Ese uzi indwara ya Sheehan Syndrome, ishobora kubaho nyuma yo kubyara?

Uribuka ukuntu twajyaga tuvuga ukuntu rimwe na rimwe ababyeyi bahura n'ibimenyetso bidasanzwe nyuma yo kubyara? Wenda ntibatanga amashereka ahagije ku bana babo, imihango yabo igahagarara mu buryo butunguranye, cyangwa bumva bananiwe cyane umunsi wose. Ibi si ibintu bitunguranye gusa, rimwe na rimwe bishobora kuba ingaruka z'ingorane mu gihe cyo kubyara. Uyu munsi tugiye kuvuga ku kibazo kidasanzwe ariko cy'ingenzi cyane kijyanye no kubyara, buri wese agomba kumenya.

Indwara ya Sheehan ni iki?

Muri make, Sheehan Syndrome ni indwara idakunze kugaragara ifata igitsina cyawe cya pituitary . Ibaho iyo amaraso menshi aturutse mu mubiri asohoka, bivuze ko amaraso menshi asohoka mu mubiri. Tekereza nawe, igitsina cyawe cya pituitary ni igitsina gito ariko gifite akamaro cyane kiri mu nsi y'ubwonko. Tuyita "igishishwa cy'ingenzi" kuko gikora imisemburo igenzura ibikorwa byinshi by'ingenzi mu mubiri, kandi ikabwira izindi igitsina gukora imisemburo. Rero, iyo amaraso menshi aturutse mu gihe cyo kubyara, igitsina cya pituitary ntikibona ingano ya ogisijeni gikeneye. Nk'uko igiti gipfa kidafite amazi, iyo kidafite ogisijeni, zimwe mu ngingo ziri muri igitsina cya pituitary zirapfa. Iyi igitsina cya pituitary irushaho kuba nini mu gihe cyo gutwita, bityo ikaba ishobora kwangirika cyane. Iyo igitsina cya pituitary cyangiritse muri ubu buryo, gishobora kugira ingaruka ku buryo butandukanye mu mubiri, nko mu bwonko, mu buryo bw'imyororokere, mu mitsi, mu ruhu, mu mbaraga, ndetse no mu mitekerereze. Iyi igitsina cya Sheehan cyitwa kandi `postpartum hypopituitarism` cyangwa `postpartum pituitary necrosis`.

Ni iki kiba ku mubiri urwaye indwara ya Sheehan?

Iyo igitsina cya pituitary cyangiritse, gitakaza ubushobozi bwo gukora imisemburo myinshi y'ingenzi umubiri ukeneye. Dore ibyo ari byo:

• Umusemburo wa Adrenocorticotrophic (ACTH): Ibi bitera gukora cortisol, imisemburo y'ingenzi mu mubiri. Cortisol ni imisemburo igenga umuvuduko w'amaraso, urugero rw'isukari mu maraso, kandi igafasha umubiri guhangana n'imihangayiko.
• Imisemburo itera imbaraga mu mikorere ya tiroyide (TSH): Iyi itera imbaraga mu mikorere ya tiroyide . Ituma tiroyide igenzura imikorere y'umubiri, ingufu, n'imikorere y'imitsi.
• Imisemburo yo gukura (GH): Ifasha mu kubungabunga ubucucike bw'amagufwa, imitsi, n'ibinure.
• Imisemburo itera imbaraga za follicle (FSH): Itera imbaraga ikorwa rya estrogen mu dusabo tw'intanga, kandi igatuma igi rikura buri kwezi.
• Imisemburo ya Luteinizing (LH):Bifasha mu gutanga intanga, ari nabyo bifasha intanga ngore kurekurwa.
• Prolactin (PRL): Itera imbaraga mu gutanga amata mu gihe cyo gutwita kandi igatuma umwana yonsa.

Rero ushobora kumva ko niba hari imisemburo ibura, imikorere yayo mu mubiri ntabwo izakora neza.

Iki kibazo gikunze kugaragara gute?

Mu buvuzi bwa none, indwara ya Sheehan Syndrome ni indwara idakunze kugaragara cyane . Iboneka ku bana bagera kuri 5 mu bana 100.000 bavutse. Ariko, ishobora kugaragara cyane mu turere aho ubuvuzi bwihutirwa budakenewe kugira ngo hatabaho kuva amaraso menshi mu gihe cyo kubyara.

Ni ibihe bimenyetso by'ibi?

