Hypothyroidism m'mimba: zoopsa, momwe mungadziwire komanso momwe mankhwalawa aliri

Zamkati

• Kuopsa kwa mayi ndi mwana
• Kodi hypothyroidism ingapangitse kuti kutenga mimba kukhale kovuta?
• Momwe mungadziwire
• Momwe mankhwala ayenera kukhalira
• Hypothyroidism pambuyo pobereka

Hypothyroidism ali ndi pakati pomwe osadziwika ndikuchiritsidwa atha kubweretsa zovuta kwa mwanayo, chifukwa mwanayo amafunikira mahomoni a chithokomiro opangidwa ndi mayi kuti athe kukula bwino. Chifukwa chake, pakakhala kuti pali mahomoni a chithokomiro ochepa, monga T3 ndi T4, pakhoza kukhala kupita padera, kuchedwa kukula kwamalingaliro ndikuchepetsa nzeru za quotient, IQ.

Kuphatikiza apo, hypothyroidism imatha kuchepetsa mwayi wokhala ndi pakati chifukwa amasintha mahomoni oberekera amkazi, ndikupangitsa kuti ovulation ndi nthawi yachonde zisachitike panthawi yakusamba. Chifukwa chake, ndikofunikira kuti amayi apakati apite ndi dokotala wochiritsa komanso kuyeza kwa TSH, T3 ndi T4 kuti azindikire hypothyroidism ndipo chithandizo chimayambika ngati kuli kofunikira.

Kuopsa kwa mayi ndi mwana

Hypothyroidism panthawi yoyembekezera imatha kubweretsa zovuta kwa mayi ndi mwana, makamaka ngati matendawa sanapangidwe komanso ngati chithandizo sichinayambike kapena kuchitidwa moyenera. Kukula kwa mwana kumadalira kwathunthu, makamaka m'masabata khumi ndi awiri oyamba ali ndi pakati, pama mahomoni a chithokomiro opangidwa ndi mayi. Chifukwa chake, mayi akakhala ndi hypothyroidism, pamakhala chiopsezo chowonjezeka cha zovuta ndi zovuta za mwanayo, zazikuluzikulu ndizo:

• Kusintha kwamtima;
• Kuchedwa kukula kwamalingaliro;
• Kuchepetsa nzeru zamagulu, IQ;
• Kusokonezeka kwa fetal, komwe kumakhala kosavuta komwe kumadziwika ndi kuchepa kwa mpweya kwa mwana, kusokoneza kukula kwa mwana;
• Kulemera kochepa pobadwa;
• Kusintha kwamalankhulidwe.

Kuphatikiza pa kukhala pachiwopsezo cha khanda, azimayi omwe sadziwika kapena amathandizidwa ndi hypothyroidism ali pachiwopsezo chachikulu chotenga magazi m'thupi, placenta previa, kutuluka magazi atangobereka, kubadwa msanga komanso kukhala ndi pre-eclampsia, zomwe zimayamba kuyambira milungu 20 ya kutenga pathupi ndipo kumayambitsa kuthamanga kwa magazi kwa mayi, komwe kumatha kukhudza magwiridwe antchito a ziwalo ndikupangitsa padera kapena kubadwa msanga. Onani zambiri za pre-eclampsia ndi momwe mungamuthandizire.

Kodi hypothyroidism ingapangitse kuti kutenga mimba kukhale kovuta?

Hypothyroidism imatha kupangitsa kuti mimba ikhale yovuta chifukwa imatha kusintha kusamba ndikuthandizira kutulutsa mazira, ndipo nthawi zina sipangakhale kutulutsa dzira. Izi ndichifukwa choti mahomoni a chithokomiro amathandizira pakupanga mahomoni azimayi ogonana, omwe amachititsa kuti msambo uberekenso.

Chifukwa chake, kuti mukhale ndi pakati ngakhale muli ndi hypothyroidism, muyenera kuteteza matendawa, kuyesa magazi kuti muwone kuchuluka kwa mahomoni ndikuchita bwino chithandizo chovomerezeka ndi dokotala.

Pochepetsa matendawa, mahomoni amtundu wauberekanso amawongoleredwa ndipo, pakatha miyezi itatu amatha kukhala ndi pakati nthawi zonse. Komabe, ndikofunikira kupitiliza kuyesa magazi pafupipafupi, kuti muwone kufunikira kosinthira mankhwala ndi mitundu yake.

Kuphatikiza apo, kuti mimba itheke, ndikofunikira kuti mayi awone ngati msambo wake wakwanitsa kukhala wocheperako ndipo, mothandizidwa ndi azimayi, kuti adziwe nthawi yachonde, yomwe ikufanana ndi nthawi yomwe zomwe pali mwayi waukulu woyembekezera. Dziwani kuti nthawi yachonde ndi iti poyesa izi:

Momwe mungadziwire

Nthawi zambiri, amayi apakati amakhala ndi hypothyroidism asanafike pathupi, koma kuyesedwa kwa amayi asanabadwe kumathandiza kuzindikira matenda azimayi omwe analibe zizindikilo zavutoli.

Kuti mupeze matendawa, kuyezetsa magazi kuyenera kuchitika kuti muwone kuchuluka kwa mahomoni a chithokomiro mthupi, ndi TSH, T3, T4 ndi ma antibodies a chithokomiro ndipo, ngati zili zabwino, kubwereza kusanthula milungu iliyonse 4 kapena 8. panthawi yonse yoyembekezera kuti azitha kuwongolera za matendawa.

Momwe mankhwala ayenera kukhalira

Ngati mayi ali kale ndi hypothyroidism ndipo akufuna kukhala ndi pakati, amayenera kuyang'anira matendawa ndikuwayesa magazi milungu isanu ndi umodzi kapena isanu ndi umodzi kuyambira miyezi itatu yoyambira ya mimba, ndipo kuchuluka kwa mankhwalawa kuyenera kukhala kwakukulu kuposa asanakhale ndi pakati, ndikutsatira malangizo a azamba kapena a endocrinologist.

Matendawa atapezeka kuti ali ndi pakati, kugwiritsa ntchito mankhwala osokoneza bongo kumayambanso kutuluka kwa vuto la chithokomiro vuto likazindikirika, ndipo kusanthula kuyeneranso kubwerezedwa milungu isanu ndi umodzi kapena isanu ndi umodzi kuti musinthe mulingo.

Hypothyroidism pambuyo pobereka

Kuphatikiza pa nthawi ya bere, hypothyroidism imatha kuonekanso mchaka choyamba atabereka, makamaka miyezi itatu kapena inayi mwana akabadwa. Izi zimachitika chifukwa cha kusintha kwa chitetezo chamthupi cha mayi, chomwe chimayamba kuwononga maselo a chithokomiro. Nthawi zambiri, vutoli limakhalitsa ndipo limatha pasanathe chaka chimodzi chobereka, koma amayi ena amakhala ndi hypothyroidism yokhazikika, ndipo onse atha kukhala ndi vutoli mtsogolo.

Chifukwa chake, munthu ayenera kukhala tcheru kuzizindikiro za matendawa ndikuyesedwa magazi kuti awone momwe chithokomiro chimagwira mchaka choyamba atabereka. Chifukwa chake onani zomwe zizindikiro za hypothyroidism zili.

Onerani vidiyo yotsatirayi kuti muphunzire zomwe mungadye kuti mupewe mavuto a chithokomiro: