Whakaarohia kua haere koe ki te kite i tētahi tākuta nā te mea kua pāngia koe e te mamae o te upoko mō ētahi rā. He aha ō whakaaro mēnā ka tono te tākuta kia tirotirohia tō roro, ā, ka mea te pūrongo "Empty Sella"? Tērā pea ka mataku koe, "He wāhi takoto kau tēnei i roto i te roro? He aha te mea e tupu ana?" Kaua e manukanuka. Ehara tēnei i te mea nui pērā i te whakaaro o te tini tāngata. Me kōrero noa tātou mō tēnei i tēnei rā.
He aha te Empty Sella Syndrome?
I roto i tō tātou angaanga, i raro i te roro, he pēke wheua iti, he rite ki te whare herehere iti. I roto i te rongoā, ka kiia tēnei ko te sella turcica . Ko te mea motuhake o tēnei whare herehere iti ko te tiaki i te repe pituitary , te kaiwhakahaere matua o te pūnaha homoni o tō tātou tinana, ā, kei roto i tēnei sella turcica.
Nō reira, i roto i ētahi tāngata, ka tīmata te turuturu o te wai tiaki e karapoti ana i te roro, e kiia nei ko te wai cerebrospinal (te wai tuaiwi rānei), ki roto i tēnei wāhi e kiia nei ko te 'sella turcica'. Kātahi, nā te pēhanga o tēnei wai, ka pakaru te repe pituitary iti, ka papatahi, ka piri ki te pakitara o te sella turcica. Ināianei, ina tirohia i runga i te matawai 'MRI' 'CT' rānei, ka āhua takoto kau te wāhi e kiia nei ko te 'sella turcica'. Ehara i te mea takoto kau, engari he āhua pērā noa iho nā te mea kua papatahi te repe pituitary. Koinei te mea e kiia nei e mātou ko te 'Empty Sella Syndrome' (ESS) .
He momo anō hoki ēnei?
Āe, e rua ngā momo matua.
1. Te Mate Pūkahukahu Tuatahi o Sella (`ESS Tuatahi`): Koinei te momo tino noa. Ka puta mai ina turuturu te wai cerebrospinal ki roto i te sella teresa i runga i te āhua maori, kāore he take motuhake o waho. Ka kitea anō hoki i ētahi wā i roto i te hunga whai mate pēnei i te `pseudotumor cerebrii`, e puta ai te pēhanga ki roto i te roro.
2. Te Mate Pūkahukahu Tuarua o Sella (`Secondary ESS`): Ka puta tēnei nā tētahi atu take. Hei tauira:
- I muri i te pokanga mō te pukupuku pituitary.
- I muri i te whiwhinga o te rongoā irahiko ki taua wāhi.
- He whara nui o te upoko.
Kāore e tino pāngia tō hauora whānui e ngā momo e rua. I te nuinga o te wā, ka kitea tēnei āhuatanga e ngā tākuta mā te tūpono noa, i a rātou e rapu ana i te pūtake o tētahi atu mate.
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei?
Ahakoa ka pā tēnei āhuatanga ki te tangata katoa, he nui ake te kitea i roto i ētahi tāngata.
- He nui ake te kitea i roto i ngā wāhine i ngā tāne.
- He nui ake te tūponotanga ka pāngia te hunga momona e taua mate.
- He mea noa anō hoki i waenga i te hunga he toto toto tiketike .
He aha ngā tohu o tēnei?
Ko te mea nui i konei, ko te nuinga o te hunga e pāngia ana e te `Empty Sell Syndrome` kāore he tohu . Ko te tikanga, tata ki te 99% ka taea te noho noa me te kore raruraru.
