Ukuqonda izinkinga ze-thyroid ngesikhathi sokukhulelwa

Imfundo Yezempilo Izinkinga Zomama

Ukhulelwe — siyakuhalalisela!

Ubuwazi ukuthi umzimba wakho uzodlula ezinyangeni eziyisishiyagalolunye zezinguquko ezinkulu, kepha ubungakulungele lokhu. Kade uzizwa ukhathele uhlanya, unesicanucanu esikhulu, futhi uqunjelwe ngokungafanele. Ukuzuza kwakho kwesisindo nakho sekungalawuleki. Konke kuvamile? Kungenzeka. Kodwa lezi futhi zingaba yizimpawu zenkinga yegilo.

Indlala yakho yegilo iyindlala encane emise okwevemvane ngaphambili entanyeni yakho, ngasesiphansi somqala. Kuyingxenye yesistimu ye-endocrine yomzimba, uchungechunge lwezindlala ezithonya cishe wonke amaseli nezitho emzimbeni wakho. Indlala yakho ingahle ibe ncanyana, kepha ama-hormone akhiqizayo — i-thyroxine (T4) ne-triiodothyronine (T3) —ibhekene nezinqubo eziningi zomzimba, njengokulawula imetabolism yakho (indlela umzimba wakho osebenzisa ngayo ama-calories namandla), izinga lokushisa komzimba , nemisebenzi yenhliziyo, yokugaya ukudla neyomzimba.

Lapho indlala yegilo yakho ingakhiqizi ngokwanele ama-hormone egilo, unalokho okubizwa odokotela i-hypothyroidism , noma i-thyroid engasebenzi. I-Hyperthyroidism, noma ukuba ne-thyroid engasebenzi ngokweqile, kwenzeka lapho amazinga akho ama-hormone e-thyroid ephezulu kakhulu.

Ngezizathu ezingaqondakali ngokugcwele, abesifazane banamathuba amaningi okuba nawo kunabesilisa ukungasebenzi kwegilo . Empeleni, Ama-80% abantu abanezimo ze-thyroid ngabesifazane -Ukukhulelwa, ngokuqhuma kwamahomoni okukhiqizayo, kungaba yisikhathi esikhohlisayo se-thyroid sowesifazane. I-American Thyroid Association ibika lokho cishe 3% wabesifazane abakhulelwe une-hypothyroidism ekukhulelweni. I-Hyperthyroidism ithinta okuncane kune- 1 kwabesifazane abakhulelwe abayi-100 , kusho iStanford Children’s Health.

Yini ukuxhumana phakathi kwe-thyroid nokukhulelwa?

Umbungu wakho udinga ukuhlinzekwa okunempilo kwamahomoni wegilo ukuze akhule kahle-ikakhulukazi ku-trimester yokuqala yokukhulelwa, ngesikhathi sezinzwa nokukhula kobuchopho. Ngokukhulelwa okuvamile, okunempilo, indlala yakho yegilo iyakhula futhi, ivuselelwe ukwanda kwamazinga ajikelezayo wehomoni i-HCg, yenza amahomoni amaningi wegilo — kuze kufike 50% ngaphezulu .

Lokho kubalulekile, njengoba ingane yakho ingakwazi ukwenza ngokugcwele ama-hormone e-thyroid ukuze ikwazi ukuzisekela kuze kube cishe Amasonto ayi-18 kuya kwangama-20 ekhulelwe , kuphawula iNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Kepha uma une-thyroid dysfunction, ngeke kube khona ukukhula okufanele kwamahomoni wegilo futhi izimpawu zingavela, kusho UTina Nguyen , MD, uprofesa osizayo wemithi yomama abakhulelwe eDavid Geffen School of Medicine e-UCLA.

Ubani osengozini enkulu?

Abesifazane abahlolwa yonke indawo izifo ze-thyroid ngesikhathi sokukhulelwa ngaphandle kokuthi banezici ezithile zobungozi. Lokhu kufaka phakathi:

• Ukuba nomlando womndeni wezinkinga ze-thyroid
• Ukuba nesifo sokuzimela komzimba (isibonelo, thayipha isifo sikashukela sokuqala noma isifo samathambo)
• Ukuthatha imithi elwa ne-thyroid (ye-hyperthyroidism) noma yokuthola iodine enemisebe (ukwelashwa komdlavuza wegilo)
• Ngemuva kokuhlinzwa kwe-thyroid noma imisebe endaweni yentamo

Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo uma uhlangabezana nanoma iyiphi yalezi zindlela.

