Ese ingirabuzimafatizo yawe ya pituitary "irimo ubusa"? Reka twige kuri Empty Sella Syndrome (ESS)!

Ese rimwe na rimwe uhora ubabara umutwe? Cyangwa utekereza ko ari ikibazo kijyanye n'imisemburo? Niba muganga avuze ko agomba gukora ""(CT)" ...

Ese indwara ya Empty Sella Syndrome (ESS) ni iki?

Mu magambo make, Empty Sella Syndrome (ESS) ni indwara idakunze kubaho. Ibaho iyo agahu ka pituitary gland kawe - agahu gato ariko gakomeye cyane kari ku nsi y'ubwonko bwawe - gacitse cyangwa kagacika mu mwanya wako, umwobo w'amagufwa witwa sella turcica . Tekereza muri ubu buryo, sella turcica ni nk'akazu gato karinda agahu ka pituitary. Kubera impamvu runaka, iyi 'nzu' ishobora kuba nini cyane, bigatuma agahu ka pituitary gakura kandi kagacika gato.

Ijambo 'sella turcica' rikomoka ku kilatini, risobanura 'intebe yo muri Turukiya'. Ryitiriwe gutyo kuko risa n'ishusho y'intebe y'ifarashi. Bamwe mu bantu barwaye ESS bashobora kugira ibimenyetso nko kudahuza kw'imisemburo , kuribwa umutwe kenshi, no guhinduka k'amaso .

Ese wari uzi ko agahu k'ubwonko ari igice cy'ingenzi cyane cy'urusobe rw'amaraso mu mubiri wacu, ari na rwo rukora imisemburo. Gakora imisemburo myinshi y'ingenzi mu mubiri wacu. Iyi misemburo igenzura izindi misemburo mu mubiri wacu.

Ni irihe tandukaniro riri hagati ya Empty Sella na Empty Sella Syndrome?

Ibi birateye urujijo gato, bityo rero tega amatwi witonze. Nubwo amagambo 'uturemangingo tudafite ikintu' na 'syndrome y'uturemangingo tudafite ikintu' rimwe na rimwe akoreshwa kimwe, hari itandukaniro rito. Muri make, uturemangingo tudafite ikintu ni ikintu gituruka ku maraso , mu gihe indwara y'uturemangingo tudafite ikintu ni indwara.

'Empty Sella' ni igihe ingirabuzimafatizo yawe isa n'aho yagabanutse cyangwa yagabanutse mu gihe cyo gupima. Muri iki gihe, abaganga ntibashobora kubona ingirabuzimafatizo ya pituitary neza mu gihe cyo gupima. Kubwibyo, ahantu ingirabuzimafatizo ya pituitary iherereye, yitwa sella turcica, hasa n'aho 'habuze'. Niho izina 'empty sella' rikomoka.

Ariko, sella turcica ntabwo iba irimo ubusa mu by'ukuri. Akenshi, iba yuzuyemo amazi yo mu bwonko (CSF) . Iyi CSF ni amazi akikije kandi akarinda ubwonko bwacu n'umugongo wacu. Mu gihe cy'uburwayi bwa 'sella', aya mazi ya CSF yinjira muri sella turcica agashyira igitutu ku gasabo k'ubwonko. Uwo muvuduko utuma agasabo gagabanuka cyangwa kagata.

Akenshi, abaganga bavumbura iyi 'selile irimo ubusa' ku bw'impanuka. Ni ukuvuga iyo bakoze scan ya ``(CT)`` cyangwa ``(MRI)``` yo mu mutwe kubera izindi mpamvu.

Nubwo hari abantu bafite "uturemangingo tw’ubusa" ku isuzuma ryabo, nta bimenyetso bashobora kugaragaza kandi ingirabuzimafatizo zabo z’ubwonko zishobora gukora neza.

Ariko, iyo umuntu afite 'sella y'ubusa' kandi ingirabuzimafatizo ye y'ubwonko idakora neza, ni cyo twita Empty Sella Syndrome (ESS) . Indwara y'ubwonko ni uruhurirane rw'ibimenyetso bifitanye isano. Abantu bafite ESS bashobora kugira ibintu nko kutamenya neza imisemburo, impinduka mu maso, no kuribwa umutwe kenshi.

Hari ubwoko bubiri bwa Empty Sella, sibyo?

Yego, iyo scan yawe ibonye 'agace karimo ubusa', abaganga bayigabanyamo ubwoko bubiri: ubw'ibanze n'ubw'inyongera.

