Kuqhelekile ukuba abafazi bazive bekhathele, bazive baziva, kwaye banezinye iindidi ezininzi emva kokubeletha. Kodwa kubasetyhini abathile, iimpawu zingabangela ingxaki kwaye zingabhekisela kwingxaki ye-thyroid , eyaziwa ngokuba yi-postpartum thyroiditis.
Sibanzi
I-postpartum thyroiditis yukuvutha kwe-thyroid eyenzeka ekuqaleni kunyaka wokuqala emva kokubeleka, ukukhulelwa kwesisu, okanye ukukhupha isisu.
Kucatshangelwa ukuhlukahluka kwe-thyroiditis yakho, eyaziwa nangokuthi nguHashimoto's thyroiditis.
Ngubani Osemngciphekweni?
Ukuba ukhulelwe, unokuhlakulela i-postpartum thyroiditis. Iimeko ziqhelekile, njengoko kuqikelelwa ukuba malunga nama-7 ekhulwini kwabasetyhini abakhula.
Izingozi zokufumana i-postpartum thyroiditis ziphezulu xa unemiqathango elandelayo kunye / okanye abamakishi be-thyroid:
- Ukufika kuma-25 ekhulwini kwabasetyhini abane-diabetes ye-1 bakhula i-postpartum thyroiditis.
- Ukufikelela kuma-50 ekhulwini kwabasetyhini abane-anti-peroxidase (anti-TPO) eziphezulu ezikhulayo ze-postpartum thyroiditis.
Ikhosi
Inkqubo eqhelekileyo ye-postpartum thyroiditis i-hypothyroidism elula ukusuka kwiinyanga ezimbini ukuya kweyesithandathu emva kokuba umntwana wakho azalwe. I-hypothyroidism isonjululwa njengoko i-thyroid yakho igqamile.
Inqaku elilandelayo eliqhelekileyo libonisa u- hyperthyroidism omncinci, oqala emva kweenyanga ezine emva kokunikezelwa, emva koko i-thyroid yakho imele ilandele.
Inkambo yesithathu ibonakaliswe ngumbono ococekileyo we-hyperthyroidism oya kuthi uguquke kwixesha le-hypothyroidism elincinci kwiiveki eziliqela ukuya kwiinyanga eziliqela, kulandelwa ngumsebenzi we-thyroid.
Nangona ezinye iimeko emva kwe-postpartum thyroiditis zixazulula ixesha, kukho umngcipheko omkhulu ukuba lo mfazi uya kuqhubeka ene -roid.
Enyanisweni, kuqikelelwa ukuba ininzi yabantu abanesifo sakho se-postpartum thyroiditis, kuya kwiminyaka emine ukuya kweyesibhozo, iqhubeke ne-hypothyroidism eqhubekayo, i-goiter (i-thyroid gland).
Iimpawu
Kukho inani leempawu ze-postpartum thyroiditis ezingabonakala ngethuba le-hyperthyroid ne-hypothyroid yezimo. Ezi ziquka:
- Ukunciphisa umthamo wobisi kumabhinqa abancancisayo
- Ukulahleka kweenwele
- Ukukhathala
- I-Goiter engenabuhlungu
- Ukuxinezeleka, ukuxhalabisa kunye nokuxhalabisa
Iimpawu ngexesha le-hyperthyroid yesigaba se-postpartum thyroiditis ziqhelekileyo ziinguqu ezinzima zeempawu eziqhelekileyo ze-hyperthyroidism . Ezi zimpawu zingabandakanya ukuxhalaba, ubuthathaka obuthakathaka, ukuthukuthela, iintlungu zentliziyo , ukubetha kwentliziyo ngokukhawuleza, ukuthuthumela, ukulahleka kwesisindo kunye nokurhuda.
Ngokufanayo, iimpawu ngexesha le-hypothyroid yesigaba se-postpartum thyroiditis ziinguqu ezinzima zeempawu eziqhelekileyo ze-hypothyroidism . Zingabandakanya ukusilahla, isikhumba esomileyo, ubunzima bokulahlekelwa isisindo (okanye ukuzuza ubunzima ), ukuzithemba, ukufudumala komzimba, nokuzikhukhumeza emehlweni, ubuso kunye nezandla.
