Ua ʻike anei ʻoe i ka maʻi Sheehan, hiki ke kū ma hope o ka hānau ʻana?

Ke hoʻomanaʻo nei ʻoe i ke ʻano o kā mākou kamaʻilio ʻana e pili ana i kekahi manawa i ʻike ai nā makuahine i nā hōʻailona ʻē ma hope o ka hānau ʻana? Malia paha ʻaʻole lākou e hana i ka waiū lawa no kā lākou pēpē, ua pau koke ko lākou mau wā, a ua luhi loa lākou i ka lā a pau. ʻAʻole kēia he mau mea wale nō, hiki i kekahi manawa ke lilo i hopena o nā pilikia i ka wā hānau. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana hānau kakaikahi akā koʻikoʻi loa e pono ai nā mea a pau e makaʻala.

He aha ka maʻi Sheehan?

I ka ʻōlelo maʻalahi, ʻo ka Sheehan Syndrome kahi maʻi kakaikahi e hoʻopilikia i kāu pituitary gland . Hana ia i ka wā e kahe nui ai ke koko i ka wā hānau, ʻo ia hoʻi ka nui o ke koko e nalowale ana mai ke kino. E noʻonoʻo e pili ana i ia mea, ʻo kāu pituitary gland he gland liʻiliʻi akā koʻikoʻi loa ma ke kumu o ka lolo. Kāhea mākou iā ia ʻo "master gland" no ka mea hana ia i nā hormones e kāohi i nā kaʻina hana koʻikoʻi he nui i loko o ke kino, a haʻi pū ia i nā glands ʻē aʻe e hana i nā hormones. No laila, i ka wā e kahe nui ai ke koko i ka wā hānau, ʻaʻole loaʻa i kēia pituitary gland ka nui o ka oxygen e pono ai. E like me ka make ʻana o ka lāʻau me ka wai ʻole, i ka wā e hele ai me ka ʻole o ka oxygen, make kekahi o nā ʻiʻo i loko o ka pituitary gland. Piʻi iki kēia pituitary gland i ka wā hāpai, no laila ʻoi aku ka nui o ka hōʻino ʻia. Ke hōʻino ʻia ka pituitary gland ma kēia ʻano, hiki iā ia ke hoʻopilikia i nā ʻōnaehana like ʻole i loko o ke kino, e like me ka lolo, ka ʻōnaehana hānau, nā ʻiʻo, ka ʻili, ka ikehu, a me ka psyche. Ua kapa ʻia kēia Sheehan Syndrome ʻo 'postpartum hypopituitarism' a i ʻole 'postpartum pituitary necrosis'.

He aha ka mea e hana ʻia i ke kino me ka maʻi Sheehan?

Ke hōʻino ʻia ka pituitary gland, nalowale kona hiki ke hana i kekahi mau hormones koʻikoʻi e pono ai ke kino. Eia lākou:

• ʻO ka hormone Adrenocorticotrophic (ACTH): Hoʻoulu kēia i ka hana ʻana o ka cortisol, ka hormone koʻikoʻi nui o ke kino. ʻO ka Cortisol kahi hormone e hoʻoponopono i ke koko, nā pae kō koko, a kōkua i ke kino e hoʻomanawanui i ke kaumaha.
• ʻO ka hormone hoʻoulu thyroid (TSH): Hoʻoulu kēia i ka ʻōpū thyroid . Hoʻoponopono ka thyroid i ka metabolism, ka ikehu, a me ka ʻōnaehana nerve.
• ʻO ka hormone ulu (GH): Kōkua i ka mālama ʻana i ka nui o ka iwi, ka nui o nā ʻiʻo, a me ka hoʻolaha ʻana o ka momona.
• ʻO ka hormone hoʻouluulu Follicle (FSH): Hoʻoulu i ka hana ʻana o ka estrogen i loko o nā ovaries, a hoʻoulu i ka hua manu e oʻo i kēlā me kēia mahina.
• ʻO ka hormone Luteinizing (LH):Kōkua ia i ka ovulation, ʻo ia hoʻi ka hoʻokuʻu ʻia ʻana o kahi hua manu mai nā ovaries.
• Prolactin (PRL): Hoʻoulu i ka hana waiū i ka wā hāpai a hiki i ka pēpē ke hānai waiū.

