Utano hwehutano hwakakosha hunokosha kuti utano hune utano hwakanaka pamwe nekukwanisa kwako kubata pamuviri zvakanaka, kubudirira kuburikidza nokuzvitakura, uye kununura mwana ane utano. Heano gumi zvinetso zvehutano zvine chokuita nehutori izvo zvingakanganisa kukwanisa kwako kuva nehutano hwakanaka.
1. Kusina Ovulation
Kana iwe uine hutachiona husingazivikanwi kana husingarapiki, uri pangozi yakakura yekuva neicho chinozivikanwa se "mazhenje," kana iwe usingasununguri mazai.
Kana zhi risati rabudiswa, pamuviri uye pamuviri hazviitike. Ramba uchifunga; iwe unogona kunge uine nguva yekuenda kumwedzi, kunyange panguva yekuzorora. Iwe haugoni, zvakadaro, unogona kuva nepamuviri.
Kana zvirwere zvehutano zvakanyatsozivikanwa uye zvichirapwa, dambudziko rekudzivirira maziso rinogona kuderedzwa.
Imwe nzira yekuziva kuti zviratidzo zvinoputika ndezvekuvhara mazamu, izvo zvinoderedza kuwedzerwa kwemahomoni akasiyana-siyana anowanzopoteredza ovulation. Iwe unogonawo kushandisa nzira yekuongorora kana yehudhiro yekucherechedza , kusanganisira kupisa charing, kuziva zviratidzo zvinogona kuratidza ovulation.
Kana nyaya yako yehutachiona yakagadziriswa, gara uchifunga kuti pane zvimwe zvikonzero zvingaita zvirwere zvinotyisa izvo unofanira kuongorora nechiremba wako. Izvi zvikonzero zvinosanganisira kuyamwisa; perimenopausal change; adrenal dysfunction; anorexia; nyaya dzine mazai, kusanganisira mazai evha, kana kutemwa kwemotokari kune mavha mavari; uye polycystic ovary syndrome (PCOS), pakati pevamwe.
2. Luteal Phase Defects
Kana iwe usingazivikanwe, usingabatanidzwi, kana kuti usingatarisiri kutarisana nezvinetso zvehutachiona, iwe uri pangozi yakakura ye luteal phase defects. Nzvimbo yako yekutevera ndiyo chikamu chechipiri chekuenda kwako kumwedzi, shure kwekuvhara, uye kuburikidza nekutanga kwekutevera kwako kumwedzi.
Icho chiri mukati memutambo iwoyo, pashure pokunge mazai ako akasunungurwa, kuti inotanga rwendo rwayo kuburikidza nehutoripian tubes, iyo inogona kuberekwa nemunhu, kutanga kutanga.
Pasi pemamiriro ehutano, iyo mazai anogadzirwa anobva aenda kumubereko, apo inowanikwa mu uterine lining-inozivikanwa se endometrium-uye kubata kunoenderera mberi.
Nguva inoshandiswa mushure mekuvhenekera-kwekugadzirisa uterine mbatya, kubereka kweii, uye kubudirira kuiswa-inenge mazuva 13 kusvika ku15. Kana pasina mazai anogadzirwa akashandiswa, maitiro ehomoni anopinda muchiito, zvichikonzera kudururwa kweuterine liningine semuviri wako wenguva dzose.
Kana chikamu chako chekateti chakanyanya kupfupika, zvisinei, hapana nguva yakakwana yeii yakakonzerwa kuti ibudirire kuisa pamberi pechiratidzo chemasimoni kuti idimbure. Kana izvi zvikaitika, pasinei nekubudirira kubata pamuviri, mazai anogadzirwa haakwanisi kuisa uye panzvimbo payo anopedzisira achidzingwa pamwe nekuenda kumwedzi.
Luteal phase zvikanganiso zvinogona kuonekwa kuburikidza nekuberekwa kwekubereka- Kutora Mutoro Wako Munyori Wenyasha Toni Wechsler ane zvinhu zvakanakisisa zvingakubatsira kudzidza kudzidza kuronga zviratidzo zvekubereka. Mune zvimwe zviitiko, chiremba wako anogona kuedza yako follicle-stimulating hormone (FSH), luteinizing hormone (LH), uye mazinga eprogesterone, kuti abatsire kuziva kukanganisika kwechikamu chechiremera.
