I nɔmal fɔ mek yu bɔdi fil taya ɛn difrɛn afta yu dɔn bɔn pikin. As nyu mama, yu go mɔs bizi wit wan tawzin tin dɛn. Bɔt insay di tɛm, if yu gɛt prɔblɛm fɔ gi pikin bɔbi, yu prɛgnɛshɔn nɔ bigin igen, ɔ yu bɔdi de fil strenj slɔp, nɔ jɔs dismis am as "dis na jɔs aw i de fɔ nyu mama dɛm." I kin bi wan sik we nɔ kin apin so ɔltɛm we kin kam bikɔs ɔf wan kɔmplikeshɔn we dɛn de bɔn pikin. Tide, wi de tɔk bɔt wan pan dɛn kayn tin dɛn de.
Fɔ tɔk am simpul wan, wetin na Sheehan Syndrome?
Sheehan Syndrome na wan sik we nɔ kin apin so ɔltɛm we kin mek yu blɔd bɔku we yu de bɔn pikin. I kin afɛkt wan smɔl gland we de na yu bren we dɛn kɔl di pituitary gland.
Tink bɔt dis pituitary gland as di ‘masta gland’ na wi bɔdi in ɔmon sistɛm. na di wan we de tεl di כda gland dεm na di bכdi se, "Okay, naw yu de prodyuz dis כmon," "Yu de prodyuz da כmon de." So if dis ‘bos’ nכ de wok fayn, di כl כmon sistεm kin go haywire.
we uman bεlε, dis pituitary gland kin big sכmtεm. We yu de bɔn pikin, if fɔ sɔm rizin yu blɔd bɔku ɔ yu blɔd prɛshɔn go dɔŋ tumɔs, dis gland we dɔn big nɔ de gɛt di ɔksijɛn we i nid. Jɔs lɛk aw plant kin dray we i nɔ gɛt wata, we i nɔ gɛt ɔksijɛn, sɔm pan di tisu dɛn na dis gland kin pwɛl ɛn day. Na dat wi kin kɔl Sheehan Syndrome , ɔ postpartum hypopituitarism .
Wetin kin apin we di pituitary gland dɔn pwɛl?
Bikɔs di ‘bɔs’ nɔ de wok, di ɔda gland dɛn we i de kɔntrol nɔ de wok fayn bak. Dis min se di prodakshɔn fɔ bɔku ɔmon dɛn we impɔtant to wi bɔdi kin ridyus ɔ stɔp kpatakpata. Dis kin afɛkt bɔku tin dɛn na yu bɔdi. Lɛ wi tek tɛm luk wetin dɛn ɔmon ya de go dɔŋ ɛn wetin kin apin to dɛn.
| Ɔmon we dɛn kɔl | Di Rol we di Bɔdi De Du |
|---|---|
| Prolaktin (Prolaktin - PRL) . | I de mek di pikin mek di mama in milk fɔ gi di pikin it. |
| di כmon we de mek di luteinizing (LH) εn di כmon we de mek di fכlikul (FSH) . | i de rigul di mכnt mεnstral saykl εn di ovuleshכn, we implεnt fכ gεt bεlε bak. |
| Ɔmon we de mek pɔsin gɛt tayroyd (TSH) . | di tayroyd gland we de na di nεk de wok εn i de mek כmon dεm we de kכntro di bכdi in mεtabolism, εnεji, εn nεv sεstem. |
| Adrɛnokɔtikotropik ɔmon (ACTH) . | We di bɔdi gɛt strɛs, i kin ɛp fɔ mek wan ɔmon we dɛn kɔl kɔtisol, we kin ɛp am fɔ bia wit di prɔblɛm. I impɔtant bak fɔ kɔntrol di blɔd prɛshɔn ɛn di shuga lɛvɛl. |
| Ɔmon we de mek pɔsin gro (GH) . | i de εp fכ mek di bon dεnsiti, di mכsul dεm, εn di bכdi fεt distribushכn. |
Wetin na di sayn dɛm wae de sho se yu gɛt Sheehan Syndrome?
Di spɛshal tin bɔt dis na dat fɔ sɔm pipul dɛn, di sayn dɛn kin apin jɔs afta dɛn bɔn pikin. Fɔ ɔda pipul dɛn, di sayn dɛn kin bigin fɔ sho sɔm mɔnt, ivin sɔm ia afta dat. So, i rili impɔtant fɔ mek wi no bɔt dis.
Dis na di sayn dɛm wae yu kin si in jɛnɛral:
- I nɔ izi fɔ gi pikin in bɛlɛ ɔ we i nɔ gɛt milk afta i bɔn na wan pan di fɔs sayn dɛn.
- Di we aw i de stɔp fɔ gɛt mɔnt (amenorrhea) ɔ we i nɔ de du am ɔltɛm.
- Fɔ fil taya pasmak , nɔ gɛt layf, ɛn nɔ ebul fɔ pe atɛnshɔn pan ɛnitin.
- Lɔw blɔd prɛshɔn .
- Di want fɔ du mami ɛn dadi biznɛs we de go dɔŋ.
- di ia we de lכs na di armpit dεm εn prayvet εria dεm εn di brεst de shrinkage.
- Dray skin.
- di vagina atrophy na wan kכndyushכn we de mek di vagina wכl dεm tכn εn dray, we de mek i fil pen.
Sɔntɛnde, di sayn dɛn nɔ kin apin te di bɔdi gɛt sɔntin we de mek i strɛs, lɛk ɔpreshɔn ɔ infɛkshɔn. Dɛn kayn tɛm ya, di bɔdi kin gɛt siriɔs sik wantɛm wantɛm bikɔs i nɔ gɛt di ɔmon we de mek pɔsin strɛs (kɔtisol). Dɛn kɔl dis ‘Adrenal Crisis’ , ɛn na mɛdikal imejensi.
