Inkcazo Sheehan Syndrome: Ugonyo, Iimpawu, Treatment

Ngamnye kuthi khamnqa kunye nethemba, silindele ukuba ukuzalwa komntwana. Thina bakholelwa ukuba usana kunye nonina basempilweni, yaye umvambo ezifana Sheehan syndrome kunye Denny-Morthal, phantsi okanye Simmonds, abayi kuba unesifo. Zonke ezi zifo ezimbi yaye nzima ukunyanga. Kweli nqaku siza ukuchaza wokuqala babo - Sheehan engqondweni. Ukubhenca ezinye abafazi lokuzala.

incazelo

Kwasemva necrosis of posa - ngokunjalo ngokuba Sheehan engqondweni. Imbali Medical ubonisa ukuba ngezifo kakhulu nzima ukuba emva onzima kunye kuyoluka. Isizathu uba ukopha lweenkcukacha leyo, nayo, kukhokelela hypotension. Ngenxa nolwalusisiphumo sokuqala kophuhliso yayo ngaphantsi kubonelelwa ligazi ingqondo yebhinqa - indlala encinane esengqondweni inoxanduva kwinkqubo yonyango womntu kunye nokuveliswa hormone. Umzimba iphuhlisa Sheehan engqondweni, iziphumo zazo hayi ezimnandi kakhulu - uya kuba nako ukondla usana ibele yakho, kodwa kuphela inxalenye zincinane iingxaki kulindeleke unina.

Ekubeni pathology zatshatyalaliswa kungenziwa ngendlela zobungakanani bukuyo ayaziwa. Kuye kwafunyaniswa ukuba emva kokuzalwa ukopha umngcipheko wokuhlaselwa ngumhlaza womlomo yi-40%. Isifo unesifo wonke umfazi wesine, ukuba ndilahlekelwe malunga 800 ml igazi-50% of parous - yokulahlekelwa iilitha iziselo ebalulekileyo.

iimpawu

Abasakwazi ezithile. Hi xikombiso, le alarm intsimbi lokuqala kufuneka ibe ekumeni zisanyisa. Iimpawu Secondary of Sheehan syndrome ngesiqhelo kuphela emva kweenyanga ezimbalwa. Amaxesha amaninzi lo amenorrhea zamabanga - opheleleyo ukungabikho sexesheni kwaye ukuwa gonadotropin secretion. Koko ukuhlola hypothyroidism, xa kwidlala lengqula uvelisa izixa zaneleyo hormone. Phantsi kwale mvelaphi, ukuphuhlisa myxedema - ephula protein ukutya, nto leyo ekhokelela ekubeni iindumbisa kakhulu izicwili.

Abasetyhini abo abakudidi lwabo - ukusuka kwiminyaka engama-20 ukuya kuma-40 ubudala - ukuze ikwafumana hypopituitarism. Le imeko enzima umzimba, leyo uphethwe ukunqongophala iihomoni ezahlukeneyo umfazi ubuthathaka enkulu, ngesiquphe ukwehla kobunzima, ukungabikho yobuntu. Kwiimeko eliphezulu, umntu ubunzima okuthile neuropsychiatric nkqu kuwa isiqaqa.

ngezigaba

Ukunqongophala hormone umzimba kunokuba ezahlukeneyo - ukusuka ngobulali ukuya uhlobo awukho. Kuxhomekeka oku, ezi ndidi zilandelayo Sheehan engqondweni:

1. imilo Global. Xa kwenzeka iihomoni enganelanga kakhulu phezulu, ebangela ukuphuhlisa ukuphazamiseka kakhulu engqondweni, inkqubo luvo isebenza kakuhle, umntu yeyela isiqaqa.
2. ifomu Partial. Hormone okubangelwa ke sasingachazwa kakhulu, ngoko wafunyaniswa kuphela imibala adrenocorticotropic, okanye gonadotropnoj imisebenzi thyrotrophic. Bayekeni esini, izintso kunye namanye amaziko.
3. ifomu luhlangene. Xa zonke imisebenzi ngasentla baphuke ngaxeshanye.

Ephawula nokuba kubonakaliswa ukukhanya sifo, kufuneka ngoko nangoko babonane ugqirha okanye ugqirha yesithili, onithume ukuba iimvavanyo eziyimfuneko kunye nokubonisana kumisela ezinye iingcali.

