He "koretake" tō repe pituitary? Akohia te Empty Sella Syndrome (ESS)!

He maha tonu ngā wā ka pāngia koe e te ānini? Ki tō whakaaro rānei he pānga ki ngā homoni? Ki te mea mai te tākuta me mahi he matawai "(CT)" o tō māhunga, he matawai "(MRI)" rānei, tera pea ka kitea e rātou he āhua "korekore" te wāhi kei reira tō repe pituitary. Koinei te mea e kiia nei e mātou he Hokonga Korekore. Engari he raruraru nui tonu? Me kōrero taipitopito tātou mō tēnei.

He aha te Mate Pūkahukahu o Sella (ESS)?

Ki te kī ngāwari, he tino onge te mate Empty Sella Syndrome (ESS). Ka puta mai ina papatahi, ina whakawhāitihia rānei tō repe pituitary – he repe iti engari he mea nui kei te pūtake o tō roro – ki tōna wāhi, he kōhao wheua e kiia nei ko te sella turcica . Whakaarohia pēnei, he rite te sella turcica ki tētahi whare iti e tiaki ana i te repe pituitary. Mō ētahi take, ka nui rawa atu tēnei 'whare', ka pupuhi, ka iti haere te repe pituitary.

I ahu mai te kupu 'sella turcica' i te reo Latina, ko tōna tikanga he 'nohoanga Turkish'. Nā te mea he rite ki te āhua o te nohoanga hōiho, ka pāngia ētahi tāngata whai ESS e ngā tohu pēnei i te kore taurite o ngā homoni , te mamae o te upoko , me ngā panoni tirohanga .

I mōhio koe he wāhanga tino nui te repe pituitary o tā tātou pūnaha endocrine , arā, te pūnaha whakaputa homoni. He maha ngā homoni nui e whakaputaina ana e ia i roto i tō tātou tinana. Mā ēnei homoni e whakahaere ētahi atu repe i roto i tō tātou tinana.

He aha te rerekētanga i waenga i te Mate Sella Korepa me te Mate Sella Korepa?

He ahua pōhēhē tēnei, nō reira whakarongo mai. Ahakoa e whakamahia tahitia ana ngā kupu 'pūtau kau' me te 'mate pūtau kau', he iti noa te rerekētanga. I roto i te poto, he kitenga hihi te pūtau kau , engari he mate hauora te mate pūtau kau.

Ko te 'Empty Sella' he āhua papatahi, he pakupaku rānei tō repe pituitary i te wā e matawaihia ana. I tēnei wā, kāore e taea e ngā tākuta te kite tika i te repe pituitary i te wā e matawaihia ana. Nō reira, ko te wāhi kei reira te repe pituitary, e kiia nei ko te sella turcica, he āhua 'korekore'. Nō reira te ingoa 'empty sella'.

Heoi, kāore te sella turcica i te takoto kau. I te nuinga o te wā, ka kī tonu i te wai cerebrospinal (CSF) . Ko tēnei CSF te wai e karapoti ana, e tiaki ana hoki i tō tātou roro me te taurakira. I roto i te āhua 'sella takoto kau', ka turuturu tēnei wai CSF ki roto i te sella turcica ka pēhi i te repe pituitary. Mā taua pēhanga ka whakaiti, ka papatahi rānei te repe.

I te nuinga o te wā, ka kitea tēnei 'pūtau kau' e ngā tākuta mā te tūpono noa. Arā, ina mahia e rātou he matawai "(CT)" me te "(MRI)" rānei o te upoko mō tētahi atu take.

Ahakoa he 'pūtau kau' kei roto i ā rātou matawai, kāore pea he tohu e pā ana ki a rātou, ā, ka pai te mahi a te repe pituitary.

Heoi, ki te mea he 'sella kau' tō tetahi, ā, kāore tōna repe pituitary e mahi tika ana, koinei te mea e kiia nei e mātou ko te Empty Sella Syndrome (ESS) . He kohinga tohumate e pā ana te syndrome . Ka pāngia pea te hunga whai ESS e ngā āhuatanga pēnei i te kore taurite o ngā homoni, ngā panoni tirohanga, me te maha o ngā mamae o te upoko.

E rua ngā momo Sella Koreutu, tika?

