So wote saa nsakrae yi nso nka wɔ awo akyi? Momma yɛnka Sheehan Syndrome ho asɛm!

Ɛyɛ ade a ɛfata sɛ wo nipadua bɛte ɔbrɛ ne soronko nka bere a woawo akokoaa akyi. Sɛ́ ɛna foforo no, ebia wunni adagyew wɔ nneɛma apem ho. Nanso saa bere yi de, sɛ ɛyɛ den ma wo sɛ wobɛma nufu, wo bra nnya mfii ase bio, anaasɛ wo nipadua te nka sɛ ɛyɛ mmerɛw wɔ ɔkwan a ɛyɛ nwonwa so a, nnye ntom kɛkɛ sɛ "eyi ne sɛnea ɛte ma mmaatan foforo no ara kwa." Ebetumi ayɛ tebea a ɛntaa nsi a ɔhaw bi a ɛba bere a wɔrewo no na ɛde ba. Ɛnnɛ, yɛreka tebea a ɛte saa biako ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Sheehan Syndrome?

Sheehan Syndrome yɛ tebea a ɛntaa nsi koraa a ɛma mogya tu dodo bere a wɔrewo no. Ɛka ntini ketewaa bi a ɛwɔ w’amemene no ase a wɔfrɛ no pituitary gland.

Susuw pituitary gland yi ho sɛ yɛn nipadua mu hormone nhyehyɛe no ‘master gland’. Ɛyɛ nea ɛka kyerɛ ntini afoforo a ɛwɔ nipadua no mu no sɛ, "Okay, afei wo na woyɛ saa hormone yi," "Wo na woyɛ saa hormone no." Enti sɛ ‘ɔpanyin’ yi ntumi nyɛ adwuma yiye a, hormone nhyehyɛe no nyinaa betumi akɔ haywire.

Wɔ nyinsɛn mu no, saa pituitary gland yi yɛ kɛse kakra. Wɔ awo mu no, sɛ biribi nti wo mogya tu dodo anaasɛ wo mogya so tew dodo a, saa ntini a ayɛ kɛse yi nnya mframa pa dodow a ehia. Sɛnea afifide bi wow bere a nsu nni mu no, sɛ oxygen nni mu no, saa ntini yi mu ntini ahorow bi sɛe na ewu. Ɛno ne nea yɛfrɛ no Sheehan Syndrome , anaasɛ awo akyi hypopituitarism .

Sɛ pituitary gland no sɛe a, dɛn na ɛba?

Esiane sɛ ‘ɔpanyin’ no nyɛ adwuma nti, ntini afoforo a ɛhyɛ ne tumi ase no nso nyɛ adwuma yiye. Eyi kyerɛ sɛ nkwaadɔm dodow bi a ɛho hia ma yɛn nipadua no a wɔyɛ no so tew anaasɛ wogyae koraa. Eyi betumi aka nneɛma pii wɔ wo nipadua mu. Momma yɛnhwɛ nea saa hormone ahorow yi so tew ne nea ɛto so.

Dɛn ne Sheehan Syndrome ho sɛnkyerɛnne ahorow?

Ade titiriw a ɛwɔ eyi ho ne sɛ, wɔ nnipa binom fam no, yare no ho sɛnkyerɛnne da adi wɔ awo akyi pɛɛ. Wɔ afoforo fam no, yare no ho sɛnkyerɛnne fi ase da adi asram pii, mfe pii akyi mpo. Enti, ɛho hia paa sɛ yehu eyi.

Eyinom ne sɛnkyerɛnne ahorow a wobetumi ahu wɔ ɔkwan a ɛkɔ akyiri so:

• Ɛyɛ den sɛ ɔbɛma nufu anaasɛ nufusu a wonnya bere a wɔawo no akyi no yɛ nsɛnkyerɛnne a edi kan no mu biako.
• Brayɛ a wogyae (amenorrhea) anaasɛ nea ɛnkɔ so daa.
• Feeling unusually brɛ , nkwa a enni mu, na ontumi mfa n’adwene nsi biribiara so.
• Mogya mmoroso a ɛba fam .
• Ɔbarima ne ɔbea nna ho akɔnnɔ a ɛso tew.
• Nwi a ɛtɔ wɔ abasa ne kokoam mmeae ne nufu a ɛtwetwe.
• Wora a ɛyɛ nwunu.
• Vaginal atrophy yɛ tebea a ɛma awotwaa afasu yɛ teateaa na ɛyɛ kusuu, na ɛma ɔbarima ne ɔbea nna yɛ yaw.

Henanom na wɔwɔ asiane kɛse mu ma tebea yi?

