Kujwayelekile ukuthi umzimba wakho uzizwe ukhathele futhi uhlukile ngemva kokuthola umntwana. Njengomama omusha, cishe umatasa ngezinto eziningi. Kodwa okwamanje, uma unenkinga yokuncelisa, isikhathi sakho sokuya esikhathini asikaqali futhi, noma umzimba wakho uzizwa uvilapha ngendlela exakile, ungamane nje ucabange ukuthi "lokhu kunjalo komama abasha." Kungaba yisimo esingavamile esibangelwa inkinga ngesikhathi sokubeletha. Namuhla, sikhuluma ngesinye salezo zimo.
Kalula nje, iyini i-Sheehan Syndrome?
I-Sheehan Syndrome yisimo esingavamile kakhulu esibangela ukopha ngokweqile ngesikhathi sokubeletha. Sithinta indlala encane etholakala phansi kobuchopho bakho ebizwa ngokuthi i-pituitary gland.
Cabanga ngale ndlala ye-pituitary 'njenge-gland eyinhloko' yesimiso sama-hormone somzimba wethu. Yileyo etshela ezinye izindlala emzimbeni ukuthi, "Kulungile, manje ukhiqiza le hormone," "Ukhiqiza lelo hormone." Ngakho-ke uma le 'nkosi' ingasebenzi kahle, lonke uhlelo lwama-hormone lungaphazamiseka.
Ngesikhathi sokukhulelwa, le ndlala ye-pituitary ikhula kancane. Ngesikhathi sokubeletha, uma ngesizathu esithile wopha kakhulu noma umfutho wegazi wakho wehla kakhulu, le ndlala ekhulisiwe ayitholi inani lomoya-mpilo eliwudingayo. Njengoba nje isitshalo sibuna lapho singenamanzi, lapho singenayo umoya-mpilo, ezinye izicubu ezikule ndlala ziyalimala futhi ziyafa. Yilokho esikubiza ngokuthi i-Sheehan Syndrome , noma i-postpartum hypopituitarism .
Kwenzekani uma indlala ye-pituitary yonakele?
Ngenxa yokuthi 'umphathi' akasebenzi, nezinye izindlala ezilawulwa nguye nazo azisebenzi kahle. Lokhu kusho ukuthi ukukhiqizwa kwama-hormone amaningi abalulekile emzimbeni wethu kuyancishiswa noma kuyekwe ngokuphelele. Lokhu kungathinta izinto eziningi emzimbeni wakho. Ake sibheke ukuthi la ma-hormone ancipha kanjani nokuthi kwenzekani kuwo.
| I-hormone | Indima Emzimbeni |
|---|---|
| I-Prolactin (i-Prolactin - i-PRL) | Kukhuthaza ukukhiqizwa kobisi lwebele ukuze kunceliswe ingane. |
| I-hormone ye-Luteinizing (LH) kanye ne-hormone evuselela i-follicle (FSH) | Zilawula umjikelezo wokuya esikhathini wanyanga zonke kanye nokuvuthwa kwamaqanda, okubalulekile ekukhulelweni futhi. |
| I-hormone evuselela i-thyroid (TSH) | Indlala yegilo entanyeni iyashukunyiswa futhi ikhiqiza ama-hormone alawula ukugaywa komzimba, amandla, kanye nesimiso sezinzwa. |
| I-hormone ye-Adrenocorticotropic (ACTH) | Uma umzimba ubhekene nokucindezeleka, kusiza ekukhiqizeni i-hormone ebizwa ngokuthi i-cortisol, esisiza ukubhekana nesimo. Kubalulekile futhi ekulawuleni umfutho wegazi kanye namazinga kashukela. |
| I-hormone Yokukhula (GH) | Kusiza ukugcina ukuqina kwamathambo, imisipha, kanye nokusatshalaliswa kwamafutha emzimbeni. |
Ziyini izimpawu ze-Sheehan Syndrome?
Into ekhethekile ngalokhu ukuthi kwabanye abantu, izimpawu zivela ngokushesha ngemva kokubeletha. Kwabanye, izimpawu ziqala ukuvela ezinyangeni, ngisho neminyaka kamuva. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Lezi yizimpawu ezingabonakala ngokujwayelekile:
- Ubunzima bokuncelisa noma ukuntuleka kobisi ngemva kokubeletha kungenye yezimpawu zokuqala.
- Ukuphela kokuya esikhathini (i-amenorrhea) noma ukungahambi kahle kwayo.
- Ukuzizwa ukhathele ngendlela engavamile , ungenampilo, futhi ungakwazi ukugxila kunoma yini.
- Umfutho wegazi ophansi .
- Ukuncipha kwesifiso sobulili.
- Ukulahlekelwa izinwele emakhwapheni nasezindaweni zangasese kanye nokushwabana kwamabele.
- Isikhumba esomile.
- Ukuwohloka kwesitho sangasese sowesifazane yisimo esibangela ukuthi izindonga zesitho sangasese sowesifazane zibe zincane futhi zome, okwenza ucansi lube buhlungu.
Ngezinye izikhathi, izimpawu zingase zingaveli kuze kube yilapho umzimba uvezwa esicindezelweni esikhulu, njengokuhlinzwa noma ukutheleleka. Ngezikhathi ezinjalo, umzimba ungase ubhekane nezimpawu ezinzima ngokuzumayo ngoba awunayo i-hormone yokucindezeleka (i-cortisol). Lokhu kubizwa ngokuthi 'i-Adrenal Crisis' , futhi kuyisimo esiphuthumayo sezokwelapha.
