Chithokomiro pakubereka: kusintha kwakukulu ndikusamalira

Zamkati

• 1. Hypothyroidism
• 2. Hyperthyroidism
• Kusamalira panthawi yoyembekezera
• Mankhwala
• chakudya
• Mayeso a nthawi zonse ndi kufunsa

Chithokomiro chomwe chili ndi pakati ndichofunikira pa thanzi la mayi ndi mwana ndipo zovuta zilizonse ziyenera kuzindikiridwa ndikuchiritsidwa kuti zisayambitse zovuta kwa mwana yemwe amafunikira mahomoni a chithokomiro cha mayi mpaka pafupifupi sabata la 12 la mimba. Pambuyo pa gawo ili, mwanayo amatha kupanga mahomoni ake a chithokomiro.

Mahomoni a chithokomiro ndi T3, T4 ndi TSH omwe atha kukulitsidwa kapena kuchepa kuyambitsa mavuto akulu a chithokomiro pakubereka monga hypothyroidism ndi hyperthyroidism. Izi zimatha kubweretsa padera, kubadwa msanga kapena kutengera mwana wosabadwayo. Kuphatikiza apo, kusowa kwa chithokomiro kumatha kusintha kusintha kwa msambo, zomwe zimapangitsa kuti zikhale zovuta kutenga pakati.

Chifukwa chake, ndikofunikira kuyesa mayeso opewera kutenga pakati ndikuyembekezera kuti azindikire hypothyroidism kapena hyperthyroidism, kuonetsetsa kuti mayi ndi mwana ali ndi thanzi labwino. Pezani mayesero omwe angachitike pokonzekera kutenga pakati.

Matenda akulu a chithokomiro ali ndi pakati ndi awa:

1. Hypothyroidism

Hypothyroidism ndikuchepa kwa kapangidwe ka mahomoni a chithokomiro panthawi yapakati ndipo kumatha kuyambitsa kuchuluka kwa magazi, kuchotsa mowiriza, kubadwa msanga kapena kuwonjezeka kwa magazi ndi pre-eclampsia mwa amayi apakati. Khanda, hypothyroidism imatha kuchedwetsa kukula kwamisala, kuchepa kwamalingaliro, kutsitsa nzeru za quotient (IQ) ndi goiter (kucheza).

Zizindikiro zofala kwambiri za hypothyroidism ndikutopa, kutopa kwambiri, misomali yofooka, kuchepa kwa tsitsi, kugunda kwa mtima, kudzimbidwa, khungu louma, kupweteka kwa minofu ndikuchepetsa kukumbukira.

Hypothyroidism imathanso kuchitika pambuyo pobereka kapena miyezi ingapo mwanayo atabadwa, yomwe imafunikira chithandizo. Dziwani zambiri za hypothyroidism.

2. Hyperthyroidism

Hyperthyroidism ndiwowonjezera pakupanga mahomoni a chithokomiro omwe, ngakhale sakhala ofala kwambiri panthawi yapakati, amatha kupangitsa amayi apakati kupita padera, kulephera kwa mtima, pre-eclampsia, kusamuka kwamasamba kapena kubadwa msanga. Kwa mwana, hyperthyroidism imatha kubweretsa kunenepa kwambiri, neonatal hyperthyroidism kapena kufa kwa fetal.

Zizindikiro za hyperthyroidism pamimba ndikutentha, thukuta mopitirira muyeso, kutopa, kugunda kwamtima komanso nkhawa, zomwe nthawi zambiri zimalepheretsa matendawa, popeza zizindikilozi ndizofala pakakhala pakati, koma mayeso a labotale amalola kuti muzindikire bwinobwino ndikuyamba chithandizo chabwino. Phunzirani zambiri za hyperthyroidism mukakhala ndi pakati.

Kusamalira panthawi yoyembekezera

Njira zina zofunika kupewa mukakhala ndi pakati ndi izi:

Mankhwala

Chithandizo cha hypothyroidism panthawi yoyembekezera chimachitika ndi mankhwala, monga levothyroxine, mwachitsanzo. Ndikofunika kumwa mankhwala nthawi imodzi tsiku lililonse. Komabe, ngati muiwala kumwa mlingo, imwani mukangokumbukira, osamala kuti musatenge mankhwala awiri nthawi imodzi. Kutsata kwa amayi asanabadwe kapena kukambirana ndi endocrinologist kuyenera kuchitidwa pafupifupi milungu 6 kapena 8 iliyonse kuti muwone kuchuluka kwa mahomoni a chithokomiro ndipo, ngati kuli kofunikira, sinthani kuchuluka kwa mankhwala.

Pankhani ya hyperthyroidism ali ndi pakati, tsatirani milungu 4 mpaka 6 iliyonse ndikuwunika kwa mwana nthawi zonse. Mankhwala a hyperthyroidism ali ndi pakati ayenera kuyambitsidwa atangopeza matenda ndipo amachitika ndi mankhwala monga propylthiouracil, mwachitsanzo, ndipo mlingowu uyenera kusinthidwa, ngati kuli kofunikira. Atabereka, adotolo adziwitsidwe kuti anali ndi hyperthyroidism panthawi yomwe ali ndi pakati kuti mwanayo amuwunike, motero, awone ngati mwanayo ali ndi hyperthyroidism ndipo, ngati kuli koyenera, ayambe chithandizo. Onani mayeso ena 7 omwe mwana wakhanda ayenera kulandira.

chakudya

Kudyetsa panthawi yapakati kumayenera kukhala kosiyanasiyana komanso koyenera kupatsa mayi ndi mwana zakudya zofunikira. Zakudya zina zimakhala ndi ayodini momwe zimapangidwira zomwe zimafunikira kupanga mahomoni a chithokomiro, monga cod, dzira, chiwindi ndi nthochi, zomwe zimathandiza kuti chithokomiro chizikhala chokhazikika. Pakakhala vuto la chithokomiro panthawi yapakati, kuyang'anira ndi katswiri wazakudya ndikofunikira kuti mukhale ndi thanzi labwino. Onani zakudya zina 28 zokhala ndi ayodini wambiri.

Mayeso a nthawi zonse ndi kufunsa

Ndikofunikira kuti azimayi omwe adapezeka ndi matenda a hypothyroidism kapena hyperthyroidism ali ndi pakati amatsagana ndi mayi wazachipatala-obstetrician kapena endocrinologist kuti awunikire kukula kwa mwana wosabadwayo ndikuwonetsetsa kuti mayi ndi mwana ali ndi thanzi labwino. Komabe, ngati munthawi yapakati pamafunso akumana ndi zizindikiro za hypothyroidism kapena hyperthyroidism, pitani kuchipatala mwachangu. Phunzirani zambiri za chisamaliro chobereka.

Pakufunsidwa, kuyezetsa labotale yama mulingo a mahomoni T3, T4 ndi TSH amafunsidwa kuti ayese momwe chithokomiro chimagwirira ntchito ndipo, ngati kuli kofunikira, ultrasound ya chithokomiro. Pakakhala kusintha kulikonse, mankhwala oyenera kwambiri ayenera kuyamba nthawi yomweyo.