Tekereza ugiye kwa muganga kuko wari umaze iminsi mike urwaye umutwe. Watekereza iki muganga aramutse agusabye gupima ubwonko maze raporo ikavuga ngo "Ubusa Sella"? Ushobora kugira ubwoba uti "Ese aha ni ahantu hadafite ikintu mu bwonko? Ni iki kirimo kuba?" Ariko ntugahangayike. Ibi ntabwo ari ibintu bikomeye nk'uko abantu benshi babitekereza. Reka tubiganireho mu buryo bworoshye uyu munsi.
Mu magambo make, Empty Sella Syndrome ni iki?
Mu mutwe wacu, munsi y'ubwonko, hari agasakoshi gato k'amagufwa, kameze nk'akazu gato. Mu buvuzi, iki kitwa sella turcica . Umwihariko w'aka kazu gato ni uko agasabo k'ubwonko , ari ko gatunganya imisemburo y'umubiri wacu, karinzwe kandi kagabikwa muri aka gasakoshi k'ubwonko.
Rero, kuri bamwe, amazi akingira ubwonko, yitwa cerebrospinal fluid (cyangwa spinal fluid), atangira kwinjira muri ako gace kitwa 'sella turcica'. Hanyuma, bitewe n'umuvuduko w'aya mazi, agahu gato ka pituitary karashwanyagurika, kagafata ku rukuta rwa sella turcica. Noneho, iyo urebye kuri 'MRI' cyangwa 'CT' scan, umwanya witwa 'sella turcica' usa n'aho uri ubusa. Mu by'ukuri ntabwo ari ubusa, usa n'aho uri gusa kuko agahu ka pituitary kaba karashwanyaguritse. Ibyo ni byo twita 'Empty Sella Syndrome' (ESS) .
Ese hari ubwoko bw'ibi nabyo?
Yego, hari ubwoko bubiri ahanini.
1. Indwara ya Sella y’ibanze (`Primary ESS`): Iyi ni yo ndwara ikunze kugaragara cyane. Ibaho iyo amazi yo mu bwonko yinjiriye muri sella teresa mu buryo busanzwe, nta mpamvu yihariye igaragara. Hari n’igihe igaragara ku bantu bafite indwara nka `pseudotumor cerebrii`, ituma umuvuduko wiyongera mu bwonko mu buryo butunguranye.
2. Indwara ya Sella y'Ubusa ('Sekondari ESS'): Ibi biterwa n'indi mpamvu. Urugero:
- Kubagwa ikibyimba cy'ubwonko.
- Kubera ko nahawe ubuvuzi bw'imirasire muri ako gace.
- Imvune ikomeye yo mu mutwe.
Ubwo bwoko bwombi ntabwo bugira ingaruka zikomeye ku buzima bwawe muri rusange. Akenshi, abaganga bakunze kubibona mu buryo bw’impanuka, mu gihe bashaka icyateye indi ndwara.
Ni nde ufite amahirwe menshi yo kubyiteza imbere?
Nubwo iyi ndwara ishobora kugaragara ku muntu uwo ari we wese, ikunze kugaragara ku bantu bamwe na bamwe.
- Ikunze kugaragara cyane ku bagore kurusha abagabo.
- Abantu bafite umubyibuho ukabije ni bo bafite amahirwe menshi yo kurwara.
- Bikunze kandi kugaragara mu bantu bafite umuvuduko ukabije w'amaraso .
Ni ibihe bimenyetso by'ibi?
Igikuru hano ni uko abantu benshi barwaye indwara ya 'Empty Sell Syndrome' nta bimenyetso na bimwe bagaragaza . Ibyo bivuze ko hafi 99% bashobora kubaho ubuzima busanzwe nta kibazo.
