E mōhio ana koe ki te mate Sheehan, ka pā mai i muri i te whānautanga?

Kei te maumahara koe ki tā tātou kōrero mō ētahi wā ka pāngia ngā whaea e ngā tohu rerekē i muri i te whānautanga? Tērā pea kāore e nui te waiū e whakaputaina ana e rātou mō tā rātou pēpi, ka mutu ohorere te paheketanga, ka tino ngenge rānei rātou i te rā katoa. Ehara i te mea he mea tūpono noa iho ēnei, engari he hua pea nō ngā raruraru i te wā e whānau ana. I tēnei rā ka kōrero tātou mō tētahi mate whānautanga onge engari he mea tino nui me mōhio te katoa.

He aha te Matepukupuku Sheehan?

I te whakarapopototanga, he mate onge te Mate Sheehan e pā ana ki tō repe pituitary . Ka puta mai ina nui te toto i te wā e whānau ana, arā, he nui te toto e ngaro ana i te tinana. Whakaarohia, he repe iti engari he mea nui tō repe pituitary i te pūtake o te roro. Ka kiia e mātou ko te "repe rangatira" nā te mea ka whakaputa i ngā homoni e whakahaere ana i ngā tukanga nui o te tinana, ā, ka kī atu hoki ki ētahi atu repe kia whakaputa i ngā homoni. Nō reira, ina nui te toto i te wā e whānau ana, kāore tēnei repe pituitary e whiwhi i te nui o te hāora e hiahiatia ana. Pērā i te mate o te rākau me te kore wai, ina kore he hāora, ka mate ētahi o ngā kiko o te repe pituitary. Ka nui haere te repe pituitary i te wā e hapu ana, nō reira he nui ake te tūponotanga ka pakaru. Ina pakaru te repe pituitary i tēnei ara, ka pā ki ngā pūnaha rerekē o te tinana, pērā i te roro, te pūnaha whakaputa uri, ngā uaua, te kiri, te pūngao, tae noa ki te hinengaro. Ka kiia hoki tēnei Mate Sheehan ko te 'postpartum hypopituitarism' te 'postpartum pituitary necrosis' rānei.

He aha te mea ka pa ki te tinana me te mate Sheehan?

Ina pakaru te repe pituitary, ka ngaro tōna kaha ki te whakaputa i ētahi homoni nui e hiahiatia ana e te tinana. Anei ēnei:

• Te homoni adrenocorticotrophic (ACTH): Ka whakaoho tēnei i te hanga o te cortisol, te homoni ahotea matua o te tinana. Ko te cortisol he homoni e whakahaere ana i te toto toto, ngā taumata huka toto, ā, e āwhina ana i te tinana ki te aro atu ki te ahotea.
• Te homoni whakaohooho tairoiti (TSH): Ka whakaoho tēnei i te repe tairoiti . Ka whakahaere te tairoiti i te pākia o te tinana, te pūngao, me te pūnaha io.
• Homoni tipu (GH): Āwhina ki te pupuri i te kiato o te wheua, te papatipu uaua, me te tohatoha ngako.
• Te homoni whakaoho-follicle (FSH): Ka whakaoho i te hanga o te estrogen i roto i ngā ovaries, ā, ka whakapakeke i te hua manu i ia marama.
• Hormone whakapūtā (LH):Ka āwhina i te whakaputanga o te hua manu, arā, te tukunga o te hua manu mai i ngā ovaries.
• Prolactin (PRL): Ka whakaoho i te whakaputanga waiū i te wā e hapu ana, ā, ka taea e te pēpi te whāngai u.

Nō reira, ka mārama pea koe mēnā kāore tētahi o ēnei homoni i te tino tika, kāore e tika te mahi a te tinana.

E hia te auau o tēnei āhuatanga?

He tino onge te mate Sheehan Syndrome i roto i ngā maimoatanga hauora hou. E 5 pea i roto i te 100,000 whānautanga ka puta. Heoi, tera pea ka kitea nuitia i ngā wāhi kāore i te rawaka te tiaki hauora ohorere hei ārai i te toto nui i te wā whānau.

He aha ngā tohu o tēnei?