Ubani osengozini enkulu yalesi simo?
I-Sheehan Syndrome iyisimo esingavamile kakhulu kulezi zinsuku. Ngoba izibhedlela zethu zinezindlela ezithuthukisiwe zokuphatha izimo eziphuthumayo njengokuphuma kwegazi ngokweqile ngesikhathi sokubeletha. Kodwa-ke, kunezimo ezithile lapho ukuphuma kwegazi ngokweqile kungenzeka khona ngesikhathi sokubeletha. Ezimweni ezinjalo, kungase kube nengozi encane yalesi simo.
- Ukuba namawele namawele amathathu.
- Ukukhula kwesisindo somntwana kukhulu kakhulu (umntwana ozelwe enesisindo esiphezulu).
- Ukuphazamiseka kwe-placenta.
- I-Placenta previa (indawo ephansi ye-placenta esibelethweni).
- Umfutho wegazi ophezulu ngesikhathi sokukhulelwa (i-Preeclampsia).
- Ukulethwa kwezinsimbi zomculo (i-forceps noma i-vacuum extraction).
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela wakho ngalezi zimpawu, uzokwenza izivivinyo eziningana uma esola lesi simo.
1. Ukukhuluma ngomlando wakho wezokwelapha: Udokotela wakho uzokubuza imibuzo efana nokuthi, "Ingabe wopha kakhulu ngesikhathi uthola umntwana?", "Wakwazi yini ukuncelisa umntwana?", "Ingabe ukuya kwakho esikhathini kwaqala futhi?" Kubaluleke kakhulu ukuchaza ngokucacile konke okuzwayo.
2. Ukuhlolwa kwegazi: Kuthathwa isampula yegazi lakho ukuhlola amazinga ama-hormone alawulwa yi-pituitary gland (njenge-TSH, i-cortisol, i-FSH, i-LH).
3. Ukuhlolwa kwezithombe: Ngezinye izikhathi kungenziwa i-MRI (Magnetic Resonance Imaging) ukuze kuhlolwe ezinye izimbangela, njengesimila se-pituitary.
Yiziphi izindlela zokwelapha lokhu?
Ungakhathazeki uma uzwa lokhu. I-Sheehan Syndrome yisimo esingaphathwa kahle. Ukwelashwa kwalokhu ukwelashwa ngokushintsha ama-hormone.
Kalula nje, kumayelana nokunikeza umzimba wakho ama-hormone ongawenzi njengamanje, kungaba ngamaphilisi noma ezinye izindlela. Lokhu kuyinto okufanele uyenze impilo yakho yonke.
- Ama-Corticosteroids: Imithi efana ne-hydrocortisone inikezwa ukuze ithathe indawo ye-ACTH hormone enciphile.
- I-hormone ye-thyroid: Amaphilisi e-Thyroxine (levothyroxine) angalungisa ukuntuleka kwe-TSH.
- Ama-hormone ocansi: I-estrogen ne-progesterone kungasiza ekulawuleni umjikelezo wokuya esikhathini wanyanga zonke.
- Ama-hormone okukhula: Lawa asiza ekugcineni amandla emisipha namathambo.
Ukwelashwa kwakho kuvame ukuqondiswa udokotela we-endocrinologist, ozohlola igazi lakho ngezikhathi ezithile futhi alungise umthamo wakho wama-hormone ngokwezidingo zakho eziqondile.
Ingabe zikhona izikhathi lapho kungazelelwe udinga ukuya e-ETU?
Yebo, lokhu kubaluleke kakhulu. Uma ubhekene nesimo esibizwa ngokuthi i-Adrenal Crisis esikhulume ngaso ngaphambilini, singasongela impilo. Ngakho-ke, sidinga ukwelashwa okuphuthumayo. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Ikhanda elibuhlungu , umbono ofiphele
- Ubuhlungu esiswini, esifubeni esingezansi, noma emhlane
- Imfiva
- Ubuthakathaka obukhulu
- Isicanucanu nokuhlanza
- Ukudideka noma ukulahlekelwa ukwazi
Uma udokotela wakho ekuxilonga ukuthi une-Sheehan Syndrome, angase akucebise nokuthi ugqoke isongo lesaziso sezokwelapha ukuze uthole ukwelashwa okusheshayo uma kwenzeka isimo esiphuthumayo esinjengalesi.
Umlayezo Wokuya Nawe Ekhaya
- I-Sheehan Syndrome yisimo esingavamile kakhulu esibangelwa ukulimala kwe-pituitary gland ngenxa yokopha ngokweqile ngesikhathi sokubeletha.
- Qaphela izimpawu ezifana nobunzima bokuncelisa, ukungayi esikhathini, kanye nokukhathala ngokweqile. Ungamane nje uzishaye indiva lezi zimpawu.
- Lesi yisimo esingalawulwa kahle ngokwelashwa ngama-hormone impilo yonke. Ngokwelashwa okufanele, ungaphila impilo ejwayelekile ngokuphelele.
- Uma unokungabaza ngalokhu, ungesabi ukukhuluma ngokukhululekile nodokotela wakho. Uzokunikeza isiqondiso osidingayo.
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