Ukuxilongwa
Ugqirha wakho uya kuqhuba iimvavanyo ezininzi zegazi ukuxilonga i-postpartum thyroiditis. Kwinqanaba le-hyperthyroid, iimvavanyo zakho zegazi zibonisa i -hormone ye-thyroid-stimulating (TSH ) ephantsi , kunye ne-thyroxine ephezulu okanye ephakamileyo (T4) kunye ne-triiodothyronine (T3).
Kwinqanaba le-hypothyroid, i-TSH yakho iya kuphakanyiswa, kwaye i-T4 kunye ne-T3 iya kuba sezantsi okanye ephantsi. I-thyroid peroxidase (TPO) yamanqanaba omntu okhupha isifo se-antibody angaphinda aphakanyiswe kwininzi yabasetyhini abane-postroidum thyroiditis, ingakumbi ngexesha le-hypothyroid.
Kwezinye iimeko ze-postpartum thyroiditis, i-ultrasound yenziwa kwaye iya kubonisa ukukhuliswa kwethambo lakho le-thyroid.
Kubalulekile ukuba uqaphele ukuba kunye ne-postpartum thyroiditis, isifo se-Graves (esenza ukuba i-hyperthyroidism) ivele emva kokuba umntwana wakho azalwe. Nangona i-postpartum thyroiditis yinto eqhelekileyo kakhulu ye-hyperthyroidism, ugqirha wakho uya kufuna ukuqinisekisa ukuba akaphosi ukuxilongwa kwezifo ze-Graves.
Ezinye izinto ezahlukileyo kukuba kwi-Graves's disease, ibhinqa linezibonakaliso ezinzima, ukwandisa ukwanda kwe-thyroid, kwaye inokuba nempawu ezinxulumene neliso (kuthiwa yi-Graves 'ophthalmopathy).
Kwezinye iimeko, uvavanyo lwe-radioiodine olufundwayo lwenziwe luye lwahlula ukuhlukanisa i-postpartum thyroiditis esuka kwi-Graves's disease. (Qaphela, nangona kunjalo, lo vavanyo alukwenziwanga ukuba uncelisa .)
Unyango
Kwiimeko ezininzi, awudingi unyango lwe-postpartum thyroiditis ngexesha le-hyperthyroid okanye i-hypothyroid phases. Iimpawu zivame ukuba zinyameko, kwaye imeko ihlala isombulula, ngokweziinyanga eziliqela ukuya kunyaka emva kokuba umntwana wakho azalwe.
Nangona kunjalo, ukuba iimpawu zakho ze-hyperthyroidism azikhathazi, ugqirha wakho unokumisela i- beta-blocker , njengepropranolol okanye i-atenolol. ( Ukuncinwa akucebisikanga ngelixa uthatha i-beta blockers, nangona kunjalo.) Izidakamizwa ze-Antithyroid zisetyenziselwa iimpawu ze-hyperthyroid kwi-postpartum thyroiditis.
Ukuba i-hypothyroidism ngexesha le-postpartum thyroiditis ibangela iimpawu ezibalulekileyo, iingcali zincoma ukuba unyango lwama-hormone luthathe indawo . Ngokuqhelekileyo, emva kweenyanga ezintandathu ukuya kwezilishumi elinesibini kumachiza, ugqirha uya kukuncoma ukuyeka, ukuze uhlolwe kwakhona ukuze ubone ukuba i-postpartum thyroiditis yakho isisombululo.
ILizwi
Emva kokuba ube ne-postpartum thyroiditis, unomngcipheko omkhulu wokuba uphinde uphinde ukhulelwe. Xa ucwangcisa ukukhulelwa, okanye xa ukhulelwe, qiniseka ukuba oogqirha bakho bayazi malunga nayiphi na imicimbi ye-thyroid eyadlulayo.
Ukongeza, i-postpartum thyroiditis yandisa umngcipheko wakho wokuphuhlisa i-hypothyroidism okanye i-goiter kamva ebomini. Yingakho kubalulekile ukuba umsebenzi wakho we-thyroid uhlolwe rhoqo ngonyaka.
> Umthombo:
> Alexander EK, et. al. "2017 Izikhokelo ze-American Thyroid Association ye-Diagnosis kunye nokuLawula izifo ze-Thyroid ngexesha lokukhulelwa kunye ne-Postpartum." Thyroid. Ngo-2017 uMar; 27 (3): 315-389.
> Burman, Kenneth. "Postpartum thyroiditis." Isemgangathweno.