Yu pituitary gland "ɛmti"? Lan bɔt Ɛmpti Sɛla Sindrom (ESS)!

Sɔntɛnde, yu kin gɛt ed pen ɔltɛm? Ɔ yu tink se na sɔntin we gɛt fɔ du wit yu ɔmon dɛn? if dכkta se dεn nid fכ du ``(CT)`` skan fכ yu ed כ ``(MRI)`` skan, dεn kin si se di εria we yu pituitary gland de luk "εmpty." Na dat wi de kol Empty Sell. Bɔt yu tink se na big prɔblɛm ɔltɛm? Lɛ wi tɔk mɔ bɔt dis.

Wetin na Ɛmpti Sɛla Sindrom (ESS)?

Fɔ tɔk am simpul wan, Ɛmpti Sɛla Sindrom (ESS) na wan sik we nɔ kin apin so ɔltɛm. i kin apin we yu pituitary gland – we na sכmכl bכt rili imכtant gland we de na di bכs pat pan yu bren – de flat כ shrunk insay in ples, wan bכni kכva we dεn k כl sella turcica . Tink bɔt dis we, di sella turcica tan lɛk smɔl os we de protɛkt di pituitary gland. fכ sכm rizin, dis ‘os’ kin tu big, we kin mek di pituitary gland bulge εn sכm sכm.

Di wɔd ‘sella turcica’ kɔmɔt frɔm Latin, we min ‘Turkish sidɔm ples’. Dɛn gi am dis nem bikɔs i tan lɛk ɔs in sadul. Sɔm pipul dɛm wae gɛt ESS kin gɛt sɔm kayn sayn dɛm lɛk wae dɛn nɔr de balans dɛn ɔmon , dɛn ed kin at ɔltɛm , ɛn dɛn kin chenj dɛn yay .

Yu no se di pituitary gland na wan impɔtant pat pan wi ɛndokrin sistɛm , we na di sistɛm we de mek ɔmon. I de mek bɔku impɔtant ɔmon dɛn na wi bɔdi. Dɛn ɔmon ya de kɔntrol ɔda gland dɛn na wi bɔdi.

Wetin na di difrɛns bitwin Ɛmpti Sɛla ɛn Ɛmpti Sɛla Sindrom?

Dis kin mek yu kɔnfyus smɔl, so tek tɛm lisin. pan ɔl we sɔm tɛm dɛn kin yuz di wɔd dɛn ‘ɛmti sɛl’ ɛn ‘ɛmti sɛl sindrom’ fɔ chenj, smɔl difrɛns de. In shot, ɛmti sɛl na raydiolojikal fayndin , we ɛmti sɛl sindrom na mɛdikal kɔndishɔn.

‘Empty Sella’ na we yu pituitary gland de sho se i flat ɔ shrunk pan skan. If na so i bi, dɔktɔ dɛn nɔ kin ebul fɔ si di pituitary gland fayn fayn wan pan di skan. fכ dat, di spεs usay di pituitary gland de, we dεn kכl di sella turcica, de luk ‘εmpty’. Na de di nem ‘empty sella’ komot.

Bɔt di sella turcica nɔ rili ɛmti. Bɔku tɛm, i kin ful-ɔp wit sɛribrospaynal fluid (CSF) . dis CSF na di wata we de rawnd εn protεkt wi bren εn spεnal kכd. insay ‘εmpty sella’ kכndishכn, dis CSF fכluid de lik insay di sella turcica εn de put prεshכn pan di pituitary gland. Da prɛshɔn de kin mek di gland smɔl ɔ flat.

Bɔku tɛm, dɔktɔ dɛn kin fɛn dis ‘ɛmti sɛl’ bay aksidɛnt. dat min se we dεn de du ``(CT)`` skan כ ``(MRI)`` skan fכ di ed fכ sכm כda rizin.

pan ɔl we sɔm pipul dɛn gɛt ‘ɛmti sɛl’ pan dɛn skan, dɛn nɔ kin gɛt ɛni sayn ɛn dɛn pituitary gland kin wok fayn fayn wan.

