Cudurka 'sella syndrome' oo faaruq ah

Cilladda 'sella syndrome' waa xaalad qanjirka 'pituitary gland' uu yaraado ama uu noqdo mid la simo.

Pituitary waa qanjir yar oo ku yaal maskaxda hoosteeda. Waxay ku dheggan tahay salka maskaxda ee jirridda pituitary. Pituitary-ku wuxuu fadhiyaa qol la moodo koofida oo kale oo ku yaal qalfoofka loo yaqaan 'sella turcica'. Laatiinka, macnaheedu waa kursi Turki ah.

Marka qanjirka pituitary ga uu yaraado ama la simo, laguma arki karo sawirka MRI. Tani waxay ka dhigaysaa aagga qanjirka 'pituitary gland' inuu u muuqdo "sella madhan." Laakiin mansabka dhab ahaan faaruq ma ahan. Badanaa waxaa ka buuxsama dareeraha maskaxda (CSF). CSF waa dheecaan ku wareegsan maskaxda iyo xudunta lafdhabarta. Cudurka 'sella syndrome' ee faaruqa ah, CSF wuxuu ku daatay sella turcica, isagoo cadaadis saaraya pituitary. Tani waxay keentaa in qanjidhku yaraado ama simo.

Cudurka 'sella syndrome' ee asaasiga ah wuxuu dhacaa marka mid ka mid ah lakabyada (arachnoid) daboolaya banaanka maskaxda uu ku soo boodo sella kuna cadaadiyo pituitary-ga.

Cudurka 'Second Sella Syndrome' wuxuu dhacaa marka selladu ay madhan tahay maxaa yeelay qanjirka 'pituitary gland' waxaa waxyeelleeyay:

• Buro
• Daaweynta shucaaca
• Qalliinka
• Murugo

Cudurka 'Sella Syndrome' ayaa laga arki karaa xaalad loo yaqaan 'pseudotumor cerebri', taas oo inta badan ku dhacda haweenka da'da yar, kuwa buuran oo sababa in CSF ay ku dhacdo cadaadis sare.

Qanjirka 'pituitary gland' wuxuu sameeyaa dhowr hoormoon oo xakameeya qanjidhada kale ee jirka, oo ay ka mid yihiin:

• Qanjirada 'Adrenal'
• Ugxanta
• Xiniinyaha
• Qanjirka 'thyroid'

Dhibaatada qanjirka 'pituitary gland' waxay u horseedi kartaa dhibaatooyin mid ka mid ah qanjidhada kor ku xusan iyo heerarka hoormoonka aan caadiga ahayn ee qanjidhadaas.

Badanaa, ma jiraan wax calaamado ah ama luminta shaqada pituitary.

Haddii ay jiraan astaamo, waxaa ku jiri kara mid ka mid ah kuwan soo socda:

• Dhibaatooyinka kacsiga
• Madax xanuun
• Caadada oo aan caadi ahayn ama maqane ah
• Hoos udhaca ama rabitaanka galmada (libido hoose)
• Daal, tamar hooseysa
• Dheecaan ibta ka baxa

Cudurka 'sella syndrome' ee aasaasiga ah waxaa badanaa la ogaadaa inta lagu jiro baaritaanka MRI ama CT ee madaxa iyo maskaxda. Shaqada pituitary inta badan waa caadi.

Bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu dalbado baaritaano si loo hubiyo in qanjirka pituitary uu si caadi ah u shaqeynayo.

Mararka qaarkood, baaritaanno lagu sameeyo cadaadiska sarreeya ee maskaxda ayaa la sameyn doonaa, sida:

• Baadhitaanka xubinta dambe ee isha waxa ku dhaca dhakhtarka indhaha
• Daloolida lumbar (laf-dhabarka)

Cudurka aasaasiga ah ee 'sella syndrome':

• Ma jiro wax daaweyn ah haddii shaqada pituitary ay caadi tahay.
• Daawooyinka ayaa loo qori karaa si loogu daaweeyo heerar kasta oo hoormoon aan caadi ahayn.

Cudurka 'sella syndrome' ee labaad, daaweynta waxaa ku jira beddelidda hormoonnada maqan.

Xaaladaha qaarkood, qalliin ayaa loo baahan yahay si loo hagaajiyo sella turcica.

Cudurka aasaasiga ah ee 'sella syndrome' ma keeno dhibaatooyin caafimaad, mana saameynayso rajada nolosha.

Dhibaatooyinka cudurka aasaasiga ah ee sella syndrome waxaa ka mid ah waxoogaa ka sarreeya heerka caadiga ah ee prolactin. Kani waa hormoon uu sameeyo qanjirka 'pituitary gland'. Prolactin wuxuu kiciyaa horumarka naaska iyo wax soo saarka caanaha ee haweenka.

Dhibaatooyinka ku dhaca cilladda sella syndrome ee faaruq ah waxay la xiriirtaa sababta cudurka qanjirka 'pituitary gland' ama saameynta hormoonka pituitary ee aadka u yar (hypopituitarism).

La xiriir adeeg bixiyahaaga haddii aad isku aragto astaamo aan caadi ahayn oo ah shaqada pituitary, sida dhibaatooyinka wareegga caadada ama awood la’aanta.

Pituitary - cillad xanuun sella; Sella qayb maran

• Qanjirka 'pituitary gland'

Kaiser U, Ho KKY. Fiisiyoolojiyada iyo qiimeynta ogaanshaha. Gudaha: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Buugga Buugga Endocrinology. 13aad. Philadelphia, PA: Elsevier; 2016: cutubka 8.

Maya M, Pressman BD. Sawirka pituitary. Gudaha: Melmed S, ed. Pituitary-ga. 4aad. Philadelphia, PA: Elsevier; 2017: cutubka 23.

Molitch ME. Pituitary hore. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 224.