Zomwe simukuzidziwa kapena zosagwidwa ndi matenda osagwidwa ndi matenda pa nthawi ya mimba zasonyezedwa kuti zowonjezera chiopsezo cha zotsatira zosiyana siyana, kuphatikizapo chiopsezo chowonjezereka chokwanira kutuluka, kubereka, kusankhwima, kusagwira ntchito, komanso mavuto ena. Kuchuluka kwa hypothyroidism nthawi zambiri kumatanthawuza momwe matenda omwe amachititsa kuti tizilombo toyambitsa matenda (TSH) ndi ma 10 MIU / L ndi pamwamba.
Panopa, kafukufuku wasonyeza kuti kuchitira amayi omwe ali ndi maseĊµero ochepa kapena ochepa omwe amachititsa kuti TSH ikhale yochepa kuposa 10.0 mIU panthawi yomwe mimba ingachepetse chiopsezo cha kubereka msanga, magawo oyambirira, komanso kubereka.
Kafukufukuyu adafotokozedwa pa msonkhano wa pachaka wa Society for Endocrinology ku Brighton mu November 2016, ndipo adachitidwa ndi Dr. Peter Taylor wa yunivesite ya Cardiff ku Wales.
Kafukufukuyu anayezetsa akazi oposa 13,000 omwe anali pakati pa masabata 12 ndi 16 omwe ali ndi pakati. M'gululi, 518 anali ndi mild hypothyroidism, yomwe imatchedwanso subclinical hypothyroidism . Pakati pa akazi omwe amadziwika kuti ali ndi chithokomiro chosawonongeka, hafu ina anapatsidwa mankhwala otchedwa levothyroxine , ndipo hafu ina sanalandire chithandizo. Ofufuzawa anafufuza momwe chiwerengero cha amayi omwe amamwalira asanabadwe, kufa kwa amayi osapatsirana, kusanamwalika (kubereka pakatha masabata osachepera 37), ndi magawo oyambirira osungika.
Kafukufuku anapeza:
- Azimayi omwe ali ndi mild hypothyroidism omwe sankapemphereredwe amakhala osowa kwambiri kuposa amayi omwe ali ndi ntchito yowonongeka.
- Azimayi omwe ali ndi vuto la chithokomiro omwe anadwala levothyroxine anali ndi chiopsezo chochepa cha msinkhu wa zaka zoyambirira komanso nthawi yochepa yobadwa pobereka, komanso magawo oyambirira.
Pofotokoza zotsatira za kafukufuku, Dr. Taylor adati:
Ntchito yathu imapereka mwayi wopereka phindu lenileni pogwiritsa ntchito mankhwala otetezeka, otchipa komanso okonzedwa bwino mwa kungowonjezera ku chiwerengero cha amayi apakati omwe timawachitira. Tiyenera kuganizira za chithokomiro chonse pa mimba pamene ikuyerekeza bwino ponena za mtengo wogwira ndi zinthu zina zomwe tikuziwonetsera panopa.
Dr. Taylor adanenanso kwa webusaiti ya Endocrine Today :
"Ife tawonetsa kuti pangakhale phindu lenileni pakukonza ntchito ya chithokomiro cha m'malire mwa amayi apakati pogwiritsa ntchito mankhwala osagula mtengo, levothyroxine. Izi zili ndi zotsatira zofunikira, kuphatikizapo kuchepetsa kubereka komanso kusatukuka, ngakhale kuti maphunziro ambiri amafunika. Zimathandizanso kuti ngati hypothyroidism ndi chithokomiro cha m'mphepete mwachindunji zimagwira ntchito, pali mfundo yokakamiza kuwonetsetsa chithokomiro chonse pa mimba. Kuganizira kwambiri za chithokomiro n'kofunika komanso kuganizira za chithokomiro chonse. "
Kodi Izi Zikutanthauza Chiyani Kwa Inu?
Pali zifukwa zambiri zomwe zowunikirazi zimakhala nazo kwa amayi a msinkhu wobereka ndi madokotala amene amawachitira.
Pitirizani Makhalidwe Abwino Musanayambe Mimba
Ngati muli wofatsa hypothyroid komanso mukukonzekera kutenga pakati, muyenera kudziwa zoyenera kutsata zokhudza ma TSH omwe musanayambe mimba.
Malingana ndi "Malangizo a American Thyroid Association kuti Apeze Kuzindikira ndi Kusamalira Matenda a Chithokomiro pa Pakati pa Pathupi ndi Postpartum," mankhwala anu a mankhwala a chithokomiro amatha kusintha kuti TSH yanu ikhale pansi pa 2.5 mIU / L musanayambe kulenga.
Onetsetsani Mimba Yanu Poyambirira
Dziwani kuti akatswiri amalangizanso kuti mutsimikizire kuti muli ndi mimba mwamsanga, ndipo pangani ndondomeko yanu kuti muwonjezere mlingo wanu wa mankhwala mutadziwa kuti muli ndi mimba. Mimba mwamsanga imabweretsa kuwonjezeka kwakukulu kwa mahomoni a chithokomiro, ndipo kuti muteteze mimba yanu ndi thanzi la mwana wanu, ndikofunikira kuti muonetsetse kuti muli ndi mahomoni okwanira nthawi yonse yomwe muli ndi mimba.
Mfundo yofunika kwambiri ndiyonse pambuyo pathupi komanso panthawi yanu yoyamba, pamene mwana wanu akukula akudalira kwambiri mahomoni omwe amathandiza kuti mwanayo azitha kukula bwino.
Ngati mwapezeka ndi mildness kapena subclinical hypothyroidism pa nthawi ya mimba, akatswiri amati mukupatsidwa mankhwala a chithokomiro m'malo mochedwa. Cholinga chanu ndi kubwezeretsa chiwombankhanga chanu mofulumira mwamsanga.
Onetsetsani Kuti Amayi Anu Akutsatira Malangizowo Ndi Kugwiritsira Ntchito Narrower, Mimba Yeniyeni ya TSH
Chinthu chofunika kudziwa ndi chakuti mndandanda wazinthu zomwe amagwiritsidwa ntchito ndi madokotala wamba kuti azindikire ndi kugwiritsira ntchito hypothyroidism ndizochepa kwambiri panthawi yomwe uli ndi mimba . Ngakhale ma laboratories ambiri ali ndi zigawo zapamwamba za cutoff kuyambira 4.0 mpaka 6.0 mIU / L 4.5, Malangizi amavomereza kuti panthawi ya mimba , chiwerengero chanu cha TSH m'miyendo yoyamba chiyenera kusungidwa pakati pa 0.1 ndi 2.5 mIU / L, 0.2 mpaka 3.0 mIU / L panthawi yanu yachiwiri ya trimester, ndi 0.3 mpaka 3.0 mIU / L muchitatu ya trimester.
> Zotsatira:
> Stagnaro-Green, Alex, et al. "Malangizo a Association of American Thyroid Association kuti Apeze Matenda ndi Kusamalira Matenda a Chithokomiro Pakati pa Mimba ndi Postpartum." Chithokomiro. Vesi 21, Nambala 10, 2011 (Online)
> Taylor PN, ndi al. Mfundo # OC6.3. Yofotokozedwa ku: Society for Endocrinology Annual Conference; Nov. 7-9, 2016; Brighton, United Kingdom.