Vana Vacheche Vakwegura vane Utachiona hweHyroid paDambudziko Rakakwirira reMatambudziko ekuberekwa
Maererano nekutsvakurudza kwakapiwa musangano wegore negore we 2001 Society weMaternal-Fetal Medicine, vakadzi vane chirwere chetachiona vari pangozi yakakura yokuva nevana vane matambudziko ekuberekwa - kusanganisira kusagadzikana kunokanganisa mwoyo, impso kana uropi pamwe nezvimwe zvikanganiso, zvakadai kunyora muromo uye kuchenesa pane - pane zvakambofungidzirwa.
Mutsamba yakagadzirirwa, David A.
Nagey, MD, Ph.D., weJohn Hopkins University inoti, "Tatoziva kare kuti kune ngozi yakawedzerwa yezvinetso, kunyanya kwepfungwa kana kubudirira, muvana semugumisiro we hypothyroid pregnancies , asi kushamwaridzana nekuberekwa kwepabonde kwakatsva uye zvisingatarisirwi.Kana izvi zviitiko zvichisimbiswa, zvinogona kutungamirira kuongororongedzwa kwevakadzi nokuda kwehutano hwehutano musati mimba uye ((heart defects) mumakumbo evakadzi vane hypothyroidism. "
Kazhinji, matambudziko anowanzowanzosvika pamwoyo, asi zvimwe zvikanganiso, zvakadai semafungiro nehutano hwehutano zvinetso, maruva emakumbo uye cleft palate, zvaive zvakajairika kuvakadzi vaiva hypothyroid panguva yekuzvitakura.
Zvikamu gumi nemasere kubva pamapfumbamwe zvevana vaidzidza vakaberekwa nekuremara. Pakati pevana vavo, 13 vaiva hypothyroid panguva yekuzvimba, uye 8 vaiva hyperthyroid panguva yekuzvitakura. Izvi zvinofananidzwa nehuwandu hwehuwandu hwevana vanenge 3% yevana vose vane zviremera zvekuberekwa.
Nyika yezvokurapa haina kubvuma izvi zvisingabvunzi. Kutaura kuHealthScoutNews , mupurologori wenhau wekupedzisira, Loren Wissner-Greene, akaratidza kuti miedzo mikuru yakaratidza kuti vana vakaberekerwa vanaamai vane chirwere chetachiona ndivo vainyanya kuisa pangozi yekunonoka kunonoka kukura-uye kwete kukura kwekuremera.
Akabvunzurudza kana migumisiro yacho ingangodaro yakakonzerwa nekumwe chimwe chinhu, uye inoratidza kuti nyaya inotarisirwa kutsvaga kutsvakurudza mberi vasati vanyanyove nehanya navo.
Dr. Nagey, zvisinei, anotenda kuti tsvakurudzo yake inotaura kune mamwe mazano makuru kune vakadzi vane chirwere chetachiona:
- Vakadzi vane mamiriro ehutano vanoda kutarisirwa kwechirwere chekuvhara mungozi
- vakadzi vane hypothyroid vanofanira kuberekera pachipatara chinowanikwa mukuchengetwa kwemazuva ekuberekwa kwevana vane marudzi ekuremara kwekuberekwa anoonekwa munyaya ino
Zvimwe Zvinogadziriswa Nevarwere
Mukuwedzera kune zvakataurwa naDr. Nagey kuti varwere vetachiona vanoona zvipembenene zvakanyanya kune ngozi uye vanoendesa kune zvipatara zvine mazano ekutarisira kwevana, pane zvimwe zvinokosha zvinokosha.
Kunyange zvazvo vanachiremba vakasiyana vachataura pfungwa dzakasiyana-siyana dzokuti utachiona hwako huongorwe, ndinoshuva kukanganisa kudivi kazhinji. Vakawanda vezvipembenene havangatombodi kukuonai kusvikira mavhiki masere kusvika masere musikana, uye izvo zvatove zvisingasviki apo chikwata chinowedzera muviri chinogona kunge chakakonzera kuti TSH yako iwedzere uye iwedzere kutora pamuviri wako. Iwe pachako, ndinokurudzira kuti uwane kuongororwa kwekumba pamuviri, uye edza nokukurumidza.
Ita kuti TSH yako , T4 uye T3 iongororwe pakarepo kana uine mimba yakanaka yekuedzwa (kazhinji inenge yakapoteredza nguva yenguva yako yakakanganiswa - kana kuti chii chavangatarisa masvondo makumi mana pamuviri.)
Pandaive nepamuviri, ndakatanga kutora pamuviri weTSH we 1.2. Vamwe magumo ekupedzisira vanofunga kuti mukadzi aizotanga kuberekwa - uye achengetedzwe nguva dzose - pamucheto wezasi wehutano hwakatarwa kuitira kuti ave nechokwadi chekupedzisira. Ndakayerwa mwedzi woga woga munguva yekutanga yekutatu (kunyanya kakawanda kana iwe uine mitezo isingaenzaniswi), uyezve masvondo matanhatu kana zvakadaro panguva yakasara yepamuviri. Zvimwe chete zvandinofanira kuchinja ndezvangu munguva yekutanga yechitatu.
Chetatu chekutanga ndechimwe chezvinonyanya kukosha nguva yekuedza nguva dzose uye kurapa kwakakwana. Munguva iyoyo yekutanga kutatu, kukura kwomwana nekukura kunoenderana nekukwanisa kweamai kuwedzera utachiona hwake huripo. Pakupera kwekutanga kwetatu , utachiona hwemwana hunova hunoshanda uye hunokwanisa kubudisa hormone yehutori pachayo. Ichi ndicho chikonzero nei vakadzi vakawanda, ini pachavo vaisanganisira, vanowana kuti vanoda kuwedzera mazinga avo munguva iyoyo yekutanga, asi vanosimbiswa mushure mekutanga kwekutanga.
Cherechedza: Kunyange zvazvo chirwere chekuvhara mungozi chakanyanya kunaka, vakadzi vazhinji vane utachiona hwekushaya hutano vanoteverwa nevanogadzirisa zvipatara uye anopotoginologist. Endocrinologists uye vanogadzirisa zvipembenene vanowanzove vane ruzivo rwekutarisira chirwere chetachiona mukuzvitakura. Zvidzidzo zvakaratidza, zvisinei, kuti vazhinji vezvechitatu vevanachiremba vose vanonyatsotsinhirwa nezvekutarisa chirwere chetachiona muhucheche , saka zvakakosha kuti uwane mushandi kana boka rechiremba ane unyanzvi hwekutarisira zvakanaka chirwere chetachiona panguva yekuzvitakura.
> Sources:
> Nagey, David, MD. Society for Maternal-Fetal Medicine Annual Meeting Statement, 2001, Online