Heoi, i ētahi wā onge, ka pāngia pea ētahi tāngata e ngā tohu. Ki te pērā, me titiro tātou he aha aua tohu.
| Momo tohu | Whakaahuatanga |
|---|---|
| Ngā tohu e kitea pinepine ana | |
| Ngā mamae o te upoko | Te mamae o te upoko i ngā wā maha, kāore he take e taea te tautuhi. |
| Ngā raruraru homoni | Tērā pea nā ngā pānga ki te repe pituitary. Hei tauira: te ngenge nui, te koretake o te paheketanga, te mutu rānei o te paheketanga i roto i ngā wāhine, te ngoikore o te moepuku ('impotence') i roto i ngā tāne, te heke o te hiahia moepuku, te uaua ki te hapu tamariki. |
| toto toto tiketike | Te toto toto tiketike. |
| Ngā tohu e kitea onge ana | |
| Te pēhanga i roto i te angaanga | Te āhua nei he pēhanga kei roto i te māhunga. |
| Ihu rere | He rerenga wai o te ihu (sinusitis) kāore he makariri. |
| Ngā raruraru tirohanga | Te pupuhi o ngā kanohi, te tirohanga pōuri. |
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Mena kei a koe ngā tohu o runga ake nei, me toro atu ki te tākuta tonu . Ka tangohia e ia he hītori hōhonu mō tō mate, kātahi ka tūtohu kia mahia he matawai roro hei whakaū i te mate.
E rua ngā momo matawai matua e whakamahia ana mō tēnei:
- Matawai MRI (Atahanga Āhua Aukume): Ka whakamahia he aukume kaha me ngā ngaru reo irirangi hei tango pikitia tino mārama, taipitopito hoki o tō roro me te repe pituitary. Mā tēnei tikanga ka taea te aromatawai pai i te āhua o te sella turcica.
- Matawai CT (Tomography Rorohiko): Ka whakamahia ngā hihi-X hei tango pikitia o tō upoko mai i ngā koki rerekē, kātahi ka whakakotahi i aua hihi ki te rorohiko hei hanga i tētahi pikitia katoa.
He mea tika te rongoā? He aha ngā mea ka taea te mahi?
Anei ngā rongo pai rawa atu. Mena kei a koe te mate Empty Sella Syndrome, ā, kāore he tohu, he raruraru rānei, kāore koe e hiahia ki tētahi maimoatanga. Ka taea e koe te noho i te oranga noa.
Heoi, ki te puta mai ngā tohu, ka tohua e te tākuta he maimoatanga i runga i aua tohu.
Kia maumahara, ko te maimoatanga ka whakatauhia e ō tohu me te kaha o tō mate. Nō reira, he mea nui kia kōrerohia tēnei ki tō tākuta, kia whai hoki i āna tohutohu.
Mena e hiahiatia ana he maimoatanga, koinei ngā tikanga matua:
- Rongoā: Mena kāore tō repe pituitary e whakaputa ana i te nui o ngā homoni (hei tauira, ngā homoni tairoi, ngā homoni ira tangata), ka hoatu e tō tākuta he pire, he maimoatanga homoni rānei hei whakatika i aua taumata homoni.
- Pokanga: Kāore e tino hiahiatia tēnei. Mena ka turuturu tonu te wai cerebrospinal mai i te ihu, me mahi pea he pokanga iti hei whakamutu.
Karere Tangohia ki te Kāinga
- Kāore te 'Empty Sella Syndrome' e kī ana he "kore" tētahi wāhanga o tō roro. Ko tōna tikanga kua maru, kua papatahi hoki te repe pituitary, ā, ka puta he kore kau te wāhi i te matawai.
- Ko te nuinga o te hunga e pāngia ana e tēnei mate kāore he tohu. I te nuinga o te wā, ka kitea noa iho.
- Ki te kite koe i ēnei kupu i runga i tō pūrongo matawai, kaua e mataku. Kōrero ki tō tākuta mō tēnei mea.
- Me whakaaro noa koe ki te maimoatanga mēnā kei a koe ngā tohu pēnei i te mamae o te upoko me ngā huringa homoni.
- Ko te hunga anake e pāngia ana e ngā tohu e hiahia ana kia rongoatia, nō reira he mea tino nui kia whai i ngā tohutohu a tō tākuta.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero