Dose Kugadziriswa Kwingave Kunodiwa Kuchengetedza Utano Hwemwana
Iro thyroid gland inokosha panguva yekudzivirira sezvo inoronga kubudisa mahomoni anonzi triiodothyronine (T3) uye thyroxine (T4), rimwe nerimwe rinotora basa rinokosha pakukura kwehuroche hwemucheche uye chirwere chetsitsi.
Munguva yekutanga kwemutatu, fetus inobva paiyo amai vanopa utachiona hwehomori, iyo inowanikwa kuburikidza neparcenta.
Kuti uratidze chido ichi, utachiona hweamai hunowanzosvika mukudarika, zvichiita kuti kuwedzerwa kwegeni pachako. Izvi kazhinji hazvionekwi uye hazvizogadziri kutora pamuviri chero ipi zvayo.
Zvisinei, pane dzimwe nguva, kuwedzera kwacho kunogona kuonekwa pamakiriniki ekuongorora uye kuratidza kuti mukadzi ane hypothyroidism , mamiriro ezvinhu apo chirwere chetachiona hachikwanisi kutora hormone yakakwana yehutano.
Kuchinja kune Basa reTyroid panguva yeKubata
Kunyangwe pasi pemamiriro ezvinhu akadai, pamuviri unotadzisa kushushikana nehutachiona. Chido chekuwedzera kubudiswa kwehomoni nepamusoro kwe50 kubva muzana zvichazoguma nekuwedzera kweglandeni pachako. Madzimai ane hutano hwemazuva ose, gland rinogona kuwedzera ne10 muzana muhukuru. Madzimai ane hypothyroidism, inogona kukura nekubva kune 20 kusvika ku40 muzana.
Kunze kwekuwedzerwa kwechiganda chairo, pane kuchinja kwekugadzirwa kwehomoni izvo vanachiremba vanogona kutarisa kushandisa ropa.
Mutungamiri wavo ndeyekuedza kweTSH , iyo inoyera yehutachiona-stimulating hormone (TSH) muropa. TSH ndiyo hormone inogadzirwa nehutu hwepituitary inokonzera kugadzirwa kweT3 neT4.
Nemhaka yokuti chirwere chetachiona chinoshanda chakasiyana panguva yekuzvitakura, TSH tsika dzichachinja sezvo amai vanofambira kubva kune yekutanga kusvika kune chegumi chetatu.
Pasi pemamiriro ehutano, huwandu hweTSH hunoenderana hunogona kubva kubva ku 0.2 kusvika ku 4.0 mlU / L.
Kana nokuda kwechikonzero chipi zvacho chirwere chetrojeni hachikwanise kuchengetedza paunenge uchiita pamuviri, kukosha kuchaderera, zvichiratidza hutachiona hwehutano. Kana zvakadaro, utachiona hwemapiritsi echinzvimbo huchagadziriswa kuti uwane nzvimbo inotadza hormone yekemikari. Amai vachazogara vachiongororwa kutarisa TSH maitiro, kugadzirisa kurapwa sezvinodiwa.
Kuongorora TSH Panguva Yechirwere
Ma laboratori akawanda anosimbisa matanho awo emitatu yeTSH anorondedzera zvavanofunga kuti ndeye "tsika" pane imwe nhanho yekudzivirira. Kana zvisina kudaro, American Thyroid Association (ATA) inokurudzira kushandiswa kwezvikamu zvinotevera:
- Kutanga katatu: 0.1-2.5 mIU / L
- Chikamu chechipiri: 0.2-3.0 mIU / L
- Chetatu chetatu: 0.3-3.0 mIU / L
Kana uine chirwere chetachiona, iwe unofanirwa kuongororwa nguva dzose paunenge uine pamuviri . Kana chirwere chetachiona chinomhanya mumhuri yako kana iwe une zviratidzo zvechirwere, zvakakosha kuzivisa chiremba wako kuitira kuti iwe unogona kunyatsoongororwa uye kurapwa.
Hypothyroidism
Kana iwe uri hypothyroid, zvakakosha kuti iwe unorapwa zvose uye musati wava nepamuviri. Kana usina kusiya kana kutorwa zvisina kukodzera, yako hypothyroidism inogona kukonzera matambudziko uye motokari mumwana wako.
