Cabanga ukuthi uye kudokotela ngoba ubulokhu uphethwe yikhanda izinsuku ezimbalwa. Ubungacabangani uma udokotela ekucela ukuthi wenze ukuhlolwa kobuchopho bese umbiko uthi "Sella ongenalutho"? Ungase wesabe, "Ingabe lesi yisikhala esingenalutho ebuchosheni? Kwenzekani?" Kodwa ungakhathazeki. Lokhu akukubi njengoba abantu abaningi becabanga. Ake sixoxe ngalokhu kalula namuhla.
Kalula nje, iyini i-Empty Sella Syndrome?
Ngaphakathi kwekhanda lethu, ngaphansi kobuchopho, kunesikhwama esincane samathambo, njengekheji elincane. Kwezokwelapha, lokhu kubizwa ngokuthi i-sella turcica . Okukhethekile kwalesi kheji esincane ukuthi i-pituitary gland , umlawuli oyinhloko wesimiso samahomoni omzimba wethu, ivikelwe futhi igcinwe ngaphakathi kwalesi sella turcica.
Ngakho-ke, kwabanye abantu, uketshezi oluvikelayo oluzungeze ubuchopho, olubizwa ngokuthi uketshezi lwe-cerebrospinal (noma uketshezi lomgogodla), luqala ukuvuza kule ndawo ebizwa ngokuthi 'i-sella turcica'. Bese kuthi, ngenxa yokucindezela kwalolu ketshezi, i-pituitary gland encane ichotshozwe, ithambe, bese inamathela odongeni lwe-sella turcica. Manje, uma uyibheka ku-'MRI' noma 'CT' scan, isikhala esibizwa ngokuthi 'sella turcica' sibukeka singenalutho. Empeleni asilutho, sibukeka ngaleyo ndlela ngoba i-pituitary gland ithambekile. Yilokho esikubiza ngokuthi 'i-Empty Sella Syndrome' (ESS) .
Ingabe zikhona izinhlobo zalokhu futhi?
Yebo, kunezinhlobo ezimbili ikakhulukazi.
1. I-Primary Empty Sella Syndrome (`I-Primary ESS`): Lolu uhlobo oluvame kakhulu. Lwenzeka lapho uketshezi lomgogodla luvuza lungene ku-sella teresa ngokwemvelo, ngaphandle kwesizathu esithile sangaphandle. Ngezinye izikhathi lungabonakala nakubantu abanezimo ezifana ne-`pseudotumor cerebrii`, okubangela ukucindezeleka ukuthi kuqongeleleke ngokuzenzakalelayo ebuchosheni.
2. I-Secondary Empty Sella Syndrome (`i-Secondary ESS`): Lokhu kwenzeka ngenxa yesinye isizathu. Isibonelo:
- Njengoba ngihlinzwe isimila se-pituitary.
- Njengoba ngithole ukwelashwa ngemisebe kuleyo ndawo.
- Ukulimala okukhulu ekhanda.
Zombili lezi zinhlobo azivamile ukuba nomthelela omkhulu empilweni yakho iyonke. Ngokuvamile, odokotela bathola lesi simo ngengozi, ngenkathi befuna imbangela yesinye isifo.
Ubani onamathuba amaningi okuthuthukisa lokhu?
Nakuba lesi simo singaba khona kunoma ubani, sivame kakhulu kwabanye abantu.
- Kuvame kakhulu kwabesifazane kunabesilisa.
- Abantu abakhuluphele ngokweqile banamathuba amaningi okuba naso.
- Kuvamile futhi kubantu abanomfutho wegazi ophakeme .
Ziyini izimpawu zalokhu?
Into ebalulekile lapha ukuthi iningi labantu abane-'Empty Sell Syndrome' abanazo izimpawu . Lokho kusho ukuthi cishe ama-99% angaphila impilo evamile ngaphandle kwezinkinga.
