Chimwe chidzidzo chakabudiswa muBritish Medical Journal chakaratidza kuti kurapa subclinical hypothyroidism panguva yekuzvitakura kunogona kuderedza ngozi yekuparara. Panguva imwecheteyo, vatsvakurudzi vakawana kuti vakadzi vari kurapwa nekuda kwe subclinical hypothyroidism vanotarisana nehuwandu hwehutano hwekuzvitakura hunosanganisira kusununguka nguva isati yasvika, preeclampsia, uye gestational chirwere cheshuga.
NezveChidzidzo
Chidzidzo chacho chakaongorora vakadzi vanodarika 5 000 avo vakanga vari muchipatara hypothyroid, vane utachiona hunokurudzira hormone (TSH) mazinga pakati pe2,5 uye 10 mIU / L. Vatsvakurudzi vakawana kuti vakadzi vanorapwa nehutachiona hwemishonga yemishonga inoshandiswa nemishonga vaiva ne 38 muzana panjodzi yakaderera yekusununguka pamuviri, zvichienzaniswa neboka risingatendi. Zvinonyanya kukosha, zvigumisiro zvinongoshanda chete kune vakadzi ivavo vaiva neTSH ye 4.1 mIU / L yepamusoro vasati vatapwa.
Izvo zvakaderedzwa kupererwa kwepabonde hazvioneki kuvakadzi vakanga vane TSH mazinga kubva pa 2.5 kusvika ku 4.0 mIU / L. Kutaura zvazviri, vakadzi ava vaiva nehuwandu hwepamusoro hwekuita gestational hypertension-mamiriro ezvinhu anogona kutungamirira pre-eclampsia.
Preeclampsia ndiyo mamiriro ezvinhu anogona kukura muhutumbi hunokonzera kukanda kweropa. Preeclampsia inogona kutungamirira kuEclampsia yakakwana, iyo inogona kukonzera chiropa kana zvepfungwa kusakundikana, kukanganisa kwemwoyo, kugumburwa, kunetseka, uye kunogona kuuraya vose amai nevana.
Kuchinja kuZvirevo
Chidzidzo chinosimbisa kuchinja kwezvirongwa zvevakadzi panguva yekuzvitakura. Munguva yakapfuura, kurapwa kwave kurikurudzirwa kuvakadzi vane pamuviri vane hypothyroidism vane utachiona hunokurudzira hormone (TSH) mazinga akawira pakati pe 2.5 ne 4.0 mIU / L.
IAmerican Thyroid Association (ATA) yakabudisawo mazano matsva muna 2017 anonyora mazano eBritish Medical Journal yekuongorora.
Maererano neATA, pamusana pehuchapupu hwokuti mitezo yekuzvitakura inogona kuipa zvakanyanya, mazano emakanzvi ari kukurudzira kurapwa kune vakadzi vane overt hypothyroidism, inotsanangurwa seTSH yepamusoro pane 4.1 mIU / L.
Kurapa kunogona kufungwa nevakadzi vane subclinical hypothyroidism-TSH pakati pe2,5 ne 4.0 mIU / L-kana vakawedzera utachiona hweperoxidase (TPO) zvirwere zvinoratidza huashimoto's thyroiditis.
Maererano nemunyori wekutungamirira, Spyridoula Maraka, MD:
Kuenderera mberi kupa utachiona hwehutori hwehutachiona kuti uderedze njodzi yekurasikirwa pamuviri inonzwisisika kune vakadzi vane TSH yakawanda ye 4.1-10.0 mIU / L. Zvisinei, kupa huwandu hukuru hwehutano kuvakadzi vane madiki ari pasi peTSH ma 2.5-4.0 mIU / L, uye muchiedza chekukwanisa kuwedzerwa njodzi yezvimwe zviitiko zvinotambudza, kurapwa kunogona kuvharirwa muboka iri.
Sezvakataurwa, zvisinei, mazano eATA anorayira kuti vanachiremba vanofunga nezvemaitiro echikadzi e TPO pakuita chisarudzo chekutora subclinical hypothyroidism. Kurapa kunogona kupiwa kune vakadzi vari TPO-positive uye vane TSH iri pakati pe2,5 ne 4.0 mIU / L.
