Kutarisira Matenda Epakirini Panguva uye Pashure Pekuberekwa Kwako

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Kutarisira Matenda Epakirini Panguva uye Pashure Pokuzvitakura: Mirayiridzo

Chirwere chetachiona chinozivikanwa kuti chinokanganisa zvinhu zvizhinji zvehutano uye hutano hunotevera, uyewo hutano hwemwana wako. Mukuedza kuronga zvakasiyana-siyana uye dzimwe nguva zvinopesana nemitemo ine chokuita nehutachiona hwehutachiona uye pamuviri, kliniki mirayiridzo yehutano hwehutano hwehutachiona pakuberekwa uye munguva yekushure kwekuberekwa yakabudiswa kunopera gore ra2011, uye kubva muna 2016, inoonekwa sezvino.

Magazini yeTyroid yakabudisa mitsara yakafanana nenyaya 47-peji, iyo inonzi "Mirayiridzo yeAmerican Thyroid Association yekuziva uye Kurapa Matenda eTroroid Panguva Yokuberekwa uye Postpartum" . Ichi chinyorwa chinosanganisira mamwe mazano anokosha emitungamiri, iyo inobatsira zvikuru kana iwe uchinge uchishusha chirwere chetachiona munguva kana shure kwekuita kwako pamuviri, kana iwe iwe une chirwere chetachiona musati wava nemimba.

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Zvaunoda Kuziva NezveTroroid Screening muKubata

Muzhinji, kuongorora kwehutachiona hwepasi rose mumadzimai ane pamuviri hakurevi kutongerwa maererano neMitemo. Asi nyanzvi dzinotaura, zvisinei, kuti kuongorora nekuongorora kunoitwa pakati pevakadzi vanotarisana nehuwandu hwehutachiona hwetachiona.

Iwe uri mungozi yakanyanya yehutachiona pahutachiwana kana iwe:

• vane nhoroondo yehutachiona husina kunaka uye / kana chirwere chetroji
• vane nhoroondo yemhuri yehutachiona
• vane goiter
• kuedza kwakanaka kune yakakwirira yezvirwere zvehutano
• vane zviratidzo kana zviratidzo zvekurapa zvinogona kuratidza hypothyroidism
• ndine chirwere cheshuga cheshuga
• vane nhoroondo yekusununguka kwepamuviri kana kupererwa kwekutanga
• vane zvimwe zvinetso zve autoimmune izvo zvinowanzobatanidzwa nemararamiro ehutachiona ega autommune, akadai se: vitiligo, adrenal insufficiency, hypoparathyroidism, atrophic gastritis, kuparadza anemia, systemic sclerosis, systemic lupus erythematosus uye sjogren's syndrome
• vakaona kusununguka
• vave vakagamuchira mazaisai kumusoro kana mumitsipa sekenza kurapa, kana kuti vane mazino akawanda e-ray
• zvinorema zvakanyanya, izvo zvinotsanangurwa sechimiro chemuviri masikirwo (BMI) anopfuura makumi mana, kana uremu hwemuviri hunorema 20% kana kupfuura pamusoro pehutano hwakakosha hwemuviri
• vane makore makumi matatu kana kupfuura
• ave achibatwa na amiodarone (Cordarone) nokuda kwekuita kwemaitiro asina kukodzera
• zvakabatwa ne lithiamu
• vave vachiratidza iodine mune imwe mhizha yekuenzanisa kusiyana kwemajeri mumavhiki matanhatu apfuura,

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Zvaunoda Kuziva Nezve Hypothyroidism uye Kubata

Hypothyroidism paunenge uri nepamuviri unogona kuva nehutano hwakanyanya hwehutano pamucheche asati aberekwa, uye saka amai vemazino hypothyroidism vanofanira kudziviswa.

Kana uri hypothyroid musati mimba, Mirayiridzo inokurudzira kuti miyero yako ishandurwe kuitira kuti TSH iri pasi pe 2.5 mIU / L musati mimba . Izvi zvinoderedza dambudziko reTSH rinokurudzira mumutatu wekutanga.

Iwe unofanirwawo kusimbisa kubata kwako nokukurumidza, uye uve nepurogiramu panzvimbo yekuwedzera mishonga yako mishonga pakarepo , kuitira kudzivirira kutora kwako nekusimbisa utano hwako hwehutano ..

