There are a number of syndromes that are usually the complications that pregnant women suffer from and occur especially during childbirth, and we mentioned before the aspiration syndrome, which is classified as a respiratory condition that affects the fetus, while there are other complications that affect the health of the pregnant woman, and it is called Sheehan syndrome. If you are hearing about this syndrome for the first time, then I would like to introduce you for a Dalili Medical reason. You need information about Sheehan syndrome.

Are we Sheehan syndrome?

 

Sheehan's syndrome is a form of hypopituitarism, where the pituitary gland fails to produce sufficient amounts of certain hormones. The pituitary gland, a small but vital organ located at the base of the brain, regulates the various functions of the adrenal glands necessary to maintain internal balance. Occurrence of pituitary gland destruction in Sheehan's syndrome due to hypoperfusion caused by severe hypoperfusion. Low blood pressure or lack of blood during childbirth.

. What are the symptoms of Shian syndrome?

 

The symptoms include the inability to breastfeed, fatigue, low blood pressure, and menstrual irregularity as a result of damage to the pituitary gland due to severe blood loss during childbirth or later.

. What are the causes of Shi'an syndrome?

 

Shi'an syndrome occurs when the pituitary gland is damaged due to severe blood loss during childbirth or later, which leads to insufficient hormone production.

. How to diagnose Shian syndrome?

 

It includes clinical evaluation, evaluation of hormone levels, and imaging studies to evaluate pituitary gland function.

. What are the treatment options for Sheehan syndrome?

 

Treatment usually includes hormone replacement therapy to manage hormone deficiency and supportive care to treat symptoms.

. What are the complications associated with Sheehan syndrome?

 

Height includes the complications of adrenal gland insufficiency, hypothyroidism, and breastfeeding difficulties, which requires continuous monitoring and management strategies.

What is the amount of blood loss associated with Sheehan's syndrome?

 

The patient's loss of a life-threatening amount of blood in this case may lead to a severe drop in blood pressure, trauma, or even death. Fortunately, most of the health care teams are qualified to deal with such emergencies, we reduce the risk of Sheehan syndrome.

The spread of Sheehan syndrome?

Sheehan's syndrome is rare in developed countries, where good maternal care is prohibited, usually with severe blood loss during childbirth, but it is still a common condition in developing countries, where women may continue to bleed heavily during childbirth.

Is Sheehan syndrome hereditary?

 

Sheehan's syndrome is not hereditary, and belongs only to pregnancy.

What are the long-term effects of Sheehan syndrome?

 

Usually, the treatment with hormones is long-term and the patients need regular check-ups with their doctor. If the patient is taking stimulants, he must be aware of the rules on the day of illness and carry an emergency injection of hydrocortisone that knows how to use it. They must also wear a sign indicating that they are taking steroid medications. .

What is the amount of blood loss that causes Shian syndrome?

 

Shian-Hei syndrome, hypopituitarism after postpartum hemorrhage and blood volume deficiency, and occurs in 1-2% of women who lose 1-2 liters of blood with the associated drop in blood pressure.

Is it possible to cure my Sheehan syndrome?

 

Treatment of Sheehan syndrome is life-long treatment with alternative hormones. Your doctor may recommend the following medications: - Corticosteroids, such as hydrocortisone or bridnisone, to replace the adrenal gland hormones that are not produced due to adrenocortical hormone deficiency.

What is the most common form of Shian syndrome?

 

The chronic form means that the damage to the stomach was minimal and the symptoms did not appear for weeks, months or even years after birth. Some of the most common symptoms include: difficulty breastfeeding or inability to breastfeed. Decreased sexual desire.

Is Sheehan syndrome an innate immune disease?

 

The relationship between Sheehan's syndrome and the body's innate immune response. The immune system attacks the cells of the body in case of an autoimmune disease (which we must do with harmful foreign bodies such as viruses). The researchers found that some patients with Sheehan's syndrome - not all of them - actually have an invasion of the pituitary gland. More research should be done to understand the mechanism of autoimmune reaction in Sheehan syndrome.

Causes of Sheehan syndrome?