Bɔt if pɔsin gɛt ‘ɛmti sɛla’ ɛn in pituitary gland nɔ de wok fayn, na dat wi kin kɔl Ɛmpti Sɛla Sindrom (ESS) . Sindrom na wan kɔlekɛshɔn fɔ sɔm kayn sik wae gɛt fɔ du wit dis. Pipul wae gɛt ESS kin gɛt tin dɛm lɛk wae dɛn nɔr de balans dɛn ɔmon, dɛn nɔr kin si fayn, ɛn dɛn kin gɛt ed we kin at ɔltɛm.

Tu kayn Empty Sella de, nɔto so?

Yes, we yu skan detekt wan ‘ɛmti sɛl’, di dɔktɔ dɛn kin sheb am to tu kayn: praymari ɛn sɛkɔndari.

• Praymari Ɛmpti Sɛla (PES): Dis na we dɔktɔ dɛn nɔ kin ebul fɔ fɛn klia rizin fɔ mek yu pituitary gland flat. Bɔku tɛm, praymari ɛmti sɛla nɔ kin mek yu gɛt ɛmti sɛla sindrom. Dis min se i nɔ kin rili mek pɔsin gɛt sɔm sayn dɛn.
• Sεkɔndari εmpti Sεl (SES): Dis kin kכz fכ כda kכndyushכn we dεn kin no we de afekt di strכkchכ fכ yu pituitary gland כ sella turcica. Fɔ tɔk am simpul wan, na bikɔs ɔda sik ɔ tin we apin dɔn pwɛl am. insay kes dεm fכ sεkכnd εmpti sεla (SES), εmpti sεla sεndrכm kin mכr lεk fכ divεlכp pas in kes dεm fכ praymari εmpti sεla (PES).

Dis Empty Sella Syndrome (ESS) de mek pɔsin in layf de pan denja?

Nɔ, Empty Sella Syndrome (ESS) nɔto wan sik we de mek pɔsin in layf de pan denja. Dɛn kin trit am wit ɔmon mɛrɛsin ɛn sɔntɛnde dɛn kin du ɔpreshɔn pan am.

Dɔn bak, jɔs bikɔs yu bren skan se ‘ɛmti sɛl’ nɔ min se i de mek yu layf de pan denja. pan bכku kεys dεm fכ ‘εmpti sεl’, nכ simptom dεm de כ εmpti sεl sεndrכm de.

Wetin na di wok we di Pituitary Gland de du?

di pituitary gland na wan rili imכtant εndokrin gland na wi bכdi. I de mek bɔku difrɛn ɔmon dɛn. I kin tɛl di ɔda gland dɛn bak na wi ɛndokrin sistɛm fɔ mek dɛn pul ɔmon dɛn. Dat na:

• Di adrenal gland dɛn we de na di bɔdi
• Ovari (insay uman) ɔ tɛstikul (insay man) .
• Tayrɔyd gland we dɛn kɔl

Ɔmon dɛn tan lɛk kemikal mɛsenja dɛn. Dɛn kin travul tru di blɔd ɛn kɛr mɛsej to wi ɔgan dɛn, mɔsul dɛn, ɛn ɔda tisu dɛn. Dɛn mɛsej ya kin tɛl di bɔdi wetin fɔ du ɛn ustɛm fɔ du am.

di pituitary gland de kכnekt to di haypothalamus na wi bren.i kכnekt bay wan stכl we dεn mek wit blכd vεsul dεm εn nεv dεm. Dɛn kɔl dis di pituitary stalk. na tru dis stכl di haypothalamus de tכk to di pituitary gland εn se, 'Okay, naw rilis dεn כmon dεm ya.' di haypothalamus na di pat na wi bren we de kɔntrol tin dɛn lɛk blɔd prɛshɔn, at rit, bɔdi tɛmpracha, ɛn di we aw wi de digest.

