Ukungaxilwanga okanye ukungaphathwa kakubi kwi-hypothyroidism ngexesha lokukhulelwa kuye kwaboniswa ukwandisa umngcipheko weziphumo ezahlukeneyo ezibandakanyekayo, kubandakanywa umngcipheko wokukhulelwa komzimba, ukubeleka, ukunyanzeliswa kwexesha elide kunye neengxaki zokuqala. I-overt hypothyroidism ibhekisela kwimeko apho i-thyroid ekhuthaza ama-hormone (TSH) amanqanaba ayi-10 mIU / L nangaphezulu.
Ngoku, uphando luye lwabonisa ukuba unyango lwabafazi abanobuhle okanye obuncinci be-hypothyroidism-bachazwa njengezinga le- TSH ngaphantsi kwe-10.0 mIU ngexesha lokukhulelwa kunokunciphisa umngcipheko wokunikezelwa kwangethuba kwangaphambili, amacandelo okusabalalisa kwangaphambili kunye nokuzala.
Iziphumo zophando zabikwa kwi-Society for Endocrinology yenkomfa yonyaka kwiBrighton ngoNovemba 2016, kwaye iqhutywe nguDkt Peter Taylor weYunivesithi yaseCardiff eWales.
Olu pho nonongo lwabafazi abangaphezu kwama-13 000 ababephakathi kweveki ezili-12 ukuya kwe-16 ezikhulelweyo. Kulo qela, 518 yayine-hypothyroidism emnene, eyaziwa ngokuba yi- subclinical hypothyroidism . Phakathi kwabesetyhini abachazwe njengobunzima be-thyroid, umsebenzi wesiqingatha unikwe i- thyroid i-levothyroxine , kwaye esinye isiqingatha asifumani unyango. Abaphengululi bahlalutya iirhafu zokuzalwa, ukusalelwa kwintsana, ukungabikho kokuqhawuka (ukuhanjiswa kweeveki ezingaphantsi kwama-37), kunye namacandelo okuqala amacandelo.
Uphando olutholekileyo:
- Abafazi abane-hypothyroidism abancinci abangakhange baphathwe ngayo babengenako ukubeleka kunabesifazana abanomsebenzi oqhelekileyo we-thyroid.
- Abafazi abaneentsholongwane ze-thyroid ababephathwa nge-levothyroxine babenomngcipheko omncinci wexesha lokuthoba lokuqala kunye nesisindo sokuzalwa esincinci ekuhambisweni, kunye nakwii-early breakers section.
Ekuxeleni iziphumo zophando, uDkt Taylor wathi:
Umsebenzi wethu uphakamisa amathuba okubonelela ngenzuzo yokusebenzisa unyango olukhuselekileyo, oluncinci nolulungileyo ngokulwandisa kwinani labasetyhini abakhulelweyo esibaphathayo. Sifanele sijonge i-thyroid ye-screening ekukhupheni njengoko ithelekisa kakuhle ngokubhekiselele kwiindleko-mpu meko kwezinye iimeko esizikhulayo njengamanje.
UDkt. Taylor wachaza lewebhusayithi ye- Endocrine Namhlanje :
"Siye sabonisa ukuba kunokufumana uncedo lokwenene ekulungiseni umsebenzi we-thyroid emngceleni kubasetyhini abakhulelweyo basebenzisa izidakamizwa ezingabizi, i-levothyroxine. Oku kukho iziphumo ezibalulekileyo, kubandakanywa nokunciphisa ukunyuka komzimba kunye nokuqhathaniswa kokuqala, nangona uphando olufunekayo. Kwakhona kuphakamisa ukuba kungenzeka ukuba njenge-hypothyroidism kunye nomsebenzi we-thyroid umda wendawo, kukho impikiswano ephosakeleyo yokuhlola i-thyroid yonk Ukugxininisa ngakumbi kwiimo ye-thyroid kuyadingeka kwakunye nokuqwalaselwa kwe-thyroid. "
Yintoni oku kuthetha ngayo kuwe
Kukho inani lezinto ezifunyenweyo ezifunyenwe ngabafazi besigaba sokubeletha kunye noogqirha ababaphathayo.
