Zvakajairika kuti muviri wako unzwe wakaneta uye wakasiyana mushure mekubereka mwana. Seamai vatsva, ungangove wakabatikana nezvinhu zvakawanda. Asi panguva ino, kana uri kunetseka nekuyamwisa, nguva yako yekutevera isati yatanga zvakare, kana kuti muviri wako uri kunzwa kunonoka zvisinganzwisisike, usazvitore sekuti "ndizvo zvazviri kuna amai vatsva." Inogona kunge iri mamiriro asingawanzoitiki anokonzerwa nematambudziko panguva yekusununguka. Nhasi, tiri kutaura nezvechimwe chezvirwere zvakadaro.
Zvichitaurwa zviri nyore, chii chinonzi Sheehan Syndrome?
Chirwere cheSheehan chirwere chisingawanzoitiki chinokonzera kubuda ropa rakawanda panguva yekusununguka. Chinokanganisa gland diki riri pasi peuropi hwako rinonzi pituitary gland.
Funga nezve pituitary gland iyi se 'guruva guru' remahormone emuviri wedu. Ndiyo inoudza mamwe mahormone mumuviri kuti, "Zvakanaka, ikozvino unogadzira hormone iyi," "Unogadzira hormone iyoyo." Saka kana 'mukuru' uyu asiri kushanda zvakanaka, mahormone ese anogona kushata.
Munguva yekuzvitakura, gland iri repituitary rinokura zvishoma. Panguva yekusununguka, kana nekuda kwechimwe chikonzero ukabuda ropa rakawanda kana kuti BP yako ichiderera zvakanyanya, gland iri rakakura hariwani huwandu hweokisijeni hwarinoda. Kungofanana nemuti unosvava kana usina mvura, kana usina okisijeni, mamwe matishu ari mugland iri anokuvara uye anofa. Ndizvo zvatinodaidza kuti Sheehan Syndrome , kana kuti postpartum hypopituitarism .
Chii chinoitika kana pituitary gland ikakuvara?
Nekuti 'mukuru' haasi kushanda, mamwe magland ari pasi pake haasi kushanda nemazvowo. Izvi zvinoreva kuti kugadzirwa kwemahormone akakosha mumuviri wedu kunodzikira kana kumira zvachose. Izvi zvinogona kukanganisa zvinhu zvakawanda mumuviri wako. Ngatitarisei kuti mahormone aya ari kudzikira uye chii chinoitika kwaari.
| Makemikoro | Basa Mumuviri |
|---|---|
| Prolactin (Prolactin - PRL) | Zvinokurudzira kugadzirwa kwemukaka wemuzamu kuti mwana adye. |
| Hormone yeLuteinizing (LH) uye hormone inokurudzira follicle (FSH) | Dzinotonga nguva yekuenda kumwedzi pamwedzi uye nguva yekuzvitakura, izvo zvakakosha kuti uwane pamuviri zvakare. |
| Homoni inokurudzira thyroid (TSH) | Gland rethyroid riri mumutsipa rinokurudzirwa uye rinogadzira mahormone anodzora mashandiro emuviri, simba, uye tsinga. |
| Adrenocorticotropic hormone (ACTH) | Kana muviri ukasangana nekushushikana, zvinobatsira kugadzira hormone inonzi cortisol, iyo inobatsira kuti utsungirire. Zvakakoshawo pakudzora BP uye huwandu hweshuga. |
| Hormone Yekukura (GH) | Inobatsira kuchengetedza huwandu hwemapfupa, tsandanyama, uye kupararira kwemafuta mumuviri. |
Ndezvipi zviratidzo zveSheehan Syndrome?
Chinhu chakakosha panyaya iyi ndechekuti kune vamwe vanhu, zviratidzo zvinoonekwa mushure mekusununguka. Kune vamwe, zviratidzo zvinotanga kuonekwa mwedzi yakati wandei, kunyange makore gare gare. Saka, zvakakosha kuziva izvi.
Izvi ndizvo zviratidzo zvinogona kuonekwa kazhinji:
- Kuomerwa nekuyamwisa kana kushaya mukaka mushure mekusununguka ndechimwe chezviratidzo zvekutanga.
- Kumira kwekuenda kumwedzi (amenorrhea) kana kusaita zvakanaka kwekuenda kumwedzi.
- Kunzwa kuneta zvisina kujairika , kufa, uye kusakwanisa kuisa pfungwa pane chero chinhu.
- Kuderera kweropa .
- Kuderera kwechido chepabonde.
- Kudonha kwebvudzi muhapwa nenzvimbo dzakavanzika uye kuderera kwemazamu.
- Ganda rakaoma.
- Kupera simba kwenhengo dzesikarudzi chirwere chinoita kuti madziro esikarudzi ave matete uye akaoma, zvichiita kuti kusangana pabonde kurwadze.