• Sella y'ibanze idafite ikintu kinini (PES): Iki ni cyo gihe abaganga badashobora kubona impamvu isobanutse neza ituma agahu k'ubwonko kawe gacika intege. Kenshi na kenshi, sella y'ibanze idafite ikintu kinini itera indwara ya sella idafite ikintu kinini itera. Ibi bivuze ko idakunze gutera ibimenyetso.
• Kugurisha mu buryo bwa kabiri (SES): Ibi biterwa n'indi ndwara igaragara igira ingaruka ku miterere y'agahu k'ubwonko kawe cyangwa sella turcica. Mu magambo make, biterwa no kwangirika kw'indi ndwara cyangwa ikindi kintu. Mu gihe cy'indwara ya kabiri (SES), indwara ya empty sella ikunze kugaragara kurusha mu gihe cy'indwara ya primary empty sella (PES).

Ese iyi Empty Sella Syndrome (ESS) ishyira ubuzima mu kaga?

Oya, Empty Sella Syndrome (ESS) si indwara ishobora gushyira ubuzima mu kaga. Ishobora kuvurwa n'imiti ikoreshwa mu misemburo ndetse rimwe na rimwe no kubagwa.

Nanone, kuba ubwonko bwawe bwanditseho ngo 'uturemangingo turimo ubusa' ntibivuze ko byashyira ubuzima mu kaga. Mu bihe byinshi bya 'uturemangingo turimo ubusa', nta bimenyetso cyangwa indwara y'uturemangingo turimo ubusa igaragara.

Ni uruhe ruhare rw'agahu k'ubwonko (pituitary gland)?

Ingirabuzimafatizo ya pituitari ni ingenzi cyane mu mubiri wacu. Ikora imisemburo myinshi itandukanye. Ibwira kandi izindi ngirabuzimafatizo zo mu ngirabuzimafatizo zacu kurekura imisemburo. Ni ukuvuga:

• Udukoko tw'intanga ngabo
• Intanga ngore (ku bagore) cyangwa mu mabya (ku bagabo)
• Indwara ya tiroyide

Imisemburo ni nk'intumwa za shimi. Inyura mu maraso ikajyana ubutumwa ku ngingo zacu, imitsi, n'izindi ngingo. Ubu butumwa bubwira umubiri icyo ugomba gukora n'igihe cyo kubikora.

Ingufu ya pituitary ifitanye isano na hypothalamus mu bwonko bwacu.Ihuzwa n'igiti gikozwe mu mitsi n'imitsi. Iki cyitwa igishishwa cya pituitary. Ni muri iki gishishwa aho hypothalamus ivugana n'agace ka pituitary ikavuga iti 'Sawa, noneho rekura iyi misemburo.' Hypothalamus ni igice cy'ubwonko bwacu kigenzura ibintu nk'umuvuduko w'amaraso, umuvuduko w'umutima, ubushyuhe bw'umubiri, n'igogora.

Ingufu ya pituitary ikora ahanini imisemburo ikurikira:

• Umusemburo wa Adrenocorticotropic (ACTH): Ibi bitera imbaraga impuzandengo z'imisemburo gukora imisemburo (urugero: cortisol) isubiza stress.
• Umusemburo urwanya diuretike (ADH cyangwa vasopressin): Ugenzura uburinganire bw'amazi mu mubiri.
• Imisemburo itera imbaraga mu gutera intanga (FSH): Ifasha intanga mu bagore gukura no gukora intanga mu bagabo.
• Imisemburo yo gukura (GH): Ifasha imibiri yacu gukura kuva mu bwana kugera mu bwana, cyane cyane mu magufwa no mu mitsi.
• Imisemburo ya Luteinizing (LH): Ikorana na FSH kugira ngo ifashe imikorere y'urusobe rw'imyororokere. Ni ingenzi ku gusohora intanga mu bagore no ku gukora testosterone mu bagabo.
• Oxytocin: Ifasha nyababyeyi kwifata mu gihe cyo kubyara no kugabanya amashereka mu gihe cyo konsa.
• Prolactine: Itera imbaraga mu gukora amashereka.
• Hormone itera imbaraga za tiroyide (TSH): Ibwira tiroyide iri mu ijosi gukora imisemburo ya tiroyide. Iyi misemburo ya tiroyide igenzura umuvuduko umubiri wacu ukoresha ingufu (metabolism).

Si imisemburo yose ikorwa buri gihe. Inyinshi muri zo zirekurwa mu buryo butunguranye, hafi buri saha imwe cyangwa eshatu.

Ni nde wibasirwa cyane na Empty Sella Syndrome (ESS)?

