Umsebenzi we-thyroid uphambili kubaluleke kakhulu kwinkqubo yokuzala enempilo kunye nokukwazi kwakho ukukhulelwa ngokuphumelelayo, ukuchuma ngokukhulelwa, nokuvelisa umntwana ophilileyo. Nazi iimingeni ezi-10 ezinxulumene ne-thyroid ezinokuchaphazela ukukwazi kwakho ukuba nomntwana onempilo.
1. Ukungabikho kwe-Ovulation
Ukuba unesifo sengqondo se-thyroid okanye ungaphathwa kakubi, unomngcipheko omkhulu wokuba nolwazi olubizwa ngokuthi "umjikelezo onqabileyo," umjikelezo xa ungawukhululi iqanda.
Ukuba iqanda likhishwa, ukukhulelwa nokukhulelwa akunakwenzeka. Gcinga ezingqondweni; usenokuba nexesha lokuya esikhathini, nangethuba leentshukumo. Kodwa awukwazi ukukhulelwa.
Xa izifo ze-thyroid zifumene kakuhle kwaye zonyango, umngcipheko weentshukumo zonyango zingancitshiswa.
Enye indlela yokufumanisa imijikelezo yentsholongwane yinkqubo ye-ovulation predictor kit, eyenza ukunyuka kwama-hormone athile ejikelezayo. Ungaphinda usebenzise indlela yokubeka iliso kwikhompyutheni okanye yekhompyutheni, kubandakanywa ukutshintshwa kwezotshani, ukuchonga iimpawu ezingabonakalisa i-ovulation.
Ukuba iingxaki zakho ze-thyroid zixazululwe, gcinani engqondweni ukuba zikho ezinye izizathu zokufumana imijikelezo enesibindi esimele uhlolisise kunye nodokotela wakho. Ezi zizathu zibandakanya ukuncelisa; utshintsho lwe-perimenopausal; i-adrenal dysfunction; i-anorexia; Imiba ye-ovari, kubandakanywa nokugcinwa kweqanda eliphantsi, okanye ukuhlaselwa ngokuzenzekelayo kwi-ovaries; kunye ne-polycystic syndrome (PCOS), phakathi kwabanye.
2. iLuteal Phase Defects
Ukuba unobungozi obungaphendulwanga, ungakhange usebenze, okanye ungaphathi kakuhle i-thyroid, unomngcipheko omkhulu wezalathisi zesigaba se-luteal. Isigaba sakho sokuqhawula isiqingatha sesibini sokuhamba kwakho, emva kokuhamba, kunye nokuqala komjikelezo wakho wokuya esikhathini.
Ngethuba lesigaba salo, emva kokukhishwa kweqanda lakho, ukuba liqalise uhambo lwayo ngokusebenzisa iibhulo zomzimba, apho kunokucetyiswa ngedoda, kuqala ukukhulelwa.
Kwiimeko eziqhelekileyo, iqanda elichumayo lihamba ukuya kwisibeleko, apho lifakela khona kwi-uterine yolwazi olubizwa ngokuba yi-endometrium-kwaye ukukhulelwa kuyaqhubeka.
Ixesha elifunekayo emva kwe-ovulation-ukwenzela ukulungiswa kwimbumba ye-uterine, ukuchumisa kweqanda, kunye nokuphunyezwa ngokuphumelelayo-malunga neentsuku ezili-13 ukuya kwi-15. Ukuba akukho nqanda ekhulelweyo ezaliswe, inqubo ye-hormone iya kwizenzo, kubangela ukuchithwa kwebala le-uterine njengexesha eliqhelekileyo lokuya esikhathini.
Ukuba isiqendu sakho sisifutshane kakhulu, ke, akukho xesha elaneleyo leqanda elichumayo ukuze liphunyezwe ngempumelelo phambi kokuba uphawu lwemodemoni luchithwe. Xa oku kwenzekayo, nangona i-conception ephumelelayo, iqanda elikhulelweyo alikwazi ukuvelisa kwaye kunoko liphela lixothwa kunye negazi lokuya esikhathini.
