Uphando olupapashwe kwi- British Medical Journal lubonise ukuba unyango lwe-hyplinroidism ngexesha lokukhulelwa lunokunciphisa umngcipheko wokukhulelwa kwesisu. Ngelo xesha, abaphandi bafumanisa ukuba abafazi baphathwa nge-subclinical hypothyroidism babhekana nobungozi bokukhulelwa kwengxaki ezibandakanya ukuhanjiswa kwexesha elide, i-preeclampsia kunye nesifo sesifo sikashukela.
Malunga neSifundo
Uphononongo lwavavanya abangaphezu kwama-5 000 abafazi ababengaphantsi kweklinikhi hypothyroid, ngezinga le-hormone (TSH) elikhupha i-thyroid phakathi kwe-2.5 ne-10 mIU / L. Abaphandi bafumanisa ukuba abafazi baphathwa ngamayeza e-hormone asetshenziselwa ukutshintsha amayeza abe ne-38 ekhulwini lomngcipheko wokuphuphuma kwesisu, xa kuthelekiswa neqela elingaphathiswa. Kubaluleke kakhulu, iziphumo zisebenzise kuphela kula mabhinqa anesilinganiselo se-TSH ye-4.1 mIU / L ephezulu ngaphambi kokuba unyango.
Umngcipheko wokunciphisa ukukhulelwa komzimba wawungabonakali kwabasetyhini abanamazinga e-TSH ukusuka ku-2.5 ukuya kwi-4.0 mIU / L. Enyanisweni, aba bafazi babenomngcipheko ophezulu kakhulu wokuphuhlisa umfutho wokhuseleko lwegazi-imeko engakhokelela kwi-pre-eclampsia.
I-Preeclampsia yimeko ekwazi ukukhula ekukhulelweni ebangela uxinzelelo lwegazi oluphezulu. I-Preeclampsia inokukhokelela ekugqibeleni kwe-eclampsia, nto leyo ingabangela isibindi okanye ukungaphumeleli kwezintso, ukungaphumeleli kwentliziyo, ukuxhatshazwa, ukuxinwa, kunye nokufa komama nomntwana.
Utshintsho kwiZikhokelo
Uphononongo lubonisa utshintsho kwiingcebiso kubafazi ngexesha lokukhulelwa. Kwixesha elidlulileyo, unyango luye lwacetyiswa kwabasetyhini abakhulelwe nge-hypothyroidism, i-hormone ye-hormone (TSH) eyenza i-thyroid ivuselela phakathi kwe-2.5 ne-4.0 mIU / L.
I-American Thyroid Association (ATA) ikhuphe izikhokelo ezintsha ngo-2017 ezenza iziphakamiso ze- British Medical Journal .
Ngokutsho kwe-ATA, ngenxa yobungqina bokuthi iziphumo zokukhulelwa zingathinteka kakubi, izikhokelo zengcebiso ziyakhuthaza unyango kwabasetyhini abanama-overt hypothyroidism, achazwa njengezinga le-TSH ngaphaya kwe-4.1 mIU / L.
Unyango lunokuqwalaselwa kwabasetyhini abane-subclinical hypothyroidism-i-TSH phakathi kwe-2.5 ne-4.0 mIU / L-ukuba iphakame i-peroxidase ye-thyroid (TPO) enobungqina bokuba yiHashimoto's thyroiditis.
Ngokutsho kombhali ohamba phambili, uSpyridoula Maraka, MD:
Ukuqhubeka nokwenza unyango lwe-hormone ye-thyroid ukwenzela ukunciphisa umngcipheko wokulahlekelwa kokukhulelwa kuqikelele kubafazi abaneengxaki ze-TSH ezine-4.1-10.0 mIU / L. Nangona kunjalo, kunikezwa ubuncinane obukhulu besiphumo kubasetyhini abanamazinga aphantsi kwe-TSH ka-2.5-4.0 mIU / L, kwaye ngokubhekiselele kwengozi eyongezelelekileyo yezinye iziganeko ezimbi, unyango lungadinga ukukhutshwa kweli qela.
