Iintsana zabafazi abakhulelweyo abanezifo ze-Thyroid kwiNgcono ephezulu yokuLawulwa koMntwana
Ngokomphando owenziwe kwi-2001 Society ye-Maternal-Fetal Medicine yonyaka, abafazi abanesifo se-thyroid basengozini enkulu yokuba neentsana ezineziphene zokuzalwa-kuquka ukungaqhelekanga okuchaphazela intliziyo, isifo okanye ingqondo kunye nezinye iziphoso, ezifana umlomo we-cleft kunye ne-cleft palate-kunokuba ucinge ngaphambili.
Kwintetho elungiselelwe, uDavid A.
I-Nagey, MD, Ph.D., yeYunivesithi yaseYohn Hopkins ithi, "Saye sazi ukuba kukho ingozi eyongeziweyo yeengxaki, ngokubanzi ngengqondo okanye uphuhliso, kubantwana ngenxa yokukhulelwa kwe-hypothyroid , kodwa ukudibanisa neziphene zokuzalwa kutsha kwaye kungalindelekanga. Ukuba ezi ziphumo ziqinisekisiwe, kunokukhokelela ekuhlolweni rhoqo kwabasetyhini ngesifo se-thyroid ngaphambi kokukhulelwa kunye (kunye neentliziyo zengxaki) kwimfesane yabasetyhini abane-hypothyroidism. "
Ngokuqhelekileyo, iingxaki ezithintekayo kuninzi zichaphazela intliziyo, kodwa ezinye iingxaki, ezinjengeengxaki zesifo kunye neengxaki zeentlanzi, izilwanyana ezinqamlekileyo kunye ne-cleft palate, zaziqhelekileyo kubasetyhini ababengama-hypothyroid ngexesha lokukhulelwa.
Iipesenti ezilishumi elinesibhozo zeentsana zifundwe zizalisekile. Phakathi koomama, aba-13 be-hypothyroid ngexesha lokukhulelwa, kunye no-8 babengama-hyperthyroid ngexesha lokukhulelwa. Oku kuqhathaniswa nomlinganiselo jikelele malunga ne-3% yazo zonke iintsana ezineziphene zokuzalwa.
Ihlabathi lezonyango alizange lamkele ezi ziphumo ngaphandle kombuzo. Ukuthetha kwi- HealthScoutNews , u-endocrinologist uLorn Wissner-Greene wabonisa ukuba izilingo ezinkulu zibonise ukuba iintsana ezithwele oomama abanezifo ze- thyroid ziye zisengozini yokukhawuleza okuphuculweyo-kwaye kungekhona iziphene ezinzulu zokuzalwa.
Wayebuza ukuba ngaba iziphumo mhlawumbi zibangelwa ngenye into, kwaye zibonisa ukuba iziqinisekiso zokufunda ziqhube phambili uphando phambi kokuba abafazi bexhalabele.
UDkt. Nagey, nangona kunjalo, ukholelwa ukuba uphando lwakhe lubhekisela kwiziphakamiso eziliqela eziphambili kubasetyhini abanesimo se-thyroid:
- Abafazi abaneemeko ze-thyroid badinga ukunakekelwa kwesigqirha esikhulu somngcipheko
- Abasetyhini abane-hypothyroid kufuneka babele esibhedlele abanamava ekunakekeleni kwintsana emva kokubeleka kunye neentlobo zokukhubazeka ezizalwe kule nkqubo
Eminye Impembelelo kwizigulane
Ukongeza kwinconywa kaDkt. Nagey ukuba izigulane ze-thyroid zibona izithintelo ezinobungozi obuphezulu kwaye zihambisa kwizibhedlele ezinezakhono zokunakekelwa kwezibeletho ezikhethekileyo, kukho ezinye izinto ezibalulekileyo.
Nangona oogqirha abahlukeneyo beza kuphakamisa amanqaku ahlukeneyo apho i-thyroid yakho ivavanywa khona, ndikhetha ukuphosa ngapha nangapha. Abagqithisi abaninzi abanakuze bafune ukukubona de kube ziintsuku ezisibhozo ukuya kweebhozo ezikhulelweyo, kwaye sele sele zigqithiseleyo apho iimfuno zomzimba ezikhulayo zingabangela ukuba i-TSH yakho iphakamise kwaye ibeka ingozi ekukhuleleni kwakho. Ngokomntu, ndincoma ukuba ufumane uvavanyo lokukhulelwa ekhaya, kwaye uvavanywe kwangangoko.
Ngena kwi-TSH yakho , i- T4 kunye ne-T3 ivavanywa ngokukhawuleza xa unesicinga sokukhulelwa okuvakalayo (ngokuqhelekileyo malunga nexesha lexesha lakho elilahlekileyo - okanye oko baza kuqwalasela iiveki ezine ezikhulelweyo.)
Xa ndikhulelwe, ndaqala ukukhulelwa kwi-TSH ye-1.2. Ezinye i-endocrinologists zikholelwa ukuba ibhinqa liza kuqala ukukhulelwa-kwaye igcinwe kuyo yonke indawo-ekupheleni kwebala eliqhelekileyo ukwenzela ukuba kuqinisekiswe umphumo ongcono. Ndavavanywa nyanga zonke ngethuba lekota yokuqala (ngakumbi nangakumbi ukuba unemiphumo engavumelekanga), kwaye emva kweeveki ezintandathu okanye kunjalo ngexesha lokusala kokukhulelwa. Iinguqu kuphela ezifunekayo zangexesha lokuqala kwam ezintathu.
I-trimester yokuqala iyona yezona zihlandlo ezibalaseleyo zokuvavanywa rhoqo kwaye unyango olwaneleyo. Ngelo thuba lokuqala, ukukhula komntwana kunye nophuhliso luxhomekeke ekubeni akwazi ukunyusa umkhiqizo we-thyroid. Ekupheleni kwe- trimester yokuqala , i-thyroid yakho iyasebenza kwaye ikwazi ukuvelisa i -hormone ye-thyroid yodwa. Oku mhlawumbi kutheni abaninzi abafazi, mna ndibandakanya, bafumanisa ukuba badinga ukuphakamisa amanqanaba abo ngexesha lekota yokuqala, kodwa bazinzileyo emva kwe-trimester yokuqala.
Qaphela: Nangona i-obstetrician inobungozi obuphezulu iphezulu, abaninzi abafazi abaneentsholongwane ze-thyroid balandelwa ngumgqirha oqhelekileyo kunye ne-endocrinologist. I-Endocrinologists kunye nabagqirha bavame ukuba banolwazi ngokulawula isifo se- thyroid ekukhulelweni. Izifundo zibonise, nangona kunjalo, ukuba ininzi yesithathu kubo bonke oogqirha ayichazwanga malunga nokulawula isifo se-thyroid ekukhulelweni , ngoko kubalulekile ukuba ufumane ugqirha okanye iqela loogqirha ngolwazi lokulawula kakuhle isifo se-thyroid ngexesha lokukhulelwa.
> Imithombo:
> Nagey, David, MD. Umbutho weNtsholongwane kaMama-ntetho yeNtshukumo yoNyaka yonyaka, 2001, kwi-Intanethi