Unoziva here nezveSheehan Syndrome, iyo inogona kuitika mushure mekusununguka?

Munoyeuka here kuti taimbotaura nezvekuti dzimwe nguva vanaamai vanowana zviratidzo zvisinganzwisisike mushure mekusununguka? Pamwe havaburitsi mwana wavo mukaka wakakwana, kuenda kwavo kumwedzi kunomira kamwe kamwe, kana kuti vanonzwa kuneta zvakanyanya zuva rese. Izvi hazvisi zvinhu zvisina kurongeka chete, dzimwe nguva zvinogona kunge zvichikonzerwa nematambudziko panguva yekusununguka. Nhasi tichataura nezvedambudziko risingawanzoitika asi rinokosha zvikuru rine chekuita nekusununguka iro munhu wese anofanira kuziva.

Chii chinonzi Sheehan Syndrome?

Zvichitaurwa zviri nyore, Sheehan Syndrome chirwere chisingawanzoitiki chinokanganisa gland rako repituitary . Chinoitika kana paine kubuda ropa rakawanda panguva yekusununguka, zvichireva kuti ropa rakawanda rinobuda mumuviri. Funga nezvazvo, gland rako repituitary igland diki asi rinokosha zvikuru riri pasi peuropi. Tinoridaidza kuti "master gland" nekuti rinoburitsa mahormone anodzora maitiro akawanda akakosha mumuviri, uye rinoudzawo mamwe magland kuti agadzire mahormone. Saka, kana paine kubuda ropa rakawanda panguva yekusununguka, gland iri repituitary hariwani huwandu hweokisijeni hwarinoda. Kungofanana nemuti unofa usina mvura, kana usina okisijeni, mamwe matishu ari mugland repituitary anofa. Gland iri repituitary rinokura zvishoma panguva yekuzvitakura, saka rinogona kukuvara. Kana gland repituitary rikakuvara nenzira iyi, rinogona kukanganisa masisitimu akasiyana-siyana mumuviri, akadai seuropi, hurongwa hwekubereka, tsandanyama, ganda, simba, uye kunyange pfungwa. Iyi Sheehan Syndrome inonziwo `postpartum hypopituitarism` kana `postpartum pituitary necrosis`.

Chii chinoitika kumuviri une chirwere cheSheehan?

Kana pituitary gland ikakuvara, inorasikirwa nekukwanisa kwayo kugadzira mahormone akakosha anodiwa nemuviri. Heano mahormone aya:

• Adrenocorticotrophic hormone (ACTH): Izvi zvinosimudzira kugadzirwa kwecortisol, iyo inonyanya kukosha mumuviri. Cortisol ihormone inodzora BP, huwandu hweshuga muropa, uye inobatsira muviri kurarama nekushushikana.
• Homoni inokurudzira thyroid (TSH): Izvi zvinokurudzira thyroid gland . Thyroid inodzora kushandiswa kwemagetsi, simba, uye tsinga.
• Homoni yekukura (GH): Inobatsira kuchengetedza kusimba kwemapfupa, tsandanyama, uye kupararira kwemafuta.
• Homoni inokurudzira follicle (FSH): Inokurudzira kugadzirwa kweestrogen mumazai, uye inoita kuti zai rikure mwedzi wega wega.
• Homoni yeLuteinizing (LH):Zvinobatsira pakuburitsa zai kubva mumazai, uko kuri kuburitsa zai kubva mumazai.
• Prolactin (PRL): Inokurudzira kugadzirwa kwemukaka panguva yekuzvitakura uye inoita kuti mwana akwanise kuyamwisa.

Saka unogona kunzwisisa kuti kana paine mahormone aya asina, basa rakakodzera mumuviri harizoshande nemazvo.

Mamiriro ezvinhu aya akajairika zvakadii?

Nekurapa kwemazuva ano, Sheehan Syndrome chirwere chisingawanzoitiki . Chinoitika muvana vanosvika vashanu pavana 100,000 vega vega vanozvarwa. Zvisinei, chinogona kuwanda munzvimbo dzisina rubatsiro rwekukurumidzira rwekudzivirira kubuda ropa rakawanda panguva yekusununguka.

Ndezvipi zviratidzo zveizvi?

