Ko Amai Vatsva Vanokwanisa Kuberekera Asi Hypothyroid kana Hyperthyroid?
Chirwere chetachiona chakakurumbira, uye saka vakadzi vakawanda vanozvibvunza kana vachakwanisa kunwisa neye hypothyroidism kana hyperthyroidism. Ndeipi yemishonga inoshandiswa kurapa zvinetso zvetachiona yakachengeteka kana uchiyamwisa? Ndezvipi zvinhu zvaungatarisana nazvo nekuyamwisa nekuda kwehutachiona hwako?
Kuyamwisa uye Zvirwere Zvirwere
Wakafadzwa pamusoro pokuva nemwana mutsva!
Sezvo mai vatsva, munogona kuda kuti mwana wenyu mutsva ave nezvakawanda zvakabatsirwa zvinobva mukaka wemvere. Asi vana vanoyamwisa vanorayirwa kuti vachenjerere nezvekushandisa zvinodhaka nemishonga, pamwe nekugamuchira mamwe mazano ekurapwa panguva yekuyamwisa.
Ngatitarise kuti ingangodaro sei kana hypothyroidism kana hyperthyroidism inogona kukanganisa kuyamwisa, pamwe chete nemigumisiro yekubereka mwana, kazhinji, inogona kuva nehutachiona hwako.
Kusununguka uye Kuberekwa Kunogona Kuchinja Utachiona Hwako
Nokuda kwekuita pamuviri uye kunyanya kunenge nguva yekuberekwa, muviri wako unopinda nepakati pemashandisi makuru ehomoni. Izvi zvinosanganisira kuchinja kwehutachiona basa, uye izvi zvinogona kuitika kunyange kana iwe wakagadzikana pamishonga ye hypothyroid kwenguva yakareba. Mukuwedzera kumamiriro ehutano aripo musati mazvara, vakadzi vakawanda vanokura matambudziko ehutori mumwedzi inotevera kuberekwa.
Postpartum Thyroiditis
Postpartum thyroiditis inowanzoitika kune inenge inenge 7 muzana yevakadzi vakaberekwa.
Inofungidzirwa kuva mamiriro ehurumende uye inogona kuitika chero nguva ipi zvayo mugore rokutanga mushure mokuberekwa. Kuderera mumukaka kunopa imwe yezviratidzo zvinowanzoenderana nemamiriro ezvinhu (ona pasi apa).
Kunyanya kuratidzwa kwe thyroiditis unyoro hypothyroidism. Kune rumwe rutivi rwomutambo, vamwe vakadzi vanoona hyperthyroidism (kazhinji inoteverwa ne hypothyroidism gare gare).
Zviratidzo zve postpartum thyroiditis, zvakadai sokuneta, kusuruvara kwevhudzi, uye mafungiro ehupenyu, zvinogona kuraswa nyore nyore sezvo zviratidzo izvi zvakajairika zvakanyanya munguva yekupedzisira.
Kazhinji nguva hapana kurapwa kunodiwa, kunyange zvazvo vakadzi vakawanda vane thyroiditis vachakudziridza hypothyroidism pasi pasi. Kana uine utachiona autoantibodies sehwa Grave's disease kana Hashimoto's thyroiditis, ichi hachisi chinetso mukuyamwisa sezvo ma antibodies akawandisa zvokuti haapfuuri muchikaka chemuzamu.
Maitiro ehutano hwehutano angakubatsira sei kuberekwa
Kana uine chirwere chetachiona chakanyatsochengetedzwa pamishonga, kazhinji kazhinji chinetso chekuyamwisa. Nekushaya kwakakwana, zvisinei, chirwere chetachiona chinogona kuchinja kukwanisa kwako kunwisa pamufambi nenzira shomanana. Ramba uchifunga kuti kunyange kana iwe wakanga uine mushonga wakafanana wemishonga yekirori kwemakore mazhinji, chiremba chako chingada kuchinjwa mushure mekunge pave shure.
