Sheehan chirwere

Sheehan syndrome mamiriro anogona kuitika mumukadzi anobuda ropa zvakanyanya panguva yekusununguka. Sheehan syndrome rudzi rwe hypopituitarism.

Kubuda ropa kwakanyanya panguva yekusununguka kunogona kukonzera munyama mune yepituitary gland kufa. Iri gland harishande nemazvo semhedzisiro.

Iyo pituitary gland iri pazasi pehuropi. Inoita mahormone anosimudzira kukura, kugadzirwa kwemukaka wemukaka, mabasa ekubereka, utachiona, uye adrenal glands. Kushaikwa kweaya mahormone kunogona kutungamira kune akasiyana zviratidzo. Mamiriro ezvinhu anowedzera mukana wekubuda ropa panguva yekuzvara uye Sheehan syndrome inosanganisira akawanda nhumbu (mapatya kana matatu) uye matambudziko neiyo placenta. Iyo placenta inhengo inovapo panguva yekuzvitakura kupa chikafu fetus.

Icho chiitiko chisingawanzoitika.

Zviratidzo zveSheehan syndrome zvinogona kusanganisira:

• Kusakwanisa kuyamwisa (mukaka wemuzamu hauna "kupinda")
• Kuneta
• Kushaikwa kwekuenda kumwedzi kubuda ropa
• Kurasikirwa kwepubic uye axillary bvudzi
• Kuderera kweropa

Ongorora: Zvimwe pane kusakwanisa kuyamwisa, zviratidzo zvinogona kusakura kwemakore akati wandei mushure mekusununguka.

Bvunzo dzinoitwa dzinogona kusanganisira:

• Ropa bvunzo kuyera mahormone mazinga
• MRI yemusoro wekutonga kunze mamwe matambudziko epituitary, senge bundu

Kurapa kunosanganisira estrogen uye progesterone hormone kutsiva kurapa. Aya mahormone anofanira kutorwa zvirinani kusvika zera rakajairika rekuguma kuenda kumwedzi. Utachiona uye adrenal mahormone anofanirawo kutorwa. Izvi zvinozodiwa kwehupenyu hwako hwese.

Maonero ekutanga kuongororwa uye kurapwa kwakanakisa.

Aya mamiriro anogona kutyisidzira hupenyu kana akasarapwa.

Kurasikirwa kwakanyanya kweropa panguva yekusununguka kazhinji kunogona kudzivirirwa nekutarisirwa kwakakodzera kwekurapa. Zvikasadaro, Sheehan syndrome haina kudzivirirwa.

Postpartum hypopituitarism; Postpartum pituitary kusakwana; Hypopituitarism chirwere

• Endocrine masero

Burton GJ, Sibley CP, Jauniaux ERM. Placental anatomy uye physiology. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 1.

Kaiser U, Ho KKY. Pituitary physiology uye kuongorora kuongororwa. Mune: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Chinyorwa cheEndocrinology. 13 ed. Philadelphia, PA: Elsevier; 2016: chits. 8.

Molitch INI. Pituitary uye adrenal kusagadzikana mukuzvitakura. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 43.

Nader S. Zvimwe zvinokanganisa endocrine zvepamuviri. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds.Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 62.