Kulephera kutanthauza kuti kulephera kutenga mimba pakatha miyezi 12 kapena kuposa kugonana kosatetezeka. Akuti anthu 10 mpaka 15 peresenti ya mabanja ku United States amakumana ndi kusabereka.
Ena mwa anthu omwe akulimbana ndi kusabereka amatha kupitiliza njira zothandizira kubereka, monga kutsegula mazira, mavitamini, ndi njira zina.
Akuti pafupifupi 1% mwa onse obadwira ku United States ndi zotsatira zothandizira kubereka (zomwe zimapangitsa kuti chithandizo cha chonde chikhale chonchi), zomwe mwazidzidzidzi, zimapambana pafupifupi 1 pa zisanu.
Amayi ambiri sazindikira kuti chithokomiro choyenera ndi chofunikira kuti musamangokhala ndi pakati-mwachibadwa komanso mothandizidwa ndi kuthandizira kubereka-komanso kuti mukhale ndi mphamvu zowonongeka komanso muteteze mimba pa nthawi yovuta komanso yoyamba.
Ngati mukusowa chithandizo kapena kusinkhasinkha kuthandizira kubereka, gawo limodzi lofunika kwambiri la kufufuza liyenera kukhala thanzi lanu la chithokomiro. Chodabwitsa n'chakuti madokotala ena, azachipatala komanso chithandizo cha chonde, samaphatikizapo chithokomiro monga njira yowonongeka, koma amayi ayenera kulimbikitsa kafukufuku wamakono atangokhalira kukayikira.
Nazi malingaliro ofunikira othandizira kuti muyambe, kusinthidwa kuchokera m'buku lakuti Your Healthy Pregnancy ndi Matenda a Chithokomiro, lofalitsidwa ndi Books Perseus ndi lolembedwa ndi Dana Trentini ndi Mary Shomon.
Nthenda ya Chithokomiro pa Zokwanira
Osadziwika, osatulutsidwa, kapena osayenera kudwala matenda a chithokomiro kumawonjezera chiopsezo chanu pa zinthu zingapo zofunika zomwe zingakhudze chonde chanu, kuphatikizapo zotsatirazi:
- kusamba kwa msinkhu kosasinthasintha, komwe kungapangitse nthawi yanu yachonde kukhala yovuta komanso yovuta kufotokozera
- Nthawi ya kusamba kumene simukuthira (kutulutsa dzira), choncho simungathe kuganiza
- gawo la luteal (nthawi ya pakati pa ovulation ndi kusamba) yomwe ndi yoperewera kwambiri kuti ingathe kukhazikitsidwa bwino kwa mwana wosabadwa. Ngati feteleza ndi bwino koma phazilo ndi lalifupi kwambiri, dzira la feteleza lingathamangitsidwe pa nthawi ya kusamba mkazi asanamudziwe kuti ali ndi mimba.
- Kusiyanasiyana kwa estrogen ndi progesterone, zomwe ndizofunikira kuti chonde chikhale ndi thanzi labwino
- Kudziletsa kumene sikungopangitse chithokomiro chanu, koma kungathandizenso mazira anu, umuna wanu, ndi zina zofunika kuti mukhale ndi pakati
- kuchepa kwa ovarian, kuyambitsa umuna ndi zina zothandizira kubereka
Pofuna kubereka bwino, malangizo ochiritsira omwe amagwiritsidwa ntchito masiku ano amanena kuti kuchuluka kwa hypothyroidism, komwe kumatchulidwa ngati TSH mlingo wapatali kuposa 10 mg / L-kuyenera kuchitidwa ndi mankhwala osokoneza bongo. Ngati mkazi ndi hypothyroid asanakhale ndi mimba kapena atapezeka kuti ali ndi mimba yoyambirira, malangizo amalimbikitsa kuti mlingoyo ukhale wosinthika kuti TSH ili pansi pa 2.5 mIU / L kupyolera mu trimestre yoyamba. Pakati pa trimester yachiŵiri, mlingo wa TSH uyenera kusungidwa pakati pa 0.2 ndi 3.0 mIU / L, ndi 0.3 mpaka 3.0 mIU / L mu 3 trimester.
Mipata yomwe ili kunja kwa mndandandawu ingathe kuonjezera chiopsezo chotenga padera, kubereka, kusadetsedwa, ndi kuzindikira zina ndi zina mwana atabadwa.
Madokotala ogwira mtima amakhulupirira kuti ali okhwima kwambiri chifukwa cha chonde, komanso amachiza amayi omwe ali ndi matenda a Hashimoto (koma osati "machitidwe" a chithokomiro), komanso pamene akuchiritsa mahomoni otere, kuonetsetsa kuti osati TSH pansi pa 2.5, koma Free T4 ndi Free Maseŵera a T3 ali mu hafu yapamwamba ya zolembera.
Malangizo ovomerezeka amanena kuti mkazi aliyense athandizidwa chifukwa cha hypothyroidism ndithudi amafunika kuchuluka kwa mavitamini a chithokomiro kuwonjezeka kwa mimba yoyambilira kwambiri.
Malangizi othandizira amatsimikizira kuti kutenga mimba kumayambiriro ndikuwonjezeranso mlingo ndi ndalama zomwe zanenedwa ndi dokotala pasadakhale.
Ngati mukusowa chithandizo, zotsatira zina, kuti muyambe:
- Pezani TS yanu) kuyesedwa
- Pezani T4 omasuka ndi T3 omasuka kuyesedwa
- Khalani ndi majeremusi a peroxidase (TPO) omwe amayesedwa