Ucwaningo olunyatheliswa eBritish Medical Journal lubonise ukuthi ukwelapha i-subclinical hypothyroidism ngesikhathi sokukhulelwa kunganciphisa ingozi yokukhulelwa kwesisu. Ngesikhathi esifanayo, abacwaningi bathola ukuthi abesifazane besiphathwa nge-subclinical hypothyroidism babhekana nengozi yokukhulelwa kwezidingo ezibandakanya ukubeletha ngaphambi kwesikhathi, i-preeclampsia, nesifo sikashukela sokubeletha.
Mayelana neSifundo
Ucwaningo lwaluhlola abesifazane abangaphezu kuka-5 000 ababengaphansi kwemitholampilo ye-hypothyroid, enezinga le- hormone (TSH) elivusa i-thyroid phakathi kuka-2.5 no-10 mIU / L. Abacwaningi bathola ukuthi abesifazane abaphathwa ngemithi ye-hormone esikhundleni se-thyroid babe nengozi engamaphesenti angu-38 engaphansi kokukhulelwa kwesisu, uma kuqhathaniswa neqembu elingelashwa. Okubalulekile, imiphumela isetshenziswa kuphela kulabo besifazane abanezinga le-TSH lika-4.1 mIU / L eliphakeme ngaphambi kokwelashwa.
Ukunciphisa ingozi yokukhulelwa kwesisu akuzange kubonwe kwabesifazane ababenamazinga e-TSH kusuka ku-2.5 kuya ku-4.0 mIU / L. Eqinisweni, laba besifazane babe nengozi enkulu kakhulu yokuthuthukisa umfutho wegazi ophezulu-isimo esingaholela ngaphambi kwe-eclampsia.
I-preeclampsia yisimo esingakhula ngokukhulelwa esibangela ukucindezeleka kwegazi eliphezulu. I-preeclampsia ingaholela eklampsia ephelele, engabangela isibindi noma ukwehluleka kwezinso, ukwehluleka kwenhliziyo, ukuhlukunyezwa, ukuhlukunyezwa, futhi kungabulala kokubili umama nengane.
Izinguquko Zemihlahlandlela
Ucwaningo lubonisa ushintsho ezinconyweni zabesifazane ngesikhathi sokukhulelwa. Esikhathini esedlule, kunconywa ukwelashwa kwabesifazane abakhulelwe abane-hypothyroidism, amazinga e-hormone (TSH) avuselela imishanguzo yegciwane awela phakathi kuka 2.5 no-4.0 mIU / L.
I-American Thyroid Association (ATA) iphinde ikhiphe iziqondiso ezintsha ngo-2017 ezibonisa izincomo zocwaningo lwaseBrithani Medical Journal .
Ngokusho kwe-ATA, ngenxa yobufakazi bokuthi imiphumela yokukhulelwa ingathinteka kakhulu, izinkombandlela ochwepheshe zincoma ukwelashwa kwabesifazane abane-overt hypothyroidism, echazwe njengezinga le-TSH ngaphezu kwe-4.1 mIU / L.
Ukwelashwa kungacatshangelwa abesifazane abane-subclinical hypothyroidism-i-TSH emkhatsini we-2.5 no-4.0 mIU / L-uma bephakamisa imishanguzo ye- peroxidase ye-thyroid (TPO) ewubufakazi be-Hashimoto's thyroiditis.
Ngokomlobi oholela ekutadisheni, u-Spyridoula Maraka, MD:
Ukuqhubeka nokuhlinzeka nge-hormone yokwelashwa kwe-thyroid ukunciphisa ingozi yokukhulelwa kokubeletha kuyabonakala kwabesifazane abane-TSH okuyi-4.1-10.0 mIU / L. Kodwa-ke, kunikezwe ubukhulu obuncane bokusebenza kwabesifazane abanamazinga aphansi a-TSH ka-2.5-4.0 mIU / L, futhi ngenxa yokuthi kungenzeka ukuthi ingozi ekhuphuke yezinye izenzakalo ezimbi, ukwelashwa kungadinga ukuvinjelwa kuleli qembu.
Njengoba kuphawuliwe, izinkombandlela ze-ATA zincoma ukuthi odokotela bacabangele isimo se-TPO sokuzivikela kwesifazane ekwenzeni isinqumo sokwelapha i-subclinical hypothyroidism. Ukwelashwa kungakanikezwa abesifazane abano-TPO-positive futhi abanesilinganiso se-TSH phakathi kuka-2.5 no-4.0 mIU / L.