Āe, ina kitea e tō matawai he 'pūtau kau', ka wehea e ngā tākuta kia rua ngā momo: tuatahi me tuarua.

• Te Mate Puku Tuatahi (PES): Koinei te wā kāore e kitea e ngā tākuta he tino take mō te papatahi o tō repe pituitary. I te nuinga o te wā, kāore te mate puku tuatahi e puta ai te mate puku. Ko te tikanga he onge noa iho te puta o ngā tohu.
• Te Hokonga Kore Tuarua (SES): Ka puta mai tēnei i tētahi atu āhuatanga e pā ana ki te hanganga o tō repe pituitary, o tō sella turcica rānei. He māmā noa iho, ka puta mai i te kino mai i tētahi atu mate, i tētahi atu huihuinga rānei. Mēnā he sella kore tuarua (SES), he nui ake te tūponotanga ka puta te mate sella kore i ngā take o te sella kore tuatahi (PES).

He mate mōrearea tēnei mate o te Empty Sella Syndrome (ESS)?

Kāo, ehara te Empty Sella Syndrome (ESS) i te mate e morearea ana ki te ora. Ka taea te rongoā mā te rongoā homoni, me te pokanga i ētahi wā.

Waihoki, ahakoa te kī a tō matawai roro he 'pūtau kau', ehara i te mea he morearea ki te ora. I te nuinga o ngā wā o te 'pūtau kau', kāore he tohu, he mate pūtau kau rānei.

He aha te mahi a te Repe Pituitary?

He tino hira te repe endocrine o te repe pituitary i roto i tō tātou tinana. He maha ngā momo homoni e whakaputaina ana e ia. Ka tohutohu hoki i ngā repe kē atu o tō tātou pūnaha endocrine kia tukuna ngā homoni. Arā:

• Ngā repe adrenal
• Ngā ovaries (i roto i ngā wāhine) ngā testicles rānei (i roto i ngā tāne)
• Repe tairoiti

He rite ngā homoni ki ngā karere matū. Ka haere rātou i roto i te toto, ka kawe karere ki ō tātou whekau, uaua, me ētahi atu kiko. Mā ēnei karere ka tohutohu te tinana ki te aha me mahi, me te wā hoki hei mahi.

E hono ana te repe pituitary ki te hypothalamus i roto i tō tātou roro.He mea hono tēnei e tētahi kakau i hangaia mai i ngā uaua toto me ngā io. Ko te kakau pituitary tēnei. Mā roto i tēnei kakau ka kōrero te hypothalamus ki te repe pituitary, ka mea, 'Āe, tukuna ēnei homoni inaianei.' Ko te hypothalamus te wāhanga o tō tātou roro e whakahaere ana i ngā mea pēnei i te toto toto, te tere o te manawa, te pāmahana o te tinana, me te nakunaku.

Ko ngā homoni matua e whakaputahia ana e te repe pituitary ko:

• Te homoni adrenocorticotropic (ACTH): Ka whakaoho tēnei i ngā repe adrenal ki te whakaputa homoni (hei tauira, cortisol) hei aro atu ki te ahotea.
• Hormone antidiuretic (ADH, vasopressin rānei): Whakahaere i te taurite wai o te tinana.
• Te homoni whakaoho-follicle (FSH): Ka āwhina i te pakari o ngā hua manu i roto i ngā wāhine me te whakaputa parāoa i roto i ngā tāne.
• Te homoni tipu (GH): Ka āwhina i ō tātou tinana kia tipu mai i te tamarikitanga ki te pakeketanga, inā koa i roto i ngā wheua me ngā uaua.
• Te homoni Luteinizing (LH): Ka mahi tahi me te FSH hei āwhina i te mahi a te pūnaha whakaputa uri. He mea nui mō te whakaputanga o te ira i roto i ngā wāhine me te whakaputanga o te testosterone i roto i ngā tāne.
• Oxytocin: Ka āwhina i te kōpū kia kōpiri i te wā e whānau ana, me te tukunga o te waiū i te wā e whāngai ana i te u.
• Prolactin: Ka whakaoho i te whakaputanga o te waiū ū.
• Te homoni whakaoho tairoiti (TSH): Ka kī atu ki te repe tairoiti i te kaki kia hanga homoni tairoiti. Ka whakahaere ēnei homoni tairoiti i te tere o te whakamahinga o te pūngao (metabolism) e tō tātou tinana.

