Syndrome Shihana inokura pamusana pekufa kwemasero emucherechedzo wepituitary, unoita kuti uwane zvinetso zveurostendocrine. Izvi zvirwere dzimwe nguva zvinowanikwa muvakadzi semugumisiro webasa. Tichazonzwisisa kuti chii chinokonzera chirwere cheShihan, kuti chinokura sei uye zvinoguma nei zvinogona kutungamirira.
Zviratidzo zveShihan syndrome
Chirwere chacho chinokura nemhaka yekurasikirwa kweropa rinorema panguva yebasa kana kubvisa pamuviri. Iyo plandish gland, imwe yevashandi vanokosha vemhomoni inodzora kushanda kwegadziriro ye endocrine, inonyanya kuvepa ropa. Nekubuda ropa kukuru, simbi inoremekedzwa kese ye okisijeni nemuviri, zvichiguma nei izvo masero ayo anotanga kufa.
Chirwere ichi chinowanzozonzi Simmonds-Shihan syndrome, sezvo vatsvakurudzi vakaongorora hutachiona nenzira yakanyanyisa.
Sezvo chirwere chepituitary chinopindira mukugadzirwa kwemhando dzakawanda dzehomoni, zviratidzo zvechirwere zvinowedzera kubva pane chikamu cheglanda chakafa. Ukuru hwemharaunda yakakosha kunokosha zvakare. Kana kusvika kune 60% yeglandu inoparadzirwa, chirwere chinenge chiri nyore nyore. Nekufa kwe 90%, chirwere chakakomba chinorwara chinowanikwa.
Zviratidzo zvehutano hweShihan zvinowanzobatanidzwa nemabasa:
- zvido zvepabonde;
- thyroid gland;
- adrenal glands.
Pakati pezviratidzo zvikuru mukukundwa kwenzvimbo dzinoita kuti kugadzirwa kwemahomoni ezvepabonde zvivepo, tinogona kuona:
- kusavapo kwemukaka mushure mokuberekwa;
- kupera kwekureruka kwemazizi kusvika kune 5 kg pamwedzi;
- kuputsa kwekuenda kumwedzi kusvikira kuguma kwacho zvachose;
- atrophy of mammary glands;
- kunyangarika kwemavara emucheka;
- kurasikirwa kwevhudzi pasi pezvinyorwa uye pubic;
- kuderedza chido chepabonde.
Kana hutachiona hwacho huchiwedzera huri nehutachiona hweganda, ona:
- kugona;
- chilliness;
- lethargy;
- kutadza kushivirira mitoro, zvose mumuviri nepfungwa;
- kudonhora kwemuviri kwakaderera;
- kupararira kwekudzivirirwa;
- kusimbiswa kweatony yemutsara wekudya.
Zviratidzo zveShihan syndrome munyaya yezvipembenene zvinonzi grenal gland zvinotevera:
- hypotension;
- kuderedza kwekupisa;
- kuderedza kudzivisa zvirwere;
- pamwe nekuderera kwakaderera muropa yezviratidzo zviratidzo, mamiriro ekugumburwa anogoneka.
Mukuwedzera, Shien Shihan syndrome ine nhamba dzakawanda dzinowanikwa:
- kukwegura kusati kwasvika;
- kurasikirwa kwemeno;
- kurasikirwa kwebvudzi ;
- stratification of nail plates;
- kuonekwa kwezera remakore;
- kuoma kwakanyanya kweganda;
- kupera kwemafupa;
- kukanganwa kwepfungwa;
- kuderedzwa kweunyanzvi kuenda kune marasmus.
Kurapa kweShihan syndrome
Kurapa chete kunogona kushandiswa pakutsvakurudza kwakadai kunotsiva kurapa. Muviri unoda nguva dzose kubhadhara kubva kunze kwemahomoni anodiwa. Kana kurapwa kunotanga nenguva, unogona kudzivisa migumisiro isingaoneki. Sokugadzirisa kurapwa, hutungamiri hwema-hormone gland hunoshandiswa, uyo hutsika hwave huchibatanidzwa nenzvimbo yakakanganiswa yepituitary.
Mukana wekuremera kwakanyanya, vanabolic steroid uye kudya kwakakwana zvinokurudzirwa. Mukuwedzera, zvakakosha kuzadza zvinyorwa zvematare ematare uye mapoka mavitamini.
Uye pano, vangani vanorarama nechirwere cheShihan, zvinoenderana nekurapa nekuoma kweimwe nyaya. Kushandiswa kwekodzero kunobatsira kupedza zviratidzo zvose zvehutano uye nokukurumidza kudzorera murwere kune hupenyu hwehupenyu. Zvinofanira kucherechedza kuti muvanhu vane unyoro hwakafanana vanhu vane chirwere chakadaro vanogona kurarama kwemazana emakore, kunyange vasina kubhadhara zviratidzo zvekurasikirwa kwezvirwere uye vasina kushandisa rubatsiro rwemishonga inyanzvi.