Ngaba Unina Omtsha Unokubethisa Ubunzima Ngama-Hypothyroid okanye Hyperthyroid?
Isifo se-Thyroid siqhelekileyo, ngoko ke abaninzi abantu besifazane bayazibuza ukuba baya kukwazi ukuncelisa i-hypothyroidism okanye i-hyperthyroidism. Yiyiphi imishanguzo esetyenziswa ekuphatheni izifo ze-thyroid zikhuselekile xa uncelisa? Ziziphi iimeko onokujamelana nazo ngokuncelisa ngenxa yobume bakho be-thyroid?
Iimeko zokuxilisa kunye neTyroid
Ndiyakuvuyela ngokufumana umntwana omtsha!
Njengomama omtsha, unokufuna umntwana wakho omtsha ukuba abe neenzuzo ezininzi ezibonakalisiweyo zobisi lwebele. Kodwa oomama abancelisayo baxelelwa ukuba baqaphele ngokusebenzisa iziyobisi kunye namayeza, kunye nokufumana unyango oluthile xa unyango.
Makhe sijonge indlela i-hypothyroidism okanye i-hyperthyroidism inokuchaphazela ngayo ukubeleka, kwakunye nemiphumo yokubeleka, ngokubanzi, inakho kwi-thyroid yakho.
Indlela Ukubeleka Nokunxiliswa Kwangaphantsi Kunokuthintela njani i-Thyroid
Ngokukhulelwa kwaye ngokukodwa malunga nexesha lokubeleka, umzimba wakho udlula kwiimpawu ezinkulu ze-hormonal. Olu tshintsho lwe-hormone lubandakanya utshintsho kumsebenzi we-thyroid, kwaye ezi nguqu zinokuthi zenzeke nangona uzinzile kwimithi ye-hypothyroid ixesha elide. Ukongeza kwiimeko ze-thyroid ezikhoyo phambi kokubeleka, abaninzi abafazi bahlakulela iingxaki ze-thyroid kwiinyanga ezizayo emva kokubeletha.
Postpartum Thyroiditis
I-postpartum thyroiditis yimeko eqhelekileyo eyenzekayo malunga nama-7 ekhulwini kwabasetyhini abaye bazala.
Kucingelwa ukuba yimeko ehamba ngokuzenzekelayo kwaye inokuvela nanini na ixesha kunyaka wokuqala emva kokubeletha. Ukuncipha kwonikezelo lwezobisi ngenye yeempawu eziqhelekileyo zemo (jonga ngezantsi).
Ubonakaliso obuqhelekileyo be-thyroiditis bubunobomi be-hypothyroidism. Ngomnye umgca wembonakalo, abanye abafazi bafumana i-hyperthyroidism (edlalwa rhoqo yi-hypothyroidism kamva).
Iimpawu ze-postpartum thyroiditis, ezifana nokukhathala, ukulahleka kweenwele kunye nokuguquka kwemizwelo, kunokungafihli lula njengoko ezi zimpawu ziqhelekileyo kwixesha lokugqibela.
Ininzi yexesha akukho nonyango olufunekayo, nangona abaninzi abafazi abane-thyroiditis baya kuphuhlisa i-hypothyroidism phantsi komgca. Ukuba unayo i-autoantibodies njenge-Grave's disease okanye i-Hashimoto's thyroiditis, oku akusiyo ingxaki ekunceliseni i-antibodies enkulu kakhulu ukuba idluliselwe kubisi lwebele.
Indlela I-Thyroid Izifo ezinokuthi zithinte njani ukubeleka
Ukuba unesifo se-thyroid esilawulwa kakuhle kumachiza, kukho inkathazo encinane ekunceliseni. Nangona unyango olungonelanga, noko ke, isifo se-thyroid singathintela ukwazi kwakho ukuncelisa ngeendlela ezimbalwa. Hlalani nikhumbule ukuba nangona unesifo esifanayo semithi ye-thyroid iminyaka emininzi, umthamo wakho ungadinga ukutshintshwa kwisithuba sokugqibela.