Nubwo iyi ari indwara idasanzwe, abana n'abantu bakuru bashobora kurwara indwara ya empty sella syndrome (ESS).

Ariko, selile y’ibanze idafite ikintu na kimwe (PES) - bivuze ko igaragara gusa mu isuzuma nta bimenyetso - ikunze kugaragara ku bagore inshuro enye kurusha ku bagabo.

PES ikunze kugaragara cyane mu bantu bari hagati y'imyaka 30 na 40. Rimwe na rimwe ishobora kugaragara kare ku bagore kurusha ku bagabo. Abagore batwite inda zuzuye ni bo bafite ibyago byinshi byo kurwara PES.

PES ntikunze kugaragara cyane mu bana kurusha mu bantu bakuru. Iyo ibayeho, ikunze kwifashishwa n'izindi ndwara, nka Turner syndrome, indwara ya Moyamoya, na Prader-Willi syndrome.

Ibi ni ibisanzwe gute?

Indwara ya Empty Sella Syndrome (ESS) ikunze kugaragara cyane. Abashakashatsi bamwe bavuga ko munsi ya 1% by'abantu bafite 'empty sella' bagaragaza ibimenyetso (ni ukuvuga barwara ESS).

Ariko, kugira sella y'ubusa idafite ibimenyetso ni ibintu bikunze kugaragara cyane. Raporo zimwe na zimwe zigaragaza ko hagati ya 8% na 35% by'abaturage bashobora kuba bafite sella y'ubusa. Izindi raporo zigaragaza ko abantu bagera kuri 12% bafite sella y'ubusa, hashingiwe ku bisubizo bya scan y'ubwonko.

Ni ibihe bimenyetso bya Empty Sella Syndrome (ESS)?

Ikimenyetso nyamukuru kijyana na empty sella syndrome (ESS) ni ububabare bw'umutwe budakira. Ariko, abashakashatsi ntibaramenya neza niba ubu bubabare bw'umutwe buterwa na ESS cyangwa niba ari impanuka gusa. Ibi biterwa nuko abantu benshi bafite ESS nabo bafite umuvuduko ukabije w'amaraso (hypertension), ushobora no gutera ububabare bw'umutwe iyo bubaye bukomeye.

Ubusanzwe ESS itera ihindagurika ry'imisemburo bitewe no kwangirika kw'agace ka pituitary. Abantu bafite ESS bashobora kugira ibimenyetso bitandukanye bitewe n'ibyangiritse ku gace ka pituitary yabo ndetse n'imisemburo yagizweho ingaruka. Niba ufite ESS, ushobora kugira bimwe muri ibi bimenyetso bikurikira:

• Amavuta adasohoka mu mabere (galactorrhea) (ibi bishobora no kuba ku bagabo)
• Kudakora neza kw'imibonano mpuzabitsina ( ku bagabo)
• Guhera mu mihango idahoraho cyangwa kubura imihango burundu (amenorrhea) (ku bagore)
• Kugabanuka cyangwa kubura ubushake bw'imibonano mpuzabitsina (ubushake buke bwo gukora imibonano mpuzabitsina)
• Kumva unaniwe igihe cyose (Umunaniro)

Ni gake cyane, bamwe mu bantu barwaye ESS bashobora kugira ibimenyetso nk'ibi:

• Ubwiyongere bw'umuvuduko imbere mu gahanga (umuvuduko utari mwiza mu bwonko)
• Indwara ya CSF iva mu mazuru (cerebrospinal rhinorrhea)
• Kubyimba kwa disiki y'amaso imbere mu jisho (papilledema) bitewe n'umuvuduko wiyongereye mu gahanga
• Guhinduka kw'amaso, urugero, kutabona neza.

Nanone, ushobora kugira 'uturemangingo turimo ubusa' mu gihe cyo gusuzuma ubwonko, ariko ushobora kuba udafite ibimenyetso. Mu by'ukuri, abantu benshi bafite 'uturemangingo turimo ubusa' nta bimenyetso bafite kandi ntibazigera babibona.

Ese Empty Sella Syndrome (ESS) itera kwiyongera ibiro?

Niba ingirabuzimafatizo yawe ya pituitary idakora imisemburo ihagije itera tiroyide gutera imbaraga (TSH) bitewe na empty sella syndrome (ESS), hari amahirwe ko uzongera ibiro.

TSH ikora imisemburo ya tiroyide, iri imbere mu ijosi ryawe, munsi y'uruhu, kugira ngo irekure imisemburo ya tiroyide. Akazi kayo ka tiroyide ni ugukora imisemburo ya tiroyide, igenzura umuvuduko ukoresha mu guhindura ibiryo urya mo ingufu, cyangwa umuvuduko w'imikorere y'umubiri wawe .

