I-Syndrome Shihana ivela ngenxa yokufa kwamangqamuzana e-pituitary gland, eholela ezinkingeni ze-neuroendocrine. Lezi zifo ngezinye izikhathi zihlolwe ngabesifazane ngenxa yomsebenzi. Sizoqonda ukuthi yiziphi izici ezishukumisayo zesifo sikaShihan, ukuthi siqala kanjani nokuthi yiziphi imiphumela ezingabangela.
Izimpawu ze-Shihan syndrome
Lesi sifo siqala ngenxa yokulahlekelwa kwegazi elikhulu ngesikhathi sokubeletha noma ukukhipha isisu. I-pituitary gland, omunye wabahlinzeki abakhulu bama-hormone abalawula ukusebenza kwesistimu ye-endocrine, uzwela kakhulu ekunikezeni igazi. Njengoba kuphuma igazi elikhulu, insimbi ishiywa yiningi ye-oxygen nezakhi, ngenxa yalokho amangqamuzana ayo aqala ukufa.
Lesi sifo sivame ukubizwa ngokuthi i-Simmonds-Shihan syndrome, njengoba laba cwaningi bahlola le ndlela yokwelashwa ngendlela eningi kakhulu.
Njengoba i-pituitary gland iqhaza ekukhiqizeni izinhlobo eziningana zamahomoni, izibonakaliso zesifo zixhomeke kakhulu kulokho okuyingxenye yegland eye yafa. Ubukhulu bendawo ethintekile kubalulekile. Uma ingu-60% ye-gland ishintshiwe, i-pathology inenkambo elula. Ngokufa kuka-90%, kutholakala isigwebo esinamandla esibhedlela.
Izimpawu zesifo seShihan zivame ukuhlotshaniswa nemisebenzi:
- izigcawu zobulili;
- i-thyroid gland;
- izigulane eziyingozi.
Phakathi kwezibonakaliso ezinkulu ekunqothulweni kwezindawo ezithintekayo ekukhiqizeni ama-hormone ocansi, singakwazi ukuphawula:
- ukungabikho ubisi ngemuva kokubeletha;
- ukulahleka kwesisindo kancane kuze kube ngu-5 kg ngenyanga;
- ukwephulwa komjikelezo wokuya esikhathini kuze kuphele ukuphela kwayo;
- i-atrophy yamangqamuzana omzimba;
- ukunyamalala kwe-pigmentation yezingono;
- ukulahlekelwa izinwele ngaphansi kwe-armpits nokushicilela;
- ukwehlisa isifiso socansi.
Uma lesi sifo sithinteka kakhulu yi-gland yegciwane, qaphela:
- ukulala;
- ukukhanya;
- ukuxhuma;
- ukubekezelelana kabi kwemithwalo, kokubili ngokomzimba nangokwengqondo;
- ukushisa komzimba kwehla;
- ukuvama kokuqokwa;
- ukuthuthukiswa kwe-atony ye-tract digestive.
Izimpawu ze-Shihan syndrome uma kwenzeka izilonda ze-adrenal gland zilandelayo:
- i-hypotension;
- ukunciphisa kwe-pulse;
- ukunciphisa izifo;
- ngokuncipha okuphawulekayo ezinkomba zegazi, isimo sokuwa kungenzeka.
Ngaphezu kwalokho, i-Shien Shihan syndrome inezici eziningi ezivamile:
- ukuguga kusenesikhathi;
- ukulahlekelwa kwamazinyo;
- ukulahlekelwa kwezinwele ;
- ukuhlungwa kwe-nail plates;
- ukubukeka kwamabala okudala;
- ukoma owengeziwe kesikhumba;
- ukwehluleka okukhulu kwamathambo;
- ukukhubazeka kwememori;
- ukunciphisa ukuhlakanipha kobuso be-marasmus.
Ukwelashwa kwesifo se-Shihan
Ukwelashwa okuphela okungasetshenziselwa ukuxilongwa okunjalo kungukuthi ukwelapha okunye. Umzimba udinga ukulethwa njalo ngaphandle kwamahomoni adingekayo. Uma ukwelashwa kuqalwa ngesikhathi, ungakwazi ukugwema imiphumela engenakuguquka. Njengokwelapha okusetshenzisiwe, ukuphathwa kwe-hormone yama-gland kusetshenziswa, okusebenza kwayo kuhlotshaniswa nesayithi le-pituitary elimelekile.
Uma kunzima ukulahlekelwa isisindo, i-anabolic steroids kanye nokudla okwanele kunconywa. Ngaphezu kwalokho, kuyadingeka ukugcwalisa izimpahla zamakhemikhali ensimbi namaqembu e-vithamini.
Futhi lapha, bangaki abahlala nesifo sikaShihan, kuxhomeke ekunakekeleni nasebunzima besimo esithile. Ukwelashwa okunamandla okuphumelelayo kuqeda zonke izimpawu ze-pathology futhi ngokushesha kubuyisela isiguli ekuphileni okuvamile. Kumele kuqashelwe ukuthi ngesimo esifanele abantu abanesifo esifanayo bangaphila amashumi eminyaka, ngaphandle kokulalela ukunakekelwa kwesifo sokukhubazeka ngaphandle kokusebenzisa usizo lwezokwelapha.