻaʻole hakahaka ka sella turcica. ʻO ka hapa nui o ka manawa, ua piha ia me ka wai cerebrospinal (CSF) . ʻO kēia CSF ka wai e hoʻopuni a pale i ko mākou lolo a me ke kaula spinal. I ke kūlana 'sella hakahaka', kahe kēia wai CSF i loko o ka sella turcica a kau i ke kaomi ma luna o ka pituitary gland. ʻO kēlā kaomi ke kumu o ka emi ʻana o ka gland a i ʻole ka palahalaha.

ʻO ka hapa nui o ka manawa, ʻike nā kauka i kēia 'kelepona hakahaka' ma ka ulia. ʻO ia hoʻi, ke hana lākou i kahi scan "(CT)" a i ʻole "(MRI)" o ke poʻo no kekahi kumu ʻē aʻe.

ʻOiai kekahi poʻe he 'nā pūnaewele hakahaka' ma kā lākou scan, ʻaʻohe o lākou hōʻailona a hiki i kā lākou pituitary gland ke hana maikaʻi.

Eia nō naʻe, inā he 'sella hakahaka' ko kekahi a ʻaʻole hana pono kā lākou pituitary gland, ʻo ia ka mea a mākou e kapa nei he Empty Sella Syndrome (ESS) . ʻO ka syndrome kahi hōʻiliʻili o nā hōʻailona pili. Hiki i ka poʻe me ESS ke ʻike i nā mea e like me nā hormonal imbalances, nā loli o ka ʻike, a me nā ʻeha poʻo pinepine.

ʻElua ʻano o Empty Sella, ʻeā?

ʻAe, ke ʻike kāu scan i kahi 'kelepona hakahaka', hoʻokaʻawale nā ​​​​kauka iā ia i ʻelua ʻano: mua a me ka lua.

• ʻO ka Sella hakahaka mua (PES): ʻO kēia ka manawa ʻaʻole hiki i nā kauka ke loaʻa kahi kumu maopopo no ka palahalaha ʻana o kāu kelepa pituitary. I ka hapanui o nā hihia, ʻaʻole ka sella hakahaka mua ke kumu o ka maʻi sella hakahaka. ʻO ke ʻano kēia, ʻaʻole ia e hoʻoulu pinepine i nā hōʻailona.
• ʻO ke kūʻai aku ʻole ʻelua (SES): Hoʻokumu ʻia kēia e kekahi ʻano ʻē aʻe e hiki ke ʻike ʻia e hoʻopilikia ai i ke ʻano o kāu pituitary gland a i ʻole sella turcica. I ka ʻōlelo maʻalahi, hoʻokumu ʻia ia e ka hōʻino ʻia mai kahi maʻi a hanana paha. I nā hihia o ka sella ʻole lua (SES), ʻoi aku ka nui o ka ulu ʻana o ka maʻi sella ʻole ma mua o nā hihia o ka sella ʻole mua (PES).

He mea hoʻoweliweli anei kēia maʻi ʻeha ʻole (ESS) i ke ola?

ʻAʻole, ʻaʻole ia he maʻi hoʻoweliweli i ke ola o ka Empty Sella Syndrome (ESS). Hiki ke mālama ʻia me nā lāʻau hormonal a i kekahi manawa ke ʻoki kino.

Eia kekahi, ʻoiai ke ʻōlelo nei kāu scan lolo 'empty cell' ʻaʻole ia he manaʻo he mea hoʻoweliweli ia i ke ola. I ka hapa nui o nā hihia o 'empty cell', ʻaʻohe hōʻailona a i ʻole ka empty cell syndrome.

He aha ke kuleana o ka Pituitary Gland?

He kelepa endocrine koʻikoʻi loa ka pituitary gland i loko o ko kākou kino. Hoʻopuka ia i nā hormones like ʻole. Ke haʻi aku nei hoʻi ia i nā kelepa ʻē aʻe i loko o kā kākou ʻōnaehana endocrine e hoʻokuʻu i nā hormones. ʻO ia hoʻi:

• Nā kelepa adrenal
• ʻO nā ovaries (i nā wahine) a i ʻole nā ​​​​testicles (i nā kāne)
• ʻO ke kele thyroid

Ua like nā hormones me nā ʻelele kemika. Hele lākou ma ke koko a lawe i nā leka i ko kākou mau ʻōpū, nā ʻiʻo, a me nā ʻiʻo ʻē aʻe. Hōʻike kēia mau leka i ke kino i ka mea e hana ai a me ka manawa e hana ai.

