Naute i neih hnua i taksain chau leh danglam taka a inhriat hi thil pangngai a ni. Nu thar i nih angin thil sangkhatah i buai a ni mai thei. Mahse, chutih lai chuan, naupai harsa i tih a nih chuan, i period a intan leh tawh lo a nih chuan, emaw, i taksa chu mak tak maiin a tlahniam a nih chuan, "hei hi nu thar tan chuan hetiang hi a ni mai" tiin hnawl mai suh. Nau neih laia harsatna awm avanga natna awm lo tak a ni thei. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a ni.
A awlsam zawngin, Sheehan Syndrome hi eng nge ni?
Sheehan Syndrome hi a awm lo hle a, nau neih laiin thisen a chhuak nasa lutuk thin. I thluak bul hnaia awm gland te tak te, pituitary gland an tih chu a nghawng a ni.
He pituitary gland hi kan taksa hormone system ‘master gland’ angin han ngaihtuah teh. Taksa chhunga gland dangte hnenah, "Okay, tunah chuan he hormone hi i siam chhuak ta," "Chu hormone chu i siam chhuak ta" tia hrilhtu kha a ni. Chuvangin he ‘boss’ hian hna a thawk tha lo a nih chuan hormonal system pumpui hi a kal lo thei vek a ni.
Naupai lai hian he pituitary gland hi a lian deuh deuh thin. Nau neih lai hian eng emaw vanga thisen i chhuah tam lutuk emaw, i thisen sang a tlahniam lutuk emaw a nih chuan he gland lian tak hian a mamawh oxygen a hmu lo. Thlai chu tui a tlakchham laiin a lo hring ang bawkin, oxygen a tlakchham chuan he gland chhunga tissue thenkhat hi a chhe vek a, an thi thin. Chu chu Sheehan Syndrome , a nih loh leh nau neih hnua hypopituitarism kan tih chu a ni.
Pituitary gland a chhiat chuan eng nge thleng thin?
‘Boss’ hian hna a thawh loh avangin a thununna hnuaia gland dangte pawh a thawk tha lo hle. Chumi awmzia chu kan taksa tana pawimawh hormone engemaw zat siam chhuah chu a tlahniam emaw, a tawp vek emaw tihna a ni. Hei hian i taksaah thil tam tak a nghawng thei a ni. Heng hormone te hi eng nge an tlahniam tih leh an chunga thil thlengte hi han thlir ila.
| Hormone a ni | Taksaah chanvo a nei |
|---|---|
| Prolactin (Prolactin - PRL) tih hi a tha hle. | Naute chawm turin nu hnute siam chhuahna a tichak. |
| Luteinizing hormone (LH) leh follicle-stimulating hormone (FSH) te a awm bawk. | Thla tin thlasik hun leh ovulation te an tidanglam a, naupai lehna atana pawimawh tak a ni. |
| Thyroid tichaktu hormone (TSH) . | Kawr chhunga thyroid gland chu a tichak a, taksa insiamthatna, chakna leh nervous system control tu hormone a siam chhuak thin. |
| Adrenocorticotropic hormone (ACTH) hmanga tihdam theih a ni. | Taksain stress a neih hian cortisol tih hormone siam chhuah a pui a, chu chuan a tuar thei a ni. Thisen sang leh sugar level control nan pawh a pawimawh hle. |
| Hmasawn theihna Hormone (GH) 1.1. | Ruh density, muscle mass, leh taksa thau distribution te vawng reng turin a pui. |
Sheehan Syndrome natna lan chhuah dan chu engte nge ni?
Hemi chungchanga thil danglam bik chu mi thenkhat tan chuan nau an pai hnuah symptoms a lang nghal mai thin. Mi dangte tan chuan thla tam tak hnuah pawh a lan chhuah tan a, kum tam tak hnuah pawh a lang tan a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
Hengte hi a tlangpuiin a lan chhuah dan chu a ni:
- Nau hnute pek harsatna emaw, nau neih hnua hnute in tlakchhamna emaw hi a chhinchhiahna hmasa ber pakhat a ni.
- Thlai chawlh (amenorrhea) emaw a mumal lo emaw.
- Feeling unusually tired , nunna nei lo, leh engmah ngaihtuah thei lo.
- Thisen sang hniam .
- Mipat hmeichhiatna lama duhna a tlahniam.
- Armpit leh private area-a sam tlakchham leh hnute tihtlem.
- Vun a vawt.
- Vaginal atrophy hi vaginal walls te a ti thim a, a vawt a, inpawlna a ti na hle.
