Kusanzwisiswa kana kusapomerwa zvakanyanya kugadziriswa kwepothyroidism panguva yekuzvitakura kwakaratidzwa kuwedzera njodzi yezviitiko zvakasiyana-siyana, zvinosanganisira kuwedzera kungozi yekuenda pamuviri, kuberekwa, kusati kwasara / kushanda kwenguva refu, nezvimwe zvinetso. Kubata hypothyroidism zvinowanzoreva mamiriro ezvinhu apo utachiona hunokurudzira hormone (TSH) mazinga ari 10 mIU / L uye pamusoro.
Iye zvino, kutsvakurudza kwakaratidza kuti kurapa vakadzi vane kunyange unyoro kana subclinical hypothyroidism-inotsanangurwa seTSH madiki pasi pe10.0 mIU panguva yekuzvitakura inogona kuderedza ngozi yekuberekwa nguva isati yakwana, zvikamu zvekutanga zvekusiya, uye kuberekwa.
Tsvakurudzo dzakawanikwa dzakasarudzwa pamusangano weChristian for Endocrinology gore negore muBrighton munaNovember 2016, uye yakatungamirirwa naDkt. Peter Taylor weYunivhesiti yeCardiff muWales.
Chidzidzo chacho chakaongorora vakadzi vanopfuura 13 000 vakanga vari pakati pemasvondo gumi nemaviri nemasere. Muchikamu ichocho, 518 yakanga ine mild hypothyroidism, inozivikanwawo se subclinical hypothyroidism . Pakati pevakadzi vakarondedzerwa sevari nehutachiona husina kujairika, hafu yega yega yakapiwa mahara hormone replacement drug levothyroxine , uye imwe hafu haina kuwana kurapwa. Vatsvakurudzi vakaongorora maitiro ekuberekwa, kufa kwevana vasati vasvika, kusati kwasvika (kuburitsa mushure memasvondo makumi matatu nemaviri), uye zvikamu zvekutanga zvekusiya.
Tsvakurudzo yakawanikwa:
- Vakadzi vane unyoro hypothyroidism avo vakanga vasingateereri vainyanya kuva nechekuberekwa kupfuura vakadzi vane hutano hwemazuva ose.
- Vakadzi vane hutachiona hwehutano avo vaibatwa ne levothyroxine vaiva nehuwandu hwemakore ekutanga ekutakura uye kuberekwa kwekuberekwa kwekuberekwa, pamwe chete nezvikamu zvekutanga zvekusiya.
Mukududza zvaakawana pakutsvakurudza, Dr. Taylor akati:
Basa redu rinomutsa mukana wekupa zvikomborero zvekushandisa nekushandisa kurapa kwakachengeteka, zvisingabatsiri uye kwakanyatsogadziriswa nekungowedzera kune nhamba yevakadzi vane pamuviri vatinotakura. Tinofanira kufunga nezvehutano hwehutano hwehutachiona hwepamuviri apo huchienzanisa zvakanaka nenzira yekutenga-kubudirira nemamwe mamiriro ezvinhu atinenge tiripo panguva ino.
Dr. Taylor akaudzawo webhusaiti yeWedocrine Nhasi :
"Takaratidza kuti pane zvingabatsira chaizvo mukugadzirisa mhirizhonga yekodhiyo muvakadzi vane pamuviri vachishandisa zvinowanzoshandiswa zvinodhaka zvinodhaka, levothyroxine. Izvo zvine migumisiro inokosha, kusanganisira kuderedza kuberekwa uye kusapedza, kunyange zvazvo zvidzidzo zvakawanda zvichidiwa. Inokurudzirawo zvakare kuti sezvo hypothyroidism uye muganhu wekromosi yebasa yakajairika, pane mhirizhonga inokonzera kuongororwa kwehutachiona hwepasi rose pakuberekwa. Kunyanya kuisa pfungwa pahutano hwehutachiwana hunoda pamwe nekufungisisa kwehutachiona hwepasi rose. "
Izvi Zvinorevei Kwauri
Pane zviitiko zvakawanda izvi zvinowanikwa kune vakadzi venguva yekurera uye vanachiremba vanovabata.
Chengetedza Maitiro Akanaka Musati Muchembere
Kana iwe uri munyoro hypothyroid uye uchironga kubata pamuviri, iwe unofanirwa kuziva nheyo dzepamutemo maererano nehutano hwakanaka hweTSH mavambo asati abata.
Maererano ne "Nhungamiro yeAmerican Thyroid Association yekuziva uye Kutungamirirwa kweHoid Disease panguva yekuberekwa uye Postpartum," kuyerwa kwemishonga yako yeHroid hormone mishonga inofanira kugadziriswa kuitira kuti TSH yako iri pasi pe 2.5 mIU / L isati yasvika.
Tsimbisa Kubata Kwako Sezvaunogona Kuita
Cherechedza kuti nyanzvi dzinopawo mazano kuti iwe unogadzirisa kubata kwako nekukurumidza, uye uve nechirongwa chiripo kare kuti uwedzere mishonga yako yemishonga pakarepo iwe paunenge uchiziva kuti wava nepamuviri. Kubata nekukurumidza kunounza kuwedzera kwekudiwa kwemhomoni yekemikari, uye kuitira kuchengetedza pamuviri wako uye utano hwomwana wako, zvakakosha kuti iwe uve nechokwadi chokuti une utachiona hwakawandisa mukati mehutumbi hwako.
Nyaya inonyanya kukosha ndeye mushure mekubata pamuviri uye munguva yako yekutanga yokutanga, apo mwana wako ari kukura ari kuvimba zvizere newe pamusoro pehutori hwetachiona hunokosha hunoita kuti mwana ave nehutano hwakanaka hwehutano uye hwemuviri.
Kana iwe uine chirwere chinyoro kana subclinical hypothyroidism panguva yekudzivirira, nyanzvi dzinokurudzira kuti iwe unorapwa nehutachiona huchiendesa mishonga pasina kunonoka. Chinangwa chacho ndechokudzorera utachiona hwako kuhutano nokukurumidza sezvinobvira.
Iva nechokwadi chokuti Vanachiremba Vako Vari kutevera Nhungamiro uye kushandisa Narrower, Kuberekwa-Chidimbu TSH Reference Range
Chinhu chakakosha kuziva ndeyekuti tsika yakatarisa yekushandisa inoshandiswa nevakawanda vezvechiremba kuongorora uye kugadzirisa hypothyroidism inonyanya kuderera paunenge uine pamuviri . Nepo ma laboratori mazhinji ane mawere makuru ekutora cutoff mazinga kubva ku 4.0 kusvika ku6.0 mIU / L 4.5, Mirayiridzo inokurudzira kuti panguva yekuzvitakura , yako TSH level mukutanga kwemitatu inofanira kuchengetwa painenge iri pakati pe 0.1 uye 2.5 mIU / L, 0,2 kusvika 3.0 mIU / L munguva yako yechipiri katatu, uye 0.3 kusvika 3.0 mIU / L mumutatu wako wechitatu.
> Sources:
> Stagnaro-Green, Alex, et al. "Nhungamiro yeAmerican Thyroid Association yekuziva uye Kurapa Matenda eTroroid Panguva Yokuberekwa uye Postpartum." Thyroid. Bhuku 21, Nhamba 10, 2011 (Online)
> Taylor PN, et al. Abstract # OC6.3. Yakapiwa pa: Society for Endocrinology Annual Conference; Nov. 7-9, 2016; Brighton, Zimbabwe.