No laila hiki paha iā ʻoe ke hoʻomaopopo inā nele kekahi o kēia mau hormones, ʻaʻole e hana pono ka hana kūpono i loko o ke kino.

Pehea ka maʻamau o kēia kūlana?

Me nā lāʻau lapaʻau hou, he maʻi laha ʻole ka Sheehan Syndrome. Loaʻa ia ma kahi o 5 o kēlā me kēia 100,000 hānau ʻana. Eia nō naʻe, ʻoi aku ka maʻamau ma nā wahi i nele ai ka mālama olakino ulia pōpilikia e pale aku i ke kahe nui ʻana o ke koko i ka wā hānau.

He aha nā hōʻailona o kēia?

Hiki ke ʻike koke ʻia nā hōʻailona o ka maʻi Sheehan i kekahi manawa , ʻo ia hoʻi, ma hope koke iho o ka hānau ʻana o ka pēpē. Eia nō naʻe, i kekahi manawa hiki ke ʻike mālie ʻia kēia mau hōʻailona, ​​​​ma nā mahina a i ʻole nā ​​​​makahiki . ʻO nā hōʻailona nui e ʻike ʻia:

• Ka paʻakikī i ka hānai ʻana i ka waiū a i ʻole ka nele o ka waiū e komo mai ma hope o ka hānau ʻana o ke pēpē.
• Ka pau piha ʻana o ka menstruation o kēlā me kēia mahina ( amenorrhea ) a i ʻole ke ʻano hewa ʻole.
• Lilo nā paia o ka ʻōpū i lahilahi a maloʻo ( vaginal atrophy ), kahi e hiki ai ke hoʻomāʻeha i ka moekolohe.
• Ka emi ʻana o ka umauma a me ka hāʻule ʻana o ka lauoho ma nā ʻēheu a me nā wahi pilikino.
• Luhi nui , ikaika haʻahaʻa, a me ka paʻakikī i ka noʻonoʻo ʻana.
• Ua emi ka makemake i ka moekolohe.
• Ke koko haʻahaʻa.
• ʻIli maloʻo.

ʻO ka mea nui, i kekahi manawa ʻaʻohe ou hōʻailona nui a laila ʻike koke ʻoe i kahi mea hoʻoluhi nui i kou ola - no ka laʻana, ke ʻoki kino, kahi maʻi nui, a i ʻole kahi ulia - a ʻaʻole lawa ka cortisol i kou kino e hoʻoponopono ai iā ia, e alakaʻi ana i nā hōʻailona. Ua kapa ʻia kēia he pilikia adrenal . He kūlana hoʻoweliweli ola kēia e pono ai ke kōkua koke ʻia e ke kauka.

No ke aha e kū mai ai ka maʻi Sheehan?

ʻO ke kumu nui o kēia, ʻo ia ke kahe nui ʻana o ke koko i ka wā hānau keiki . E like me kaʻu i ʻōlelo ai ma mua, hoʻonui ʻia ka pituitary gland i ka wā hāpai, i kekahi manawa pālua ka nui. ʻOi aku ka maʻalahi o ka nele o ka oxygen, ʻoiai inā he nui ke kahe ʻana o ke koko a i ʻole ka emi koke ʻana o ke koko. Ke nele ka oxygen, ua hōʻino ʻia nā cell i loko o ka pituitary gland. ʻO ka hopena, ʻaʻole hiki i ka pituitary gland ke hana i nā hormones lawa e kāohi i nā hana like ʻole i loko o ke kino. Hiki i kēia mau hemahema hormone ke hana i ka ʻōnaehana hānau a me ka ʻōnaehana nerve e hana maikaʻi ʻole a i ʻole e oki loa.

He mea kēia i loaʻa mai nā hanauna mai?

ʻAʻole. ʻAʻole ʻo ka maʻi Sheehan kahi maʻi i hoʻoilina ʻia mai kou mau mākua mai.

