Kei te rongo anō koe i ēnei huringa i muri i te whānautanga? Me kōrero tātou mō te Mate Sheehan!

He mea noa te ahua ngenge me te rerekē o te tinana i muri i te whānautanga o te pēpi. Hei whaea hou, he mano ngā mea pea kei te pukumahi koe. Engari i tēnei wā, ki te mea he uaua ki a koe te whāngai ū, kāore anō kia tīmata anō tō paheketanga, he ahua puhoi rānei tō tinana, kaua e whakakore noa i te mea "pēnei tonu te āhua o ngā whaea hou." He mate onge pea tēnei nā te raruraru i te wā e whānau ana. I tēnei rā, kei te kōrero tātou mō tētahi o aua mate.

He aha te tikanga o te mate Sheehan?

He tino onge te mate Sheehan e puta ai te toto nui i te wā e whānau ana. Ka pā ki tētahi repe iti kei te pūtake o tō roro e kiia nei ko te repe pituitary.

Whakaarohia tēnei repe pituitary hei 'repe matua' o te pūnaha homoni o tō tātou tinana. Koinei te mea e kī ana ki ētahi atu repe o te tinana, "Āe, ko koe tēnei homoni e whakaputa ana," "Ko koe taua homoni e whakaputa ana." Nō reira, ki te kore tēnei 'rangatira' e mahi tika ana, ka pōrearea te pūnaha homoni katoa.

I te wā e hapu ana, ka paku nui haere tēnei repe pituitary. I te wā e whānau ana, mēnā he nui rawa te toto e totohu ana, he iti rawa rānei te toto e heke ana, kāore tēnei repe nui e whiwhi i te nui o te hāora e hiahiatia ana. Pērā i te maroke o te tipu ina kore he wai, ina kore he hāora, ka pakaru ētahi o ngā kiko o tēnei repe, ka mate. Koinei te mea e kiia nei e tātou ko te Sheehan Syndrome , ko te postpartum hypopituitarism rānei.

Ka aha mēnā ka pakaru te repe pituitary?

Nā te mea kāore te 'rangatira' e mahi ana, kāore hoki ngā repe kē atu i raro i tana mana e mahi tika ana. Ko te tikanga o tēnei, kua iti haere, kua mutu katoa rānei te hanga o ētahi homoni e tika ana mō tō tātou tinana. Ka pā pea tēnei ki ngā āhuatanga maha o tō tinana. Me titiro tātou ki ngā mea e heke haere ana ēnei homoni, me ngā mea e pā ana ki a rātou.

He aha ngā tohu o te mate Sheehan?

Ko te mea motuhake mō tēnei, mō ētahi tāngata, ka puta tonu mai ngā tohu i muri i te whānautanga. Mō ētahi atu, ka tīmata te puta mai o ngā tohu i roto i ngā marama, tae atu ki ngā tau i muri mai. Nō reira, he mea tino nui kia mōhio ki tēnei.

Koinei ngā tohu ka kitea whānuitia:

• Ko te uaua ki te whāngai ū , te kore rānei o te waiū i muri i te whānautanga tētahi o ngā tohu tuatahi.
• Te mutunga o te paheketanga (amenorrhea) me tōna āhua koretake rānei.
• Te ngenge rawa , te kore ora, ā, kāore e taea te aro ki tetahi mea.
• Te toto toto iti .
• Te hekenga o te hiahia moepuku.
• Te ngaro o te huruhuru i ngā kēkē me ngā wāhi tūmataiti, me te mimiti o ngā ū.
• Kiri maroke.
• Ko te mimiti o te tara he āhuatanga e angiangi ai, e maroke ai ngā pakitara o te tara, ka mamae ai te moe tāne.

Ko wai kei te nui ake te mōrearea mō tēnei mate?

