Sheehan lefu

Sheehan syndrome ke boemo bo ka etsahalang ho mosali ea tsoang mali haholo nakong ea pelehi. Sheehan syndrome ke mofuta oa hypopituitarism.

Ho tsoa mali a mangata nakong ea pelehi ho ka baka lisele tsa tšoelesa ea pituitary ho shoa. Tšoelesa ena ha e sebetse hantle ka lebaka leo.

Tšoelesa ea pituitary e botlaaseng ba boko. E etsa lihormone tse khothalletsang kholo, tlhahiso ea lebese la matsoele, mesebetsi ea ho ikatisa, qoqotho le litšoelesa tsa adrenal. Ho haella ha lihormone tsena ho ka lebisa ho matšoao a fapaneng. Maemo a eketsang kotsi ea ho tsoa mali nakong ea pelehi le lefu la Sheehan a kenyelletsa bokhachane bo bongata (mafahla kapa mafahla a mararo) le mathata ka placenta. Placenta ke setho se hlahang nakong ea bokhachane ho fepa lesea le ka popelong.

Ke boemo bo sa tloaelehang.

Matšoao a lefu la Sheehan a ka kenyelletsa:

• Ho se khone ho anyesa (lebese la 'm'a ha le "kene")
• Mokhathala
• Ho hloka mali a tsoang khoeling
• Ho lahleheloa ke moriri o pepesang le oa axillary
• Khatello ea mali e tlase

Tlhokomeliso: Ntle le ho se khone ho anyesa, matšoao a kanna a se ke a hlaha lilemo tse 'maloa kamora ho pepa.

Liteko tse entsoeng li ka kenyelletsa:

• Liteko tsa mali ho lekanya maemo a lihormone
• MRI ea hlooho ho felisa mathata a mang a pituitary, joalo ka hlahala

Kalafo e kenyelletsa estrogen le progesterone kalafo ea phetoho. Lihormone tsena li lokela ho nooa bonyane ho fihlela lilemo tse tloaelehileng tsa ho khaotsa ho ilela khoeli. Ho boetse ho lokela ho nkoa lihomone tsa qoqotho le adrenal. Tsena li tla hlokahala bophelo bohle ba hau.

Pono ea ts'oaetso ea pele le kalafo e ntle haholo.

Boemo bona bo ka beha bophelo kotsing haeba bo sa phekoloe.

Ho lahleheloa ke mali haholo nakong ea pelehi hangata ho ka thibeloa ka tlhokomelo e nepahetseng ea bongaka. Ho seng joalo, lefu la Sheehan ha le thibelehe.

Postpartum hypopituitarism; Postpartum pituitary ho haella; Lefu la Hypopituitarism

• Litšoelesa tsa endocrine

Burton GJ, Sibley CP, Jauniaux ERM. Anatomy ea 'mele le physiology. Ka: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Likokoana-hloko: Bokhachane bo tloaelehileng le ba bothata. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 1.

Kaiser U, Ho KKY. Pituitary physiology le tlhahlobo ea tlhahlobo. Ka: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, bahlophisi. Buka ea Williams ea Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 8.

Molitch ME. Mathata a pituitary le adrenal nakong ea bokhachane. Ka: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Likokoana-hloko: Bokhachane bo tloaelehileng le ba bothata. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 43.

Nader S. Mathata a mang a endocrine ea bokhachane. Ka: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, li-eds.Creasy le Resnik's Maternal-Fetal Medicine: Melao-motheo le Tloaelo. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 62.