ʻEhia ka nui o ke koko e pono ai e hoʻoweliweli i kēia kūlana?

ʻO ka maʻamau, ʻo ka pilikia o ka loaʻa ʻana o ka maʻi Sheehan e hoʻonui wale ʻia inā loaʻa iā ʻoe kahi nalowale koko e hoʻoweliweli i ke ola, kahi emi nui o ke koko, a me ka haʻalulu. Eia nō naʻe, no ka mea ua mākaukau kāu hui lapaʻau no kēia mau pilikia, ua emi loa kēia pilikia i kēia manawa.

He aha nā kumu pilikia?

Ua ʻike mākou i kēia manawa ʻo ka maʻi Sheehan wale nō ke loaʻa ka nui o ke kahe koko i ka wā hānau a hāʻule ke koko i lalo loa. No laila, ʻo nā kūlana e hoʻonui ai i ka pilikia o ke kahe koko nui i ka wā hānau e hoʻonui pū i ka pilikia o ka maʻi Sheehan. ʻO ia mau kūlana:

• Ka hānau ʻana i nā keiki he nui (e like me nā māhoe, nā māhoe ʻekolu).
• Ka hānau ʻana i kahi pēpē i ʻoi aku ka nui ma mua o ka maʻamau.
• Ka hoʻopau ʻana o ka placenta .
• Placenta previa (placenta haʻahaʻa ).
• Ke koko kiʻekiʻe i ka wā hāpai ( preeclampsia ).
• Ka hāʻawi ʻana i nā mea hana (e like me ka forceps a i ʻole ka vacuum extraction ).

He aha nā pilikia o ka maʻi Sheehan?

Inā hoʻoulu ka maʻi Sheehan i kahi pilikia adrenal ma hope o ke ola, hiki ke hoʻoweliweli i ke ola. Eia kekahi, hiki i nā pilikia ʻē aʻe o kēia ʻano ke komo pū me:

• Ke koko haʻahaʻa.
• ʻO ka pohō o ke kaumaha o ke kino a i ʻole ka nui o nā ʻiʻo.
• Ka menstruation kūpono ʻole a i ʻole ka pilikia o ka hāpai hou ʻana.

Akā, mai hopohopo, hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele a pale paha i kēia mau pilikia me ka mālama kūpono.

Pehea ʻoe e ʻike ai i kēia?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi Sheehan, hiki i kāu kauka ke hoʻohana i kēia mau mea e ʻike ai i ke kūlana:

• Mōʻaukala lapaʻau: E nīnau kāu kauka e pili ana i kekahi kahe koko nui ma mua a i ʻole nā ​​​​pilikia ʻē aʻe āu i loaʻa ai i kou wā hāpai. Pono nō hoʻi ʻoe e kamaʻilio e pili ana i kekahi mau hōʻailona āu i loaʻa ai ma hope o ka hānau ʻana (no ka laʻana, ka paʻakikī i ka hānai ʻana i ka waiū, a i ʻole ka hala ʻana o ka wā). E maopopo e pili ana i kāu mau hōʻailona o kēia manawa, pehea ka lōʻihi o ko lākou noho ʻana, a me kāu mea e hana ai e hoʻomaikaʻi a ʻoi aku paha ka maikaʻi.
• Nā hoʻāʻo koko: Lawe ʻia kahi hāpana o kou koko a nānā ʻia nā pae o nā hormones e pili ana i ka hana o ka pituitary gland.
• Nā hoʻāʻo kiʻi: Hiki i kahi scan MRI (Magnetic Resonance Imaging) ke kāpae i nā kumu ʻē aʻe o kāu mau hōʻailona (no ka laʻana, kahi puʻupuʻu pituitary). Inā ʻaʻole maopopo nā hopena MRI, hiki ke hana ʻia kahi scan CT (Computed Tomography scan) .

He aha nā hoʻāʻo koko e hoʻohana ʻia no ka ʻike ʻana?

Hiki i ke kauka ke hoʻāʻo pololei i kāu mau pae hormone, a i ʻole e nānā paha lākou i ke ʻano o ka pane ʻana o kāu gland pituitary i kahi mea hoʻonāukiuki.