Zviratidzo zvechirwere cheSheehan dzimwe nguva zvinogona kuonekwa pakarepo , kureva kuti, nguva pfupi mwana achangoberekwa. Zvisinei, dzimwe nguva zviratidzo izvi zvinogona kuonekwa zvishoma nezvishoma, kwemwedzi yakawanda kana kunyange makore . Zviratidzo zvikuru zvinogona kuonekwa ndeizvi:

• Kuomerwa nekuyamwisa kana kusawana mukaka mushure mekunge mwana azvarwa.
• Kurega kuenda kumwedzi kwemwedzi wese ( amenorrhea ) kana kusaenda kumwedzi nguva dzose.
• Madziro emukadzi anotetepa uye akaoma ( vaginal atrophy ), izvo zvinogona kuita kuti kusangana pabonde kurwadzise.
• Kudzikira kwemazamu uye kurasikirwa nebvudzi muhapwa nenzvimbo dzakavanzika.
• Kuneta zvakanyanya , kushaya simba, uye kuoma kwekuisa pfungwa pachinhu chimwe chete.
• Kuderera kwechido chepabonde.
• Kuderera kweropa.
• Ganda rakaoma.

Zvakakosha kuti dzimwe nguva ungasava nezviratidzo zvikuru wobva wangoerekana wasangana nedambudziko guru muhupenyu hwako - semuenzaniso, kuvhiyiwa, hutachiona hukuru, kana tsaona - uye muviri wako ungasave ne cortisol yakakwana yekutsungirira, zvichikonzera zviratidzo. Izvi zvinonzi adrenal crisis . Ichi chirwere chinotyisidzira hupenyu chinoda kurapwa nekukurumidza.

Sei chirwere cheSheehan chichiitika?

Chikonzero chikuru cheizvi kubuda ropa rakawanda panguva yekusununguka . Sezvandambotaura, pituitary gland inokura panguva yekuzvitakura, dzimwe nguva ichiwedzera kaviri. Izvi zvinoita kuti ive nyore kushaikwa kweokisijeni, kunyanya kana paine kubuda ropa kwakawanda kana kudonha kamwe kamwe kweropa. Kana paine kushomeka kweokisijeni, masero ari mupituitary gland anokuvadzwa. Nekuda kweizvozvo, pituitary gland haigone kugadzira mahormone akakwana ekudzora mabasa akasiyana-siyana mumuviri. Kushomeka kwemahormone uku kunogona kukonzera kuti system yekubereka nesystem yetsinga zvisashande zvakanaka kana kutomira zvachose.

Izvi zvinobva kuzvizvarwa nezvizvarwa here?

Kwete. Sheehan syndrome haisi chirwere chaunowana kubva kuvabereki vako.

Kurasikirwa neropa rakawanda sei kunodiwa kuti chirwere ichi chive panjodzi?

Kazhinji, njodzi yekubatwa nechirwere cheSheehan's syndrome inongowedzera chete kana ropa rako rikarasikirwa nehupenyu hwako, BP yako ikadonha zvakanyanya, uye shock. Zvisinei, nekuda kwekuti timu yako yezvekurapa yakagadzirira emergency idzi, njodzi iyi yava shoma zvikuru.

Ndezvipi zvinhu zvinokonzera njodzi?

Tava kuziva kuti chirwere cheSheehan chinoitika chete kana paine kubuda ropa rakawanda panguva yekusununguka uye BP yakadzikira zvakanyanya. Saka, mamiriro ezvinhu anowedzera njodzi yekubuda ropa rakawanda panguva yekusununguka anowedzerawo njodzi yekubatwa nechirwere cheSheehan. Matambudziko akadaro anosanganisira:

• Kubereka vana vanopfuura mumwe chete (senge mapatya, vana vatatu).
• Kubereka mwana mukuru kupfuura zvakajairwa.
• Kubviswa kweplacenta .
• Placenta previa (placenta yakaderera ).
• Kukwira kweropa panguva yekuzvitakura ( preeclampsia ).
• Kuendeswa kwezvishandiso (semuenzaniso forceps kana vacuum extraction ).

Ndezvipi zvinetso zvechirwere cheSheehan?

Kana chirwere cheSheehan chichikonzera dambudziko readrenal mukukura, chinogona kutyisidzira hupenyu. Pamusoro pezvo, mamwe matambudziko echirwere ichi anogona kusanganisira:

• Kuderera kweropa.
• Kurasikirwa nehuremu hwemuviri kana tsandanyama.
• Kuenda kumwedzi kusingaenderane nenguva kana kuti kunetseka kubata pamuviri zvakare.

Asi musazvidya mwoyo, chiremba wenyu anogona kukubatsirai kubata kana kudzivirira matambudziko aya nekurapwa kwakakodzera.

