Whakaahuatanga Sheehan Syndrome: Diagnosis, tohu, Treatment

Takitaha o tatou ki te wehi me te tumanako, e tatari ana mo te whanautanga o te tamaiti. Te ti'aturi nei tatou fakamātoato e te tamaiti, me te whaea e hauora, me taua mamae rite Sheehan syndrome me Denny-Morthal, Down Simmonds ranei, e kore i pāngia. enei mate nanakia katoa, me te uaua ki te hamani. I roto i tēnei tuhinga ka whakaahua tatou te tuatahi o ratou - syndrome o Sheehan. kitea e ia etahi o nga wahine e whanau ana.

whakaahuatanga

Kulukia necrosis o repe - ka karanga pera ano syndrome o Sheehan. E whakaatu ana hītori Medical e ko te reira māuiuitanga rawa uaua e whanake i muri i mahi taimaha me te roa. riro te take toto auau e, i roto i te tahuri, arata'i ki hypotension. Ka rite ki te putanga o tona whanaketanga te iti tukua ki te toto i te repe - he repe iti i roto i te roro e te kawenga mō te te pūnaha endocrine o te tangata, me te hanga o hormones. Ko te tinana whakawhanake syndrome o Hiana, e kore e nga pānga o nei te tino ahuareka - e kore e taea ki te whangai tou uma pēpi koutou, engari ko reira anake te wahi iti rawa o nga raruraru e tūmanakohia te whaea.

Mai taea te māuiuitanga horoi puta i roto i te puka o tona auau pono he unknown. I kitea te reira e i muri i te whanautanga o toto mōrea o te whakawhanake mate pukupuku, ko te 40%. pāngia te mate te katoa wahine tuawha, ki te i ngaro ia e pā ana ki 800 ml o toto i roto i te 50% o te parous - te mate o rita o fluids faufaa.

tohu

E tino motuhake ratou. Hei tauira, kia waiho te pere whakaoho tuatahi te mutunga o te hohipera. tohu Tuarua o Sheehan syndrome te tikanga puta i muri i anake i te marama torutoru. E mea pinepine i tenei amenorrhea tuarua - te oti ngaro o paheketanga me te hinga o te gonadotropin secretion. Na ka tātari hypothyroidism, ina hua te repe thyroid iti moni o hormones. Ki tenei whakamārama, te whakawhanake myxedema - he takahi o te pūmua ka pākia e, e tika ana ki te ngawhatanga nui o te kopa.

Women e te hunga i roto i to ratou pirimia - i te 20 ki te 40 tau tau - kia wheako hoki hypopituitarism. Tenei huru uaua o te tinana, e mamae i te kaimahi o ngā hormones te wahine he ngoikore nui, mate taimaha huaki tata, kore o te libido. I roto i te wā matatau, kia tukua e te tangata i disorders neuropsychiatric me tae noa taka ki te pōroa.

whakarōpū

Ko te kore o hormones i roto i te tinana e taea e rerekē - i ngawari ki te puka hapa. Tei runga i tenei, nga momo e whai ake nei syndrome o Sheehan:

1. āhua ao. A, no te puta reira hormones runga tino iti rawa, meinga whakawhanake nui disorders hinengaro, kei te mahi tika pūnaha neurological, taka te tangata ki te pōroa.
2. puka Motunga. Taiaki hē kore te rawa korerotia, na pāngia anake hē adrenocorticotropic, gonadotropnoj mahi thyrotrophic ranei. Tukua whekau moepuku, te whatukuhu, me te tahi atu whēkau.
3. puka ngā. A, no te e pakaru katoa o te mahi i runga ake wā kotahi.

Fakatokanga'i ara faaiteraa marama o te mate, kia kōrero tonu i te rata mātai e te rata rohe, e tonoa mai hoki nga whakamātautau e tika ana, me te kōrero whakaritea ētahi atu tohunga ranei.

pathogenesis

Tenei tikanga i te timatanga rawa o te mate i mua i tohu puta kanapa. matahauroa mohio whakaaro reira i ngā taumata: i pathologies rāpoi ki te rangirua o te rauropi katoa. A tuatapapa ko reira e tika ana, rite homai reira whakahoki te pathogenesis ki te pātai o te pehea me aha whakawhanake te mate. Ko syndrome o te Hiana, te roa-whakapumautia: ko reira te faaiteraa matua o huringa necrotic i roto i te repe. puta ratou ki te puipuitua o upoo- toto, i te mea he spasm o oko toto o te rapae o mārōrō i muri i nui mate toto.

