Kodi lipoti lanu la scan linati 'Empty Sella'? Tiyeni tikambirane za izi (Empty Sella Syndrome)

Tangoganizani kuti mwapita kukaonana ndi dokotala chifukwa mutu wanu unali ukupweteka kwa masiku angapo. Kodi mungaganize bwanji ngati dokotalayo atakupemphani kuti mukayeze ubongo ndipo lipotilo likuti "Empty Sella"? Mungaope kuti, "Kodi malo opanda kanthu mu ubongo ndi ati? Chikuchitika ndi chiyani?" Koma musadandaule. Izi sizofunika kwambiri monga momwe anthu ambiri amaganizira. Tiyeni tikambirane izi mwachidule lero.

Mwachidule, kodi Empty Sella Syndrome ndi chiyani?

Mkati mwa chigaza chathu, pansi pa ubongo, muli thumba laling'ono la mafupa, ngati khola laling'ono. Mu zamankhwala, izi zimatchedwa sella turcica . Chofunika kwambiri pa khola laling'ono ili ndichakuti pituitary gland , yomwe ndi mtsogoleri wamkulu wa mahomoni a thupi lathu, imatetezedwa ndikusungidwa mkati mwa sella turcica iyi.

Kotero, mwa anthu ena, madzi oteteza omwe amazungulira ubongo, otchedwa cerebrospinal fluid (kapena spinal fluid), amayamba kutuluka m'derali lotchedwa 'sella turcica'. Kenako, chifukwa cha kupanikizika kwa madzi awa, kachidutswa kakang'ono ka pituitary gland kamaphwanyidwa, kuphwanyidwa, ndikumamatira kukhoma la sella turcica. Tsopano, mukayang'ana pa 'MRI' kapena 'CT' scan, malo otchedwa 'sella turcica' amawoneka opanda kanthu. Sikopanda kanthu kwenikweni, amangowoneka choncho chifukwa pituitary gland ndi yophwanyidwa. Ndicho chimene timatcha 'Empty Sella Syndrome' (ESS) .

Kodi palinso mitundu ina ya izi?

Inde, pali mitundu iwiri makamaka.

1. Primary Empty Sella Syndrome (`Primary ESS`): Iyi ndi mtundu wofala kwambiri. Imachitika pamene madzi a m'mitsempha ya ubongo amalowa mu sella teresa mwachibadwa, popanda chifukwa china chilichonse chakunja. Nthawi zina imawonekeranso mwa anthu omwe ali ndi matenda monga `pseudotumor cerebrii`, omwe amachititsa kuti kupanikizika kumadziunjikira muubongo mwangozi.

2. Secondary Empty Sella Syndrome (`Secondary ESS`): Izi zimachitika chifukwa cha chifukwa china. Mwachitsanzo:

• Atachitidwa opaleshoni ya chotupa cha pituitary.
• Atalandira chithandizo cha radiation kudera limenelo.
• Kuvulala kwakukulu mutu.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Ngakhale kuti vutoli lingachitike kwa aliyense, limapezeka kwambiri kwa anthu ena.

• Kawirikawiri mwa akazi kuposa amuna.
• Anthu onenepa kwambiri amakhala ndi mwayi waukulu wopeza vutoli.
• Ndi zachilendo kwa anthu omwe ali ndi kuthamanga kwa magazi .

Kodi zizindikiro za izi ndi ziti?

Chofunika apa ndichakuti anthu ambiri omwe ali ndi `Empty Sell Syndrome` samakhala ndi zizindikiro zilizonse . Izi zikutanthauza kuti pafupifupi 99% akhoza kukhala moyo wabwinobwino popanda mavuto.

Komabe, nthawi zina, anthu ena amatha kukhala ndi zizindikiro. Ngati ndi choncho, tiyeni tiwone zizindikirozo.

Kodi mwapeza bwanji izi, Dokotala?

Ngati muli ndi zizindikiro zomwe zili pamwambapa, pitani kwa dokotala nthawi yomweyo . Choyamba adzafufuza mbiri yonse ya vuto lanu kenako n’kulangiza kuti mupimidwe ubongo kuti mutsimikizire vutolo.

Pali mitundu iwiri ikuluikulu ya ma scan omwe amagwiritsidwa ntchito pa izi:

• Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zimagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti zijambule zithunzi zomveka bwino komanso zatsatanetsatane za ubongo wanu ndi pituitary gland. Njirayi ingathe kuwunika bwino momwe sella turcica ilili.
• Kujambula kwa CT (Computerized Tomography): Izi zimagwiritsa ntchito X-rays kujambula zithunzi za mutu wanu kuchokera mbali zosiyanasiyana kenako kuziphatikiza pa kompyuta kuti apange chithunzi chonse.

Kodi chithandizo chili chofunikira? Kodi chingachitike n’chiyani?

Nkhani yabwino kwambiri ndi iyi. Ngati muli ndi Empty Sella Syndrome ndipo mulibe zizindikiro kapena mavuto, simudzafunika chithandizo chilichonse. Mutha kukhala moyo wabwinobwino.

Komabe, ngati muli ndi zizindikiro, dokotala adzakupatsani chithandizo kutengera zizindikirozo.

Ngati chithandizo chikufunika, njira zazikulu ndi izi:

• Mankhwala: Ngati pituitary gland yanu siimapanga mahomoni okwanira (monga mahomoni a chithokomiro, mahomoni ogonana), dokotala wanu adzakupatsani mapiritsi kapena mankhwala ena a mahomoni kuti akonze kuchuluka kwa mahomoniwo.
• Opaleshoni: Izi sizikufunika kawirikawiri. Ngati madzi a m'mphuno akupitirira kutuluka m'mphuno, opaleshoni yaying'ono ingafunike kuti ithetse vutoli.