Zvakajairika kuti vakadzi vanzwe vakaneta, vanoziva mafungiro, uye vane zviratidzo zvakasiyana-siyana mumwedzi mushure mokuberekwa. Asi kune vamwe vakadzi, zviratidzo zvinogona kuva zvinetso uye zvinogona kureva chinetso chetachiona , chinonzi postpartum thyroiditis.
Overview
Postpartum thyroiditis iko kuputika kwetachiona iyo inotanga kuitika mugore rokutanga mushure mekusununguka, kupererwa pamuviri, kana kubvisa pamuviri.
Zvinonzi kuchinja kwe autoimmune thyroiditis, inozivikanwa seHashimoto's thyroiditis.
Ndiani Ari Pangozi?
Kana wakanga uine pamuviri, unogona kutanga postpartum thyroiditis. Mamiriro acho akaenzana, sezvo zvichifungidzirwa kuti anenge 7 muzana yevakadzi vanokura.
Ngozi dzekutora postpartum thyroiditis dzakakwirira kana uine zvinhu zvinotevera uye / kana thyroid markers:
- Kusvika 25 kubva muzana yevakadzi vane chirwere cheshuga chekuita chirwere chepabonde chinokurudzira postpartum thyroiditis.
- Kusvikira 50 kubva muzana yevakadzi vane yakakosha anti-peroxidase (anti-TPO) ma antibodies vanoita postpartum thyroiditis.
Nzira Yokufananidzira
Nzira yakakurumbira ye postpartum thyroiditis ine unyoro hypothyroidism inotangira pamwedzi miviri kusvika kumatanhatu mushure mekuzvarwa kwako. Iyo hypothyroidism inogadzirisa sezvo utachiona hwako hunowanzosimudzira.
Mharidzo inotevera inonyanya kufanana inonyanyisa hyperthyroidism , iyo inotanga imwe kusvika kumwedzi mina pashure pokuberekwa, mushure mekudaro utachiona hwako hunowanzosimudzira.
Nzira yechitatu inoratidzwa nehape hyperthyroidism iyo inoshanduka kusvika panguva yenyoro hypothyroidism kwemavhiki mashomanana kusvika kumwedzi inoverengeka, inoteverwa nekugadzirisa kwetachiona basa.
Kunyange zvazvo dzimwe mamiriro ekutevera postpartum thyroiditis kugadzirisa kwenguva, pane mungozi yakasimba yokuti mukadzi acharamba ane chirwere chetachiona.
Zvechokwadi, zvinofungidzirwa kuti vakawanda sehafu yevanhu vane postpartum thyroiditis, mukati pemakore mana kusvika kumasere, vanoramba varipo hypothyroidism, a goiter (yakawanda yakagadzirwa nejeni), kana maviri.
Zviratidzo
Kune huwandu hwezviratidzo zve postpartum thyroiditis iyo inogona kuonekwa panguva iyo yose iyo hyperthyroid uye hypothyroid zvikamu zvechiitiko chacho. Izvi zvinosanganisira:
- Kuita mukaka wakawanda mumadzimai ekuyamwisa
- Kuora bvudzi
- Kuneta
- Goiter iyo haina kurwadza
- Kuora mwoyo, kuzvidya mwoyo, uye kufara
Zviratidzo panguva yechikamu che hyperthyroid ye postpartum thyroiditis inowanzonyanya kushandura zviratidzo zve hyperthyroidism zviratidzo . Zviratidzo izvi zvinogona kusanganisira kuzvidya mwoyo, kushaya simba kwepfungwa , kusagadzikana, kupindira kwemwoyo, kutsamwa kwemoyo nokukurumidza, kudengenyeka, kuora muviri, uye kurara.
Saizvozvowo, zviratidzo panguva ye hypothyroid phase ye postpartum thyroiditis inoshandiswa yakawanda yehuwandu hypothyroidism zviratidzo . Zvinogona kusanganisira kusvibiswa, ganda rakaoma, kuoma kurasikirwa (kana kuwedzera pfuma ), kuzvidzora, kutonhora kwemuviri, nekuzvikudza mumeso, chiso, nemaoko.
