Kuvamile ukuthi abesifazane bazizwe bekhathele, bezwa isimo sengqondo, futhi babe nezinye izimpawu ezihlukahlukene ezinyangeni emva kokubeletha. Kodwa kwabanye besifazane, izimpawu zingabangela izinkinga futhi zingabhekisela enkingeni ye -roid , eyaziwa ngokuthi i-postpartum thyroiditis.
Sibutsetelo
I-postpartum thyroiditis i-inflammation ye-thyroid eyenzeka okokuqala ngonyaka wokuqala emva kokubeletha, ukukhulelwa kwesisu, noma ukukhipha isisu.
Kucatshangelwa ukuhlukahluka kwe-autoimmune thyroiditis, eyaziwa nangokuthi i-Hashimoto's thyroiditis.
Ubani Osesengozini?
Uma ukhulelwe, ungahlakulela i-postpartum thyroiditis. Lesi simo sivame kakhulu, njengoba kulinganiselwa ukuthi cishe amaphesenti angu-7 abesifazane awakhula.
Izingozi zokuthola i-postpartum thyroiditis ziphakeme uma unezimo ezilandelayo kanye / noma izimpawu ze-thyroid:
- Kuze kube ngamaphesenti angu-25 wabesifazane abanesifo sikashukela sohlobo 1 bakhula i-postpartum thyroiditis.
- Amaphesenti angama-50 abesifazane abano-anti-peroxidase (ama-anti-TPO) aphakeme ahlakulela i-postpartum thyroiditis.
I-Course Typical
Inkambo evamile kakhulu ye-postpartum thyroiditis i-hypothyroidism elula kusukela ezinyangeni ezimbili kuya kweziyisithupha ngemuva kokuba ingane yakho izalwe. I-hypothyroidism ixazulula njengoba i-thyroid yakho ijwayelekile.
Isethulo esilandelayo esivamile kakhulu i- hyperthyroidism emnene, eqala ngemva kwezinyanga ezine emva kokubeletha, emva kwalokho i-thyroid yakho ijwayelekile.
Inkambo yesithathu ibhekwa yi-hyperthyroidism encane, bese ishintsha isikhathi se-hypothyroidism emincane amasonto ambalwa kuya ezinyangeni ezimbalwa, ilandelwa ukujwayela umsebenzi we -roid.
Ngenkathi ezinye izimo zokulandela i-postpartum thyroiditis zixazulula ngokuhamba kwesikhathi, kunengozi enkulu yokuthi owesifazane uzoqhubeka enesimo se -roid.
Eqinisweni, kulinganiselwa ukuthi iningi labantu abanesifo se-postpartum thyroiditis, phakathi kweminyaka emine kuya kweyisishiyagalolunye, lizoqhubeka liqhubeka ne-hypothyroidism, i-goiter (isikhumba se-thyroid esandisiwe), noma kokubili.
Izimpawu
Kunezinhlobo zezimpawu ze-postpartum thyroiditis ezingase zivele phakathi kokubili izigaba ze-hyperthyroid ne-hypothyroid zesimo. Lokhu kufaka:
- Ukwehlisa umthamo wobisi ekunceliseni abesifazana
- Ukulahlekelwa izinwele
- Ukukhathala
- I-Goiter engenabuhlungu
- Ukucindezeleka, ukukhathazeka, nokuzizwa
Izimpawu ngesikhathi sesifo se-hyperthyroid se-postpartum thyroiditis ngokuvamile ziguquguquke kakhulu izimpawu ze-hyperthyroidism ezivamile . Lezi zimpawu zingabandakanya ukukhathazeka, ubuthakathaka bomzimba, ukuthukuthela, izinhliziyo zenhliziyo , ukushaya kwenhliziyo okusheshayo, ukuthuthumela, ukulahlekelwa isisindo, nokuhuda.
Ngokufanayo, izimpawu ngesikhathi se-hypothyroid ye-postpartum thyroiditis yizinguquko ezinzima zezimpawu ezijwayelekile ze-hypothyroidism . Kungabandakanya ukuvilapha, isikhumba esomile, ubunzima bokulahlekelwa isisindo (noma ukuzuza isisindo ), ukuqothulwa, ukushisa komzimba okuphansi, nokukhukhuma emehlweni, ubuso, nezandla.
