Umama Omusha Ungabetha Ubuthongo Noma I-Hypothyroid noma Hyperthyroid?
Isifo se-thyroid sivame kakhulu, ngakho-ke abesifazane abaningi bayazibuza ukuthi bazokwazi yini ukuncelisa nge-hypothyroidism noma hyperthyroidism. Ngabe imiphi imithi esetshenziselwa ukwelapha izifo ze-thyroid iphephile lapho ilisa? Yiziphi izinkinga ongabhekana nazo ngokuncelisa ngenxa yesimo sakho se-thyroid?
Izimo Zokubeletha Nezifo
Siyakuhalalisela ngokuba nomntwana omusha!
Njengomama omusha, ungase ufune umntwana wakho omusha abe nezinzuzo eziningi ezibonisiwe zobisi lwebele. Kodwa omama abancelisayo bayatshelwa ukuba baqaphele ngokusebenzisa izidakamizwa nemithi, kanye nokwamukelwa kokwelapha ezithile ngenkathi belalisa.
Ake sibheke ukuthi i-hypothyroidism noma i-hyperthyroidism ingathinta kanjani ukubeletha, kanye nemiphumela yokubeletha, ngokujwayelekile, ingaba ne-thyroid yakho.
Indlela Ukubeletha Nokubeletha Kungabuthinta Ngayo I-Thyroid
Ngokukhulelwa futhi ikakhulukazi eduze nesikhathi sokubeletha, umzimba wakho udabula ukushintsha okukhulu kwama-hormonal. Lezi zinguquko ze-hormonal zifaka izinguquko emsebenzini we -roid, futhi lezi zinguquko zingase zenzeke ngisho noma uzinzile emithini ye-hypothyroid isikhathi eside. Ngaphandle kwezimo ze -roid ezikhona ngaphambi kokuba ubelethe, abesifazane abaningi bakhula izinkinga ze-thyroid ezinyangeni ezilandela ukubeletha.
I-Postpartum Thyroiditis
I-Postpartum thyroiditis yinto evamile kakhulu eyenzeka ngamaphesenti angaba ngu-7 wabesifazane abaye bazalwa.
Kucatshangwa ukuthi yisimo esizimele futhi singase senze noma kunini ngonyaka wokuqala ngemuva kokubeletha. Ukunciphisa ukondla ubisi kungenye yezimpawu ezivamile zesimo (bheka ngezansi).
Ukubonakaliswa okuvame kakhulu kwe-thyroiditis kuyinto hypothyroidism emnene. Ngakolunye uhlangothi lomkhakha, abanye besifazane bathola i-hyperthyroidism (evame ukulandelwa yi-hypothyroidism kamuva).
Izimpawu ze-postpartum thyroiditis, njengokukhathala, ukulahlekelwa izinwele, nokushintshashintsha kwemizwelo, kungabhekwa kalula njengoba lezi zimpawu zivame kakhulu esikhathini sokuhamba kwesikhathi.
Esikhathini esiningi akukho ukwelashwa okudingekayo, nakuba abesifazane abaningi abanesifo se-thyroiditis bazokwakha i-hypothyroidism phansi komugqa. Uma une-autoantibodies ye-thyroid njengeSifo se-Grave noma i-Hashimoto's thyroiditis, lokhu akuyona inkinga yokuncelisa ngoba izikhumba ze-antibodies zikhulu kakhulu ukuba zingadluliselwa ubisi lwebele.
Indlela Izifo Ze-Thyroid Zingathinta Kanjani Ukubeletha
Uma unesifo se-thyroid esilawulwa kahle ngemithi, ngokuvamile kunenkinga encane ngokuncelisa. Njengoba ukwelashwa okunganele, noma kunjalo, isifo se-thyroid singathinta ikhono lakho lokuncelisa ngezindlela ezimbalwa. Khumbula ukuthi noma ngabe uke waba nesilinganiso esifanayo semithi ye-thyroid iminyaka eminingi, umthamo wakho ungadinga ukuguqulwa esikhathini sokuhamba kwesikhathi.
