Sella Syndrome

Zamkati

• Kodi sella syndrome ndi chiyani?
• Zizindikiro zake ndi ziti?
• Zimayambitsa ndi chiyani?
• Matenda a sella opanda kanthu
• Matenda a sella opanda kanthu
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Maganizo ake ndi otani

Kodi sella syndrome ndi chiyani?

Empty sella syndrome ndi matenda osowa okhudzana ndi chigaza chotchedwa sella turcica. Sella turcica ndi cholumikizira mafupa a sphenoid m'munsi mwa chigaza chanu chomwe chimanyamula chifuwa cha pituitary.

Ngati mulibe matenda a sella, sella turcica yanu ilibe kanthu. M'malo mwake, zikutanthauza kuti sella turcica yanu mwina imadzazidwa pang'ono ndi cerebrospinal fluid (CSF). Anthu omwe ali ndi matenda a sella opanda kanthu amakhalanso ndi zotupa zazing'ono. Nthawi zina, tiziwalo timene timatulutsa ma pituitary siziwoneka ngakhale pamayeso ojambula.

Matenda a sella opanda kanthu amayamba chifukwa cha vuto linalake, amatchedwa sekondale yopanda kanthu ya sella. Ngati palibe chifukwa chodziwikiratu, amatchedwa sella syndrome yoyamba.

Zizindikiro zake ndi ziti?

Matenda a sella opanda kanthu nthawi zambiri samakhala ndi zisonyezo. Komabe, ngati muli ndi sella syndrome yachiwiri yopanda kanthu, mutha kukhala ndi zizindikilo zokhudzana ndi zomwe zimayambitsa.

Anthu ambiri omwe alibe sella syndrome amakhalanso ndi mutu wopweteka. Madokotala sakudziwa ngati izi zikukhudzana ndi matenda a sella opanda kanthu kapena kuthamanga kwa magazi, komwe anthu ambiri omwe ali ndi sella syndrome opanda kanthu.

Nthawi zambiri, matenda a sella opanda kanthu amathandizidwa ndi kupanikizika komwe kumakhazikika mu chigaza, zomwe zingayambitse:

• madzimadzi a msana akutuluka m'mphuno
• kutupa kwa mitsempha yamawonedwe mkati mwa diso
• mavuto a masomphenya

Zimayambitsa ndi chiyani?

Matenda a sella opanda kanthu

Zomwe zimayambitsa vuto lalikulu la sella sizikudziwika bwinobwino. Zitha kukhala zokhudzana ndi vuto lobadwa nalo mu diaphragma sellae, nembanemba yomwe imakwirira sella turcica. Anthu ena amabadwa ali ndi misozi yaying'ono mu diaphragma sellae, yomwe imatha kupangitsa CSF kutayikira mu sella turcica. Madokotala sadziwa ngati ichi ndi chifukwa chachindunji cha matenda a sella opanda kanthu kapena chiopsezo chokha.

Malinga ndi bungwe la National Organisation for Rare Disways, matenda a sella opanda kanthu amakhudza pafupifupi amayi anayi kuposa amuna. Amayi ambiri omwe ali ndi vuto la sella lopanda kanthu amakhala azaka zapakati, onenepa, komanso amakhala ndi kuthamanga kwa magazi. Komabe, milandu yambiri yopanda kanthu ya sella syndrome imadziwika chifukwa chosowa kwa zizindikilo, motero ndizovuta kunena ngati jenda, kunenepa kwambiri, zaka, kapena kuthamanga kwa magazi ndizowopsa.

Matenda a sella opanda kanthu

Zinthu zingapo zimatha kuyambitsa sella syndrome yachiwiri yopanda kanthu, kuphatikiza:

• kupwetekedwa mutu
• matenda
• zotupa za pituitary
• chithandizo cha radiation kapena opaleshoni m'dera la pituitary gland
• mikhalidwe yokhudzana ndi ubongo kapena pituitary gland, monga matenda a Sheehan, kuthamanga kwa magazi, neurosarcoidosis, kapena hypophysitis

Kodi amapezeka bwanji?

Matenda a sella opanda kanthu ndi ovuta kuwazindikira chifukwa nthawi zambiri samapereka zisonyezo. Ngati dokotala akukayikira kuti mwina muli nawo, ayamba ndikuwunika thupi ndikuwunikanso mbiri yanu yazachipatala. Angathenso kuyitanitsa ma CT scans kapena MRI scans.

Zithunzi izi zimathandiza dokotala kudziwa ngati muli ndi sella syndrome yopanda kanthu kapena yathunthu. Matenda a sella opanda kanthu amatanthauza kuti sella yanu ndi yochepera theka la CSF, ndipo vuto lanu lamatenda limakhala lakuda mamilimita 3 mpaka 7 (mm). Matenda a sella opanda kanthu amatanthauza kuti theka la sella yanu ili ndi CSF, ndipo matenda anu am'mimba ndi 2mm kapena ochepa.

Amachizidwa bwanji?

Matenda a sella opanda kanthu nthawi zambiri safuna chithandizo pokhapokha atakhala ndi zisonyezo. Kutengera ndi zizindikilo zanu, mungafunike:

• Kuchita opaleshoni kuti CSF isatuluke m'mphuno mwako
• mankhwala, monga ibuprofen (Advil, Motrin), wothandizira kupweteka kwa mutu

Ngati muli ndi sella syndrome yachiwiri yopanda kanthu chifukwa cha zovuta zina, dokotala wanu adzaganizira zothana ndi vutoli kapena kuwongolera zizindikilo zake.

Maganizo ake ndi otani

Payekha, matenda a sella opanda kanthu nthawi zambiri samakhala ndi zisonyezo kapena zovuta paumoyo wanu wonse. Ngati muli ndi sella syndrome yachiwiri yopanda kanthu, gwirani ntchito ndi adokotala kuti mupeze zomwe zikuyambitsa.