Gland rako repituitary "harina chinhu" here? Ngatidzidzei nezve Empty Sella Syndrome (ESS)!

Dzimwe nguva unombonzwa musoro nguva dzese here? Kana kuti unofunga kuti zvine chekuita nemahormone here? Kana chiremba akati vanofanira kuongorora musoro wako ne ""CT"" kana kuongorora ""MRI", vanogona kuona kuti nzvimbo iri pituitary gland yako inoita se "isina chinhu." Ndizvo zvatinodaidza kuti Empty Sell. Asi idambudziko guru nguva dzose here? Ngatitaurei nezveizvi zvakadzama.

Chii chinonzi Empty Sella Syndrome (ESS)?

Zvichitaurwa zviri nyore, Empty Sella Syndrome (ESS) chirwere chisingawanzoitiki. Chinoitika kana pituitary gland yako - gland diki asi rinokosha riri pasi pehuropi hwako - ikatetepa kana kutetepa panzvimbo payo, pfupa rinonzi sella turcica . Funga nezvazvo nenzira iyi, sella turcica yakaita seimba diki inodzivirira pituitary gland. Neimwe nzira, 'imba' iyi inogona kukura zvakanyanya, zvichiita kuti pituitary gland ibunduke uye iite diki.

Izwi rekuti 'sella turcica' rinobva muchiLatin, zvichireva kuti 'chigaro cheTurkey'. Rinotumidzwa zita iri nekuti rinofanana nechimiro chechigaro chebhiza. Vamwe vanhu vane ESS vanogona kuona zviratidzo zvakaita sekusagadzikana kwemahormone , musoro unogara uchirwadza, uye kuchinja kwemaonero .

Waizviziva here kuti pituitary gland chikamu chakakosha kwazvo che endocrine system yedu, inova system inogadzira mahormone. Inoburitsa mahormone akawanda akakosha mumuviri wedu. Mahormone aya anodzora mamwe mahormone mumuviri wedu.

Chii chakasiyana pakati peEmpty Sella neEmpty Sella Syndrome?

Izvi zvinovhiringidza zvishoma, saka teererai zvakanaka. Kunyange zvazvo mazwi ekuti 'cell empty' uye 'empty cell syndrome' dzimwe nguva achishandiswa zvakafanana, pane musiyano mudiki. Muchidimbu, cell empty inyaya inowanikwa neradiological , nepo empty cell syndrome inyaya yekurapa.

'Empty Sella' zvinoreva kana pituitary gland yako ikaita seyakatetepa kana kuti yakatetepa pascan. Panyaya iyi, vanachiremba havakwanise kuona pituitary gland zvakanaka pascan. Saka, nzvimbo iri pituitary gland, inonzi sella turcica, inoita se 'isina chinhu'. Ndipo panobva zita rekuti 'empty sella'.

Zvisinei, sella turcica haisi isina chinhu. Kazhinji, inenge yakazadzwa ne cerebrospinal fluid (CSF) . CSF iyi ndiyo mvura inokomberedza nekudzivirira uropi hwedu nemusana. Kana iri 'empty sella', iyi CSF fluid inodonhera mu sella turcica uye inoisa kumanikidzwa pa pituitary gland. Kumanikidzwa ikoko kunoita kuti gland itetepe kana kuti itetepe.

Kazhinji, vanachiremba vanoona 'sero risina chinhu' iri netsaona. Kureva kuti, pavanoongorora ``(CT)`` kana ``(MRI)``` yemusoro nekuda kwechimwe chikonzero.

Kunyangwe vamwe vanhu vaine 'masero asina chinhu' pakuongorora kwavo, vanogona kusava nezviratidzo uye pituitary gland yavo inogona kushanda zvakanaka.

Zvisinei, kana mumwe munhu aine 'empty sella' uye pituitary gland yake isiri kushanda zvakanaka, ndizvo zvatinodaidza kuti Empty Sella Syndrome (ESS) . Chirwere ichi muunganidzwa wezviratidzo zvine chekuita nacho. Vanhu vane ESS vanogona kusangana nezvinhu zvakaita sekusagadzikana kwemahormone, kuchinja kwekuona, uye kurwadziwa musoro nguva nenguva.

Kune mhando mbiri dzeEmpty Sella, handiti?

