Kufotokozera Sheehan Syndrome: Matendawa, Zizindikiro, Chithandizo

Aliyense wa ife ndi mantha ndi chiyembekezo, kudikira kubadwa kwa mwana. Ife amakhulupilira kuti mwana ndi mayi ali wathanzi komanso zoopsa monga Sheehan syndrome ndi Denny-Morthal, Down kapena Simmonds, sadzakhala akhala matenda. matenda onsewa zoopsa ndi ovuta kuchiza. M'nkhaniyi tiona pofotokoza oyamba - syndrome Sheehan a. Iye ananena poyera kuti amayi ena amene akubereka.

mafotokozedwe

Postpartum necrosis a pituitary England - choncho amatchedwanso matenda Sheehan a. mbiri Medical limasonyeza kuti zovuta kwambiri kudwala kuti akufotokozera pambuyo yakalavulagaga ndipo nthawi yaitali. chifukwa amakhala profuse magazi amene, zingathandize kuti hypotension. Chifukwa cha chitukuko ndi zochepa aziwapatsa magazi pituitary England - kooneka yaing'ono kuti ubongo ndi udindo kwa dongosolo endocrine wa munthu ndi ulimi wa mahomoni. thupi akufotokozera syndrome Sheehan ndi zotsatira za zimene sizili wosangalatsa kwambiri - sudzakhala kuyamwitsa mwana wanu chifuwa, koma si gawo laling'ono la mavuto amene mayi kuyembekezera.

Popeza kudwala anawononga angayambe mawonekedwe a pafupipafupi lake lenileni silikudziwika. Anapeza kuti pambuyo pa kubadwa kwa magazi chiopsezo khansa ndi 40%. Matendawa amawapeza mkazi aliyense chachinayi, ngati iye anataya pafupi 800 ml ya magazi 50% ya parous - imfa ya malita a madzi kwambiri.

zizindikiro

Iwo ali enieni ndithu. Mwachitsanzo, woyamba Alamu belu ayenera kutha kwa mkaka wa m'mawere. Zizindikiro Secondary wa syndrome Sheehan zimakhala pokhapokha miyezi ingapo. Nthawi zambiri amenorrhea izi sekondale - lathunthu pakalibe kusamba ndi kugwa kwa gonadotropin katulutsidwe. Ndiye oterewa hypothyroidism, pamene chithokomiro England upatsa ndalama osakwanira mahomoni. Against maziko awa, kukhala myxedema - kuphwanya kagayidwe mapuloteni, imbaenda kutupa choopsa cha zimakhala.

Akazi amene ali amphamvu zawo - kuyambira azaka 20 mpaka 40 - akhozanso hypopituitarism. Mavutowa zovuta thupi, amene amadwala kuchepa mahomoni zosiyanasiyana mkazi ali wofooka kwambiri, mwadzidzidzi kuwonda, kupanda libido. Nthawi zamakono, munthu akudwala matenda neuropsychiatric ndi kugwa mu chikomokere.

Gawo

Kusowa kwa timadzi mu thupi kukhala osiyana - kuchokera ofatsa mawonekedwe chofunika. Malinga imeneyi, mitundu zotsatirazi syndrome Sheehan akuti:

1. Global mawonekedwe. Akachitika osakwanira kwambiri mahomoni pamwamba, kuchititsa kukhala aakulu matenda okhudza ubongo, dongosolo ubongo ikugwira bwino, munthu amene wachita chikomokere.
2. Tsankho mawonekedwe. Timadzi akusowa si kutchulidwa kwambiri, choncho matenda yekha adrenocorticotropic akusowa, kapena gonadotropnoj ntchito thyrotrophic. Lolani ziwalo kugonana, impso ndi ziwalo zina.
3. Tikaphatikiza mawonekedwe. Pamene bwino ntchito pamwamba ndi wosweka imodzi.