• Ka Hoʻāʻo ʻana i ka Pae Hormone: Hiki ke nānā ʻia nā pae hormone e like me ACTH, FSH, LH, TSH, T4, estradiol (kahi ʻano estrogen), IGF-1, a me cortisol.
• Nā hoʻāʻo hoʻoulu: Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau a i ʻole injection e hoʻoulu i kekahi mau hormones i hana ʻia e ka pituitary gland a loiloi pehea e pane ai ka pituitary gland iā ia.

Pehea e mālama ʻia ai?

No ka mālama ʻana i kēia maʻi, pono ʻoe e lawe i nā hormones no ke koena o kou ola . ʻO ia hoʻi, e hāʻawi kou kino iā ʻoe i nā hormones i hana ʻole ʻia. Ua kapa ʻia hoʻi kēia he hormone replacement therapy . ʻO nā ʻano hormones āu e pono ai, ka nui, a pehea ʻoe e lawe ai iā lākou e ʻokoʻa ma muli o kāu hōʻailona a me nā hōʻailona. Hiki i kēia mau hormones ke komo pū me:

• Nā hormones moe: Hiki ke lawe ʻia ka Estrogen a me ka progesterone e hoʻoponopono i kou wā mahina a kōkua i nā hōʻailona o ka menopause mua. Kōkua nā hormones e like me LH a me FSH me ka ovulation, hiki ke kōkua iā ʻoe e hāpai hou.
• Corticosteroids: Hiki iā ʻoe ke lawe i ka hydrocortisone a i ʻole prednisone e mālama i ka hemahema o ACTH. Pono paha e hoʻoponopono ʻia kāu mahele o kēia mau hormones inā ʻoe ma lalo o ke kaumaha nui (e like me ke ʻoki ʻana) no ka mea pono kou kino e hana i ka cortisol hou aʻe.
• Nā hormones thyroid: Hiki ke hoʻohana ʻia ʻo Levothyroxine (e.g., Synthroid®, Levoxyl®) no ka hemahema TSH. E hoʻoponopono ʻia ka nui o kēia lāʻau lapaʻau ma muli o kou pae hormone thyroid.
• Nā hormones ulu: ʻO ka lawe ʻana i nā hormones ulu e hiki ke kōkua i ka mālama ʻana i ka nui o ka ʻiʻo a me ka nui o ka iwi.

I ka hapanui o nā hihia, e mālama ʻia ʻoe e kahi endocrinologist , he kauka loea i nā hormones. E hana pū ʻo ia i nā hoʻokolohua maʻamau e hōʻoia i kou pae hormone i loko o kahi pae olakino.

Hiki ke pale ʻia ka maʻi Sheehan?

ʻAʻole, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i ka Sheehan Syndrome. Hiki i kāu hui lapaʻau ke kāohi wale i ke kahe koko a me ke koko i ka wā hānau. Akā e hoʻomanaʻo, he maʻi laha ʻole ka Sheehan Syndrome. ʻO ka loaʻa ʻana o kahi hui lapaʻau akamai e hiki ke pale i nā pilikia e like me ke kahe koko nui i ka wā hānau e hōʻemi nui i kou pilikia o ka loaʻa ʻana o kēia maʻi.

He aha ka mea e hana inā loaʻa iaʻu ka maʻi Sheehan?

Me ka mālama kūpono, hiki i ke kanaka me ka maʻi Sheehan ke manaʻo i kahi ho'ōla maikaʻi loa.ʻAʻole loaʻa i ka hapa nui o ka poʻe nā pilikia koʻikoʻi. Me ka nānā pono ʻana e ka hui lapaʻau, ua hiki i kekahi poʻe ke hāpai pono ma hope o ka hōʻoia ʻana. Pono ʻoe e ʻike pinepine i kāu endocrinologist e hōʻoia i ka loaʻa ʻana o nā lāʻau lapaʻau kūpono e hoʻoponopono ai i nā hemahema hormonal. ʻO nā hoʻāʻo koko maʻamau e nānā i kāu mau pae hormone kekahi ʻāpana o kēia mālama hahai.

