Kodi Mayi Watsopano Angathe Kuyamwitsa Ngakhale Hypothyroid kapena Hyperthyroid?
Matenda a chithokomiro amavuta kwambiri, choncho amai ambiri amafunsa ngati adzatha kuyamwa ndi hypothyroidism kapena hyperthyroidism. Ndi mankhwala ati omwe amachiza matenda a chithokomiro ali otetezeka pamene akuyamwitsa? Kodi ndi zinthu ziti zomwe mungakumane nazo poyamwitsa chifukwa cha chithokomiro chanu?
Zochitika zakumwitsa ndi chithokomiro
Zikondwerero pokhala ndi mwana watsopano!
Monga mayi watsopano, mungafune kuti mwana wanu watsopano apindule ndi mkaka wa m'mawere. Koma amayi omwe akuyamwitsa amauzidwa kuti asamangomwa mankhwala osokoneza bongo ndi mankhwala, komanso kulandira chithandizo chamankhwala pamene akuyamwitsa.
Tiyeni tione mmene hypothyroidism kapena hyperthyroidism zingakhudzire kuyamwitsa, komanso zotsatira zomwe kubadwa kwa mwana wanu, kungakhale nako pa chithokomiro chanu.
Mmene Kubadwa ndi Kuberekera Kumakhudza Thanzi Yanu
Kupyolera mimba komanso makamaka kuzungulira nthawi yobereka, thupi lanu limadutsa kusintha kwakukulu kwa mahomoni. Kusintha kwa ma hormonal kumaphatikizapo kusintha kwa chithokomiro, ndipo kusintha kumeneku kumachitika ngakhale mutakhala wathanzi pa mankhwala a hypothyroid kwa nthawi yaitali. Kuwonjezera pa zida za chithokomiro zomwe zilipo musanabereke, amayi ambiri amakhala ndi vuto la chithokomiro miyezi ingapo atabereka.
Postpartum Thyroiditis
Postpartum thyroiditis ndizofala kwambiri zomwe zimapezeka pafupifupi 7 peresenti ya amayi omwe abereka.
Zimaganiziridwa kuti ndizokhazikitsidwa mwadzidzidzi ndipo zingachitike nthawi iliyonse chaka choyamba chiberekero. Kuchepa kwa mkaka ndi chimodzi mwa zizindikiro zomwe zimakhalapo (onani m'munsimu).
Chiwonetsero chofala kwambiri cha thyroiditis ndi wofatsa hypothyroidism. Pamapeto pake, amayi ena amatha kukhala ndi hyperthyroidism (nthawi zambiri amatsatiridwa ndi hypothyroidism pambuyo pake).
Zizindikiro za postpartum thyroiditis, monga kutopa, kutaya tsitsi, ndi kusinthasintha maganizo, zingatheke mosavuta pamene zizindikirozi zimakhala zofala kwambiri pakapita nthawi.
Nthawi zambiri palibe mankhwala omwe amafunikira, ngakhale amayi ambiri omwe ali ndi thyroiditis adzakhazikitsa hypothyroidism pansi pa mzere. Ngati muli ndi tizilombo toyambitsa matenda monga Matenda a Manda kapena Hashimoto's thyroiditis, izi sizili kovuta kuyamwitsa pamene ma antibodies ndi akulu kwambiri kuti asapitsidwe mkaka wa m'mawere.
Mmene Matenda a Chithokomiro Angakhudzire Kuyamwitsa
Ngati muli ndi matenda a chithokomiro omwe amawongolera bwino mankhwala, nthawi zambiri mumakhala ndi vuto lakuyamwitsa. Komabe, popanda mankhwala okwanira, matenda a chithokomiro angakhudze momwe mungathe kuyamwitsa m'njira zingapo. Kumbukirani kuti ngakhale mutakhala ndi mlingo womwewo wa mankhwala a chithokomiro kwa zaka zambiri, mlingo wanu ukhoza kusinthidwa mu nthawi yoberekera.
