Koj lub qog pituitary puas "khoob"? Kawm txog Empty Sella Syndrome (ESS)!

Koj puas muaj mob taub hau txhua lub sijhawm? Los yog koj puas xav tias nws yog ib yam dab tsi ua rau koj cov tshuaj hormones? Yog tias tus kws kho mob hais tias lawv yuav tsum tau ua qhov "CT" scan ntawm koj lub taub hau lossis "MRI" scan, lawv yuav pom tias thaj chaw uas koj lub qog pituitary nyob zoo li "khoob." Qhov ntawd yog qhov peb hu ua Kev Muag Khoom Nchuav. Tab sis nws puas yog ib qho teeb meem loj tas li? Cia peb tham txog qhov no kom ntxaws ntxiv.

Kab mob Empty Sella Syndrome (ESS) yog dab tsi?

Hais yooj yim xwb, Empty Sella Syndrome (ESS) yog ib qho mob tsis tshua muaj. Nws tshwm sim thaum koj lub qog pituitary - ib lub qog me me tab sis tseem ceeb heev nyob rau hauv qab ntawm koj lub hlwb - ua rau tiaj lossis ntsws hauv nws qhov chaw, ib lub qhov pob txha hu ua sella turcica . Xav txog nws li no, sella turcica zoo li lub tsev me me uas tiv thaiv lub qog pituitary. Vim li cas, 'lub tsev' no tuaj yeem loj dhau, ua rau lub qog pituitary bulge thiab me dua.

Lo lus 'sella turcica' yog los ntawm Latin, txhais tau tias 'lub rooj zaum Turkish'. Nws tau muab lub npe li ntawd vim nws zoo li lub rooj zaum nees. Ib txhia neeg uas muaj ESS tuaj yeem muaj cov tsos mob xws li kev tsis sib npaug ntawm cov tshuaj hormones , mob taub hau ntau zaus, thiab kev hloov pauv ntawm qhov muag .

Koj puas paub tias lub qog pituitary yog ib feem tseem ceeb heev ntawm peb lub endocrine system , uas yog lub cev tsim cov tshuaj hormones. Nws tsim ntau cov tshuaj hormones tseem ceeb hauv peb lub cev. Cov tshuaj hormones no tswj lwm cov qog hauv peb lub cev.

Qhov txawv ntawm Empty Sella thiab Empty Sella Syndrome yog dab tsi?

Qhov no ua rau kuv tsis meej pem me ntsis, yog li mloog zoo zoo. Txawm hais tias cov lus 'empty cell' thiab 'empty cell syndrome' qee zaum siv sib pauv tau, tab sis muaj qhov sib txawv me ntsis. Hauv ntej, lub cell khoob yog qhov kev tshawb pom radiological , thaum lub empty cell syndrome yog ib qho mob.

'Empty Sella' yog thaum koj lub qog pituitary zoo li tiaj lossis me me ntawm daim duab scan. Hauv qhov no, cov kws kho mob tsis pom lub qog pituitary kom zoo ntawm daim duab scan. Yog li ntawd, qhov chaw uas lub qog pituitary nyob, hu ua sella turcica, zoo li 'khoob khoob'. Qhov ntawd yog qhov uas lub npe 'khoob khoob sella' los ntawm.

Txawm li cas los xij, lub sella turcica tsis yog qhov khoob tiag tiag. Feem ntau, nws puv nrog cov kua cerebrospinal (CSF) . Cov CSF no yog cov kua uas nyob ib puag ncig thiab tiv thaiv peb lub hlwb thiab tus txha caj qaum. Hauv qhov xwm txheej 'sella khoob', cov kua CSF no xau rau hauv sella turcica thiab muab kev nyuaj rau lub qog pituitary. Qhov kev nyuaj ntawd ua rau lub qog ntsws lossis tiaj tus.

Feem ntau, cov kws kho mob pom qhov 'cell khoob' no los ntawm kev sib tsoo. Ntawd yog, thaum lawv ua qhov "(CT)" scan lossis "(MRI)" scan ntawm lub taub hau rau qee qhov laj thawj.