Kāore e puta tonu ana ēnei homoni katoa. Ko te nuinga ka tukuna i roto i ngā wā poto, tata ki ia haora ki te toru.

Ko wai te hunga e tino pāngia ana e te Empty Sella Syndrome (ESS)?

Ahakoa he āhuatanga onge tēnei, ka taea e ngā tamariki me ngā pakeke te whakawhanake i te mate takoto kau (ESS).

Heoi, ko te pūtau kau tuatahi (PES) – arā, ko te mea ka puta noa i te matawai me te kore he tohu – e whā ngā wā ka nui ake te kitea i roto i ngā wāhine i ngā tāne.

Ko te PES te mea tino noa i waenga i te hunga i waenga i te 30 me te 40 tau te pakeke. I ētahi wā ka puta wawe ake i roto i ngā wāhine i ngā tāne. Ko ngā wāhine kua hapu mō te wā roa ka tino mōrearea ki te whakawhanake i te PES.

He iti ake te kitea o te PES i roto i ngā tamariki i ērā i roto i ngā pakeke. Ina puta, he maha ngā wā ka hono atu ki ētahi atu mate hauora, pērā i te mate Turner, te mate Moyamoya, me te mate Prader-Willi.

He pēhea te noa o tēnei?

He tino onge te mate puku kau (ESS). E ai ki ētahi kairangahau, he iti iho i te 1% o te hunga whai 'pukupuku kau' ka pāngia e ngā tohu (arā, ka pāngia e te ESS).

Heoi, he mea noa ake te whai i tētahi sella kau, kāore he tohu. E ai ki ētahi pūrongo, kei waenganui i te 8% me te 35% o te taupori he sella kau. E ai ki ētahi atu pūrongo, tata ki te 12% o te tangata he sella kau, i runga i ngā hua o te matawai roro.

He aha ngā tohu o te mate puku kau (ESS)?

Ko te tohu matua e pā ana ki te mate kore toto (ESS) ko te ānini roa. Heoi, kāore anō kia tino mārama ngā kairangahau mēnā nā te ESS ēnei ānini i puta ai, he mea tūpono noa iho rānei. Nā te mea he maha ngā tāngata whai ESS he toto toto tiketike (hypertension), ka pā mai hoki te ānini mēnā ka kino rawa atu.

I te nuinga o te wā ka puta he kore taurite o ngā homoni nā te kino o te repe pituitary i te ESS. Tērā pea ka pāngia te hunga whai ESS e ngā tohu rerekē i runga i te kino o tō rātou repe pituitary me ngā homoni e pāngia ana. Mēnā kei a koe te ESS, tērā pea ka pāngia koe e ētahi o ēnei tohu e whai ake nei:

• He rerenga wai mai i ngā ū kāore i te rite ki te miraka (galactorrhea) (ka pā pea tēnei ki ngā tāne)
• Te ngoikore o te ure ( mō ngā tāne)
• Te paheketanga koretake , te korenga rānei o te paheketanga (amenorrhea) (mō ngā wāhine)
• Te hekenga, te ngaro rānei o te hiahia moepuku (te iti o te libido)
• Te ngenge tonu (Fatigue)

He tino onge, ka pāngia pea ētahi tāngata whai ESS e ngā tohu pēnei i:

• Te pikinga o te pēhanga i roto i te angaanga (te pēhanga pai i roto i te angaanga)
• Te turuturu o te wai rere o te puku (CSF) mai i te ihu
• Te pupuhi o te kōpae whatu i roto i te kanohi (papilledema) nā te pikinga o te pēhanga i roto i te angaanga
• Ka rerekē te tirohanga, hei tauira, te tirohanga pōuri.

Anō, tera pea ka kitea he 'pūtau kau' i roto i te matawai roro, engari kāore pea he tohu e pā ana ki a koe. Inaa, he maha ngā tāngata he 'pūtau kau' kāore he tohu, ā, e kore rawa e pā.

Ka puta te taumaha i te mate Empty Sella Syndrome (ESS)?

Ki te kore e nui te homoni whakaoho tairoiti (TSH) e whakaputaina ana e tō repe pituitary nā te mate kore toto (ESS), tera pea ka piki tō taumaha.