Dzimwe nguva, zviratidzo zvinogona kusaonekwa kusvika muviri wasangana nechinhu chikuru chinoshungurudza, senge kuvhiyiwa kana hutachiona. Panguva dzakadaro, muviri unogona kungoerekana wava nezviratidzo zvakakomba nekuti hauna hormone yekushushikana (cortisol). Izvi zvinonzi 'Adrenal Crisis' , uye idambudziko rehutano.
Ndiani ari panjodzi yakakura yechirwere ichi?
Sheehan Syndrome chirwere chisingawanzoitiki mazuva ano. Nekuti zvipatara zvedu zvine nzira dzepamusoro dzekugadzirisa njodzi dzakadai sekubuda ropa rakawanda panguva yekusununguka. Zvisinei, kune dzimwe nguva apo kubuda ropa rakawanda kunogona kuitika panguva yekusununguka. Muzviitiko zvakadaro, panogona kunge paine njodzi diki yechirwere ichi.
- Kuva nemapatya nevana vatatu.
- Kurema kwemwana kwakawandisa (mwana anozvarwa aine huremu hwakawanda).
- Kubviswa kweplacenta.
- Placenta previa (nzvimbo yakaderera yeplacenta muchibereko).
- Kukwira kweropa panguva yekuzvitakura (Preeclampsia).
- Kuendeswa kwezvishandiso (forceps kana vacuum extraction).
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba wako nezvezviratidzo izvi, achaita bvunzo dzakawanda kana vachifungidzira kuti une chirwere ichi.
1. Kutaura nezvenhoroondo yako yezvekurapwa: Chiremba wako achakubvunza mibvunzo yakaita sekuti, "Wakabuda ropa rakawanda here pawakaita mwana?", "Wakakwanisa kuyamwisa mwana here?", "Kutevera kwako kwakatangazve here?" Zvakakosha kutsanangura zvakajeka zvese zvaunonzwa.
2. Kuongororwa kweropa: Muenzaniso weropa rako unotorwa kuti utarise huwandu hwemahormone anodzorwa nepituitary gland (senge TSH, cortisol, FSH, LH).
3. Kuongororwa kwemifananidzo: Dzimwe nguva MRI (Magnetic Resonance Imaging) scan inogona kuitwa kuti ionekwe zvimwe zvikonzero, zvakaita sebundu repituitary.
Ndezvipi zvinorapwa izvi?
Usavhunduke kana ukanzwa izvi. Sheehan Syndrome chirwere chinogona kurapwa zvakanaka. Kurapa kweizvi kunotorwa nehomoni.
Zvichitaurwa zviri nyore, ndezvekupa muviri wako mahormone ausiri kugadzira parizvino, kungave kuburikidza nemapiritsi kana dzimwe nzira. Ichi chinhu chaunofanira kuita kwehupenyu hwako hwese.
- Corticosteroids: Mishonga yakaita sehydrocortisone inopiwa kutsiva hormone yeACTH yakaderera.
- Homoni yethyroid: Mapiritsi eThyroxine (levothyroxine) anogona kugadzirisa kushomeka kweTSH.
- Mahormone epabonde: Estrogen neprogesterone zvinogona kubatsira kudzora kutenderera kwemwedzi wega wega.
- Mahormone ekukura: Aya anobatsira kuchengetedza simba remhasuru nemapfupa.
Kurapwa kwako kunowanzo tariswa nachiremba we endocrinologist, uyo anozoongorora ropa rako nguva nenguva uye anogadzirisa huwandu hwemahormone ako zvichienderana nezvaunoda chaizvo.
Pane dzimwe nguva dzaunongoerekana wada kuenda kuETU here?
Ehe, izvi zvakakosha zvikuru. Kana ukasangana nechirwere chinonzi Adrenal Crisis chatakambotaura nezvacho, chinogona kuisa hupenyu panjodzi. Saka, chinoda kurapwa nekukurumidza. Kana ukasangana nechimwe chezviratidzo zvinotevera, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.
- Musoro , kuona zvisipo
- Kurwadziwa mudumbu, pachipfuva chepazasi, kana kumusana
- Kupindwa nechando
- Kushaya simba kwakanyanya
- Kusvotwa nekurutsa
- Kuvhiringidzika kana kurasikirwa nepfungwa
Kana chiremba wako akakuongorora kuti une Sheehan Syndrome, vanogonawo kukukurudzira kuti upfeke bracelet yekuzivisa chiremba kuti uwane rubatsiro nekukurumidza kana paine emergency yakaita seiyi.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheSheehan chirwere chisingawanzoitiki chinokonzerwa nekukuvara kwegland repituitary nekuda kwekubuda ropa rakawanda panguva yekusununguka.
- Zivai zviratidzo zvakaita sekuoma kuyamwisa, kunonoka kuenda kumwedzi, uye kuneta zvakanyanya. Musangozvifuratira.
- Ichi chirwere chinogona kudzorwa zvakanaka nekurapwa kwemahormone kwehupenyu hwese. Nekurapwa kwakakodzera, unogona kurarama hupenyu hwakajairika.
- Kana muine kusava nechokwadi nezvenyaya iyi, musatya kutaura pachena nachiremba wenyu. Iye achakupai gwara ramunoda.
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