Ke ʻike nei ʻoe i kēia mau loli ma hope o ka hānau ʻana? E kamaʻilio kākou e pili ana i ka Sheehan Syndrome!

He mea maʻamau i kou kino ke manaʻo luhi a ʻokoʻa hoʻi ma hope o ka hānau ʻana i kahi pēpē. Ma ke ʻano he makuahine hou, paʻahana paha ʻoe me nā mea he tausani. Akā i kēia manawa, inā paʻakikī iā ʻoe ke hānai waiū, ʻaʻole i hoʻomaka hou kou wā, a i ʻole ke manaʻo nei kou kino he palaualelo, mai hoʻokuke wale iā ia me he "ʻo ia ke ʻano no nā makuahine hou." He maʻi laha ʻole paha ia i hoʻokumu ʻia e kahi pilikia i ka wā hānau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi o ia ʻano maʻi.

I ka ʻōlelo maʻalahi, he aha ka Sheehan Syndrome?

He maʻi laha ʻole ka maʻi Sheehan e hoʻoulu ai i ke kahe koko nui i ka wā hānau. Hoʻopilikia ia i kahi gland liʻiliʻi aia ma ke kumu o kou lolo i kapa ʻia ʻo ka pituitary gland.

E noʻonoʻo i kēia kelepa pituitary ʻo ia ke 'kelepona haku' o ka ʻōnaehana hormonal o ko kākou kino. ʻO ia ka mea e haʻi aku i nā kelepa ʻē aʻe i loko o ke kino, "ʻAe, i kēia manawa hana ʻoe i kēia hormone," "Hana ʻoe i kēlā hormone." No laila, inā ʻaʻole hana pono kēia 'luna', hiki i ka ʻōnaehana hormonal holoʻokoʻa ke hele hewa.

I ka wā hāpai, hoʻonui iki ʻia kēia kelepa pituitary. I ka wā hānau keiki, inā no kekahi kumu e kahe nui ana ke koko a i ʻole e hāʻule haʻahaʻa loa kou koko, ʻaʻole loaʻa i kēia kelepa hoʻonui ka nui o ka oxygen e pono ai. E like me ka mae ʻana o kahi mea kanu ke nele i ka wai, ke nele i ka oxygen, ua hōʻino ʻia kekahi o nā ʻiʻo i loko o kēia kelepa a make. ʻO ia ka mea a mākou e kapa nei ʻo Sheehan Syndrome , a i ʻole postpartum hypopituitarism .

He aha ka mea e hana ʻia ke hōʻino ʻia ka pituitary gland?

No ka mea, ʻaʻole hana ka 'luna', ʻaʻole hana pono nā kelepa ʻē aʻe ma lalo o kona mana. ʻO ke ʻano kēia, ua emi a ua oki loa paha ka hana ʻana o kekahi mau hormones pono i ko mākou kino. Hiki i kēia ke hoʻopilikia i nā mea he nui i loko o kou kino. E nānā kākou i nā mea e emi nei kēia mau hormones a me nā mea e hana ʻia iā lākou.

He aha nā hōʻailona o ka maʻi Sheehan?

ʻO ka mea kūikawā e pili ana i kēia, no kekahi poʻe, ʻike koke ʻia nā hōʻailona ma hope o ka hānau ʻana. No kekahi poʻe, hoʻomaka nā hōʻailona e ʻike ʻia i nā mahina, a hiki i nā makahiki. No laila, he mea nui loa ka makaʻala i kēia.

Eia nā hōʻailona i ʻike ʻia ma ke ʻano laulā:

• ʻO ka pilikia i ka hānai ʻana i ka waiū a i ʻole ka nele i ka waiū ma hope o ka hānau ʻana kekahi o nā hōʻailona mua.
• ʻO ka pau ʻana o ka menstruation (amenorrhea) a i ʻole kona ʻano kū ʻole.
• Manaʻo luhi loa , make ola ʻole, a hiki ʻole ke noʻonoʻo i kekahi mea.
• Ke koko haʻahaʻa .
• Ua emi ka makemake i ka moekolohe.
• ʻO ka hāʻule ʻana o ka lauoho ma nā ʻēheu a me nā wahi pilikino a me ka emi ʻana o ka umauma.
• ʻIli maloʻo.
• ʻO ka atrophy vaginal kahi kūlana e lilo ai nā paia o ka vagina i lahilahi a maloʻo, e ʻeha ai ka moekolohe.

ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi?

He maʻi laha ʻole ka maʻi Sheehan i kēia mau lā. No ka mea, he mau ʻano holomua ko kā mākou mau haukapila e mālama i nā pilikia e like me ke kahe nui ʻana o ke koko i ka wā hānau. Eia nō naʻe, aia kekahi mau kūlana kahi e hiki ai ke kahe nui ke koko i ka wā hānau. I ia mau hihia, aia paha kahi pilikia iki o kēia maʻi.

• He mau māhoe a me nā māhoe ʻekolu.
• Ua nui loa ke kaumaha o ka pēpē (he pēpē kaumaha nui i ka wā hānau).
• Ka haki ʻana o ka placenta.
• Placenta previa (kūlana haʻahaʻa o ka placenta i loko o ka ʻōpū).
• Ke koko kiʻekiʻe i ka wā hāpai (Preeclampsia).
• Ka lawe ʻana i nā mea hana (forceps a i ʻole ka vacuum extracting).

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i kāu kauka e pili ana i kēia mau hōʻailona, ​​e holo ʻo ia i kekahi mau hoʻokolohua inā manaʻo lākou i kēia maʻi.

1. Ke kamaʻilio ʻana e pili ana i kou mōʻaukala olakino: E nīnau maoli kāu kauka iā ʻoe i nā nīnau e like me, "Ua kahe nui anei ke koko i kou wā i hānau ai i ke pēpē?", "Ua hiki iā ʻoe ke hānai i ka pēpē i ka waiū?", "Ua hoʻomaka hou anei kou wā?" He mea nui loa ia e wehewehe pono i nā mea āpau āu e manaʻo nei.

2. Nā hoʻāʻo koko: Lawe ʻia kahi hāpana o kou koko e nānā i nā pae o nā hormones i kāohi ʻia e ka pituitary gland (e like me TSH, cortisol, FSH, LH).

3. Nā hoʻāʻo kiʻi: I kekahi manawa, hiki ke hana ʻia kahi scan MRI (Magnetic Resonance Imaging) e nānā i nā kumu ʻē aʻe, e like me ka puʻupuʻu pituitary.

He aha nā lāʻau lapaʻau no kēia?

Mai hopohopo ke lohe ʻoe i kēia. ʻO ka Sheehan Syndrome kahi maʻi i hiki ke mālama maikaʻi ʻia. ʻO ka lāʻau lapaʻau no kēia he hormone replacement therapy.

I ka ʻōlelo maʻalahi, e pili ana i ka hāʻawi ʻana i kou kino i nā hormones i hana ʻole ʻia i kēia manawa, ma o nā pila a i ʻole nā ​​​​ʻano hana ʻē aʻe. He mea kēia āu e hana ai no ke koena o kou ola.

• Corticosteroids: Hāʻawi ʻia nā lāʻau lapaʻau e like me ka hydrocortisone e pani i ka hormone ACTH i hoʻemi ʻia.
• ʻO ka hormone thyroid: Hiki i nā papa Thyroxine (levothyroxine) ke hoʻoponopono i ka hemahema TSH.
• Nā hormones wahine: Hiki i ka Estrogen a me ka progesterone ke kōkua i ka hoʻoponopono ʻana i ke kaʻina hana menstrual o kēlā me kēia mahina.
• Nā hormones ulu: Kōkua kēia i ka mālama ʻana i ka ikaika o nā ʻiʻo a me ka iwi.

ʻO ka maʻamau, mālama ʻia kāu lāʻau e kahi endocrinologist, nāna e hoʻāʻo i kou koko i nā manawa maʻamau a hoʻoponopono i kāu dosage hormone i kāu mau pono kikoʻī.

Aia kekahi mau manawa e pono koke ai ʻoe e hele i ETU?

ʻAe, he mea nui loa kēia. Inā loaʻa iā ʻoe ke kūlana i kapa ʻia ʻo Adrenal Crisis a mākou i kamaʻilio ai ma mua, hiki ke hoʻoweliweli i ke ola. No laila, pono ia i ka mālama ʻana i ka pilikia. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• ʻEha poʻo , ʻike maka pohihihi
• ʻEha ma ka ʻōpū, ka umauma lalo, a i ʻole ke kua
• kuni
• Nāwaliwali koʻikoʻi
• Ka luaʻi a me ka luaʻi
• Ka huikau a i ʻole ka nalowale o ka ʻike

Inā ʻike kāu kauka iā ʻoe me Sheehan Syndrome, hiki iā lākou ke aʻo aku iā ʻoe e komo i kahi kūpeʻe lima makaʻala lapaʻau e loaʻa koke ai ka mālama ʻia i ka wā o kahi pilikia e like me kēia.