Kuziva
Chiremba wako acharamba achiedza kuongororwa kwakawanda kweropa kuti aongorore postpartum thyroiditis. Muchikamu che hyperthyroid, kuongororwa kweropa kwako kunoratidzira hutachiona hunokonzera hutori (TSH ), uye thy-high-normal kana yakakwirira thyroxine (T4) uye triiodothyronine (T3).
Muchikamu che hypothyroid, TSH yako ichakwiridzirwa, uye T4 naT3 vachave vakaderera kana kuti vashoma. Thyroid peroxidase (TPO) antibody mazinga inogona kukwidziridzwa mumuzhinji yevakadzi vane postpartum thyroiditis, kunyanya munguva ye hypothyroid phase.
Mune zvimwe zviitiko zve postpartum thyroiditis, inonzi ultrasound inoitwa uye icharatidza kuwedzera kwetachiona chako chetroroid.
Zvakakosha kuziva kuti pamwe ne postpartum thyroiditis, chirwere cheGrimves ' (autoosmmune) chinokonzera hyperthyroidism chinogona kuitika kana mwana wako aberekwa. Apo postpartum thyroiditis inonyanya kukosha chikonzero che hyperthyroidism, chiremba wako achange achida kuva nechokwadi kuti haasisina hutachiwana hweHerves 'chirwere.
Zvimwe zvinhu zvinosiyanisa ndezvokuti muGraves 'chirwere, mukadzi ane zviratidzo zvakakomba, huwandu hwekuwedzera kwehutori, uye angave ane zviratidzo zvine maziso (zvinonzi Graves' ophthalmopathy).
Mune zvimwe zviitiko, chirwere cheRadioiodine chinotariswa chinoitwa kuti chiparadzanise postpartum thyroiditis kubva kuGraves 'chirwere. (Cherechedza, zvisinei, izvi hazviiti kana uchiyamwisa .)
Kurapa
Muzviitiko zvakawanda, hauzongoda kurapwa kwe postpartum thyroiditis panguva imwechete ye hyperthyroid kana kuti epothyroid phases. Zviratidzo zvinowanzova zvinyoro, uye mamiriro acho ezvinhu anogadzirisa kazhinji pacho, mukati memwedzi yakawanda kusvika gore rose pashure pokunge mwana wako aberekwa.
Zvisinei, kana zviratidzo zvako zve hyperthyroidism zvisingafadzi, chiremba wako angaronga beta-blocker , yakadai sepropranolol kana atenolol. (Kuberekwa hakunzwisisi pavanotora beta blockers, zvisinei.) Zvinodhaka zveAtithyroid hazvishandisi zviratidzo zvehuputi mu postpartum thyroiditis.
Kana hypothyroidism panguva yepartpartum thyroiditis inokonzera zviratidzo zvikuru, nyanzvi dzinokurudzira utachiona huri kutora mushonga mushonga . Kazhinji, mushure memwedzi mitanhatu kusvika kumwedzi gumi nemaviri pamishonga, chiremba wako achakurudzira kuimisa, saka unogona kuongororwa zvakare kuti uone kana yako postpartum thyroiditis yakagadzirisa.
Shoko Rinobva
Mushure mekunge mave ne postpartum thyroiditis, une ngozi yakawanda yekuita zvakare zvakare mumimba yekusununguka. Paunenge uchironga pamuviri, kana paunenge uri nepamuviri, iva nechokwadi chokuti vanachiremba vako vanoziva chero dambudziko rehutano rakapfuura.
Mukuwedzera, postpartum thyroiditis inowedzera mukana wako wekuvandudza hypothyroidism kana kuti goiter gare gare muupenyu. Ichi ndicho chikonzero zvakakosha kuti utachiona hwako huongororwe gore negore.
> Kwakabva:
> Alexander EK, et. al. "2017 Mirayiridzo yeAmerican Thyroid Association yekuziva uye Kutungamirirwa kwezvirwere zveTroroid Panguva yekuzvitora uye Postpartum." Thyroid. 2017 Mar; 27 (3): 315-389.
> Burman, Kenneth. "Postpartum thyroiditis." Kusvika pari zvino.