Khawucinge ukuba ubuya kugqirha kuba ubunentloko ebuhlungu kangangeentsuku ezimbalwa. Ubungacinga ntoni ukuba ugqirha ukucela ukuba wenze i-brain scan ize ingxelo ithi "Empty Sella"? Usenokoyika, "Ngaba le yindawo engenanto engqondweni? Kwenzeka ntoni?" Kodwa ungakhathazeki. Oku akuyonto imbi njengoko abantu abaninzi becinga. Masithethe ngale nto ngokulula namhlanje.
Ngamafutshane, yintoni i-Empty Sella Syndrome?
Ngaphakathi kwekhakayi lethu, phantsi kwengqondo, kukho ingxowa encinci yamathambo, efana nekheyiji encinci. Kwizonyango, oku kubizwa ngokuba yi-sella turcica . Eyona nto ikhethekileyo kule kheyiji incinci kukuba i-pituitary gland , umlawuli oyintloko wenkqubo yehomoni yomzimba wethu, ikhuselekile kwaye igcinwe ngaphakathi kule sella turcica.
Ngoko ke, kwabanye abantu, ulwelo olukhuselayo olujikeleze ubuchopho, olubizwa ngokuba yi -cerebrospinal fluid (okanye i-spinal fluid), luqala ukuvuza kule ndawo ibizwa ngokuba yi-'sella turcica'. Emva koko, ngenxa yoxinzelelo lwale fluid, i-pituitary gland encinci iyatyumzeka, ithambe, kwaye inamathele eludongeni lwe-sella turcica. Ngoku, xa uyijonga kwi-'MRI' okanye 'CT' scan, indawo ebizwa ngokuba yi-'sella turcica' ibonakala ingenanto. Ayinanto ingenanto, ibukeka ngaloo ndlela kuba i-pituitary gland ithambekile. Yiloo nto siyibiza ngokuba yi-'Empty Sella Syndrome' (ESS) .
Ngaba zikho nezinye iintlobo zale nto?
Ewe, kukho iintlobo ezimbini kuphela.
1. I-Primary Empty Sella Syndrome (`Primary ESS`): Olu lolona hlobo luxhaphakileyo. Lwenzeka xa ulwelo lwe-cerebrospinal luvuza kwi-sella teresa ngokwendalo, ngaphandle kwesizathu esithile sangaphandle. Ngamanye amaxesha lunokubonwa nakubantu abaneemeko ezifana ne-`pseudotumor cerebrii`, ebangela uxinzelelo ukuba luqokeleleke ngokuzenzekelayo engqondweni.
2. I-Secondary Empty Sella Syndrome (`i-Secondary ESS`): Oku kwenzeka ngenxa yesinye isizathu. Umzekelo:
- Emva kotyando lwethumba le-pituitary.
- Emva kokufumana unyango lwemitha kuloo ndawo.
- Ukulimala entloko kakhulu.
Zombini ezi ntlobo azinampembelelo ingako kwimpilo yakho iyonke. Amaxesha amaninzi, oogqirha bafumanisa le meko ngengozi, ngelixa bekhangela unobangela wesinye isifo.
Ngubani onokuthi aphuhlise oku ngakumbi?
Nangona le meko inokwenzeka nakubani na, ixhaphake kakhulu kwabanye abantu.
- Ixhaphake kakhulu kwabasetyhini kunamadoda.
- Abantu abatyebe kakhulu banamathuba amaninzi okuba nayo.
- Ikwaqhelekile nakubantu abanoxinzelelo lwegazi oluphezulu .
Zithini iimpawu zoku?
Eyona nto ibalulekileyo apha kukuba uninzi lwabantu abane-'Empty Sell Syndrome' abanazo naziphi na iimpawu . Oko kuthetha ukuba malunga ne-99% banokuphila ubomi obuqhelekileyo ngaphandle kweengxaki.