Ka kitea tonutia ngā tohu o te mate Sheehan i ētahi wā , arā, i muri tata mai i te whānautanga o te pēpi. Heoi, i ētahi wā ka puta mārire ēnei tohu, i roto i ngā marama, i ngā tau rānei . Ko ngā tohu matua ka kitea ko:

• Te uaua ki te whāngai ū , te kore rānei o te waiū e puta mai i muri i te whānautanga o te pēpi.
• Te mutunga katoa o te paheketanga o ia marama ( amenorrhea ) te kore rānei o te paheketanga.
• Ka angiangi, ka maroke ngā pakitara o te tenetene ( te memenge o te tenetene ), ka mamae ai te moe tāne.
• Te mimiti o ngā ū me te ngaro o ngā huruhuru i ngā kēkē me ngā wāhi tūmataiti.
• Ngenge rawa , iti te kaha, me te uaua ki te arotahi.
• Te hekenga o te hiahia moepuku.
• Te toto toto iti.
• Kiri maroke.

He mea nui, i ētahi wā, kāore pea he tohu nui e pā mai ana ki a koe, kātahi ka pāngia koe e te ahotea nui – hei tauira, he pokanga, he mate nui, he aituā rānei – ā, kāore pea i te nui te cortisol i roto i tō tinana hei aro atu ki tēnā, ka puta ai ngā tohu. Ka kiia tēnei he raruraru adrenal . He mate morearea tēnei e hiahia ana kia arohia tonutia e te hauora.

He aha te take ka puta ai te mate Sheehan?

Ko te tino take o tēnei ko te toto nui i te wā e whānau ana . E ai ki taku kōrero i mua ake nei, ka nui haere te repe pituitary i te wā e hapu ana, ā, i ētahi wā ka rua te rahi. Nā tēnei ka ngāwari ake te korenga o te hāora, inā koa mēnā he nui te toto, he hekenga ohorere rānei o te toto toto. Ina kore te hāora, ka pakaru ngā pūtau o te repe pituitary. Nō reira, kāore e taea e te repe pituitary te whakaputa i ngā homoni hei whakahaere i ngā mahi maha o te tinana. Ka taea e ēnei korenga homoni te meinga te pūnaha whakaputa uri me te pūnaha io kia kore e mahi pai, kia mutu rānei.

He mea tēnei nō ngā whakatipuranga?

Kāo. Ehara te mate Sheehan i te mate e tukuna iho ana i ō mātua.

E hia te nui o te toto e ngaro ana hei whakararu i tēnei mate?

I te nuinga o te wā, ka piki ake te mōrearea o te whakawhanake i te mate a Sheehan mēnā ka ngaro te toto e morearea ana ki te ora, ka tino heke te toto toto, ā, ka ohorere hoki. Heoi, nā te mea kua rite tō tīma hauora mō ēnei āhuatanga ohorere, kua tino iti ake tēnei mōrearea inaianei.

He aha ngā āhuatanga mōrearea?

E mōhio ana tātou ināianei ka puta noa te mate Sheehan ina nui te toto i te wā e whānau ana, ā, ka tino heke te toto toto. Nō reira, ko ngā āhuatanga e whakanui ana i te mōrearea o te toto nui i te wā e whānau ana ka whakanui ake hoki i te mōrearea o te mate Sheehan. Ko ēnei āhuatanga ko:

• Te whānautanga o ngā tamariki neke atu i te kotahi (pērā i ngā māhanga, ngā mātoru).
• Te whānautanga o tētahi pēpi he nui atu i te tikanga.
• Te pakaru o te placenta .
• Te iti o te whenua (te iti o te whenua ).
• Te toto toto tiketike i te wā e hapu ana ( preeclampsia ).
• Te tukunga taputapu (hei tauira, te kuku , te tango korehau rānei).

He aha ngā āhuatanga kino o te mate Sheehan?

Mena ka puta he raruraru repe adrenal i te mate Sheehan i muri mai i te oranga, ka taea te whakararu i te ora. Hei tāpiri, ko ētahi atu raruraru o tēnei mate ko:

• Te toto toto iti.
• Te ngaronga o te taumaha tinana, te ngaronga rānei o te papatipu uaua.
• Te paheketanga koretake, te uaua rānei ki te hapu anō.

Kaua e manukanuka, ka taea e tō tākuta te āwhina i a koe ki te whakahaere, ki te ārai rānei i ēnei raruraru mā te maimoatanga tika.

Me pēhea koe e mōhio ai ki tēnei?