Chii Chinonzi Subclinical Hypothyroidism?
Subclinical hypothyroidism inobata vanenge 15 muzana yevakadzi veAmerica pavanenge vane pamuviri.
Kuva nehutano hwakakwana hwehomoni yehutori kunokosha kuti hutano hwakanaka hwehutano hwemucheche huve hwakanaka, kunyanya munguva yekutanga kwemutatu, apo amai vanopa utachiona hwehutori kumucheche unenge uchikura. Mushure mokutanga kwetatu, utachiona hwe fetal hunotanga uye hunotanga kubudisa hutori hwayo pachayo, kuti huwedzere hutachiona hwemamai.
Maternal hypothyroidism panguva yekuzvitakura inobatanidza nemhando dzakasiyana dzekudzivirira pamuviri, kusanganisira kusununguka kwepamuviri, kusarura, kutadza kuberekwa, kuberekwa, pre-eclampsia, gestational chirwere cheshuga, uye kuderedza IQ mizinga kuvana.
Nhanho Dzako Dzinotevera?
Kana iwe uri nepamuviri uye une subclinical hypothyroidism-asi iwe TPO-negative-vatsvakurudzi vanokurudzira kukurukurirana nachiremba wako. Maererano neakawanikwa zvidzidzo:
Kuita sarudzo yekuita sarudzo kuvakadzi vane pamuviri vane subclinical hypothyroidism, vanachiremba vanokurudzirwa kushandisa sarudzo yekugoverana. Neyo nzira, vanachiremba vanokwanisa kurukura nevarwere kusava nechokwadi kwemashoko edu ekurapa uye kuongorora zvinokosha kwavari pavanoita zvisarudzo pamusoro pehutano hwavo nechinangwa chokusarudza chisarudzo pamusoro pemishonga inonyatsoenderana nemamiriro avo ezvinhu.
Shoko Rinobva
Zvakakosha kuratidza kuti chidzidzo chacho chaiva chekucherechedza, uye kwete chisingarangarirwe, chengeteredzwa chirwere chekliniki. Kuti zvivepo, kutsvakurudza kwakawedzerwa kunodiwa kuti uone kana kana kwete kupa utachiona hwemajeri panzvimbo yevakadzi vane pamuviri kunogadzirisa mukana wekuve nepamuviri hwakanaka, kana kuti kutsanangura imwe tsanangudzo yakagadziriswa yekupa kurapa kuvakadzi vane subclinical hypothyroidism panguva yekuzvitakura.
Imwe nyaya inofanirwa kuidzidzwa ndeye nguva yekurapa. Kuparadzana kunowanzowanzoitika panguva yekutanga yechitatu, iyo imwe nguva iyo fetus inotsigira amai kuti ive chete inokonzera hormone yekemikari. Vatsvakurudzi vakafungidzira kuti zvinogona kuitika kuti kurapa kwe subclinical hypothyroidism kunogona kudiwa chete panguva yekutanga kwekutanga kwekuita pamuviri. Kutsvakurudza kwakawanda panyaya idzi kunobatsira kujekesa nyaya idzi kuwedzera.
> Sources:
> Elizabeth AE, et. al. "2017 Mirayiridzo yeAmerican Thyroid Association yekuziva uye Kutungamirirwa kwezvirwere zveTroroid panguva yekuzvitora uye Postpartum." Thyroid, Volume 27, Nhamba 3, 2017. Online: http://online.liebertpub.com/doi/pdfplus/10.1089/thy.2016.0457
> Spyridoula M et. al. "Utachiona hunokonzera utachiona pakati pevakadzi vane pamuviri vane subclinical hypothyroidism: US kuongorora kwenyika." British Medical Journal. J 2017; 356: i6865 ini: 10.1136 / bmj.i6865 2017. Online: http://www.bmj.com/content/bmj/356/bmj.i6865.full.pdf