Zininzi iinzuzo ezaziwa ngokuncelisa. Ngokutsho kwamaZiko okuLawula izifo, ubisi lwabantu lulula kakhulu iintsana zokugaya kwaye zibandakanya amakhulu amantombazana azondayo kwiinyanga zokuqala zokuphila. Ubisi lwebele lubancedisa ukukhusela izifo ezininzi, kwaye ukuxiliswa kwebele kunxulumene nomngcipheko wokunciphisa umzimba, isifo sikashukela, isifo sofuba, isifo se-asthma, umngcipheko omncinci we-infantry death syndrome, ukusulelwa kwindlebe, isifo sohudo, kunye nezifo zesisu ezinjengezinsana, njengoko kunye namazinga aphezulu e-IQ.
Ukuncelisa isisu kunokunceda unina onomhlengikazi unciphise umngcipheko we-ovarian kunye nomhlaza wesifuba, ukulahlekelwa isisindo ngokukhawuleza emva kokuhamba, kunye nokugcina imali kwiindleko zefomula.
Kwi-hyperthyroidism, i-thyroid gland iyasebenza kwaye ivelise i-hormone ye-thyroid. I-Hyperthyroidism - ngezinye izihlandlo ebangelwa yimeko yokuzimela engumgubo-isifo sifanele siphathwe ngokucophelela ngexesha kunye nangemva kokukhulelwa. Kuyafana nawabasetyhini abanesifo se-hyperthyroidism kunye nesifo se-Graves okanye bakhula xa bebele.
Ezinye izigulane zilapha kwi-antithyroid unyango lweziyobisi ngenxa ye-thyroid. Kwixesha elidlulileyo, abafazi abathwala izidakamizwa ze-antithyroid ze-hyperthyroidism badikibala ekunceliseni iintsana zabo okanye iintsana. Iingxakini zazijoliswe ukuba ngaba iziyobisi ezithatyathwa ngumama, kwaye zagqitywa kwi-breastmilk, ziyakunciphisa intsholongwane ye-thyroid, okanye zenze i-gland ibizwe ngokuthi yi-goiter.
Okwangoku, imbambano yokuncelisa ibele xa kuthatha izidakamizwa ze-antithyroid ihlala ingavisisani. Ingaba ibhinqa lingathatha izidakamizwa ze-antithyroid ezifana ne-methimazole (iTapazole), i-carbimazole, okanye i-propylthiouracil (PTU) ukuyiphatha i-hyperthyroidism okanye isifo se-Graves ngokusondeza umntwana wakhe osana okanye usana?
Ngokubanzi, iingcali zithi yebo.
Oogqirha bancomela ukuba oomatshini abancinci kwi-adithyroid izilwanyana - okanye abanokudangala ngenxa yokuncelisa ibele - kuba iinzuzo zokuncelisa zizaliswe, kwaye ukuvezwa kweentsana kwizidakamizwa ezichasene nezidakamizwa ezidlulayo kubisi lwebele kubonwa "okuncinci kwaye kungekhona okwenkliniki."
Ukuthatha izidakamizwa ze-Antithyroid ngelixa utywala
Azikho iingcali zonyango eziye zathi naliphi na isicatshulwa se-antithyroid esisigxina kwi-100% xa sisalula.
Nangona kunjalo, ngokubhekiselele kunokhuseleko, uninzi lwezifundo alufumananga ukuguqulwa kwinto ye -roid, okanye iziphumo kwi-thyroid function kunye nophuhliso lwengqondo nangokwengqondo kwiintsana ezibelethwe ngamama ngokuphathwa ngamayeza e-PTU ukuya kwi-300 mg ngosuku, i-methimazole kumayeza angama-30 mg ngosuku, kunye ne-carbimazole kumaxabiso angama-15 mg) kwiinyanga ezilisibhozo.
Ngokutsho kweYurophu ye-Thyroid Journal, eyapapasha isihloko esichazwe ngesihloko ngo-2012:
- I-PTU ayifanele imiselwe ukuba ibhinqa lisibele - I-PTU idibene nomngcipheko omncinci wokulimala kwesibindi - kwaye esikhundleni salo, i-methimazole (ukuya kuma-30 mg / ngosuku) okanye i-carbimazole (ukuya kwi-15 mg / ngosuku) ingasetyenziswa. (I-PTU ikhuthazwa kuphela ngamaxesha athile okukhutshwa, kwiimeko ezizodwa, kodwa ikhuselekile kumntwana osweleyo, nje kuphela ukuba umyinge awudluli kwi-300 mg ngosuku.)
- Ukubeka iliso ngokubaluleka komama kunye nosana kuyacetyiswa, kubandakanywa amanqanaba eT4 kunye ne-TSH, ubuncinane kwiiveki ezi-3 ukuya kwe-4 emva kokuqalisa ukuncelisa.
Inqaku elikhethekileyo: Uninzi lweengcali zincoma ukuba unina oncelisayo uncelise ngaphambi kokuba athathe imithi yakhe ye-antithyroid, ukunciphisa ukutyalwa komntwana kwisilwanyana.
Ekugqibeleni, isisombululo sokuncelisa xa sithatha imishanguzo ye-antithyroid yinto enye ibhinqa kufuneka iyenze ngokubambisana nomboneleli wakhe wezempilo, kunye nezingane zakhe zonyana.
> Imithombo:
> Glatstein, MD, Miguel Marcelo kunye. al. "Ukwelashwa kwe-Pharmacologic ye-hyperthyroidism ngethuba lokutya," I- Canadian Family Physician. 2009 uAgasti; 55 (8): 797-798. PMCID: PMC2726094
> Karras, uSpiros kunye noKrassas, uGerasimos "Ukunxiliswa kwezilwanyana kunye ne-Antithyroid Izidakamizwa: Iimbono ezivela ngaphakathi." Eur Thyroid J. 2012 ngoMatshi; 1 (1): 30-33. Ishicilelwe kwi-intanethi ngoFebruwari 29. i-doi: 10.1159 / 000336595 i-PMCID: PMC3821454