I-Hypothyroidism (noma ingaphathwa kabi noma ingaphathwa kahle) inganciphisa ukunikezwa kobisi lwebele. Kungaphinda futhi kube nomthelela ekutheni kube lula ukuyeka phansi. Ngokuphathwa kahle kwe-hypothyroidism, Nokho, lezi zinkinga kufanele zixazululwe.
Umsebenzi we-thyroid ubuye uhlobene namazinga akho e-prolactin, njengoba i-prolactin yi-hormone eyokusiza ukuthi ukhiqize ubisi.
Ukubeletha Kwabesifazane Nge-Hypothyroidism (I-Underactive Thyroid)
Ngokuvamile, asikho isizathu sokuthi owesifazane ophethwe yi-hypothyroid kanye ne-hormone ye-hormone esikhundleni sokwabelana kufanele akwazi ukuncelisa. Eqinisweni, kubalulekile ukuqhubeka nemithi yakho yegciwane ngenkathi usana.
Uma ungumama omusha one-preexisting hypothyroidism, kufanele ube nokuhlolwa kwe- thyroid ngaphakathi kwamasonto ambalwa okulethwa kwezidingo zakamuva. Lokhu kuhlola kuzobheka izinguquko emsebenzini wakho we -roid ongase uqinisekise ukuthi ushintsho emithini yakho yemithi. Kuyafaneleka ukuphindaphinda futhi ukuthi izinguquko zesilinganiso zivame ukudingeka emva kokubeletha, noma ngabe usenesikhathi esifanayo seminyaka.
Ngenkathi abantu bevame ukuxwayiswa ukuze bagweme imithi ngenkathi bebeletha, empeleni kubalulekile ukuthi uqhubeke nemithi yakho yegciwane. Kungasiza ukuzikhumbuza ukuthi uthatha ukwelashwa kwe-hormone ye-thyroid, ngokugcizelela ekufakweni kwegama. Awufaki imithi emisha ohlelweni lwakho, kepha ngokufaka esikhundleni se-hormone umzimba wakho ozovame ukhiqize. Kukhona ingozi encane nje uma uthatha imithi yakho njengoba iqondiswe. (Ungafunda kabanzi ngokuthatha imithi ye-thyroid ngenkathi ukondla ).
Nini Ukukhuluma Nodokotela Wakho
Uma ngabe i-hypothyroid, kanti ingane yakho yokuncelisa isisindo, isinciphise ukuzithokozisa, noma ingabi nenombolo edingekayo yokunyakaza kwamathumbu namapayipi amanzi, kufanele ucele ukuhlolwa okuphelele kwe-thyroid ngokushesha, futhi ukhulume nodokotela wezingane ngokukhetha ukuqinisekisa ukuthi ingane yakho ithola ukudla okwanele. Kunezibonakaliso ezimbalwa ongazibuka ukuze uqinisekise ukuthi ingane yakho ithola ubisi lwebele.
Ngenkathi i-hypothyroidism ingaholela ekunciphiseni ubisi, kunezinye izizathu eziningi ezingenzeka lokhu nalokhu. Uma ukhathazekile ngokwenza ubisi lwebele olwanele hlola ezinye zezici ezinganciphisa ukunikezwa ubisi lwakho
Uma unenkinga ngobunikazi obuncane, cabanga ukuqasha umxhumanisi we-lactation, noma udokotela wezingane zakho, ukuthola iseluleko ngemithi kanye nemithi yokwelapha engasiza ekuthuthukiseni ukondla ubisi.
Ukubeletha Kwabesifazane Nge-Hyperthyroidism (I-Overactive Thyroid)
Abesifazane abaningi abanesifo se-hyperthyroidism nabo bangaphuza kahle. Uma i-hyperthyroidism ingenxa ye-postpartum thyroiditis, ukwelashwa akudingeki njalo.
Uma unesifo sikaGrive noma une-hyperthyroidism ngaphambi kokukhulelwa, kubalulekile ukukhuluma nodokotela wakho mayelana nokuphepha kokuthatha izidakamizwa ze-antithyroid ngenkathi kuncelisa. Ukusebenzisa le mithi akusho ukuthi ngeke ukwazi ukubeletha, futhi umcabango wamanje ukuthi abesifazane kufanele bakhuthazwe ukuba bancelise naphezu kokwelashwa. Ezinye imithi, njengeTapazide (methimazole), noma kunjalo, ikhethwa phezu kwe-PTU (propylthiouracil). Lokho kusho ukuthi, abesifazane okufanele bathathe i-PTU ngenxa yokungahambi komzimba ku-Tapazide noma i-hyperthyroidism enamandla, ukuncelisa kungenzeka kusengenzeka. Kubalulekile ukuthi ukhulume nodokotela wakho mayelana nocwaningo lwamuva kulo magazini.