Nangona kunjalo, kwiimeko ezingaqhelekanga, abanye abantu banokuba neempawu. Ukuba kunjalo, makhe sibone ukuba zeziphi ezo mpawu.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu ezibonwa rhoqo | |
| Intloko ebuhlungu | Intloko ebuhlungu rhoqo ngaphandle kwesizathu esaziwayo. |
| Iingxaki zehomoni | Isenokubangelwa ziziphumo kwi-pituitary gland. Umzekelo: ukudinwa kakhulu, imijikelo yokuya exesheni engaqhelekanga okanye emileyo kubafazi, ukungasebenzi kakuhle ngokwesondo ('ukungabi namandla') kumadoda, ukuncipha komnqweno wesondo, ubunzima bokukhulelwa abantwana. |
| Igazi elonyukayo | Igazi elonyukayo. |
| Iimpawu ezingaqhelekanga ukubonwa | |
| Uxinzelelo ngaphakathi kwekhakayi | Ukuziva ngathi kukho uxinzelelo ngaphakathi entlokweni. |
| Impumlo enemifinya | Ukukhupha amanzi empumlweni (sinusitis) ngaphandle komkhuhlane. |
| Iingxaki zokubona | Ukudumba kwamehlo, ukubona okufipheleyo. |
Uyifumana njani le nto, Gqirha?
Ukuba unezi mpawu zingasentla, bonana nogqirha ngokukhawuleza . Uza kuqala athathe imbali epheleleyo yemeko yakho aze emva koko acebise ukuba kwenziwe iskeni yobuchopho ukuqinisekisa imeko.
Kukho iintlobo ezimbini eziphambili zeskeni ezisetyenziselwa oku:
- Iskena se-MRI (Magnetic Resonance Imaging): Oku kusebenzisa iimagnethi ezinamandla kunye namaza erediyo ukuthatha imifanekiso ecacileyo neneenkcukacha zobuchopho bakho kunye ne-pituitary gland. Le ndlela inokuvavanya ngcono imeko ye-sella turcica.
- I-CT (Computerized Tomography) Scan: Oku kusebenzisa i-X-rays ukuthatha imifanekiso yentloko yakho kwiikona ezahlukeneyo uze uyidibanise kwikhompyutha ukwenza umfanekiso opheleleyo.
Ingaba unyango luyimfuneko? Yintoni enokwenziwa?
Nazi iindaba ezimnandi. Ukuba une-Empty Sella Syndrome kwaye awunazo iimpawu okanye iingxaki, akuyi kufuneka naluphi na unyango. Ungaphila ubomi obuqhelekileyo.
Nangona kunjalo, ukuba uneempawu, ugqirha uya kukunika unyango olusekelwe kwezo mpawu.
Khumbula, unyango lumiselwa ziimpawu zakho kunye nobunzima bemeko yakho. Ngoko ke, kubalulekile ukuxoxa ngale nto nogqirha wakho uze ulandele icebiso lakhe.
Ukuba kufuneka unyango, nazi iindlela eziphambili:
- Amayeza: Ukuba i-pituitary gland yakho ayivelisi iihomoni ezaneleyo (umz. iihomoni ze-thyroid, iihomoni zesini), ugqirha wakho uya kukunika iipilisi okanye ezinye iindlela zonyango lweehomoni ukulungisa loo manqanaba eehomoni.
- Utyando: Oku akufuneki rhoqo. Ukuba ulwelo lwe-cerebrospinal luqhubeka luvuza empumlweni, kunokufuneka utyando oluncinci ukuze luyekiswe.
Umyalezo Wokuya Ekhaya
- I-'Empty Sella Syndrome' ayithethi ukuba inxalenye yengqondo yakho "ayinanto." Ithetha ukuba i-pituitary gland ityumkile kwaye ithambile, ukuze isithuba sibonakale singenanto xa kuskenwa.
- Uninzi lwabantu abanale meko abanazo iimpawu. Ixesha elininzi, ifunyanwa ngengozi.
- Ukuba ubona la magama kwingxelo yakho yeskeni, ungoyiki. Thetha nogqirha wakho ngayo.
- Udinga ukuqwalasela unyango kuphela xa uneempawu ezifana neentloko ezibuhlungu rhoqo kunye notshintsho lweehomoni.
- Ngabo baneempawu kuphela abafuna unyango, ngoko ke kubalulekile ukulandela imiyalelo kagqirha wakho.
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