Ua pili ka pituitary gland i ka hypothalamus i loko o ko kākou lolo.Ua hoʻopili ʻia e kahi ʻōpuʻu i hana ʻia me nā kīʻaha koko a me nā aʻalolo. Ua kapa ʻia kēia ʻo ke ʻōpuʻu pituitary. Ma o kēia ʻōpuʻu e kamaʻilio ai ka hypothalamus i ka pituitary gland a ʻōlelo, 'ʻAe, e hoʻokuʻu i kēia mau hormones.' ʻO ka hypothalamus ka ʻāpana o ko kākou lolo e kaohi ana i nā mea e like me ke koko, ka helu o ka puʻuwai, ka mahana o ke kino, a me ka ʻai ʻana.

ʻO ka hapa nui, hana ka pituitary gland i nā hormones aʻe:

• ʻO ka hormone Adrenocorticotropic (ACTH): Hoʻoulu kēia i nā kelepa adrenal e hana i nā hormones (e.g. cortisol) e pane ana i ke kaumaha.
• ʻO ka hormone antidiuretic (ADH a i ʻole vasopressin): Hoʻomalu i ke kaulike wai o ke kino.
• ʻO ka hormone hoʻouluulu Follicle (FSH): Kōkua i ka hoʻomāhuahua ʻana i nā hua manu i nā wahine a hana i ka sperm i nā kāne.
• ʻO ka hormone ulu (GH): Kōkua i ko mākou kino e ulu mai ka wā kamaliʻi a hiki i ka wā makua, ʻoiai hoʻi i nā iwi a me nā ʻiʻo.
• ʻO ka hormone Luteinizing (LH): Hana pū me FSH e kōkua i ka hana o ka ʻōnaehana hānau. He mea nui ia no ka ovulation i nā wahine a no ka hana ʻana o ka testosterone i nā kāne.
• ʻOxytocin: Kōkua i ka ʻūlū ʻana o ka ʻōpū i ka wā hānau keiki a me ka hoʻokuʻu ʻia ʻana o ka waiū i ka wā e hānai ai i ka waiū.
• Prolactin: Hoʻoulu i ka hana ʻana o ka waiū umauma.
• ʻO ka hormone hoʻoulu thyroid (TSH): Ke haʻi aku nei i ka ʻōpū thyroid ma ka ʻāʻī e hana i nā hormones thyroid. Hoʻomalu kēia mau hormones thyroid i ka wikiwiki o ka hoʻohana ʻana o ko mākou kino i ka ikehu (metabolism).

ʻAʻole hana mau ʻia kēia mau hormones a pau. Hoʻokuʻu ʻia ka hapa nui i loko o nā pahū ʻana, ma kahi o kēlā me kēia hoʻokahi a ʻekolu hola.

ʻO wai ka mea i hoʻopilikia nui ʻia e ka Empty Sella Syndrome (ESS)?

ʻOiai he mea kakaikahi kēia, hiki i nā keiki a me nā pākeke ke hoʻomohala i ka empty sella syndrome (ESS).

Eia nō naʻe, ʻo ke kelepona hakahaka mua (PES) - ʻo ia hoʻi ka mea i ʻike wale ʻia ma kahi scan me ka ʻole o nā hōʻailona - he ʻehā manawa ʻoi aku ka maʻamau i nā wahine ma mua o nā kāne.

ʻO ka PES ka mea maʻamau i nā kānaka ma waena o 30 a me 40 mau makahiki. Hiki ke hiki mua i nā wāhine ma mua o nā kāne. ʻO nā wāhine i hāpai piha i ka wā piha e pilikia nui lākou i ka loaʻa ʻana o ka PES.

ʻAʻole maʻamau ka PES i nā keiki ma mua o nā pākeke. Ke hana ʻia, pili pinepine ia me nā maʻi olakino ʻē aʻe, e like me ka maʻi Turner, ka maʻi Moyamoya, a me ka maʻi Prader-Willi.

Pehea ka maʻamau o kēia?

He mea kākaʻikahi loa ka Empty Sella Syndrome (ESS). Manaʻo kekahi poʻe noiʻi ʻaʻole i hiki i ka 1% o ka poʻe me ka 'empty sella' ke loaʻa nā hōʻailona (ʻo ia hoʻi, loaʻa ka ESS).

Eia nō naʻe, ʻoi aku ka maʻamau o ka loaʻa ʻana o kahi sella hakahaka me ka ʻole o nā hōʻailona. Manaʻo kekahi mau hōʻike he ma waena o 8% a me 35% o ka heluna kanaka he sella hakahaka paha. Manaʻo kekahi mau hōʻike he ma kahi o 12% o ka poʻe he sella hakahaka, ma muli o nā hopena o ka scan lolo.

