Infertility inotsanangurwa sekukundikana kwekuita pamuviri mushure memwedzi gumi nembiri kana kupfuura zvekudzivirira kusina kudzivirirwa. Inofungidzirwa kuti kubva pa10 kusvika ku15 muzana yevakaroorana muUnited States vanoona kusununguka.
Vamwe vevanhu vanorwisana nekushaya vana vanoenderera mberi vachitsvaka nzira dzekubatsira kubereka, zvakadai sokukurudzira mavari, in vitro fertilization, uye dzimwe nzira.
Inofungidzirwa kuti vazhinji vanoita 1% yevana vose vakaberekerwa muUnited States ndivo mugumisiro wekubatsira kubereka (zvirwere zvekuberekwa), izvo zvakati zvaro, zvinobudirira mune anenge 1 mu5 matambudziko.
Vakadzi vakawanda havazivi kuti chirwere chetachiona chakakosha hachifaniri kungova nepamuviri-nenzira yega uye nekubatsirwa kwekubatsira kubereka-asiwo kuchengetedza hormonal balance uye kuchengetedza kuberekwa mumazuva anokosha epakutanga uye kutanga kwetatu.
Kana uri kutarisana nekushaya vana kana kufungidzira kubatsira kubereka, imwe nzvimbo inonyanya kukosha yekuongorora inofanira kunge iri utano hwako hwehutano. Zvinoshamisa kuti vamwe vanachiremba, makiriniki ekuberekera uye nyanzvi dzekuberekera hazvirevi kutarisa kwetrosi sechikamu chekubata kwekuberekwa kwemaitiro, asi vakadzi vanofanira kusimbisa kuongororwa kwetachiona zvakakwana nokukurumidza apo zvinetso zvekuberekwa zvinoshushwa.
Heano mamwe mazano anokosha okukubatsira kuti utange, akashandurwa kubva mubhuku rinonzi Your Healthy Pregnancy ne Thyroid Disease, rakabudiswa nePerseus Books uye yakanyorwa naDana Trentini naMaria Shomon.
Iro Chiito cheTyroid paKubereka
Usingazivi, usina kutorwa, kana kuti zvisina kukodzera kurapwa chirwere chetachiona kunowedzera dambudziko rako rezvinhu zvakakosha zvingakanganisa kubereka kwako, kusanganisira zvinotevera:
- kusagadzikana kwepanguva yekuenda kumwedzi , izvo zvinogona kuita kuti nguva yako yakaorera isinganzwisisiki uye yakaoma kuvhara
- kuenda kumwedzi maitiro ausingaiti (kusunungura mazai) zvachose, uye naizvozvo haigoni kubata
- chikamu chekuteerera (nguva yenguva pakati pekuvhara uye kuenda kumwedzi) iyo inopfupika kuti isabvumirwe kugadziriswa kwemuviri. Kana kukamera kuchibudirira asi chikwata chekateti chakanyanya kupfupika, zero rinogadzirwa rinogona kudzingwa panguva yekuenda kumwedzi mukadzi asati aona kuti ane pamuviri.
- kusawirirana muestrogen uye progesterone, izvo zvinokosha kuti zvive nehutano hwakanaka
- autoimmunity kuti haisi kungotarisa utachiona hwako chete, asi inogonawo kutora mazai ako, mbeu yaunofambidzana nayo, uye zvimwe zvakakosha pakubata pamuviri
- kushandiswa kwemaawa mashoma, in vitro fertilization uye mamwe mazano anobatsira ekuberekorora
Kuti zvive zvakakwana kubereka, mishonga inowanzoitwa yemishonga inotaura kuti yakawanda hypothyroidism- inotsanangurwa seTSH yepamusoro 10 mIU / L-inofanirwa kurapwa nehutachiona huri mushonga mishonga. Kana mukadzi ari hypothyroid vasati vaita pamuviri kana kuti vakaonekwa muhutano hwepakutanga, mirayiridzo inokurudzira kuti muyero uchinjiswe kuitira kuti TSH iri pasi pe 2.5 mIU / L kuburikidza nekutanga kwetatu. Munguva yechipiri chegumi, chegumi cheTSH chinofanira kuchengetedzwa painenge iri pakati pe 0,2 kusvika 3.0 mIU / L, uye 0,3 kusvika ku 3.0 mIU / L mumutatu wechitatu.
Nhamba dziri kunze kwezvikwata izvi zvinogona kuwedzera njodzi yekuparara pamuviri, kuberekwa, kusati kwasvika, nekuziva uye zvimwe zvinhu mushure mekuberekwa kwechecheche.
Vanachiremba vanobatana vanotenda mukuva nehasha kunekubereka, nekubata vakadzi vane chirwere cheHashimoto (asi zvisingaiti "chimiro" chetachiona mahara), uye apo paine chirwere chetachiona chinotsiviwa, kuve nechokwadi chokuti kwete TSH chete iri pasi pe 2.5, asi kuti Free T4 uye Free T3 mazinga ari munharaunda yepamusoro yenhare yekutsvaga.
Nhungamiro inowanikwa pamagungano inotaura kuti chero mukadzi upi zvake ari kurapwa nokuda kwe hypothyroidism zvingangodaro inoda utachiona huri kuwedzera huwandu hwekuwedzera muhutano hwakakura chaizvo.
Nhungamiro inorayira inotsigira kutora mimba pakutanga uye kuwedzerwa kuyerwa nemutengo wakagara wagadzwa nachiremba zvisati zvaitika.
Kana uri kutarisana nekushaya vana, dzimwe nhanho dzinotevera, kutanga:
- Tora TS yako) yakaedzwa
- Gamuchira pachena T4 uye usunungura T3 akaedzwa
- Iva ne thyroid peroxidase antibodies (TPO) yakaedzwa