Ngethuba lokukhulelwa , i-thyroid yegciwane yegciwane kufuneka ikhulise i-hormone yayo yokuvelisa kakhulu, ukuze ihlangabezane neemfuno zobabini kunye nokuvelisa umntwana.
Ngokwezikhokelo ze-2011 ze-American Thyroid Association ye-Diagnosis kunye nokuLawula izifo ze-Thyroid ngexesha lokukhulelwa kunye ne-Postpartum, ezinye zeenguqu ezenzekayo ziquka ezi zilandelayo:
- Kuyabasetyhini abangenalo iodine, i-thyroid ikhula ngokubanzi malunga neepesenti ezili-10 ngobukhulu ngexesha lokukhulelwa.
- Kuyabasetyhini abangenalo i-iodine, i-gland iya kwanda ukusuka kuma-20 ukuya kuma-40 ekhulwini ngobukhulu ngexesha lokukhulelwa.
- Ngokuqhelekileyo, umveliso wesifazane we thyroxine (T4) kunye ne-triiodothyronine (T3) ukwandiswa ngama-50 ekhulwini ngexesha lokukhulelwa.
- Ibhinqa elikhulelweyo linokunyuka kwama-50 ekhulwini kwiimfuno ze-iodine zemihla ngemihla.
Ngokweengxelo ezichazwe kwi- Journal of Clinical Endocrinology kunye neMetabolism , xa ibhinqa elaphathwa ngayo i-hypothyroidism liyakhulelwa, kufuneka ikhulise ngokukhawuleza i-levothyroxine isilinganisi sayo ngamacwecwe amabini ngeveki, ukwenzela ukuba igcine umsebenzi we-thyroid ngokuqhelekileyo (" i-euthyroid ").
Iziphumo zophando
Ngokwolu cwaningo, ukongezwa kweeyure ezimbini ezongezelelweyo ngeveki kunokunciphisa kakhulu umngcipheko we-hypothyroidism kumama kwaye uhlangabezane neemfuno zokukhulelwa kwangaphambili zibeka umsebenzi we-thyroid.
Ukungakwazi ukunyanga i-hypothyroidism yokubeleka ekukhulelweni kokuqala kuhambelana nobungozi bokukhulelwa kwesisu, kwaye ukuba ukhulelwe, kubuye kwandisa ingozi yokuzalwa, ukuzalwa ngaphambi kokuzalwa, kunye nokuphuculwa kwengqondo kunye nokuphulukana kwabantwana emva kokuzalwa.
Kule sifundo, abafazi ababengama-hypothyroid baqinisekisa ukukhulelwa kwabo baqala ukwandisa umlinganiselo wabo weyeza levothyroxine kwiiveki ezi-5/2 ezikhulelweyo-okanye iintsuku ezingama-40 emva kokukhulelwa.
Kuyathakazelisa, ngelo xesha, ama-27 ekhulwini kwabafundi abathatha inxaxheba sele sele benqanaba eliphezulu le-TSH ephakamileyo ngaphezu kwe-5.0 , ebonisa ukuba yi-hypothyroidism kwaye inqanaba elinxulumene nemiphumo engathandekiyo yokukhulelwa kunye nophuhliso lwempilo yengane kunye nophuhliso lokuqonda, ukuba luzelwe.
I-subset yabasetyhini baqukumbela ukuba baxakeke kwaye bafumana unyango oluninzi lwe-thyroid kwaye kufuneka ulungelelaniso oluthile lwamanyathelo. Abaphandi baphakamisa ukuba abo banokuthi baphumelele ngokugqithiseleyo kubandakanya:
- abafazi abangenayo i-thyroid gland
- abafazi abaphantsi kweTSH ngaphambi kokukhulelwa babengaphantsi kwama-1.5
- abafazi abathatha ubuncinane i-100 mcg / imini ye-levothyroxine ngaphambi kokukhulelwa.
Olu pho nonongo luye wagxininisa ukubaluleka kokufunyanwa kokuqala kokukhulelwa kunye nesenzo kwisigulane, kubhala: "Ngokwinkqubo yesiganeko, abafazi abafuni ukunyamekelwa ngamanyathelo phambi kweeveki ezi-8 ukuya kwezi-12. Ngoko ke, izigulane kufuneka ziqonde ukubaluleka kokuqala ( i-levothyroxine) ukulungiswa ngokukhawuleza kwinqanaba lokunyuka kokuya esikhathini kunye nokuhlolwa kokukhulelwa ekhaya. "
Ngokwabaphandi, ukwandisa umlinganiselo we-levothyroxine malunga nama-30% -eyo yimizuzu eyongezelelweyo yeveki-ngokukhawuleza xa ukukhulelwa kuqinisekiswa "kunciphisa kakhulu umngcipheko we-hypothyroidism yomama kulo lonke i-trimester yokuqala.
Ukujonga umsebenzi we-thyroid ngokumalunga nenyanga kuyadingeka phakathi kokukhulelwa ngenxa yokuba incinci yezigulane zingadinga ukulungiswa kwenzululwazi elandelayo ye-L-T4 ukuze kugcinwe i-TSH efanelekileyo.
Ucwaningo luye lwabonisa ukuba uninzi lwabasetyhini kwimithi ye-hormone ye-thyroid efuna ukunyusa i-intanethi idinga ukunyuka kwama-50 ekhulwini kwi-trimester yokuqala yokukhulelwa xa umntwana esithembela kwimveliso yomama-okanye imithi-yeyona hormone ebaluleke kakhulu. I-hormone ye-thyroid ibalulekile ekuphuculeni i-neurological of fetus, ngokukodwa ngexesha le-trimester yokuqala. Emva kwe-trimester yokuqala, i-thyroid ye-baby iyakwazi ukuvelisa i-hormone ye-thyroid, kwaye ukuxhomekeka kwe-hormone ye-thyroid yomama kunciphisa.
> Umthombo:
> Leila Yassa, uEllen Marqusee, uRachael Fawcett, noErik K. Alexander. "I-Hormone Hormone Ukulungiswa Kwangaphambili Ekukhulelweni (I-THERAPY)." Umbhalo we-Clinical Endocrinology & Metabolism . Ipapashwe ngoMeyi 12, 2010.