He aha nā hōʻailona o ka Empty Sella Syndrome (ESS)?

ʻO ka hōʻailona nui e pili ana me ka maʻi ʻeha ʻole (ESS) ʻo ia ka ʻeha poʻo mau. Eia nō naʻe, ʻaʻole maopopo i nā kānaka noiʻi inā paha ua hoʻokumu ʻia kēia mau ʻeha poʻo e ka ESS a i ʻole he mea kūlike wale nō. ʻO kēia no ka mea he nui ka poʻe me ka ESS i loaʻa ke koko kiʻekiʻe (hypertension), hiki ke hoʻoulu i nā ʻeha poʻo inā lilo ia i mea koʻikoʻi.

ʻO ka maʻamau, hoʻokumu ka ESS i nā hormonal imbalances ma muli o ka hōʻino ʻia ʻana o ka pituitary gland. Hiki i ka poʻe me ESS ke ʻike i nā hōʻailona like ʻole ma muli o ka hōʻino ʻia ʻana o ko lākou pituitary gland a me nā hormones i hoʻopilikia ʻia. Inā loaʻa iā ʻoe ka ESS, loaʻa paha iā ʻoe kekahi o kēia mau hōʻailona:

• He kahe waiū ʻole mai nā umauma (galactorrhea) (hiki ke hana i kēia i nā kāne)
• Ka hana ʻino ʻana o ka erectile ( no nā kāne)
• Ka menstruation kūpono ʻole a i ʻole ka nele loa o ka menstruation (amenorrhea) (no nā wahine)
• Ka emi ʻana a i ʻole ka nalowale o ka makemake moekolohe (libido haʻahaʻa)
• Manaʻo luhi i nā manawa a pau (Fatigue)

I ka liʻiliʻi loa, hiki i kekahi poʻe me ESS ke ʻike i nā hōʻailona e like me:

• Hoʻonui ʻia ke kaomi i loko o ke poʻo (kaomi intracranial maikaʻi)
• ʻO ka rhinorrhea Cerebrospinal (ka leakage CSF mai ka ihu)
• ʻO ka pehu ʻana o ka disc optic i loko o ka maka (papilledema) ma muli o ke kaomi nui ʻana i loko o ke poʻo
• Nā loli o ka ʻike, no ka laʻana, ka ʻike pōwehiwehi.

Eia hou, hiki iā ʻoe ke loaʻa kahi 'kelepona hakahaka' ma kahi scan lolo, akā ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. ʻO ka ʻoiaʻiʻo, he nui ka poʻe me nā 'kelepona hakahaka' ʻaʻohe o lākou mau hōʻailona a ʻaʻole loa.

Ke kumu nei anei ka Empty Sella Syndrome (ESS) i ka piʻi ʻana o ke kaumaha?

Inā ʻaʻole hana kāu pituitary gland i ka nui o ka thyroid-stimulating hormone (TSH) ma muli o ka empty sella syndrome (ESS), aia kahi manawa e piʻi ai kou kaumaha.

Hoʻoulu ka TSH i ka ʻōpū thyroid, aia ma ke alo o kou ʻāʻī, ma lalo o ka ʻili, e hoʻokuʻu i nā hormones thyroid. ʻO ka hana nui o ka ʻōpū thyroid ka hana ʻana i nā hormones thyroid, ka mea e kāohi ana i ka wikiwiki o kāu hoʻololi ʻana i ka meaʻai āu e ʻai ai i ka ikehu, a i ʻole kou wikiwiki metabolic .

Inā ʻaʻole lawa ka hana ʻana o kāu kelepa pituitary i ka TSH ma muli o ka ESS, ʻaʻole paha e lawa ka hana ʻana o kāu kelepa thyroid i nā hormones thyroid. Hiki i kēia ke hoʻolohi i kāu metabolism ma muli o ka haʻahaʻa o nā pae hormone thyroid, kahi e hiki ai ke piʻi i ke kaumaha.

He aha ke kumu o ka Empty Sella Syndrome (ESS)?

Hiki ke hoʻokumu ʻia ka Empty Sella Syndrome (ESS) e ka primary empty sella (PES) a i ʻole ka secondary empty sella (SES). Eia nō naʻe, ʻoi aku ka nui o ka hiki ke hoʻokumu i ka ESS i ka secondary empty sella (SES).