di pituitary gland de mek dεn כmon dεm ya mεntal:

• di adrenocorticotropic hormone (ACTH): dis de mek di adrenal gland dεm fכ prodyuz כmon dεm (e.g. kכtisol) we de rεspכnd to strεs.
• Antidiuretic hormone (ADH ɔ vasopressin): I de kɔntrol di bɔdi in wata balans.
• fכlikul-stimulεt כmon (FSH): I de εp fכ machכ eg na uman εn fכ mek sεl na man.
• Growth hormone (GH): I de ɛp wi bɔdi fɔ gro frɔm we i smɔl te i big, mɔ na di bon ɛn mɔsul dɛn.
• Luteinizing hormone (LH): I de wok wit FSH fɔ ɛp di riprodaktiv sistɛm fɔ wok. i imכtant fכ ovuleshכn pan uman dεm εn fכ prodyuz tεstostεron insay man dεm.
• כksijεn: I de εp di uterus fכ kכntrakt we i de bכn εn di milk de let-dכn we i de gi bεlε.
• Prolactin: I de mek di mama in milk prodyuz.
• Thayroid-stimulating hormone (TSH): I de tɛl di tayroyd gland na di nɛk fɔ mek tayroyd ɔmon. dis tayroyd כmon dεm de kכntro di rεt we wi bכdi de yuz εnεji (mεtabolism).

Nɔto ɔl dɛn ɔmon ya de mek dɛn kɔntinyu fɔ mek. Bɔku pan dɛn kin kɔmɔt insay bɔs, lɛk ɛvri wan to tri awa.

Udat dɛn kin afɛkt mɔ wit Ɛmpti Sɛla Sindrom (ESS)?

Pan ɔl we dis na tin we nɔ kin apin so ɔltɛm, pikin ɛn big pipul dɛn kin gɛt ɛmti sɛla sindrom (ESS).

כltu, praymari εmpti sεl (PES) – we min di wan we de כnli apia pan skan we nכ gεt nכ simptom – na lεk fכ tεm mכr pan uman dεm pas man dεm.

PES kin kam pan pipul dɛm wae ol bitwin 30 ɛn 40. Sɔmtɛm i kin apin kwik to uman dɛm pas man dɛm. uman dεm we dεn gεt ful tεm bεlε kin de pan risk fכ gεt PES.

PES nɔ kin bɔku pan pikin dɛn pas big pipul dɛn. We i kin apin, bɔku tɛm i kin gɛt fɔ du wit ɔda mɛrɛsin, lɛk Turner syndrome, Moyamoya disease, ɛn Prader–Willi syndrome.

Aw kɔmɔn tin dis?

Empty Sella Syndrome (ESS) nɔ kin bɔku. Sɔm risechar dεm εstimat se lεs dan 1% pan di pipul dεm we gεt ‘εmpty sella’ de divεlכp di simptom dεm (i.e., dεn de divεlכp ESS).

Bɔt fɔ gɛt ɛmti sɛla we nɔ gɛt ɛni sik, na tin we kɔmɔn pasmak. Sɔm ripɔt dɛn se bitwin 8% ɛn 35% pan di pipul dɛn kin gɛt ɛmti sɛla. כda ripot dεm sho se arawnd 12% pan pipul dεm gεt εmpti sella, bays pan di bren skan risכlt.

Wetin na di sayn dɛm fɔ Ɛmpti Sɛla Sindrom (ESS)?

Di men sayn we gɛt fɔ du wit ɛmti sɛla sindrom (ESS) na ed we de at we nɔ de dɔn. Bɔt di wan dɛn we de stɔdi bɔt dis stil nɔ shɔ if na ESS de mek dɛn ed pen ya ɔ if na jɔs tin we apin. Dis na bikɔs bɔku pipul dɛn we gɛt ESS kin gɛt ay blɔd prɛshɔn bak (haypa prɛshɔn), we kin mek dɛn ed at bak if i rili bad.