During pregnancy, the increase in the amount of estrogen in the body leads to an increase in the volume of the pituitary gland and the volume of blood flowing through it, this makes the pituitary gland more susceptible to damage caused by blood loss.

If acute bleeding occurs during childbirth or immediately after, there will be a sudden decrease in blood supply to the pituitary gland, which is already at risk, and this can cause tissue death and the loss of functions of the pituitary gland later.Usually, the anterior part is affected only by the pituitary gland, and the following hormones are secreted from the anterior pituitary gland, and their formation is incomplete in Sheehan syndrome:

Adrenocortical hormone (prevents the adrenal glands from releasing steroid hormones such as cortisol)

Growth hormone (regulates growth, metabolism and body formation.

Lutein hormone and ovulation-inducing hormone (also known as gonadotrophins, which act on the ovaries or testicles to stimulate the production of sex hormones and ovulation or sperm maturation)

What are the risk factors that increase the risk of Sheehan syndrome?

 

It includes the conditions that double the risk of complications of pregnancy, any conditions that can cause excessive bleeding or lack of blood during the birth of the child, and everything related to low blood pressure, which can affect pregnant women in one or more twins, or the presence of any problem in the placenta, and all of these are the main risk factors for the syndrome. Sheehan. I am concerned about the possibility of Sheehan's syndrome occurring as it is a rare occurrence and the risks associated with it are reduced.The exact medical care before the doctor, in addition to monitoring the condition of the woman during labor and delivery.

The hormones responsible for the symptoms of Sheehan syndrome?

 

The appearance of all the symptoms of Sheehan's syndrome is related to a decrease in the levels of certain hormones of the pituitary gland, and the following is an explanation for this:

Milk hormone: (Prolactin Hormone), causes a decrease in the level of the affected mother's inability to breastfeed her children naturally.

Gonadotrophins Hormones, causes the reduction of menstrual cycle irregularity or non-occurrence, and the growth of pubic hair and pubic hair.

Thyroid Hormones: Decreases cause the feeling of fatigue, in addition to weight loss.

Adrenocorticotropic hormone, which leads to a decrease in blood pressure.

**Diagnosis of Sheehan's syndrome**

Sheehan syndrome can be easily confused with other conditions that cause similar symptoms, especially if symptoms do not begin several months after birth.

Your doctor will start by asking you about related symptoms, such as the problem of breast milk production after childbirth.

The tests that help your doctor diagnose Tanazar Symonds include the following:

Blood tests** You will be subjected to tests to verify the levels of hormones that are produced by the pituitary gland.

Pituitary hormone stimulation test is performed to measure the response of the pituitary gland to different hormones.

Imaging tests** Perform a CT scan or magnetic resonance imaging (MRI) in the presence of tumors or other problems in the pituitary gland, which may cause similar symptoms.

Sheehan syndrome symptoms**

Often, the symptoms of Shi'an syndrome appear gradually and can be confused with other conditions after birth, which leads to a delay in diagnosis. Common symptoms include the following:

fatigue and weakness

Inability to secrete milk

Menstrual disorders or menopause

The fall of the poem Al-Ana and Al-Ibat

low blood pressure

Blood sugar deficiency

Decreased sexual desire

These symptoms are caused by a deficiency in hormones such as prolactin, growth hormone, adrenocortical hormone (ACTH), and other hormones that regulate the pituitary gland.

How does Sheehan syndrome affect a woman's body?

It causes damage to the pituitary gland and decreases the secretion of hormones necessary to regulate vital processes. The height of the woman after giving birth suffers from the following hormone deficiency, depending on the extent of the injury:

Adrenal cortex stimulating hormone (ACTH): which stimulates the production of the main stress hormone in the body, which is cortisol. Cortisol maintains the level of blood sugar and blood pressure, it helps the body to respond to tension and stress.

Thyroid-stimulating hormone (TSH): which stimulates the thyroid gland to regulate metabolism, energy, and the nervous system.

Growth hormone (GH): which protects bone density, muscle mass and fat distribution in the body.

Hormone-stimulating hormone (FSH): which stimulates the release of estrogen from our ovaries and stimulates the growth of the ovaries.

Al-Harmon al-Lutan (LH): the one who causes ovulation during the menstrual period (which is the release of the ovaries for the entire city).

