Sheehan maʻi

He maʻi ʻo Sheehan kahi ʻano i hiki i ka wahine ke kahe nui i ka wā hānau hānau. ʻO Sheehan Syndrome kahi ʻano hypopituitarism.

ʻO ke kahe ʻana o ke kahe ʻana i ka wā hānau hānau hiki ke make i ka ʻaʻa i ka pituitary gland. ʻAʻole holo pono kēia gland ma ke ʻano he hopena.

ʻO ka pituitary gland ma ke kumu o ka lolo. Hana ia i nā hormoni e hoʻoulu ai i ka ulu ʻana, hana ʻana i ka waiū o ka waiū, nā hana hānau, ka thyroid, a me nā adrenal glands. ʻO ka hemahema o kēia mau hormona hiki ke alakaʻi i nā ʻōuli like ʻole. Nā kūlana e hoʻonui ai i ka makaʻu o ke kahe ʻana i ka wā o ka hānau hānau ʻana a me ka maʻi Sheehan e komo pū ana me nā hāpai he nui (māhoe a ʻekolu paha) a me nā pilikia me ka placenta. ʻO ka placenta kahi lālā e hoʻomohala i ka wā hāpai e hānai i ka ʻōpū.

He kūlana ʻano ʻole ia.

Pākuʻi ʻia paha nā ʻōuli o Sheehan syndrome:

• ʻAʻole hiki ke hānai (ʻaʻole hiki "ka waiū waiū")
• Ka luhi
• Ka nele o ka heʻe koko
• Loaʻa ka lauoho pubic a me ka axillary
• Kaomi haʻahaʻa

Kaha: ʻokoʻa ma mua o ka hiki ʻole ke hānai ʻana i ka waiū, ʻaʻole ulu paha nā ʻōuli no kekahi mau makahiki ma hope o ka hānau.

Hiki i nā hoʻokolohua i hana ʻia ke:

• Nā ho'āʻo koko e ana i nā pae hormonone
• MRI o ke poʻo e kāpae i nā pilikia pituitary ʻē aʻe, e like me ka tumo

Hoʻopili ka hana me ka estrogen a me ka progesterone hormone replacement therapy. Pono e lawe i kēia mau hormoni ma ka liʻiliʻi a hiki i ka makahiki maʻamau o ka menopause. Pono e lawe pū i nā thyroid a me nā hormone adrenal. Pono kēia mau mea i ke koena o kou ola.

ʻO ka nānā aku me ka ʻike mua a me ka mālama ʻana he maikaʻi loa.

Hiki ke hoʻoweliweli i kēia ʻano ke mālama ʻole ʻia.

ʻO ke kahe ʻana o ke koko i ka wā hānau keiki hiki ke pale pinepine ʻia e ka mālama olakino kūpono. Inā ʻole, ʻaʻole hiki ke pale ʻia ka maʻi Sheehan.

Hypopituitarism postpartum; Ka lawa ʻole o ka pituitary postpartum; Hypopituitarism maʻi

• Nānā Endocrine

Burton GJ, Sibley CP, Jauniaux ERM. Anatomy Placental a me ka physiology. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 1.

Kaiser U, Ho KKY. ʻO ka pituitary physiology a me ka loiloi diagnostic. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 8.

Molitch ME. Nā maʻi pituitary a me adrenal i ka hāpai ʻana. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 43.

Nader S. Nā maʻi endocrine ʻē aʻe o ka hāpai keiki. I: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds.ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 62.