Txawm hais tias qee tus neeg muaj 'cov hlwb khoob' ntawm lawv cov kev luam theej, lawv tuaj yeem tsis muaj tsos mob thiab lawv cov qog pituitary tuaj yeem ua haujlwm zoo.

Txawm li cas los xij, yog tias ib tug neeg muaj 'lub raum tsis muaj zog' thiab lawv lub qog pituitary tsis ua haujlwm zoo, qhov ntawd yog qhov peb hu ua Empty Sella Syndrome (ESS) . Ib qho syndrome yog kev sib sau ua ke ntawm cov tsos mob cuam tshuam. Cov neeg uas muaj ESS tuaj yeem ntsib tej yam xws li kev tsis sib npaug ntawm cov tshuaj hormones, kev hloov pauv ntawm qhov muag, thiab mob taub hau ntau zaus.

Muaj ob hom Empty Sella, puas yog?

Yog, thaum koj daim scan pom ib lub 'cell khoob', cov kws kho mob faib nws ua ob hom: thawj thiab thib ob.

• Primary Empty Sella (PES): Qhov no yog thaum cov kws kho mob tsis tuaj yeem nrhiav tau qhov ua rau koj lub qog pituitary kom tiaj tus. Feem ntau, primary empty sella tsis ua rau muaj empty sella syndrome. Qhov no txhais tau tias nws tsis tshua muaj tsos mob.
• Kev Muag Khoom Thib Ob (SES): Qhov no yog tshwm sim los ntawm lwm yam mob uas cuam tshuam rau cov qauv ntawm koj lub qog pituitary lossis sella turcica. Hais yooj yim, nws yog tshwm sim los ntawm kev puas tsuaj los ntawm lwm yam kab mob lossis xwm txheej. Hauv cov xwm txheej ntawm kev muag khoom thib ob (SES), kev mob muag khoom feem ntau yuav tshwm sim dua li cov xwm txheej ntawm kev muag khoom thawj zaug (PES).

Qhov Empty Sella Syndrome (ESS) no puas ua rau tuag taus?

Tsis yog, Empty Sella Syndrome (ESS) tsis yog ib yam mob uas ua rau tuag taus. Nws tuaj yeem kho tau nrog cov tshuaj hormones thiab qee zaum phais.

Tsis tas li ntawd xwb, tsuas yog vim koj lub hlwb scan hais tias 'empty cell' tsis tau txhais hais tias nws muaj kev phom sij rau lub neej. Feem ntau ntawm 'empty cell', tsis muaj tsos mob lossis empty cell syndrome.

Lub luag haujlwm ntawm lub qog Pituitary yog dab tsi?

Lub qog pituitary yog ib lub qog endocrine tseem ceeb heev hauv peb lub cev. Nws tsim ntau yam tshuaj hormones sib txawv. Nws kuj qhia rau lwm cov qog hauv peb lub endocrine system kom tso cov tshuaj hormones. Ntawd yog:

• Cov qog adrenal
• Cov zes qe menyuam (rau cov poj niam) lossis cov noob qes (rau cov txiv neej)
• Cov qog thyroid

Cov tshuaj hormones zoo li cov tshuaj xa xov. Lawv mus ncig thoob plaws cov ntshav thiab nqa cov lus mus rau peb cov kabmob, cov leeg, thiab lwm cov nqaij. Cov lus no qhia rau lub cev tias yuav ua li cas thiab yuav ua thaum twg.

Lub qog pituitary txuas nrog lub hypothalamus hauv peb lub hlwb.Nws txuas nrog los ntawm ib ceg uas ua los ntawm cov hlab ntsha thiab cov hlab ntsha. Qhov no hu ua ceg pituitary. Nws yog los ntawm ceg no uas hypothalamus tham nrog lub qog pituitary thiab hais tias, 'Okay, tam sim no tso cov tshuaj hormones no.' Lub hypothalamus yog ib feem ntawm peb lub hlwb uas tswj cov khoom xws li ntshav siab, lub plawv dhia, qhov kub ntawm lub cev, thiab kev zom zaub mov.