Gcina iqondo elifanelekileyo phambi kokukhulelwa
Ukuba u-hypothyroid othobekileyo kwaye uceba ukukhulelwa, kufuneka uqaphele izikhokelo ezisesikweni ngokumalunga nezinga eliphezulu zeTSH ngaphambi kokukhulelwa.
Ngokutsho kwe "Izikhokelo ze-American Thyroid Association ye-Diagnosis kunye nokuLawula izifo ze-Thyroid ngexesha lokukhulelwa kunye ne-postpartum," i-thyroid ye-thyroid ye-hormone yonyango yokutshintshwa kufuneka ishintshwe ukuze i-TSH yakho ingaphantsi kwe-2.5 mIU / L ngaphambi kokuba ukhulelwe.
Qinisekisa Ukukhulelwa Kwakho Njengokuqala Kwangoko
Qaphela ukuba iingcali zikwacetyiswa ukuba uqinisekise ukukhulelwa kwakho ngokukhawuleza, kwaye wenze isicwangciso esilungele ngaphambili ukuba ukwandise iyeza lakho lonyango ngokukhawuleza ukuba uyazi ukuba ukhulelwe. Ukukhulelwa ngokukhawuleza kwakha isidingo esikhulu sokwanda kwehomoni ye-thyroid, kwaye ukuze ukhusele ukukhulelwa kwakho kunye nempilo yengane yakho, kubalulekile ukuba uqinisekise ukuba une-hormone eyaneleyo xa ukhulelwe.
Ingongoma ebaluleke kakhulu emva kokukhulelwa kwaye ngexesha lakho lokuqala lokuqala, xa umntwana wakho okhulayo exhomekeke ngokugcwele kuyo yonke i-hormone ye-thyroid ebalulekileyo ekuqinisekiseni ukukhula kwengane kunye nokukhula komzimba.
Ukuba ufumene unyango okanye uchungechunge lwe-hypothyroidism ngexesha lokukhulelwa, iingcali zicebisa ukuba unyango lwe-hormone ye-hormone i-substitute medication ngaphandle kokulibala. Injongo kukubuyisela izinga lakho le-thyroid ngokuqhelekileyo ngokukhawuleza.
Qinisekisa ukuba oogqirha bakho balandela izikhokelo kunye nokusebenzisa umgcini-nkqozo, ukukhulelwa kwe-TSH indawo
Inyaniso ebalulekileyo ukuba uyazi kukuba uluhlu lwesalathiso lwendabuko olwenziwa ngamayeza aqhelekileyo ukuxilonga nokulawula i-hypothyroidism lunqabile kakhulu ngexesha lokukhulelwa kwakho . Nangona ama-laboratories amaninzi aphezulu amanqanaba e-cutoff aphezulu ukusuka kwi-4.0 ukuya ku-6.0 i-MIU / L 4.5, izikhokelo zincoma ukuba ngexesha lokukhulelwa , izinga lakho le-TSH kwi-trimester yokuqala kufuneka ligcinwe kwinqanaba eliphakathi kwe-0.1 ne-2.5 mIU / L, I-3.0 mIU / L ngelixa lenu lekota yesibini, kunye ne-0.3 ukuya kwi-3.0 mIU / L kwi-trimester yakho yesithathu.
> Imithombo:
> Stagnaro-Green, Alex, et al. "Izikhokelo ze-American Thyroid Association ye-Diagnosis kunye nokuLawula izifo ze-Thyroid ngexesha lokukhulelwa kunye ne-Postpartum." Thyroid. Umqulu 21, iNombolo 10, 2011 (i-Intanethi)
> Taylor PN, et al. Abstract # OC6.3. Ukunikezelwa kwi: Inkomfa yonyaka ye-Endocrinology; NgoNovemba 7-9, 2016; Brighton, eUnited Kingdom.