Ni engemaw zat i lu na tawh avangin doctor hmu turin i kal ang tih han ngaihtuah teh. Doctor in thluak scan turin a ti che a, report-ah "Empty Sella" tih ziak ta se engtin nge i ngaih ang? I hlauthawng mai thei, "Hei hi thluaka hmun ruak a ni em? Eng thil nge thleng?" Mahse, lungngai suh. Hei hi mi tam takin an ngaihtuah angin a pawi lo hle. Vawiin hian he thu hi awlsam takin han sawi ila.
A awlsam zawngin, Empty Sella Syndrome hi eng nge ni?
Kan lu ruh chhungah, thluak hnuaiah hian ruh bawm te tak te, bawm te tak te ang mai a awm a. Damdawi lamah chuan hei hi sella turcica an ti a. He cage te tak te specialty chu kan taksa hormonal system master regulator pituitary gland , hi he sella turcica chhungah hian venhim leh dah a ni.
Chuvangin, mi thenkhatah chuan thluak vel venhimna tui, cerebrospinal fluid (or spinal fluid) an tih chu he hmun ‘sella turcica’ an tih ah hian a leak tan thin. Tichuan, he tui pressure avang hian pituitary gland te tak te chu a chil a, a flatten a, sella turcica wall-ah a innghat ta a ni. Tunah chuan ‘MRI’ emaw ‘CT’ scan-a i en chuan ‘sella turcica’ an tih hmun chu a ruak ang maiin a lang. A takah chuan a hring lo, chutiang chuan a lang mai a, a chhan chu pituitary gland a flatten vang a ni. Chu chu ‘Empty Sella Syndrome’ (ESS) kan tih chu a ni.
Hei pawh hi chi hrang hrang a awm em?
Ni e, chi hnih a awm ber.
1. Primary Empty Sella Syndrome (`Primary ESS`): Hei hi a tam ber a ni. Cerebrospinal fluid chu sella teresa-ah natural takin a leak a, pawn lam thil chiang tak a awm lo. Tin, a chang chuan `pseudotumor cerebrii` ang chi natna nei te tan pawh hmuh tur a awm a, chu chuan thluaka pressure a lo pung zel a ni.
2. Secondary Empty Sella Syndrome (`Secondary ESS`): Hei hi a chhan dang vang a ni. Entir nan:
- Pituitary tumor a neih avangin operation a neih tawh avangin.
- Chu hmuna radiation therapy dawng tawh.
- Lu hliam na tak a ni.
Heng chi hnih hian i hriselna zawng zawngah nghawng lian tham a nei tlem hle. A tam zawkah chuan doctor-te chuan he natna hi a thleng mai maiin an hmuchhuak a, chutih lai chuan natna dang thlentu an zawng a ni.
Hetiang hi tuin nge nei tam zawk?
Hetiang dinhmun hi tu chungah pawh awm thei mahse, mi thenkhatah chuan a tam zawk.
- Mipa aiin hmeichhiaah a tam zawk.
- Mi thau lutuk te hian an vei tam zawk.
- Thisen sang nei zingah pawh a awm fo thin .
Hei hi eng symptoms nge ni?
Hetah hian thil pawimawh tak chu `Empty Sell Syndrome` vei tam zawk hian symptoms an nei lo . Chumi awmzia chu 99% velin harsatna awm lovin nun pangngai an hmang thei tihna a ni.
Mahse, a tlem berah chuan mi thenkhat chuan symptoms an nei thei. Chutiang a nih chuan, chu symptoms chu eng nge ni tih i en ang u.
| Symptom chi hrang hrang | Hrilhfiahna |
|---|---|
| Symptoms hmuh fo thin | |
| Lu na | Lu na fo thin, a chhan hriat theih loh. |
| Hormone lama harsatna a awm | Pituitary gland-a nghawng a neih vang pawh a ni thei. Entirnan: hah lutuk, hmeichhiaah thlasik hun mumal lo emaw, chawlhsan emaw, mipaah sexual dysfunction (`impotence`), mipat hmeichhiatna lama duhna tlahniam, nau pai harsat. |
| Thisen sang a sang | Thisen sang lutuk. |
| Symptoms hmuh tur awm lo | |
| Luruh chhunga pressure awm | Lu chhungah pressure awm ang maia hriat. |
| Hnar luang chhuak | Hnar atanga tui chhuak (sinusitis) chu khawsik awm lovin. |
| Mit hmuhna lama harsatna a awm | Mit a hring, mit a fiah lo. |
Engtin nge hei hi i hmuh theih, Doctor?
A chunga kan sawi takte hi i neih chuan doctor pan nghal rawh . I dinhmun chanchin kimchang tak a la hmasa ang a, chutah chuan i natna hriat chian nan thluak scan neih a rawt ang.
Hei atan hian scan chi hnih hman a ni a, chungte chu:
- MRI (Magnetic Resonance Imaging) scan: Hei hian magnet chak tak tak leh radio wave hmangin i thluak leh pituitary gland thlalak chiang tak, chipchiar tak tak a la thei a ni. Hetiang hmang hian sella turcica dinhmun a teh thei ber.
- CT (Computerized Tomography) Scan: Hei hian X-ray hmangin i lu chu angle hrang hrang atangin thlalak a la a, chu chu computer-ah a inzawm khawm a, thlalak kimchang tak a siam a ni.
Enkawl a ngai em? Eng nge tih theih ang?
Hetah hian chanchin tha ber ber kan rawn tarlang e. Empty Sella Syndrome i vei a, symptom leh harsatna i neih loh chuan enkawlna engmah i mamawh lovang. Nun pangngaiin i nung thei a ni.
Mahse, symptom i neih chuan doctor chuan chu symptoms a zirin enkawlna a pe ang.
I natna lan chhuah dan leh i natna nasat dan a zirin enkawlna a innghat tih hre reng ang che. Hei hi doctor nen sawiho a, a thurawn zawm a pawimawh.
Enkawl a ngai a nih chuan hengte hi a hmanraw lian ber berte chu an ni:
- Damdawi: I pituitary gland hian hormone (e.g. thyroid hormone, sex hormone) a siam chhuak tlem a nih chuan i doctor chuan chu hormone level siamthat nan pill emaw hormone treatment dang emaw a pe ang che.
- Surgery: Hei hi a tul lo hle. Hnar atanga cerebrospinal fluid a luang chhunzawm zel chuan tihtawp nan operation tenau neih a ngai mai thei.
Take-Home Thuchah a ni
- 'Empty Sella Syndrome' tih hian i thluak hmun thenkhat chu "empty" a ni tihna a ni lo. Pituitary gland chu a hliam a, a flatten tihna a ni a, chuvang chuan scan-ah chuan hmun ruak a lang.
- Hetiang natna vei tam zawk hian symptom an nei lo. A tam zawkah chuan thil thleng mai maia hmuhchhuah a ni.
- I scan report-ah heng thute hi i hmuh chuan hlauthawng suh. Chumi chungchang chu i doctor nen sawiho rawh.
- Lu na fo leh hormone inthlak danglam ang chi symptom i neih chauhvin enkawl i ngaihtuah a ngai a ni.
- Symptom nei te chauh hian enkawl an mamawh a, chuvangin doctor thupek zawm a pawimawh.
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