Ndizachilendo kuti thupi lanu limve kutopa komanso kusintha mukabereka mwana. Monga mayi watsopano, mwina mumakhala otanganidwa ndi zinthu zambirimbiri. Koma pakadali pano, ngati mukuvutika kuyamwitsa, nthawi yanu yobereka sinayambenso, kapena thupi lanu likumva kuchedwa modabwitsa, musamangoganiza kuti "izi ndi momwe zimakhalira kwa amayi atsopano." Ikhoza kukhala vuto losowa lomwe limayamba chifukwa cha vuto panthawi yobereka. Lero, tikulankhula za vuto limodzi lotere.
Mwachidule, kodi Sheehan Syndrome ndi chiyani?
Matenda a Sheehan ndi matenda osowa kwambiri omwe amayambitsa kutuluka magazi ambiri panthawi yobereka. Amakhudza kachiwalo kakang'ono komwe kali pansi pa ubongo wako kotchedwa pituitary gland.
Taganizirani za pituitary gland iyi ngati 'chiwalo chachikulu' cha mahomoni m'thupi lathu. Ndi chomwe chimauza ma gland ena m'thupi kuti, "Chabwino, tsopano mukupanga mahomoni awa," "Mukupanga mahomoni amenewo." Kotero ngati 'bwana' uyu sakugwira ntchito bwino, mahomoni onse amatha kusokonekera.
Pa nthawi ya mimba, pituitary gland iyi imakula pang'ono. Pa nthawi yobereka, ngati pazifukwa zina mwazizi umatuluka magazi ambiri kapena kuthamanga kwa magazi kumatsika kwambiri, gland iyi imakula siilandira mpweya wokwanira womwe imafuna. Monga momwe chomera chimafota chikasowa madzi, chikasowa mpweya, minofu ina mu gland iyi imawonongeka ndikufa. Ndicho chimene timachitcha kuti Sheehan Syndrome , kapena postpartum hypopituitarism .
Kodi chimachitika n’chiyani ngati pituitary gland yawonongeka?
Chifukwa chakuti 'bwana' sakugwira ntchito, ma gland ena omwe ali pansi pake sakugwira ntchito bwino. Izi zikutanthauza kuti kupanga mahomoni angapo ofunikira m'thupi lathu kumachepa kapena kuyimitsidwa kwathunthu. Izi zingakhudze zinthu zambiri m'thupi lanu. Tiyeni tiwone zomwe mahomoni awa akuchepa komanso zomwe zimawachitikira.
| Homoni | Udindo mu Thupi |
|---|---|
| Prolactin (Prolactin - PRL) | Zimathandiza kuti mkaka wa m'mawere upangidwe kuti uperekedwe kwa mwana. |
| Homoni ya luteinizing (LH) ndi homoni yolimbikitsa follicle (FSH) | Amayang'anira nthawi ya msambo pamwezi komanso nthawi yotulutsa mazira, zomwe ndizofunikira kwambiri kuti munthu akhale ndi pakati kachiwiri. |
| Homoni yolimbikitsa chithokomiro (TSH) | Chithokomiro cha m'khosi chimalimbikitsidwa ndipo chimapanga mahomoni omwe amalamulira kagayidwe ka thupi, mphamvu, ndi dongosolo la mitsempha. |
| Homoni ya adrenocorticotropic (ACTH) | Thupi likakumana ndi nkhawa, limathandiza kupanga mahomoni otchedwa cortisol, omwe amathandiza kuti lipirire. Ndikofunikanso poletsa kuthamanga kwa magazi ndi kuchuluka kwa shuga m'magazi. |
| Hormone Yokula (GH) | Zimathandiza kusunga kukhuthala kwa mafupa, minofu, ndi kugawa mafuta m'thupi. |
Kodi zizindikiro za Sheehan Syndrome ndi ziti?
Chinthu chapadera pa izi ndi chakuti kwa anthu ena, zizindikiro zimawonekera nthawi yomweyo atangobereka. Kwa ena, zizindikiro zimayamba kuonekera miyezi ingapo, ngakhale zaka zingapo pambuyo pake. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.
Zizindikiro zomwe zingawonekere nthawi zambiri ndi izi:
- Kuvuta kuyamwitsa kapena kusowa mkaka mukabereka ndi chimodzi mwa zizindikiro zoyamba.
- Kusiya kusamba (amenorrhea) kapena kusakhazikika kwake.
- Kumva kutopa kwambiri , kufooka, komanso kusatha kuyang'ana kwambiri pa chilichonse.
- Kuthamanga kwa magazi kotsika .
- Kuchepa kwa chilakolako chogonana.
- Kutaya tsitsi m'khwapa ndi m'malo obisika komanso kuchepa kwa mabere.
- Khungu louma.
- Kufooka kwa nyini ndi vuto lomwe limapangitsa kuti makoma a nyini akhale opyapyala komanso ouma, zomwe zimapangitsa kuti kugonana kukhale kowawa.
Nthawi zina, zizindikiro sizingawonekere mpaka thupi litakumana ndi vuto lalikulu la kupsinjika maganizo, monga opaleshoni kapena matenda. Nthawi zina, thupi limatha kukumana ndi zizindikiro zoopsa mwadzidzidzi chifukwa lilibe mahomoni opsinjika maganizo (cortisol). Izi zimatchedwa 'Adrenal Crisis' , ndipo ndi vuto lachipatala.