Iyini i-Hypothyroidism engaphansi komzimba?
I-subclinical hypothyroidism ithinta cishe amaphesenti angu-15 abesifazane baseMelika ngenkathi ekhulelwe.
Ukuba namazinga okwanele we-hormone ye-thyroid kubalulekile ekuthuthukiseni kwe-neurological enempilo ye-fetus, ikakhulukazi phakathi nenyanga yokuqala, lapho umama ehlinzeka nge-hormone yegciwane kumntwana okhulayo. Ngemuva kwe-trimester yokuqala, i-fetal thyroid iye yaqala futhi ikhiqiza i-hormone yayo ye-thyroid, ukuze ihlanganise ne-hormone ye-thyroid yomama.
I-hypothyroidism yomama ngesikhathi sokukhulelwa ihlotshaniswa nemiphumela ehlukahlukene yokukhulelwa okungalungile, kubandakanya ukukhulelwa kwesisu, ukuguqulwa kwesisu, isisindo sokuzalwa esincane, ukubeletha, isandulela-eclampsia, isifo sikashukela sokukhulelwa, kanye namazinga we-IQ aphansi wezingane.
Izinyathelo Zakho Ezilandelayo?
Uma ukhulelwe futhi ube ne-subclinical hypothyroidism-kodwa u-TPO-negative-abacwaningi batusa ingxoxo nodokotela wakho. Ngokusho okufundwayo okufundwayo:
Ukuze kwenziwe inqubo yokwenza izinqumo kwabesifazane abakhulelwe abane-subclinical hypothyroidism, odokotela bakhuthazwa ukuba basebenzise indlela yokwenza ngokuhlanganyela. Ngale ndlela, odokotela bangakwazi ukuxoxa ngeziguli ngokungaqiniseki ngemuva kwezincomo zethu zokwelashwa futhi bahlole okubalulekile kubo lapho benza izinqumo mayelana nempilo yabo ngenhloso yokufinyelela isinqumo mayelana nokwelashwa okuhambisana kahle nesimo sabo.
Izwi elivela
Kubalulekile ukuveza ukuthi isifundo sasibukele, hhayi ukuhlolwa okungahleliwe okulawulwa kwemitholampilo. Ukuze kufezeke lokho, ucwaningo olwengeziwe luyadingeka ukuze kunqunywe ukuthi ukuhlinzeka nge-hormone ye-thyroid esikhundleni sabesifazane abakhulelwe kuthuthukisa amathuba okukhulelwa okunempilo, noma ukuchaza iphuzu elithile lokunqunyelwa ukuhlinzeka ukwelashwa kwabesifazane abane-subclinical hypothyroidism ngesikhathi sokukhulelwa.
Enye inkinga efanelwe ukutadisha okuqhubekayo yisikhathi sokwelashwa. Ukushada ngokuvame ukuvame ukuvame ukwenzeka ngesikhathi sokuqala kwe-trimester, isikhathi esifanayo lapho ingane ixhomeke kumama njengomthombo owodwa wehomoni yegciwane. Abacwaningi bacabanga ukuthi kungenzeka ukuthi ukwelashwa kwe-subclinical hypothyroidism kungadingeka kuphela ngesikhathi sokuqala kokukhulelwa. Ucwaningo oluningi ngalezi zindaba luzosiza ukucacisa lezi zinkinga ngokuqhubekayo.
> Imithombo:
> Elizabeth AE, et. al. "I-2017 Imihlahlandlela ye-American Thyroid Association yokuHlola nokuPhathwa kwezifo ze-Thyroid ngesikhathi sokukhulelwa kanye ne-Postpartum." I-Thyroid, Umqulu 27, Inombolo 3, 2017. I-intanethi: http://online.liebertpub.com/doi/pdfplus/10.1089/thy.2016.0457
> I-Spyridoula M et. al. "Ukwelashwa kwe-hormone ye-thyroid phakathi kwabesifazane abakhulelwe abane-subclinical hypothyroidism: ukuhlolwa kwezwe lase-US." I-British Medical Journal. J 2017; 356: i6865 i-doi: 10.1136 / bmj.i6865 2017. I-intanethi: http://www.bmj.com/content/bmj/356/bmj.i6865.full.pdf