Utachiona hwakakodzera hutachiona uye kurapwa kunogona kugadzirisa kukanganisa kwechikamu mune vamwe vakadzikadzi.
Mune vamwe vakadzi, zvisinei, huwandu hweprogesterone hauna kukanganisa. Progesterone inofanirwa kubudisa hutano hwakanaka hweutterin. Mune zviitiko izvi, kuwedzera kweprogesterone kwakabatsira vamwe vakadzi kuti varambe vaine mimba yakanaka uye mwana.
3. Yakakwirira Prolactin Levels / Hyperprolactinemia
Your hypothalamus inobereka hormone inonzi horoid-releasing hormone, kana TRH. Basa reTrH nderekutsvaga kukurudzira chirwere chako chekudzivirira kuti utange utachiona hunokurudzira hormone kana TSH. Iyo TSH inokurudzira kora yako yekirori kuti ibudise hutoni yakawanda.
Apo utachiona husingashandisi zvakanaka, huwandu hwakanyanya hwe TRH hunogona kubudiswa.
Izvi zvinodarika TRH zvinogonawo kuita kuti pituitary ibudisewo hormone inonzi prolactin. Prolactin inonzi hormone inokurudzira kugadzirwa kwemukaka.
Ichi chirwere-chinonzi hyperprolactinemia- chingava nemigumisiro yakawanda paunobereka kwako, kusanganisira kusina kuvhara uye kuvhuvhuta. Iyo yakakwirira yeprolactin panguva yekuyamwisa iyo inobatsira kudzivirira vamwe vakadzi kuti vasava nemimba panguva yekuyamwisa.
Kuratidzira kuenda kwako kumwedzi uye zviratidzo zvekubereka-pamwe nekuongororwa ropa kuenzana neprolactin yako-inogona kubatsira chiremba wako kuongorora hyperprolactinemia. Kana chirwere chetachiona chakakodzera uye chirwere chisina kugadzirisa chinokonzerwa neprolactin, mishonga yakawanda-kusanganisira bromocriptine kana cabergoline-inorayirwa, uye inogona kubatsira kuderedza mapuroteni ekudzorera uye kudzorera mararamiro ako uye kuvhara kwemavara.
4. Kuenda Kwokutanga / Kuenda kumwedzi
Kana uine utachiona hwemotokari yakadai sehosha yaHashimoto, tsvakurudzo inoratidza kuti iwe unotarisana nehuwandu hwekuda kwekutanga kwekuguma kwemwedzi . MuUnited States, muvhareji wezera rekuenda kumwedzi-rinorondedzerwa sechinhu chave chave gore rose kubva panguva yako yekupedzisira yekuenda kumwedzi-is 51. Kupera kwemazuva kunotsanangurwa seyo nguva iyo nguva yemadhemoni inoshanduka uye ichidonhera-dzimwe nguva inogara kwenguva refu makore-asati asvika kumwedzi. Kune vamwe vakadzi vasingazivikanwi, vasingateereri, kana kuti vasina kukodzera kubata chirwere chetachiona, nguva imwe neimwe inogona kutanga uye kumisa kwemwedzi kunogona kuitika pazera duku, nokudaro kuderedzera makore ekubereka, nekuita kubereka kuderera munguva yekare.
Kana uri kutarisana nekushandura kwemaimenopausal, kuongororwa kwakazara kwekuberekwa, kusanganisira kuongorora kwekuchengetedza kwemaawa, FSH, LH, nemamwe mahomoni, zvinogona kuitwa nachiremba wako kuti aongorore nzvimbo yako yekubereka. Kubva pane zvaakawana, mushandi wako anogona kuita mazano pamusoro pekuti iwe uri mukana wekubata pamuviri kana kuti unoda kutsvaka kubatsira kubereka.