Nā kumu o ka Primer Empty Sella Syndrome (PES)

Hana ʻia ka esophagitis mua (PES) i ka wā e puʻe ai kekahi o nā membrane e uhi ana i waho o kou lolo (ka papa arachnoid), ka sella turcica, i loko, e kaomi ana i ka pituitary gland.

ʻAʻole hiki i nā kauka ke kuhikuhi i ke kumu kūpono o ka maʻi sella hakahaka mua.

ʻO kekahi kumumanaʻo, ʻo ka nāwaliwali hānau ʻana i loko o nā ʻiʻo e uhi ana i ka lolo e ʻae i ka wai cerebrospinal (CSF) e komo i loko o ka sella turcica, e hoʻopālahalaha ana i ka pituitary gland. I kēlā mau hihia, he paʻakikī ke ʻike ʻia ka pituitary gland ma kahi scan, akā hana pinepine ia ma ke ʻano maʻamau, no laila ʻaʻole i loaʻa ka maʻi sella hakahaka.

Nā kumu o ka lua o ka hana erectile lua (SES)

ʻO ka sella hakahaka lua (SES) ke hōʻino ʻia kou kelepa pituitary a i ʻole sella turcica e kekahi maʻi a hanana paha. No laila, he nui nā kumu hiki ke loaʻa iā SES. Ma keʻano laulā, ʻo nā kumu nui o kēia hōʻino:

• He puʻupuʻu lolo.
• Hoʻōla radiation .
• ʻO ke ʻoki lolo i hana ʻia ma ka ʻāpana e hoʻopuni ana i ka pituitary gland.
• ʻO kahi ʻeha poʻo nui, no ka laʻana he ʻeha lolo traumatic.

Eia kekahi mau kumu kikoʻī ʻē aʻe e hiki ke hoʻopilikia i ka hoʻokahe lua ʻana o ka ʻōpū mimi:

• Nā puʻupuʻu lolo: I kekahi manawa hiki i nā puʻupuʻu lolo ke hoʻonui i ke kaomi a puni kou lolo (kaomi intracranial), hiki ke kaomi ma ka ʻōpū pituitary.
• ʻO ke kiʻekiʻe koko intracranial idiopathic (IIH): ʻO IIH ka hoʻonui ʻia o ke kaomi i loko o ke poʻo ma muli o ka hōʻiliʻili ʻana o ka wai cerebrospinal (CSF) a puni kou lolo. Hiki i kēia kaomi keu ke hoʻopaʻa i ka pituitary gland.
• ʻO nā adenomas pituitary: ʻO kēia nā puʻupuʻu e ulu ana i loko o ka pituitary gland. ʻO ka hapa nui o ka manawa, ʻaʻole lākou he cancerous (benign). Hiki i kēia mau adenomas ke kau i ke kaomi ma luna o ka pituitary gland a hōʻino iā ia.
• ʻO ka maʻi Sheehan: He kūlana kēia e hiki ke hana i kekahi manawa inā he nui ke kahe koko e hoʻoweliweli ana i ke ola i ka wā hānau. Hiki i kēia ke hana i ke kino e nele i ka oxygen a hōʻino i ka pituitary gland.

Pehea e ʻike ʻia ai ka Empty Sella Syndrome (ESS)?

ʻO ka hapa nui o ka manawa, ʻike nā kauka i kahi sella hakahaka ma ka ulia pōpilikia, ke hana lākou i kahi scan poʻo no kekahi kumu ʻē aʻe. Eia kekahi, nui ka poʻe me kahi sella hakahaka ʻaʻole loa e loaʻa i ka maʻi sella hakahaka a ʻike paha i kekahi mau hōʻailona.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e pili ana i ka maʻi cell hakahaka, e like me nā poʻo hina pinepine a me nā hemahema hormonal, e nīnau kāu kauka iā ʻoe e pili ana i kou mōʻaukala olakino, hana i kahi hoʻokolokolo kino, a ʻoi aku ka nui o ke kauoha ʻana i kahi scan poʻo a me ka lolo.

ʻO nā scans i hoʻohana ʻia no ka ʻike ʻana i ka ESS:

• ʻO ka CT scan (computed tomography) scan o ka lolo: ʻO ka CT scan kahi ʻano hana e lawe ai i nā kiʻi maopopo o kou lolo a me ka pituitary gland me ka hoʻohana ʻana i nā X-ray a me ke kamepiula.
• ʻO kahi scan magnetic resonance imaging (MRI) o ka lolo: Hoʻohana kahi scan MRI i nā nalu lekiō a me nā magnet ikaika e hana i nā kiʻi maopopo loa o nā ʻāpana i loko o kou kino, e like me kāu sella turcica.

Hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe, e like me nā hoʻāʻo koko, e nānā i kāu mau pae hormone.

I kekahi manawa, hiki i nā kauka ke hana i nā hoʻokolohua e like me kēia e nānā ai i ka hoʻonui ʻia o ke kaomi i loko o kou lolo:

• E nānā kekahi kauka maka i ka retina i loko o kou maka.
• ʻUku ʻana o ka ʻiʻo kuamoʻo (spinal tap) - Ke ana kēia i ke kaomi o ke wai o ka ʻiʻo kuamoʻo.

He aha nā lāʻau lapaʻau no ka Empty Sella Syndrome (ESS)?

ʻOiai inā hōʻike kāu mau scan i kahi 'kelepona hakahaka', inā hana maikaʻi kāu kelepa pituitary, ʻaʻole pono ʻoe i kekahi lāʻau lapaʻau. ʻO kēia ka mea e hana pinepine ʻia.

Eia nō naʻe, inā loaʻa iā ʻoe ka Empty Sella Syndrome (ESS) a ʻaʻole hana pono kāu pituitary gland, ʻo ka lāʻau lapaʻau he mau lāʻau lapaʻau e hoʻoponopono i nā pae hormone haʻahaʻa. ʻO ia hoʻi, ua hoʻoholo ʻia ka lāʻau lapaʻau ma muli o ka hormone haʻahaʻa.

Inā hoʻoheheʻe ʻia ka wai cerebrospinal (CSF) mai kou ihu (CSF rhinorrhea) e ka ESS, pono paha ʻoe i ke ʻoki ʻana e hoʻoponopono i kou sella turcica.

He aha nā kumu pilikia no ka Empty Sella Syndrome (ESS)?

ʻAʻole maopopo i nā kauka ke kumu o ka maʻi ʻole sella i kekahi poʻe me ka ʻole sella. Eia nō naʻe, ʻoi aku ka nui o ka ulu ʻana o ka maʻi ʻole sella me ka lua o ka sella ʻole (SES) ma mua o ka mua o ka sella ʻole (PES). ʻO ke ʻano kēia, inā ua hana ʻia ka ʻole sella e kekahi mea ʻē aʻe, e like me ka puʻupuʻu lolo, ka radiation therapy, a i ʻole ka ʻeha poʻo, ʻoi aku ka nui o kou ʻike ʻana i nā hōʻailona.

He aha ka wānana no kekahi me ka Empty Sella Syndrome (ESS)?

Ma ke ʻano laulā, maikaʻi ka nānā ʻana no kekahi me ka maʻi ʻole sella hakahaka (ESS). Aia nā lāʻau lapaʻau e mālama ai i nā hemahema hormonal. Inā loaʻa iā ʻoe nā hemahema hormonal ma muli o ESS, pono paha ʻoe e lawe i ka lāʻau lapaʻau no ke koena o kou ola.

I ka manawa hea ʻoe e ʻike ai i ke kauka inā loaʻa iā ʻoe ka empty cell syndrome?

Inā ua ʻike ʻia ʻoe me ka Empty Sella Syndrome (ESS), a loaʻa iā ʻoe nā hōʻailona hou a inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona, ​​e ʻike koke i kāu kauka.

Inā ʻoe e lawe nei i ka lāʻau lapaʻau no nā hormonal imbalances ma muli o ka empty stoma syndrome, he mea nui loa ia e ʻike pinepine i kāu kauka e hōʻoia i ka hana pono ʻana o kāu lāʻau lapaʻau.

No laila, he aha kā kākou e hoʻomanaʻo ai mai kēia?

ʻĀ, he maʻi laha ʻole ka Empty Sella Syndrome (ESS). Eia nō naʻe, he mea maʻamau ka ʻike ʻana he mea i kapa ʻia ʻo 'empty cell' ma kahi scan lolo. No laila, mai hopohopo no ka mea ua ʻōlelo ke kauka pēlā. ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o ka poʻe me ka 'empty cell' a ʻaʻole hoʻi e loaʻa i ka Empty Sella Syndrome.

Inā he mau nīnau kāu e pili ana i kāu hōʻike scan, mai makaʻu e nīnau i kāu kauka. Aia lākou ma laila e kōkua iā ʻoe. ʻO ka mālama ʻana i kou olakino ka mea nui loa.

ʻO ka maʻi Sella hakahaka, ka ʻōpū Pituitary, nā Hormones, ka nānā ʻana o ka lolo, Sellae Tursica