Ingabe izinkinga ze-thyroid zingathinta ukukhulelwa?

Amahomoni wegilo — noma ngabe kuningi noma kuncane kakhulu — angaba nomthelela omkhulu ekukhulelweni.

Hyperthyroidism ekukhulelweni

I-Hyperthyroidism, ngenkathi ingavamile ngesikhathi sokukhulelwa, ingadala izinkinga kumama nengane yakhe. Kubandakanya:

• I-Preeclampsia (isimo esidala umfutho wegazi ophakeme kakhulu ngesikhathi ukhulelwe)
• Ukulethwa ngaphambi kwesikhathi
• Isisindo sokuzalwa esiphansi
• Ukuphuphuma kwesisu

Yini ebangela i-hyperthyroidism ngesikhathi sokukhulelwa?

Isizathu esivame kakhulu se-hyperthyroidism ngesikhathi sokukhulelwa yisimo sokuzivikela somzimba esibizwa nge-Graves ’disease. Isimo sibanga amasosha omzimba (amaprotheni egazi amasosha omzimba akhiqiza ukulwa nento engaphandle, futhi, kwesinye isikhathi, ngenxa yezizathu ezingacaci ngokuphelele, ngisho nezicubu nezitho ezinempilo) zokuhlasela indlala yegilo. Ngenxa yalokho, i-thyroid iba namandla ngokweqile futhi inyuse ukukhiqizwa kwamahomoni wegilo.

Izimpawu ze-hyperthyroidism

Izimpawu ze-hyperthyroidism zifaka:

• Izinwele ezizacile, ezinamahloni
• Ukuthukuthela
• Ukuzizwa ufudumele ngokungakhululekile
• Amehlo aqhamukayo
• Ubuthakathaka bemisipha
• Ukushaya kwenhliziyo okusheshayo
• Ukwehla kwesisindo
• IGoiter, okuyindlala yegilo eyandisiwe ebonakala njengeqhubu entanyeni

Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo uma uhlangabezana nanoma yiziphi izimpawu ze-hyperthyroidism. Ngokuvumelana ne Impilo Yezingane yaseStanford , i-hyperthyroidism enamandla, engalawulwa ingabulala umama ozayo. Abesifazane abane-hyperthyroidism ngesikhathi sokukhulelwa nabo bangathola i-postpartum thyroiditis, noma ukuvuvukala kwendlala yegilo, ngemuva kokubeletha.

Ukwelashwa kwe-hyperthyroidism nokukhulelwa

Isidakamizwa somugqa wokuqala ukwelapha i-hyperthyroidism ekukhulelweni yi- phumzile , ngokusho kwe- I-Endocrine Society . Isidakamizwa esivamile se-thyroid UTapazole ( methimazole ) kungadala ukukhubazeka kokuzalwa uma kuthathwe kusenesikhathi ngesikhathi sokukhulelwa.

I-Hypothyroidism nokukhulelwa

Odokotela baphula i-hypothyroidism yehle yehlukanise ngezigaba ezimbili: ngokweqile nangaphansi. Ngokusho kwe- I-American Thyroid Association , uzohlukaniswa njengonobuningi be-hypothyroidism uma amazinga akho e-T4 ephansi kodwa enye i-hormone, ebizwa nge-thyroid-stimulating hormone (TSH), iphezulu. I-subclinical hypothyroidism iyicala elithambile futhi yenzeka lapho amazinga akho e-TSH ephezulu kodwa amazinga akho e-T4 ejwayelekile.

Ukuba ne-hormone yegilo encane kakhulu kungadala inqwaba yezinkinga zabesifazane nezingane zabo ezisakhulayo. Okokuqala, ngokusho kocwaningo olushicilelwe ku- I-Indian Journal ye-Endocrinology kanye neMetabolism , uma ungowesifazane one-hypothyroidism engalashwa, uzoba nezinkinga eziningi ukuzama ukukhulelwa, njengoba lesi sifo singadala i-ovulation engajwayelekile. Uma usukhulelwe, uzoba nezinga eliphakeme lokukhulelwa kwesisu kanye nezinkinga zokukhulelwa njenge-preeclampsia, i-anemia, nokopha ngokweqile ngemuva kokubeletha (postpartum hemmorhage). UMashi weDimes ibika ukuthi izingane ezizalwa omama abane-hypothyroidism ezingalashwa zisesengozini enkulu yoku:

• Ukuzalwa ngaphambi kwesikhathi
• Ukubeletha nokufa esontweni lokuqala lokuphila
• Izinkinga ngokukhula kwabo ngokomzimba nangokwengqondo

Yini ebangela i-hypothyroidism ngesikhathi sokukhulelwa?