Unozviziva sei izvi?

Kana uine zviratidzo zvechirwere cheSheehan, chiremba wako anogona kushandisa zvinotevera kuti aongorore chirwere chacho:

• Nhoroondo yezvekurapa: Chiremba wako achakubvunza nezve chero kubuda ropa kwakanyanya kwawakaita kare kana mamwe matambudziko awakambosangana nawo panguva yekuzvitakura kwako. Uchafanirawo kutaura nezve chero zviratidzo zvawakambosangana nazvo mushure mekusununguka (semuenzaniso, kunetseka kuyamwisa, kana kunonoka kuenda kumwedzi). Taura zvakajeka nezvezviratidzo zvako zvazvino, kuti zvagara kwenguva yakareba sei, uye zvaunoita kuti zvive nani kana kuti zviwedzere kuipa.
• Kuongororwa kweropa: Muenzaniso weropa rako unotorwa uye huwandu hwemahormone ane chekuita nebasa repituitary gland hunoongororwa.
• Kuongororwa kwemifananidzo: Kuongororwa kweMRI (Magnetic Resonance Imaging) kunogona kubvisa zvimwe zvinokonzera zviratidzo zvako (semuenzaniso, bundu repituitary). Kana mhedzisiro yeMRI isina kujeka, kuongororwa kweCT (Computed Tomography scan) kunogona kuitwawo.

Ndezvipi zvinoongororwa ropa zvinoshandiswa kuongorora chirwere?

Chiremba anogona kuyedza huwandu hwemahormone ako zvakananga, kana kuti anogonawo kutarisa kuti pituitary gland yako inopindura sei kune chimwe chinhu chinokurudzira.

• Kuongororwa Kwemazinga Emahormone: Mazinga emahormone akadai seACTH, FSH, LH, TSH, T4, estradiol (rudzi rweestrogen), IGF-1, uye cortisol zvinogona kuongororwa.
• Kuongororwa kwekukurudzira: Chiremba wako anogona kukupa mushonga kana jekiseni rekukurudzira mamwe mahormone anogadzirwa negland repituitary uye kuongorora kuti gland repituitary rinopindura sei kwariri.

Inorapwa sei?

Kuti urape chirwere ichi, uchafanira kutora mahormone kweupenyu hwako hwese . Izvi zvinoreva kuti muviri wako uchakupa mahormone ausingachagadziri. Izvi zvinonziwo hormone replacement therapy . Mhando dzemahormone aunoda, huwandu hwawo, uye kuti unoatora sei zvichasiyana zvichienderana nechirwere chako uye zviratidzo. Mahormone aya anogona kusanganisira:

• Mahormone epabonde: Estrogen neprogesterone zvinogona kushandiswa kudzora nguva yako yekuenda kumwedzi uye kubatsira nezviratidzo zvekusvika panguva yekuenda kumwedzi nguva isati yakwana. Mahormone akadai seLH neFSH anobatsira pakubuda kwechibereko, izvo zvinogonawo kukubatsira kuti uwane pamuviri zvakare.
• Corticosteroids: Unogona kutora hydrocortisone kana prednisone kurapa kushomeka kweACTH. Dosi yako yemahormone aya ingangoda kugadziriswa kana uri pasi pekushushikana kwakanyanya (sekuvhiyiwa) nekuti muviri wako unoda kugadzira cortisol yakawanda.
• Mahormone ethyroid: Levothyroxine (semuenzaniso, Synthroid®, Levoxyl®) inogona kushandiswa pakushaya TSH. Chiyero chemushonga uyu chichagadziriswa zvichienderana nemazinga emahormone ethyroid.
• Mahormone ekukura: Kutora mahormone ekukura kunogona kubatsira kuchengetedza tsandanyama nemapfupa.

Kazhinji, ucharapwa nachiremba we endocrinologist , chiremba ane hunyanzvi mukuita mahormone. Iye achaitawo bvunzo nguva nenguva kuti ave nechokwadi chekuti huwandu hwemahormone ako huri pakati pehuwandu hwakanaka.

Chirwere cheSheehan chinogona kudzivirirwa here?

Kwete, hapana chaunogona kuita kudzivirira Sheehan Syndrome. Chikwata chako chekurapa chinogona chete kudzora kubuda ropa uye BP panguva yekusununguka nekusununguka. Asi yeuka kuti Sheehan Syndrome chirwere chisingawanzoitiki . Kuva nechikwata chekurapa chine hunyanzvi chinogona kudzivirira matambudziko akadai sekubuda ropa rakawanda panguva yekusununguka nekusununguka kunoderedza zvikuru njodzi yako yekuva nechirwere ichi.

