Matenda a Sheehan

Matenda a Sheehan ndi vuto lomwe limatha kupezeka mwa mayi yemwe amatuluka magazi kwambiri pobereka. Matenda a Sheehan ndi mtundu wa hypopituitarism.

Kutaya magazi kwambiri pobereka kumatha kupangitsa minofu ya pituitary kufa. Izi sizimagwira bwino ntchito chifukwa cha izi.

Matenda a pituitary ali kumapeto kwa ubongo. Amapanga mahomoni omwe amalimbikitsa kukula, kupanga mkaka wa m'mawere, ntchito zoberekera, chithokomiro, ndi ma adrenal glands. Kuperewera kwa mahomoniwa kumatha kubweretsa zizindikilo zosiyanasiyana. Zinthu zomwe zimawonjezera chiopsezo chakutuluka magazi pobereka ndi matenda a Sheehan zimaphatikizapo kutenga pathupi kangapo (mapasa kapena atatu) komanso mavuto am'mimba. Placenta ndi chiwalo chomwe chimakula panthawi yapakati kuti idyetse mwana.

Ndi chikhalidwe chosowa.

Zizindikiro za matenda a Sheehan zitha kuphatikiza:

• Kulephera kuyamwitsa (mkaka wa m'mawere "sumalowa")
• Kutopa
• Kusowa magazi akusamba
• Kutaya kwa malo obisika ndi tsitsi
• Kuthamanga kwa magazi

Chidziwitso: Kupatula kulephera kuyamwitsa, zizindikilo sizingakhalepo kwa zaka zingapo mwana akabadwa.

Mayeso omwe adachitika atha kukhala:

• Kuyezetsa magazi kuyeza kuchuluka kwa mahomoni
• MRI ya mutu kuthana ndi zovuta zina zamatenda, monga chotupa

Chithandizo chimaphatikizapo estrogen ndi progesterone hormone m'malo mwake. Mahomoni amenewa ayenera kumwedwa mpaka atafika msinkhu wosamba. Chithokomiro ndi mahomoni adrenal ayeneranso kutengedwa. Izi zidzafunika pamoyo wanu wonse.

Maganizo ndi matenda oyamba ndi chithandizo ndi abwino kwambiri.

Vutoli limatha kupha ngati singalandire chithandizo.

Kutaya magazi kwambiri pakubereka kumatha kupewedwa ndi chithandizo chamankhwala choyenera. Kupanda kutero, matenda a Sheehan sangalephereke.

Postpartum hypopituitarism; Kulephera kwa pituitary postpartum; Matenda a Hypopituitarism

• Matenda a Endocrine

Burton GJ, Sibley CP, Jauniaux ERM. Placental anatomy ndi physiology. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 1.

Kaiser U, Ho KKY. Pituitary physiology ndikuwunika kwa matenda. Mu: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, olemba. Buku la Williams la Endocrinology. Wolemba 13. Philadelphia, PA: Elsevier; 2016: mutu 8.

Molitch INE. Matenda a pituitary ndi adrenal ali ndi pakati. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 43.

Nader S. Matenda ena amtundu wa endocrine oyembekezera. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba.Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 62.