Ana a Atsikana Oyembekezera Amene Ali ndi Matenda a Chithokomiro Pangozi Yaikulu ya Zofooka za Kubadwa
Malingana ndi kafukufuku amene anapezeka pamsonkhano wapachaka wa 2001 Society wa Maternal-Fetal Medicine, amayi omwe ali ndi matenda a chithokomiro ali pachiopsezo chachikulu chokhala ndi ana omwe ali ndi zilema zobereka - kuphatikizapo zolakwika zomwe zimakhudza mtima, impso kapena ubongo komanso zolakwika zina, monga chidziwitso chokwanira komanso chong'onong'o - kusiyana ndi zomwe zinaganiziridwa kale.
M'buku lokonzekera, David A.
Nagey, MD, Ph.D., wa yunivesite ya Johns Hopkins akuti, "Tidadziwa kale kuti pangakhale ngozi yowonjezera, makamaka nzeru kapena chitukuko, mwa ana chifukwa cha hypothyroid pregnancies , koma kugwirizana ndi zolepheretsa kubadwa ndizatsopano ndi zosayembekezereka. Ngati zotsatirazi zatsimikiziridwa, zingayambitse kuyesa kwa amayi pa matenda a chithokomiro musanayambe mimba komanso (mtima defects) m'matumbo a amayi omwe ali ndi hypothyroidism. "
Kawirikawiri, mavuto omwe amayamba nthawi zambiri amakhudza mtima, koma zolakwika zina, monga impso ndi mavuto amachitidwe a mitsempha, zowonongeka ndi zowonongeka, zimakhala zofala kwambiri kwa amayi omwe anali ndi matenda a hypothyroid pa nthawi ya mimba.
Maperesenti khumi ndi atatu a ana adaphunzira anabala zofooka. Mwa amayi awo, 13 anali hypothyroid pa nthawi ya mimba, ndipo 8 anali hyperthyroid panthawi yoyembekezera. Izi zikufanizira ndi chiwerengero cha pafupifupi 3% mwa ana onse omwe ali ndi zilema zobereka.
Dziko la zamankhwala silinavomereze zotsatirazi popanda funso. Polankhulana ndi HealthScoutNews , katswiri wina wamaphunziro a zachipatala Loren Wissner-Greene adasonyeza kuti mayesero aakulu adasonyeza kuti ana obadwa kwa amayi omwe ali ndi matenda a chithokomiro anali pachiopsezo chachikulu cha kuchepa kwachitukuko - osati zikuluzikulu zazikulu zobereka.
Anakayikira ngati zotsatira zake zikhoza kukhala chifukwa cha chinthu china, ndipo akusonyeza kuti nkhaniyi ikufuna kufufuza zambiri amayi asanakhale okhudzidwa kwambiri.
Dr. Nagey, komabe, akukhulupirira kuti kafukufuku wake akupereka mfundo zingapo zofunika kwa amayi omwe ali ndi vuto la chithokomiro:
- Azimayi omwe ali ndi chithokomiro amafunikira chisamaliro cha munthu wodwalayo
- Azimayi omwe ali ndi hypothyroid ayenera kubereka kuchipatala chomwe chimachitika panthawi yomwe akuyamwitsa ana omwe ali ndi vuto la kubadwa lomwe likupezeka mu phunziro lino.
Zotsatira Zina kwa Odwala
Kuwonjezera pa ndemanga ya Dr. Nagey kuti odwala chithokomiro amawona odwala matenda oopsa omwe amawopsa kwambiri ndipo amapereka kuchipatala chomwe chili ndi mphamvu zothandizira ana, pali zofunikira zina.
Ngakhale madokotala osiyanasiyana atsimikizira mfundo zosiyanasiyana zomwe mungayesedwe kuti muzitha kuyambitsa chithokomiro, ndimakonda kulakwitsa pafupipafupi. Odwala matenda ambiri odwala matendawa safuna kukuwonani mpaka mutakhala ndi pakati pa masabata asanu ndi asanu ndi atatu kapena asanu ndi atatu, ndipo izi zatha kuposa momwe thupi likufunira zikhoza kuchititsa kuti TSH yanu ikweze komanso kuwonetsa mimba yanu. Mwini, ndikukuuzani kuti mupeze mayeso a pathupi, ndipo yesani msanga mwamsanga.
Lowani kuti mukhale ndi TSH yanu , T4 ndi T3 kuyesedwa mwamsanga mukakhala ndi chiyeso choyenera cha mimba (kawirikawiri kuzungulira nthawi ya nthawi yanu yoperewera - kapena zomwe angaganizire masabata 4 akuyembekezera).
Ndili ndi pakati, ndinayamba kutenga pakati pa TSH ya 1.2. Akatswiri ena amakhulupirira kuti mkazi angayambe kutenga mimba - ndi kusungidwa mozungulira - pamapeto otsika kwambiri kuti athetse zotsatira zabwino. Ndayesedwa mwezi uliwonse pa trimester yoyamba (ngakhale mobwerezabwereza ngati muli ndi zotsatira zosazolowereka), ndiyeno patatha masabata asanu ndi limodzi kapena asanu pa nthawi yotsalayo. Zomwe ndinkasintha zinali panthawi yanga yoyamba.
The trimester yoyamba ndi imodzi mwa nthawi zovuta kwambiri pakuyezetsa kawirikawiri ndi chithandizo chokwanira. Pakati pa trimester yoyamba, kukula ndi kukula kwa mwana kumadalira amayi kuti athe kuwonjezera chithokomiro chake. Pakutha pa trimester yoyamba , chithokomiro cha mwana chimakhala chogwira ntchito ndipo chimatha kupanga mahomoni a chithokomiro palokha. Ichi ndi chifukwa chake amayi ambiri, omwe ndaphatikizidwa nawo, amapeza kuti akufunika kuti azikwanitsa kupita patsogolo pa trimestre yoyamba, koma amayamba kukhazikika pambuyo pa trimester yoyamba.
Dziwani kuti: Ngakhale kuti munthu wodwalayo ali ndi chiopsezo choopsa kwambiri, amayi ambiri omwe ali ndi vuto la chithokomiro amatsatiridwa ndi wodwalayo wodwalayo komanso wodwalayo. Akatswiri odziwa za matenda a chithokomiro komanso odwala matenda opaleshoni amadziwika kuti ndi odziwa zambiri zokhudza kuthetsa matenda a chithokomiro pa mimba. Komabe, kafukufuku wasonyeza kuti pafupifupi achitatu mwa madokotala onse sakudziwitsidwa za kuyang'anira matenda a chithokomiro pa mimba , choncho ndikofunikira kuti mupeze dokotala kapena gulu la madokotala ndi luso lothandizira kuthetsa matenda a chithokomiro panthawi yoyembekezera.
> Zotsatira:
> Nagey, David, MD. Msonkhano wa Matenda a Mayi Amayi Amodzi Msonkhano Wapachaka, 2001, Online