Empty sella maʻi maʻi

ʻO kahi maʻi Empty Sella kahi kūlana kahi e emi ai ka pituitary gland a pālahalaha ʻia paha.

ʻO ka pituitary kahi wahi liʻiliʻi i waiho ʻia ma lalo pono o ka lolo. Hoʻopili ia i ka lalo o ka lolo e ka pituitary stalk. Noho ka pituitary i kahi keʻena e like me ka noho ma ka iwi poʻo i kapa ʻia ʻo sella turcica. I ka ʻōlelo Latina, no ka noho Tureke ia.

Ke iho a palahalaha paha ka pituitary gland, ʻaʻole hiki ke ʻike ʻia ma ka scan MRI. ʻO kēia ke ʻano o ka ʻāpana o ka pituitary gland e like me ka "sella hakahaka." Akā, ʻaʻole hakahaka ka mea kūʻai aku. Hoʻopiha pinepine ʻia me ka wai cerebrospinal (CSF). ʻO CSF kahi wai e hoʻopuni ana i ka lolo a me ka iwi kuamoo. Me ka syndrome sella hakahaka, ua kulu ka CSF i ka turcica sella, e kaomi ana i ka pituitary. ʻO kēia ke kumu e emi ai a palahalaha hoʻi ka momona.

Kū mai ka maʻi hakahaka Sella hakahaka ke uhi ʻia kahi o nā ʻāpana (arachnoid) i waho o ka lolo i loko o ka sella a kaomi ma ka pituitary.

Hana ʻia ka maʻi ʻona ʻona ʻona lua inā loaʻa ʻole ka mea kūʻai aku no ka mea ua hōʻino ʻia ka pituitary gland e:

• He tumo
• Lapaʻau hoʻomākala
• ʻOki kino
• Trauma

ʻIke ʻia kahi maʻi hē ʻole i kahi ʻano i kapa ʻia he pseudotumor cerebri, kahi e hoʻopili nui ai i nā wahine ʻōpio, nā mea momona a kumu i ka CSF ma lalo o ke kaomi kiʻekiʻe.

Hana ka pituitary gland i kekahi mau hormona e kāohi i nā glands ʻē aʻe i ke kino, me nā:

• Nānā adrenal
• ʻOihana
• Hōʻikeʻike
• ʻOhana

Hiki i kahi pilikia me ka pituitary gland ke alakaʻi i nā pilikia me kekahi o nā gland ma luna a me nā pae hormonone maʻamau o kēia mau gland.

ʻO ka pinepine, ʻaʻohe hōʻailona a nalowale paha o ka hana pituitary.

Inā loaʻa nā ʻōuli, hoʻohui pū paha lākou i kekahi o kēia mau mea:

• Nā pilikia kūkulu
• Poʻo poʻo poʻo
• Maʻamau ʻole a i ʻole haule menstruation
• Hoemi a ʻaʻohe makemake i ka moekolohe (libido haʻahaʻa)
• Ka luhi, hoʻohaʻahaʻa haʻahaʻa
• Hoʻokuʻu nipple

ʻIke pinepine ʻia ka Syndrome Sella nele ma mua i ka MRI a i ʻole CT scan o ke poʻo a me ka lolo. ʻO ka hana maʻamau a Pituitary ka maʻamau.

E kauoha paha ka mea mālama ola i nā hoʻokolohua e hōʻoia i ka hana maʻamau o ka pituitary gland.

I kekahi manawa, e hana ʻia nā hoʻokolohua no ka piʻi kiʻekiʻe ma ka lolo, e like me:

• ʻO ka hoʻokolokolo ʻana i ka retina e kahi ophthalmologist
• Lumbar puncture (iwi kuamoʻo tap)

No ka Syndrome Sella hakahaka mua:

• ʻAʻohe mālama inā maʻamau ka hana pituitary.
• Kauoha ʻia nā lāʻau e mālama ai i nā pae hormonone ʻokoʻa.

No ka maʻi ʻelua hakahaka Sella Syndrome, pili ka mālama ʻana i ka hoʻololi ʻana i nā homone e nalo nei.

I kekahi mau hihia, pono ke ʻoki e hoʻoponopono hou i ka turaica sella.

ʻAʻole kumu o nā pilikia e pili ana i ke olakino ma kahi o ka Sella Sella Syndrome e pilikia i ke olakino.

ʻO nā pilikia o ka syndrome sella nele mua me kahi kiʻekiʻe ma mua o ka pae maʻamau o ka prolactin. ʻO kēia kahi hōmona i hana ʻia e ka pituitary gland. Hoʻoulu ka Prolactin i ka ulu ʻana o ka umauma a me ka hana ʻana i ka waiū i nā wahine.

Pili nā pilikia o ke kula ʻelua ʻona Sella Syndrome i ke kumu o ka maʻi pituitary gland a i ʻole nā ​​hopena o ka hormone pituitary liʻiliʻi (hypopituitarism).

Kāhea aku i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o ka hana pituitary abnormal, e like me nā pilikia o ka menstrual cycle a i ʻole impotence.

Pituitary - hakahaka Sella maʻi pale; Kahi kūʻai hakahaka hapa

• Kelepona pituitary

Kaiser U, Ho KKY. ʻO ka pituitary physiology a me ka loiloi diagnostic. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 8.

Maya M, Pressman BD. Kiʻi pituitary. I: Melmed S, ed. Ka Pituitary. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 23.

Molitch ME. Pituitary ma mua. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 224.