Ibimenyetso bya Sheehan syndrome rimwe na rimwe bishobora kugaragara ako kanya , ni ukuvuga nyuma gato y'uko umwana avutse. Ariko, rimwe na rimwe ibi bimenyetso bishobora kugaragara buhoro buhoro, mu mezi cyangwa ndetse n'imyaka . Ibimenyetso by'ingenzi bishobora kugaragara ni ibi bikurikira:

• Kugorwa no konsa cyangwa nta mashereka aza nyuma yo kuvuka k'umwana.
• Guhagarika burundu imihango ya buri kwezi ( amenorrhea ) cyangwa kutajya mu mihango neza.
• Inkuta z'igitsina zirushaho kuba nto kandi zumutse ( kugabanuka kw'igitsina ), ibyo bikaba bishobora gutuma imibonano mpuzabitsina ibabaza.
• Kugabanuka kw'amabere no gutakaza umusatsi mu kwaha no mu bice byihariye.
• Umunaniro ukabije , imbaraga nke, no kugorwa no kwita ku bintu.
• Kugabanuka k'ubushake bw'imibonano mpuzabitsina.
• Umuvuduko w'amaraso uri hasi.
• Uruhu rwumye.

Icy'ingenzi ni uko rimwe na rimwe ushobora kutagira ibimenyetso bikomeye hanyuma ugahura n'ikibazo gikomeye mu buzima bwawe - urugero nko kubagwa, kwandura indwara ikomeye, cyangwa impanuka - kandi umubiri wawe ushobora kutagira cortisol ihagije yo guhangana na yo, bigatera ibimenyetso. Ibi byitwa adrenal crisis . Iyi ni indwara ishobora gushyira ubuzima mu kaga isaba ubuvuzi bwihuse.

Kuki indwara ya Sheehan ibaho?

Impamvu nyamukuru ibitera ni ukuva amaraso menshi mu gihe cyo kubyara . Nkuko nabivuze mbere, ingirabuzimafatizo ya pituitary irakura mu gihe cyo gutwita, rimwe na rimwe ikakuba kabiri mu bunini. Ibi bituma irushaho kugira ikibazo cyo kubura ogisijeni, cyane cyane iyo kuva amaraso menshi cyangwa kugabanuka k'umuvuduko w'amaraso mu buryo butunguranye. Iyo habayeho kubura ogisijeni, uturemangingo two muri pituitary turangirika. Kubera iyo mpamvu, ingirabuzimafatizo ya pituitary ntishobora gukora imisemburo ihagije yo kugenzura imikorere itandukanye mu mubiri. Uku kubura kw'imisemburo bishobora gutuma sisitemu y'imyororokere n'imitsi bikora nabi cyangwa bigahagarara burundu.

Ese ibi ni ibintu bikomoka ku bisekuruza?

Oya. Indwara ya Sheehan si indwara uvukana n'ababyeyi bawe.

Hakenewe amaraso angahe kugira ngo iki kibazo gishyirwe mu kaga?

Ubusanzwe, ibyago byo kurwara indwara ya Sheehan byiyongera gusa iyo utakaje amaraso mu buryo bushobora kuguhitana, ukagira igabanuka rikomeye ry'umuvuduko w'amaraso, ndetse ukagira n'indwara yo guhungabana. Ariko, kubera ko itsinda ry'abaganga ryanyu ryiteguye guhangana n'ibi bibazo byihutirwa, ubu ibyago byo kurwara indwara ya Sheehan biragabanuka cyane.

Ni ibihe bintu bishobora gutera ibyago?

Ubu tuzi ko indwara ya Sheehan ibaho gusa iyo amaraso menshi aviriye mu gihe cyo kubyara kandi umuvuduko w'amaraso ukagabanuka cyane. Bityo, indwara zongera ibyago byo kuva amaraso menshi mu gihe cyo kubyara na zo zongera ibyago byo kurwara indwara ya Sheehan. Muri izo ndwara harimo:

• Kubyara abana barenze umwe (nk'impanga, impanga eshatu).
• Kubyara umwana munini kuruta uko bisanzwe.
• Gucika kw'inyuma y'inyuma .
• Placenta previa (placenta nke ).
• Umuvuduko ukabije w'amaraso mu gihe cyo gutwita ( preeclampsia ).
• Gutanga ibikoresho by'ikoranabuhanga (urugero: forceps cyangwa vacuum extraction ).

Ni izihe ngorane ziterwa na syndrome ya Sheehan?

Iyo indwara ya Sheehan iteye ikibazo cy’impyiko mu gihe cy’imyaka myinshi, ishobora gushyira ubuzima mu kaga. Byongeye kandi, izindi ngorane z’iyi ndwara zishobora kuba zirimo:

• Umuvuduko w'amaraso uri hasi.
• Kugabanya ibiro by'umubiri cyangwa imitsi.
• Gutera imihango idahwitse cyangwa kugorwa no kongera gusama.

