Ukungabi nantoni kuchazwa njengokungaphumeleli ukukhulelwa emva kweenyanga ezili-12 okanye ngaphezulu kokuziphatha okubi. Kuqikelelwa ukuba ukususela kwi-10 ukuya kwi-15 ekhulwini zeembhangqwana e-United States zifumana ukungabikho.
Abanye abantu abanobunzima bokungapheliyo baya kulandela iindlela zokuncedisa, ezifana nokuvuselela i-ovarian, in vitro fertilization kunye nezinye iindlela.
Kulinganiselwa ukuba ubuninzi be-1% yabo yonke ukuzalwa e-United States yiphumo lokuncedisa ukuzaliswa (ukwelashwa kokuzala), okwangoku, kuphumelele kwiimeko ezi-1 kuma-5.
Abafazi abaninzi abaqapheli ukuba umsebenzi ophezulu we-thyroid kubalulekile ukuba ungakhulelwa kuphela-ngokwemvelo kwaye uncedo lokuncedisa ukuzaliswa-kodwa ukugcina nokulinganisela kwe-hormonal kwaye ukhusela ukukhulelwa ngexesha leentsuku zokuqala kunye neyokuqala.
Ukuba ufumana ukungabikho kwengqondo okanye ucinga ngokuzaliswa kokuncedisa, enye indawo ebalulekileyo yokuhlola kufuneka ibe yintlalo yakho ye-thyroid. Okumangalisa kukuba, abanye oogqirha, iiklinikhi zokuzala kunye neengcali zokuzala azibandakanyi uvavanyo lwe-thyroid njengenxalenye yokunyusa okuqhelekileyo, kodwa abafazi kufuneka bafune ukuvavanya uvavanyo lwe-thyroid ngokukhawuleza nje ukuba imingeni yokukhusela ikhunjulwa.
Nazi ezinye iingcebiso ezibalulekileyo zokukunceda ukuba uqalise, uguqule ukusuka kwincwadi ethi Your Healthy pregnancy ne-Thyroid Disease, epapashwe yi-Perseus Books kwaye ibhalwe nguDana Trentini noMary Shomon.
Impembelelo ye-Thyroid kwi-Fertility
Ukungafumani, ukungaphathwa kakubi, okanye ukuphathwa kakubi ngesifo se-thyroid kwandisa umngcipheko wezinto ezibalulekileyo ezinokuchaphazela ukuzala kwakho, kuquka oku kulandelayo:
- umjikelezo wesimo ongavumelekanga, ongenza ixesha lakho elivakalayo libi kwaye lilukhuni ukuluphawula
- imijikelezo yokuya esikhathini ongayifuniyo (ukukhulula iqanda) kuyo yonke into, ngoko ke ayikwazi ukukhulelwa
- isigaba sokubhala (ixesha lexesha phakathi kwe-ovulation kunye nokuya esikhathini) elifutshane kakhulu ukuvumela ukuphunyezwa ngokuphumelelayo kwembungu. Ukuba ukuchumisa kuyaphumelela kodwa isigaba esilandelayo sisifutshane, iqanda elichumayo lingasuswa ngexesha lokuya esikhathini ngaphambi kokuba umfazi aqonde ukuba ukhulelwe.
- ukungalingani kwi-estrogen kunye neprogesterone, ebalulekileyo kwimpilo enempilo
- ukuzimela ngokukhawuleza okungagcini nje kuphela kwi-thyroid yakho, kodwa inokujolisa nakwiiyunithi zakho, umdlelwane wakho wesilisa kunye nezinye izinto ezibalulekileyo zokukhulelwa
- ukuvuselela i-ovarian, i-vitro fertilization kunye nezinye iinkqubo zokuncedisa
Ukufumana inzala efanelekileyo, izikhokelo zonyango eziqhelekileyo zithi i-hypothyroidism ephakamileyo-echazwa njengezinga le-TSH ngaphaya kwe-10 mIU / L-kufuneka iphathwe ngamayeza e-hormone. Ukuba ibhinqa i-hypothyroid ngaphambi kokuba ukhulelwe okanye ifunyaniswe ukukhulelwa kwangaphambili, izikhokelo zincoma ukuba i-dosage ihlonyelwe ukuze i-TSH ingaphantsi kwe-2.5 mIU / L ukuya kwi-trimester yokuqala. Ngethuba le-trimester yesibini, izinga le- TSH limele ligcinwe kwinqanaba eliphakathi kwe-0.2 ukuya kwi-3.0 mIU / L, kunye ne-0.3 ukuya kwi-3.0 mIU / L kwi-trimester yesithathu.
Amanqanaba angaphandle kwezi zigaba anganyusa umngcipheko wokukhulelwa kwesisu, ukuzala, ukuguqulwa kwesantya, kunye nengxaki kunye neminye imiba emva kokuzalwa komntwana.
Amagqirha ahlangeneyo akholelwa ekubeni nobudlova bokuzala, kunye nokuphatha abafazi abanesifo sikaHashimoto (kodwa ngokuthe ngenye indlela "amaqhezu" e-thyroid), kwaye xa uphatha i-thyroid ye-hormone esikhundleni, uqinisekisa ukuba yi-TSH engaphantsi kwe-2.5 kuphela, kodwa i-Free T4 kunye ne-Free Amanqanaba e-T3 asesigxina esiphakamileyo sereferensi.
Izikhokelo eziqhelekileyo zithetha ukuba nayiphi na ibhinqa ephathwayo nge-hypothyroidism kuya kufuneka ukuba i-hormone ye-hormone ishintshe ukunyuka kwenyango ekukhulelweni kwangaphambili.
Izikhokelo zinconywa ziqinisekisa ukukhulelwa kwangaphambili kunye nokwandisa umyinge ngemali echazwe ngaphambili ngudokotela ngaphambili.
Ukuba ufumana ukungabikho kobubele, amanye amanyathelo alandelayo, ukuqala:
- Fumana i-TS yakho) ivavanywe
- Fumana i-T4 mahala kunye ne-T3 ekhululekile
- Unayo i-thyroid peroxidase antibodies (TPO) ivavanywa