Dalilan ciwo komai sella. Ganewar asali, magani

Ana zargin komai sella ciwo yana da yawa haddasawa da kuma bayani. The abu ne cewa, da aka kira komai, shi ne mai priori ba zai iya zama m. Saboda da gagarumin raguwa a cikin juz'i na irin gland matsayin pituitary, da sarari da zarar sun shagaltar da shi, ya wuce a karkashin sayar da giya da sauran meninges.

Sai dai itace cewa X-ray images kusan ganuwa pituitary kuma gani m kawai cerebrospinal ruwa da kuma harsashi. Saboda haka, wannan sarari da aka kira komai. Saboda haka, an gano da bayyana masana MRI ko CT scan na shugaban. Sa'an nan neurologists da neurosurgeons tasowa magani regimen daidai da wannan niyya kara mataki.

Ina Turkish sirdi?

Halitta wuri sella ne sirdi-dimbin yawa indentation a cikin kashi tsarin da kwanyar tushe mutum. Yana da wani ɓangare na sphenoid sinus, wato, saman bango rabo. Yana yana da wani gwada da kananan size a tsawon (game da 10 mm) da kuma tsawo (7-13 mm). Rami sella, wanda gidaje da pituitary gland shine yake, da ake kira da pituitary fossa. By subarachnoid sarari aka rabu da wani diaphragm - mai wuya harsashi na kwakwalwa. Ta hanyar wani kankanin rami a diaphragm kara don haka ya kira pituitary zangarniya, wanda yana da alaka da hypothalamus.

Bincike a cikin wannan yanki

Back a tsakiyar karni na ashirin, da ya zama sananne ga duniya manufar "komai sella ciwo." Abin da wannan yana nufin shi ne iya nuna lokacin American sani akan cututtuka Bush a farkon 50s. A lokacin dogon dogon bincike da ya gudanar ya gano babu ko underdevelopment na sosai budewa rabin matattu. Karatu autopsy kusan 800 matattu, shi za a iya ƙarasa da cewa ba dukkan lokuta na m prostate pathological yanayi sun zama manyan factor. Bush ya bayyana cewa, a cikin pituitary fossa muhimmanci canza da pituitary gland shine yake, ya samu wani m siffar da kuma kama da bakin ciki Layer da nama.

Rasha bincike Savostianov a 1995 modified da rarrabuwa samarwa da Bush syndromes iri dabam-dabam a cikin diaphragm type, kundin intrasellyarnyh tankuna kafa tsakanin cerebellum da medulla oblongata. A daidai wannan kimiyya karshe ya yi magana game da wadannan: 8 daga 10 mata kan shekara arba'in, haihuwa fiye da sau daya kafa Pathology da cututtuka fara nuna up komai sella ciwo. Bugu da kari, fiye da kashi biyu cikin uku na mace marasa lafiya fama da kiba rayuwa na daban-daban digiri. A cikin'yan shẽkaru, masana kimiyya sun iya danganta da Pathology da na asibiti bayyanar cututtuka, ware da firamare da kuma sakandare ciwo komai sella.

siffofin da cutar

Saboda wani zai yiwu division da cutar a cikin makarantun firamare da sakandare siffofin, yana yiwuwa ga mãsu haƙuri domin sanin mafi dace magani zaɓi. A aikace, wannan yana da babban muhimmanci, kuma a cikin Hasashen na cutar.

Primary komai sella ciwo ciwo, bayyanar cututtuka na wanda aka bayyana da ya karu intracranial matsa lamba, kusan babu wani sakamako a kan jihar da pituitary gland shine yake. Duk da kadan "fama da" gland shine yake, gabatar da wani wasu aibi a cikin diaphragm. Daga bisani dõmin karkatarwa pituitary nuna a kan ta girma, Munã rage ta, bayan da sarari shagaltar sella drooping meninges da ruwa (CSF).

Neurological cututtuka mafi furta a sakandare cututtuka. Tun da "wuce" na farko da baƙin ƙarfe samun sosai sau da yawa shi na bukatar nan da nan m magani, radiation far, da kuma yin amfani da wani jam'i na kwayoyi ya hana zub da jini. Yana bi da cewa mafi hatsari ne mai ciwo sakandare komai sella ciwo. A dalilan da asalin da cutar an rufe a da dama daga abubuwan da bukatar cikakken jarrabawa.

