I-Sella Syndrome engenalutho

-Delile

• Iyini i-sella syndrome engenalutho?
• Ziyini izimpawu?
• Ziyini izimbangela?
• I-sella syndrome engenalutho eyinhloko
• I-sella syndrome engenalutho yesibili
• Kutholakala kanjani?
• Ilashwa kanjani?
• Uyini umbono

Iyini i-sella syndrome engenalutho?

I-Empty sella syndrome yisifo esingajwayelekile esihlobene nengxenye yogebhezi olubizwa ngokuthi i-sella turcica. I-sella turcica iyi-induction ethanjeni le-sphenoid ngaphansi kogebhezi lwakho oluphethe indlala yesibeletho.

Uma une-sella syndrome engenalutho, i-sella turcica yakho empeleni ayinalutho. Eqinisweni, kusho ukuthi i-sella turcica yakho igcwele noma igcwele ngokuphelele i-cerebrospinal fluid (CSF). Abantu abane-sella syndrome engenalutho nabo banezindlala ezincane zepituitary. Kwezinye izimo, izindlala zepituitary azibonisi ngisho nokuhlolwa kwe-imaging.

Lapho i-sella syndrome engenalutho ibangelwa isimo esingaphansi, ibizwa ngokuthi i-sella syndrome yesibili engenalutho. Lapho kungekho sizathu esaziwayo, ibizwa ngokuthi i-primaryella sella syndrome engenalutho.

Ziyini izimpawu?

I-sella syndrome engenalutho ngokuvamile ayinazo izimpawu. Kodwa-ke, uma une-sella syndrome yesibili engenalutho, ungahle ube nezimpawu ezihlobene nesimo esisibangelayo.

Abantu abaningi abane-sella syndrome engenalutho nabo banekhanda elingapheli. Odokotela abaqiniseki ukuthi ngabe lokhu kuhlobene ne-sella syndrome engenalutho noma umfutho wegazi ophakeme, abantu abaningi abane-sella syndrome engenalutho nabo abanayo.

Ezimweni ezingavamile, i-sella syndrome engenalutho ihlotshaniswa nengcindezi ekwakheni ugebhezi, okungaholela ku:

• uketshezi lomgogodla oluvuza ngamakhala
• ukuvuvukala kwemizwa ye-optic ngaphakathi kweso
• izinkinga zokubona

Ziyini izimbangela?

I-sella syndrome engenalutho eyinhloko

Imbangela ngqo yesifo se-sella syndrome esingenalutho ayicaci. Kungenzeka kuhlobene nokukhubazeka kokuzalwa ku-diaphragma sellae, ulwelwesi olumboza i-sella turcica. Abanye abantu bazalwa benenyembezi elincane ku-diaphragma sellae, elingadala ukuthi i-CSF ivuze ku-sella turcica. Odokotela abaqiniseki ukuthi ngabe lokhu kuyimbangela eqondile ye-sella syndrome engenalutho noma kumane nje kuyingozi.

NgokweNational Organisation for Rare Disorders, i-sella syndrome engenalutho ithinta abesifazane ngokuphindwe kane kunabesilisa. Iningi labesifazane abane-sella syndrome engenalutho bavame ukuba phakathi kweminyaka yobudala, abakhuluphele, futhi babe nomfutho wegazi ophakeme. Kodwa-ke, izimo eziningi ze-sella syndrome ezingenalutho azitholakali ngenxa yokungabi bikho kwezimpawu, ngakho-ke kunzima ukusho ukuthi ubulili, ukukhuluphala, ubudala, noma umfutho wegazi yizinto eziyingozi ngempela.

I-sella syndrome engenalutho yesibili

Izinto eziningana zingadala i-sella syndrome yesibili engenalutho, kufaka phakathi:

• ukuhlukumezeka ekhanda
• ukutheleleka
• izimila pituitary
• ukwelashwa ngemisebe noma ukuhlinzwa endaweni ye-pituitary gland
• izimo ezihlobene nobuchopho noma i-pituitary gland, njenge-Sheehan syndrome, umfutho wegazi ophezulu, i-neurosarcoidosis, noma i-hypophysitis

Kutholakala kanjani?

I-sella syndrome engenalutho kunzima ukuyixilonga ngoba imvamisa ayivezi zimpawu. Uma udokotela wakho esola ukuthi ungaba nayo, bazoqala ngokuhlolwa komzimba kanye nokubuyekezwa komlando wakho wezokwelapha. Kungenzeka futhi ukuthi ba-ode ukuskena kwe-CT noma ukuskena kwe-MRI.

Lokhu kuskena kuzosiza udokotela wakho ukuthi anqume ukuthi une-sella syndrome engaphelele noma ephelele. Ingxenye ye-sella syndrome engenalutho isho ukuthi i-sella yakho ingaphansi kwesigamu igcwele i-CSF, kanti indlala yakho yebungu ingamamilimitha ama-3 kuya kwangu-7 ubukhulu. Ingqikithi yesella syndrome engenalutho isho ukuthi ngaphezu kwengxenye ye-sella yakho igcwele i-CSF, kanti indlala yakho yebungu ingu-2 mm ubukhulu noma ngaphansi.

Ilashwa kanjani?

I-sella syndrome engenalutho ngokuvamile ayidingi ukwelashwa ngaphandle kokuthi iveze izimpawu. Ngokuya ngezimpawu zakho, ungadinga:

• ukuhlinzwa ukuvimbela i-CSF ukuthi ingaphumi emakhaleni akho
• imithi, efana ne-ibuprofen (Advil, Motrin), yokuphumula ikhanda

Uma une-sella syndrome yesibili engenalutho ngenxa yesimo esingaphansi, udokotela wakho uzogxila ekwelapheni leso simo noma ekuphatheni izimpawu zaso.

Uyini umbono

Ngokwako, i-sella syndrome engenalutho ngokuvamile ayinazo izimpawu noma imiphumela emibi empilweni yakho isiyonke. Uma une-sella syndrome yesibili engenalutho, sebenza nodokotela wakho ukuxilonga nokwelapha imbangela.