Hypothyroidism: Upangiri wa Mkazi Wobereka ndi Mimba

Zamkati

• Mimba isanakwane
• Mimba
• Mimba Pambuyo
• Chotengera

Kafukufuku wa 2012 adapeza kuti 2 mpaka 4 peresenti ya azimayi obereka ali ndi mahomoni ochepa a chithokomiro. Izi zikutanthauza kuti pali azimayi ambiri omwe amakhudzidwa ndi zovuta za chonde zomwe zimayambitsidwa ndi hypothyroidism. Pitirizani kuwerenga kuti mudziwe momwe kuchepa kwa mahomoni a chithokomiro kumatha kubweretsa zoopsa musanabadwe, mkati, komanso mukabereka.

Mimba isanakwane

Hypothyroidism ndi kuchepa kwa mahomoni a chithokomiro kumatha kukhudza magawo osiyanasiyana azisamba ndi ovulation. Kukhala ndi otsika a thyroxine, kapena T4, kapena mahomoni otulutsa chithokomiro (TRH) kumabweretsa milingo yayikulu ya prolactin. Izi zitha kuchititsa kuti dzira lisatuluke nthawi yopuma kapena kutulutsa dzira mosalekeza ndikuvutika kutenga pakati.

Hypothyroidism itha kuyambitsanso theka lachiwiri la msambo. Izi sizingalole dzira la umuna kukhala ndi nthawi yokwanira yolumikizana ndi chiberekero. Zitha kupanganso kutentha kwa thupi, kutentha kwambiri kwa chithokomiro cha peroxidase (TPO), ndi zotupa m'mimba, zomwe zimatha kubweretsa kutaya kwa mimba kapena kulephera kutenga pakati.

Muyenera kukhala ndi mahomoni otulutsa chithokomiro (TSH) ndi ma T4 oyang'aniridwa musanakhale ndi pakati. Izi ndizowona makamaka ngati muli ndi mahomoni otsika a chithokomiro kale kapena munapita padera. Zowopsa zazikulu zimaphatikizira mbiri ya banja yamatenda a chithokomiro kapena matenda aliwonse omwe amadzichotsera okha. Kuthetsa matenda anu a hypothyroid kumayambiriro kwa nthawi yokonzekera kutenga pakati kumapereka chithandizo chamankhwala msanga. Izi zitha kubweretsa zotsatira zabwino.

Mimba

Zizindikiro za hypothyroidism ndizofanana ndi zizindikilo zoyambirira za mimba. Zizindikiro za Hypothyroid poyambira mimba ndi monga:

• kutopa kwambiri
• kunenepa
• kutengeka kwa kutentha kwazizira
• kukokana kwa minofu
• zovuta kukhazikika

Chithandizo cha hypothyroidism pa mimba nthawi zambiri chimakhala chofanana asanakhale ndi pakati. Komabe, ndikofunikira kudziwitsa adotolo mukangotenga mimba kuti mulandire chithandizo choyenera ndipo amatha kusintha ngati kuli kofunikira. Dokotala wanu adzayang'ana ma lababu anu a TSH pakatha milungu inayi kapena isanu ndi umodzi kuti atsimikizire kuti mahomoni anu ali munthawi yoyenera. Mahomoni anu a chithokomiro amafunika kuti mukhale ndi pakati panthawi yolera kuti muthandize mwanayo komanso inunso. Ndikofunikanso kudziwa kuti vitamini yanu yobereka imakhala ndi chitsulo ndi calcium, zomwe zimatha kuletsa momwe thupi limagwiritsira ntchito mankhwala a chithokomiro m'malo mwake. Mutha kupewa vutoli potenga mankhwala anu obwezeretsa chithokomiro komanso mavitamini apakati pa maola anayi kapena asanu mutasiyana.

Dokotala wanu adzafunika kugwiritsa ntchito chisamaliro chapadera pochiza hypothyroidism yanu mukakhala ndi pakati. Ngati sichisamalidwa bwino, chitha kuyambitsa:

• Kuchepetsa magazi kwa amayi
• kuwonjezeka kwa kuthamanga kwa magazi kwa amayi
• kupita padera kapena kubala ana akufa
• kulemera kochepa kubadwa kwa khanda
• kubadwa msanga

Zizindikiro zosalamulirika zimathandizanso kukula kwa mwana wanu komanso kukula kwa ubongo.

Mimba Pambuyo

Pambuyo pobereka, postpartum thyroiditis ndiofala. Azimayi omwe ali ndi matenda amtundu wa chithokomiro amakhala ndi vutoli nthawi zambiri. Postpartum thyroiditis imayamba miyezi itatu kapena isanu ndi umodzi itabereka. Vutoli limatha milungu ingapo mpaka miyezi. Zina mwazizindikiro zimakhala zovuta kusiyanitsa ndi zovuta zomwe zimadza chifukwa chokhala kholo latsopano.

Zizindikiro za postpartum thyroiditis zitha kuchitika m'magawo awiri:

• Gawo loyamba, zizindikilo zanu zitha kuwoneka ngati hyperthyroidism. Mwachitsanzo, mutha kukhala amanjenje, osasunthika, kugunda kwamtima, kuwonda modzidzimutsa, kuvutika ndi kutentha, kutopa, kapena kuvutika kugona.
• Gawo lachiwiri, zizindikiro za hypothyroid zimabwerera. Simungakhale ndi mphamvu, kuvutika ndi kutentha kwazizira, kudzimbidwa, khungu louma, zopweteka ndi zowawa, komanso mavuto kulingalira bwino.

Palibe azimayi awiri omwe amafanana momwe amakhudzidwira pambuyo pobereka. Chiwopsezo chachikulu cha postpartum thyroiditis chimapezeka mwa amayi omwe ali ndi ma antibodies a T-T omwe ali ndi pakati. Izi ndichifukwa cha chitetezo chamthupi chofooka.

Hypothyroidism imathanso kukhudza kapangidwe kanu ka mkaka koma ndimankhwala oyenera a mahomoni, vutoli limatha.

Chotengera

Muyenera kulankhula ndi dokotala ngati mukuyesera kutenga pakati ndikukhala ndi matenda a chithokomiro kapena autoimmune kapena zovuta zam'mbuyomu. Dokotala wanu amatha kuyitanitsa mayeso oyenera ndikupanga dongosolo labwino lokhala ndi pakati. Momwe mungakonzekerere, ndizotheka mwayi wanu kukhala wopambana. Ndipo musapeputse kufunika kochita masewera olimbitsa thupi nthawi zonse, kudya mopatsa thanzi, komanso kuchepetsa nkhawa zanu.