Kana iwe uchirapwa ne hypothyroidism, usafunga kuti iwe unogona kuramba uchigadzirisa chirwere chako nenzira imwecheteyo. Iwe unogona, iwe chaizvoizvo, unoda kuwedzera muyero wako wehutachiona hwemishonga yemishonga yemishonga inopfurikidza ne50 muzana nokukurumidza kana pamuviri uchisimbiswa. Ichokwadi, kutsvakurudza kunoratidza kuti 50 kusvika ku80 muzana yevakadzi vane hypothyroid vachada kuita izvi.
Maererano nemitemo yeATA, kuwedzera uku kunofanira kutanga semasvondo 4 kusvika ku6 uye kupfuurira kusvika kumavhiki 16 kusvika ku20 (mushure mekuita kuti utachiona hwako huve huripo hutachiona kusvikira uchiendesa).
Maererano nekutarisa, utachiona hunofanirwa kuenderera mberi mavhiki mana muhafu yekutanga yekubata uye zvakare zvakare pakati pevhiki 26 ne32.
Mushure mokuberekwa, mishonga yemishonga inofanira kuderedzwa kusvika kumazinga ekutanga asati aberekwa nekutevera-up monitoring yakaitwa mavhiki masere mushure mekuberekwa kwezuva.
Hashimoto's Disease
Chirwere chaHashimoto , chinonziwo Hashimoto's thyroiditis, chirwere chinoputika uye chinoparadza uye zvishoma nezvishoma chinoparadza utachiona. Hypothyroidism inowanzoguma yechirwere uye inorapwa nenzira imwecheteyo kushandisa hormone replacement therapy.
Kurapa kwechirwere cheHashimoto panguva yekuzvitakura kunosanganisira kurapa hypothyroidism, kunyange zvazvo kuwedzerwa kuwedzerwa kwekuchengetedza TSH pasi pe2,5 mlU / L, sezvo zvikwata zvakakwirira zvinosanganiswa nekuwedzera kwemaviri muhutano hwekuenda pamuviri.
Matongo 'Matenda
Mune zvimwe zviitiko, mukadzi anogona kuve nokunyanya kushanda pane kuti utachiona husingaiti. Izvi zvinozivikanwa se hyperthyroidism, iyo inowanzokonzerwa nehosha yeCheves .
Kana ikasatenderwa, hyperthyroidism inogona kutungamirira kumwana asati aberekwa kana preeclampsia (kubata pamuviri kusangana nehuwandu hwemagetsi eropa uye nhengo yekukuvara). Ngozi kumwana dzinosanganisira kuberekwa kwepamusoro, kukurumidza kwemwoyo, kutadza kwepabonde, uye zvimwe zvinetso zveutano. Mumatambudziko akaoma, kuberekwa kunogona kuitika.
Uyezve, kana uri nepamuviri uye une chirwere cheGraves, iwe uri pangozi yakawanda yekukudziridza maitiro akaoma e hyperthyroidism anonzi chando chetachiona . Iyo inozivikanwawo sehutano hwerorotoxic, inokonzerwa nokusunungurwa kwakanyanya kwehomoni yehutano inokonzera kukura kunogona kuuraya muropa, kutonhora kwemuviri, uye kushaya mwoyo.
Munguva yepamuviri, chirwere cheGraves chinowanzobatwa nemishonga inonzi antithyroid inonzi propylthiouracil munguva yekutanga katatu uye imwe inonzi methimazole kune yakasara yepamuviri.
Shoko Rinobva
Chimwe chinhu chinokosha chokuyeuka ndechekuti kana iwe uri hypothyroid uye iwe uri kuronga kurara, iwe unoda kutaura nechiremba wako nezvekugadzirisa kuwedzerwa kwetachiona chetrojoni rinotsiva mishonga kuitira kuti uwedzere kubereka. Chinangwa chacho kuchengeta TSH yako pasi pasi pe 2.5 mIU / L.
Iwe unofanirwawo kushanda nemushandi wako kuti uone kuberekwa kwako nokukurumidza, uye uve nechirongwa munzvimbo kuti uwedzere kuyerwa kwako kwemishonga nechiyero chawakatemerwa nokukurumidza apo ucheche hwako hunosimbiswa.
> Kwakabva:
> Alexander, E ,; Pearce, E ;; Brent, G ;; et. al. "2017 Mirayiridzo yeAmerican Thyroid Association yekuziva uye Kutungamirirwa kwezvirwere zveTroroid panguva yekuberekwa uye Postpartum." Utachiona. 2017; 27 (3): 315-389.