Sella syndrome

Syptella sella syndrome ndi momwe mimbayo imafota kapena kufewa.

Pituitary ndi kansalu kakang'ono kamene kali pansi pa ubongo. Amamangiriridwa pansi pa ubongo ndi phesi la pituitary. Pituitary amakhala mchipinda chokhala ngati chishalo mumtambo wotchedwa sella turcica. Mu Chilatini, zimatanthauza mpando waku Turkey.

Matenda a pituitary atagwa kapena kutambalala, sangawonekere pa sikani ya MRI. Izi zimapangitsa kuti dera la pituitary liziwoneka ngati "sella yopanda kanthu." Koma sella sikuti amakhala wopanda kanthu. Nthawi zambiri imadzazidwa ndi cerebrospinal fluid (CSF). CSF ndimadzimadzi ozungulira ubongo ndi msana. Ndi matenda a sella opanda kanthu, CSF yalowa mu sella turcica, ndikupanikiza pituitary. Izi zimapangitsa kuti gland iwonongeke.

Matenda a sella omwe amapezeka pachimake amapezeka pomwe gawo limodzi (arachnoid) lomwe limakwirira kunja kwa ubongo limafikira mpaka mu sella ndikusindikiza pa pituitary.

Matenda a sella opanda kanthu amayamba pamene sella alibe kanthu chifukwa chithokomiro cha pituitary chawonongeka ndi:

• Chotupa
• Thandizo la radiation
• Opaleshoni
• Zowopsa

Matenda a sella opanda kanthu amatha kuwoneka ngati otchedwa pseudotumor cerebri, omwe amakhudza kwambiri azimayi achichepere, onenepa kwambiri ndipo amachititsa kuti CSF ipanikizike kwambiri.

Matenda a pituitary amapanga mahomoni angapo omwe amalamulira zilonda zina m'thupi, kuphatikizapo:

• Zilonda za adrenal
• Zosunga
• Machende
• Chithokomiro

Vuto lokhala ndi vuto la pituitary limatha kubweretsa zovuta ndi zilizonse zomwe zili pamwambazi komanso kuchuluka kwa mahomoni amtunduwu.

Nthawi zambiri, palibe zisonyezo kapena kutayika kwa ntchito ya pituitary.

Ngati pali zizindikilo, atha kukhala ndi izi:

• Mavuto okonzekera
• Kupweteka mutu
• Kusamba kwachilendo kapena kosakhala komweko
• Kuchepetsa kapena kusakhala ndi chilakolako chogonana (low libido)
• Kutopa, mphamvu zochepa
• Kutulutsa kwamabele

Matenda a sella opanda kanthu amapezeka nthawi zambiri pa MRI kapena CT scan pamutu ndi ubongo. Ntchito ya pituitary nthawi zambiri imakhala yachibadwa.

Wothandizira zaumoyo atha kuyitanitsa mayeso kuti awonetsetse kuti gland ya pituitary ikugwira bwino ntchito.

Nthawi zina, kuyezetsa kuthamanga kwa ubongo kumachitika, monga:

• Kupenda kwa diso ndi diso la ophthalmologist
• Lumbar kuboola (tapampopi)

Kwa matenda oyamba a sella syndrome:

• Palibe chithandizo ngati ntchito ya pituitary ndiyabwino.
• Mankhwala atha kuperekedwa kuti athetse mahomoni aliwonse achilendo.

Kwa matenda achiwiri a sella syndrome, chithandizo chimaphatikizapo kusintha mahomoni omwe akusowa.

Nthawi zina, opaleshoni imafunika kukonzanso sella turcica.

Sella syndrome yoyamba siyimayambitsa mavuto azaumoyo, ndipo siyimakhudza chiyembekezo cha moyo.

Zovuta zamatenda oyamba a sella syndrome zimaphatikizira kuchuluka kwa prolactin. Iyi ndi hormone yopangidwa ndi chifuwa cha pituitary. Prolactin imalimbikitsa kukula kwa mawere ndi kupanga mkaka mwa amayi.

Mavuto a sella syndrome yachiwiri yopanda kanthu imakhudzana ndi chifukwa cha matenda am'matumbo a pituitary kapena zovuta zamatenda ochepa a pituitary (hypopituitarism).

Lumikizanani ndi omwe amakupatsani ngati mukukhala ndi zizindikilo za matenda achilendo, monga zovuta zamsambo kapena kusowa mphamvu.

Chifuwa - sella syndrome yopanda kanthu; Sella wopanda kanthu

• Matenda a pituitary

Kaiser U, Ho KKY. Pituitary physiology ndikuwunika kwa matenda. Mu: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, olemba. Buku la Williams la Endocrinology. Wolemba 13. Philadelphia, PA: Elsevier; 2016: mutu 8.

Maya M, Pressman BD. Kujambula kwapakati. Mu: Melmed S, mkonzi. Pituitary. Wolemba 4. Philadelphia, PA: Elsevier; 2017: chap 23.

Molitch INE. Anterior pituitary. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 224.