5. Pregnenolone Conversion Issues
Utachiona hweHyroid inotora basa rinokosha mukushandura cholesterol muine hormone pregnenolone. Pregnenolone inonzi hormone inotenderera inoshandurwa kuva progesterone, estrogen, testosterone, uye DHEA. Kana iwe usina hutoni yakakwana yehutori, unogona kunge uine kukwana mune mamwe mahomoni makuru. Kusakwana kweprogesterone uye estrogen, kunyanya, kunogona kuvhiringidza kushanda kwakanaka kwekuenda kumwedzi uye kunokanganisa kubereka kwako.
Miedzo yekudzivirira pamuviri, progesterone, estrogen, testosterone, uye DHEA inogona kuongorora kukanganisa mune mahomoni aya, uye kana uri kuedza kubata uye kuve nekukanganisika kwechiratidzo, chiremba wako anogona kukurudzira hormone kushandiswa sechitsigiro mukuedza kwako kuva nepamuviri hwakanaka.
6. Estrogen uye Thy Thyroid
Kubatana pakati peestrogen nehutachiona basa chinhu chakaoma. Estrogen inokwikwidza nehomori yehomoni yekubatanidza panzvimbo dzehutachiona mumatomu ako ose. Paunenge uine kuwedzerwa kweesrogen, inogona kuita kuti utachiona hwako hukwanise kupinda mumasero ako. Kunyangwe iwe uri kutora mishonga yemishonga inosanganisira estrogen, kana kuti une kusawirirana muestrogen inozivikanwa seestrogen dominance, kuwedzerwa kweexrogen kunogona kuparadza utachiona hwako uye hormonal balance uye kunokanganisa kubereka kwako, kunyange apo maitiro ehutachiona ehutachiona anoita seanojairika .
Kuongororwa kwewesrogen uye progesterone mazinga anogona kuitwa nechiremba wako, uye kana iwe uine kuwedzerwa kweesrogen, chiremba wako anogona kupa utungamiri uye kurapwa kudzorera iyi hormone kuenzanisa, kubatsira kubatsiridza kubereka kwako uye mikana yekuzvitakura kunobudirira.
7. Zvepabonde Hormone Binding Globulin (SHBG) Kusanzwisisika
Kana iwe usingazivikanwe kana kuti hauna kutarisira hypothyroidism, iwe unogonawo kunge wakaderedzwa maitiro ehutachiona anosunga globulin, inozivikanwa seSBBG. SHBG ipuroteni inosungira kune estrogen. Apo SHBG yako iri pasi, maestrojeni ako eesrogen anogona kuva akakwirira zvikuru. Kuwedzeresa isrogen, kunze kwekusika kusanzwisiswa kunongokurukurwa, kunogona kukanganisa kukura nekuvandudzika kwemapirlicles ako, uye kunopindirana neFSH neLH surges inobatanidza nehuvhu. Kana iwe usingazivi kana kuti zvisina kunaka uchibata hyperthyroidism, SHBG yako inogona kukwidziridzwa, iyo inogona kuderedza progesterone yako, mamiriro ezvinhu anogonawo kutungamirira kuestrogen dominance.
SHBG inogona kuyerwa nekuongorora ropa, kuongorora kana kushayikwa kana kuwedzerwa kunobatsira kubereka kwako.
8. Yekutanga Trimester Thyroid Challenge
Munguva yepamuviri, chirwere chetachiona chinowedzera chinowedzera kuti chinokwanisa kukonzera hurotoni yakawanda yevabereki nemwana. Utachiona hweHiyoyosi hunokosha pakukura kwevana neurological and brain development uye inonyanya kukosha panguva yekutanga kwemazuva matatu apo mwana wako achiri kuwedzera chirwere chetoriya chinokwanisa kubudisa hurimoni. Munguva iyoyo yekutanga katatu, mwana anovimba newe pane zvose zvinokonzera utachiona hwehomori. Mushure memasvondo gumi nemasere kusvika ku13, fetal thyroid gland inokurudzirwa, uye mwana wako achabereka utachiona hweHermone, pamwe nekuwana utachiona hwehutori kubva kwauri, kuburikidza neparcenta. Paunenge uri nepamuviri, kuwedzera kwekudiwa kwehomoni yekemikari inoenderera kusvikira mwana wako aberekwa.