He aha ke kūlana o ke ola o kekahi kanaka me ka hypopituitarism?

Inā loaʻa iā ʻoe ka maʻi Sheehan, ʻaʻole e loli kou manaʻolana ola. ʻOiai e pono ana ʻoe i ka lāʻau lapaʻau no ke ola holoʻokoʻa, hiki iā ʻoe ke manaʻo i kahi manaʻolana ola maʻamau.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi Sheehan, ʻoiai inā ua nui ke kahe koko i ka wā hānau keiki , e ʻike koke i ke kauka. Hiki i kāu kauka ke hana i nā hoʻokolohua e hoʻoholo ai inā loaʻa iā ʻoe kēia maʻi.

Āhea wau e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe nā hōʻailona o kahi pilikia adrenal , pono ʻoe e hele koke i ka lumi pilikia. Hiki i kēia ke hoʻoweliweli i ke ola inā ʻaʻole mālama ʻia. ʻO kēia mau hōʻailona:

• Ke poniuniu nei, me he mea lā e nalowale ana kou ʻike.
• ʻEha nui ma ka ʻōpū, ka umauma lalo, a i ʻole ke kua.
• Kuni.
• Kino ola ʻole.
• Ka luaʻi a me ka luaʻi.
• Ka huikau a i ʻole ka nalowale o ka ʻike.

Inā manaʻo kāu kauka ua pilikia ʻoe, e noi paha lākou iā ʻoe e komo i kahi kūpeʻe lima makaʻala lapaʻau e loaʻa ai ka mālama wikiwiki i ka wā o kahi pilikia.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• Pehea ka hopena o ka maʻi Sheehan i koʻu kino?
• Pehea e hoʻomaikaʻi ai ka lāʻau lapaʻau i koʻu mau hōʻailona?
• Hiki iā ʻoe ke hāpai me ka maʻi Sheehan?
• ʻEhia pinepine e pono ai iaʻu e hana i nā hoʻāʻo koko?
• He aha nā lāʻau lapaʻau a i ʻole nā ​​​​​​lāʻau lapaʻau āu e ʻōlelo nei?

Hiki i ka hōʻino ʻana i ka pituitary gland ke hoʻopilikia i nā kaʻina hana kino he nui e hilinaʻi nei i nā pae hormone olakino. Hiki i ka lāʻau hoʻololi hormone ke kōkua i ka hoʻoponopono ʻana i kekahi o nā hopena o ka hemahema hormone. E kamaʻilio me kāu kauka e pili ana i ka hopena o ka maʻi Sheehan i kou nohona a me ke olakino holoʻokoʻa. Eia kekahi, e kūkākūkā i ka pinepine o kāu kauka e nānā i kāu mau pae hormone e hōʻoia i ka loaʻa ʻana o nā lāʻau lapaʻau kūpono no kou olakino.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He maʻi laha ʻole ka maʻi Sheehan i hoʻokumu ʻia e ka hōʻino ʻia ʻana o ke kelepa pituitary ma muli o ke kahe nui ʻana o ke koko i ka wā hānau. Hiki i kēia ke alakaʻi i nā hemahema hormone like ʻole, a me nā hōʻailona e like me ka paʻakikī i ka hānai waiū, ka pau ʻana o ka menstruation, a me ka luhi nui.

ʻO ka mea maikaʻi loa, hiki ke mālama pono ʻia kēia kūlana me ka lāʻau lapaʻau hormone no ke ola holoʻokoʻa a hiki ke hoʻokō ʻia ke ola maʻamau.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoiai inā ua loaʻa iā ʻoe nā pilikia i ka wā hānau keiki, he mea nui loa ia e ʻimi i ke aʻo lapaʻau. Inā ʻike mua ʻia, hiki iā ʻoe ke hoʻomaka i ka lāʻau a noho olakino.

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ʻO ka maʻi Sheehan, ka pituitary gland, ka hānau ʻana, ke kahe ʻana o ke koko, nā hormones, ke olakino wahine, ka mālama postpartum