Mena kei a koe ngā tohu o te mate a Sheehan, ka whakamahia pea e tō tākuta ngā mea e whai ake nei hei tātaritanga i te mate:

• Hītori hauora: Ka pātai tō tākuta mō ngā toto toto nui o mua, ngā raruraru rānei kua pā ki a koe i tō hapūtanga. Me kōrero anō hoki koe mō ngā tohu kua pā ki a koe i muri i te whānautanga (hei tauira, te uaua ki te whāngai ū, te korenga rānei o te paheketanga). Kia mārama koe mō ō tohu o nāianei, te roa o te wā e pāngia ana, me ngā mahi ka mahia e koe hei whakapai ake, hei whakapai ake rānei i aua tohu.
• Ngā whakamātautau toto: Ka tangohia he tauira o tō toto, ā, ka tirohia ngā taumata o ngā homoni e pā ana ki te mahi a te repe pituitary.
• Ngā whakamātautau whakaahua: Ka taea e te matawai MRI (Magnetic Resonance Imaging) te whakakore i ētahi atu take o ō tohu (hei tauira, he pukupuku pituitary). Mena kāore i te mārama ngā hua MRI, ka taea hoki te mahi i te matawai CT (matawai Tomography Rorohiko) .

He aha ngā whakamātautau toto e whakamahia ana hei tautuhi i te mate?

Tērā pea ka whakamātau tika te tākuta i ō taumata homoni, ka tirohia rānei e ia te urupare a tō repe pituitary ki tētahi whakaohooho.

• Whakamātautau Taumata Homoni: Ka taea te tirotiro i ngā taumata homoni pēnei i te ACTH, FSH, LH, TSH, T4, estradiol (he momo estrogen), IGF-1, me te cortisol.
• Ngā whakamātautau whakaohooho: Ka hoatu pea e tō tākuta he rongoā, he werohanga rānei hei whakaohooho i ētahi homoni e hangaia ana e te repe pituitary, me te aromatawai i te urupare a te repe pituitary ki taua homoni.

Me pēhea te rongoā?

Hei rongoā i tēnei mate, me tango e koe ngā homoni mō te toenga o tō oranga . Ko te tikanga ka hoatu e tō tinana ngā homoni kāore e hangaia ana e ia. Ka kiia hoki tēnei ko te rongoā whakakapinga homoni . Ka rerekē ngā momo homoni e hiahiatia ana e koe, te nui, me te āhua o te tango i aua homoni i runga i tō tātaritanga me ngā tohu. Kei roto i ēnei homoni:

• Homoni ira tangata: Ka taea te tango i te estrogen me te progesterone hei whakahaere i tō paheketanga o ia marama, hei āwhina hoki i ngā tohu o te paheketanga wawe. Ka āwhina ngā homoni pēnei i te LH me te FSH ki te whakaputa uri, ka taea hoki e ēnei te āwhina i a koe kia hapu anō.
• Corticosteroids: Ka taea e koe te tango i te hydrocortisone, te prednisone rānei hei rongoā i te ngoikore o te ACTH. Me whakarerekē pea tō horopeta o ēnei homoni mēnā kei raro koe i te ahotea nui (pērā i te pokanga) nā te mea me nui ake te cortisol e hangaia ana e tō tinana.
• Ngā homoni tairoiti: Ka taea te whakamahi i te Levothyroxine (hei tauira, Synthroid®, Levoxyl®) mō te ngoikore o te TSH. Ka whakarerekētia te horopeta o tēnei rongoā i runga i ngā taumata o tō homoni tairoiti.
• Homoni tipu: Ka taea e te tango i ngā homoni tipu te āwhina ki te pupuri i te papatipu uaua me te kiato o te wheua.

I te nuinga o te wā, ka rongoatia koe e te tākuta endocrinologist , he tākuta tohunga ki ngā homoni. Ka whakahaerehia hoki e ia he whakamātautau auau hei whakarite kei roto i te awhe hauora ō taumata homoni.

Ka taea te ārai i te mate a Sheehan?

Kāo, kāore he mea ka taea e koe te mahi hei ārai i te Mate Sheehan. Ka taea anake e tō tīma hauora te whakahaere i te toto me te toto toto i te wā e whānau ana. Engari kia maumahara, he tino onge te Mate Sheehan. Mā te whai i tētahi tīma hauora mohio ka taea te ārai i ngā raruraru pēnei i te toto nui i te wā e whānau ana, ka tino whakaiti i tō tupono ki te whakawhanake i tēnei mate.