Kana iwe uchitaridzika se hypothyroid panguva yekuzvitakura, unofanirwa kurapwa pasina kunonoka, nechinangwa chekudzorera utachiona hwehutachiona hwechirwere nekukurumidza sezvaunokwanisa. Munguva yekutanga kwemutatu, tsh yepamusoro inofanira kuchengetwa painenge iri pakati pe1: 0.1 ne2,5 mIU / L, 0,2 kusvika ku03 mIU / L munguva yechipiri chetatu, uye 0.3 kusvika 3.0 mIU / L mumutatu wechitatu .

Pakave nemavhiki mana kusvika matanhatu musikana, chirwere chako chemishonga chetachiona kazhinji chinofanira kuwedzerwa, chinogona kusvika ne50% .

Kana iwe uine chirwere chetachiona chega, semuenzaniso, iwe wakamboidza maitiro akanaka ezvirwere zvehutano, iwe uri pangozi yekuti uve hypothyroid chero ipi zvayo pakuberekwa. Iwe unofanirwa kuongororwa nguva dzose kuburikidza nekuzvitakura kweTSH yakakwirira.

Iwe unoda zvakare kuziva nezvekuchinja kunotarisira utachiona hwako panguva yekuzvitakura .

Chimwe chinhu chinokosha kukurudzira: iva nechokwadi chokuti vitamini yako yepatalist inosanganisira iodine, chibereko chinokosha chetachiona panguva yekuzvitakura.

Ona sumo muchidimbu cheMitungamiri yeHypothyroidism, Hashimoto's Disease and Pregnancy .

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Zvaunoda Kuziva Nezve Hyperthyroidism uye Kuberekwa

Kana uine zvishoma-kupfuura-zvinoenderana neTSH mazinga, iwe unofanira kuongororwa kuti uone kana chikonzero che hyperthyroidism panguva yekuzvitakura chiri nguva shoma hyperthyroidism / hyperemesis gravidarum - mamiriro ekudzivirira anokonzera zvirwere zvakanyanya mangwanani - kana chirwere cheGraves . Kuongororwa kunoitwa nekugadzirisa kana iwe une goiter, uye / kana kuongorora kwakanaka kwezvirwere zvehutano.

Kana iwe uri nepamuviri, uye ugova hyperthyroid nemhaka yeCheves 'chirwere kana majekesi, unofanira kutanga chirwere che hyperthyroidism pakarepo. Kazhinji, iwe ungadai uchiwana kurapwa kwemishonga inodhaka (kana ichangobva kuongororwa), kana, kana uri kutotanga kurapwa, muyero wako huchagadziriswa kuitira kuti mazinga ako eT4 akasununguka agare muhutano hwakakwana kune mumwe munhu asina pamuviri.

Chirwere cheshitithyroid chinosarudzwa (kunyanya munguva yekutanga chetatu) chinonzi propylthiouracil, nokuti methimazole ine ngozi shoma (kunyange iri shoma) yekukonzera kukanganisa kuberekwa mucheche wako. Iyi Nhungamiro inokurudzira kuchinja kune methimazole kwechipiri neyechitatu vatatu .

Kana uine maitiro akaipa akaipa kune zvinodhaka zveva antithyroid, zvinoda zvikuru maitiro ekudzora yako hyperthyroidism, kana kuti usina kudzora hyperthyroidism pasinei nekurapa, chirwere chinogona kukurudzirwa . Kuvhiyiwa kwaiwanzokurudzirwa panguva yako yechipiri chetatu, apo zvingasanyanya kuisa mungozi pamuviri wako.

Nyaya inokosha: Utachiona hwehutachiona hwehutachiona hahufanirwi kupiwa kana iwe uripo kana kuti ungava nepamuviri.

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Zvamunoda Kuziva NezveTyroid Antibodies, Graves 'uye Mucheche wako

Kana iwe uine TSH receptor-stimulating kana TSH receptor-binding antibodies, vanogona kuyambuka placenta, uye kuchinja utachiona hwemwana wako. Kana iwe uine hutano hwezvirwere izvi panguva yekuzvitakura, mwana wako anogona kuberekwa ne hyperthyroidism kana hypothyroidism . Izvi zvinokonzera zvirwere, naizvozvo, zvinofanira kuyerwa kana uine zvirwere zveCheves, kana kuti iwe wakambova nevana vatsva vakavaka chirwere cheBraves. Izvo zvinogonawo kuva zvakakosha kukubata nemishonga inotapira mishonga panguva yekuzvitakura kuitira kuti uderedze ngozi kune mwana wako.

