Description Sheehan Syndrome: ganewar asali, Alamun, Jiyya

Kowannen mu da tsõro da tsammãni, jiran haihuwar yaro. Mu gaske imani da cewa jariri da mahaifiyarsa ne lafiya, da kuma irin azabar kamar yadda Sheehan ciwo da kuma Denny-Morthal, Down ko Simmonds, ba zai an gano cutar ne. Duk wadannan m cututtuka da kuma da wuya mu bi. A wannan labarin, za mu bayyana farko na su - Sheehan ta ciwo. Ya fallasa wasu daga cikin mata haihuwa.

description

Zubar jinni necrosis na pituitary gland shine yake - haka kuma ake kira Sheehan ta ciwo. Medical tarihi ya nuna cewa shi ne quite rikitarwa Pathology cewa tasowa bayan nauyi da kuma tsawo aiki. A dalilin zama profuse zub da jini wanda, bi da bi, take kaiwa zuwa hypotension. A matsayin sakamako na ta ci gaba ne kasa kawota tare da jini da pituitary gland shine yake - a kananan gland shine yake a cikin kwakwalwa cewa shi ne alhakin da endocrine tsarin mutum, ya kuma samar da ji ba gani. A jikin tasowa Sheehan ta ciwo, da sakamakon wanda ba mafi m - ba za ka iya ciyar da jariri da nono, amma shi ne kawai da karami na matsaloli da uwar sa ran.

Tun da Pathology shãfe gani zai iya faruwa a cikin nau'i na ta gaskiya mita ne ba a sani ba. An gano cewa bayan haihuwar zub da jini hadarin tasowa ciwon daji ne 40%. Cutar da ake bincikar lafiya kowane hudu mace, idan ta rasa game da 800 ml na jini a 50% na parous - asarar lita na da muhimmanci ruwaye.

cututtuka

Su ne quite musamman. Alal misali, da farko ƙararrawa kararrawa kamata a lõkacin fatara daga lactation. Secondary bayyanar cututtuka na Sheehan ciwo yawanci bayyana ne kawai bayan 'yan watanni. Sau da yawa wannan sakandare amenorrhea - da cikakken rashi na haila kuma faduwar gonadotropin mugunya. Sa'an nan gane asali hypothyroidism, a lokacin da thyroid gland shine yake samar da kasa yawa na ji ba gani. Da wannan bango, masu tasowa, myxedema - wani take hakkin gina jiki metabolism, wadda take kaiwa zuwa tsanani kumburi daga kyallen takarda.

Mata suke a cikin Firayim - daga 20 zuwa shekaru 40 da haihuwa - kuma iya samun hypopituitarism. Wannan wuya yanayin jiki, wanda yake shan wahala daga kasawa da daban-daban hormones wata mace yana da tsanani rauni, kwatsam nauyi asara, rashin libido. A ci-gaba lokuta, mutum yakan sha wahala daga neuropsychiatric cuta da kuma ko da fada a cikin wani coma.

rarrabuwa

A rashin hormones a cikin jiki na iya zama daban-daban - daga m ga gurgunta form. Dangane da wannan, wadannan iri Sheehan ta ciwo:

1. Global siffar. Lokacin da ta auku musamman kasa saman hormones, haddasa ci gaba mai tsanani shafi tunanin mutum da cuta, neurological tsarin na aiki yadda ya kamata, mutum ya fada cikin wani coma.
2. M form. Hormone rashi ba sosai furta, don haka kamu kawai adrenocorticotropic rashi, ko gonadotropnoj thyrotrophic ayyuka. Sha jima'i gabobin, kodan da kuma sauran gabobin.
3. Hada form. A lokacin da duk na sama ayyuka suna karya lokaci guda.

