Kunezinzuzo eziningi ezaziwayo zokuncelisa. Ngokusho kwamaCentral for Disease Control, ubisi lomuntu luyinto elula kunazo zonke zokugaya futhi kuhlanganise namakhulu ezinsana ezincelisayo ezidinga ezinyangeni zokuqala zokuphila. Ubisi lwebele lubasiza ukuhlinzeka ngegciwane lesandulela ngculaza, kanti ukubelethwa kwesisu kuhlotshaniswa nenengozi yokunciphisa ukukhuluphala, isifo sikashukela, isifo sofuba, i-asthma, ingozi encane yokuzalwa kwezingane ngokungazelelwe, izifo zendlebe, isifo sohudo, nokugula kwamathumbu njengezinsana, njengoba kanye namazinga aphezulu e-IQ.
Ukubeletha kungasiza futhi umama okhulelwe anganciphise ingozi yomdlavuza we-ovarian nesifuba, alahlekelwe isisindo ngokushesha ngemuva kokubambisana, futhi asindise imali ezindleko zefomula.
E-hyperthyroidism, igciwane le-thyroid liba namandla futhi likhiqiza ama-hormone amaningi wegciwane. I-Hyperthyroidism - ngezinye izikhathi ebangelwa isimo esizimele se-Graves 'isifo - sidinga ukuphathwa ngokucophelela ngesikhathi nangemva kokukhulelwa. Kuyafana nakwabesifazane abanesifo se-hyperthyroidism nesifo sika-Graves noma bayithuthukise ngenkathi bebeletha.
Ezinye iziguli zilapha ekwelashweni kwezidakamizwa ze-antithyroid ngenxa yesimo sabo se-thyroid esingasebenzi. Esikhathini esedlule, abesifazane abasebenzisa izidakamizwa ze-antithyroid ze-hyperthyroidism babebuthakathaka ekunceliseni izingane zabo ezisanda kuzalwa noma izinsana. Ukukhathazeka kwakugxile ukuthi izidakamizwa ezithathwe ngumama, futhi zidlulile ngesifuba, zingalimaza igciwane lesifo sezingane, noma zenze ukuthi i-gland ibizwe ngokuthi i-goiter.
Njengamanje, inkinga yokubeletha ngenkathi ithatha izidakamizwa ze-antithyroid ihlala ingavumelani. Ungabe owesifazane ethatha izidakamizwa ze-antithyroid njenge-methimazole (i-Tapazole), i-carbimazole, noma i-propylthiouracil (PTU) yokwelapha i-hyperthyroidism noma i-Graves 'isifo ngokuncelisa ingane yakhe esanda kuzalwa noma isana?
Ngokuvamile, ochwepheshe bathi yebo.
Odokotela batusa ukuthi omama abasha ngezidakamizwa ze-antithyroid abelisiwe - noma abadikibala ekunceliseni ibele - ngoba izinzuzo zokuncelisa ziyalotshwa, futhi ukuvezwa kwezinsana ezidakamizwa ze-antithyroid ezidlulela ebisi lwebele kubhekwa "okuncane futhi hhayi okubalulekile emitholampilo."
Ukuthatha izidakamizwa ze-Antithyroid ngenkathi ubeletha
Abekho ochwepheshe bezokwelapha baye bathi noma yikuphi izidakamizwa ze-antithyroid i-100% ephephile ukusetshenziswa ngenkathi ibeletha.
Nokho, mayelana nokuphepha, izifundo eziningana azitholanga ukuguqulwa komsebenzi we -roid, noma imiphumela emisebenzini ye -roid nokuthuthukiswa ngokomzimba nangokwengqondo ezinganeni ezisondelene nabomama eziphathwa nge-PTU zansuku zonke ezifika ku-300 mg ngosuku, i-methimazole ngezilinganiso ezifika ku-30 mg ngosuku, kanye ne-carbimazole ngezilinganiso ezifika ku-15 mg) ngezinyanga eziyisishiyagalombili.
Ngokusho kwe- European Thyroid Journal, eyashicilela isihloko esihloko ngo-2012:
- I-PTU ayifanele ibekwe ngenkathi owesifazane ebeletha - I-PTU ixhunyaniswe nengozi encane yokulimala kwesibindi - futhi esikhundleni salokho, i-methimazole (kufika ku-30 mg / ngosuku) noma i-carbimazole (kufika ku-15 mg / ngosuku) ingasetshenziswa. (I-PTU inconywa kuphela ngezikhathi ezithintekayo, ezimweni ezikhethekile, kodwa iphephile ingane encane uma nje umthamo ungadluli u-300 mg ngosuku.)
- Ukuqapha ngokucophelela kokubili umama nosana kuseluleka, kufaka phakathi amazinga we-T4 ne-TSH, okungenani amasonto amathathu kuya kwangu-4 ngemuva kokuqala ukuncelisa.
Inothi elikhethekile: Iningi labachwepheshe batusa ukuthi umama oncelisayo uncelise ngaphambi kokuthatha imithi yakhe ye-antithyroid, ukunciphisa ukuvezwa kwengane kumuthi.
Ekugcineni, isinqumo sokuncelisa ngesikhathi sithatha imithi ye-antithyroid yinye owesifazane okufanele ayenze ngokubambisana nomhlinzeki wakhe wezempilo, kanye nodokotela wezingane wasana lwakhe.
> Imithombo:
> Glatstein, MD, uMiguel Marcelo kanye. al. "Ukwelashwa kwe-Pharmacologic ye-hyperthyroidism ngesikhathi sokulahlwa," i- Canadian Family Physician. 2009 Aug; 55 (8): 797-798. I-PMCID: PMC2726094
> Karras, Spiros kanye noKrassas, uGerasimos "Ukuncelisa izidakamizwa kanye ne-Antithyroid Izidakamizwa: Ukubuka ngaphakathi." I-Eur I-Thyroid J. 2012 Apr; 1 (1): 30-33. Ishicilelwe ku-intanethi ngo-2012 Feb 29. i-doi: 10.1159 / 000336595 i-PMCID: PMC3821454