Niba ingirabuzimafatizo yawe ya pituitary idakora TSH ihagije bitewe na ESS, ingirabuzimafatizo yawe ya tiroyide ishobora kuba idakora imisemburo ihagije ya tiroyide. Ibi bishobora gutuma imikorere y'umubiri wawe igabanuka bitewe n'urugero ruto rw'imisemburo ya tiroyide, bishobora gutuma wiyongera ibiro.

Ni iki gitera indwara ya Empty Sella Syndrome (ESS)?

Indwara ya Sella Irimo Ubusa (ESS) ishobora guterwa na sella y’ibanze (PES) cyangwa sella y’ibanze (SES). Ariko, sella y’ibanze (SES) ikunze gutera ESS.

Impamvu zitera indwara ya Primary Empty Sella Syndrome (PES)

Indwara yo mu nda (PES) ibaho iyo umwe mu ruhu rutwikira inyuma y'ubwonko bwawe (ururabo rwa arachnoid), sella turcica, wikubise imbere, ugakandagira ku gasabo k'ubwonko.

Abaganga ntibarabasha kumenya neza impamvu nyayo itera indwara ya primary empty sella syndrome.

Imwe mu nyigisho ivuga ko intege nke zivukana mu ngingo zitwikiriye ubwonko zemerera amazi yo mu bwonko (CSF) kwinjira muri sella turcica, bigatera imisemburo ya pituitary. Muri ibyo bihe, imisemburo ya pituitary ikunze kugorana kuyibona mu isuzuma, ariko akenshi ikora neza, bityo indwara ya sella idafite ikintu na kimwe ibaho.

Impamvu zitera ikibazo cyo kudakora neza kw'imibonano mpuzabitsina (SES)

Sella ya kabiri idafite ikintu (SES) ibaho iyo pituitary gland yawe cyangwa sella turcica yangiritse bitewe n'indi ndwara cyangwa ikindi kintu. Kubwibyo, hari impamvu nyinshi zishobora gutera SES. Muri rusange, impamvu nyamukuru z'iyi ndwara ni izi:

• Ikibyimba cyo mu bwonko.
• Ubuvuzi bushingiye ku mirasire .
• Kubagwa k'ubwonko byakorewe mu gace gakikije ingirabuzimafatizo ya pituitary.
• Gukomereka bikomeye mu mutwe, urugero nk'igikomere cyo mu bwonko gikomeretse cyane.

Dore izindi mpamvu zihariye zishobora kugira ingaruka ku gusohora kw'inkari mu buryo bwa kabiri:

• Ibibyimba byo mu bwonko: Hari igihe ibibyimba byo mu bwonko bishobora gutera umuvuduko mwinshi hirya no hino mu bwonko (umuvuduko wo mu bwonko), ushobora gukandagira ku ngirabuzimafatizo ya pituitary.
• Umuvuduko ukabije w'amaraso mu bwonko (IIH): IIH ni ukwiyongera k'umuvuduko mu gahanga bitewe n'umuvuduko w'amazi yo mu bwonko (CSF) ukikije ubwonko bwawe. Uyu muvuduko urenze urugero ushobora gukanda ingirabuzimafatizo ya pituitary.
• Adenomas zo mu gituza: Izi ni ibibyimba bikura mu gituza. Akenshi, ntabwo ari kanseri (ntibyiza). Izi adenomas zishobora gushyira igitutu ku gituza no kucyangiza.
• Indwara ya Sheehan: Iyi ni indwara ishobora kubaho rimwe na rimwe iyo umuntu aviriye amaraso menshi mu gihe cyo kubyara. Ibi bishobora gutuma umubiri ubura ogisijeni kandi bikangiza igitsina cy'umuntu.

Ni gute indwara ya Empty Sella Syndrome (ESS) ipimwa?

Akenshi, abaganga basanga sella irimo ubusa ku bw'impanuka, iyo bakoze isuzuma ry'umutwe ku yindi mpamvu. Nanone, abantu benshi bafite sella irimo ubusa ntibigera barwara indwara ya sella irimo ubusa cyangwa ngo bagire ibimenyetso.

Ariko, niba ufite ibimenyetso bifitanye isano n’indwara y’uturemangingo tudafite ingirabuzimafatizo, nko kubabara umutwe kenshi no kudahuza kw’imisemburo, muganga wawe azakubaza amateka y’ubuzima bwawe, agukorere isuzuma ry’umubiri, ndetse ashobora no kugutegeka gupimwa umutwe n’ubwonko.