Ehe, kana scan yako ikaona 'sero risina chinhu', vanachiremba vanoipatsanura kuita mhando mbiri: yekutanga neyechipiri.

• Primary Empty Sella (PES): Apa ndipo paya vanachiremba vasingakwanise kuwana chikonzero chakajeka chekuti pituitary gland yako iite flattened. Kazhinji, primary empty sella haikonzeri empty sella syndrome. Izvi zvinoreva kuti haiwanzo kukonzera zviratidzo.
• Kutengeswa Kwese Kwechipiri (SES): Izvi zvinokonzerwa nechimwe chirwere chinozivikanwa chinokanganisa chimiro chegland rako repituitary kana sella turcica. Zvichitaurwa zviri nyore, zvinokonzerwa nekukuvadzwa kunobva kune chimwe chirwere kana chiitiko. Muzviitiko zvesecondary empty sella (SES), empty sella syndrome inogona kukura kupfuura muzviitiko zveprimary empty sella (PES).

Ko iyi Empty Sella Syndrome (ESS) inotyisidzira hupenyu here?

Kwete, Empty Sella Syndrome (ESS) haisi chirwere chinoisa upenyu panjodzi. Chinogona kurapwa nemishonga yemahormone uye dzimwe nguva kuvhiyiwa.

Uyewo, kungoti brain scan yako inoti 'cell isina chinhu' hazvirevi kuti inotyisidzira hupenyu. Muzviitiko zvakawanda zve 'cell isina chinhu', hapana zviratidzo kana empty cell syndrome.

Basa rePituitary Gland nderei?

Gland repituitary igland re endocrine rinokosha kwazvo mumuviri wedu. Rinoburitsa mahormone akasiyana-siyana. Rinoudzawo mamwe magland ari muhurongwa hwedu hwe endocrine kuti aburitse mahormone. Ndokunge:

• Matumbu eAdrenal
• Mazai (muvakadzi) kana machende (muvarume)
• Gland re thyroid

Mahormone akafanana nevatumwa vemakemikari. Anofamba nemuropa uye anotakura mashoko kunhengo dzedu, tsandanyama, nedzimwe nhengo dzemuviri. Mashoko aya anoudza muviri zvekuita uye nguva yekuzviita.

Gland repituitary rakabatana nehypothalamus iri muuropi hwedu.Yakabatana nedzinde rakagadzirwa netsinga dzeropa netsinga. Izvi zvinonzi dzinde repituitary. Ndiko kuburikidza nedzinde iri apo hypothalamus inotaura negland repituitary yoti, 'Zvakanaka, zvino buritsa mahormone aya.' Hypothalamus chikamu cheuropi hwedu chinodzora zvinhu zvakaita seBP, kurova kwemoyo, tembiricha yemuviri, uye kugaya chikafu.

Gland repituitary rinonyanya kugadzira mahormone anotevera:

• Adrenocorticotropic hormone (ACTH): Izvi zvinokurudzira adrenal glands kuti igadzire mahormone (semuenzaniso cortisol) anopindura kushushikana.
• Homoni inoderedza diuretic (ADH kana vasopressin): Inodzora mwero wemvura mumuviri.
• Homoni inokurudzira follicle (FSH): Inobatsira mazai ekubereka muvakadzi uye kugadzira urume muvarume.
• Homoni yekukura (GH): Inobatsira miviri yedu kukura kubva paudiki kusvika pakukura, kunyanya mumapfupa netsandanyama.
• Luteinizing hormone (LH): Inoshanda neFSH kubatsira mashandiro ehurongwa hwekubereka. Yakakosha pakugadzirwa kweovulation muvakadzi uye pakugadzirwa kwetestosterone muvarume.
• Oxytocin: Inobatsira chibereko kuti chikwenye panguva yekusununguka uye kuti mukaka udzike panguva yekuyamwisa.
• Prolactin: Inokurudzira kugadzirwa kwemukaka wemuzamu.
• Homoni inokurudzira thyroid (TSH): Inoudza thyroid gland iri mumutsipa kuti igadzire mahormone ethyroid. Mahormone aya anodzora kumhanya kwesimba rinoshandiswa nemuviri wedu (metabolism).

