Amantombazane Abesifazane Abakhulelwe Anezifo Ze-Thyroid Ezingcupheni Ezinkulu Zokukhubazeka Kwezokuzalwa
Ngokusho kocwaningo olwethulwe emhlanganweni wonyaka wonyaka we-2001 Society for Umama we-Maternal-Fetal Medicine, abesifazane abanezifo zegciwane basengozini enkulu yokuba nezinsana ezinezinkinga zokuzalwa - kuhlanganise nokungajwayelekile okuthinta inhliziyo, izinso noma ubuchopho kanye nezinye iziphambeko, ezifana i-cleft lip ne-cleft palate - kunalokho okucatshangwa ngaphambilini.
Esitatimendeni esilungisiwe, uDavid A.
U-Nagey, MD, Ph.D., weJohn Hopkins University uthi, "Sasiyazi kakade ukuthi kunengozi eyengeziwe yenkinga, ikakhulukazi ingqondo noma intuthuko, kubantwana ngenxa yokukhulelwa kwe-hypothyroid , kodwa ukuxhumana nokukhubazeka kokuzalwa kuyinto entsha futhi kungalindelekile. Uma le miphumela iqinisekisiwe, ingaholela ekuhlolweni kwesimiso sabesifazane besifo se-thyroid ngaphambi kokukhulelwa kanye (nokukhubazeka kwenhliziyo) emantwaneni yabesifazane abane-hypothyroidism. "
Ngokuvamile, izinkinga ezivama kakhulu zithinta inhliziyo, kodwa ezinye izinkinga, njengezinso zezinso nezinkinga zesistimu, izinhlanzi ezinamahloni nezinyawo, zazivame kakhulu kubantu besifazane ababengama-hypothyroid ngesikhathi sokukhulelwa.
Amaphesenti ayishumi nesishiyagalolunye amantombazane afundela ayenamaphutha. Phakathi kwalabo omama, abangu-13 babekhona i-hypothyroid ngesikhathi besakhulelwe, kanti abangu-8 babeyi-hyperthyroid ngesikhathi bekhulelwe. Lokhu kuqhathanisa nesilinganiso esiphezulu sezingu-3% kuzo zonke izinsana ezineziphene zokuzalwa.
Izwe lezokwelapha alizange lamukele lemiphumela ngaphandle kombuzo. Ekhuluma ne- HealthScoutNews , u-endocrinologist u-Loren Wissner-Greene wabonisa ukuthi izilingo ezinkulu zibonise ukuthi abantwana abazalwa ngamantombazane abanezifo ze-thyroid babesengozini yokuphuza kancane kancane kokuthuthukiswa - hhayi ukukhubazeka okukhulu kokuzalwa.
Wabuza ukuthi ngabe imiphumela kungenzeka yini ngenxa yenye into, futhi iphakamisa ukuthi le ndaba iqinisekisa ukucwaninga okuqhubekayo ngaphambi kokuba abesifazane bakhathazeke kakhulu.
UDkt. Nagey, Nokho, ukholelwa ukuthi ucwaningo lwakhe lubonisa izincomo eziningana eziyinhloko kwabesifazane abanesimo sehholo:
- abesifazane abanezimo ze-thyroid badinga ukunakekelwa kwesibhedlela esiphezulu
- abesifazane abano-hypothyroid kufanele babelethe esibhedlela esibhekene nokunakekelwa kokubeletha kwabantwana abanezinhlobo zokukhubazeka okubelethwe okubonwe kulolu cwaningo
Okunye Impumelelo yeziguli
Ngaphandle kokuncoma kukaDkt. Nagey ukuthi iziguli ze-thyroid zibona izithiyo ezinobungozi eziphezulu futhi ziletha ezibhedlela ezinamakhono okunakekela izingane ezikhethekile, kunezinye izinkinga ezibalulekile.
Ngenkathi odokotela abahlukene bezophakamisa amaphuzu ahlukene lapho kufanele ahlolwe khona nge-thyroid, ngithanda ukuphutha eceleni. Izithandane eziningi zingeke zifune ukukubona uze ube namaviki ayisithupha kuya kweziyisishiyagalombili ukhulelwe, futhi lokho kakade kunengqondo lapho izidingo zomzimba ezikhulayo zingase zenze ukuba i-TSH yakho iphakamise futhi ifake ukukhulelwa kwakho. Ngomuntu siqu, ngiphakamisa ukuthi uthola ukuhlolwa kokukhulelwa ekhaya, futhi uhlole ngokushesha ngangokunokwenzeka.
Ngena ukungena i-TSH yakho , i- T4 ne-T3 ivivinywa ngokushesha uma unesimo sokukhulelwa okuhle (ngokuvamile esiseduze nesikhathi sesikhathi sakho esingekho - noma ukuthi yini abazoyibheka ngayo amaviki amane akhulelwe.)
Ngesikhathi ngikhulelwe, ngaqala ukukhulelwa ku-TSH ka-1.2. Abanye be-endocrinologists bakholelwa ukuthi owesifazane uzoqala ukukhulelwa - futhi agcinwe yonke indawo - ekupheleni okuphansi kwebanga elijwayelekile ukuze kuqinisekiswe imiphumela engcono. Ngangivivinywa njalo ngenyanga phakathi nenyanga yokuqala (ngisho nangokwengeziwe uma unemiphumela engavamile), bese njalo ngemva kwamasonto ayisithupha noma ngaphezulu ngesikhathi esisele sokukhulelwa. Ukulungiswa okuwukuphela kwami okwakudingeka kwakukhona phakathi nenyanga yokuqala yokuqala.
I-trimester yokuqala ingenye yezikhathi ezibucayi kakhulu zokuhlolwa njalo nokuphathwa okwanele. Ngaleso sikhathi sokuqala, ukukhula kwengane nentuthuko yengane kuncike ekutheni umama akwazi ukwandisa okwenziwe yi-thyroid. Ekupheleni kwe- trimester yokuqala , i-thyroid yengane iyasebenza futhi ikwazi ukukhiqiza i- hormone ye-thyroid yodwa. Kungenzeka ukuthi kungani abesifazane abaningi, mina ngokwami bahlanganisa, bathola ukuthi badinga ukuphakama amazinga abo phakathi naleso sikhathi sokuqala, kodwa baqiniswa ngemuva kokuqala kokuqala.
Qaphela: Nakuba isazi sezingozi eziphakeme kakhulu siphezulu, abesifazane abaningi abane- dysfunction ye-thyroid balandelwa isazi sezinzwa ezivamile kanye nesazi se-endocrinologist. I-endocrinologists kanye nezidakamizwa bavame ukuba abanolwazi kakhulu mayelana nokuphathwa kwesifo segciwane ngesikhathi sokukhulelwa. Ucwaningo luye lwabonisa ukuthi ukuthi ingxenye yesithathu yabo bonke odokotela ayitsheliwe mayelana nokuphathwa kwesifo segciwane ekukhulelwe , ngakho-ke kubalulekile ukuthi uthole udokotela noma ithimba labodokotela ngobuchwepheshe bokuphatha kahle isifo segciwane ngesikhathi ukhulelwe.
> Imithombo:
> Nagey, David, MD. Umhlangano weMithi Yomama Ka-Fetal Isitatimende Somhlangano Wonyaka, 2001, ku-intanethi