Chii chinoitika kana ndiine chirwere cheSheehan?

Kana munhu ane chirwere cheSheehan akarapwa zvakanaka, anogona kutarisira kupora zvakanaka.Vanhu vazhinji havaiti matambudziko akakomba. Nekutarisirwa kwakasimba nechikwata chezvekurapa, vamwe vanhu vakakwanisa kubata pamuviri zvinobudirira mushure mekuongororwa. Unofanira kuona chiremba wako we endocrinologist nguva nenguva kuti uve nechokwadi chekuti uri kuwana mishonga yakakodzera yekugadzirisa kusawirirana kwemahormone. Kuongororwa ropa nguva dzose kuti uone huwandu hwemahormone ako zvakare chikamu cherubatsiro urwu rwekutevera.

Munhu ane hypopituitarism anotarisira kurarama kwenguva yakareba sei?

Kana uine chirwere cheSheehan, tarisiro yekurarama kwako haizoshanduki. Kunyangwe uchazoda kurapwa kwehupenyu hwako hwese, unogona kutarisira tarisiro yekurarama hupenyu hwakajairika.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zvechirwere cheSheehan, kunyanya kana wakambobuda ropa rakawanda panguva yekusununguka , enda kuna chiremba nekukasika. Chiremba wako anogona kukuitira bvunzo kuti aone kana uine chirwere ichi.

Ndinofanira kuenda kuchipatara riini?

Kana uine zviratidzo zvedambudziko readrenal , unofanira kuenda kuchipatara nekukurumidza. Izvi zvinogona kuisa hupenyu panjodzi kana zvikasarapwa. Zviratidzo izvi zvinosanganisira:

• Kunzwa dzungu, sekunge wava kuda kurasikirwa nepfungwa.
• Kurwadziwa kwakanyanya mudumbu, pachipfuva chepazasi, kana kumusana.
• Kupindwa nechando.
• Muviri usina hupenyu.
• Kusvotwa nekurutsa.
• Kuvhiringidzika kana kurasikirwa nepfungwa.

Kana chiremba wako achifunga kuti uri panjodzi, vanogona kukukumbira kuti upfeke bracelet yekuzivisa nezvekurapa kuti uwane kurapwa nekukurumidza kana paine emergency.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Chirwere cheSheehan chinokanganisa sei muviri wangu?
• Kurapwa kuchavandudza sei zviratidzo zvangu?
• Unogona here kubata pamuviri uine chirwere cheSheehan?
• Ndichafanira kuongororwa ropa kangani?
• Ndeapi mishonga kana marapirwo auri kukurudzira?

Kukuvadzwa kwegland repituitary kunogona kukanganisa maitiro akawanda emuviri anoenderana nemazinga emahormone ane hutano. Kurapa kwekutsiva mahormone kunogona kubatsira kugadzirisa zvimwe zvemigumisiro yekushaikwa kwemahormone. Taura nachiremba wako nezvekuti Sheehan syndrome ichakanganisa sei mararamiro ako uye hutano hwako hwese. Zvakare, kurukura kuti chiremba wako anoongorora kangani mazinga emahormone ako kuti ave nechokwadi chekuti uri kuwana mishonga yakakodzera yehutano hwako.

Pakupedzisira, zvinhu zvekurangarira

Sheehan Syndrome chirwere chisingawanzoitiki chinokonzerwa nekukuvara kwegland repituitary nekuda kwekubuda ropa rakawanda panguva yekusununguka. Izvi zvinogona kukonzera kushomeka kwemahormone akasiyana-siyana, uye zviratidzo zvakaita sekuoma kuyamwisa, kurega kuenda kumwedzi, uye kuneta zvakanyanya.

Chinhu chakanakisa ndechekuti chirwere ichi chigone kurapwa zvinobudirira nekurapwa kwemahormone kwehupenyu hwese uye hupenyu hwese hunogona kuwanikwa.

Kana uine zviratidzo izvi, kunyanya kana wakambosangana nematambudziko panguva yekusununguka, zvakakosha kuti utsvage mazano kuna chiremba. Kana zvikaonekwa nekukurumidza, unogona kutanga kurapwa woramba uine hutano hwakanaka.

---

" Sheehan's syndrome, pituitary gland, kubereka mwana, kubuda ropa, mahormone, hutano hwevakadzi, kutarisirwa kwepashure pekusununguka."