Iziphene zesigaba seLuteal zichongiwe ngokutshintshwa kwezityalo-Ukuthatha isisombululo somlobi wakho wezolimo uToni Wechsler unemithombo enobuncedo bokukunceda ufunde indlela yokutshintsha imiqondiso yokuzala. Kwezinye iimeko, ugqirha wakho unokuvavanya i-hormone yakho evuselela i-hormone (FSH), i-hormone ye-luteini (LH) kunye namazinga e-progesterone, ukukunceda ukuchonga iziphene zesigaba.
Ukuxilongwa kwe-thyroid eyiyo kunye nokunyanga kunokusombulula iimpembelelo zesigaba samabhinqa kwabanye abafazi.
Kwamanye amabhinqa, nangona kunjalo, i-progesterone enganeleyo ingaba yinto enecala. Iprogesterone iyadingeka ukuvelisa i-utéine yelinki. Kuloo meko, i-progesterone eyongezelelweyo iye yasiza abanye abafazi ukuba babe nokukhulelwa okusemgangathweni kunye nosana.
3. Amanqanaba ePlactin aphakanyisiweyo / Hyperprolactinemia
I-hypothalamus yakho ivelisa ihomoni ebizwa ngokuba yi-thyroid-release hormone, okanye i-TRH. Umsebenzi we-TRH kukukhuthaza ukuba i-pituitary gland ivelise i-thyroid eyenza i-hormone okanye i-TSH. I-TSH ivuselela i-thyroid gland ukuze ivelise i-hormone ephezulu ye-thyroid.
Xa i-thyroid ingasebenzi kakuhle, amazinga aphezulu e-TRH angaveliswa.
Le ngqungquthela ye-TRH nayo, inokubangela ukuba i-pituitary ikhuphe i-hormone ebizwa ngokuba yiprolactin. Iprolactin yimi hormone ekhuthaza umveliso wobisi.
Le meko-eyaziwa ngokuba yi- hyperprolactinemia- ingaba nemiphumo emininzi ekuzaleni kwakho, kubandakanywa i-ovulation engavumelekiyo kunye nemijikelezo enesibindi. Amanqanaba aphakamileyo eprolactin ngexesha lokuncelisa okuncedisayo kuthintela abanye abafazi ukuba bangakhulelwa ngenkathi belisa.
Ukutshintsha umjikelezo wakho wokuya esikhathini kunye neempawu zokuzala-kunye novavanyo lwegazi olulinganisa ne-prolactin level-kunokunceda ugqirha wakho uhlolisise i-hyperprolactinemia. Ukuba ukuxilongwa kwe-thyroid eyiyo kunye nokunyanga akusombululi inkinga yeprolactin, izidakamizwa ezininzi-kubandakanywa ne-bromocriptine okanye i-cabergoline-zichongiwe, kwaye zinokunceda amanqanaba eeplactin aphantsi kwaye abuyisele imijikelezo yakho kunye nokuvuthwa.
4. Ukuqala kwexesha lokugqibela / ukuxhoma kwexesha
Ukuba unesifo se-thyroid esifana nesifo sikaHashimoto, uphando lubonisa ukuba ubhekana nobungozi obuncinane bokuqala kokuphuma kwesisu . EUnited States, umyinge wexesha elide lokuyeka umyeni-uchazwe njengento xa sele yonyaka opheleleyo ukususela kwixesha lokugqibela lokuya esikhathini-ngu-51. Ukuphela kwexesha kuchazwe njengethuba xa amazinga e-hormonal ajika kwaye ahla. iminyaka-ngaphambi kokumisa. Kwabafazi abathile abangakhange bafumana unyango, bangakhange baphathwe, okanye bangaphathi kakuhle iimeko ze-thyroid, ukuqala kwimizuzu kungaphaya kokuqala kwaye ukuphela komntu kunokuthatha ixesha elifutshane, oko kukunciphise iminyaka yokuzala, kwaye kubangele ukuzala okuncinci kwiminyaka engaphambili.