Atazindikira ngakhale kuwala chiwonetsero cha matenda, ayenera yomweyo kukaonana ndi gynecologist kapena chigawo dokotala amene anandituma mayesero zofunika ndiponso kukambirana ndi akapitawo akatswiri ena.

pathogenesis

limagwirira izi kuyambira pa chiyambi cha matenda pamaso zizindikiro kuoneka yowala. clinicians aluso amaona misinkhu yosiyanasiyana: kuchokera pathologies maselo kusokonezeka kwa chamoyo wonse. Phunziro m'pofunika, monga amapereka pathogenesis yankho ku funso bwanji ndiponso matenda akufotokozera. Koma syndrome Sheehan, nthaŵi okhazikika: ndi mawonetseredwe chachikulu cha kusintha necrotic mu pituitary England. Zidzachitika motsutsa likhale clotting magazi, pamene pali kuphipha Mitsempha ya pituitary zapambuyo pambuyo sankatha magazi.

syndrome Sheehan wa wodwalayo zimene tafotokozazi, akhoza zimachitika pambuyo mimba, komanso pa maziko a mantha bakiteriya pambuyo pobereka. Zinanso Chinthu ndi preeclampsia - Vuto la mimba pamene mayi woyembekezerayo amawapeza kutupa kwambiri, imfa ya mapuloteni mu mkodzo, kuthamanga kwa magazi ndi zina zotero. Ndi akazi awa sachedwa mapangidwe magazi kuundana.

chithunzi matenda

Mlingo wa chiwonetsero cha matenda Sheehan ndi osiyana. Madokotala zambiri olekanitsidwa mitundu:

• Easy. Iwo amakhala ndi kutopa ndi mutu pafupipafupi. A kuchepa ntchito adrenal ndi chithokomiro.
• Avereji. Ziwalo pamwamba amakhudzidwa kwambiri. Mwachitsanzo, mkazi amamva kwambiri atatopa kwambiri, zikhadabo zake wosweka, izo sachedwa kukomoka. Akusokoneza yamchiberekero, nthawi zina osabereka ovulatory.
• Lolemera. Kumaliseche ndipo mammary England hypertrophy, anthu akuvutika ndi tulo, alopecia, mtundu wa khungu, kuiwala. Thupi imagwera pa kutupa amphamvu.

Pakuti matendawa amakhala ndi magazi kwambiri, amene kumaonekera m'njira zonse za matenda. Ndi kugonjetsedwa kwambiri mankhwala, kotero nkomwe mankhwala. Madokotala tiyenera kuyesetsa kupeza mlingo wa chitsulo magazi.

diagnostics

Pa nthawi ndikofunika kufufuza mwatsatanetsatane mbiri lililonse, kumene malumikizanidwe pakati pa matenda ndi magazi kapena mantha septic mu mimba yapita kapena kubereka. Kudziwa syndrome Sheehan, matenda imayamba ndi ulendo wa zopangitsa za mammary: iwo alibe kuwonjezera kukula, osati Zachepetsedwa mkaka si anamasulidwa ngakhale pamene kuthamanga amphamvu ndi kumulondolera pambuyo Inde kutikita.

Pa nthawi yomweyo mu labu kutenga magazi, omwe kudziwa mahomoni a m'thupi. Malinga ndi kuchuluka kwa timadzi ndi kukhazikitsa matenda. Tengani nyemba ndi mkodzo - pa izo ndi kusintha kuonekera mthupi. Komanso, madokotala kuchititsa ndi masiyanidwe matenda - kuti limathandiza kusiyanitsa matenda wina ndi mzake. Ndipotu, ambiri a iwo ali ndi zizindikiro zofanana kwambiri. Motero aliyense wa iwo kusanthula mwatsatanetsatane, correlate ndi kupanga mapeto zolondola.

chithandizo

Kodi kuchotsa matenda obisika. Kawirikawiri pamene munthu anapezeka ndi matenda Sheehan ndi, mankhwala akuyamba ndi mahomoni ndi gonadotropin kugonana, mankhwala mankhwala ndi infantilism kugonana. Oyenera Mwachitsanzo, "Infekundin" kapena kukonzekera ena angapo progestins kupanga. Kugwiritsa adzakhala Inde "sinestrol", amene kumatenga pasanathe mwezi, komanso mankhwala ozungulira kwa kotala lonse.

Kumbukirani kuti pafupifupi kudzilungamitsa mankhwala si funso! Kunyumba, inu kudzangokuvulazani, imautsa chitukuko cha mavuto aakulu. Choncho, pamene zizindikiro woyamba yomweyo funsani katswiri. Only diagnostics woyenera, akatswiri njira ndi mankhwala ogwira kuthandiza mankhwala Sheehan syndrome ndi kuthetsa chilango, chimene chinapangitsa kuti kukula kwa thupi.