Haasi ese mahormone aya anogadzirwa nguva dzose. Mazhinji anoburitswa nekukasira, anenge awa imwe kusvika matatu ega ega.

Ndiani anonyanya kubatwa neEmpty Sella Syndrome (ESS)?

Kunyangwe ichi chiri chirwere chisingawanzoitiki, vana nevakuru vanogona kuva nechirwere che empty sella syndrome (ESS).

Zvisinei, primary empty cell (PES) - zvichireva kuti iyo inongoonekwa chete pascan isina zviratidzo - inowanikwa zvakanyanya kuvakadzi kanenge kana kupfuura varume.

PES inonyanya kuitika kuvanhu vane makore ari pakati pe30 ne40. Dzimwe nguva inogona kuitika kuvakadzi vasati vasvika pazera pane varume. Vakadzi vakambova nepamuviri penguva yakazara ndivo vari panjodzi huru yekubatwa nePES.

PES haiwanzoitiki kuvana kupfuura vakuru. Kana ikaitika, inowanzobatanidzwa nezvimwe zvirwere, zvakaita seTurner syndrome, chirwere cheMoyamoya, uye chirwere chePrader-Willi.

Izvi zvakajairika zvakadii?

Empty Sella Syndrome (ESS) haiwanzoitiki. Vamwe vaongorori vanofungidzira kuti vanhu vari pasi pe1% vane 'empty sella' vanowana zviratidzo (kureva kuti, vanowana ESS).

Zvisinei, kuva nechirwere chesella chisina zviratidzo kwakajairika. Mimwe mishumo inoratidza kuti pakati pe8% ne35% yevanhu vanogona kunge vaine chirwere chesella chisina. Mimwe mishumo inoratidza kuti vanhu vanosvika 12% vane chirwere chesella chisina, zvichibva pane zvakabuda muongororo yeuropi.

Ndezvipi zviratidzo zveEmpty Sella Syndrome (ESS)?

Chiratidzo chikuru chinobatanidzwa ne empty sella syndrome (ESS) misoro isingaperi. Zvisinei, vaongorori havasati vava nechokwadi kana misoro iyi inokonzerwa neESS kana kuti ingori tsaona. Izvi zvinodaro nekuti vanhu vazhinji vane ESS vanewo BP yakakwira (hypertension), iyo inogonawo kukonzera misoro kana ikanyanya.

ESS inowanzo kukonzera kusawirirana kwemahormone nekuda kwekukuvara kwepituitary gland. Vanhu vane ESS vanogona kusangana nezviratidzo zvakasiyana zvichienderana nekukuvara kwepituitary gland yavo uye mahormone api akanganiswa. Kana uine ESS, unogona kunge uine zvimwe zvezviratidzo zvinotevera:

• Kubuda kwemukaka kubva mumazamu (galactorrhea) (izvi zvinogona kuitikawo kuvarume)
• Kusashanda zvakanaka kwenhengo dzesikarudzi ( kuvarume)
• Kuenda kumwedzi kusingawanzoitiki kana kusaenda kumwedzi zvachose (amenorrhea) (kuvakadzi)
• Kuderera kana kurasikirwa nechido chebonde (kuderera kwelibido)
• Kunzwa kuneta nguva dzese (Kuneta)

Kashoma, vamwe vanhu vane ESS vanogonawo kuona zviratidzo zvakaita se:

• Kuwedzera kwekumanikidzwa mukati medehenya (kumanikidzwa kusina kunaka mukati memusoro)
• Cerebrospinal rhinorrhea (kubuda kweCSF kubva mumhino)
• Kuzvimba kwe optic disc mukati meziso (papilledema) nekuda kwekumanikidzwa kwakanyanya mudehenya
• Kuchinja kwekuona, semuenzaniso, kuona kusina kujeka.

Zvakare, unogona kuva ne'cell isina chinhu' pakuongorora uropi, asi ungasava nezviratidzo. Kutaura zvazviri, vanhu vazhinji vane 'cell dzisina chinhu' havana zviratidzo uye havazombozvioni.

Ko Empty Sella Syndrome (ESS) inokonzera kuwedzera uremu here?

Kana pituitary gland yako isingagadzire thyroid-stimulating hormone (TSH) yakakwana nekuda kwe empty sella syndrome (ESS), pane mukana wekuti uchawedzera uremu.