Ka whakaoho te TSH i te repe tairoiti, kei mua o tō kaki, i raro i te kiri, kia tukuna ngā homoni tairoiti. Ko te mahi matua a te repe tairoiti he whakaputa i ngā homoni tairoiti, e whakahaere ana i te tere o te hurihanga o te kai e kainga ana e koe hei pūngao, arā, ko tō tere pākia o te tinana .

Mena kāore tō repe pituitary e whakaputa ana i te nui o te TSH nā te ESS, tērā pea kāore tō repe thyroid e whakaputa ana i te nui o ngā homoni thyroid. Ka taea e tēnei te whakaroa i tō pākia o te tinana nā te iti o ngā taumata homoni thyroid, ka piki ake ai te taumaha.

He aha te take o te mate Empty Sella Syndrome (ESS)?

Ka taea te puta o te Mate Sella Koreutu (ESS) i te sella koreutu tuatahi (PES) i te sella koreutu tuarua rānei (SES). Heoi, ko te sella koreutu tuarua (SES) te mea pea ka puta te ESS.

Ngā Take o te Mate Pūkahukahu Tuatahi (PES)

Ka puta te esophagitis tuatahi (PES) ina pupuhi ki roto tetahi o ngā kiriuhi e hipoki ana i te taha waho o tō roro (te paparanga arachnoid), te sella turcica, ka pēhi i te repe pituitary.

Kāore anō kia taea e ngā tākuta te tautuhi i te tino pūtake o te mate pūkahukahu tuatahi.

Ko tētahi ariā, nā te ngoikore whānautanga o te kiko e kapi ana i te roro ka taea te wai cerebrospinal (CSF) te tomo ki te sella turcica, ka whakawhāiti i te repe pituitary. I ēnei wā, he uaua te kite i te repe pituitary i te matawai, engari he maha tonu te mahi noa, nō reira kāore e puta te mate sella kau.

Ngā Take o te Mate Pūkahu Tuarua (SES)

Ka puta te sella kau tuarua (SES) ina pakaru tō repe pituitary, tō sella turcica rānei i tētahi atu mate, i tētahi atu huihuinga rānei. Nō reira, he maha ngā take pea o te SES. I te nuinga o te wā, ko ngā tino take o tēnei kino ko:

• He pukupuku roro.
• Te rongoā irahiko .
• He pokanga roro e mahia ana i te rohe e karapoti ana i te repe pituitary.
• He whara nui o te upoko, hei tauira he whara roro.

Anei ētahi atu take motuhake ka pā ki te whakawātea tuarua o te pūkahukahu:

• Ngā pukupuku roro: I ētahi wā ka piki ake te pēhanga huri noa i tō roro (pēhanga intracranial) i ngā pukupuku roro, ka pēhi pea i te repe pituitary.
• Te toto toto tiketike ā-roto o te angaanga (IIH): Ko te IIH he pikinga o te pēhanga i roto i te angaanga nā te mea he nui te wai cerebrospinal (CSF) e karapoti ana i tō roro. Ka taea e tēnei pēhanga nui te pēhi i te repe pituitary.
• Ngā adenoma pituitary: He pukupuku ēnei e puta ake ana i roto i te repe pituitary. I te nuinga o te wā, ehara i te matepukupuku (he pai). Ka taea e ēnei adenoma te pēhi i te repe pituitary me te kino.
• Te mate a Sheehan: He āhuatanga tēnei ka puta i ētahi wā mēnā he nui rawa te toto e morearea ana ki te ora i te wā e whānau ana. Ka taea e tēnei te kore o te hāora i te tinana, ā, ka kino hoki te repe pituitary.

Me pēhea te tātaritanga o te Mate Korekore o Sella (ESS)?

I te nuinga o te wā, ka kitea e ngā tākuta he sella kau mā te tūpono, ina tirotirohia te upoko mō tētahi atu take. Waihoki, he maha ngā tāngata he sella kau kāore e pāngia e te mate sella kau, kāore hoki e pāngia e tētahi tohu.

Heoi, ki te mea kei a koe ngā tohu e pā ana ki te mate pūtau kau, pērā i te mamae o te upoko me te kore taurite o ngā homoni, ka pātai atu tō tākuta ki a koe mō tō hītori hauora, ka whakahaere i tētahi whakamātautau tinana, ā, tera pea ka tonoa he matawai i te upoko me te roro.