ESS kin mek di hכmon imbalans bikoz di pituitary gland de damej. Pipul dεm wae gεt ESS kin gεt difrεn simptom dεm dipכnt pan di damej pan dεn pituitary gland εn us כmon dεm de afekt. If yu gɛt ESS, yu kin gɛt sɔm pan dɛn sayn ya:

• wan wata we nכ de kכmכt frכm di brεst (galactorrhea) (dis kin apin to man dεm bak) .
• Erectile dysfunction ( fɔ man dɛn) .
• I nɔ kin gɛt mɔnt ɔltɛm ɔ i nɔ kin gɛt mɔnt (amenorrhea) (fɔ uman dɛn) .
• Di want fɔ du mami ɛn dadi biznɛs we de go dɔŋ ɔ i nɔ de igen (low libido) .
• Fɔ fil taya ɔltɛm (Fatigue) .

Nɔr kin bɔrku, sɔm pipul dɛm wae gɛt ESS kin gɛt sɔm kayn sik lɛk:

• di prεshכn we de kכmכt insay di sכkul (benign intracranial prεshכn) .
• Sεribrospεnal raynɔria (CSF lik frכm di nos) .
• di optik disk de swel insay di yay (papilledema) bikoz fכ di prεshכn we de go כp na di sכkul
• Vishɔn kin chenj, fɔ ɛgzampul, blurred vision.

Bak, yu kin gɛt ‘ɛmti sɛl’ pan bren skan, bɔt yu nɔ kin gɛt ɛni sayn. Infakt, bɔrku pipul dɛm wae gɛt ‘ɛmti sɛl’ nɔr kin gɛt ɛni sayn ɛn nɔr kin ɛva gɛt dis sik.

Yu tink se Ɛmpti Sɛla Sindrɔm (ESS) kin mek yu gɛt mɔ wet?

If yu pituitary gland nɔ de prodyuz inof tayroyd-stimulating hormone (TSH) bikɔs ɔf ɛmti sella syndrome (ESS), chans de fɔ mek yu gɛt wet.

TSH de mek di tayroyd gland we de bifo yu nɛk, ɔnda di skin, mek di tayroyd ɔmon dɛn kɔmɔt. Di men wok we di tayroyd gland de du na fɔ mek di tayroyd ɔmon dɛn, we de kɔntrol di rit we yu de chenj di it we yu de it to ɛnaji, ɔ di we aw yu de chenj di tin dɛn we yu de it .

If yu pituitary gland nɔ de prodyuz inof TSH bikɔs ɔf ESS, yu tayroyd gland kin nɔ de prodyuz inof tayroyd ɔmon. dis kin mek yu mεtabolism slo bikoz di tayroyd כmon lεvεl dεm lכw, we kin mek yu wet gεt.

Wetin kin mek pɔsin gɛt Ɛmpti Sɛla Sindrom (ESS)?

Empty Sella Syndrome (ESS) kin bi bikɔs ɔf praymari ɛmti sella (PES) ɔ sɛkɔndari ɛmti sella (SES). Bɔt sɛkɔndari ɛmti sɛla (SES) kin mek yu gɛt ESS.

Di tin dɛn we kin mek pɔsin gɛt Praymari Ɛmpti Sɛla Sindrom (PES) .

praymari εsophagitis (PES) kin apin we wan pan di mεmbran dεm we de kכba di כdasay na yu bren (di arachnoid layεr), di sella turcica, de bulge insay, de prεs pan di pituitary gland.

Dɔktɔ dɛn stil nɔ ebul fɔ no di rayt tin we kin mek pɔsin gɛt praymari ɛmti sɛla sindrom.

wan tiori na se we di tisu we de kכba di bren wik de mek di sεribrospεnal fכluid (CSF) go insay di sella turcica, we de mek di pituitary gland flat. insay dεn kayn kes dεm ya, i kin at fכ si di pituitary gland pan skan, bכt i kin wok nכmal wan, so εmpty sella syndrome nכ kin apin.