Ukuxilongwa
Udokotela wakho uyovame ukugijima ukuhlolwa kwegazi eziningana ukuze ahlolisise i-postpartum thyroiditis. Esigabeni se-hyperthyroid, ukuhlolwa kwegazi lakho kubonisa ukuthi i -hormone ephansi ye-thyroid (stimulating hormone ) (TSH ), ne-thyroxine ephezulu noma evamile noma i-triroodothyronine (T3) ephezulu.
Esigabeni se-hypothyroid, i-TSH yakho iyophakanyiswa, futhi i-T4 ne-T3 izoba ephansi noma ephansi. Amazinga we-anti-peroxidase we-thyroid (TPO) ama-antibody angakhuphuka kakhulu kunabesifazane abaningi abane-postpartum thyroiditis, ikakhulukazi ngesikhathi se-hypothyroid.
Kwezinye izimo ze-postpartum thyroiditis, i-ultrasound yenziwa futhi izobonisa ukwandiswa kwengubo yakho ye-thyroid.
Kubalulekile ukuqaphela ukuthi kanye ne-postpartum thyroiditis, isifo se-Graimmune Graves (esibangela i-hyperthyroidism) engenzeka ngemuva kokuba ingane yakho izalwe. Nakuba i-postpartum thyroiditis iyimbangela evamile kakhulu ye-hyperthyroidism, udokotela wakho uzofuna ukuqinisekisa ukuthi akaphuthelwa ukuxilongwa kwesifo se-Graves.
Ezinye izici ezihlukanisayo ziwukuthi esigabeni se-Graves, owesifazane unezibonakaliso ezinzima kakhulu, ukwandiswa kwe-thyroid eyengeziwe, futhi angase abe nezimpawu ezihlobene naso (okuthiwa yi-Graves 'ophthalmopathy).
Kwezinye izimo, ukuhlolwa kokusakazwa kwe-radioiodine kwenziwa ukwenza umehluko we-postpartum thyroiditis kusuka e-Graves 'isifo. (Qaphela, noma kunjalo, lokhu kuhlolwa akukwenziwa uma uncelisa .)
Ukwelapha
Ezimweni eziningi, ngeke udinga ukwelashwa kwe-postpartum thyroiditis phakathi noma yi-hyperthyroid noma i-hypothyroid phases. Izimpawu ngokuvamile ziba mncane, futhi isimo sizixazulula ngokuzodwa, ezinyangeni eziningana kuze kube unyaka ngemva kokuzalwa kwengane yakho.
Kodwa-ke, uma izimpawu zakho ze-hyperthyroidism zingakhululekile, udokotela wakho angase anikeze i- beta-blocker , njenge-propranolol noma i-atenolol. ( Ukubeletha akusikiswanga ngenkathi kuthatha i-beta blockers, noma kunjalo.) Izidakamizwa ze-Antithyroid azisetshenziselwa izimpawu ze-hyperthyroid ku-postpartum thyroiditis.
Uma i-hypothyroidism ngesikhathi se-postpartum thyroiditis ibangela izimpawu ezibalulekile, ochwepheshe batusa ukwelashwa kwe- hormone ye- thyroid. Ngokujwayelekile, emva kwezinyanga eziyisithupha kuya kweziyishumi nambili emithini, udokotela wakho uzakutusa ukuyeka, ukuze uhlolwe futhi ukuze ubone ukuthi i-postpartum thyroiditis yakho ixazululwe yini.
Izwi elivela
Ngemuva kokuthi ube ne-postpartum thyroiditis, unengozi enkulu yokukhuphula futhi ekukhulelweni okuzayo. Uma uhlela ukukhulelwa, noma uma ukhulelwe, qiniseka ukuthi odokotela bakho bayazi noma yiziphi izinkinga zegciwane ezidlule.
Ngaphezu kwalokho, i-postpartum thyroiditis yandisa ingozi yakho yokuthuthukisa i-hypothyroidism noma i-goiter kamuva ekuphileni. Yingakho kubalulekile ukuba umsebenzi wakho we-thyroid uhlolwe njalo ngonyaka.
> Umthombo:
> Alexander EK, et. al. "2017 Izikhombandlela ze-American Thyroid Association yokuHlola nokuPhathwa kwezifo zeThroid ngesikhathi sokukhulelwa kanye ne-Postpartum." I-Thyroid. 2017 Mar; 27 (3): 315-389.
> Burman, Kenneth. "I-postpartum thyroiditis." Kusesikhathini.