Syndrome Shihana tsim los ntawm kev tuag ntawm cov qog pituitary caj pas, uas ua rau cov kab mob neuroendocrine. Cov kab mob pathology no qee zaus kuj pom tias yog poj niam los ntawm kev ua haujlwm. Peb yuav to taub cov dab tsi ntawm Shihan tus kab mob, qhov nws tsim tau thiab qhov tshwm sim nws yuav ua rau dab tsi.
Cov tsos mob ntawm tus mob Shihan
Tus kab mob no yog vim yog mob hnyav thaum lub sijhawm ua haujlwm lossis rho menyuam. Cov pituitary caj pas, ib qho ntawm cov khoom lag luam tseem ceeb ntawm cov tshuaj hormones uas tswj cov kev ua haujlwm ntawm qhov kev ua kom hauv lub cev, qhov tseem ceeb heev rau cov ntshav. Nrog loj los ntshav, hlau yog deprived ntawm feem ntau cov pa thiab cov as-ham, vim tias nws cov hlwb pib tuag.
Tus kab mob no feem ntau hu ua Simmonds-Shihan syndrome, raws li cov neeg tshawb xyuas tau kawm txog qhov kev ntsuam xyuas pathology hauv txoj kev xav paub ntau tshaj.
Txij li thaum lub caj pas pituitary koom nrog ntau hom tshuaj hormones, qhov tshwm sim ntawm tus kab mob feem ntau yog nyob ntawm seb qhov twg ntawm lub caj pas tau raug tuag lawm. Qhov loj ntawm thaj tsam ntawm thaj tsam ntawd tseem ceeb heev. Yog tias mus txog 60% ntawm lub caj pas puas cuam tshuam, qhov pathology muaj ib txoj kev yoojyim. Nrog kev tuag ntawm 90%, kuaj mob hnyav raug kuaj xyuas.
Cov mob ntawm Shihan kab mob feem ntau yog txuam nrog kev ua si:
- qhov qog kev sib deev;
- thyroid caj pas;
- adrenal qog.
Ntawm cov ntsiab lus tseem ceeb hauv lub yeej ntawm lub chaw ua hauj lwm rau qhov ntau lawm ntawm kev sib deev cov tshuaj hormones, peb tuaj yeem lees tias:
- tsis muaj mis nyuj tom qab yug me nyuam;
- maj mam poob ntawm 5 kg ntawm ib lub hli;
- ua txhaum ntawm kev coj khaub ncaws mus txog thaum nws ua tiav;
- atrophy ntawm cov qog nqaij hlav hauv siab;
- disappearance ntawm lub pigmentation ntawm lub txiv mis;
- cov plaub hau poob hauv qab qhov hnyuv thiab quav;
- tsis muaj kev sib deev siab.
Yog hais tias tus kab mob pathology los cuam tshuam los ntawm cov thyroid caj pas, saib:
- nkees nkees;
- chilliness;
- lethargy;
- tsis kam txais cov kev ua haujlwm, ob lub cev thiab lub hlwb;
- poob lub cev kub;
- prevalence ntawm cem quav;
- kev loj hlob ntawm kev sib ncos ntawm cov hnyuv.
Cov tsos mob ntawm Shihan syndrome nyob rau hauv cov ntaub ntawv ntawm lub plab hauv plab adrenal yog raws li nram no:
- hypotension;
- txo ntawm mem tes;
- txo tsis kam mus rau cov kab mob;
- nrog rau cov cim poob qis hauv cov ntshav ntsuas, ib lub xeev ntawm kev sib tsoo tau.
Tsis tas li ntawd, Tus Shien Shihan syndrome muaj ntau tus qauv tshwj xeeb:
- ntxov ntxov;
- poob ntawm cov hniav;
- poob plaub hau ;
- stratification ntawm cov ntsia thawv daim phiaj;
- pom cov hnub nyoog;
- nce tsis pom kev ntawm daim tawv nqaij;
- kev nyuaj siab ntawm pob txha;
- nco tsis tau;
- txo kev txawj ntse mus rau lub xeev ntawm marasmus.
Kev kho mob ntawm Shihan syndrome
Cov kev kho mob nkaus xwb uas siv tau rau qhov kev kuaj mob no yog kev hloov kev kho mob. Lub cev xav tau qhov khoom plig tawm sab nraud ntawm cov tshuaj hormones tsim nyog. Yog tias kev kho mob pib rau lub sijhawm, koj tuaj yeem zam qhov tsis zoo uas yuav tsis raug. Raws li hloov txoj kev kho, txoj kev tswj hwm ntawm cov caj pas gland siv, nws cov functionality tau txuam nrog ib qhov chaw pituitary puas.
Yog hais tias mob hnyav heev, anabolic steroids thiab khoom noj haus kom txaus. Tsis tas li ntawd, nws yog ib qhov tsim nyog yuav tau sau cov reserves ntawm cov hlau teb thiab vitamin pawg.
Thiab ntawm no, muaj pes tsawg tus nyob nrog Shihan tus kab mob, nyob ntawm txoj kev kho mob thiab qhov hnyav ntawm ib rooj plaub. Kev hloov kev hloov kev ywj pheej raug tshem tawm txhua cov tsos mob ntawm tus kab mob pathology thiab rov qab sai sai rau tus neeg mob mus rau lub neej qub. Nws yuav tsum tau sau tseg tias nyob rau hauv cov neeg tsis muaj zog xws li muaj kab mob zoo sib xws nyob rau xyoo lawm, txawm tias tsis muaj kev paub txog cov kev mob ntawm cov kab mob thiab tsis muaj kev pab los ntawm cov kws kho mob.