Ukuba ufumana utshintsho lwe-perimenopausal, uhlolo lokuzalisa ngokupheleleyo, kuquka ukuhlaziywa kwe-ovarian reserve, i-FSH, i-LH, kunye namanye ama-hormone, unokwenziwa ngugqirha wakho ukuvavanya isimo sakho sokuzala. Ngokusekelwe kwiziphumo, ugqirha wakho unokwenza iingcebiso malunga nokuba ungumgqatswa wokuveliswa kwemvelo okanye unokufuna ukuphinda uncedise ukuzaliswa.
5. I-Pregnenolone Conversion Issues
I-hormone ye-thyroid inendima ebalulekileyo ekuguqula i-cholesterol kwi-hormone ukukhulelwa. I-Pregnenolone yi-hormone esandulela i-progesterone, i-estrogen, i-testosterone kunye ne-DHEA. Xa ungenayo i-hormone ye-thyroid eyaneleyo, unakho ukusilela kula ma-hormone abalulekileyo. Ukungaphumeleli kwi progesterone kunye ne-estrogen, ngokukodwa, kunokuphazamisa ukusebenza kakuhle kwimijikelezo yokuya esikhathini kwaye kuphazamise ukuzala kwakho.
Uvavanyo lwe-pregnenolone, i-progesterone, i-estrogen, i-testosterone kunye ne-DHEA inokuphonononga ukusilela kula ma hormone, kwaye ukuba uzama ukukhulelwa kwaye unobuthathaka obuphawulekayo, ugqirha wakho unokuncoma ukutshintshwa kwehommoni njengenkxaso kwimigudu yakho yokukhulelwa okusemgangathweni.
6. I-Estrogen kunye ne-Yourroid
Ikhonkco phakathi kwe-estrogen kunye nomsebenzi we-thyroid iyinkimbinkimbi. I-Estrogen ikhuphisana ne-hormone ye-thyroid ukuze unamathele kwiindawo zokufumana i-thyroid kuwo wonke umzimba wakho. Xa une-esrogen engaphezu kwe-estrogen, inokubangela ukuba i-hormone yakho ye-thyroid ikwazi ukufudukela kwiiseli zakho. Ingaba uthabatha imithi yonyango equka i-estrogen, okanye unokungalingani kwi-estrogen eyaziwa ngokuba yi-estrogen, ukugqithisa kwe-estrogen kunokuphazamisa i-thyroid kunye ne-hormonal balance kwaye kuphazamise ukuzala kwakho, nangona iqondo lakho lokuhlola igazi liqhelekile .
Ukuvavanywa kwamazinga e-estrogen kunye neprogesterone kunokwenziwa ngugqirha wakho, kwaye ukuba unokongezwa kwe-estrogen, ugqirha wakho unokunika izikhokelo kunye nonyango ukubuyisela le hormone ukulinganisela, ukukunceda ukuphucula ukuzala kwakho kunye namathuba okukhulelwa okuphumelelayo.
7. I-Hormone Sex Binding Globulin (SHBG) Ukungalingani
Ukuba awufumananga okanye ungaphathi kakuhle i-hypothyroidism, usenokunciphisa amanqanaba e-hormone ebopha i-globulin, eyaziwa njenge-SHBG. I-SHBG yiprothini enamathela kwi-estrogen. Xa i-SHBG yakho iphantsi, amanqanaba e-estrogen anokuphakama kakhulu. I-estrogen engaphezulu, ngaphezu kokudala ukungalingani okuxutyushwa nje, kunokuphazamisa ukukhula nokuphuhliswa kobuqili bakho, kwaye uphazamisane ne-FSH kunye ne-LH enxulumene ne-ovulation. Ukuba awufumananga okanye awuphathe kakubi i-hyperthyroidism, i-SHBG yakho inokuphakanyiswa, enokunciphisa iphresterone yakho, imeko engakhokelela ekulawuleni i-estrogen.
I-SHBG ingalinganiswa nokuhlolwa kwegazi, ukuvavanya ukuba ukusilela okanye ukugqithisela kukuchaphazela ukuzala kwakho.