Iodine yama-radio, njengengxenye ye-scan ye-thyroid noma njengokwelashwa kwe-hyperthyroidism (i-radioactive i-ablation ablation) akufanele ihlanganiswe nokuncelisa ibelethi njengoba iodine ye-radioactive ingaqongelela futhi ihlale ubisi lwebele amasonto amaningana. Uma lokhu kunconywa, ungase ufise ukukhuluma nodokotela wakho mayelana nokunye okunye okubhekene nokuhlola kwe-thyroid (njengokuthi i-biopsy yesalane noma ezinye izivivinyo zegazi) noma ezinye izindlela eziphathelene ne-iodine enomsakazo (njengemithi ye-antithyroid). Uma i-technetium isetshenziselwa ukuskena kwe-thyroid, ukuncelisa kufanele kulondolozwe okungenani amahora angu-30 kulandela inqubo (ubisi lwebele kufanele luqhutshwe futhi luphoswe ngalesi sikhathi).
I-Cancer Cancer
Uma unayo umdlavuza we-orroid, kubalulekile ukukhuluma nodokotela wakho mayelana nokukhathazeka okuphathelene nokondla. Kungakhathaliseki ukuthi uzokwazi yini ukunakekela ingane yakho kuxhomeke ezicini eziningi. Kodwa-ke, kunomqondo omuhle wokuthi ukubeletha kubonakala sengathi kunezihlobo eziphikisanayo nokuthuthukiswa komdlavuza wegciwane, kanti izinkathi ezinde zokuncelisa zihambisana nengozi encane.
Ngezansi Ngokubeletha Ngezifo Ze-Thyroid
Isifo se-thyroid sivame kakhulu, futhi kuyasiqinisekisa ukuthi abantu abaningi bazokwazi ukuphuza imithi yabo bese bebeletha ngaphandle kwezinkinga. Izinguquko ezidingweni ze -roid esikhundleni sokuhlala zivame kakhulu emva kokubeletha, futhi ubunzima ngokubeletha kungakusiza isidingo sokuthi i-thyroid yakho ihlolwe. Kulabo besifazane abanezinkinga ze-thyroid ngaphambi kokukhulelwa, kungumqondo omuhle ukuhlela ukuhlolwa kwe-thyroid ngokushesha ngemuva kokubeletha.
Inani elilinganayo lehomoni ye-thyroid lingabangela izinkinga zobunikazi bokukhiqiza, ukucubungula kwakho kwehlisa phansi, futhi kungabangela izimpawu ezidikibalaza ukuqala. Kuyinto evamile ukuba abesifazane bakhungatheke ngokuhlengikaza ngisho nangaphandle komlando wezifo ze-thyroid, futhi ukuqasha umxhumanisi we-lactation kungaba usizo. Izikhathi eziningi kuthatha isiqondiso esincane kuphela ukukusiza ngempumelelo ukuncelisa uma nje kufanele ufise.
> Imithombo:
> Hudzik, B., no B. Zubelewicz-Szkodzinska. Izidakamizwa ze-Antithyroid Ngesikhathi sokubeletha. I-Endocrinology yezokwelapha (Oxford) . 2016. 85 (6): 827-830.
> Kim, E. Ukubeletha kanye nesifo sikashukela Mellitus / Izifo ze-Thyroid. I-Annals ye-Endocrinology ye-Pediatric kanye ne-Metabolism . 2012. 17 (2): 76.
> Yi, X., Zhu, J., Zhu, X., Liu, G., noL. Wu. Ingozi Yokubeletha Ne-Thyroid Ingozi Kwabesifazane: I-Dose-Ukuphendula I-Meta-Ukuhlaziywa Kwezifundo Ze-Epidemiological. Ukudla okunomtholampilo . 2016. 35 (5): 1039-46.