Lub qog pituitary feem ntau tsim cov tshuaj hormones hauv qab no:

• Adrenocorticotropic hormone (ACTH): Qhov no ua rau cov qog adrenal tsim cov tshuaj hormones (piv txwv li cortisol) uas teb rau kev ntxhov siab.
• Antidiuretic hormone (ADH lossis vasopressin): Tswj lub cev cov dej kom sib npaug.
• Cov tshuaj hormones txhawb nqa follicle (FSH): Pab cov qe loj hlob hauv cov poj niam thiab tsim cov phev hauv cov txiv neej.
• Cov tshuaj hormones loj hlob (GH): Pab peb lub cev loj hlob txij thaum yau mus txog thaum laus, tshwj xeeb tshaj yog cov pob txha thiab cov leeg.
• Luteinizing hormone (LH): Ua haujlwm nrog FSH los pab lub cev tsim qe menyuam ua haujlwm. Nws yog ib qho tseem ceeb rau kev tso qe rau cov poj niam thiab rau kev tsim cov testosterone rau cov txiv neej.
• Oxytocin: Pab kom lub tsev menyuam nruj thaum yug menyuam thiab tso mis thaum pub niam mis.
• Prolactin: Txhawb kev tsim cov kua mis niam.
• Cov tshuaj hormones uas ua rau lub thyroid ua haujlwm (TSH): Qhia rau cov qog thyroid hauv caj dab kom tsim cov tshuaj hormones thyroid. Cov tshuaj hormones thyroid no tswj qhov ceev uas peb lub cev siv zog (metabolism).

Tsis yog txhua yam tshuaj hormones no raug tsim tawm tas li. Feem ntau raug tso tawm ua ntu zus, txog li ib mus rau peb teev.

Leej twg raug kev txom nyem tshaj plaws los ntawm Empty Sella Syndrome (ESS)?

Txawm hais tias qhov no yog ib qho mob tsis tshua muaj los xij, cov menyuam yaus thiab cov neeg laus tuaj yeem muaj tus kab mob khoob sella (ESS).

Txawm li cas los xij, lub hlwb khoob thawj zaug (PES) - txhais tau tias yog qhov uas tsuas yog tshwm sim ntawm daim duab luam theej tsis muaj tsos mob - yog plaub npaug ntau dua rau cov poj niam dua li cov txiv neej.

PES feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 30 thiab 40 xyoo. Qee zaum nws tuaj yeem tshwm sim ntxov dua rau cov poj niam dua li cov txiv neej. Cov poj niam uas tau cev xeeb tub puv sijhawm muaj feem yuav mob PES.

PES tsis tshua muaj rau cov menyuam yaus dua li cov neeg laus. Thaum nws tshwm sim, nws feem ntau cuam tshuam nrog lwm yam mob, xws li Turner syndrome, Moyamoya kab mob, thiab Prader-Willi syndrome.

Qhov no feem ntau tshwm sim li cas?

Kab mob Empty Sella Syndrome (ESS) tsis tshua muaj. Qee cov kws tshawb fawb kwv yees tias tsawg dua 1% ntawm cov neeg uas muaj 'empty sella' muaj cov tsos mob (piv txwv li, muaj ESS).

Txawm li cas los xij, muaj lub hlwb khoob uas tsis muaj tsos mob yog qhov tshwm sim ntau dua. Qee cov ntawv tshaj tawm qhia tias ntawm 8% thiab 35% ntawm cov pej xeem yuav muaj lub hlwb khoob. Lwm cov ntawv tshaj tawm qhia tias kwv yees li 12% ntawm cov neeg muaj lub hlwb khoob, raws li cov txiaj ntsig scan hlwb.

Cov tsos mob ntawm Empty Sella Syndrome (ESS) yog dab tsi?

Cov tsos mob tseem ceeb uas cuam tshuam nrog tus kab mob empty sella syndrome (ESS) yog mob taub hau ntev. Txawm li cas los xij, cov kws tshawb fawb tseem tsis tau paub tseeb tias cov mob taub hau no yog los ntawm ESS lossis lawv tsuas yog ib qho xwm txheej xwb. Qhov no yog vim tias ntau tus neeg uas muaj ESS kuj muaj ntshav siab (hypertension), uas kuj tuaj yeem ua rau mob taub hau yog tias nws hnyav zuj zus.