Isuzuma ryakoreshejwe mu gusuzuma ESS ni iri:

• Isuzuma rya CT mu bwonko (CT tomography): Isuzuma rya CT ni uburyo bwo gufata amashusho meza y'ubwonko bwawe n'agace k'ubwonko gakoresha imirasire ya X na mudasobwa.
• Isuzuma ry’ubwonko rya MRI: Isuzuma rya MRI rikoresha imiraba ya radiyo n’ingufu zikomeye kugira ngo rigaragaze neza ibice biri mu mubiri wawe, nka sella turcica yawe.

Muganga wawe ashobora kandi gutegeka ko hakorwa ibindi bipimo, urugero nk'ibipimo by'amaraso, kugira ngo arebe urugero rw'imisemburo yawe.

Hari igihe abaganga bashobora no gukora ibizamini nk'ibi kugira ngo barebe niba umuvuduko w'amaraso mu bwonko bwawe wiyongera:

• Saba umuganga w'amaso gupima retina iri mu jisho ryawe.
• Gutobora umugongo (gutobora uruti rw'umugongo) – Ibi bipima umuvuduko w'amazi yo mu ruti rw'umugongo.

Ni ubuhe buryo bwo kuvura indwara ya Empty Sella Syndrome (ESS)?

Nubwo isuzuma ryawe ryaba rigaragaza 'uturemangingo turimo ubusa', niba ingirabuzimafatizo yawe ya pituitary ikora neza, ntuzakenera kuvurwa. Ibi nibyo bibaho kenshi.

Ariko, niba ufite Empty Sella Syndrome (ESS) kandi ingirabuzimafatizo yawe ya pituitary idakora neza, ubuvuzi ni imiti ikosora urugero rw'imisemburo iri hasi. Ni ukuvuga ko umuti ugenwa hashingiwe ku misemburo iri hasi.

Niba ESS ituma amazi yo mu bwonko (CSF) ava mu mazuru yawe (CSF rhinorrhea), ushobora gukenera kubagwa kugira ngo ukore sella turcica yawe.

Ni ibihe bintu bishobora gutera indwara ya Empty Sella Syndrome (ESS)?

Abaganga ntibazi neza impamvu itera indwara ya empty sella syndrome ku bantu bamwe na bamwe bafite empty sella. Ariko, empty sella syndrome ikunze kugaragara iyo umuntu arwaye empty sella (SES) kurusha iyo arwaye empty sella (PES). Ibi bivuze ko iyo empty sella itewe n'ikindi kintu, nk'ikibyimba cyo mu bwonko, ubuvuzi bushingiye ku mirasire, cyangwa imvune yo mu mutwe, ushobora kugira ibimenyetso byinshi.

Ni iki giteganyijwe ku muntu urwaye Empty Sella Syndrome (ESS)?

Muri rusange, icyizere ku muntu urwaye indwara ya empty sella syndrome (ESS) ni cyiza. Hariho imiti ivura ihindagurika ry’imisemburo. Niba ufite ihindagurika ry’imisemburo riterwa na ESS, ushobora gukenera gufata imiti ubuzima bwawe bwose.

Ni ryari wagombye kujya kwa muganga niba ufite indwara ya empty cell syndrome?

Niba warafashwe na Empty Sella Syndrome (ESS), kandi ukagaragaza ibimenyetso bishya cyangwa niba ibimenyetso byawe bikomeje kwiyongera, hita ubonana na muganga wawe.

Niba ufata imiti yo kugabanya imisemburo bitewe n’indwara yo mu gifu kirimo ubusa, ni ngombwa cyane kubonana na muganga wawe buri gihe kugira ngo umenye neza ko imiti yawe ikora neza.

None se, ni iki twagombye kwibuka muri ibi?

Ubusanzwe, Empty Sella Syndrome (ESS) ni indwara idakunze kugaragara. Ariko, ni ibisanzwe cyane gusanga ufite ikintu cyitwa 'empty cell' kuri scan yo mu bwonko. Bityo rero ntugahangayike kuko muganga abivuze. Akenshi, abantu bafite 'empty cell' nta bimenyetso bafite kandi ntibagira Empty Sella Syndrome.

Niba ufite ikibazo icyo ari cyo cyose kijyanye na raporo yawe yo gupima, ntutinye kubaza muganga wawe. Barahari kugira ngo bagufashe. Kwita ku buzima bwawe ni cyo kintu cy'ingenzi kurusha ibindi.

` Empty Sella Syndrome, Pituitary gland, imisemburo, Brain scan, Sellae Tursica