8. I-Challenge yokuqala ye-Thyroid Challenge
Ngethuba lokukhulelwa, i-thyroid yegland igxininise ukuba iyakwazi ukuvelisa i-hormone ye-thyroid yomama nomntwana. I-hormone ye-thyroid ibalulekile ekuphuculeni intsana yengqondo kunye nophuhliso lweengqondo kwaye kubaluleke kakhulu ngexesha le-trimester yokuqala xa umntwana wakho esasakhula isifo se-thyroid esikwazi ukuvelisa i-hormone yayo. Ngelo thuba lokuqala, umntwana uyathembela kuwe kuzo zonke ihomoni ze-thyroid ezibalulekileyo. Emva kweeveki ezi-12 ukuya kuma-13, i-thyroid ye-fetal gland iyaqulunqwa, kwaye umntwana wakho uza kuvelisa i-hormone ye-thyroid, kunye nokufumana i-hormone ye-thyroid evela kuwe, nge-placenta. Xa ukhulelwe, ukwanda kweemfuno zee-hormone ze-thyroid ziyaqhubeka ude umntwana wakho azalwe.
Ukuba isifo sakho se-thyroid siphumelele ngandlela-thile-umzekelo, i-atrophied ngenxa yesifo sikaHashimoto kwaye ayikwazi ukukhulisa nokuvelisa i-hormone ephezulu ye-thyroid-yakho ye-thyroid ingakwazi ukubonelela nge-hormone eyaneleyo umntwana. Oku kubangela ukwanda komama we-hypothyroidism, imeko ehambelana nomngcipheko wokukhulelwa kwesisu, ukuzala, kunye nomsebenzi wokuqala.
Isikhokelo esibalulekileyo kukuba, isifo se-thyroid kufuneka sifumaneke kwaye siphathwe kakuhle phambi kokuba ukhulelwe. Yaye ukuba uthe waphathwa nge-hypothyroidism kwaye ucwangcise ukukhulelwa ngaphambi kokuba ukhulelwe, wena kunye nogqirha kufuneka ube nesicwangciso sokuqinisekisa ukukhulelwa kwakho kwangangoko, kwaye ukwandisa umlinganiselo wakho we-hormone ye-thyroid emva kokuba ukhulelwe .
9. Isidingo se-iodine
Iodine ye-dietary ibhloko yesakhiwo esibalulekileyo kwimveliso yomzimba wakho we-hormone ye-thyroid. Njengoko kuxoxwa, ukukhulelwa kudinga ukuba i-thyroid ikwandise ubungakanani, kwaye yandisa imveliso ye-hormone ye-thyroid ukuhlangabezana neemfuno zomama nomntwana. Uphando lubonisa ukuba ibhinqa elikhulelweyo linokunyuswa kweepesenti ezingama-50 kwiimfuno ze-iodine zansuku zonke, ukwenzela ukuba sikwazi ukwandisa imveliso ye-hormone ye-thyroid.
Ngoxa uninzi lwabasetyhini bexesha lokubeletha eUnited States alinayo i-iodine engenakho, ipesenti ephezulu. Ngokwe-National Health and Nutrition Examination Survey (NHANES), malunga neepesenti ezili-15 zabafazi abaneminyaka yobudala yokubeletha njengamanje ayinalo iodine, kwaye ezinye izifundo ziye zathola amazinga aphezulu kwiindawo ezithile zesizwe.
I-Endocrinologists incomela ukuba abafazi bancedisa ubuncinane i-150 mcg ye-iodine, ukususela ekuqaleni ngaphambi kokuncelisa. Indlela elula yokuqinisekisa ukuba ufumane iodine eyaneleyo kukuqala ukuthatha i- vitamin yokubeletha eqala i- iodine xa uqala ukucwangcisa ukukhulelwa kwaye uqhubeke uthabatha uze ufeze.
Amagqirha ahlanganisiweyo ahlala ecetyiswa ukuba unamazinga e-iodine avivinywa ngaphambi kokuba ukhulelwe, kwaye udibanise nayiphi na i-iodine deficiencies ngaphambi kokuba uzame ukukhulelwa.