Sheehan Syndrome yɛ tebea a ɛntaa nsi koraa nnansa yi. Efisɛ yɛn ayaresabea ahorow no wɔ akwan a ɛkɔ akyiri a wɔfa so di tebea horow a egye ntɛmpɛ te sɛ mogya a ɛtɔ dodo bere a wɔrewo no ho dwuma. Nanso, tebea horow bi wɔ hɔ a mogya betumi atu dodo bere a wɔrewo no. Wɔ tebea horow a ɛtete saa mu no, asiane kakra betumi aba saa tebea yi mu.

• Nna mmanoma ne mma mmiɛnsa a wobenya.
• Akokoaa no mu duru a ɛkɔ soro dodo (akokoaa a ne mu duru yɛ kɛse wɔ awo mu).
• Placental a ɛba mpofirim.
• Placenta previa (gyinabea a ɛba fam a awotwaa no wɔ wɔ awotwaa no mu).
• Mogya mmoroso bere a wɔyem (Preeclampsia).
• Adwinnade a wɔde ma (forceps anaa vacuum extraction).

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ wo duruyɛfo nkyɛn fa saa sɛnkyerɛnne ahorow yi ho asɛm a, sɛ wosusuw sɛ ɔwɔ tebea yi a, ɔbɛyɛ nhwehwɛmu mpɛn pii.

1. W'aduruyɛ ho abakɔsɛm a wobɛka: Akyinnye biara nni ho sɛ wo duruyɛfo bebisa wo nsɛm te sɛ, "So mogya tuu wo pii bere a wowoo akokoaa no?", "So wutumi maa akokoaa no nufu?", "So wo nna fii ase bio?" Ɛho hia yiye sɛ wobɛkyerɛkyerɛ biribiara a wote nka mu pefee.

2. Mogya mu nhwehwɛmu: Wɔfa wo mogya mu nhwehwɛmu de hwɛ sɛnea hormone ahorow a pituitary gland no di so (te sɛ TSH, cortisol, FSH, LH) dodow te.

3. Mfoniniyɛ mu nhwehwɛmu: Ɛtɔ mmere bi a wobetumi ayɛ MRI (Magnetic Resonance Imaging) scan de ahwɛ sɛ ebia nneɛma afoforo de ba te sɛ pituitary tumor.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Mma wo ho nnyɛ wo hu bere a wote eyi no. Sheehan Syndrome yɛ tebea a wobetumi adi ho dwuma yiye. Eyi ho ayaresa ne aduru a wɔde si hormone ananmu.

Sɛ yɛbɛka no tiawa a, ɛfa sɛnea wode hormone ahorow a ɛnyɛ mprempren no bɛma wo nipadua no ho, sɛ́ ebia ɛnam nnuru anaa akwan foforo so. Eyi yɛ biribi a ɛsɛ sɛ woyɛ wo nkwa nna nyinaa.

• Corticosteroids: Wɔde nnuru te sɛ hydrocortisone ma de si ACTH hormone a ɛso atew no ananmu.
• Thyroid hormone: Thyroxine (levothyroxine) aduru betumi asiesie TSH a enni nipadua no mu.
• Ɔbarima ne ɔbea nna mu nkwaadɔm: Estrogen ne progesterone betumi aboa ma ɔsram biara brayɛ akɔ so yiye.
• Nnuru a ɛma obi nyin: Eyinom boa ma ntini ne nnompe mu ahoɔden kɔ so yɛ den.

Mpɛn pii no, endocrinologist na ɔhwɛ w’ayaresa so, na ɔbɛsɔ wo mogya ahwɛ bere ne bere mu na wasakra wo hormone dodow ma ɛne w’ahiade pɔtee ahyia.

So mmere bi wɔ hɔ a ɛsɛ sɛ wokɔ ETU mpofirim?

Yiw, eyi ho hia paa. Sɛ wunya tebea a wɔfrɛ no Adrenal Crisis a yɛadi kan aka ho asɛm no a, ebetumi de wo nkwa ato asiane mu. Enti, egye ayaresa ntɛm ara. Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.

• Tiyɛ , aniwa a ɛyɛ mmerɛw
• Ɛyaw a ɛba yafunu, koko ase, anaa akyi
• Huraeɛ
• Mmerewa a emu yɛ den
• Akisikuru ne ɔfe
• Adwene a ɛyɛ basaa anaasɛ adwenem naayɛ a ɛyera

Sɛ wo duruyɛfo hu sɛ wowɔ Sheehan Syndrome a, ebia obetu wo fo nso sɛ hyɛ aduruyɛ mu kɔkɔbɔ abɔso na ama woanya ayaresa ntɛm ara sɛ tebea a egye ntɛmpɛ te sɛ eyi si a.