Feem ntau ESS ua rau muaj kev tsis sib npaug ntawm cov tshuaj hormones vim yog kev puas tsuaj rau lub qog pituitary. Cov neeg uas muaj ESS yuav muaj cov tsos mob sib txawv nyob ntawm seb lawv lub qog pituitary puas tsuaj thiab cov tshuaj hormones twg raug cuam tshuam. Yog tias koj muaj ESS, koj yuav muaj qee cov tsos mob hauv qab no:

• Cov kua tawm ntawm lub mis uas tsis yog mis nyuj (galactorrhea) (qhov no kuj tuaj yeem tshwm sim rau cov txiv neej)
• Kev ua haujlwm tsis zoo ntawm erectile ( rau cov txiv neej)
• Kev coj khaub ncaws tsis tu ncua lossis tsis muaj kev coj khaub ncaws tag nrho (amenorrhea) (rau cov poj niam)
• Txo lossis poob ntawm kev ntshaw kev sib deev (qis libido)
• Xav tias nkees txhua lub sijhawm (Fatigue)

Tsis tshua muaj, qee tus neeg uas muaj ESS kuj tseem yuav muaj cov tsos mob xws li:

• Kev nce siab hauv lub taub hau (benign intracranial pressure)
• Kab mob cerebrospinal rhinorrhea (CSF tawm ntawm lub qhov ntswg)
• Kev o ntawm lub disc optic hauv lub qhov muag (papilledema) vim muaj kev nce siab hauv lub taub hau
• Kev pom kev hloov pauv, piv txwv li, pom kev tsis meej.

Dua li no, koj tuaj yeem muaj 'lub hlwb khoob' ntawm kev luam theej duab lub hlwb, tab sis koj yuav tsis muaj tsos mob dab tsi. Qhov tseeb, ntau tus neeg uas muaj 'lub hlwb khoob' tsis muaj tsos mob dab tsi thiab yuav tsis muaj li.

Puas yog Empty Sella Syndrome (ESS) ua rau hnyav nce?

Yog tias koj lub qog pituitary tsis tsim cov tshuaj hormones thyroid-stimulating hormone (TSH) txaus vim yog tus mob empty sella syndrome (ESS), muaj feem yuav ua rau koj hnyav dua.

TSH ua rau lub qog thyroid, nyob rau pem hauv ntej ntawm koj lub caj dab, hauv qab daim tawv nqaij, tso tawm cov tshuaj hormones thyroid. Lub qog thyroid txoj haujlwm tseem ceeb yog tsim cov tshuaj hormones thyroid, uas tswj qhov nrawm uas koj hloov cov khoom noj uas koj noj mus ua zog, lossis koj qhov kev zom zaub mov .

Yog tias koj lub qog pituitary tsis tsim TSH txaus vim yog ESS, koj lub qog thyroid yuav tsis tsim cov tshuaj hormones thyroid txaus. Qhov no tuaj yeem ua rau koj lub cev zom zaub mov qeeb vim yog cov tshuaj hormones thyroid qis, uas tuaj yeem ua rau koj qhov hnyav nce.

Dab tsi ua rau muaj Empty Sella Syndrome (ESS)?

Kab mob Empty Sella Syndrome (ESS) tuaj yeem tshwm sim los ntawm thawj qhov mob empty sella (PES) lossis qhov mob secondary empty sella (SES). Txawm li cas los xij, qhov mob secondary empty sella (SES) yuav ua rau ESS.

Ua rau muaj Primary Empty Sella Syndrome (PES)

Kab mob hlab pas thawj zaug (PES) tshwm sim thaum ib daim ntaub uas npog sab nraud ntawm koj lub hlwb (txheej arachnoid), sella turcica, nce mus rau sab hauv, nias rau ntawm lub qog pituitary.

Cov kws kho mob tseem tsis tau paub meej tias yog vim li cas thiaj muaj tus mob primary empty sella syndrome no.

Muaj ib txoj kev xav hais tias qhov tsis muaj zog ntawm cov nqaij mos uas npog lub hlwb ua rau cov kua dej cerebrospinal (CSF) nkag mus rau hauv sella turcica, ua rau lub qog pituitary tiaj tiaj. Hauv cov xwm txheej zoo li no, lub qog pituitary feem ntau nyuaj rau pom ntawm daim duab scan, tab sis nws feem ntau ua haujlwm li qub, yog li ntawd qhov mob sella khoob tsis tshwm sim.