Kana utachiona hwako husina simba mune imwe nzira-somuenzaniso, atrophied nekuda kwechirwere cheHashimoto uye asingakwanisi kuwedzera uye kubudisa hutachiona hwakawanda-utachiona hwako hunogona kusakwanisa kupa hormone yakakwana kumwana. Izvi zvinokonzera kuwedzera kukura kwemwana hypothyroidism, mamiriro ezvinhu anowanikwa nehuwandu hwehutachiwana hwekuparara, kuberekwa, uye kutanga kwebasa.
Nhungamiro inokosha ndeyokuti, chirwere chetachiona chinofanirwa kuongororwa uye chakakodzera kurapwa musati mimba. Uye kana iwe uri kurapwa kuti uwane hypothyroidism uye uchida kubata pamuviri usati wava nepamuviri, iwe nachiremba wako unofanira kuva nepurogiramu yekusimbisa kubata kwako nokukurumidza, uye kuwedzera kuyerwa kwako kwetrosi hormone kunomira pakarepo apo mimba inobvumirwa .
9. Kudiwa kweIodine
Iodine yezvokudya ndiyo chivako chikuru chekuvaka muviri wako wehomoni yehomoni. Sezvakakurukurwa, kubata pamuviri kunoda kuti utachiona huwedzere hukura, uye kuwedzera huwandu hwehutori hwehutano kuti uwane zvinodiwa zvevabereki nemwana. Kutsvakurudza kunoratidza kuti mukadzi ane pamuviri ane kuwedzera kwe50 muzana mune zvido zvake zvezuva nezuva, kuitira kuti akwanise kuwedzera utachiona hwehomoni.
Kunyange zvazvo vazhinji vevakadzi vezera rokurera muUnited States vasina iodine yakashaya, iyo inenge iri kuwedzera. Maererano neNational Health and Nutrition Examination Survey (NHANESI), vanenge 15 kubva muzana yevakadzi vane makore ekubereka vana iye zvino vane iodine vasina kusimba, uye zvimwe zvidzidzo zvakawana mazinga akakwirira mune dzimwe nzvimbo dzenyika.
Endocrinologists vanokurudzira kuti vakadzi vauye pamwe ne 150 mcg yeododhi, kubvira pakutanga kuziva kuburikidza nekuyamwisa. Nzira iri nyore yekuvimbisa kuti uri kuwana iodine yakakwana ndeyokutanga kutora vitamini inotakura pamuviri iyo ine iodine pakutanga apo iwe unotanga kugadzirira kubata uye unoramba uchiitora kusvikira wapedza kunwisa.
Vanachiremba vanobatanidza vanowanzokurudzira kuti une iodine maitiro akaedzwa asati aita pamuviri, uye kugadzirisa chero upi zvake hwehutachiona huripo usati waedza kutora pamuviri.
Chinyorwa chinokosha: Hazvirevi, mishonga yakawanda yemishonga inotanga kuberekwa uye mavitamini akawanda asati aberekwa haana maodhi. Iwe uchada kutarisa mabhesi zvakanyatsonaka, kuti uone kuti vitamini yako yepataline ine iodine.
Uyewo, chengetedza mupfungwa kuti mamwe mavitamini ekuberekwa anewo iron uye calcium. Kana zvakadaro, iwe unoda kuatora maawa matatu kusvika ku4 kunze kwemishonga yako yehutachiona, kudzivisa kusangana kupi zvako nemishonga yako yehutachiona iyo inoderedza kusvuta uye kubudirira.
