Incazelo Sheehan Syndrome: Ihlahlubo, Izimpawu, Ukwelashwa

Ngamunye nathi asenze sikhexe futhi ithemba, elinde ukuzalwa kwengane. Sikholelwa ngobuqotho ukuthi umntwana nonina ziphilile, futhi nezenzo zonya ezinjengezimpi Sheehan syndrome ne Denny-Morthal, Down noma Simmonds, ngeke baye kwatholakala. Zonke lezi zifo ezimbi futhi kunzima ukuyelapha. Kulesi sihloko sizobona ukuthi uchaze kuqala wabo - Sheehan Syndrome. Wabadalula abanye besifazane kokubeletha.

incazelo

Kwangemva Kokubeletha necrosis of pituitary indlala - okuthiwa kanjalo Sheehan Syndrome. umlando Medical libonisa ukuthi kuwukuthatheka zokugula kubenzima esakheka emva onzima futhi isikhathi eside. Isizathu siba ukopha kakhulu lapho, esikhundleni salokho, kuholela hypotension. Ngenxa ukuthuthukiswa kwalo kancane enikeziwe ngegazi indlala pituitary - indlala encane ubuchopho obangela uhlelo endocrine yomuntu ekukhiqizweni kwama-hormone. Umzimba eba Sheehan Syndrome, imiphumela yalo ungeyena emnandi kunazo - ngeke bakwazi ukondla ingane yakho ibele, kodwa lokho kumane nje okuyingxenye kencani zezinkinga umama kulindeleke.

Kusukela zokugula aqedwe singenzeka ngesimo imvamisa yayo kweqiniso alwaziwa. Kwatholakala ukuthi ngemva kokuzalwa ukopha nengozi yokuba nesifo somdlavuza 40%. Lesi sifo sitholakale yilowo nalowo owesifazane osuke wesine, uma wayeshonelwe mayelana 800 ml igazi e-50% parous - ekulahlekelweni amalitha uketshezi esibalulekile.

izimpawu

Abasakwazi ethize. Ngokwesibonelo, i-alamu insimbi yokuqala kufanele ibe ukumisa lactation. izimpawu yesibili Sheehan syndrome ngokuvamile bavele kuphela ngemva kwezinyanga ezimbalwa. Ngokuvamile lokhu amenorrhea yesibili - ephelele ukungabi zokwehlukaniswa nokuwela gonadotropin uketshezi. Khona-ke ukuxilonga i-hypothyroidism, lapho indlala yegilo ikhiqiza amanani enganele hormone. Ngenxa yalokhu, ekuthuthukiseni myxedema - ukuhlukumeza wamaprotheni umzimba, okuholela ukuvuvukala ezinzima kwezicubu.

Abantu besifazane abane-besebancane - abaneminyaka engu-20 kuya kwengu-40 ubudala - futhi bangezwa hypopituitarism. Lesi simo esinzima komzimba, okuyinto uhlushwa ukushoda hormone ahlukahlukene owesifazane enezinwele ubuthakathaka ezinzima, okungazelelwe kwesisindo, ukungabi libido. Ezimweni eziphambili, umuntu angase baphazamisekile neuropsychiatric ngisho awela equlekile.

ngezigaba

Ukuswelakala kokusebenza ngokuhlanganyela hormone emzimbeni kungaba ezahlukene - kusuka imnene efomini untula. Kuye lokhu, lezi zinhlobo ezilandelayo Sheehan Syndrome:

1. umumo Global. Uma kwenzeka hormone phezulu enganele kakhulu, okubangela ukuthuthukisa iziyaluyalu kakhulu engqondweni, uhlelo zezinzwa isebenza kahle, umuntu ewela equlekile.
2. ifomu kwengxenye. I-hormone ukuntula akuyona kakhulu sho ngakho kutholakala ukuthi uphethwe yini ukuntula adrenocorticotropic kuphela, noma gonadotropnoj imisebenzi thyrotrophic. Vuma kwezitho zobulili, izinso kanye nezinye izitho.
3. ifomu Kuhlanganiswe. Lapho yonke imisebenzi engenhla abaphukile kanyekanye.

Lapho iqaphela ngisho ukubonakaliswa ukukhanya lesi sifo, kufanele ngokushesha uthintane udokotela wezifo zabesifazane noma udokotela wesifunda, othumele uvivinyo ezidingekayo kanye nokubonisana lokuqoka ochwepheshe.

pathogenesis

Le ndlela yokwenza kusukela ekuqaleni kwalesi sifo phambi izimpawu zibonakala elikhanyayo. odokotela abanekhono cabanga ke emazingeni ahlukahlukene: kusukela pathologies zofuzo ukuze ukuphazamiseka wonke umzimba. Tadisha kubalulekile, njengoba inikeza impendulo pathogenesis umbuzo kanjani futhi kungani lesi sifo sibangelwa. Kepha Sheehan Syndrome, lo eside zaziwa: kuba ukubonakaliswa eyinhloko izinguquko necrotic kule ndlala pituitary. Bona kwenzeke ngaphansi kwesimo igazi ekunqandeni, uma kukhona spasm yegazi we pituitary anterior ngemva ezinzima ukopha.