Isizathu esivame kakhulu se-hypothyroidism ngesikhathi sokukhulelwa yisifo esizimele esibizwa ngeHashimoto's thyroiditis. Lesi yisimo lapho umzimba uphutha khona amaseli endlala yegilo njengabahlaseli bakwamanye amazwe, okushisa indlala yegilo nokulimaza amaseli ayo kuze kube sezingeni lokuthi angakwazi ukwenza amahomoni wegilo anele.

Akukona ukuthi ukukhulelwa kubangela lesi simo — noma empeleni noma yisiphi isifo se-thyroid, kuphawula uCheryl R. Rosenfeld, DO, okhulumela I-American Association of Clinical Endocrinologists (AACE) . Kungukuthi ingatholwa kuqala ngesikhathi sokukhulelwa. Amasosha omzimba abesifazane abaningi athambekele ekuthuleni ngesikhathi sokukhulelwa, uyachaza, ngakho-ke izifo eziningi ze-autoimmune isifo segciwane yiziguli ezinesifo esivele sikhona esivele sivele ngesikhathi sokukhulelwa bese sitholwa kamuva.

Izimpawu ze-hypothyroidism

Izimpawu ezijwayelekile ze-hypothyroidism zilingisa okuningi kokukhulelwa kwasekuqaleni, okusho ukuthi ungazikhumbula kalula. Kubandakanya:

• Ukukhathala okukhulu
• Ukuzizwa unesicanucanu
• Ukuqunjelwa

Ezinye izimpawu yilezi:

• Ukulahleka kwezinwele
• Isikhumba / izipikili ezomile
• Ubuthakathaka bemisipha / amajaqamba
• Ukuphefumula okuncane ngomsebenzi womzimba
• Izwi elihoshozelayo
• Ukuvuvukala
• Goiter

Unganqikazi ukuletha noma yiziphi zalezi zimpawu ekunakekelweni umhlinzeki wakho wezokunakekelwa kwempilo. Ezinye izimpawu ze-hypothyroidism okufanele ungazinaki nakancane ukuthi uzizwa ubanda ngaso sonke isikhathi, ukuthola isisindo esikhulu, kanye / noma ukwehla kwenhliziyo yakho, kusho uDkt Nguyen.

Ukwelashwa kwe-hypothyroidism nokukhulelwa

Umhlinzeki wakho wezokunakekelwa kwempilo angahlola i- amazinga e-thyroid ngokuhlolwa kwegazi okulula. Lapho i-hypothyroidism ibanjwa futhi yelashwa kusenesikhathi, iningi labesifazane lingaqhubeka libe nemiphumela yokukhulelwa enempilo. Ukwelashwa kokuzikhethela ngumuthi obizwa ngokuthi I-Synthroid ( lezince ), ethatha indawo ye-T4 umzimba wakho okufanele uyenze ngokwemvelo. (I-T3 ayisetshenziswa ekukhuleni kobuchopho besisu, ngakho-ke awudingi ukuyithatha ngesikhathi sokukhulelwa.)

[I-Levothyroxine] ibaluleke kakhulu ukuthatha ngesikhathi sokukhulelwa, kusho I-Omayra Qujano-Vega, MD , isazi se-endocrinologist esinePaloma Health, umkhuba wezokwelapha online onikezelwe kuphela kwi-hypothyroidism. UDkt Qujano-Vega uthi yiwo kuphela umuthi we-hypothyroidism olinganiswe yi-FDA njengesigaba sokukhulelwa u-A, okusho ukuthi abukho ubungozi embungwini. Ngisho [amavithamini] amaningi abeletha anesigaba sokukhulelwa sika-B, yize ephephe kakhulu futhi enconyiwe.

OKUSHIWO: Ukwelashwa kwe-Hypothyroidism nemithi

Uzibuza ngamakhambi emvelo? Azikho ezithathwa njengeziphephile nezisebenza kahle ngesikhathi sokukhulelwa, kusho uDkt Rosenfeld.Ukuze uthole amanani angcono kakhulu ekwelashweni kwe-levothyroxine nezinkulungwane zezinye izidakamizwa, sebenzisa i- Ikhadi lesaphulelo se-SingleCare .