Panguva yekuzvitakura , chirwere chetachiona chemukadzi chinoda kuwedzera huwandu hwayo hwemahomoni, kuitira kuti zvigadzirise zvinodikanwa naamai uye nekukura mwana.
Maererano nemitemo ye2011 yeAmerican Thyroid Association yekuziva uye Kutungamirirwa kwezvirwere zvehutano panguva yekuzvitora uye Postpartum, zvimwe zvekuchinja kunoitika zvinosanganisira zvinotevera:
- Madzimai asina iodine-haana kusimba, utachiona hunowanzokura huwandu hwe10% muhukuru panguva yekuzvitakura.
- Madzimai ane iodine-haana simba, gland rinowanzobva kubva 20 kusvika ku40 muzana muhukuru panguva yekuzvitakura.
- Kazhinji, kubudiswa kwemukadzi we thyroxine (T4) uye triiodothyronine (T3) inowedzera ne50 muzana panguva yekuzvitakura.
- Mukadzi ane pamuviri anowedzera ne50 muzana mune zvaanoda zvezuva nezuva.
Maererano neongororo yakataurwa mu Journal of Clinical Endocrinology uye Metabolism , apo mukadzi ari kutaridzirwa kuti hypothyroidism inenge yava nepamuviri, anofanira kunge achiwedzera nokukurumidza levothyroxine dosage nemahwendefa maviri evhiki, kuitira kuti utano hwake hurambe huchiita zvakanaka (" euthyroid ").
Zvidzidzo Zvidzidzo
Maererano nekudzidza, kuwedzerwa kwemasero maviri ega ega kwevhiki kunogona kuderedza zvakanyanya dambudziko re hypothyroidism muna amai uye kusangana nezvinodiwa kuti kutanga pamuviri kwepakutanga kunowedzera utachiona hweamai.
Kukundikana kubata mutachiona hypothyroidism muhutano hwepakutanga kunobatanidzwa nehuwandu hwekuparara kwepamuviri, uye kana kukwidzwa kuchienderera mberi, kunowedzerawo njodzi yekuberekwa, kusununguka nguva isati yasvika, uye kukura uye kucherechedza nekuziva kunonoka nekushayikwa kwevana mushure mokuberekwa.
Muchidzidzo ichi, vakadzi vakanga vari hypothyroid vakatsigira mimba yavo uye vakatanga kuwedzera muyero wavo weravothyroxine mishonga pakapera mavhiki masere maviri kana maviri avete pamuviri-kana mazuva makumi mana mushure mekuberekwa.
Zvinotoshamisa kuti panguva iyoyo yekutanga, 27 muzana yevadzidzi vacho vakave vaine TSH yepamusoro yepamusoro ye 5.0 , iyo inoratidza hypothyroidism uye inyanzvi inobatanidza nemigumisiro yakaipa yekutakura uye utano hwemwana uye kukura kwekuziva, kana akaberekwa.
Shanduro yevakadzi iyi yakaguma ichinyanya kunetseka uye yakanga inotora mishonga yakawanda yekirori uye inoda kuwedzerwa kuwedzerwa kuwedzerwa. Vatsvakurudzi vakaratidza kuti avo avo vanowanzopedza kunyanya kudarika kune:
- vakadzi vasina chirwere chetrogia
- vakadzi vane TSH nheyo vasati vaita pamuviri vakanga vasingapfuuri 1.5
- vakadzi vari kutora zvinenge 100 mcg / zuva reLevothyroxine vasati vaita pamuviri.
Chidzidzo chacho chakasimbisa kukosha kwekutora pamuviri kutangira uye chiito kune vevarwere, kunyora: "Mukurapa maitiro, vakadzi havawanzozvitsvaga kutarisirwa vasati vasvika mavhiki masere kusvika ku12. Saka, varwere pachavo vanofanira kunzwisisa kukosha kwokutanga ( levothyroxine) kugadziriswa pakarepo pamusana pokunge apera kuenda kumwedzi uye kuve nemuviri mimba yekuedzwa. "
Maererano nevanotsvakurudza, kuwedzera levothyroxine miviri inenge 30% -iwo mimwe miviri yevhiki-pakarepo apo mimba inobvumirwa "inoderedza zvakanyanya ngozi yechirwere chemamai inonzi hypothyroidism munguva yekutanga yechitatu.
Kuongorora utachiona hwebasa rinowanikwa kamwe chete pamwedzi kunotarisirwa pakati pemakore ekuberekwa nokuti vashoma vevarwere vangada kuti L-T4 ichinje mazamu echinangwa kuti varambe vakachengetedza TSH yakakodzera. "
Zvidzidzo zvakaratidza kuti vazhinji vevakadzi vane utachiona hwemishonga yehutori inotsiva mishonga inoda zvakanyanya se 50 muzana kuwedzerwa muyero panguva yekutanga kwekutatu kwemimba apo fetus inotenderera pakugadzirwa kweiyo amai-kana mishonga-nokuda kwehutoni hwetachiona hunokosha. Utachiona hweHyroid hunokosha pakuvandudza kwehutano hwemucheche, kunyanya munguva yekutanga kwemutatu. Mushure memakore matatu ekutanga, utachiona hwomwana hunova hukwanisa kubereka hormone yekemikari, uye kuvimba nehutachiona hwehomoni huri kuderedza.
> Kwakabva:
> Leila Yassa, Ellen Marqusee, Rachael Fawcett, naErik K. Alexander. "Utachiona Hemmoni Kutanga Kuchinja Mukugadzikana (THERAPY) Kuedza." Zvinyorwa zveKliniki Endocrinology & Metabolism . Yakabudiswa May 12, 2010.