He tino onge te mate Sheehan Syndrome i ēnei rā. Nā te mea he tikanga matatau ā mātou hōhipera hei whakahaere i ngā āhuatanga ohorere pēnei i te toto nui i te wā whānau. Heoi, tera ētahi āhuatanga ka puta te toto nui i te wā whānau. I roto i ēnei āhuatanga, tera pea he iti noa te mōrearea o tēnei mate.

• Te whānautanga o ngā māhanga me ngā tamariki tokotoru.
• He nui rawa te taumaha o te pēpi i te whānautanga (he pēpi taumaha nui).
• Te pakaru o te placenta.
• Te tūnga iti o te whenua i roto i te kōpū (te placenta previa).
• Te toto toto tiketike i te wā e hapu ana (Preeclampsia).
• Te tukunga taputapu (te unuhanga i te pūwero, te tango korehau rānei).

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te kite i tō tākuta mō ēnei tohu, ka whakahaerehia e ia ētahi whakamātautau mēnā e whakapae ana rātou kei a koe tēnei mate.

1. Te kōrero mō tō hītori hauora: Ka pātai atu tō tākuta ki a koe i ētahi pātai pēnei i te, "I nui te toto i puta i a koe i te whānautanga o te pēpi?", "I taea e koe te whāngai i te pēpi ki te ū?", "I tīmata anō tō paheketanga?" He mea nui kia mārama te whakamārama i ngā mea katoa e pā ana ki a koe.

2. Ngā whakamātautau toto: Ka tangohia he tauira o tō toto hei tirotiro i ngā taumata o ngā homoni e whakahaerehia ana e te repe pituitary (pērā i te TSH, cortisol, FSH, LH).

3. Ngā whakamātautau whakaahua: I ētahi wā ka mahia he matawai MRI (Magnetic Resonance Imaging) hei tirotiro i ētahi atu take, pērā i te pukupuku pituitary.

He aha ngā maimoatanga mō tēnei?

Kaua e mataku ina rongo koe i tēnei. He mate te mate Sheehan ka taea te whakahaere pai. Ko te rongoā mō tēnei ko te rongoā whakakapinga homoni.

He whakarāpopototanga noa iho, ko te hoatu i ngā homoni kāore e hangaia ana e tō tinana i tēnei wā, mā roto i ngā pire, i ētahi atu tikanga rānei. He mea tēnei māu e mahi mō te toenga o tō oranga.

• Corticosteroids: Ka hoatu ngā rongoā pēnei i te hydrocortisone hei whakakapi i te homoni ACTH kua heke.
• Homoni tairoiti: Ka taea e ngā papa thyroxine (levothyroxine) te whakatika i te ngoikore o te TSH.
• Ngā homoni ira tangata: Ka taea e te estrogen me te progesterone te āwhina i te whakahaere i te huringa paheketanga o ia marama.
• Ngā homoni tipu: Ka āwhina ēnei ki te pupuri i te kaha o te uaua me te wheua.

Ko te tikanga, ka tirotirohia tō maimoatanga e te tākuta endocrinologist, ā, ka whakamātauria e ia ō toto i ngā wā auau, ka whakarerekē hoki i te horopeta o tō homoni kia rite ki ō hiahia.

He wā anō kei te hiahia ohorere koe ki te haere ki te ETU?

Ae, he mea tino nui tēnei. Mēnā ka pāngia koe e te āhuatanga e kiia nei ko te Adrenal Crisis i kōrerotia e tātou i mua ake nei, ka mate pea koe. Nō reira, me whiwhi maimoatanga ohorere. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata.

• Te mamae o te upoko , te tirohanga pōuri
• Te mamae i roto i te puku, te uma o raro, te tuara rānei
• Kirika
• ngoikore nui
• Whakapairuaki me te ruaki
• Te pōhēhē, te ngaro rānei o te māramatanga

Mena ka tātaritatia koe e tō tākuta kei te mate koe i te Mate Sheehan, ka tohutohu pea rātou kia mau koe i tētahi poroporo whakatūpato hauora hei whiwhi maimoatanga wawe tonu mēnā ka puta he āhuatanga ohorere pēnei.