Kodwa-ke, ezimweni ezingavamile, abanye abantu bangase babe nezimpawu. Uma kunjalo, ake sibone ukuthi ziyini lezo zimpawu.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izimpawu ezivame ukubonwa | |
| Ubuhlungu bekhanda | Ubuhlungu bekhanda obuhlala bukhona ngaphandle kwesizathu esibonakalayo. |
| Izinkinga zama-hormone | Kungabangelwa yimiphumela endlaleni ye-pituitary. Isibonelo: ukukhathala ngokweqile, imijikelezo yokuya esikhathini engajwayelekile noma emisiwe kwabesifazane, ukungasebenzi kahle kocansi ('ukungabi namandla') kwabesilisa, ukwehla kwesifiso sobulili, ubunzima bokukhulelwa izingane. |
| Umfutho wegazi ophakeme | Umfutho Wegazi Ophakeme. |
| Izimpawu ezingavamile ukubonwa | |
| Ukucindezela ngaphakathi kwekhanda | Ukuzwa sengathi kukhona ingcindezi ngaphakathi kwekhanda. |
| Impumulo egobhozayo | Ukuphuma kwamanzi ekhaleni (sinusitis) ngaphandle komkhuhlane. |
| Izinkinga zokubona | Ukuvuvukala kwamehlo, ukubona okufiphele. |
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ezingenhla, bonana nodokotela ngokushesha . Uzoqala ngokuthatha umlando ophelele wesimo sakho bese encoma ukuthi kwenziwe ukuhlolwa kobuchopho ukuqinisekisa isimo.
Kunezinhlobo ezimbili eziyinhloko zokuskena ezisetshenziselwa lokhu:
- Iskena se-MRI (Magnetic Resonance Imaging): Lokhu kusebenzisa omazibuthe abanamandla namagagasi omsakazo ukuthatha izithombe ezicacile nezinemininingwane yobuchopho bakho kanye ne-pituitary gland. Le ndlela ingahlola kangcono isimo se-sella turcica.
- I-CT (Computerized Tomography) Scan: Lokhu kusebenzisa ama-X-ray ukuthatha izithombe zekhanda lakho kusuka emakhoneni ahlukene bese uzihlanganisa kukhompyutha ukudala isithombe esiphelele.
Ingabe ukwelashwa kuyadingeka? Yini engenziwa?
Nazi izindaba ezinhle kakhulu. Uma une-Empty Sella Syndrome futhi ungenazo izimpawu noma izinkinga, ngeke udinge ukwelashwa. Ungaphila impilo evamile.
Kodwa-ke, uma unezimpawu, udokotela uzokunikeza ukwelashwa okusekelwe kulezo zimpawu.
Khumbula, ukwelashwa kunqunywa yizimpawu zakho kanye nobukhulu besimo sakho. Ngakho-ke, kubalulekile ukuxoxa ngalokhu nodokotela wakho bese ulandela iseluleko sakhe.
Uma kudingeka ukwelashwa, nansi izindlela eziyinhloko:
- Imithi: Uma i-pituitary gland yakho ingakhiqizi ama-hormone anele (isib. ama-hormone e-thyroid, ama-hormone ocansi), udokotela wakho uzokunikeza amaphilisi noma ezinye izindlela zokwelapha ama-hormone ukulungisa lawo mazinga ama-hormone.
- Ukuhlinzwa: Lokhu akuvamile ukwenzeka. Uma uketshezi lomgogodla luqhubeka nokuvuza ekhaleni, kungase kudingeke ukuhlinzwa okuncane ukuze lumiswe.
Umlayezo Wokuya Nawe Ekhaya
- I-'Empty Sella Syndrome' ayisho ukuthi ingxenye yobuchopho bakho "ayinalutho." Kusho ukuthi indlala ye-pituitary iphukile futhi icwebezelisiwe, ukuze isikhala sibonakale singenalutho lapho kuskenwa.
- Iningi labantu abanalesi simo abanazo izimpawu. Esikhathini esiningi, sitholakala ngengozi.
- Uma ubona la magama embikweni wakho wokuskena, ungesabi. Khuluma nodokotela wakho ngakho.
- Udinga ukucabangela ukwelashwa kuphela uma unezimpawu ezifana nobuhlungu bekhanda obuvamile kanye nokushintsha kwama-hormone.
- Yilabo abanezimpawu kuphela abadinga ukwelashwa, ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho.
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