Njengoko kuphawuliwe, nangona kunjalo, izikhokelo ze-ATA zincoma ukuba oogqirha baqwalasele isimo se-TPO somntu wesifo somntu ngokuthatha isigqibo sokunyanga i-subclinical hypothyroidism. Unyango luyakwazi ukunikezelwa kwabasetyhini abane-TPO-positive kunye nabanqanaba le-TSH phakathi kwe-2.5 ne-4.0 mIU / L.
Yintoni i-Subclinical Hypothyroidism?
I-hyplinroidism ye-subclinical ichaphazelekayo malunga neepesenti ezili-15 zamabhinqa aseMerika ngelixa ekhulelwe.
Ukufumana ama-hormone e-thyroid okwaneleyo kubalulekile ekuphuculeni kweengqondo ze-fetus, ngokukodwa ngekota yokuqala, xa umama enika i-hormone ye-thyroid kumntwana okhulayo. Emva kwe-trimester yokuqala, i-fetal thyroid iye yaqalisa kwaye iqala ukuvelisa i-hormone yayo ye-thyroid, ukuxhasa i-hormone ye-thyroid yomama.
I-hypothyroidism yamaMama ngexesha lokukhulelwa lidibaniswa neziphumo ezahlukeneyo zokukhulelwa, kuquka ukukhulelwa komzimba, ukusabalalisa kwangaphambili, isisindo sokuzalwa esincinane, ukubeleka, isandulela-eclampsia, isifo sikashukela sesifo sikashukela, kunye nokunciphisa amazinga e-IQ kubantwana.
Iimpawu Zakho Ezilandelayo?
Ukuba ukhulelwe kwaye ube ne-subcline hypothyroidism-kodwa wena yi-TPO-negative-abaphandi bancoma ingxoxo kunye nodokotela wakho. Ngokweziphumo zophando:
Ukuququzelela inkqubo yokwenza izigqibo kwabasetyhini abakhulelweyo abane-subclinical hypothyroidism, oogqirha bakhuthazwa ukuba basebenzise isinqumo sokwenza izigqibo. Ngale ndlela, oogqirha baxubusha ngezigulane ukungaqiniseki emva kweengcebiso zethu zonyango kwaye bahlolisise oko kubaluleke kubo xa benza izigqibo ngempilo yabo ngenjongo yokufikelela kwisigqibo esilungelelene nesimo sabo.
ILizwi
Kubalulekile ukubonisa ukuba isifundo sasigcinwa, kwaye akusiyo ityala lokulawulwa kwimizimba. Ngaloo nto, uphando olongezelelweyo lufunekayo ukucacisa ukuba okanye unganikeli i-hormone ye-thyroid endaweni yabasetyhini abakhulelweyo ekuphuculeni ithuba lokukhulelwa okusemgangathweni, okanye ukuchaza indawo ethile yokunqunyulwa kwempilo kubasetyhini abane-subclinical hypothyroidism ngexesha lokukhulelwa.
Omnye umba omele ufundwe ngokuqhubekayo yinkqubo yokonyango. Ukutshatyalaliswa ngokugqithiseleyo kuninzi kubakho ngexesha le-trimester yokuqala, ngexesha elifanayo xa umntwana exhomekeke kumama njengomthombo wodwa we-hormone ye-thyroid. Abaphandi bacacisa ukuba kunokwenzeka ukuba unyango lwe-hyplinroidism lungaphantsi kuphela xa luqala ukukhulelwa. Uphando olongezelelweyo kule miba luya kunceda ukucacisa le micimbi ngakumbi.
> Imithombo:
> Elizabeth AE, et. al. "2017 Izikhokelo ze-American Thyroid Association ye-Diagnosis kunye nokuLawula izifo ze-Thyroid ngexesha lokukhulelwa kunye ne-Postpartum." I-Thyroid, uMqulu 27, iNombolo 3, 2017. I-intanethi: http://online.liebertpub.com/doi/pdfplus/10.1089/thy.2016.0457
> Spyridoula M et. al. "Ukunyanga kwama-hormone ye-thyroid phakathi kwabasetyhini abakhulelweyo abane-subclinical hypothyroidism: uvavanyo lwelizwe lase-US." I-British Medical Journal. J 2017; 356: i6865 i-doi: 10.1136 / bmj.i6865 2017. I-intanethi: http://www.bmj.com/content/bmj/356/bmj.i6865.full.pdf