I-Hypothyroidism (ingathatyathwa okanye ingaphathwe ngendlela efanelekileyo) inokunciphisa ubisi lwakho lobisi. Iyakwazi ukufaka isandla kwi-reflex-down down. Ngona unyango olungcono lwe-hypothyroidism, nangona kunjalo, le micimbi kufuneka isombululwe.
Umsebenzi we-Thyroid uhambelana namanqanaba akho eprolactin, njengoko iprolactin yi-hormone ekunceda uvelise ubisi.
Ukuxiliswa kwabesetyhini nge-Hypothyroidism (i-Underactive Thyroid)
Ngokuqhelekileyo, akukho sizathu sokuba kutheni umfazi ophethe i-hypothyroid kunye ne-thyroid ye-hormone yonyango yokutshintshwa kufuneka angakwazi ukuncelisa. Enyanisweni, kubalulekile ukuqhubeka nemithi yakho ye-thyroid ngenkathi unesi.
Ukuba unomama omtsha ene-preexisting hypothyroidism, kufuneka ube nokuhlolwa kwe- thyroid kwiiveki ezimbalwa zokuhanjiswa kwangoko. Olu kuhlola luya kukhangela utshintsho kwimisebenzi yakho ye-thyroid engayenza ukuba utshintsho kwiyeza lakho. Kufanelekile ukuphinda kwakhona ukuba utshintsho lwezilingo lufuneka rhoqo emva kokunikezelwa, nokuba ngaba ulinganayo kwimizuzu eminyaka.
Ngelixa abantu bahlala beqaphelwa ukuba baphephe unyango xa bebele, kubaluleke kakhulu ukuba uqhubeke nemichiza yakho ye-thyroid. Oku kunokukunceda ukhumbuze ukuba uthatha i-hormone ye-thyroid yonyango, ngokugxininisa kwigama elitsha. Awufaki iyeza elitsha kwinkqubo yakho, kodwa ubeka endaweni ye-hormone eyenziwa ngumzimba wakho. Kukho umngcipheko omninzi nje ngokuba uthatha unyango lwakho njengoko luyalelwe. (Unokufunda okungaphezulu malunga nokuthatha imithi ye-thyroid ngenkathi uncelisa ).
Nini ukuthetha noDokotela wakho
Ukuba u-hypothyroid, kwaye umntwana wakho ononyamekela ukunyuka, ukuphuza ukunyuka, okanye ukungahambi nenani elifunekayo lokuhamba kwezilwanyana kunye neentambo ezimanzi, kufuneka ucele ukuhlolwa kwe-thyroid ngokukhawuleza kwaye uthethe kwinqanaba lakho lezilwanyana malunga nokukhetha ukuqinisekisa ukuba umntwana wakho ufumana ukutya okwaneleyo. Kukho imiqondiso emininzi ongayilinda ukuze uqinisekise ukuba umntwana wakho ufumana ubisi lwebele.
Nangona i-hypothyroidism inokubangela ukunciphisa ubisi, kuninzi nezinye izizathu ezinokwenzeka kule nto. Ukuba unenkxalabo malunga nokwenza ubisi olwaneleyo ukujonga ezinye zezinto ezinokunciphisa ubisi bakho
Ukuba unengxaki yokunikezelwa ngobisi obuncinane, cinga ukuqesha umcebisi wezilwanyana, okanye udokotela wakho wezilwanyana, ukuze ufumane iingcebiso malunga namachiza kunye nezilungiso zendalo ezinganceda ukuphucula ubisi bakho.
Ukuxiliswa kwabafazi kwi-Hyperthyroidism (i-Thyroid ye-Overactive)
Abaninzi abafazi abane-hyperthyroidism banokuncelisa ngokukhuselekileyo. Ukuba i-hyperthyroidism ivela ngenxa ye-thyroiditis yokuhamba, ukunyanga akudingeki.