The m hali na cuta

Da farko a hadarin kamata hada da mutane da iyali tarihi na zargin wannan matsala. By nazarin halittu iyaye sau da yawa yara da ke zuwa wani m diaphragm, wanda shi ne underdeveloped, incompleteness harsashi. M More prenatal fetal kwakwalwa a utero za a iya kafa da gaban lahani karkashin m muhalli dalilai. A mafi m abubuwa na radiation dauke, matsera yanayi, modified abinci, danniya samu da gaba da uwa tasa, da matalauta ingancin ruwan sha, da kuma more.

A sakamakon kara intracranial matsa lamba

Hadari rikitarwa da wasu cututtuka da wani gagarumin tasiri a kan bayyanar da wannan factor. Kara intracranial matsa lamba na iya zama saboda:

• ported kwanyar raunuka, bruises, concussions.
• hauhawar jini da kuma sauran zuciya da jijiyoyin jini cututtuka.
• ciwon daji marurai.
• unfavorable shakka daga ciki, rikitarwa haihuwa, zubar da ciki;
• thrombosis.
• degenerative Disc cuta daga cikin mahaifa kashin baya (da cutar ta tsarè al'ada jini ya kwarara a cikin girman kwanyar kogo);
• daban-daban cututtuka da shafi cikin tsakiya m tsarin (encephalitis, meningitis, hemorrhagic zazzabi, da dai sauransu).

Secondaries ciwo "komai sella" muhimmanci shafi matakin da pituitary, a matsa lamba da karuwa a ciki da girman kwanyar kogo. Ya farko muhimmanci ƙãra, forming wani ƙari, sa'an nan rage muhimmanci a juz'i saboda necrosis, nama lalata atrophy ported neurosurgical da oncological ayyukan.

Common bayyanar cututtuka na kwakwalwa

Amma, kafin da nassi na musamman binciken, mutane da yawa da sani ba game da kalmar nan "komai sella ciwo." Abin da irin Pathology da kuma abin da aka kawo hadari, da yawa marasa lafiya sanin kawai da ciwon a hannu da sakamakon Dabarar. Sau da yawa ba su da wani gunaguni, kuma suka ji daidai da lafiya. Duk da haka, wannan ba ya nuna cewa dukan gunaguni, kuma ba zai iya zama. Sau da yawa neurological bayyanar cututtuka bayyana a cikin wadannan:

• m ciwon kai, wani lokacin m (ba su da wani takamaiman wuri da kuma samun daban-daban tsanani).
• dizziness.
• precariousness, bai tabbata tafiya (mutumin jefa daga gefen goyi).
• asarar memory da kuma natsuwa, bayyanar karkacewar.
• m gajiya, dakushe matakin aiki iya aiki da kuma jimiri.
• Psycho-wani tunanin cuta.

ophthalmic cuta

Sau da yawa gane da ake zargi da cuta sarrafa to ophthalmologists. Wadannan marasa lafiya zo tare da gunaguni game da tabarbarewar da gabobin da hangen nesa. Sau da yawa akwai wadannan canje-canje:

• zafi a lokacin yunkuri na eyeball.
• m watering.
• kumburi na conjunctiva.
• Heart.
• haske filasha a cikin idanu.

A lokacin da cikakken binciken masana iya gane wasu halayyar pathological bayyananen, wanda sun hada da edema da hyperemia na na gani jijiya, da murdiya na filin ra'ayi, da abin da ya faru na eyestrain. Irin wannan tabarbarewa na mutum na gani tsarin iya zama ba saboda high intracranial matsa lamba. A rashin dace tallafi na zama dole warkewa matakan kara hypersecretion na intraocular ruwa iya kai ga glaucoma.

Canje-canje a cikin tsarin endocrine

Kamar yadda aka ambata a baya, yawancin mata suke shan wahala bayan shekaru 35. Bayyananen da cutar ne kai tsaye dogara a kan lokaci na exacerbation da kuma gafarta musu. A wani ɓangare na endocrine tsarin sun fi na kowa cuta lalacewa ta hanyar autonomic syndromes:

• zurfin dyspnea ko a sauran, shortness na numfashi;
• jin sanyi, zazzabi.
• zafi da kuma jiki aches.
• resistant sa zazzabi jiki;
• m rufe da mãgãgi.
• tachycardia, cardiac zafi.
• takaici da kujera.