Ko ngā matawai e whakamahia ana hei tautuhi i te ESS ko:

• He matawai CT (tomography rorohiko) roro: Ko te matawai CT he tikanga tango pikitia mārama o tō roro me te repe pituitary mā te whakamahi i ngā hihi-X me te rorohiko.
• He matawai whakaahua aukume (MRI) o te roro: Ka whakamahia e te matawai MRI ngā ngaru reo irirangi me ngā aukume kaha hei hanga pikitia mārama o ngā wāhanga o roto i tō tinana, pērā i tō sella turcica.

Ka taea hoki e tō tākuta te tono i ētahi atu whakamātautau, pērā i ngā whakamātautau toto, hei tirotiro i ō taumata homoni.

I ētahi wā, ka whakahaerehia pea e ngā tākuta ēnei whakamātautau hei tirotiro i te pikinga o te pēhanga i roto i tō roro:

• Me tirotiro e te tākuta kanohi te retina o roto i tō kanohi.
• Wero tuaiwi – Mā tēnei ka ine i te pēhanga o te wai tuaiwi.

He aha ngā maimoatanga mō te Empty Sella Syndrome (ESS)?

Ahakoa ka kitea he 'pūtau kau' i roto i ō matawai, ki te pai te mahi a tō repe pituitary, kāore koe e hiahia ki tētahi maimoatanga. Koinei te mea e tupu ana i te nuinga o te wā.

Heoi, ki te mea kei a koe te Empty Sella Syndrome (ESS) ā, kāore tō repe pituitary e mahi tika ana, ko te rongoā hei whakatika i ngā taumata homoni iti. Arā, ka whakatauhia te rongoā i runga i te homoni iti.

Mena ka turuturu te wai cerebrospinal (CSF) mai i tō ihu (CSF rhinorrhea) i te ESS, me mahi pokanga pea koe hei whakatika i tō sella turcica.

He aha ngā āhuatanga mōrearea mō te mate puku kau (ESS)?

Kāore ngā tākuta i te tino mōhio he aha te take o te mate sella kau i roto i ētahi tāngata he sella kau. Heoi, he nui ake te tūponotanga ka puta te mate sella kau me te sella kau tuarua (SES) i te sella kau tuatahi (PES). Ko te tikanga tēnei, mēnā he mea kē atu te take o te sella kau, pērā i te pukupuku roro, te rongoā irahiko, te whara rānei o te mahunga, he nui ake te tūponotanga ka pāngia koe e ngā tohu.

He aha te āhua o te mate mō te tangata e pāngia ana e te mate puku kau (ESS)?

He pai te tirohanga whānui mō te tangata e pāngia ana e te mate koretake o te hāora (ESS). He rongoā kei reira hei rongoā i ngā koretake o te homoni. Mena he koretake ō homoni nā te ESS, me tango pea koe i te rongoā mō te toenga o tō oranga.

Āhea koe me toro atu ki te tākuta mēnā kei a koe te mate pūtau kau?

Mena kua tāpaetia koe kei te mate koe i te Empty Sella Syndrome (ESS), ā, ka puta he tohu hou ki a koe, ka kino ake rānei ō tohu o nāianei, me toro atu ki tō tākuta tonu.

Mena kei te tango rongoā koe mō te kore taurite o ngā homoni nā te mate puku kau, he mea tino nui kia toro atu koe ki tō tākuta i ia wā, kia mōhio ai kei te tika te mahi a tō rongoā.

Nā, he aha tā tātou e maumahara ai i tēnei?

Āe, he tino onge te mate Empty Sella Syndrome (ESS). Heoi, he mea tino noa te kitea he mea e kiia nei ko te 'empty cell' i roto i te matawai roro. Nō reira kaua e mataku nā te mea kua kīia mai e te tākuta. I te nuinga o te wā, kāore he tohu o te hunga whai 'empty cell', ā, kāore hoki e pāngia e te Empty Sella Syndrome.

Mena he pātai āu mō tō pūrongo matawai, kaua e wehi ki te pātai ki tō tākuta. Kei reira rātou hei āwhina i a koe. Ko te tiaki i tō hauora te mea nui rawa atu.

Te Matepukupuku Sella Kore, te Repe Pituitary, ngā Hormone, te Matawai Roro, Sellae Tursica