Sella syndrome e se nang letho

Empty sella syndrome ke boemo boo ho lona tšoelesa ea "pituitary" e fokotsehang kapa e bang boreleli.

Pituitary ke tšoelesa e nyane e ka tlase ho boko. E khomaretse tlase bokong ke lehlaka la pituitary. Pituitary e lutse ka kamoreng e kang sale "lehata" e bitsoang sella turcica. Ka Selatine, e bolela setulo sa Turkey.

Ha tšoelesa ea pituitary e fokotseha kapa e ba sephara, e ke ke ea bonoa ho scan ea MRI. Sena se etsa hore sebaka sa tšoelesa ea pituitary se shebahale joalo ka "sella e se nang letho." Empa sella ha e hlile ha e na letho. Hangata e tlala cerebrospinal fluid (CSF). CSF ke mokelikeli o pota-potileng boko le lesapo la mokokotlo. Ka lefu la sella syndrome le senang letho, CSF e kene ka har'a sella turcica, e beha khatello ho pituitary. Sena se etsa hore tšoelesa e fokotse kapa e be sephara.

Sella syndrome ea mantlha e se nang letho e hlaha ha e 'ngoe ea likarolo (arachnoid) e koahelang bokantle ba boko e kenella ka har'a sella ebe e hatella pituitary.

Sella syndrome ea bobeli e se nang letho e etsahala ha sella e se na letho hobane tšoelesa ea pituitary e sentsoe ke:

• Hlahala
• Phekolo ea radiation
• Phekolo
• Tsietsi

Empty sella syndrome e ka bonoa maemong a bitsoang pseudotumor cerebri, e amang haholo basali ba banyane, ba nonneng mme e baka CSF ho ba tlasa khatello e phahameng.

Tšoelesa ea pituitary e etsa lihormone tse 'maloa tse laolang litšoelesa tse ling' meleng, ho kenyeletsoa le:

• Litšoelesa tsa adrenal
• Mae a bomme
• Likokoana-hloko
• Thyroid

Bothata ba tšoelesa ea pituitary bo ka baka mathata ka litšoelesa life kapa life tse kaholimo le maemo a sa tloaelehang a lihomone tsena.

Hangata, ha ho na matšoao kapa tahlehelo ea ts'ebetso ea pituitary.

Haeba ho na le matšoao, a ka kenyelletsa tse ling tsa tse latelang:

• Mathata a ho emisa
• Ho tšoaroa ke hlooho
• Ho ea khoeling ka tsela e sa tloaelehang kapa e seng teng
• Ho fokotsa kapa ho se na takatso ea thobalano (low libido)
• Mokhathala, matla a tlase
• Ho tsuba ha nnyo

Sella syndrome ea mantlha e se nang letho e fumanoa hangata nakong ea MRI kapa CT scan ea hlooho le boko. Ts'ebetso ea pituitary hangata e tloaelehile.

Mofani oa tlhokomelo ea bophelo a ka odara liteko ho netefatsa hore tšoelesa ea pituitary e sebetsa ka mokhoa o tloaelehileng.

Ka linako tse ling, liteko tsa khatello e phahameng bokong li tla etsoa, ​​joalo ka:

• Tlhahlobo ea leihlo le tsoang ho ngaka ea mahlo
• Lumbar puncture (pompo ea mokokotlo)

Bakeng sa lefu la mantlha la sella syndrome:

• Ha ho na kalafo haeba ts'ebetso ea pituitary e tloaelehile.
• Ho ka fanoa ka meriana hore e phekole li-hormone tse sa tloaelehang.

Bakeng sa lefu la bobeli la sella syndrome le se nang letho, kalafo e kenyelletsa ho nkela li-hormone tse sieo sebaka.

Maemong a mang, ho hlokahala opereishene ho lokisa sella turcica.

Sella syndrome ea mantlha e se nang letho ha e bake mathata a bophelo bo botle, 'me ha e ame nako e telele ea bophelo.

Mathata a lefu la mantlha la sella syndrome a kenyelletsa boemo bo phahameng ho feta maemo a tloaelehileng a prolactin. Ena ke hormone e entsoeng ke tšoelesa ea pituitary. Prolactin e hlohlelletsa nts'etsopele ea matsoele le tlhahiso ea lebese ho basali.

Mathata a lefu la sella lefu la bobeli le amanang le sesosa sa lefu la tšoelesa ea pituitary kapa litlamorao tsa hormone ea pituitary e fokolang haholo (hypopituitarism).

Ikopanye le mofani oa hau haeba u ba le matšoao a ts'ebetso e sa tloaelehang ea pituitary, joalo ka mathata a ho ilela khoeli kapa ho hloka matla.

Lefu la pituitary - sella syndrome e se nang letho; Sella e se nang letho

• Tšoelesa ea pituitary

Kaiser U, Ho KKY. Pituitary physiology le tlhahlobo ea tlhahlobo. Ka: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, bahlophisi. Buka ea Williams ea Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 8.

Maya M, Moqolotsi oa litaba BD. Papiso ea pituitary. Ka: Melmed S, ed. Pituitary. La 4 ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 23.

Molitch ME. Pituitary e ka pele. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 224.