Umbhali: Janice Evans
Umhla Wokudalwa: 26 Eyekhala 2021
Hlaziya Umhla: 14 Eyenkanga 2024
Anonim
Isifo seSheehan - Iyeza
Isifo seSheehan - Iyeza

I-Sheehan syndrome yimeko enokuthi yenzeke kowasetyhini opha kakhulu ngexesha lokubeleka. I-Sheehan syndrome luhlobo lwe-hypopituitarism.

Ukopha kakhulu ngexesha lokubeleka kunokubangela ukuba amalungu endlala yebhinqa afe. Le ndlala ayisebenzi ngokufanelekileyo njengesiphumo.

Idlala lengqula lisezantsi kwengqondo. Yenza iihormone ezikhuthaza ukukhula, ukuveliswa kobisi lwebele, imisebenzi yokuzala, idlala lengqula, kunye namadlala eadrenal. Ukungabikho kwezi hormone kunokukhokelela kwiimpawu ezahlukeneyo. Iimeko ezonyusa umngcipheko wokopha ngexesha lokubeleka kunye ne-Sheehan syndrome zibandakanya ukukhulelwa okuninzi (amawele okanye amawele amathathu) kunye neengxaki kwi-placenta. I-placenta lilungu elikhula ngexesha lokukhulelwa ukondla umntwana ongekazalwa.

Yimeko enqabileyo.

Iimpawu ze-Sheehan syndrome zinokubandakanya:

  • Ukungakwazi ukuncancisa (ubisi lwebele aluzange "lungene")
  • Ukudinwa
  • Ukungabikho kwegazi lokuya esikhathini
  • Ukuphulukana ne-pubic kunye ne-axillary hair
  • Uxinzelelo lwegazi oluphantsi

Qaphela: Ngaphandle kokungancancisi, iimpawu zisenokungakhuli kangangeminyaka eliqela emva kokubeleka.


Uvavanyo olwenziwe lunokubandakanya:

  • Uvavanyo lwegazi ukulinganisa amanqanaba ehomoni
  • I-MRI yentloko yokulawula ezinye iingxaki zepituitary, ezinjenge-tumor

Unyango lubandakanya unyango lwe-estrogen kunye neprogesterone. Ezi hormone kufuneka zithathwe ubuncinci kude kube lixesha eliqhelekileyo lokuyeka ukuya exesheni. Idlala lengqula kunye neehomoni zeadrenal kufuneka zithathwe. Oku kuyakufuneka ebomini bakho bonke.

Imbonakalo yokuchongwa kwangoko kunye nonyango ilungile.

Le meko ingasongela ubomi ukuba ayinyangwa.

Ukuphulukana kakhulu kwegazi xa kuzalwa kunokuthintelwa ngonyango olufanelekileyo. Ngaphandle koko, i-Sheehan syndrome ayithinteki.

I-postpartum hypopituitarism; Ukusilela kokubeleka emva kokubeleka; Isifo sehypopituitarism

  • Amadlala endocrine

IBurton GJ, iSibley CP, iJauniaux ERM. I-Placental anatomy kunye ne-physiology. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 1.


UKaiser U, Ho KKY. I-pituitary physiology kunye novavanyo lokuqonda isifo. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-13. IPhiladelphia, PA: Elsevier; 2016: isahl 8.

Molitch MNA. Ukuphazamiseka kwepituitary kunye neadrenal ekukhulelweni. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 43.

UNader S. Ezinye iingxaki ze-endocrine zokukhulelwa. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds.I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 62.

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