TSH inomutsa thyroid gland, iri pamberi pemutsipa wako, pasi peganda, kuti iburitse mahormone ethyroid. Basa guru re thyroid gland nderekugadzira mahormone e thyroid, ayo anodzora mwero waunoshandura chikafu chaunodya kuita simba, kana mwero we metabolic rate yako .

Kana pituitary gland yako isingagadzi TSH yakakwana nekuda kweESS, gland yako ye thyroid ingasagadzi mahormone e thyroid akakwana. Izvi zvinogona kukonzera kuti metabolism yako iderere nekuda kwemazinga mashoma emahormone e thyroid, izvo zvinogona kukonzera kuwedzera uremu.

Chii chinokonzera Empty Sella Syndrome (ESS)?

Empty Sella Syndrome (ESS) inogona kukonzerwa ne primary empty sella (PES) kana secondary empty sella (SES). Zvisinei, secondary empty sella (SES) ndiyo inowanzo kukonzera ESS.

Zvinokonzera Primary Empty Sella Syndrome (PES)

Primary esophagitis (PES) inoitika kana rimwe rema membrane anofukidza kunze kweuropi hwako (arachnoid layer), sella turcica, richibuda mukati, richidzvanya pituitary gland.

Vanachiremba havasati vakwanisa kuziva chikonzero chaicho cheprimary empty sella syndrome.

Imwe dzidziso ndeyekuti kusasimba kwekuzvarwa nakwo munyama inofukidza uropi kunobvumira cerebrospinal fluid (CSF) kupinda mu sella turcica, zvichiita kuti pituitary gland iite mativi. Muzviitiko zvakadaro, pituitary gland inowanzoomera kuona pascan, asi inowanzo shanda zvakanaka, saka empty sella syndrome haiitike.

Zvinokonzera Kusashanda Zvakanaka Kwepabonde Kwechipiri (SES)

Serivha isina chinhu (SES) inoitika kana pituitary gland yako kana sella turcica ikakuvadzwa nechimwe chirwere kana chiitiko. Saka, pane zvikonzero zvakawanda zvinogona kukonzera SES. Kazhinji, zvikonzero zvikuru zvekukuvara uku ndeizvi:

• Gomarara remuuropi.
• Kurapa nemwaranzi .
• Kuvhiyiwa kweuropi kwakaitwa munzvimbo yakapoteredza pituitary gland.
• Kukuvara kwakanyanya mumusoro, semuenzaniso kukuvara kweuropi kunorwadza.

Heano zvimwe zvikonzero zvinogona kukanganisa kubuda kwechimwe chikamu chedundira:

• Matumbu emuuropi: Dzimwe nguva matumbu emuuropi anogona kukonzera kumanikidzwa kwakanyanya kutenderedza uropi hwako (intracranial pressure), izvo zvinogona kudzvanya pituitary gland.
• Idiopathic intracranial hypertension (IIH): IIH kuwedzera kwekumanikidzwa mukati medehenya nekuda kwekuunganidzwa kwe cerebrospinal fluid (CSF) yakakomberedza uropi hwako. Kumanikidzwa uku kwakanyanya kunogona kudzvanya pituitary gland.
• Matumbu epituitary: Aya mabundu anokura mugland repituitary. Kazhinji, haana kenza (haana kuipa). Mabundu aya anogona kumanikidza gland repituitary nekurikuvadza.
• Sheehan's syndrome: Ichi chirwere chinogona kuitika dzimwe nguva kana ropa rakawanda richibuda mumuviri panguva yekusununguka. Izvi zvinogona kukonzera kuti muviri ushaye okisijeni uye zvikakuvadza pituitary gland.

Chirwere cheEmpty Sella (ESS) chinoonekwa sei?

Kazhinji, vanachiremba vanowana sella isina chinhu netsaona, pavanoongorora musoro nechimwe chikonzero. Uyewo, vanhu vazhinji vane sella isina chinhu havamboiti empty sella syndrome kana kusangana nezviratidzo.

Zvisinei, kana uine zviratidzo zvine chekuita ne empty cell syndrome, zvakaita semusoro unogara uchirwadza uye kusawirirana kwemahormone, chiremba wako achakubvunza nezvenhoroondo yako yezvekurapa, oita ongororo yemuviri, uye angangoita kuti utariswe musoro neuropi.