Ua rau muaj teeb meem Erectile Dysfunction (SES) theem ob

Qhov thib ob khoob sella (SES) tshwm sim thaum koj lub qog pituitary lossis sella turcica raug puas tsuaj los ntawm lwm yam kab mob lossis xwm txheej. Yog li ntawd, muaj ntau yam ua rau SES. Feem ntau, cov ua rau puas tsuaj no yog:

• Ib qho mob qog hauv hlwb.
• Kev kho mob hluav taws xob .
• Kev phais hlwb ua nyob rau thaj chaw ib puag ncig lub qog pituitary.
• Kev raug mob taub hau hnyav, piv txwv li kev raug mob hlwb.

Nov yog qee qhov ua rau tshwj xeeb uas tuaj yeem cuam tshuam rau kev tso zis zaum ob:

• Cov qog hauv hlwb: Qee zaum cov qog hauv hlwb tuaj yeem ua rau muaj kev ntxhov siab ntau ntxiv nyob ib puag ncig koj lub hlwb (kev ntxhov siab hauv lub hlwb), uas tuaj yeem nias rau ntawm lub qog pituitary.
• Idiopathic intracranial hypertension (IIH): IIH yog qhov nce siab hauv lub taub hau vim muaj cov kua dej cerebrospinal (CSF) sib sau ua ke nyob ib puag ncig koj lub hlwb. Qhov kev siab ntau dhau no tuaj yeem nias lub qog pituitary.
• Cov qog pituitary adenomas: Cov no yog cov qog uas loj hlob hauv cov qog pituitary. Feem ntau, lawv tsis yog qog nqaij hlav (benign). Cov adenomas no tuaj yeem muab kev nyuaj rau cov qog pituitary thiab ua puas rau nws.
• Sheehan's syndrome: Qhov no yog ib qho mob uas qee zaum tuaj yeem tshwm sim yog tias muaj kev los ntshav ntau dhau, uas ua rau tuag taus thaum yug menyuam. Qhov no tuaj yeem ua rau lub cev tsis muaj oxygen thiab ua rau lub qog pituitary puas tsuaj.

Yuav kuaj mob li cas yog tias muaj tus mob Empty Sella Syndrome (ESS)?

Feem ntau, cov kws kho mob pom ib tug neeg tsis muaj dab tsi ua ntej, thaum lawv ua qhov kev ntsuas lub taub hau rau lwm qhov laj thawj. Tsis tas li ntawd, ntau tus neeg uas muaj ib tug neeg tsis muaj dab tsi yeej tsis muaj tus kab mob tsis muaj dab tsi lossis tsis muaj cov tsos mob dab tsi li.

Txawm li cas los xij, yog tias koj muaj cov tsos mob ntsig txog tus kab mob cell cell tsis muaj zog, xws li mob taub hau ntau zaus thiab tsis sib npaug ntawm cov tshuaj hormones, koj tus kws kho mob yuav nug koj txog koj keeb kwm kev kho mob, ua qhov kev kuaj mob lub cev, thiab feem ntau yuav xaj kom kuaj lub taub hau thiab lub hlwb.

Cov kev ntsuas siv los kuaj mob ESS yog:

• Kev thaij duab CT ntawm lub hlwb (computed tomography): Kev thaij duab CT yog ib txoj kev thaij duab kom meej ntawm koj lub hlwb thiab cov qog pituitary siv cov duab X-ray thiab lub computer.
• Kev thaij duab magnetic resonance imaging (MRI) ntawm lub hlwb: Kev thaij duab MRI siv cov nthwv dej xov tooj cua thiab cov hlau nplaum muaj zog los ua cov duab meej heev ntawm cov khoom hauv koj lub cev, xws li koj lub sella turcica.

Koj tus kws kho mob kuj tseem yuav xaj kom kuaj ntxiv, xws li kuaj ntshav, los xyuas koj cov tshuaj hormones.

