Kuba akafaananyi ng’ogenda okulaba omusawo olw’okuba omaze ennaku ntono ng’omutwe gukuluma. Singa omusawo akusaba okukola brain scan ate nga lipoota egamba nti "Empty Sella" wandirowoozezza ki? Oyinza okutya nti, "Kino kifo kyerere mu bwongo? Kiki ekigenda mu maaso?" Naye teweeraliikiriranga. Kino si kya maanyi ng’abantu bangi bwe balowooza. Kino ka twogere mu ngeri ennyangu ennyo leero.
Mu ngeri ennyangu, obulwadde bwa Empty Sella Syndrome kye ki?
Munda mu kiwanga kyaffe, wansi w’obwongo, waliwo akasawo akatono ak’amagumba, akalinga akayumba akatono. Mu busawo, kino kiyitibwa sella turcica . Ekintu eky’enjawulo mu kayumba kano akatono kwe kuba nti enseke y’omubiri ( pituitary gland , master regulator of our hormonal system), ekuumibwa era ekuumibwa munda mu sella turcica eno.
Kale, mu bantu abamu, amazzi ag’obukuumi ageetoolodde obwongo, agayitibwa cerebrospinal fluid (oba amazzi g’omugongo), gatandika okukulukuta mu kitundu kino ekiyitibwa ‘sella turcica’. Olwo olw’okunyigirizibwa kw’amazzi gano, akawuka akatono aka pituitary kabetentebwa, ne kafuumuuka, ne kanywerera ku bbugwe wa sella turcica. Kati bw’ogitunuulira ku ‘MRI’ oba ‘CT’ scan, ekifo ekiyitibwa ‘sella turcica’ kirabika nga kyerere. Mu butuufu si bwereere, emala kulabika bwetyo kubanga enseke y’omubiri (pituitary gland) efuukuuse. Ekyo kye tuyita ‘Empty Sella Syndrome’ (ESS) .
Waliwo ebika bya kino nakyo?
Yee, okusinga waliwo ebika bibiri.
1. Obulwadde bwa Primary Empty Sella Syndrome (`Primary ESS`): Kino kye kika ekisinga okumanyibwa. Kibaawo ng’amazzi g’omu bwongo gakulukuta mu sella teresa mu butonde, awatali nsonga yonna ey’ebweru. Era oluusi kiyinza okulabibwa mu bantu abalina embeera nga `pseudotumor cerebrii`, ekivaako puleesa okuzimba mu bwongo mu ngeri eyeetongodde.
2. Secondary Empty Sella Syndrome (`Secondary ESS`): Kino kibaawo olw’ensonga endala. Okugeza nga:
- Olw’okuba yalongoosebwa ekizimba ky’omubiri ekiyitibwa pituitary.
- Nga afunye obujjanjabi obw’amasannyalaze (radiation therapy) mu kitundu ekyo.
- Obuvune obw’amaanyi ku mutwe.
Ebika byombi tebitera kubaako kinene kye bikola ku bulamu bwo okutwalira awamu. Ebiseera ebisinga, abasawo embeera eno bagizuula mu butanwa, nga bwe banoonya ekivaako obulwadde obulala.
Ani asinga okukulaakulanya kino?
Wadde embeera eno esobola okubaawo mu muntu yenna, esinga kubeera mu bantu abamu.
- Esinga kubeera mu bakyala okusinga abasajja.
- Abantu abagejjulukuka batera okubufuna.
- Era kitera okubeera mu bantu abalina puleesa .
Bubonero ki obulaga kino?
Ekikulu wano nti abantu abasinga abalina `Empty Sell Syndrome` tebafuna bubonero bwonna . Ekyo kitegeeza nti ebitundu nga 99% basobola okubeera mu bulamu obwa bulijjo awatali buzibu bwonna.