Hypothyroidism (ingave isina kutorwa kana kuti isina kukodzera kurapwa) inogona kuderedza kupiwa kwako kwemukaka wamazamu. Inogonawo kuita kuti pave nyore kurega-pasi reflex. Nehutano hwakanaka hwe hypothyroidism, zvisinei, nyaya idzi dzinofanira kugadziriswa.
Utachiona hunoenderanawo nehuwandu hwako hweprolactin, seprolactin ndiyo hormone inokubatsira kubereka mukaka.
Kuyamwisa muvakadzi ne Hypothyroidism (Inactive Thyroid)
Muzvizhinji, hapana chikonzero nei mukadzi ane hypothyroid uye pane utachiona hormone replacement therapy haafaniri kukwanisa kunwisa. Zvechokwadi, zvinokosha kuti urambe uchirapa mishonga yako yehutano uchirapa.
Kana iwe uri amai vatsva vane preexisting hypothyroidism, iwe unofanirwa kuva nehutachiona mukati memavhiki mashomanana ekutaurira pazvino. Iko kuongorora kunotarisa kuchinja muhutano hwako hwehutano hunogona kutendesa kuchinja kwemishonga yako. Zvakakosha kudzokorora zvakare kuti kuchinja kwemaji kunowanzodiwa mushure mokuberekwa, kunyange kana iwe wakanga uri muzana rimwe chete kwemakore.
Kunyange zvazvo vanhu vanowanzorairwa kuti varege kushandisa mishonga panguva yekuyamwisa, zvakakosha kuti iwe urambe uchirapa utachiona hwako. Izvo zvinogona kubatsira kuzviyeuchidza kuti uri kutora utachiona hweHotmone replacement therapy, nechisimbiso pane izwi rinotsiviwa. Iwe hausi kuwedzera mushonga mutsva kune yako system, asi uchingosimbisa hormone iyo muviri wako unowanzogadzira. Kune ngozi shoma chero bedzi iwe uchitora mushonga wako sezvaunorayirwa. (Iwe unogona kudzidza zvakawanda nezvekutora mishonga yehutano panguva yekuyamwisa ).
Nguva Yokutaura Nechiremba Wako
Kana iwe uri hypothyroid, uye kuyamwisa mwana wako kurasikirwa, kunonoka kuwedzera, kana kusava nenhamba inotarisirwa yezvinyuchi uye mahara diapers, unofanirwa kukumbira kuongorora kwetrosi yako pakarepo, uye taura nevana vako nezvevana kuti uve nechokwadi chokuti mwana wako ari kuwana kudya kwakakwana. Pane zviratidzo zvakawanda zvaunogona kutarisa kuti uone kuti mwana wako ari kuwana mukaka wakakwana wemukaka.
Kunyange zvazvo hypothyroidism inogona kukonzera mukaka wakaderera unopa, pane zvimwe zvakawanda zvinokonzerwa neizvi zvakare. Kana iwe uine hanya nekugadzira mukaka wakakwana wemukaka uone zvimwe zvezvinhu zvinogona kuderedza mukaka wako
Kana uri kutarisana nemukaka wakawanda wemukaka, funga kubhadhara muyanzvi wevashandi, kana chiremba wevana, kuti uwane mazano pamishonga nemishonga chaiyo inogona kubatsira kuvandudza mukaka wako.
Kuyamwisa muvakadzi ne Hyperthyroidism
Vakadzi vakawanda vane hyperthyroidism vanogona kunwisa zvakare. Kana hyperthyroidism inokonzerwa nekubuda shure kwetroroiditis, kurapwa hakuwanzodiwa.
Kana uine chirwere cheGurve kana kuti une hyperthyroidism musati wava nepamuviri, zvakakosha kutaura nachiremba wako pamusoro pekuchengetedzwa kwekutora mishonga yeitroithyroid panguva yekuyamwisa. Kushandisa mishonga iyi hazvirevi kuti hauzokwanisi kunwisa, uye pfungwa yezvino ndeyokuti vakadzi vanofanira kukurudzirwa kunwisa vana pasinei nekurapwa. Mimwe mishonga, yakadai saTapazide (methimazole), zvisinei, inoshandiswa pane PTU (propylthiouracil). Izvozvo zvakati, nokuda kwevakadzi vanofanirwa kutora PTU nekuda kwekurwisana neTapazide kana kukanyanya hyperthyroidism, kunwisa kungaramba kuchikwanisika. Zvakakosha iwe uchitaura nachiremba wako pamusoro pekutsvakurudza kwakapfuura pane ino.