Sheehan Syndrome, izimpawu zazo echazwe ngenhla, ungase futhi zenzeka emva isisu, kanye ngemuva ukushaqeka webhaktheriya ngemuva kokubeletha. Ungalokothi uphuze isici preeclampsia - inkinga yokukhulelwa lapho umama okhulelwe sitholakale ukuvuvukala ezinzima, ukulahlekelwa amaprotheni ku umchamo, umfutho wegazi ophezulu kanye nokunye. Kuyinto laba besifazane zithambekele kumiswa amahlule.

emitholampilo isithombe

I degree of ukubonakaliswa Sheehan Syndrome lihlukile. Odokotela ngokuvamile bebodwa amafomu:

• Easy. It libhekene ukukhathala futhi ikhanda njalo. A ukwehla umsebenzi adrenal futhi yegilo.
• Isilinganiso. Izitho ngenhla iyathinteka nakakhulu. Ngokwesibonelo, owesifazane uzizwa kakhulu ukhathele kakhulu, anakekele nezinzipho zakhe eziphukile, ekuthanda ekuqulekeni. Iphazamiseke wesibeletho, ngezinye izikhathi kuze ukungazali ovulatory.
• Heavy. Izitho zangasese futhi mammary indlala hypertrophy, kubantu abaphethwe ukozela, Alopecia, lesikhumba kwesikhumba, ukukhohlwa. isisindo umzimba ewela ukuvuvukala enamandla.

Ukuze lesi sifo libhekene igazi kakhulu, esizibonakalisa zonke izinhlobo zesifo. Kuyinto ukumelana kakhulu yokwelapha, ngakho neze esilaphekayo. Odokotela kufanele azame uphinde ukwazi ezingeni zensimbi egazini.

ukuhlola

Ngesikhathi kubalulekile ukuhlola ngokuningiliziwe umlando ejwayelekile, lapho ukuhlanganisa phakathi isifo ukopha noma ukushaqeka ukonakala endaweni isisu odlule noma lapho bebeletha. Ukuze ubone ukuthi Sheehan syndrome, uphethwe iqala uhambo nezindlala mammary: abazi ukwandisa hhayi ngobukhulu, ubisi hhayi wafingqa hhayi kudedelwa ngisho nalapho nengcindezi enamandla futhi baqhuba emva Yiqiniso massage.

Ngesikhathi esifanayo in the lab ukuthatha ukuhlolwa igazi, enquma hormone zomzimba. Kuye inani amahomoni ukusungula uphethwe. Thatha isampula kanye nomchamo - kuso nazo izinguquko ebonakalayo emzimbeni. Ngaphezu kwalokho, odokotela ukuqhuba futhi umehluko ukuxilongwa - esisiza ukuhlukanisa isifo eyodwa ukusuka kwenye. Phela, iningi lazo babe nezimpawu ezifanayo kakhulu. Ngakho-ke, yilowo nalowo kubo ihlaziye ngokuningiliziwe, correlate futhi wenze esiphethweni esinembile.

ukwelashwa

Indlela ukuqeda lesi sifo esikhohlisayo. Ngokujwayelekile uma umuntu ethola ukuthi unesifo Sheehan Syndrome, impatho iqala amahomoni gonadotropin ngokobulili, linqume ukwelashwa kanye infantilism ngokobulili. Kufanele, isibonelo, "Infekundin" noma amanye amalungiselelo yochungechunge oluthile lwezinto ezenzeke zokwenziwa progestins. Ngempumelelo kuyoba Yebo "sinestrol", okuyinto Uthatha esingaphansi kwenyanga, kanye yokwelapha eyindilinga ngoba ikota yonke.

Khumbula ukuthi cishe yimuphi self-ukwelashwa alikho umbuzo! Ekhaya, wena kuphela ubuhlungu, ukuyithukuthelisa ukuthuthukiswa sengozini yokuthola izifo. Ngakho-ke, lapho izimpawu zokuqala ngokushesha uxhumane uchwepheshe. ukuhlola kuphela abanekhono, professional approach kanye therapy elisebenzayo elasiza ikhambi Sheehan syndrome ne ukuqeda leyo imiphumela, okwaholela ukusungula kwakhe indlela umzimba.