Di tin dɛn we kin mek pɔsin gɛt sɛkɔndari ɛrektil disfɔkshɔn (SES) .

Sɛkɔndari ɛmti sɛla (SES) kin apin we yu pituitary gland ɔ sella turcica dɔn pwɛl bikɔs ɔf ɔda sik ɔ ivin. So, bɔku tin dɛn de we kin mek pɔsin gɛt SES. Jɛnɛral wan, di men tin dɛn we kin mek dis damej na:

• Wan tumbu we de na di bren .
• Redyushɔn tɛrapi .
• Dɛn bin du ɔpreshɔn pan di bren na di say we de rawnd di pituitary gland.
• Wan bad bad injuri na yu ed, fɔ ɛgzampul wan bad bad injuri na yu bren.

Na sɔm ɔda patikyula tin dɛn we kin afɛkt di sɛkɔndari ɛmti we di blad de ɛmti:

• di tכmכro dεm na di bren: sכmtεm di tכmכro dεm na di bren kin mek di prεshכn we de rawnd yu bren go כp (intrakranial prεshכn), we kin prεs pan di pituitary gland.
• Idiopathic intracranial hypertension (IIH): IIH na we di prεshכn de inkrεs insay di sכkul bikoz fכ di sεribrospεnal fכluid (CSF) we de bכku rawnd yu bren. dis prεshכn we pasmak kin kכmprεs di pituitary gland.
• di pituitary adenomas: dis na tכmכro dεm we de divεlכp na di pituitary gland. Bɔrku tɛm, dɛn nɔr kin gɛt kansa (benign). dis adenoma dεm kin put prεshכn pan di pituitary gland εn pwεl am.
• Sheehan’s syndrome: Dis na wan sik wae kin apun sɔmtɛm if blɔd de kɔmɔt pasmak, wae kin mek pɔrsin in layf de pan denja we i de bɔn pikin. Dis kin mek di bɔdi nɔ gɛt ɔksijɛn ɛn i kin pwɛl di pituitary gland.

Aw dɛn kin no se pɔsin gɛt Ɛmpti Sɛla Sindrɔm (ESS)?

Bɔku tɛm, dɔktɔ dɛn kin fɛn ɛmti sɛla bay aksidɛnt, we dɛn kin du ed skan fɔ ɔda rizin. Dɔn bak, bɔrku pipul dɛm wae gɛt ɛmti sɛla nɔr kin ɛva gɛt ɛmti sɛla sindrom ɔr kin gɛt ɛni sayn.

Bɔt if yu gɛt sɔm sayn dɛn we gɛt fɔ du wit ɛmti sɛl sindrom, lɛk we yu de ed pen ɔltɛm ɛn we yu nɔ de balans yu ɔmon, yu dɔktɔ go aks yu bɔt yu mɛrɛsin istri, du yu bɔdi ɛgzam, ɛn i go mɔs bi se yu go ɔda fɔ mek dɛn skan yu ed ɛn yu bren.

Di skan dɛm we dɛn kin yuz fɔ no ESS na:

• Bren CT (computed tomography) skan: CT skan na we fɔ tek klia pikchɔ dɛn bɔt yu bren ɛn yu pituitary gland we yu de yuz ɛkstrem rayt ɛn kɔmpyuta.
• Magnɛtik rɛsɔnans imej (MRI) skan fɔ di bren: MRI skan de yuz redio wev ɛn strɔng magnet fɔ mek rili klia pikchɔ dɛn fɔ di pat dɛn we de insay yu bɔdi, lɛk yu sella turcica.

Yu dɔktɔ kin tɛl yu bak fɔ du ɔda tɛst dɛn lɛk fɔ tɛst yu blɔd fɔ chɛk di ɔmon dɛn we yu gɛt.