10. Utachiona uye Kubatsira Kuberekwa
Kana uri kutsvaga kurapa kwekubereka uye kubatsira kubereka (ART), ziva kuti ART inowedzera kuwedzera pane utachiona hwako. Zvidzidzo zvakaratidza kuti chido chekuwedzera utachiona hweHroid chinowanzoitika, uye chikuru, kune vakadzi vanotarisana neAIDS, kana vachienzaniswa nekusaita pamuviri. Kana iwe uri hypothyroid uye pane utachiona hwemishonga inoshandiswa kurapwa, chirongwa chekuita kuti utachiona hwako hugadziriswe nekukurumidza uye sechisimba sezvinobvira kunofanira kukurukurwa mberi nechiremba wako wekubereka.
Nyaya inokosha: usafungidzira kuti chiremba wako wekubereka chichava pamusoro pematambudziko ako ehutachiona. Zvinotoshamisa kuti vamwe vanachiremba vanoberekera uye makiriniki havabhadhari kuongororwa kwetroji, kana kutungamirirwa kwezvirwere zvehutano panguva yekusati yatanga pamuviri, ART, kana kutanga pamuviri. Iwe uchada kuve nechokwadi chokuti chiremba wako wekubereka kana kliniki inonzi thyroid-savvy, uye kuti vane chirongwa munzvimbo kuti ave nechokwadi chokuti utachiona hwako hahuvhiringidzi nekubudirira kwemishonga yeART kana kuti pamuviri wakanaka.
Your Next Steps
Imwe yenhanho dzakanakisisa dzaunogona kutora ndeyekuti uone kuti chiremba wako-gynecologist, chiremba wehutano-uye chiremba, kana zvichibvira-ane ruzivo nezvezvirwere zvehutano, uye achabatana newe pane imwe nhanho yenzira yekuita kuti utano hwakanaka hwehroroid huve hwakakwana .
Kutsvakurudza kwakaratidza kuti vazhinji vanogadzirisa zvipembenene havasi kunyanya kuziva nezvekutarisira kubata pamuviri mumakirini ehutano. Kutaura zvazviri, kumwe kuongororwa kwezvipembenene-vane gynecologists 'vakawana kuti 50 muzana chete yechiremba vakaona kuti vakanga vagamuchira "zvakakwana" kudzidziswa mukutarisa zvinetso zvetachiona panguva yekuzvitakura. Vakawanda vezvekugadzirira magokororiki vakafanana vasina kugadzirira kuchengetedza chirwere chetachiona mumakirini avo ane pamuviri. Iwe unogona kutsvaga kuva ne-endocrinologist inobereka pamuviri wako weboka rezvechiremba, sezvo nyanzvi idzi dzinowanzove dzakanyatsoziva nezvekuti utachiona hunobata sei kubereka nekuzvitakura.
> Sources:
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> American College yeVadzidzi uye Gynecologists. 2002. "Guideline: Utachiona hwehutano muhutano." Dzidzira Bulletin Nhamba 37 100 (2) (August): 387-96. http://journals.lww.com/greenjournal/Fulltext/2002/08000/ACOG_Practice_Bulletin_No_37_Thyroid_Disease_in.47.aspx.
> Braverman, Lewis E., naRobert D. Utiger. 2005. Werner na Ingbar's The Thyroid: Chimwe Chinyorwa uye Chirongwa, 9th ed. Philadelphia: Lippincott Williams & Wilkins.
> Carp, HJ, C. Selmi, uye Y. Shoenfeld. "Kuzvidzivirira kweBasimmune Bases of Infertility uye Kuberekwa Kwekuberekwa." Journal of Selfimmunity 38 (2-3) (May 2012.): J266-J274. doi: 10.1016 / j.jaut.2011.11.016.
> De Groot, Leslie, uye. al. "Kutungamirirwa kweTyroid Kusagadzikana Munguva Yokuzvitakura uye Postpartum: An Endocrine Society Clinical Practice Guideline." Journal of Clinical Endocrinology & Metabolism 97 (8) (August 2012): 2543-65. doi: 10.1210 / jc.2011-2803.
> Leung, Angela M., Elizabeth N. Pearce, uye Lewis E. Braverman. 2009. "Iodine Content yeVabereki Vasati Vaberekerwa muUnited States." New England Journal of Medicine 360 (February): 939-40. doi: 10.1056 / NEJMc0807851.