Hypothyroidism (yomwe siimatetezedwe kapena yosakwanira) ingachepetse mkaka wanu wa mkaka. Ikhozanso kuthandizira kukhumudwa kovuta. Ndi mankhwala oyenera a hypothyroidism, komabe izi ziyenera kuthetsedwa.
Chithokomiro chimagwirizananso ndi ma prolactin, monga prolactin ndi hormone yomwe imakuthandizani kutulutsa mkaka.
Kuyamwitsa Kwa Akazi Ndi Hypothyroidism (Chitsimikizo Cha Chithokomiro)
Kawirikawiri, palibe chifukwa chomwe mkazi yemwe ali ndi hypothyroid komanso athrojoni m'malo mwake amatha kuyamwitsa. Ndipotu, ndizofunika kuti mupitirize kumwa mankhwala a chithokomiro mukamamwino.
Ngati ndinu mayi watsopano ndi preexisting hypothyroidism, muyenera kukhala ndi chithokomiro mkati mwa masabata angapo kuti mubwerere mwamsanga. Kufufuza uku kudzayang'ana kusintha kwa chithokomiro chanu chomwe chingayesetse kusintha kwa mankhwala anu. Ndikoyenera kubwereza kachiwiri kuti kusintha kwa mlingo kawirikawiri kumafunika nthawi yobereka, ngakhale mutakhala ndi mlingo womwewo kwa zaka.
Ngakhale anthu nthawi zambiri amachenjezedwa kuti asamamwe mankhwala pamene akuyamwitsa, ndizofunika kuti mupitirize kumwa mankhwala a chithokomiro. Zingakuthandizeni kudzikumbutsa kuti mukutenga mankhwala otchedwa hormone m'malo mwake , ndikugogomezera mawuwo. Simukuwonjezera mankhwala atsopano ku dongosolo lanu, koma mumangosintha mahomoni omwe thupi lanu lingapange. Palibiretu pangozi ngati mutenga mankhwala anu monga momwe akuyankhira. (Mukhoza kuphunzira zambiri zokhudza kumwa mankhwala a chithokomiro pamene mukuyamwitsa ).
Nthawi Yomwe Mungayankhule ndi Dokotala Wanu
Ngati muli ndi hypothyroid, ndipo kuyamwitsa mwana wanu kutaya thupi, kuchepetsa kulemera, kapena kusakhala ndi chiwerengero chofunikira cha mavitamini ndi maunyowa, muyenera kupempha chithandizo cha chithokomiro nthawi yomweyo, ndipo kambiranani ndi dokotala wanu za zosankha zanu kuonetsetsa kuti mwana wanu akupeza chakudya chokwanira. Pali zizindikiro zingapo zomwe mungayang'ane kuti muwone kuti mwana wanu akumwa mkaka wokwanira.
Ngakhale kuti hypothyroidism imatha kuchepetsa mkaka, pali zifukwa zina zambiri zomwe zingatheke. Ngati mukudandaula za kupanga mkaka wokwanira wa m'mawere onani zina mwa zomwe zingachepetse mkaka wanu
Ngati muli ndi vuto la mkaka wochepa, ganizirani olemba katswiri wa zachipatala, kapena a ana anu, kuti mudziwe za mankhwala ndi mankhwala omwe angakuthandizeni kukonza mkaka wanu.
Kuyamwitsa Kwa Akazi Ndi Hyperthyroidism (Kugonjetsa Chithokomiro)
Amayi ambiri omwe ali ndi hyperthyroidism amatha kuyamwa bwino. Ngati hyperthyroidism imachokera ku postpartum thyroiditis, nthawi zambiri chithandizo sichifunika.
Ngati muli ndi matenda a Grave kapena muli ndi hyperthyroidism musanayambe mimba, nkofunika kuyankhula ndi dokotala wanu za chitetezo chogwiritsa ntchito mankhwala osokoneza bongo pamene akuyamwitsa. Kugwiritsa ntchito mankhwalawa sikukutanthauza kuti simungathe kuyamwitsa, ndipo lingaliro laling'ono ndilokuti akazi ayenera kulimbikitsidwa kuyamwitsa ngakhale kuti akudwala. Mankhwala ena, monga Tapazide (methimazole), komabe, amasankhidwa pa PTU (propylthiouracil). Izi zati, kwa amayi amene ayenera kutenga PTU chifukwa cha zovuta ku Tapazide kapena hyperthyroidism, kuyamwa kungakhale kotheka. Ndikofunika kuti muyankhule ndi dokotala wanu kafukufuku waposachedwa.
