Ukungabi namthetho kuchazwa ngokuthi ukwehluleka ukukhulelwa emva kwezinyanga ezingu-12 noma ngaphezulu kokungavunyelwa okungavikelekile. Kucatshangwa ukuthi kusukela kumaphesenti angu-10 ukuya kwangu-15 emibhangqwana e-United States izwa ukungabi nabantwana.
Abanye abantu abanobunzima bokuthi bangakwazi ukuzala abantwana bayaqhubeka nokuphishekela amasu okusiza ekukhiqizeni, njengokugqugquzela ama-ovari, ukuvundiswa kwe-in vitro, nezinye izindlela.
Kucatshangwa ukuthi abaningi abangama-1% kubo bonke ababeletha e-United States bangumphumela wokusiza ukukhiqiza (ukwelashwa kokuzala), okuyinto ngokwesilinganiso, baphumelele cishe kumacala angu-1 kwangu-5.
Abesifazane abaningi abaqapheli ukuthi umsebenzi ophezulu we-thyroid kubalulekile ukuba ungakhulelwa kuphela-ngokwemvelo futhi ngosizo lokusiza ekuzaleni-kodwa nokugcina ibhalansi ye-hormonal futhi uvikele ukukhulelwa phakathi nezinsuku zokuqala ezibalulekile kanye no-trimester wokuqala.
Uma ubhekene nokungasebenzi noma ukucabangela ukukhiqizwa okusizwayo, indawo eyodwa ebalulekile yokuhlola kufanele ibe impilo yakho ye-thyroid. Kuyathakazelisa ukuthi abanye odokotela, imitholampilo yokuzala kanye nochwepheshe bokuzala akubandakanyi ukuhlolwa kwe-thyroid njengengxenye yesibalo sokuvuna okujwayelekile, kepha abesifazane kufanele baqhubeke nokuhlolwa okuphelele kwe -roid ngokushesha nje lapho izinsolo zokuzala zisolakala.
Nazi amathiphu ambalwa okubalulekile ekusizeni ukuthi uqalise, uguquke kusukela encwadini ethi Your Healthy Pregnancy With Thyroid Illness, enyatheliswa yi-Perseus Books futhi ibhalwe nguDana Trentini noMary Shomon.
Umphumela we-Thyroid on Ukuzala
Isifo esingenasifo esingaziwa, esingasetshenziswanga, noma esingasetshenziselwa ukuphathwa ngesifo segilo sandisa ingozi yakho yezici ezibalulekile ezingathinta ukuzala kwakho, okufaka okulandelayo:
- umjikelezo wokunga esikhathini ongavamile, ongenza isikhathi sakho esivundile sibi futhi singakwazi ukukhomba
- imijikelezo yokuya esikhathini lapho ungahambisani khona (ukukhulula iqanda) nhlobo, ngakho-ke awukwazi ukucabanga
- isigaba se-luteal (isikhathi sesikhathi esiphakathi kwe-ovulation kanye nokuya esikhathini) okuncane kakhulu ukuvumela ukufakelwa okuphumelelayo kombungu. Uma umanyolo uphumelele kodwa isigaba sokulenga sifushane kakhulu, iqanda elikhulelwe lingasuswa ngesikhathi sokuya esikhathini ngaphambi kokuba owesifazane aze aqaphele nokuthi ukhulelwe.
- ukungalingani e-estrogen ne-progesterone, okubalulekile ekuzaleni okunempilo
- ukuzimela ngokuzenzakalelayo okungagcini nje kuphela i-thyroid yakho, kodwa futhi kungabhekisela ku-ovaries yakho, isidoda somlingani wakho, nezinye izinto ezibalulekile zokukhulelwa
- ukugqugquzela ama-ovarian okuphumelelayo, ukufaka umanyolo we-in vitro kanye nezinye izinqubo zokusiza ukukhiqiza
Ukuze kube nokuzala okunembile, imihlahlandlela yemithi ejwayelekile ithi i-overtropothyroidism-echazwe njengezinga le-TSH elingaphezulu kwe-10 mIU / L-kufanele ilashwe ngemithi ye-hormone esikhundleni sendawo. Uma owesifazane e-hypothyroid ngaphambi kokukhulelwa noma ekhonjiswe ekukhulelweni kokuqala, iziqondiso zincoma ukuthi umthamo ulungiswe ukuze i-TSH ingaphansi kwe-2.5 mIU / L ngokusebenzisa i-trimester yokuqala. Phakathi ne-trimester yesibili, izinga le- TSH kufanele ligcinwe endaweni ephakathi kuka-0.2 kuya ku-3.0 mIU / L, no-0.3 kuya ku-3.0 mIU / L ku-trimester yesithathu.
Izinga ezingaphandle kwalezi zindawo zingandisa ingozi yokukhulelwa kwesisu, ukuzalwa kokubeletha, ukuguqulwa kwesimo sokuqala, nokucabangela nezinye izinto ngemuva kokuzalwa kwengane.
Odokotela abahlanganisayo bakholelwa ukuthi babe nobudlova obukhulu bokuzala, futhi baphatha abesifazane abanesifo sikaHashimoto (kodwa kungenjalo "amazinga ajwayelekile" wegciwane), futhi uma ukwelashwa esikhundleni se-hormone ye-thyroid, ukuqinisekisa ukuthi akuyona nje iTSH engaphansi kwe-2.5, kodwa ukuthi i-Free T4 ne-Free Amazinga we-T3 asesigabeni esiphezulu sohla lokubhekisela.
Imihlahlandlela evamile ichaza ukuthi noma yikuphi owesifazane ozophathwa nge-hypothyroidism cishe kuyodinga ukwanda kwe-hormone ye-hormone esikhundleni sokukhulelwa kakhulu.
Lezi ziqondiso zincoma ukuthi kuqinisekiswe ukukhulelwa kuqala futhi ukwandisa umthamo ngesamba esinqunywe ngaphambili nodokotela kusengaphambili.
Uma ubhekene nokungasebenzi, ezinye izinyathelo ezilandelayo, ukuqala:
- Thola i-TS yakho) ihlolwe
- Thola i-T4 yamahhala futhi u-T3 ukhululekile
- I-antibiotic ye-peroxidase ye-thyroid (TPO) ihlolwe