Description Sheehan Syndrome: chirwere, Zviratidzo, Treatment

Mumwe nomumwe zvinotiyevedza uye tariro, vachimirira kuzvarwa kwomwana. Tinotenda zvechokwadi kuti mwana naamai vane utano, uye zvinotyisa zvakadai Sheehan chirwere uye Denny-Morthal, Down kana Simmonds, angarega vanacho. zvirwere zvose izvi zvinotyisa uye zvakaoma kurapa. Munyaya ino tichashandisa kutsanangura wokutanga wavo - Sheehan kuti syndrome. Akafumura vamwe vakadzi kusununguka.

tsananguro

Postpartum necrosis kuti pituitary shwanu - saka anonziwo Sheehan kuti syndrome. Nhoroondo Medical inoratidza kuti zviri zvikuru yakaoma zvokurwara kuti anova pashure rinorema uye mazhinji basa. Chikonzero anova kunonyengedza ropa izvo zvinozoita inoenda hypotension. Somugumisiro waro pakukura zvishoma yaipiwa neropa pituitary shwanu - chiduku shwanu muuropi kuti anokonzera kwemakemikari anobudiswa maitiro womunhu uye kugadzirwa mahormone. The muviri hwapedyo Sheehan kuti urwere, zvinokonzerwa dzisiri inonyanya unofadza - hauzovipo kukwanisa zvokudya zvenyu mwana zamu, asi ndiko chete zviduku chikamu matambudziko kuti amai kunotarisirwa.

Sezvo zvokurwara obliterated munogona muchimiro ayo maitikiro kwechokwadi harizivikanwi. It Vakawana kuti pashure pokuberekwa ropa nechirwere ndiyo 40%. Maperembudzi chirwere ose mukadzi chechina, kana akanga akarasika anenge 800 ml ropa muna 50% kubva parous - kurasikirwa marita ose zvinwiwa zvinokosha.

zviratidzo

Ndivo kunyatsonanga chaizvo. Somuenzaniso, mashoko okutanga aramu bhero inofanira kumira lactation. Secondary zviratidzo Sheehan chirwere kazhinji kungowanikwa pashure pemwedzi mishomanana. Kazhinji amenorrhea ichi yechipiri - wakakwana kusavapo kumwedzi uye kuwa gonadotropin secretion. Zvadaro rokuongorora hypothyroidism, kana thyroid shwanu unobereka kukwana kushanda mahormone. Against ichi nechekumashure, kukudziridza myxedema - kutyorwa mapuroteni muviri, izvo inotungamirira zvakakomba mumatenhere munyama.

Vakadzi vari ravo rouduku - kubva 20 kusvika 40 makore - dzinogona kuona hypopituitarism. Izvi ezvinhu akaoma muviri, iyo chirwere kuperevedza mahormone siyana mukadzi ane kwazvo simba, kungoerekana uremu, kushaya libido. In yepamusoro kacho, munhu vangatambura neuropsychiatric zvirwere uye kunyange vanowira pakoma.

kupatsanura

Kushaya mahormone mumuviri zvinogona zvakasiyana - kubva nyoro kune wakareruka chimiro. Zvichienderana ichi, marudzi anotevera Sheehan kuti urwere:

1. Global chimiro. Pazvinoitika zvikuru kukwana pamusoro mahormone, zvichiita kuva zvakakomba chirwere chepfungwa, chetsinga gadziriro iri kushanda zvakanaka, munhu rikawira pakoma.
2. Kukwana chimiro. Kemikari kushaikwa haina chaizvo nomuromo, saka chirwere chete adrenocorticotropic kushaikwa, kana gonadotropnoj thyrotrophic mabasa. Tenderai nhengo dzakavandika, itsvo uye dzimwe nhengo.
3. Combined chimiro. Apo vose pamusoro mashandiro apwanyika panguva.