Pathogenesis

Le indlela ukusuka kanye ekuqaleni sifo phambi kokuba iimpawu zibonakale oqaqambileyo. oonoklinikhi abanezakhono bakugqala kwimigangatho eyahlukeneyo: ukusuka ezimbi zofuzo ukuze ukuphazamiseka yonke eziphilayo. Funda kuyimfuneko, njengoko linika impendulo Pathogenesis kumbuzo njani yaye kutheni sifo kuphuhliswa. Ke Sheehan engqondweni, i elide kumiselwa: kuba nokubonakaliswa ephambili utshintsho necrotic kwi ingqondo yebhinqa. Bona kwenzeka sizoku lwisana igazi ekunqandeni, xa kukho spasm kwemithambo yegazi lo yebhinqa sobuKristu emva ukulahleka okukhulu kwegazi.

syndrome Sheehan kaThixo, mpawu ezo zichazwe ngasentla, nako kwenzeka emva isisu, kwakunye kwisiqalo bothukile yintsholongwane emva kokubeleka. Predisposing into yokukhulelwa - ingxaki ukukhulelwa xa umama okhulelweyo banesifo iindumbisa kakhulu, ukulahlekelwa iiprothini umchamo, uxinzelelo oluphezulu lwegazi, njalo njalo. Kuyinto la mabhinqa ziyathanda ukuyilwa egazi.

picture clinical

The degree of ukubonakalalisa Sheehan engqondweni into eyahlukileyo. Oogqirha ngokuqhelekileyo Iifom bodwa:

• Easy. Lubonakala yi lidiniwe kunye ikhanda njalo. A ukuncipha umsebenzi adrenal kunye ndlala.
• I-avareji. Amalungu ngasentla bachatshazelwa nangakumbi. Umzekelo, umfazi uziva kakhulu ediniwe kakhulu, iinzipho zayo ezaphukileyo, oko othambekele waphela. Miseka ovarian, maxa wambi ukuya ukungachumi ovulatory.
• Enzima. Sangasese mammary nobubovu hypertrophy, abantu abaphethwe ukozela, alopecia, nombala ulusu, bakhohlwe. weight Body uwe iindumbisa olomeleleyo.

Kuba sifo luphawulwa igazi kakhulu, esizibonakalisa kuzo zonke iintlobo zesi sifo. Kuyinto exhathisayo kakhulu kuthomalaliso, ngoko ngenkankulu zifo. Oogqirha kufuneka bazame ukuphinda inqanaba yesinyithi egazini.

ekuxilongweni

Ngelo xesha ke kubalulekile ukuba sihlole iinkcukacha imbali eqhelekileyo, apho kukho unxulumano phakathi sifo kunye ukopha okanye kukothuka yokubolisa kwindawo isisu yangaphambili okanye zokubeleka. Ukuze ubone Sheehan syndrome, isifo luqala utyelelo amadlala mammary, ngokuba ukwandisa ubukhulu, ongakhululwanga ubisi hayi uyajiyiswa naxa nzima kwaye kwenziwa emva kwekhosi umyalezo.

Ngelo xesha e-lab athathe uvavanyo lwegazi, equlungqa amadlala zomzimba. Kuxhomekeka mali ka emzimbeni nokuseka uxilongo. Thatha isampuli kunye nomchamo - kuso kwakhona utshintsho ebonakalayo emzimbeni. Ukongeza, oogqirha baqhuba kunye ezohlukileyo diagnosis - enceda ukwahlula izifo omnye komnye. Ngapha koko, abaninzi kubo iimpawu ezifanayo kakhulu. Ngoko ke, ngamnye kubo kuhlalutywa ngokweenkcukacha, angqamane uze wenze isigqibo esichanekileyo.

unyango

Indlela ukuphelisa esi sifo singanyangekiyo. Ngokuqhelekileyo xa umntu banesifo Sheehan engqondweni, unyango luqala hormone gonadotropin ngokwesondo, amisele unyango kunye infantilism ngokwesondo. Efanelekileyo, umzekelo, "Infekundin" okanye amanye amalungiselelo kuthotho progestins zokwenziwa. Esebenzayo izakuba ikhosi "sinestrol", okuhlala ngaphantsi kwenyanga, kwakunye nonyango elibujikele ukuba ikota yonke.

Khumbula ukuba malunga naluphi self-unyango ayikho mbuzo! Ekhaya, buhlungu kuphela, musani ukubacaphukisa uphuhliso iingxaki ezinzulu. Ngoko ke, xa iimpawu lokuqala ngoko nangoko qhagamshelana ingcali. uxilongo kuphela abanobuchule, indlela eyiyo kunye nonyango olusebenzayo ukunceda unyango Sheehan syndrome ukutshayela ezo neziphumo, nto leyo eyakhokelela ekubeni uphuhliso yakhe yomzimba.