Ngesikhathi sokukhulelwa , ingubo ye-thyroid yowesifazane idinga ukwandisa ukukhiqizwa kwayo kwe-hormone kakhulu, ukuze ihlangabezane nezidingo zomama nomntwana okhulayo.
Ngokusho kwemihlahlandlela ka -2011 ye-American Thyroid Association yokuHlola nokuPhathwa kwezifo ze-Thyroid ngesikhathi sokukhulelwa kanye ne-Postpartum, ezinye izinguquko ezenzekayo zihlanganisa okulandelayo:
- Kulaba besifazane abangenalo i-iodine, abanesifo se-iodine, ngokuvamile i-thyroid ikhula ngamaphesenti angu-10 ngobukhulu ngesikhathi sokukhulelwa.
- Kulabo besifazane abangenalo i-iodine, i-gland ngokuvamile ikhuphuka kusuka kumaphesenti angu-20 kuya ku-40 ngesayizi ngesikhathi sokukhulelwa.
- Ngokuvamile, ukukhiqizwa kwesifazane kwe-thyroxine (T4) ne-triiodothyronine (T3) kwanda ngamaphesenti angu-50 ngesikhathi sokukhulelwa.
- Owesifazane okhulelwe uvame ukukhuphuka kwamaphesenti angu-50 emfuno yakhe yansuku zonke ye-iodine.
Ngokusho kocwaningo olubikwe kuyi- Journal of Clinical Endocrinology ne-Metabolism , lapho owesifazane ephathwa nge-hypothyroidism ekhulelwa, kufanele ngokushesha akhulise i-levothyroxine isilinganiso ngamaphilisi amabili ngesonto, ukuze alondoloze umsebenzi wakhe we-thyroid ngendlela evamile (" u-euthyroid ").
Imiphumela Yokufundwa
Ngokusho kocwaningo, ukwengezwa kwemithi emibili eyengeziwe ngesonto kunganciphisa kakhulu ingozi ye-hypothyroidism kumama futhi uhlangabezane nezidingo zokukhulelwa kokuqala okufaka umsebenzi we-thyroid.
Ukwehluleka ukuphatha ukwelashwa komama kokubeletha ekukhulelweni kokuqala kuhloswe ngengozini yokukhulelwa kwesisu, futhi uma ukukhulelwa kuqhubeka, kwandisa ingozi yokubeletha, ukubeletha ngaphambi kwesikhathi, nokulibaziseka kwentuthuko nokuqonda kanye nokushiyeka ezinganeni ngemuva kokuzalwa.
Kulolu cwaningo, abesifazane ababephethe i-hypothyroid baqinisekisa ukukhulelwa kwabo futhi baqala ukwandisa umthamo wabo weyeza levothyroxine emavikini angama-5 / 1/2 ekhulelwe-noma ezinsukwini ezingama-40 emva kokukhulelwa.
Kuyathakazelisa ukuthi ngalesosikhathi, amaphesenti angu-27 abahlanganyeli abathintekayo kakade abe nezinga le-TSH eliphakanyisiwe ngaphezu kwe-5.0 , okukhombisa ukuthi i-hypothyroidism nezinga elihambisana nemiphumela emibi kakhulu yokukhulelwa kanye nentuthuko yengane nokuthuthukiswa kwengqondo, uma kuzalwa.
I-subset yabesifazane yaphela ekutholeni ukuxilongwa futhi yayithatha imishanguzo eminingi kakhulu ye-thyroid futhi idinga ukulungiswa kwesilinganiso esithile. Abacwaningi basikisela ukuthi labo abavame ukuqeda kancane kancane bahlanganisa:
- abesifazane abangenalo i-gland gland
- abesifazane abakwa- TSH level ngaphambi kokukhulelwa babengaphansi kuka-1.5
- abesifazane abathatha okungenani i-100 mcg / usuku lwe-levothyroxine ngaphambi kokukhulelwa.
Lolu cwaningo lugcizelela ukubaluleka kokuthola ukukhulelwa kokuqala nokusebenza kwesiguli iziguli, kubhala: "Emzimbeni, abesifazane abavame ukufuna ukunakekelwa kwezidakamizwa ngaphambi kwamasonto ayisishiyagalolunye kuya kwangu-12 ukubeletha. Ngakho-ke, iziguli ngokwazo kufanele ziqonde ukubaluleka kokuqala ( i-levothyroxine) ukulungiswa ngokushesha ngesikhathi sokuya esikhathini sokuya esikhathini nokuhlolwa okuhle kokukhulelwa ekhaya. "
Ngokusho kwabacwaningi, ukwandisa umthamo we-levothyroxine cishe ngamaphesenti angama-30-nezinye izinyathelo ezingaphezu kwamasonto onke-ngokushesha lapho ukukhulelwa kuqinisekisiwe "kunciphisa kakhulu ingozi yokubeletha i-hypothyroidism kuwo wonke umnyaka wokuqala.
Ukuqapha umsebenzi we -roid cishe cishe kanye ngenyanga kuyadingeka phakathi nesikhathi sokukhulelwa ngoba abambalwa beziguli bangadinga ukuguqulwa kwesilinganiso sohlelo lwe-L-T4 ukuze kugcinwe ukujula kwe-TSH. "
Ucwaningo luye lwabonisa ukuthi iningi labesifazane ekwelashweni kwe-hormone ye-thyroid lidinga ukunyuka kwamaphesenti angu-50 ngesikhathi sokukhulelwa lapho ingane ikhulelwa ekukhiqizeni-noma imithi-ye-hormone ebalulekile yegciwane. I-hormone ye-thyroid ibalulekile ekuthuthukiseni izinzwa ze-fetus, ikakhulukazi phakathi no-trimester wokuqala. Ngemuva kwe-trimester yokuqala, i-thyroid yengane iyakwazi ukukhiqiza i-hormone ye-thyroid, futhi ukuthembela ekuhlinzekeni kwe-hormone ye-thyroid kunciphisa.
> Umthombo:
> Leila Yassa, u-Ellen Marqusee, uRachael Fawcett no-Erik K. Alexander. "I-Hormone ye-thyroid Yokulungiswa Kwangaphambili Ekukhulelweni (I-THERAPY) Isivivinyo." Journal of Endocrinology Clinic & Metabolism . Ishicilelwe ngo-May 12, 2010.