Iodine inodhaka, kana sechikamu chetachiona scan kana kuti kurapwa kwe hyperthyroidism (radioactive iodine ablation) haifaniri kusanganiswa nekuyamwisa sezvo iodine inokonzera mahara inogona kuunganidza uye inoramba iri mumukaka wamazamu kwevhiki dzinoverengeka. Kana izvi zvave zvichikurudzirwa, unogona kuda kutaura nachiremba wako nezvenzira dzakasiyana-siyana kune utachiona hwekutengesa (zvakadai senyuchi inonzi biopsy kana zvimwe kuongororwa ropa) kana dzimwe nzira kune iodine inodhaka (yakadai semishonga inonzi antithyroid). Kana technetium inoshandiswa kuti utarise utachiona, kunyamwa kunofanira kuvharirwa kwemaawa anenge makumi matatu zvichienderana nenzira iyo (mukaka wemvere inofanira kuputirwa uye kukandirwa panguva ino).
Thyroid Cancer
Kana uine kana une kenza yekenza, zvakakosha kutaura nachiremba wako pamusoro pezvinetso zvekuyamwisa. Pasinei nokuti iwe uchakwanisa kunyamwisa mwana wako kunobva pane zvinhu zvakawanda. Pamusoro pezvinyorwa zvakanaka, zvisinei, ndezvekuti kuyamwisa kunoratidzika kuva neukama hwomukati pamwe nekuvandudzwa kwekenza yekenza, uye nguva refu yekuyamwisa inosanganiswa nemutengo muduku.
Pasi Pepamusoro Pakuberekwa Nehutano Hwechirwere
Chirwere chetachiona chakakurumbira, uye zvinokurudzira kuti vanhu vakawanda vachakwanisa kutora mishonga yavo uye kunwisa vana pasina matambudziko. Kuchinja kwehutachiwana hwekutsvaga zvinoshandiswa zvakanyanya kwazvo pashure pekuberekwa, uye kunetseka nekuyamwisa kungakukurudzira kudiwa kwekuti utachiona wako huongorwe. Kune vakadzi vane matambudziko ehutachiona vasati vaita pamuviri, chinhu chakanakisisa kuronga utachiona hwakanyanya hunongotora nguva pfupi mushure mekuberekwa.
Hauna kukwana yakawanda yehomoni inogona kukonzera matambudziko nemuchengetedzi wemukaka, kutora-pasi kwako, uye zvinogona kukonzera zviratidzo zvinoderedza kukanganisa. Zvakajairika kuti vakadzi vasavhiringidzwa nekuyamwisa kunyange pasina nhoroondo yezvirwere zvehutachiona, uye kupa mazano kune vadzidzisi ve lactation zvingava zvinokosha. Kakawanda nguva inongotora nhungamiro shomanana kuti ikubatsire kubudirira kunyamwa chero bedzi iwe uchida kufarira.
> Sources:
> Hudzik, B., uye B. Zubelewicz-Szkodzinska. Antithyroid Zvinodhaka Panguva Yokurwisa. Clinical Endocrinology (Oxford) . 2016. 85 (6): 827-830.
> Kim, E. Kuyamwisa uye Diabetes Mellitus / Thyroid Disease. Annals of Pediatric Endocrinology uye Metabolism . 2012. 17 (2): 76.
> Yi, X., Zhu, J., Zhu, X., Liu, G., naL. Wu. Kuberekwa neKeroid Cancer Njodzi muvakadzi: Dose-Mhinduro-Mhinduro-Epidemiological Studies. Clinical Nutrition . 2016. 35 (5): 1039-46.