Ukuba unesifo sikaGrave okanye unesifo se-hyperthyroidism ngaphambi kokukhulelwa, kubalulekile ukuthetha nodokotela wakho malunga nokukhuselwa kokusebenzisa iziyobisi zonyango xa utyisa. Ukusebenzisa ezi zi yobisi akuthethi ngokuthe ngqo ukuba awuyi kukwazi ukuncelisa, kwaye ingcinga ekhoyo kukuba abafazi kufuneka bakhuthazwe ukuba bancelise nangona unyango. Amanye amayeza, njengeTapazide (methimazole), nangona kunjalo, ayakhethwa ngaphezu kwe-PTU (propylthiouracil). Oko kwathiwa, kubafazi abamele bathathe i-PTU ngenxa yokungabikho komzimba ku-Tapazide okanye kwi-hyperthyroidism enamandla, ukuncelisa kusenokuba kunokwenzeka. Kubalulekile ukuthetha nodokotela wakho malunga nophando olutshanje kule ngxaki.
Iodine ye-radioactive, nokuba yinxalenye yesifo se-thyroid okanye njengonyango lwe-hyperthyroidism (i-radioactive ablation), akufanele idibaniswe nokuncelisa i-iodine. Ukuba oku kunconywe, unokuba unqwenela ukuthetha nodokotela wakho malunga nezinye iindlela zokukhangela i-thyroid (ezifana ne-needle biopsy okanye ezinye iimvavanyo zegazi) okanye ezinye iindlela kwi-iodine ye-radioactive (njengamayeza e-antithyroid). Ukuba i-technetium isetyenziselwa ukukhangela i-thyroid, ukuxiliswa kufuneka kuguqulwe ubuncinane ubuncinane kwiiyure ezingama-30 emva kwenkqubo (ubisi lwebele kufuneka luqhutywe kwaye lukhutshwe ngeli xesha).
Cancer Cancer
Ukuba unayo okanye unomdlavuza we-thyroid, kubalulekile ukuthetha nodokotela wakho malunga naluphi na uxhalabo olunxulumene nokuncelisa. Ingaba uya kukwazi ukunonyamekela umntwana wakho kuxhomekeke kwizinto ezininzi. Ngona-ke, inqaku elihle kukuba ukunyamezela kubonakala kunobungozi obuphambene nokuphuhliswa komhlaza we-thyroid, kunye nexesha elide lokuncelisa ukuxhatshazwa kunye nomngcipheko omncinci.
Ngaphantsi kwendlela yokubeleka ngeengxaki ze-Thyroid
Isifo se-Thyroid siyinto eqhelekileyo, kwaye siyaqinisekisa ukuba abantu abaninzi baya kuba nako ukufumana amayeza abo baze bancelise ngaphandle kweengxaki. Utshintsho kwiimfuno zokutshintsha i-thyroid zixhaphake kakhulu emva kwe-postpartum, kwaye ubunzima bokuncelisa unokulumkisa ukuba kufuneka uhlolwe i-thyroid yakho. Kubafazi abanobunzima be-thyroid ngaphambi kokukhulelwa, kuluvo olulungileyo ukucwangcisa i-thyroid check-up emva nje kokubeleka.
Umlinganiselo onganeleyo wehomoni ye-thyroid ingabangela iingxaki zobomi bemveliso, ukuhlaziywa kwakho kwe-down-reflex, kwaye kunokubangela iimpawu ezidikibalazelayo. Kuqhelekile ukuba abafazi baxakeke ngononophala nangona kungekho nembali yesifo se-thyroid, kwaye ukuqesha umcebisi we-lactation kunokubaluleka. Amaxesha amaninzi kuthatha isicatshulwa esincinci ukukuncedisa ngempumelelo xa unqwenela ukuncelisa.
> Imithombo:
> Hudzik, B., no B. Zubelewicz-Szkodzinska. I-Antithyroid Izidakamizwa ngexesha lokusasa. Endocrinology Clinic (Oxford) . 2016. 85 (6): 827-830.
> Kim, E. Ukuncelisa isifo seswekile kunye nesifo sikashukela Mellitus / Izifo zeTyroid. Iziganeko ze-Endocrinology yeMatriki kunye neMetabolism . 2012. 17 (2): 76.
> Yi, X., Zhu, J., Zhu, X., Liu, G., noL. Wu. Ingozi yokubeleka kunye neChrotic Cancer kumaTyhini: i-Dose-Meta-Analysis of Studies Epidemiological Studies. Isondlo seNtsholongwane . 2016. 35 (5): 1039-46.