Iodin yamagetsi, mwina monga tsamba la chithokomiro kapena mankhwala a hyperthyroidism (abambo odzola a iodine ablation) sayenera kuphatikizidwa ndi kuyamwitsa pamene ayodini yowonjezera ingathe kuunjika ndikukhalabe mkaka wa mazira kwa milungu ingapo. Ngati izi zakhala zikulimbikitsidwa, mungafune kuyankhula ndi dokotala wanu za njira zina zowonjezera chithandizo cha chithokomiro (monga mankhwala a singano kapena mayeso ena a magazi) kapena njira zina zowonjezera mavitamini (monga mankhwala a antithyroid). Ngati technetium imagwiritsidwa ntchito pa chithokomiro, kuyamwa kuyenera kutsekedwa kwa maola 30 potsatira njirayi (mkaka wa m'mawere uyenera kuponyedwa ndi kuponyedwa panthawiyi).
Kansa ya Chithokomiro
Ngati mwakhala ndi khansa ya chithokomiro kapena muli ndi kachilombo, ndi kofunika kuti muyankhule ndi dokotala wanu za mavuto alionse okhudzana ndi kuyamwitsa. Kaya mudzatha kuyamwitsa mwana wanu zimatengera zinthu zambiri. Komabe, ndibwino kuti kuyamwitsa kumawonekera kukhala ndi mgwirizano wosiyana ndi chitukuko cha kansa ya chithokomiro, ndipo nthawi yambiri yoyamwitsa imakhudzidwa ndi ngakhale zochepa.
Pamunsi pa Kuyamwitsa Ndi Matenda a Chithokomiro
Matenda a chithokomiro amavomereza, ndipo zimalimbikitsa kuti anthu ambiri azitha kumwa mankhwala ndi kuyamwa popanda mavuto. Kusintha kwa chithandizo cha chithokomiro kumalo osakanikirana ndi kofala kwambiri pakapita pambuyo, ndipo kuvutika ndi kuyamwitsa kungakuchenjezeni kufunika kokhala ndi chithokomiro chanu. Kwa amayi omwe ali ndi vuto la chithokomiro asanatenge mimba, ndibwino kupanga ndondomeko ya chithokomiro mwamsanga mutangobadwa.
Mahomoni ambiri oterewa amatha kukhala ndi vuto la kukonza mkaka, kutaya mtima kwanu, ndipo zingayambitse zizindikiro zomwe zimakhumudwitsa kwambiri. Zimakhala zachilendo kuti akazi azikhumudwa ndi azamwino ngakhale popanda mbiri ya matenda a chithokomiro, ndipo kukalembetsa alangizi a lactation kungakhale ofunika kwambiri. Kawirikawiri zimangotengera malangizo pang'ono kuti akuthandizeni kuyamwa nthawi yonse yomwe mukufuna.
> Zotsatira:
> Hudzik, B., ndi B. Zubelewicz-Szkodzinska. Mankhwala a Antithyroid Pamene Akuyamwitsa. Clinical Endocrinology (Oxford) . 2016. 85 (6): 827-830.
> Kim, E. Kuyamwitsa ndi matenda a shuga Mellitus / Matenda a Chithokomiro. Zina za Matenda a Matenda a Edzi ndi Matetabolism . 2012. 17 (2): 76.
> Yi, X., Zhu, J., Zhu, X., Liu, G., ndi L. Wu. Kuthana ndi Khansa ya Chithokomiro Kuopsa kwa Akazi: Mphindi-Kuyankha Meta-Analysis of Epidemiological Studies. Zakudya Zamankhwala . 2016. 35 (5): 1039-46.