Kana iwe wakasimudza TSH receptor-stimulating kana TSH receptor-binding antibodies uye inorapwa nemishonga inoripiritori, fetal ultrasound kuongorora inofanira kuitwa. Iyi ultrasound inofanira kutsvaga uchapupu hwehutachiona husina kunaka mumwana wako ari kukura, kusanganisira kuwedzera kukurumidza uye utachiona hwakawedzerwa, pakati pezvimwe zviratidzo.

Kana iwe uri amai vatsva vane chirwere cheGraves, mwana wako achangoberekwa anofanira kuongororwa nehutachiona husina kunaka pashure pokuberekwa, sezvo kune ngozi yehutano hunonzi neonatal hyperthyroidism: iyo ine seriouos zvinoreva zvitsva .

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Zvamunofanira Kuziva NezveMangwanani Utano uye Hyperthyroidism Mukudzivirira

Vose vadzimai vane pamuviri vane hyperemesis gravidarum (chirwere chakanyanya mangwanani chinosanganisira kuora kwekurema uye kupera simba) kunofanira kuva nehutachiona basa rinoongororwa.

Kana iwe uine chirwere chakanyanya mangwanani, uye uwandu hyperthyroidism nekuda kweGerves 'chirwere, uye gestational hyperthyroidism ine mahara hormone yakakura zvikuru - yakasununguka T4 kumusoro kwereferensi yekutarisa uye TSH pasi pe 0.1 μU / ml - unogona kushanda kwenguva pfupi ane drug antithyroid.

Dzidza zvakawanda pamusoro pemazuva ano hyperthyroidism / hyperemesis gravidarum .

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Zvaunoda Kuziva NezveTrood Nodules neChroroid Cancer muKubata

Maererano neMitemo, kana uri nepamuviri uye une utachiona, unofanirwa kuva neTSH uye Free T4 yakayerwa. Kana iwe uine mhuri yemhuri ye medullary thyroid carcinoma kana akawanda endocrine neoplasia (MEN) 2, calcitonin mazinga anofanirawo kuyerwa.

Iyi Nhungamiro inopawo kuti ultrasound inoratidze zvikamu zvehutundu, uye kuongorora kukura. Kana chironga chinenge chisingapfuuri 10mm muhukuru, chidimbu chakanaka-chinoshuva (FNA) biopsy ye thyroid yako haifaniri kunze kwekunge pane zvingakanganisika.

Kana chirwere chiri kukura, kana iwe unogara uchikanganiswa kana matambudziko ezwi, kana zvimwe zviyeuchidzo zvinofungidzirwa kubva munhau, Mitungamiri inokurudzira kuti FNA iite. FNA inonzi yakachengeteka panguva yekuzvitakura.

Kana chirwere chekenza chichikanganiswa chinowanikwa mukati mekutanga kana chechipiri chetatu, chirwere chinofanira kupiwa mumutambo wako wechipiri. Zvimwe zvakasiyana-siyana zvekemikari zvinokonzera kukura zvishoma nezvishoma, saka kana kuongororwa kunoratidza kuti kenza ipirary kana follicular, uye hapana humwe uchapupu hwehutachiona hwakanyanya, unogona kupiwa mukana wokumirira kusvikira mwana wako aberekwa asati avhiyiwa.

Kana iwe uripo zvino uye uine hutano hwekenza yepuropa, pane dzimwe nguva chiremba wako achakurudzira kumirira kusvikira mushure mekuberekwa kwekuvhiyiwa. Asi iwe unogona kugamuchira kurapa nehutachiona hwemishonga yemishonga yemishonga, kuchengetedza TSH yako pasi, asi ichiri kuonekwa. Zvakanaka, yako huru T4 kana kuti ma44 mazinga aifanira kugara mukati mehutano hwakakwana hwekuita pamuviri.

Iodine inokonzerwa nehutachiona haifaniri kupiwa kana iwe ikozvino uri pamuviri kana kuyamwisa.