Noticing ko da haske bayyana da cutar, ya kamata nan da nan tuntubar wani likitan mata ko a gundumar likita, wanda ya aiko domin zama dole gwaje-gwaje, da shãwartar sanya sauran masana.

pathogenesis

Wannan inji daga farkon da cutar kafin bayyanar cututtuka bayyana haske. Kwararrun clinicians la'akari da shi a daban-daban matakan: daga kwayoyin pathologies zuwa rushewa daga dukan kwayoyin. Nazarin shi wajibi ne, kamar yadda da shi ya ba da pathogenesis amsar wannan tambaya na yadda kuma me ya sa da cutar tasowa. Amma Sheehan ta ciwo, da dogon-kafa: shi ne babban bayyanuwar necrotic canje-canje a cikin pituitary gland shine yake. Da suka faru a kan backdrop na jini clotting, idan akwai wani spasm na jini daga cikin agara pituitary bayan tsanani jini hasãra.

Sheehan ta ciwo, bayyanar cututtuka na wanda aka bayyana a sama, kuma iya faruwa bayan zubar da ciki, kazalika a kan bango na kwayan tura bayan ceto. Predisposing factor ne preeclampsia - wahala na ciki a lokacin da expectant uwa ne suka kamu da tsananin kumburi, asarar gina jiki a cikin fitsari, hawan jini da sauransu. Yana da wadannan mata ne yiwuwa ga samuwar jini clots.

asibiti hoto

A mataki na bayyanuwar Sheehan ta ciwo ne daban-daban. Doctors yawanci ware siffofin:

• Easy. An halin gajiya da kuma m ciwon kai. A karu a adrenal, kuma thyroid aiki.
• Average. The sama gabobin shafa ma fiye. Alal misali, wata mace ji sosai sosai gaji, ta karye kusoshi, shi ne yiwuwa ga rufe da mãgãgi. Disrupted ovarian, wani lokacin har zuwa ovulatory rasa haihuwa.
• Tã. Al'aurar da mammary gland shine yake hypertrophy, mutanen da fama da drowsiness, alopecia, pigmentation na fata, memory hasãra. Jiki nauyi da dama a kan karfi kumburi.

Domin da ciwo ne halin mai tsanani anemia, wanda bayyana kanta a duk siffofin da cutar. Yana da matukar resistant zuwa far, don haka da wuya daman a. Physicians dole ne kokarin sake samu da matakin na baƙin ƙarfe a cikin jini.

bincikowa da

A lokacin yana da muhimmanci, don su bincika a cikin daki-daki, a hankula tarihi, inda a hulda tsakanin cutar da kuma zub da jini, ko kwamin na tara buga a baya zubar da ciki ko haihuwa. Domin sanin Sheehan ciwo, ganewar asali fara da wani yawon shakatawa na mammary gland: ba su ƙãra size, ba takaice madara da aka ba saki ko da karfi matsa lamba da kuma gudanar bayan da tausa hanya.

A lokaci guda a cikin Lab dauki wani jini gwajin, wanda ƙayyade hormones na jiki. Dangane da adadin hormones kuma ka tsayar da ganewar asali. Dauki samfurin da fitsari - a kan shi ne ma a bayyane canje-canje a cikin jiki. Bugu da kari, likitoci gudanar da bambanci ganewar asali - da cewa taimaka wajen rarrabe daya cuta daga wani. Bayan duk, da yawa daga cikinsu suna da sosai kama da cututtuka. Saboda haka, kowace daga cikinsu aka bincikar daki-daki, danganta wa] annan da kuma yin daidai ƙarshe.

magani

Yadda za a rabu da insidious cuta. Yawanci a lokacin da wani mutum da aka kamu da Sheehan ta ciwo, magani fara da hormones da kuma jima'i gonadotropin, rubũta jiyya da kuma jima'i infantilism. Dace, misali, "Infekundin" ko wasu shirye-shirye na jerin roba progestins. Tasiri zai zama hanya "sinestrol", wanda yana kasa da wata daya, kazalika da cyclic far ga wani dukan kwata.

Ka tuna cewa game da duk wani kai-magani ne ba a tambaya! A gida, ka kawai m, tsokane ci gaban tsanani da rikitarwa. Saboda haka, a lokacin da na farko bayyanar cututtuka nan da nan a tuntuɓi gwani. Kawai m ganowa, sana'a m da tasiri far don taimaka magani Sheehan ciwo da kuma kawar da wadanda sakamakon, wanda ya kai ga ci gaban da ya na jiki.