Qee zaum, cov kws kho mob kuj tseem yuav ua cov kev kuaj mob zoo li no los xyuas seb puas muaj kev ntxhov siab ntxiv hauv koj lub hlwb:

• Cia tus kws kho qhov muag kuaj xyuas lub retina hauv koj lub qhov muag.
• Kev tho qhov ntawm lub duav (qhov tho qhov txha caj qaum) - Qhov no ntsuas qhov siab ntawm cov kua dej hauv tus txha caj qaum.

Cov kev kho mob rau Empty Sella Syndrome (ESS) yog dab tsi?

Txawm tias koj cov duab scan qhia txog 'lub hlwb khoob' los xij, yog tias koj lub qog pituitary ua haujlwm zoo, koj yuav tsis xav tau kev kho mob. Qhov no yog qhov tshwm sim feem ntau ntawm lub sijhawm.

Txawm li cas los xij, yog tias koj muaj Empty Sella Syndrome (ESS) thiab koj lub qog pituitary tsis ua haujlwm zoo, kev kho mob yog cov tshuaj los kho cov tshuaj hormones qis. Uas yog, cov tshuaj raug txiav txim siab raws li cov tshuaj hormones qis.

Yog tias ESS ua rau cov kua dej cerebrospinal (CSF) tawm ntawm koj lub qhov ntswg (CSF rhinorrhea), koj yuav tsum tau phais kom kho koj lub sella turcica.

Cov yam ua rau muaj tus mob Empty Sella Syndrome (ESS) yog dab tsi?

Cov kws kho mob tsis paub meej tias yog dab tsi ua rau muaj tus mob empty sella syndrome rau qee tus neeg uas muaj tus mob empty sella. Txawm li cas los xij, tus mob empty sella syndrome feem ntau yuav tshwm sim nrog tus mob secondary empty sella (SES) dua li tus mob primary empty sella (PES). Qhov no txhais tau tias yog tus mob empty sella yog los ntawm lwm yam, xws li mob qog hauv hlwb, kev kho mob hluav taws xob, lossis raug mob taub hau, koj yuav muaj cov tsos mob ntau dua.

Yuav muaj kev kwv yees li cas rau ib tus neeg uas muaj Empty Sella Syndrome (ESS)?

Feem ntau, tus neeg uas muaj tus kab mob essala syndrome (ESS) feem ntau yuav zoo. Muaj cov tshuaj kho cov teeb meem hormonal tsis sib npaug. Yog tias koj muaj teeb meem hormonal tsis sib npaug vim yog ESS, tej zaum koj yuav tsum tau noj tshuaj mus tas koj lub neej.

Thaum twg koj yuav tsum mus ntsib kws kho mob yog tias koj muaj tus kab mob cell tsis muaj dab tsi?

Yog tias koj tau kuaj pom tias muaj Empty Sella Syndrome (ESS), thiab koj muaj cov tsos mob tshiab lossis yog tias koj cov tsos mob uas twb muaj lawm zuj zus tuaj, mus ntsib koj tus kws kho mob tam sim ntawd.

Yog tias koj noj tshuaj rau kev tsis sib npaug ntawm cov tshuaj hormones vim yog mob plab khoob, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom paub tseeb tias koj cov tshuaj ua haujlwm zoo.

Yog li ntawd, peb yuav tsum nco ntsoov dab tsi ntawm qhov no?

Zoo, Empty Sella Syndrome (ESS) yog ib qho mob tsis tshua muaj. Txawm li cas los xij, nws yog ib qho uas pom tias koj muaj ib yam dab tsi hu ua 'empty cell' ntawm lub hlwb scan. Yog li ntawd, tsis txhob ntshai tsuas yog vim tus kws kho mob hais li ntawd. Feem ntau, cov neeg uas muaj 'empty cell' tsis muaj tsos mob thiab tsis muaj Empty Sella Syndrome.

Yog koj muaj lus nug txog koj daim ntawv qhia txog kev luam theej, tsis txhob ntshai nug koj tus kws kho mob. Lawv yeej npaj siab pab koj. Kev saib xyuas koj txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws.

` Kab Mob Sella Uas Tsis Muaj Dab Tsi, Qog Pituitary, Cov Tshuaj Hormones, Kev Ntsuas Lub Hlwb, Sellae Tursica