Pavakaona kunyange chiedza nekuratidza chirwere, hwobva watarisa gayinakorojisiti kana dunhu chiremba, uyo akatumwa kuti anodiwa miedzo uye kubvunza kugadza vamwe nyanzvi.

pathogenesis

Izvi mashandiro kubva pakutanga chirwere pamberi zviratidzo kuonekwa yakajeka. Skilled vanachiremba funga izvozvo panguva dzakasiyana-siyana mumatunhu: kubva samolecular pathologies kusvikira nokuvhiringidzirwa yose muviri. Dzidza zvakakodzera, sezvo anopa pathogenesis mhinduro yomubvunzo wokuti sei sei uye chirwere hwapedyo. Kana Sheehan kuti urwere, refu-yakasimbiswa zviri kuratidzwa chikuru necrotic zvachinja pituitary shwanu. Ivo kuitika pamusoro colour kubva kweropa, kana paine spasm ropa midziyo yose Anterior pituitary pashure ropa rakawanda.

chirwere Sheehan vake, zviratidzo zviri pamusoro apa, unogona zvakare kuitika mushure pamuviri, uyewo pamusoro mamiriro kwemabhakitiriya kuvhunduka pashure pakukurukura. Predisposing chinhu preeclampsia - kuomesa pamuviri apo amai vanepamuviri kunokwanisa kuonekwa zvakakomba kuzvimba, kurasikirwa mapuroteni iri weti, BP uye zvichingodaro. Zviri vakadzi ava havatani kuti paumbwe ropa.

zvekuchipatara mufananidzo

The mwero kuratidzwa Sheehan kuti chirwere yakasiyana. Doctors kazhinji oga siyana:

• Easy. It kunoratidzwa kuneta uye kakawanda nomusoro. A kuderera adrenal uye thyroid chaitika.
• Avhareji. The pamusoro nhengo vanokanganiswa zvakatowanda. Somuenzaniso, mumwe mukadzi anonzwa kwazvo vaneta chaizvo, zvaro zvipikiri, zviri asingatani kufenda. Kwakakanganiswa ovarian, dzimwe nguva kusvika ovulatory kushaya mbereko.
• Heavy. Sikarudzi uye mammary shwanu hypertrophy, vanhu vachitambura kubva hope, alopecia, pigmentation ganda kuyeuka. uremu muviri inowira simba kuzvimba.

Nokuti chirwere kunoratidzwa zvikuru kupererwa, izvo kunooneka pacharo nenzira dzose chirwere. Zviri kuramba zvikuru kurapa, saka asiri rinorapika. Vanachiremba vanofanira kuedza vadzosere pamwero resimbi muropa.

Diagnostics

Panguva zvakakosha kuongorora zvakadzama nezvaiitwa kare, apo pane kuwirirana pakati chirwere uye ropa kana septic kuvhunduka mune hwekare pamuviri kana pakusununguka. Kuti uone Sheehan urwere, chirwere chinotanga uchimuratidza mammary mumasero: havasi kuwedzera kukura, kwete yaiitwa yakapfupikiswa mukaka haana asunungurwa kunyange kana kumanikidzwa simba uye inoitwa mushure masaja kosi.

Panguva iyoyo vari yezvirwere bvunzo ropa, iro kusarudza mahormone muviri. Zvichienderana uwandu hormone simbisai zviratidzo. Tora mharidzo weti uye - pairi tiri kuchinja kuoneka muviri. Uyezve, vanachiremba kuitisa uye differential chirwere - kuti zvinobatsira kusiyanisa mumwe chirwere kubva neimwe. Pashure pezvose, vazhinji vavo vane zviratidzo zvakafanana chaizvo. Saka, mumwe nomumwe wavo anoongororwa zvakadzama, Nenyaya Iyi uye kuti yakarurama mhedziso.

mabatiro

How kubvisa unokuvadza chirwere. Kazhinji kana munhu ane chirwere Sheehan kuti urwere, kurapwa kunotanga hormone zvepabonde gonadotropin, akarayira kurapwa uye zvepabonde infantilism. Rakakodzera Somuenzaniso, "Infekundin" kana zvimwe kugadzirira munhevedzano chakaita zvokugadzirwa progestins. Zvakanangana ichava kosi "sinestrol", huchavapo isingasviki mwedzi, uyewo cyclic kurapa rose kota.

Yeuka kuti pamusoro chero okuzvibatsira kurapwa hakuzi mubvunzo! Kumba, iwe chete kukuvara, kutsamwisa pave zvakakomba yematambudziko. Naizvozvo, kana zviratidzo zvokutanga pakarepo kutaura nyanzvi. Chete Diagnostics nomazvo, nyanzvi yokutaura uye inoshanda kurapa kubatsira mushonga Sheehan chirwere uye kubvisa migumisiro avo, izvo zvakazoita kuti kukura kwake mumuviri.