Kuqhelekile ukuba umzimba wakho uzive udiniwe kwaye wahlukile emva kokuba nomntwana. Njengomama omtsha, mhlawumbi uxakeke zizinto ezininzi. Kodwa okwangoku, ukuba unengxaki yokuncancisa, ixesha lakho alikaqali kwakhona, okanye umzimba wakho uziva ucotha ngendlela engaqhelekanga, musa ukuyithatha njengento nje "njengoko kunjalo komama abatsha." Isenokuba yimeko engaqhelekanga ebangelwa yingxaki ngexesha lokubeleka. Namhlanje, sithetha ngenye yeemeko ezinjalo.
Ngamafutshane, yintoni iSheehan Syndrome?
I-Sheehan Syndrome yimeko engaqhelekanga kakhulu ebangela ukopha kakhulu ngexesha lokubeleka. Ichaphazela idlala elincinci elisezantsi kwengqondo yakho elibizwa ngokuba yi-pituitary gland.
Cinga ngale gland yepituitary njenge-'master gland' yenkqubo yehomoni yomzimba wethu. Yiyo exelela amanye amadlala emzimbeni ukuba, "Kulungile, ngoku uvelisa le hormone," "Uvelisa loo hormone." Ngoko ke ukuba le 'boss' ayisebenzi kakuhle, yonke inkqubo yehomoni inokuphazamiseka.
Ngexesha lokukhulelwa, le gland ye-pituitary iyanda kancinci. Ngexesha lokubeleka, ukuba ngesizathu esithile wopha kakhulu okanye uxinzelelo lwakho lwegazi luyehla kakhulu, le gland ikhulileyo ayifumani umlinganiselo weoksijini ewudingayo. Kanye njengokuba isityalo sibuna xa singenamanzi, xa singenaoksijini, ezinye izicubu ezikule gland ziyabola kwaye ziyafa. Yiloo nto siyibiza ngokuba yiSheehan Syndrome , okanye i-postpartum hypopituitarism .
Kwenzeka ntoni xa i-pituitary gland yonakele?
Ngenxa yokuba 'umphathi' engasebenzi, nezinye iindlala eziphantsi kolawulo lwakhe nazo azisebenzi kakuhle. Oku kuthetha ukuba ukuveliswa kweehomoni ezininzi ezibalulekileyo emzimbeni wethu kuyancitshiswa okanye kuyekwe ngokupheleleyo. Oku kunokuchaphazela izinto ezininzi emzimbeni wakho. Makhe sijonge ukuba ezi homoni ziyancipha ntoni kwaye kwenzeka ntoni kuzo.
| Ihomoni | Indima emzimbeni |
|---|---|
| I-Prolactin (i-Prolactin - i-PRL) | Ikhuthaza ukuveliswa kobisi lwebele ukuze luncelise umntwana. |
| I-hormone ye-Luteinizing (LH) kunye ne-hormone evuselela i-follicle (FSH) | Zilawula umjikelo wenyanga wokuya exesheni kunye nokukhutshwa kweqanda, nto leyo ebalulekileyo ekukhulelweni kwakhona. |
| Ihomoni evuselela i-thyroid (TSH) | I-thyroid gland entanyeni iyakhuthazwa kwaye ivelisa iihomoni ezilawula imetabolism yomzimba, amandla, kunye nenkqubo yemithambo-luvo. |
| Ihomoni ye-Adrenocorticotropic (ACTH) | Xa umzimba uxinezelekile, unceda ekuveliseni ihomoni ebizwa ngokuba yi-cortisol, enceda ekulawuleni uxinzelelo lwegazi kunye namanqanaba eswekile. |
| IHormone yoKhula (GH) | Inceda ukugcina uxinano lwamathambo, ubunzima bemisipha, kunye nokusasazwa kwamafutha emzimbeni. |
Zithini iimpawu zeSheehan Syndrome?
Into ekhethekileyo ngale nto kukuba kwabanye abantu, iimpawu zibonakala kwangoko emva kokubeleka. Kwabanye, iimpawu ziqala ukubonakala kwiinyanga, kwanasemva kweminyaka. Kungoko ke, kubaluleke kakhulu ukuqaphela oku.
Ezi ziimpawu ezinokubonwa ngokubanzi:
- Ubunzima bokuncancisa okanye ukunqongophala kobisi emva kokubeleka yenye yeempawu zokuqala.
- Ukuyeka ukuya exesheni (i-amenorrhea) okanye ukungaqheleki kwayo.
- Ukuziva udiniwe ngendlela engaqhelekanga , ungenabomi, kwaye ungakwazi ukugxila kwinto ethile.
- Uxinzelelo lwegazi oluphantsi .
- Ukuncipha komnqweno wesondo.
- Ukulahlekelwa ziinwele emakhwapheni nakwiindawo zangasese kunye nokuncitshiswa kwamabele.
- Ulusu olomileyo.
- Ukuwohloka kwesisu yimeko ebangela ukuba iindonga zesini zibe zincinci kwaye zome, nto leyo eyenza ukuba ukulala ngesondo kube buhlungu.