A châng chuan, taksain stressor lian tak, operation emaw, infection emaw a neih hma loh chuan symptoms a lang lo thei. Chutiang hunah chuan taksain stress hormone (cortisol) a tlakchham avangin natna lan chhuahna na tak a nei nghal thei a ni. Hei hi ‘Adrenal Crisis’ an ti a, damdawi lam emergency a ni.
Hetiang dinhmun hi tute nge hlauhawm zawk?
Tunlai hian Sheehan Syndrome hi a tlem hle. A chhan chu kan damdawi in te hian nau neih laiin thisen chhuah tam lutuk ang chi emergency enkawl dan tur kawng hmasawn tak tak an nei a ni. Mahse, nau neih laiin thisen chhuah tam lutuk theihna dinhmun thenkhat a awm. Chutiang hunah chuan he natna hi a hlauhawmna tlem a awm thei.
- Twins leh triplets neih.
- Nausen rihna a pung lutuk (nausen pianpui rihna sang).
- Nausen hnute (placental abruption) a awm.
- Placenta previa (nausen pum chhunga nausen awmna hniam).
- Naupai laiin thisen sang (Preeclampsia).
- Instrumental hmanga pek chhuah (forceps emaw vacuum hmanga lakchhuah emaw).
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms te hi i doctor hnena i kal chuan he natna hi an rinhlelh chuan test eng emaw zat a nei ang.
1. I medical history sawi: I doctor chuan, "Naute i neih lai khan thisen i chhuak nasa em?", "Naute i hnute i pe thei em?", "I period a intan leh em?" I rilru put hmang zawng zawng chiang taka sawifiah a pawimawh hle.
2. Thisen test: I thisen sample lak a ni a, pituitary gland-in a control hormone (TSH, cortisol, FSH, LH ang chi) level a enfiah thin.
3. Imaging test: A chang chuan MRI (Magnetic Resonance Imaging) scan hmangin a chhan dang, pituitary tumor ang chi te enfiah theih a ni.
Hei hi eng enkawlna nge ni?
He thu i hriat hian hlauthawng suh. Sheehan Syndrome hi a enkawl dan tha tak a ni. Hei hi enkawl dan chu hormone replacement therapy a ni.
A awlsam zawngin, i taksain tuna a siam loh hormone pek hi a ni a, chu chu pill emaw, hmanraw dang emaw hmanga pek a ni. Hei hi i dam chhung zawnga i tih tur a ni.
- Corticosteroids: ACTH hormone tlahniam thlak nan damdawi hydrocortisone ang chi pek a ni.
- Thyroid hormone: Thyroxine (levothyroxine) tablet hian TSH tlakchhamna a siam tha thei.
- Sex hormone: Estrogen leh progesterone te hian thla tin thlasik hun chhung a tidanglam thei a ni.
- Growth hormones: Hengte hian taksa ruh leh ruh chakna vawng reng turin a pui a ni.
I enkawlna hi endocrinologist-in a enkawl tlangpui a, ani chuan i thisen chu a hun takah a test ang a, i hormone dose chu i mamawh dik tak angin a siamrem ang.
ETU-a kal nghal mai ngai hun a awm em?
Ni e, hei hi a pawimawh hle. Kan sawi tawh ang khan Adrenal Crisis an tih hi i tawng a nih chuan nunna atana hlauhawm tak a ni thei. Chuvangin emergency treatment a ngai a ni. A hnuaia symptoms te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal tur a ni.
- Lu na , mit hmuhna fiah lo
- Pum, rilru hnuai lam emaw, hnungzang emaw a na
- Khawsik
- Chak lohna nasa tak
- Nausea leh luak chhuak
- Buaina emaw, hriatna hloh emaw
I doctor chuan Sheehan Syndrome a vei tih a hriat chuan hetiang emergency a lo thlen chuan enkawl vat theih nan medical alert bracelet vuah turin an fuih thei bawk che a ni.
Take-Home Thuchah a ni
- Sheehan Syndrome hi nau neih laia thisen chhuah tam lutuk avanga pituitary gland chhiat avanga natna awm lo tak a ni.
- Naupai harsatna, naupai loh, leh hah lutuk ang chi symptoms te chu fimkhur rawh. Hengte hi ngaihthah mai mai suh.
- Hei hi dam chhung zawnga hormone therapy hmanga control tha tak a ni. Enkawlna dik tak i neih chuan nun pangngai tak i hmang thei ang.
- Hemi chungchangah hian rinhlelhna i neih chuan i doctor nen zalen taka inbiakna neih hi hlau suh. I mamawh kaihhruaina a pe ang che.











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