Prolactin: which encourages the production of milk during pregnancy, allows the mother to breastfeed the children.

Antidiuretic hormone (ADH or alpha-fazobresin): which regulates water and sodium levels in the body and balance. A decrease in antidiuretic hormone levels leads to diabetes insipidus (a disease that occurs as a result of disturbances in the regulation of water and salt levels in the body), and it affects about 5% of Sheehan's syndrome.

What are the signs and symptoms of Sheehan syndrome?

 

Observing the symptoms of Sheehan's syndrome immediately in cases of atheism. But the symptoms appear gradually over several months or years in most cases. The symptoms of the syndrome include the following:

Difficulties in breastfeeding or lack of milk coming out of the breast after giving birth.

Menopause or irregularity.

The thickening of the walls of the vagina and the dryness of the vagina make intercourse painful.

Uncontrollable desire to drink water or frequent urination day and night.

Breast contraction and loss of pubic hair.

Weight gain or muscle mass loss.

Cold intolerance.

Fatigue and difficulty in concentration.

Decreased sexual desire.

dry skin

How to reduce the risk of Sheehan syndrome?

 

It is not possible to reduce the risk of infection, but I am relieved to know that Sheehan syndrome is rare. The presence of a care team capable of preventing any complications such as loss of a large amount of blood also helps to reduce the possibility of developing the syndrome.

What should a Sheehan syndrome patient expect?

 

Most patients with Sheehan syndrome live a healthy life with appropriate treatment. Many patients are safe after the diagnosis of the disease, due to the careful monitoring of the care team.

The endocrinologist helps in the treatment of diseases related to hormones, so it is necessary to visit the doctor periodically to make sure that I take the appropriate dosage to compensate for any hormone deficiency in the body.

When should I pay attention to the emergency department?

 

It is advised to pay attention to the emergency in the case of an epileptic fit, which may be life-threatening if not treated, and the symptoms include the following:

Al-Dwar

Abdominal, chest, and back pain.

Al Hami

Weakness and exhaustion.

Nausea and vomiting.

Confusion or lack of awareness.

Am I the most susceptible to Sheehan syndrome?

 

While Sheehan's syndrome is rare in developed countries that provide women with medical care, especially to reduce the risk of severe blood loss during childbirth, it is still common in developing countries where women may continue to bleed heavily during childbirth, and it includes risk factors that increase the likelihood. The following are the cases of excessive blood loss:

Detachment of the placenta completely from the uterus during pregnancy and feeding the fetus.

walkingMenzaha, which covers the cervix partially or completely.

The birth of a large baby weighs more than 4 kilograms.

Injab al-Tawaim.

pregnancy It is a condition that causes high blood pressure during pregnancy.

Hiring means to help during labor, including al-Muqat, or giving birth with the help of suction.

**Treatment of Sheehan's syndrome**

The treatment of Shi'an syndrome focuses on the treatment with alternative hormones to replace the deficiency of pituitary hormones. And the specific hormones that need to be replaced depend on the individual's symptoms and the results of hormonal tests. Commonly described hormones include the following:

Corticosteroids** Use of corticosteroids, such as hydrocortisone or bridnisone, to replace adrenal gland hormone deficiency. These medicines help in managing the symptoms of adrenal insufficiency, including fatigue, low blood pressure, and low blood sugar.

Thyroid hormones ** Orphan prescription of levothyroxine to replace deficient thyroid hormones and manage the symptoms of hypothyroidism, such as intolerance to cold, weight gain and fatigue.

Estrogen and Progesterone** It is recommended to treat with alternative hormones using estrogen and progesterone for women suffering from menopause or amenorrhea. This remedy helps in regulating menstruation and managing symptoms related to estrogen deficiency, such as hot flashes and vaginal dryness.

Growth hormone** It is possible to consider alternative growth hormone therapy for people who suffer from growth hormone deficiency. This treatment can improve muscle strength, bone density and life in general.

Prolactin** Although there is no specific alternative hormone to replace prolactin hormone deficiency, the management of other hormone deficiencies can help in reducing the symptoms associated with breastfeeding failure.