Ngamanye amaxesha, iimpawu zisenokungabonakali de umzimba uvelelwe sisifo esibangela uxinzelelo olukhulu, njengotyando okanye usulelo. Ngamaxesha anjalo, umzimba usenokuba neempawu eziqatha ngequbuliso kuba ungenayo i-hormone yoxinzelelo (i-cortisol). Oku kubizwa ngokuba yi -'Adrenal Crisis' , kwaye yingxamiseko yezonyango.
Ngubani osengozini enkulu yokuba nale meko?
I-Sheehan Syndrome yimeko engaqhelekanga kakhulu kule mihla. Kuba izibhedlele zethu zineendlela eziphambili zokulawula iimeko ezingxamisekileyo ezifana nokopha kakhulu ngexesha lokubeleka. Nangona kunjalo, kukho ezinye iimeko apho ukopha kakhulu kunokwenzeka ngexesha lokubeleka. Kwiimeko ezinjalo, kunokubakho umngcipheko omncinci wale meko.
- Ukuba namawele namawele amathathu.
- Ubunzima bomntwana buyanda kakhulu (umntwana ozelwe enobunzima obuphezulu).
- Ukuqhawuka kwe-placenta.
- I-Placenta previa (indawo ephantsi ye-placenta esibelekweni).
- Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (i-Preeclampsia).
- Ukuhanjiswa kwezixhobo (ii-forceps okanye i-vacuum extraction).
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha wakho malunga nezi mpawu, uya kwenza uvavanyo oluninzi ukuba uyayikrokrela le meko.
1. Ukuthetha ngembali yakho yezonyango: Ugqirha wakho uza kukubuza imibuzo efana nale, "Ngaba wopha kakhulu xa wawunomntwana?", "Ngaba ukwazile ukuncancisa umntwana?", "Ngaba ixesha lakho laqala kwakhona?" Kubaluleke kakhulu ukuchaza ngokucacileyo yonke into oyivayo.
2. Uvavanyo lwegazi: Kuthathwa isampulu yegazi lakho ukujonga amanqanaba eehomoni ezilawulwa yi-pituitary gland (ezifana ne-TSH, i-cortisol, i-FSH, i-LH).
3. Uvavanyo lwemifanekiso: Ngamanye amaxesha i-MRI (Magnetic Resonance Imaging) inokwenziwa ukujonga ezinye izizathu, ezifana nethumba le-pituitary.
Zithini iindlela zonyango zoku?
Musa ukoyika xa usiva oku. I-Sheehan Syndrome yimeko enokulawulwa kakuhle. Unyango lwayo kunyango lokutshintshwa kweehomoni.
Ngamafutshane, kukunika umzimba wakho iihomoni ongazivelisiyo okwangoku, nokuba kungeepilisi okanye ezinye iindlela. Le yinto ekufuneka uyenze ubomi bakho bonke.
- IiCorticosteroids: Amayeza anjenge-hydrocortisone anikwa ukuze athathe indawo ye-ACTH hormone enciphileyo.
- Ihomoni ye-thyroid: Iipilisi ze-Thyroxine (levothyroxine) zinokulungisa ukungabikho kwe-TSH.
- Iihomoni zesini: I-estrogen kunye ne-progesterone zinokunceda ekulawuleni umjikelo wokuya exesheni wenyanga.
- Iihomoni zokukhula: Ezi zinceda ukugcina amandla ezihlunu namathambo.
Unyango lwakho ludla ngokulawulwa yingcali ye-endocrinologist, eya kuvavanya igazi lakho rhoqo kwaye ilungise umthamo wehomoni yakho ngokweemfuno zakho.
Ngaba kukho amaxesha apho ngequbuliso kufuneka uye kwi-ETU?
Ewe, oku kubaluleke kakhulu. Ukuba ufumana imeko ebizwa ngokuba yi -Adrenal Crisis ebesithethe ngayo ngaphambili, inokuba yingozi ebomini. Ke ngoko, ifuna unyango olungxamisekileyo. Ukuba ufumana naziphi na iimpawu ezilandelayo, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Intloko ebuhlungu , umbono ofipheleyo
- Intlungu esiswini, esifubeni esisezantsi, okanye emqolo
- Ifiva
- Ubuthathaka obukhulu
- Isicaphucaphu nokuhlanza
- Ukudideka okanye ukulahlekelwa zingqondo
Ukuba ugqirha wakho ufumanisa ukuba uneSheehan Syndrome, banokukucebisa ukuba unxibe isongo sesilumkiso sezonyango ukuze ufumane unyango olukhawulezileyo xa kukho imeko engxamisekileyo efana nale.
Umyalezo Wokuya Ekhaya
- I-Sheehan Syndrome yimeko engaqhelekanga kakhulu ebangelwa kukonakala kwe-pituitary gland ngenxa yokopha kakhulu ngexesha lokubeleka.
- Lumka ngeempawu ezifana nobunzima bokuncancisa, ukungayi exesheni, kunye nokudinwa kakhulu. Musa ukuzityeshela nje ezi zinto.
- Le yimeko enokulawulwa kakuhle ngonyango lweehomoni ubomi bonke. Ngonyango olufanelekileyo, ungaphila ubomi obuqhelekileyo ngokupheleleyo.
- Ukuba unamathandabuzo ngale nto, ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho. Uza kukunika ulwalathiso olufunayo.
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