Udat de pan risk fɔ gɛt dis sik?
Sheehan Syndrome na wan sik wae nɔr kin bɔrku dis tɛm. Bikɔs wi ɔspitul dɛn gɛt advans we fɔ manej imejensi lɛk fɔ blɔd pasmak we dɛn de bɔn pikin. Bɔt sɔm tin dɛn de we kin mek pɔsin blɔd pasmak we i de bɔn pikin. Insay dɛn kayn tin ya, smɔl risk kin de fɔ dis sik.
- Fɔ gɛt twins ɛn tri pikin dɛn.
- di pikin in wet we i de gεt tu mכch (we dεn bכn pikin we i gεt hכy).
- di plasεnta abrupshכn.
- di plasεnta prεvia (lכw posishכn fכ di plasεnta na di uterus).
- di ay blɔd prɛshɔn we uman gɛt bɛlɛ (Preeclampsia).
- Instrumental delivery (fɔs ɔ vaykum ɛkstrakshɔn).
Aw yu go fɛn dis, Dɔktɔ?
We yu go to yu dɔktɔ bɔt dɛn sik ya, i go du sɔm tɛst dɛn if dɛn sɔprayz se i gɛt dis sik.
1. Fɔ tɔk bɔt yu mɛdikal istri: Yu dɔktɔ go mɔs aks yu kwɛstyɔn dɛn lɛk, "Yu bin blɔd bɔku we yu bɔn di pikin?", "Yu bin ebul fɔ gi di pikin in bɛlɛ?", "Yu prɛgnɛshɔn bigin bak?" I rili impɔtant fɔ ɛksplen ɔltin we yu de fil klia wan.
2. Blɔd tɛst: Dɛn kin tek wan sɛmpul pan yu blɔd fɔ chɛk di lɛvɛl dɛn we di ɔmon dɛn we di pituitary gland de kɔntrol (lɛk TSH, kɔtisol, FSH, LH).
3. Imej tɛst: Sɔntɛnde dɛn kin du MRI (Magnetic Resonance Imaging) skan fɔ chɛk fɔ ɔda tin dɛn we kin mek pɔsin gɛt di sik, lɛk di pituitary tumor.
Wetin na di tritmɛnt dɛm fɔ dis?
Nɔ fred we yu yɛri dis. Sheehan Syndrome na wan sik wae dɛn kin mɛn fayn fayn wan. Di tritmɛnt fɔ dis na ɔmon riplesmɛnt tɛrapi.
Fɔ tɔk am simpul wan, na fɔ gi yu bɔdi di ɔmon dɛn we i nɔ de mek naw, ilɛksɛf na bay we yu de yuz pils ɔ ɔda we dɛn. Dis na sɔntin we yu fɔ du fɔ di res ɔf yu layf.
- Kɔtikosterɔyd: Dɛn kin gi mɛrɛsin lɛk haydrokɔtizɔn fɔ tek di ples fɔ di ACTH ɔmon we dɔn go dɔŋ.
- Tayrɔyd ɔmon: Tayrɔksin (lɛvotayroksin) tablɛt kin kɔrɛkt di TSH we nɔ de.
- Sεks כmon dεm: εstrojen εn prכjεstεron kin εp fכ rεgul di mεnstral saykl εvri mכnt.
- Di ɔmon dɛn we de mek pɔsin gro: Dɛn tin ya kin ɛp fɔ mek di mɔsul ɛn bon dɛn kɔntinyu fɔ gɛt trɛnk.
Bɔku tɛm, na wan dɔktɔ we de mɛn yu tritmɛnt na di endokrinɔlɔjis, we go tɛst yu blɔd ɔltɛm ɛn ajɔst di ɔmon dɛn we yu de yuz fɔ di rayt tin we yu nid.
Tɛm de we yu nid fɔ go na ETU wantɛm wantɛm?
Yɛs, dis rili impɔtant. If yu gɛt dis sik we dɛn kɔl Adrenal Crisis we wi bin dɔn tɔk bɔt, i kin mek yu layf de pan denja. So, i nid fɔ gɛt tritmɛnt kwik kwik wan. If yu gɛt ɛni wan pan dɛn sik ya, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu wantɛm wantɛm.
- Ed we de at , we pɔsin nɔ de si fayn
- Pen na di bɛlɛ, di chɛst we de dɔŋ, ɔ di bak
- Fiva
- I kin wik bad bad wan
- Nɔs ɛn vɔmit
- Kɔnfyushɔn ɔ lɔs pan kɔnshɛns
If yu dɔktɔ no se yu gɛt Sheehan Syndrome, dɛn kin advays yu bak fɔ wɛr mɛdikal alert breslɛt fɔ gɛt tritmɛnt kwik kwik wan if ɛnitin apin lɛk dis.
Mɛsej we dɛn kin kɛr go na os
- Sheehan Syndrome na wan sik we nɔ kin apin so ɔltɛm we di pituitary gland dɔn pwɛl bikɔs i de blɔd pasmak we i de bɔn pikin.
- Yu fɔ no bɔt di sayn dɛm lɛk we i nɔ izi fɔ gi pikin in bɛlɛ, we yu nɔ de gɛt bɛlɛ, ɛn we yu taya pasmak. Nɔ jɔs ignore dɛn tin ya.
- Dis na wan sik wae dɛn kin kɔntrol fayn fayn wan wit ɔmon tɛrapi fɔ ɔl yu layf. If yu gɛt di rayt tritmɛnt, yu go ebul fɔ liv nɔmal layf.
- If yu gɛt ɛni dawt bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ opin wan. I go gi yu di gayd we yu nid.
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