Ma scan anoshandiswa kuongorora ESS ndeaya:

• Kuongororwa kweCT yeuropi (computed tomography): Kuongororwa kweCT inzira yekutora mifananidzo yakajeka yeuropi hwako negland repituitary uchishandisa X-rays nekombiyuta.
• Kuongororwa kweuropi nemagnetic resonance imaging (MRI): Kuongororwa kweMRI kunoshandisa mafungu eredhiyo nemagineti akasimba kuti kuonekwe zvakajeka kwezvikamu zviri mumuviri wako, zvakaita se sella turcica yako.

Chiremba wako anogonawo kuraira mimwe miedzo, yakadai sekuongororwa ropa, kuti aone huwandu hwemahormone ako.

Dzimwe nguva, vanachiremba vanogonawo kuita bvunzo dzakadai kuti vaongorore kuwedzera kwedzvinyiriro muuropi hwako:

• Ita kuti chiremba wemaziso aongorore retina iri mukati meziso rako.
• Kuboorwa kwemusana (kupomba kwemusana) - Izvi zvinoyera kumanikidzwa kwemvura yemusana.

Ndeipi mishonga yekurapa Empty Sella Syndrome (ESS)?

Kunyangwe kana scan yako ikaratidza 'sero risina chinhu', kana pituitary gland yako iri kushanda zvakanaka, hauzodi kurapwa. Izvi ndizvo zvinoitika kazhinji.

Zvisinei, kana uine Empty Sella Syndrome (ESS) uye pituitary gland yako isiri kushanda zvakanaka, mushonga unoshandiswa kugadzirisa huwandu hwemahormone hwakaderera. Kureva kuti, mushonga wacho unobva waonekwa zvichienderana nekuti ihormone ipi yakaderera.

Kana ESS ichikonzera kuti mvura yemumhino (CSF rhinorrhea) ibude mumhino dzako (cerebrospinal fluid), ungangoda kuvhiyiwa kuti ugadzirise sella turcica yako.

Ndezvipi zvinhu zvinokonzera Empty Sella Syndrome (ESS)?

Vanachiremba havazivi kuti chii chinokonzera empty sella syndrome mune vamwe vanhu vane empty sella. Zvisinei, empty sella syndrome inogona kukura nesecondary empty sella (SES) pane neprimary empty sella (PES). Izvi zvinoreva kuti kana empty sella ikakonzerwa nechimwe chinhu, senge bundu remuuropi, radiation therapy, kana kukuvara kwemusoro, une mukana wekuona zviratidzo.

Chii chingave chiri fungidziro yemunhu ane Empty Sella Syndrome (ESS)?

Maonero emunhu ane empty sella syndrome (ESS) anowanzova akanaka. Kune mishonga yekurapa kusawirirana kwemahormone. Kana uine kusawirirana kwemahormone nekuda kweESS, ungangoda kutora mishonga kweupenyu hwako hwese.

Unofanira kuona chiremba rini kana uine empty cell syndrome?

Kana wakaonekwa uine Empty Sella Syndrome (ESS), uye ukatanga zviratidzo zvitsva kana kuti zviratidzo zvako zvikawedzera, enda kuna chiremba wako nekukasika.

Kana uri kutora mushonga wekusawirirana kwemahormone nekuda kwe empty stomach syndrome, zvakakosha kuti ugare uchiona chiremba wako kuti uve nechokwadi chekuti mushonga wako unoshanda nemazvo.

Saka, chii chatinofanira kuyeuka kubva pane izvi?

Ehe, Empty Sella Syndrome (ESS) chirwere chisingawanzoitiki. Zvisinei, zvakajairika kuona kuti une chimwe chinhu chinonzi 'cell isina chinhu' pakuongorora uropi. Saka usavhunduke nekuti chiremba ataura izvozvo. Kazhinji, vanhu vane 'cell isina chinhu' havana zviratidzo uye havaiti Empty Sella Syndrome.

Kana muine mibvunzo nezve report yenyu yekuskena, musatya kubvunza chiremba wenyu. Varipo kuti vakubatsirei. Kutarisira hutano hwenyu ndicho chinhu chakakosha.

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