Inqaku elibalulekileyo: Ngokungaqondakaliyo, uninzi lwamayeza amavithamini angaphantsi kokuzalwa kunye nezinye iivithamini ezingaphantsi kwamayeza angenazo iodine. Uya kufuneka uhlolisise iilebula ngokucophelela, ukuqinisekisa ukuba i-vitamin yakho yokubeletha ine-iodine.
Kwakhona, khumbula ukuba ezinye iivithamini zokubeletha nazo ziqulethe i-iron ne-calcium. Ukuba kunjalo, kuya kufuneka uwathathe ama-3 ukuya kwi-4 iiyure ngaphandle kwemithi yakho ye-thyroid, ukukhusela nayiphi na intsebenziswano kunye neyeza lakho le-thyroid elinciphisa ukuchithwa nokusebenza.
10. I-Thyroid kunye nokuzaliswa koNcedo
Ukuba usukela unyango lwezityalo kunye nokuncedisa ukuzaliswa (ART), qaphela ukuba i-ART yenza ingxaki eyongezelelweyo kwi-thyroid yakho. Izifundo zibonise ukuba imfuneko yokwandisa i-hormone ye-thyroid iyenzeka ngaphambilana, kwaye ikhulu kakhulu, kwabasetyhini abasebenzisa ii-ART, xa kuthelekiswa nokukhulelwa okungaqinisekanga. Ukuba unesifo se-hypothyroid kunye ne-thyroid ye-hormone yonyango yokutshintshwa, isicwangciso sokuqinisekisa ukuba i-thyroid dosage ishintshwe ngokukhawuleza kwaye ngokugqithiseleyo kunokwenzeka ukuba kuxutyushwa kwangaphambili kunye nodokotela wakho wokuzala.
Inqaku elibalulekileyo: ungacingi ukuba ugqirha wakho wokuzala uza kuba phezulu kwezinto zakho ze-thyroid. Okumangalisa kukuba, oogqirha abathile bezityalo kunye neeklinikhi abaziqwalasela ngokubanzi ukuvavanywa kwe-thyroid, okanye ukulawula isifo se-thyroid ngexesha lokuqala ukukhulelwa, i-ART, okanye ukukhulelwa kwangaphambili. Uya kufuneka uqinisekise ukuba ugqirha wakho wokuzala okanye iklinikhi yindlela yokwenza i-thyroid-savvy, kwaye ukuba isicwangciso sendawo ukuqinisekisa ukuba i-thyroid yakho ayiphazamisi impumelelo ye-ART okanye ukukhulelwa okusemgangathweni.
Iimpawu Zakho Ezilandelayo
Enye yezinyathelo ezintle ongayithatha kukuba uqiniseke ukuba ugqirha-gynecologist wakho, ugqirha we-thyroid-nodokotela ozala, ukuba uyasebenza-unolwazi ngesifo se-thyroid, kwaye uya kusebenzisana nawe kuzo zonke iindlela zokuqinisekisa ukuba impilo yakho yegroid .
Uphando luye lwabonisa ukuba abaninzi abagqithisileyo abanalo ulwazi ngokulawula ukukhulelwa kwizigulane ze-thyroid. Enyanisweni, uphando olwenziwe ngabachwephesha-ababelethi be-gynecologists 'bafumanisa ukuba kuphela ama-50 ekhulwini oogqirha abavakalelwa kukuba baye bafumana "uqeqesho" olufanelekileyo ekulawuleni izifo ze-thyroid ngexesha lokukhulelwa. Abaninzi be-endocrinologists abafanelanga ukulungiselela isifo se-thyroid kwizigulana zabo ezikhulelwe. Unokufuna ukuphanda ukuba ne-endocrinologist yokuzalisa inzala kwiqela lakho lezokwelapha, njengoko ezi ngcali zivame ukuba nolwazi ngakumbi malunga nendlela i-thyroid echaphazela ngayo ukuzala nokukhulelwa.
> Imithombo:
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