Ariko, mu bihe bidasanzwe, hari abantu bashobora kugaragaza ibimenyetso. Niba ari byo, reka turebe ibyo bimenyetso.
| Ubwoko bw'ikimenyetso | Ibisobanuro |
|---|---|
| Ibimenyetso bikunze kugaragara | |
| Kuribwa umutwe | Kurwara umutwe kenshi nta mpamvu igaragara. |
| Ibibazo by'imisemburo | Bishobora guterwa n'ingaruka ku ngirabuzimafatizo ya pituitary. Urugero: umunaniro ukabije, imihango idahoraho cyangwa ihagarara ku bagore, kudakora neza mu mibonano mpuzabitsina (`impotence`) ku bagabo, kugabanuka k'ubushake bw'imibonano mpuzabitsina, kugorwa no gusama. |
| Umuvuduko ukabije w'amaraso | Umuvuduko w'amaraso ukabije. |
| Ibimenyetso bidakunze kugaragara | |
| Igitutu imbere mu gahanga | Kumva nk'aho hari igitutu mu mutwe. |
| Izuru riva | Amazi ava mu mazuru (sinusitis) nta nkorora. |
| Ibibazo byo kutabona neza | Kubyimba amaso, kutabona neza. |
Ubibona ute, Muganga?
Niba ufite ibimenyetso byavuzwe haruguru, jya kwa muganga ako kanya . Azabanza akore amateka arambuye y'uburwayi bwawe hanyuma akugire inama yo gupimwa ubwonko kugira ngo yemeze ko bumeze.
Hari ubwoko bubiri bw'ingenzi bwa scan bukoreshwa kuri ibi:
- Isuzuma rya MRI (Magnetic Resonance Imaging): Ibi bikoresha magneti zikomeye n'imiraba ya radiyo kugira ngo bifate amashusho asobanutse neza kandi arambuye y'ubwonko bwawe n'agace ka pituitary. Ubu buryo bushobora gusuzuma neza imiterere ya sella turcica.
- Scan ya CT (Computerized Tomography): Iyi ikoresha X-rays kugira ngo ifate amafoto y'umutwe wawe mu mpande zitandukanye hanyuma ikayahuza kuri mudasobwa kugira ngo ikore ishusho yuzuye.
Ese ni ngombwa kuvurwa? Ni iki cyakorwa?
Dore inkuru nziza. Niba ufite Empty Sella Syndrome kandi nta bimenyetso cyangwa ibibazo ufite, ntuzakenera kuvurwa. Ushobora kubaho ubuzima busanzwe.
Ariko, niba ufite ibimenyetso, muganga azaguha uburyo bwo kuvura hashingiwe kuri ibyo bimenyetso.
Wibuke ko uburyo uvurwa buterwa n'ibimenyetso byawe n'uburemere bw'indwara yawe. Kubwibyo, ni ngombwa kubiganiraho na muganga wawe no gukurikiza inama ze.
Niba bikenewe kuvurwa, ubu ni bwo buryo bw'ingenzi:
- Ubuvuzi: Niba imisemburo ya pituitari yawe idakora imisemburo ihagije (urugero: imisemburo ya tiroyide, imisemburo y'ibitsina), muganga wawe azaguha ibinini cyangwa ubundi buryo bwo kuvura imisemburo kugira ngo akosore urugero rw'iyo misemburo.
- Kubagwa: Ibi ntibikunze kuba ngombwa. Iyo amazi yo mu bwonko akomeje kuva mu mazuru, bishobora kuba ngombwa kubagwa gato kugira ngo bihagarare.
Ubutumwa bwo kujyana mu rugo
- 'Empty Sella Syndrome' ntabwo bivuze ko igice cy'ubwonko bwawe ari "ubusa." Bivuze ko agace k'ubwonko kaba karakomeretse kandi karinganiye, bityo umwanya ukagaragara nk'aho uri ubusa iyo ukoze scan.
- Abenshi mu bantu bafite iyi ndwara nta bimenyetso bagira. Akenshi, iboneka ku bw'amahirwe.
- Niba ubonye aya magambo kuri raporo yawe ya scan, ntugatinye. Biganire na muganga wawe.
- Ugomba gutekereza ku kwivuza gusa iyo ufite ibimenyetso nko kubabara umutwe kenshi no guhinduka kw'imisemburo.
- Abafite ibimenyetso ni bo bonyine bakeneye kuvurwa, bityo ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe.
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