Mushure mokunge mawana chirwere cheradio inodhaka, iwe unofanira kumirira mwedzi mitanhatu kusvika pagore kuti uve nepamuviri, kuti uone kuti utachiona hwako huri hwakasimba, uye kuti kenza yako yekirori iri mukuregererwa.

Dzidza zvakawanda pamusoro peTyroid Nodules neTroroid Cancer muKubata .

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Zvaunoda Kuziva Nezve Matambudziko eTroid Post Postum

Kana iwe une nhoroondo ye postpartum thyroiditis , iwe uri pangozi yakakura yekutengesa hypothyroidism. Iwe unofanirwa kuva nehutano hwegore negore.

Kazhinji, mishonga ye antithyroid haigamuchirwi kwenguva ye hyperthyroid ye postpartum thyroiditis. Kana uine postpartum thyroiditis uye uri chiratidzo, beta blocker inogona kushandiswa. Iko kunonzi beta blocker yakakurudzirwa ipropranolol, pamutsetse wakaderera kuderedza zviratidzo.

Iyi Nhungamiro inokurudzira kuti mushure mehutachiwana hweH hyperthyroid, TSH yako inofanira kuongororwa kwemwedzi miviri kusvika gore rakatevera postpartum, kuvhara ye hypothyroidism.

Kana zviratidzo zvako zvakanyanya, kana kuti uri kuronga kubata pamuviri, hypothyroidism inokonzerwa ne postpartum thyroiditis inofanira kurapwa. Kana iwe uine maitiro, iyo Mirayiridzo inokurudzira kuva neTSH yako ichichecherwa kwemavhiki mana kusvika masere.

Kana hyperthyroidism inowanikwa mushure mokunge uine pamuviri, Mirayiridzo inokurudzira kuti hyperthyroidism yako inorapwa, asi inokurudzira kuti kana zvichidiwa, sarudzo yekutanga yemishonga inonzi drug adithyroid inozivikanwa semethimazole (zita rechiratidzo Tapazole). Kusvikira 20 kusvika ku30 mg / d inonzi yakachengeteka kune amai vanoyamwisa uye mwana wavo. Chisarudzo chechipiri chemishonga inonzi antithyroid mushure mekuberekwa ndekupropylthiouracil (inozivikanwa se PTU), pamataira kusvika 300mg / d. Nyanzvi dzine zvimwe zvinonetsa pamusoro pekushandiswa kwe PTU nekuda kwezvinetso nehuputi hwechiropa hunosanganiswa nemishonga.

Kana iwe uchiyamwisa uye uchitora mishonga yeitroithyroid, iyo Mirayiridzo inokurudzira kuti mizivo yemishonga ye antithyroid iparadzwe, uye inotorwa dzimwe nguva dzezuva dzinoitika mushure mekuyamwisa. Kana uri kutora mishonga yeitroithyroid nekuyamwisa, mwana wako anofanirwa kuongororwa nguva nenguva neongororo yebasa yehutano, maererano neMitemo.

Kuti uwane mamwe mashoko, ona:

• Postpartum Thyrotoxicosis / Hyperthyroidism
• Postpartum Thyroiditis

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Zvamunofanira Kuziva Nezvekudzivirira Kubata neTyroid Disease

Vanaamai vazhinji vatsva vanosarudza kuyamwisa. Kana uine chirwere chetachiona, unganetseka nezvekuchengetedzwa kwekuyamwisa.

Kana iwe uri kurapwa nokuda kwe hypothyroidism paunenge uchiyamwisa , iwe unogona kuramba uchichengetedza utachiona hwemishonga inoshandiswa pamishonga yako yakakodzera pasina kukuvadza mwana wako .

Mubvunzo wokutora mishonga yeitroithyroid ye hyperthyroidism panguva yekuyamwisa inenge ichikakavhiringidza, uye iwe unogona kuongorora kutsvaga nehupenyu huri mberi.

Iwewo unofanirwa kuziva nezvesarudzo uye mamwe mazano anotaura nezvekuti iwe unogona sei kuchengetedza utachiona paunenge uchiyamwisa .

> Kwakabva:

> Stagnaro-Green, Alex, uye. al. "Nhungamiro yeAmerican Thyroid Association yekuziva uye Kurapa Matenda eTroroid Panguva Yokuberekwa uye Postpartum." Thyroid . Bhuku 21, Nhamba 10, 2011 (Online)