Sɔntɛnde, dɔktɔ dɛn kin du tɛst dɛn lɛk dis bak fɔ chɛk fɔ si if prɛshɔn dɔn go ɔp na yu bren:

• Mek wan dɔktɔ we de mɛn yu yay chɛk di retina we de insay yu yay.
• di lכmba pankshכn (spinal tap) – dis de mכsu di prεshכn fכ di spεnal fכluid.

Wetin na di tritmɛnt fɔ Ɛmpti Sɛla Sindrom (ESS)?

Ivin if yu skan sho ‘ɛmti sɛl’, if yu pituitary gland de wok fayn, yu nɔ go nid ɛni tritmɛnt. Dis na wetin kin apin bɔku tɛm.

Bɔt if yu gɛt Ɛmpti Sɛla Sindrom (ESS) ɛn yu pituitary gland nɔ de wok fayn, di tritmɛnt na mɛrɛsin fɔ kɔrɛkt di ɔmon lɛvɛl we smɔl. Dat min se, dɛn kin no di mɛrɛsin bay us ɔmon nɔ bɔku.

If ESS mek di sɛribrospaynal fluid (CSF) lik frɔm yu nos (CSF rhinorrhea), yu kin nid ɔpreshɔn fɔ mek yu sella turcica fayn.

Wetin na di risk factor dɛm fɔ Ɛmpty Sella Syndrome (ESS)?

Dɔktɔ dɛn nɔ shɔ bɛtɛ bɛtɛ wan wetin kin mek sɔm pipul dɛn gɛt ɛmti sɛla sindrom. כltu, εmpti sεla sεndrכm kin mכr lεk fכ divεlכp wit sεkכnd εmpti sεla (SES) pas wit praymar εmpti sεla (PES). Dis min se if di ɛmti sella na ɔda tin, lɛk bren tumor, redyushɔn tɛrapi, ɔr ed injury, yu go gɛt di sayn dɛm.

Wetin na di prɔgnosis fɔ pɔrsin wae gɛt Ɛmpti Sɛla Sindrom (ESS)?

De luk fɔ pɔrsin wae gɛt ɛmti sɛla sindrom (ESS) kin jɔs fayn. Mɛrɛsin dɛn de fɔ mɛn di ɔmon dɛn we nɔ balans. If yu gɛt ɔmon imbalans bikɔs ɔf ESS, yu kin nid fɔ tek mɛrɛsin fɔ di res ɔf yu layf.

Ustɛm yu fɔ go to dɔktɔ if yu gɛt ɛmti sɛl sindrom?

If dɛn dɔn no se yu gɛt Ɛmpti Sɛla Sindrom (ESS), ɛn yu gɛt nyu sik ɔ if di sik we yu dɔn gɛt dɔn wɔs, go to yu dɔktɔ wantɛm wantɛm.

If yu de tek mɛrɛsin fɔ di ɔmon imbalans bikɔs ɔf ɛmti bɛlɛ, i rili impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek shɔ se yu mɛrɛsin de wok fayn fayn wan.

So, wetin wi fɔ mɛmba frɔm dis?

Wɛl, Ɛmpti Sɛla Sindrɔm (ESS) na rili wan sik we nɔ kin apin so ɔltɛm. Bɔt i kin rili kɔmɔn fɔ no se yu gɛt sɔntin we dɛn kɔl ‘ɛmti sɛl’ we yu de skan yu bren. So nɔ fred jɔs bikɔs dɔktɔ se so. Bɔrku tɛm, pipul dɛm wae gɛt ‘ɛmti sɛl’ nɔr kin gɛt ɛni sayn ɛn nɔr kin gɛt Empty Sella Syndrome.

If yu gɛt ɛni kwɛstyɔn bɔt yu skan ripɔt, nɔ fred fɔ aks yu dɔktɔ. Dɛn de de fɔ ɛp yu. Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl.

` Ɛmpti Sɛla Sindrom, Pituitary gland, Ɔmon, Bren skan, Sellae Tursica