Ndani ali pachiwopsezo chachikulu cha matendawa?
Matenda a Sheehan ndi vuto losowa kwambiri masiku ano. Chifukwa zipatala zathu zili ndi njira zamakono zothandizira mavuto monga kutuluka magazi ambiri panthawi yobereka. Komabe, pali zochitika zina zomwe kutuluka magazi kwambiri kungachitike panthawi yobereka. Pazochitika zotere, pakhoza kukhala chiopsezo chochepa cha vutoli.
- Kukhala ndi mapasa ndi ana atatu.
- Mwana amalemera kwambiri (mwana wobadwa ndi kulemera kwakukulu).
- Kusokonekera kwa placenta.
- Placenta previa (malo otsika a placenta m'chiberekero).
- Kuthamanga kwa magazi nthawi ya mimba (Preeclampsia).
- Kutumiza zida (forceps kapena vacuum extraction).
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kukaonana ndi dokotala wanu za zizindikiro izi, adzakuyesani mayeso angapo ngati akukayikira vutoli.
1. Kulankhula za mbiri yanu yachipatala: Dokotala wanu adzakufunsani mafunso monga, "Kodi munatuluka magazi ambiri mutakhala ndi mwana?", "Kodi munatha kuyamwitsa mwana?", "Kodi msambo wanu unayambiranso?" Ndikofunikira kwambiri kufotokoza momveka bwino zonse zomwe mukumva.
2. Kuyezetsa magazi: Chitsanzo cha magazi anu chimatengedwa kuti chione kuchuluka kwa mahomoni omwe amayendetsedwa ndi pituitary gland (monga TSH, cortisol, FSH, LH).
3. Mayeso ojambulira: Nthawi zina MRI (Magnetic Resonance Imaging) ingachitike kuti ione ngati pali zifukwa zina, monga chotupa cha pituitary.
Kodi mankhwala ochizira izi ndi otani?
Musachite mantha mukamva izi. Matenda a Sheehan ndi vuto lomwe lingathetsedwe bwino. Chithandizo cha izi ndi mankhwala obwezeretsa mahomoni.
Mwachidule, ndi nkhani yopatsa thupi lanu mahomoni omwe silikupanga pakadali pano, kaya kudzera m'mapiritsi kapena njira zina. Ichi ndi chinthu chomwe muyenera kuchita moyo wanu wonse.
- Corticosteroids: Mankhwala monga hydrocortisone amaperekedwa kuti alowe m'malo mwa hormone ya ACTH yomwe yachepa.
- Homoni ya chithokomiro: Mapiritsi a Thyroxine (levothyroxine) amatha kukonza kusowa kwa TSH.
- Mahomoni ogonana: Estrogen ndi progesterone zingathandize kusintha kayendedwe ka msambo pamwezi.
- Mahomoni okula: Izi zimathandiza kusunga mphamvu ya minofu ndi mafupa.
Chithandizo chanu nthawi zambiri chimayang'aniridwa ndi katswiri wa endocrinologist, yemwe adzayesa magazi anu nthawi ndi nthawi ndikukonza mlingo wa mahomoni anu kuti ugwirizane ndi zosowa zanu.
Kodi pali nthawi zina pamene mwadzidzidzi mumafunika kupita ku ETU?
Inde, izi ndizofunikira kwambiri. Ngati mukukumana ndi vuto lotchedwa Adrenal Crisis lomwe tidalankhula kale, likhoza kukhala pachiwopsezo chachikulu. Chifukwa chake, limafuna chithandizo chadzidzidzi. Ngati mukukumana ndi zizindikiro zotsatirazi, pitani ku Dipatimenti Yothandiza (ETU) ya chipatala chapafupi nthawi yomweyo.
- Mutu , kusawona bwino
- Ululu m'mimba, pachifuwa chapansi, kapena kumbuyo
- Malungo
- Kufooka kwakukulu
- Kusanza ndi kusanza
- Kusokonezeka kapena kutaya chidziwitso
Ngati dokotala wanu akuzindikirani kuti muli ndi Sheehan Syndrome, angakulangizeninso kuti muvale chibangili chochenjeza zachipatala kuti mupeze chithandizo mwachangu pakagwa ngozi ngati iyi.
Uthenga Wopita Nawo Kunyumba
- Matenda a Sheehan ndi vuto losowa kwambiri lomwe limayamba chifukwa cha kuwonongeka kwa pituitary gland chifukwa cha kutuluka magazi ambiri panthawi yobereka.
- Dziwani zizindikiro monga kuvutika kuyamwitsa, kulephera kusamba, komanso kutopa kwambiri. Musangonyalanyaza izi.
- Uwu ndi vuto lomwe lingathetsedwe bwino ndi chithandizo cha mahomoni cha moyo wonse. Ndi chithandizo choyenera, mutha kukhala ndi moyo wabwinobwino.
- Ngati muli ndi kukayikira kulikonse pankhaniyi, musaope kulankhula momasuka ndi dokotala wanu. Iye adzakupatsani malangizo omwe mukufunikira.
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