Aiki pituitary hormonal gazawar a likita yi akai-akai kuskure a bayyanuwar ciwon daji prostate ciwon daji. Bugu da kari, da hade da microadenomas da kuma "komai sella" - ba nadiri. Saboda samu daga cikin bukata yawan wahala ta hanyar da zangarniya na pituitary hormones da kuma rage hypothalamus gland shine yake iya sarrafa magana na wasu jima'i cuta ba kawai daga mata amma kuma tsakanin namiji da marasa lafiya (rage libido da kuma iko, amenorrhea, hypothyroidism, da dai sauransu). A tsanani lokuta, akwai hadarin sallama na cerebrospinal ruwa ta hanci nassi.

bincikowa da

Domin gane cutar kamata koma zuwa mafi m hanya. A ranar, da undisputed jagora a cikin ganewar asali neurological cututtuka na kwakwalwa za a iya daukarsa a matsayin MRI. Results gudanar tomography samar da mafi girma da adadin bayanai game da haƙuri da yanayin. Yana da muhimmanci a yi la'akari da primacy na cikakken aminci da irin wannan binciken.

A hoto na nuna MRI a haƙuri da ciwon wani "komai sella" ciwo, shi ne samuwa ga na gani:

• gaban cerebrospinal ruwa.
• pituitary appreciable nakasawa (mai lankwasa siffar kama wani jinjirin wata, ko sickle) tsakiya located mazurari.
• a sella rami protrudes asymmetrically suprasellar tank.
• mazurari nono yin tsawo, kuma ya kasance sirara.

Hanyar for kayyade intracranial matsa lamba ya karu a cikin image za a iya ƙaddara da sauran tsaye ba Manuniya (karuwa size da kuma na ramin zuciya sarari dauke da sayar da giya).

Doctors koma ga ƙarin bincike hanyoyin, ciki har da na asibiti dakin gwaje-gwaje karatu (venous jini Samfur don tabbatar da dalilin da ma'auni na hormones samar da pituitary gland shine yake a cikin jini), kuma ocular fundus jarrabawa yanayin.

Features na magani

Mamaki ko yana yiwuwa in warkar da ciwo na "komai sella", shi ya kamata a fahimci cewa, kawai wani m warkewa matakan za su taimaka wajen warware wannan matsala. Bayan duk, ba tare da taimakon neurologists, neurosurgeons, endocrinologists da ophthalmologists ba zai iya yi.

Primary ciwo "komai sella", kamar yadda mai mulkin, ba ya bukatar musamman da magani. Ba tare da haifar da haƙuri ri matsaloli, cuta a cikin wannan tsari ne ba wata barazana ga rayuwa. Ko da yake wani lokacin akwai bukatar for liyafar da wasu magunguna da hormone far.

A cikin hali na sakandare ciwo ba tare da hormonal magani ba zai iya yi. Tun da gagarumin canje-canje ne batun da muhimmanci gland shine yake, da hypothalamus da pituitary gland shine yake, wannan shi ne sau da yawa a yi wa mutum mataki da cutar za a iya warkar da kawai operable Hanyar. Alal misali, yayin da squeezing da na gani jijiya da kuma diaphragmatic sagging mahada a rami iya kadai taimaka da aiki a shafe neurosurgeon. A nuni ga tiyata ne ma yayyo daga hanci na cerebrospinal ruwa. Thinned kasa na sella damar cerebrospinal ruwa zuba.

Tsinkaya domin dawo da

A chances for dawo da quite manyan, musamman idan mai tsanani daga cikin asibiti manifestations da gano low farko ciwo komai sella ciwo. Jiyya vozniknuvshey hypopituitarism amfani hormone maye far da aka kare a mafi yawan lokuta wani m sakamako. Sau da yawa, duk da haka, hango ko hasashen cikin shakka daga cuta shi ne dogara a kan rakiyar pituitary munanan da kwakwalwa.