Ua ʻōlelo anei kāu hōʻike scan ʻo 'Empty Sella'? E kamaʻilio kākou e pili ana i kēia (Empty Sella Syndrome)

E noʻonoʻo ʻoe ua hele ʻoe e ʻike i ke kauka no ka mea ua loaʻa iā ʻoe ke poʻo no kekahi mau lā. He aha kāu e manaʻo ai inā noi ke kauka iā ʻoe e hana i kahi scan lolo a ʻōlelo ka hōʻike "Empty Sella"? E makaʻu paha ʻoe, "He hakahaka anei kēia i loko o ka lolo? He aha ka mea e hana nei?" Akā, mai hopohopo. ʻAʻole kēia he mea koʻikoʻi e like me ka manaʻo o ka poʻe he nui. E kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka Empty Sella Syndrome?

I loko o ko kākou iwi poʻo, ma lalo o ka lolo, aia kahi ʻeke iwi liʻiliʻi, e like me kahi pā liʻiliʻi. I ka lāʻau lapaʻau, ua kapa ʻia kēia ʻo ka sella turcica . ʻO ka mea kūikawā o kēia pā liʻiliʻi, ʻo ia ka pale ʻia ʻana o ka pituitary gland , ka mea hoʻoponopono nui o ka ʻōnaehana hormonal o ko kākou kino, a mālama ʻia i loko o kēia sella turcica.

No laila, i loko o kekahi poʻe, hoʻomaka ka wai pale e hoʻopuni ana i ka lolo, i kapa ʻia ʻo ka wai cerebrospinal (a i ʻole ka wai spinal), e kahe i loko o kēia wahi i kapa ʻia ʻo 'sella turcica'. A laila, ma muli o ke kaomi o kēia wai, ua ʻānai ʻia ka pituitary gland liʻiliʻi, ua palahalaha, a pili i ka paia o ka sella turcica. I kēia manawa, ke nānā ʻoe iā ia ma kahi scan 'MRI' a i ʻole 'CT', ʻike ʻia ka hakahaka i kapa ʻia ʻo 'sella turcica' he hakahaka. ʻAʻole ia he hakahaka maoli, akā ke nānā aku nei ia ma ia ʻano no ka mea ua palahalaha ka pituitary gland. ʻO ia ka mea a mākou e kapa nei ʻo 'Empty Sella Syndrome' (ESS) .

Aia kekahi mau ʻano o kēia?

ʻAe, ʻelua ʻano nui.

1. ʻO ka Primary Empty Sella Syndrome (Primary ESS): ʻO kēia ke ʻano maʻamau. Hana ʻia ia i ka wā e kahe ai ka wai cerebrospinal i loko o ka sella teresa ma ke ʻano kūlohelohe, me ke kumu ʻole o waho. Hiki ke ʻike ʻia i kekahi manawa i nā poʻe me nā kūlana e like me ka pseudotumor cerebrii, kahi e hoʻoulu ai i ke kaomi e kūkulu koke i loko o ka lolo.

2. ʻO ka Secondary Empty Sella Syndrome (Secondary ESS): Hana ʻia kēia ma muli o kekahi kumu ʻē aʻe. Eia kekahi laʻana:

• Ua hana ʻia ke ʻoki ʻana no kahi puʻupuʻu pituitary.
• Ma hope o ka loaʻa ʻana o ka radiation therapy i kēlā wahi.
• He ʻeha poʻo nui.

ʻAʻole pinepine nā ʻano ʻelua i loaʻa ka hopena koʻikoʻi i kou olakino holoʻokoʻa. ʻO ka hapa pinepine, ʻike nā kauka i kēia ʻano ma ka hanana, ʻoiai e ʻimi ana i ke kumu o kahi maʻi ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?

ʻOiai hiki ke loaʻa kēia ʻano i kekahi kanaka, ʻoi aku ka maʻamau i kekahi poʻe.

• ʻOi aku ka maʻamau i nā wahine ma mua o nā kāne.
• ʻOi aku ka nui o ka poʻe momona i ka loaʻa ʻana o ia mea.
• He mea maʻamau nō hoʻi ia i waena o ka poʻe me ke koko kiʻekiʻe .

He aha nā hōʻailona o kēia?

ʻO ka mea nui ma ʻaneʻi, ʻo ka hapa nui o ka poʻe me ka Empty Sell Syndrome ʻaʻole lākou e ʻike i kekahi mau hōʻailona . ʻO ia hoʻi, ma kahi o 99% hiki ke ola i kahi ola maʻamau me ka ʻole o nā pilikia.

Eia nō naʻe, i nā hihia kakaikahi, hiki i kekahi poʻe ke loaʻa nā hōʻailona. Inā pēlā, e nānā kākou i kēlā mau hōʻailona.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Inā loaʻa iā ʻoe nā hōʻailona i luna, e ʻike koke i ke kauka . E lawe mua ʻo ia i kahi mōʻaukala piha o kou kūlana a laila e paipai i kahi scan lolo e hōʻoia i ke kūlana.

ʻElua ʻano nui o nā scan i hoʻohana ʻia no kēia:

• ʻO ke scan MRI (Magnetic Resonance Imaging): Hoʻohana kēia i nā magnet ikaika a me nā nalu lekiō e lawe i nā kiʻi maopopo a kikoʻī o kou lolo a me ke kelepa pituitary. Hiki i kēia ʻano hana ke loiloi maikaʻi i ke kūlana o ka sella turcica.
• CT (Computerized Tomography) Scan: Hoʻohana kēia i nā kukuna X e lawe i nā kiʻi o kou poʻo mai nā kihi like ʻole a laila e hoʻohui iā lākou ma kahi kamepiula e hana i kahi kiʻi piha.

He mea pono anei ka lāʻau lapaʻau? He aha ka mea hiki ke hana ʻia?

Eia ka nūhou maikaʻi loa. Inā loaʻa iā ʻoe ka Empty Sella Syndrome a ʻaʻohe ou hōʻailona a pilikia paha, ʻaʻole pono ʻoe i kekahi lāʻau lapaʻau. Hiki iā ʻoe ke ola i kahi ola maʻamau.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​e kuhikuhi ke kauka i ka lāʻau lapaʻau ma muli o kēlā mau hōʻailona.

E hoʻomanaʻo, ua hoʻoholo ʻia ka lāʻau lapaʻau e kāu mau hōʻailona a me ke koʻikoʻi o kou kūlana. No laila, he mea nui e kūkākūkā i kēia me kāu kauka a hahai i kāna ʻōlelo aʻo.

Inā pono ka lāʻau lapaʻau, eia nā ʻano hana nui:

• Lāʻau lapaʻau: Inā ʻaʻole hana kāu gland pituitary i nā hormones lawa (e like me nā hormones thyroid, nā hormones sex), e hāʻawi kāu kauka iā ʻoe i nā pila a i ʻole nā ​​​​lāʻau lapaʻau hormone ʻē aʻe e hoʻoponopono i kēlā mau pae hormone.
• ʻOki kino: ʻAʻole pono pinepine kēia. Inā hoʻomau ka kahe ʻana o ka wai cerebrospinal mai ka ihu, pono paha kahi ʻoki kino liʻiliʻi e hoʻōki ai.