Ariko ntugire ikibazo, muganga wawe ashobora kugufasha guhangana cyangwa gukumira izi ngorane ukoresheje ubuvuzi bukwiye.

Ubimenya ute?

Niba ufite ibimenyetso bya Sheehan's syndrome, muganga wawe ashobora gukoresha ibi bikurikira kugira ngo amenye iyo ndwara:

• Amateka y'ubuvuzi: Muganga wawe azabaza ibyerekeye kuva amaraso menshi cyangwa izindi ngorane wigeze kugira mu gihe utwite. Uzakenera kandi kuvuga ku bimenyetso byose wagize nyuma yo kubyara (urugero, kugorwa no konsa, cyangwa gusiba imihango). Menya neza ibimenyetso byawe ubu, igihe bimaze, n'icyo ukora kugira ngo birusheho kuba byiza cyangwa bibi.
• Gupima amaraso: Hafatwa icyitegererezo cy'amaraso yawe hanyuma hagasuzumwa urugero rw'imisemburo ijyanye n'imikorere y'agahu k'ubwonko.
• Ibizamini byo gupima: Gupima MRI (Magnetic Resonance Imaging) bishobora gukuraho izindi mpamvu zitera ibimenyetso byawe (urugero, ikibyimba cy'ubwonko). Niba ibisubizo bya MRI bidasobanutse neza, gupima CT (Computed Tomography scan) nabyo bishobora gukorwa.

Ni ibihe bipimo by'amaraso bikoreshwa mu gusuzuma indwara?

Muganga ashobora gupima urugero rw'imisemburo yawe mu buryo butaziguye, cyangwa se akareba uburyo ingirabuzimafatizo yawe yakira ikintu runaka.

• Gupima urwego rw'imisemburo: Urugero rw'imisemburo nka ACTH, FSH, LH, TSH, T4, estradiol (ubwoko bwa estrogen), IGF-1, na cortisol rurashobora kugenzurwa.
• Ibizamini byo gukangura: Muganga wawe ashobora kuguha umuti cyangwa inshinge zo gukangura imisemburo imwe n'imwe ikorwa n'agace ka pituitary no gusuzuma uburyo agace ka pituitary kabyitwaramo.

Ivurwa ite?

Kugira ngo uvure iyi ndwara, uzakenera gufata imisemburo ubuzima bwawe bwose . Ibi bivuze ko umubiri wawe uzaguha imisemburo utagikora. Ibi byitwa kandi ubuvuzi bwo gusimbuza imisemburo . Ubwoko bw'imisemburo ukeneye, ingano yayo, n'uburyo uyifata bizatandukana bitewe n'indwara yawe n'ibimenyetso byayo. Iyi misemburo ishobora kuba ikubiyemo:

• Imisemburo y'imibonano mpuzabitsina: Estrogen na progesterone bishobora gufatwa kugira ngo bigenzure imihango yawe ya buri kwezi kandi bifashe ku bimenyetso byo gucura imburagihe. Imisemburo nka LH na FSH bifasha mu gusohora intanga, ibi bikaba byanagufasha kongera gusama.
• Corticosteroids: Ushobora gufata hydrocortisone cyangwa prednisone kugira ngo uvure ikibazo cyo kubura ACTH. Igipimo cyawe cy'iyi misemburo gishobora gukenera guhindurwa niba uri mu stress nyinshi (nk'uko wabazwe) kuko umubiri wawe ukeneye gukora cortisol nyinshi.
• Imisemburo ya tiroyide: Levothyroxine (urugero, Synthroid®, Levoxyl®) ishobora gukoreshwa mu gihe umuntu abuze TSH. Igipimo cy'uyu muti kizahindurwa hashingiwe ku rugero rw'imisemburo ya tiroyide.
• Imisemburo ikura: Gufata imisemburo ikura bishobora gufasha mu kubungabunga imitsi n'ubucucike bw'amagufwa.

Kenshi na kenshi, uzavurwa na muganga w’indwara z’imitsi , umuganga w’inzobere mu by’imisemburo. Azakora kandi ibizamini buri gihe kugira ngo arebe neza ko urugero rw’imisemburo yawe ruri mu rugero rwiza.

Ese indwara ya Sheehan ishobora kwirindwa?