Kyokka, mu mbeera ezitali nnyingi, abantu abamu bayinza okufuna obubonero. Bwe kiba bwe kityo, ka tulabe obubonero obwo bwe buli.
| Ekika ky’obubonero | Okunnyonnyola |
|---|---|
| Obubonero obutera okulabibwa | |
| Okulumwa omutwe | Omutwe ogutera okulumwa nga tewali kivaako kimanyiddwa. |
| Ebizibu by’obusimu | Kiyinza okuva ku bikolwa ku nseke y’omubiri (pituitary gland). Okugeza: obukoowu obuyitiridde, okugenda mu nsonga ezitali za bulijjo oba okuyimirira mu bakyala, obutakola bulungi mu kwegatta (`impotence`) mu basajja, okukendeeza obwagazi, okukaluubirirwa okufuna embuto. |
| Puleesa eri waggulu | Puleesa ya Musaayi. |
| Obubonero obutatera kulabika | |
| Puleesa munda mu kiwanga | Okuwulira nga waliwo puleesa munda mu mutwe. |
| Ennyindo ekulukuta | Okuvaamu amazzi mu nnyindo (sinusitis) nga tewali musujja. |
| Ebizibu by’okulaba | Okuzimba kw’amaaso, obutalaba bulungi. |
Kino okisanga otya Omusawo?
Bw’oba olina obubonero obwo waggulu, laba omusawo mu bwangu . Ajja kusooka kukwata byafaayo by’embeera yo mu bujjuvu n’oluvannyuma akuwa amagezi okukebera obwongo okukakasa embeera eyo.
Waliwo ebika bibiri ebikulu ebya sikaani ebikozesebwa mu kino:
- MRI (Magnetic Resonance Imaging) scan: Kino kikozesa magineeti ez’amaanyi n’amayengo ga leediyo okukuba ebifaananyi ebitegeerekeka obulungi ennyo, ebikwata ku bwongo bwo n’endwadde z’omubiri (pituitary gland). Enkola eno esobola bulungi okwekenneenya embeera ya sella turcica.
- CT (Computerized Tomography) Scan: Kino kikozesa X-ray okukuba ebifaananyi by’omutwe gwo okuva mu nsonda ez’enjawulo n’oluvannyuma n’obigatta ku kompyuta okukola ekifaananyi ekijjuvu.
Obujjanjabi bwetaagisa? Kiki ekiyinza okukolebwa?
Gano ge mawulire agasinga. Bw’oba olina obulwadde bwa Empty Sella Syndrome era nga tolina bubonero oba buzibu bwonna, tojja kwetaaga bujjanjabi bwonna. Osobola okubeera n’obulamu obwa bulijjo.
Kyokka bw’oba olina obubonero, omusawo ajja kukuwa obujjanjabi okusinziira ku bubonero obwo.
Jjukira nti obujjanjabi busalibwawo okusinziira ku bubonero bwo n’obuzibu bw’embeera yo. N’olwekyo, kikulu okuteesa ku nsonga eno n’omusawo wo era ogoberere amagezi ge.
Bwe kiba kyetaagisa obujjanjabi, zino ze nkola enkulu:
- Eddagala: Singa endwadde yo eya pituitary eba tekola busimu bumala (e.g. thyroid hormones, sex hormones), omusawo ajja kukuwa empeke oba obujjanjabi obulala obw’obusimu okutereeza obusimu obwo.
- Okulongoosa: Kino tekitera kwetaagisa. Singa amazzi g’omu bwongo geeyongera okukulukuta okuva mu nnyindo, kiyinza okwetaagisa okulongoosebwa okutonotono okugayimiriza.
Obubaka Obutwala Awaka
- 'Empty Sella Syndrome' tekitegeeza nti ekitundu ky'obwongo bwo "kyereere." Kitegeeza nti enseke z’omubiri (pituitary gland) zinyiganyiga era nga zifuukuuse, olwo ekifo ne kirabika nga kyerere ku sikaani.
- Abantu abasinga obungi abalina embeera eno tebalina bubonero bwonna. Ebiseera ebisinga, kizuulibwa mu butanwa.
- Bw’olaba ebigambo bino ku lipoota yo eya sikaani, tosattira. Yogerako n’omusawo wo ku nsonga eno.
- Olina okulowooza ku bujjanjabi bw’oba olina obubonero ng’okulumwa omutwe emirundi mingi n’okukyuka mu busimu.
- Abo bokka abalina obubonero be beetaaga obujjanjabi, n’olwekyo kikulu nnyo okugoberera ebiragiro by’omusawo.
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