Ka taea hoki e syndrome o te Hiana, tohu o nei e whakaahuatia i runga, puta i muri i fakatōtamá, me te i runga i te muri o te ru kitakita i muri i te tuku. Predisposing take he preeclampsia - pōauautanga o te hapūtanga, ka pāngia te whaea expectant te tetere nui, mate o te pūmua i te mimi, pēhanga toto tiketike, me te pera i runga i. Ko reira e pängia ana ki te hanganga o clots toto enei wahine.

pikitia haumanu

He rerekē te tohu o te faaiteraa o te syndrome o Hiana. Doctors te nuinga o taratahi puka:

• Easy. Kei te āhuatanga i te reira na roto i te rohirohi , me pāhoahoa auau. He hekenga i roto i adrenal me thyroid mahi.
• Toharite. E pāngia atu ara nga whekau runga ake. Hei tauira, he wahine mana'o rawa rawa ngenge, i ona maikuku whati, he reira e pängia ana ki te pouri. Aukati ovarian, i ētahi wā ki runga ki te pākoko ovulatory.
• Taimaha. Kikokiko me te mammary repe hypertrophy, iwi e mate ana i te momoe, alopecia, ähua o te kiri, mate mahara. taka taimaha Body runga ngawhatanga kaha.

Hoki te syndrome āhuatanga e anemia kino, e faaite ake i roto i ngā momo katoa o te mate. Ko reira tino ātete ki te therapy, na whakauaua treatable. Me tamata Physicians ki toe i te taumata o te rino i roto i te toto.

tātaringa

I te wa ko reira nui ki te uiui i roto i te taipitopito i te hītori angamaheni, te wahi i te hononga ki waenganui i te mate me te toto ru ero ranei i roto i te materoto mua whanau ana ranei. Hei whakatau Sheehan syndrome, haamata tātaritanga ki te haere o te repe mammary: e kore ratou e whakanui i roto i te rahi, e kore te waiu kore whātatahia tukua noa, no te pēhanga kaha, me te whakahaere i muri i te akoranga mirimiri.

I te wa ano i roto i te taiwhanga tango i te whakamātautau toto, e whakatau hormones o te tinana. Tei runga i te nui o hormones me whakapumautia te tātaritanga. Tangohia te tauira me te mimi - i runga he reira ano huringa kitea i roto i te tinana. I tua atu, te whakahaere tākuta me te pārōnaki tātaritanga - e āwhina ki te wehewehe tetahi mate i tetahi. I muri i te katoa, he tokomaha o ratou i tino rite tohumate. Na reira, tātarihia ia o ratou i roto i taipitopito, correlate me te hanga i te mutunga tika.

maimoatanga

Ki te maka o te mate haavare. Ko te tikanga, ka pāngia te tangata e ki te syndrome a te Hiana, e haamata maimoatanga ki hormones me gonadotropin tahae, whakahau maimoatanga me te infantilism fakasekisualé. E tika ana, hei tauira, "Infekundin" ranei te tahi atu mau faaineineraa o te raupapa o progestins waihanga. ka waiho tōtika te akoranga "sinestrol", e pumau iti iho i te he marama, me te therapy huringa mō te hauwhā katoa.

Kia mahara e pā ana ki tetahi whaiaro maimoatanga-kore kei roto i te pātai! I te kāinga, anake kino ia koutou, whakapataritari i te whanaketanga o pōauautanga nui. Na reira, ka whakapā tonu te tohu tuatahi te tohunga. Anake tātaritanga mātau, huarahi ngaio me te therapy whai hua ki te āwhina i rongoa Sheehan syndrome, me te whakakore i aua mau hopearaa, e arahina ki tona whanaketanga o te tinana.