He aha te mea ka tupu mēnā kei a au te mate Sheehan?

Mā te maimoatanga tika, ka taea e te tangata e pangia ana e te mate Sheehan te tumanako ka tino ora pai.Kāore te nuinga o te tangata e pāngia e ngā raruraru nui. Nā te aroturukitanga tata a te tīma hauora, kua taea e ētahi te hapu angitu i muri i te tātaritanga. Me toro atu koe ki tō tākuta endocrinologist i ia wā, kia mōhio ai koe kei te whiwhi koe i ngā rongoā tika hei whakatika i ngā koretake o te taurite o ngā homoni. Ko ngā whakamātautau toto auau hei tirotiro i ō taumata homoni he wāhanga anō hoki o tēnei tiaki whai muri.

He aha te roanga o te oranga o te tangata e pāngia ana e te hypopituitarism?

Mena kei a koe te mate Sheehan, e kore tō roanga oranga e rerekē. Ahakoa me whiwhi koe i te maimoatanga mō te wā katoa, ka taea e koe te tumanako kia rite tonu te roanga oranga.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te mate Sheehan, inā koa kua nui te toto i te wā e whānau ana koe , me toro atu ki te tākuta tonu. Ka taea e tō tākuta te whakahaere whakamātautau hei whakatau mena kei a koe tēnei mate.

Āhea ahau me haere ki te rūma whawhati tata?

Mena kei a koe ngā tohu o te mate pukupuku adrenal , me haere tonu koe ki te rūma whawhati tata. Tērā pea ka mate koe mēnā kāore e rongoatia. Ko ēnei tohu ko:

• Te pōuriuri, me te mea kua tata te ngaro o te māramatanga.
• Te mamae nui i roto i te puku, te uma o raro, te tuara rānei.
• Te kirika.
• Tinana kore ora.
• Whakapairuaki me te ruaki.
• Te pōhēhē, te ngaro rānei o te māramatanga.

Ki te whakaaro tō tākuta kei roto koe i te mōrearea, ka tono pea rātou kia mau koe i tētahi poroporo whakatūpato hauora hei whiwhi maimoatanga tere mēnā ka puta he āhuatanga ohorere.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ngā pātai pēnei:

• He aha te pānga o te mate Sheehan ki tōku tinana?
• Me pēhea te whakapai ake a te maimoatanga i aku tohumate?
• Ka taea e koe te hapu me te mate Sheehan?
• Kia pēhea te auau o ngā whakamātautau toto e hiahiatia ana mōku?
• He aha ngā rongoā, ngā maimoatanga rānei e taunaki ana koe?

Ka pāngia pea ngā tukanga tinana maha e te kino o te repe pituitary e whakawhirinaki ana ki ngā taumata homoni hauora. Ka āwhina te rongoā whakakapinga homoni ki te whakatika i ētahi o ngā pānga o te korenga o te homoni. Kōrero ki tō tākuta mō te pānga o te mate Sheehan ki tō āhua noho me tō oranga whānui. Me kōrero anō hoki te auau o te tirotiro a tō tākuta i ō taumata homoni kia tino mohio ai kei te whiwhi koe i ngā rongoā tika mō tō hauora.

Hei whakamutunga, ngā mea hei maumahara

He mate onge te Mate Sheehan e puta mai ana i te kino o te repe pituitary nā te nui o te toto i te wā e whānau ana. Ka taea e tēnei te arahi ki ngā ngoikoretanga homoni maha, me ngā tohu pēnei i te uaua ki te whāngai ū, te mutu o te paheketanga, me te tino ngenge.

Ko te mea pai rawa atu, ka taea te whakahaere angitu i tēnei āhuatanga mā te whakamahi i te rongoā homoni mō te wā katoa, ā, ka taea hoki te whakatutuki i tētahi roanga oranga noa.

Mena kei a koe ēnei tohu, inā koa kua pāngia koe e ngā raruraru i te wā e whānau ana, he mea tino nui kia rapu tohutohu hauora koe. Mena ka kitea wawe, ka taea e koe te tīmata maimoatanga me te noho hauora.

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Te mate a Sheehan, te repe pituitary, te whānautanga, te toto, ngā homoni, te hauora o ngā wāhine, te tiaki i muri i te whānautanga