Koj daim ntawv qhia txog kev luam theej puas hais tias 'Empty Sella'? Cia peb tham txog qhov no (Empty Sella Syndrome)

Xav txog tias koj mus ntsib kws kho mob vim koj mob taub hau tau ob peb hnub lawm. Koj yuav xav li cas yog tias tus kws kho mob hais kom koj ua qhov kev soj ntsuam lub hlwb thiab daim ntawv qhia hais tias "Empty Sella"? Tej zaum koj yuav ntshai, "Qhov no puas yog qhov chaw khoob hauv lub hlwb? Muaj dab tsi tshwm sim?" Tab sis tsis txhob txhawj. Qhov no tsis loj npaum li ntau tus neeg xav. Cia peb tham txog qhov no yooj yim hnub no.

Hais yooj yim xwb, Empty Sella Syndrome yog dab tsi?

Sab hauv peb lub pob txha taub hau, hauv qab lub hlwb, muaj ib lub hnab pob txha me me, zoo li lub tawb me me. Hauv kev kho mob, qhov no hu ua sella turcica . Qhov tshwj xeeb ntawm lub tawb me me no yog tias lub qog pituitary , tus tswj hwm ntawm peb lub cev cov tshuaj hormones, tau tiv thaiv thiab khaws cia hauv sella turcica no.

Yog li, rau qee tus neeg, cov kua dej tiv thaiv uas nyob ib puag ncig lub hlwb, hu ua cerebrospinal fluid (lossis spinal fluid), pib xau rau hauv thaj chaw no hu ua 'sella turcica'. Tom qab ntawd, vim yog lub siab ntawm cov kua dej no, lub qog pituitary me me raug tsoo, flattened, thiab lo rau ntawm phab ntsa ntawm sella turcica. Tam sim no, thaum koj saib nws ntawm 'MRI' lossis 'CT' scan, qhov chaw hu ua 'sella turcica' zoo li khoob. Nws tsis yog khoob tiag tiag, nws tsuas yog zoo li ntawd vim tias lub qog pituitary raug flattened. Ntawd yog qhov peb hu ua 'Empty Sella Syndrome' (ESS) .

Puas muaj cov hom no thiab?

Yog, muaj ob hom feem ntau.

1. Kab mob Sella khoob thawj zaug ('Primary ESS'): Qhov no yog hom kab mob feem ntau. Nws tshwm sim thaum cov kua dej hauv lub hlwb nkag mus rau hauv sella teresa ntuj tsim, tsis muaj laj thawj tshwj xeeb sab nraud. Nws kuj tseem tuaj yeem pom qee zaum rau cov neeg uas muaj mob xws li 'pseudotumor cerebrii', uas ua rau muaj kev nyuaj siab hauv lub hlwb.

2. Kab mob thib ob khoob Sella ('Secondary ESS'): Qhov no tshwm sim vim yog lwm yam ua rau. Piv txwv li:

• Tau phais rau qhov mob qog pituitary.
• Tau txais kev kho mob hluav taws xob rau thaj chaw ntawd.
• Raug mob taub hau loj heev.

Leej twg yuav muaj feem ntau dua los tsim qhov no?

Txawm hais tias tus mob no tuaj yeem tshwm sim rau txhua tus neeg, nws feem ntau tshwm sim rau qee tus neeg.

• Ntau dua rau cov poj niam dua li cov txiv neej.
• Cov neeg uas rog dhau heev yuav muaj feem mob nws ntau dua.
• Nws kuj tseem muaj ntau ntawm cov neeg uas muaj ntshav siab .

Cov tsos mob ntawm qhov no yog dab tsi?

Qhov tseem ceeb ntawm no yog tias feem ntau cov neeg uas muaj 'Empty Sell Syndrome' tsis muaj tsos mob dab tsi . Qhov ntawd txhais tau tias kwv yees li 99% tuaj yeem ua neej nyob li qub yam tsis muaj teeb meem.

Txawm li cas los xij, muaj tej zaum tsawg tsawg xwb, tej zaum yuav muaj cov tsos mob. Yog tias muaj, cia peb saib seb cov tsos mob ntawd yog dab tsi.

Koj nrhiav tau qhov no li cas, Kws Kho Mob?

Yog koj muaj cov tsos mob saum toj no, mus ntsib kws kho mob tam sim ntawd . Nws yuav xub sau koj keeb kwm mob thiab tom qab ntawd yuav kom koj mus thaij duab hlwb kom paub meej tias koj mob li cas.

Muaj ob hom kev luam theej tseem ceeb siv rau qhov no:

• MRI (Magnetic Resonance Imaging): Qhov no siv cov hlau nplaum muaj zog thiab cov xov tooj cua kom thaij tau cov duab meej thiab ntxaws ntawm koj lub hlwb thiab cov qog pituitary. Txoj kev no tuaj yeem soj ntsuam qhov xwm txheej ntawm sella turcica zoo tshaj plaws.
• CT (Computerized Tomography) Scan: Qhov no siv X-rays los thaij duab ntawm koj lub taub hau los ntawm ntau lub kaum sib txawv thiab tom qab ntawd muab lawv tso ua ke rau hauv lub computer kom tsim tau ib daim duab tiav.

Puas tsim nyog kho mob? Yuav ua li cas tau?

Nov yog cov xov xwm zoo tshaj plaws. Yog tias koj muaj tus kab mob Empty Sella Syndrome thiab koj tsis muaj tsos mob lossis teeb meem dab tsi, koj yuav tsis tas yuav kho mob dab tsi li. Koj tuaj yeem ua neej nyob li qub.

Txawm li cas los xij, yog tias koj muaj cov tsos mob, tus kws kho mob yuav sau ntawv kho mob raws li cov tsos mob ntawd.

Yog tias xav tau kev kho mob, cov no yog cov txheej txheem tseem ceeb:

• Tshuaj: Yog tias koj lub qog pituitary tsis tsim cov tshuaj hormones txaus (piv txwv li cov tshuaj hormones thyroid, cov tshuaj hormones poj niam txiv neej), koj tus kws kho mob yuav muab cov tshuaj ntsiav lossis lwm yam kev kho mob hormone rau koj kom kho cov tshuaj hormones ntawd.
• Kev Phais Mob: Qhov no tsis tshua tsim nyog. Yog tias cov kua dej hauv lub hlwb tseem tawm ntawm lub qhov ntswg, tej zaum yuav tsum tau phais me me kom tsis txhob muaj qhov no.