Elif BALKAN, Meltem MECDİ KAYDIRAK, Nevin HOTUN ŞAHİN

Gebelikte Hipofizer Hastalıklar ve Hemşirelik Bakımı

Hipofiz bezi, ürettiği çeşitli hormonlar nedeniyle vücut üzerinde oldukça önemli etkilere sahiptir. Gebelik sürecinde hipofizin anatomik ve fizyolojik değişikliklere uğramasıyla hipofizer hastalıkların tanılanmasında çeşitli zorluklar yaşanmaktadır. Başlıca hipofizer hastalıklar prolaktinoma, akromegali, Cushing Sendromu, Sheehan’s sendromu ve Lenfositik hipofizittir. Bu hastalıklarda gebelik nadir görüldüğünden tanı genellikle gebelikten önce konmaktadır. Buna rağmen prekonsepsiyonel dönemden itibaren hipofizer hastalıklarda etkin bir bakım gerekmektedir. Çok çeşitli maternal-fetal komplikasyonlara neden olan bu hastalıklarda multidisipliner bir yaklaşım esastır. Bu multidisipliner ekipte önemli bir rol oynayan hemşireler, hipofiz hastalıklarının temel belirtilerini iyi bilmeli ve gebelere verdikleri bakımda hastalığa özgü bireyselleştirilmiş bir bakımdan yararlanmalıdır.

Anahtar Kelimeler:

Hipofizer hastalık, Gebelik, Hemşirelik, Bakım

Pituitary Diseases and Nursing Care During Pregnancy

The pituitary gland has very important effects on the body due to the various hormones it produces. Various difficulties are experienced in the diagnosis of pituitary diseases as the pituitary undergoes anatomical and physiological changes during pregnancy. Major pituitary diseases are prolactinoma, acromegaly, Cushing's syndrome, Sheehan's syndrome and Lymphocytic hypophysitis. Since pregnancy is rare in these diseases, the diagnosis is usually made before pregnancy. Despite this, effective care is required in pituitary diseases from the preconceptional period. A multidisciplinary approach is essential in these diseases that cause a wide variety of maternal-fetal complications. Nurses, who play an important role in this multidisciplinary team, should know the basic symptoms of pituitary diseases well and should benefit from an individualized care specific to the disease in the care they give to pregnant women.

Keywords:

Pituitary disease, Pregnancy, Nursing, Care,

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