Oya, nta kintu na kimwe wakora kugira ngo wirinde Sheehan Syndrome. Itsinda ry'abaganga bawe rishobora kugenzura kuva amaraso n'umuvuduko w'amaraso gusa mu gihe cyo kubyara no kubyara. Ariko ibuka ko Sheehan Syndrome ari indwara idakunze kugaragara . Kugira itsinda ry'abaganga b'inzobere rishobora gukumira ingorane nko kuva amaraso menshi mu gihe cyo kubyara no kubyara bigabanya cyane ibyago byo kurwara iyi ndwara.

Bigenda bite iyo ngize indwara ya Sheehan syndrome?

Iyo umuntu ufite indwara ya Sheehan avuwe neza, ashobora kwitega gukira neza cyane.Abantu benshi ntibagira ibibazo bikomeye. Hamwe n'itsinda ry'abaganga rikurikirana neza, hari abantu bashoboye gusama neza nyuma yo kuvurwa. Ugomba kujya kwa muganga w'indwara z'imitsi buri gihe kugira ngo umenye neza ko uhabwa imiti ikwiye yo gukosora imisemburo mibi. Gusuzuma amaraso buri gihe kugira ngo urebe urugero rw'imisemburo yawe nabyo ni bimwe mu bigize ubu buryo bwo gukurikirana.

Ni iki cyizere cy'ubuzima bw'umuntu ufite hypopituitarism?

Niba ufite indwara ya Sheehan, igihe cyawe cyo kubaho ntikizahinduka. Nubwo uzakenera kuvurwa ubuzima bwawe bwose, ushobora kwitega igihe cyo kubaho gisanzwe.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso bya Sheehan syndrome, cyane cyane niba waravuye amaraso menshi mu gihe cyo kubyara , hita ubonana na muganga. Muganga wawe ashobora kugukorera ibizamini kugira ngo amenye niba ufite iyi ndwara.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufite ibimenyetso by'indwara y'inkende , ugomba guhita ujya kwa muganga wihutirwa. Ibi bishobora gushyira ubuzima mu kaga mu gihe bitavuwe. Ibi bimenyetso birimo:

• Ukumva umeze nk'ugiye guta ubwenge.
• Kubabara cyane mu gifu, mu gituza cyo hasi, cyangwa mu mugongo.
• Umuriro.
• Umubiri udafite ubuzima.
• Isesemi no kuruka.
• Urujijo cyangwa guta ubwenge.

Niba umuganga wawe atekereza ko uri mu kaga, ashobora kugusaba kwambara umukufi wo kumenyesha kwa muganga kugira ngo ubone ubuvuzi bwihuse mu gihe habaye ikibazo cyihutirwa.

Ni ibihe bibazo ngomba kubaza muganga?

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ni gute indwara ya Sheehan igira ingaruka ku mubiri wanjye?
• Ni gute kuvurwa bizagabanya ibimenyetso byanjye?
• Ese ushobora gutwita indwara ya Sheehan?
• Nzakenera gupimwa amaraso kangahe?
• Ni iyihe miti cyangwa uburyo bwo kuvura usaba?

Kwangirika kw'agahu k'ubwonko bishobora kugira ingaruka ku mikorere myinshi y'umubiri ishingiye ku rugero rwiza rw'imisemburo. Ubuvuzi bwo gusimbuza imisemburo bushobora gufasha mu gukemura zimwe mu ngaruka zo kubura imisemburo. Vugana na muganga wawe uburyo indwara ya Sheehan igira ingaruka ku mibereho yawe no ku mibereho myiza muri rusange. Nanone, ganira ku nshuro muganga wawe azasuzuma urugero rw'imisemburo yawe kugira ngo arebe ko ubona imiti ikwiye ku buzima bwawe.

Amaherezo, ibintu byo kwibuka

Indwara ya Sheehan ni indwara idakunze kugaragara iterwa no kwangirika k'agace k'ubwonko gaterwa no kuva amaraso menshi mu gihe cyo kubyara. Ibi bishobora gutera kubura imisemburo itandukanye, n'ibimenyetso nko kugorwa no konsa, guhagarika imihango, no kunanirwa cyane.

Icyiza ni uko iki kibazo gishobora gukemurwa neza hakoreshejwe uburyo bwo kuvura imisemburo ubuzima bwose kandi ubuzima busanzwe bugashoboka.

Niba ufite ibi bimenyetso, cyane cyane niba waragize ingorane mu gihe cyo kubyara, ni ngombwa cyane gushaka inama kwa muganga. Iyo bigaragaye hakiri kare, ushobora gutangira kuvurwa no gukomeza kugira ubuzima bwiza.

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Indwara ya Sheehan , imyakura ya pituitary, kubyara, kuva amaraso, imisemburo, ubuzima bw'abagore, kwita ku babyaye nyuma yo kubyara