I-Syndrome i-Shihana ikhula ngenxa yokufa kweeseli ze-pituitary gland, ezikhokelela kwiingxaki ze-neuroendocrine. Ngamanye amaxesha ukuxhomekeka kwezilwanyana kufunyanwe ngabafazi kuba ngenxa yezabasebenzi. Siya kuqonda ukuba zeziphi iziganeko eziphazamisayo zesifo sikaShihan, indlela eqhubeka ngayo kunye nemiphumo engayenza.
Iimpawu zeShihan syndrome
Esi sifo siphumela ngenxa yokulahlekelwa kwegazi elinzima ngexesha lomsebenzi okanye ukukhipha isisu. I-pituitary gland, enye yezinto eziphambili ze-hormone ezilawula ukusebenza kwenkqubo ye-endocrine, inokukhathazeka kakhulu ekunikezeni igazi. Ngenxa yokuphuma kwegazi, isinyithi iyanqandwa yintswelo ye-oksijini kunye nezondlo, ngenxa yoko iseli zayo ziqala ukufa.
Esi sifo sibizwa ngokuba yiSimmonds-Shihan syndrome, njengoko abaphandi bafunda uphando kwiindlela ezininzi.
Ekubeni i-pituitary gland ithatha inxaxheba kwimveliso yeendidi ezininzi zama-hormone, iimpawu zesifo zixhomekeke ekubeni yiyiphi inxalenye yesigulo esele yafa. Ubungakanani bendawo echaphazelekayo kubalulekile. Ukuba i-60% ye-gland iyathinteka, i-pathology ineyona ndlela elula. Ngokufa kwe-90%, kukho ityala eliyinkathalo.
Iimpawu zesifo seShihan zidla ngokudityaniswa nemisebenzi:
- zesisu;
- i-thyroid gland;
- izigulane ezingaphezulu.
Phakathi kweempawu eziphambili ekutshatyalaliswa kweziza ezijongene nokuveliswa kwamahomoni esondo, sinokuqaphela:
- ukungabi nobisi emva kokunikezelwa;
- ukulahlekelwa ngokunyuka komzimba kwe-5 kg ngenyanga;
- ukuphulwa komjikelezo wokuya esikhathini ukuya kuphele ukuphela kwayo;
- i-atrophy yeengqungquthela zamathumbu;
- ukunyamalala kwe-pigmentation ye-nipples;
- ukulahleka kweenwele phantsi kweemvumba kunye ne-pubic;
- kunciphisa umnqweno wesini.
Ukuba ukukhubazeka kuthinteke ngakumbi kwi-thyroid gland, qaphela:
- kulala;
- ukukhanya;
- u buqhetseba;
- ukunyamezela ukunyamezela kwemithwalo, zombini kunye nengqondo;
- ukushisa komzimba;
- ukuxhaphaka;
- uphuhliso lwe-atony yephepha lokutya.
Iimpawu zesifo seShihan kwimeko yezilonda ze-adrenal gland zilandelayo:
- hypotension;
- nokunciphisa i-pulse;
- kuncitshiswa ukulwa nezifo;
- ngokunciphisa ngokuphawulekayo kwizibonakaliso zexinzelelo lwegazi, imeko yokuwa .
Ukongezelela, isifo seShien Shihan sinempawu ezithile eziqhelekileyo:
- ukuguga kwangaphambili;
- ukulahlekelwa kwamazinyo;
- ukulahlekelwa kweenwele ;
- ukucwangciswa kwamacwecwe epikili;
- ukubonakala kweendawo zokudala;
- ukomela ukwanda kwesikhumba;
- ukuhlukana kwamathambo;
- ukukhubazeka kwememori;
- ukunciphisa ulwaphulo-mthetho kwi-marasmus.
Unyango lweShihan syndrome
Unyango olulodwa olusetyenziselwa ukuxilongwa ngolu hlobo luyonyango yokufaka indawo. Umzimba ufuna rhoqo ukuhanjiswa ngaphandle kweemodemoni eziyimfuneko. Ukuba unyango luqaliswa ngexesha, unokuphepha kwimiphumo engapheliyo. Njengoko unyango oluthatha indawo, ukusetyenziswa kwee-hormone ze-gland zisetyenzisiweyo, ukusebenza kwawo kuye kwadibaniswa nesayithi elonakalisayo.
Xa kunzima ukulahleka, i-anabolic steroids kunye nokutya okwaneleyo kunconywa. Ukongezelela, kuyimfuneko ukuzalisa iimpahla zentsimbi kunye namaqela e-vitamin.
Kwaye ke, bangaphi abantu abahlala nesifo sikaShihan, kuxhomekeke kunyango kunye nokunyanzela kwimeko ethile. Ulwaphulo lokumelana nolwazi oluphumelelayo luphelisa zonke iimpawu zentsholongwane kwaye ngokukhawuleza buyisela isigulane kwindawo eqhelekileyo. Kufuneka kuqatshelwe ukuba ngohlobo olunefuthe abantu abanesifo esifanayo banokuphila iminyaka emininzi, nangaphandle kokuhlawulisa i-symptomology ye-pathology kunye nokungaxhamli ngoncedo lwamayeza olwazi.