ISheehan syndrome

ISheehan syndrome yisimo esingenzeka kowesifazane opha kakhulu ngesikhathi sokubeletha. ISheehan syndrome uhlobo lwe-hypopituitarism.

Ukopha kakhulu ngesikhathi sokubeletha kungadala ukuthi izicubu ezisegunjini le-pituitary zife. Le ndlala ayisebenzi kahle ngenxa yalokho.

Indlala ye-pituitary isesikhathini sobuchopho. Kwenza amahomoni akhuthaza ukukhula, ukukhiqizwa kobisi lwebele, imisebenzi yokuzala, igilo, nezindlala ze-adrenal. Ukushoda kwala mahomoni kungaholela ezinhlotsheni ezahlukahlukene zezimpawu. Izimo ezandisa ingozi yokuphuma kwegazi ngesikhathi sokubeletha kanye ne-Sheehan syndrome zifaka ukukhulelwa okuningi (amawele noma amawele amathathu) nezinkinga nge-placenta. I-placenta isitho esikhula ngesikhathi sokukhulelwa ukondla umbungu.

Kuyisimo esingajwayelekile.

Izimpawu ze-Sheehan syndrome zingafaka:

• Ukungakwazi ukuncelisa (ubisi lwebele "alungeni")
• Ukukhathala
• Ukungabi nokopha esikhathini
• Ukulahleka kwezinwele zasesidlangalaleni nase-axillary
• Umfutho wegazi ophansi

Qaphela: Ngaphandle kokuthi awukwazi ukuncelisa, izimpawu zingase zingakhuli iminyaka eminingana ngemuva kokubeletha.

Ukuhlolwa okwenziwe kungafaka:

• Ukuhlolwa kwegazi ukukala amazinga ama-hormone
• I-MRI yekhanda ukukhipha ezinye izinkinga zesikhumba, njengesimila

Ukwelashwa kufaka phakathi i-estrogen ne-progesterone therapy yokwelashwa esikhundleni. La mahomoni kufanele athathwe okungenani kuze kube seminyakeni ejwayelekile yokunqamuka kokuya esikhathini. Ama-hormone e-thyroid ne-adrenal nawo kufanele athathwe. Lokhu kuzodingeka impilo yakho yonke.

Umbono ngokuxilongwa nokwelashwa kusenesikhathi kuhle kakhulu.

Lesi simo singasongela impilo uma singelashwa.

Ukwehla kakhulu kwegazi ngesikhathi sokubeletha kungavikeleka ngokunakekelwa okufanele kwezokwelapha. Ngaphandle kwalokho, i-Sheehan syndrome ayivinjelwe.

I-postpartum hypopituitarism; Ukungasebenzi kahle kwe-postpartum pituitary; Isifo se-Hypopituitarism

• Izindlala ze-Endocrine

IBurton GJ, iSibley CP, iJauniaux ERM. I-Placental anatomy ne-physiology. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 1.

UKaiser U, Ho KKY. I-pituitary physiology kanye nokuhlolwa kokuxilongwa. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2016: isahluko 8.

Molitch ME. Ukuphazamiseka kwepituitary ne-adrenal ekukhulelweni. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 43.

UNader S. Ezinye izinkinga ze-endocrine zokukhulelwa. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli.ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 62.