Ntchito ya chithokomiro yathanzi ndi yofunika kwambiri kuti ukhale ndi thanzi labwino la kubereka komanso momwe mungathe kukhalira ndi pakati, ndikukula bwino chifukwa chokhala ndi pakati komanso kupereka mwana wathanzi. Nazi mavuto 10 okhudzana ndi chithokomiro omwe angakhudze kuti mungathe kukhala ndi mwana wathanzi.
1. Kusowa kwa kuvuta
Ngati muli ndi vuto la chithokomiro chosadziwika kapena kuti mulibe vutoli, muli pachiopsezo chachikulu chokhala ndi zomwe zimadziwika ngati "mpweya wonyezimira," pamene musamasule dzira.
Ngati dzira silimasulidwa, mimba ndi mimba sizingatheke. Kumbukirani; Mutha kumakhala ndi nthawi yokha kumaliseche. Koma simungathe kutenga mimba.
Pamene matenda a chithokomiro amapezeka bwino komanso amachiritsidwa, chiopsezo chokhala ndi minofu chikhoza kuchepetsedwa.
Njira imodzi yozindikiritsira zozizwitsa zamagetsi ndi kudzera m'kakiti ka ovulation predictor kit, chomwe chimayambitsa kuwonjezeka kwa mahomoni ena omwe amapezeka pozungulira. Mungagwiritsenso ntchito njira yowunika njira zowonjezeretsa , kuphatikizapo kutentha kwake, kuti muzindikire zizindikiro zomwe zingasonyeze kuti ndiwe ovulation.
Ngati matenda anu a chithokomiro athandizidwa, kumbukirani kuti pali zifukwa zina zomwe zingathetseretu mankhwala oyenera kuti mufufuze ndi dokotala wanu. Zifukwa izi zikuphatikizapo kuyamwitsa; kusintha kwakukulu; kusokonezeka kwa adrenal; anorexia; Zovuta za ovari, kuphatikizapo mazira ochepa, kapena zida zowononga mazira; ndi ma polycystic ovary syndrome (PCOS), pakati pa ena.
2. Luteal Phase Defects
Ngati muli ndi vuto la chithokomiro losadziwika, losatulutsidwa, kapena losatetezeka, muli ndi chiopsezo chachikulu cha vuto la luteal. Gawo lanu lalitali ndilo theka lachiwiri la kusamba kwanu, pambuyo pa kuvuta, komanso poyambira kumapeto kwa msambo wanu wotsatira.
Panthawi imeneyi, dzira lanu litatulutsidwa, limayamba ulendo wawo kudzera mu mazira omwe amatha kukhala ndi umuna, kuyamba mimba.
Nthawi zambiri, dzira la feteleza limayenda kupita pachiberekero, komwe zimayambira mu chiberekero chotchedwa endometrium.
Nthawi yofunikira pambuyo pa ovulation-kukonzekera uterine tebulo, umuna wa dzira, ndi kukhazikika bwino-ndi masiku 13 mpaka 15. Ngati palibe dzira lophatikizidwa, mahomoni amayamba kugwira ntchito, zomwe zimayambitsa kukhetsa chiberekero monga nthawi ya msambo.
Ngati gawo lanu laling'ono ndi lalifupi kwambiri, palibe nthawi yokwanira kuti dzira la feteleza likhazikike musanayambe kutsogolo. Izi zikachitika, ngakhale atakhala ndi pakati, dzira lopangidwa ndi feteleza silingathe kukhazikika ndipo m'malo mwake limatha kuthamangitsidwa pamodzi ndi magazi.
Luteal phase defects angadziŵike kupyolera mwa zojambula zothandizira - Kulemba Mwini Wolemba Wanu Wochuluka Toni Wechsler ali ndi zinthu zabwino kwambiri kuti akuthandizeni kuphunzira momwe mungasonyezere zizindikiro zowonjezera. Nthawi zina, dokotala wanu akhoza kuyesa hormone yanu yochititsa chidwi (FSH), mahomoni a luteinizing (LH), ndi ma progesterone, kuti athandizidwe kuzindikira zolakwika zapakati.
Matenda ndi chithandizo cha chithokomiro choyenera chingathetse vuto la luteal kwa akazi ena.
Komabe, kwa amayi ena, ma progesterone sangakwanitse kukhala okhumudwitsa. Progesterone imafunika kuti ukhale wathanzi wophimba. Zikatero, progesterone yathandiza amayi ena kuti akhale ndi mimba yabwino ndi mwana.
3. Mipata ya Prolactin Yopambana / Hyperprolactinemia
Your hypothalamus imatulutsa hormone yotchedwa hormone-release hormone, kapena TRH. Ntchito ya TRH ndi yomwe imathandizira kuti thupi lanu lizikhala ndi tizilombo toyambitsa matenda kapena TSH. TSH ndiye imachititsa kuti chithokomiro chanu chikhale ndi mahomoni ambiri.
Pamene chithokomiro sichigwira ntchito bwino, TRH imatha kupanga.
TRH yochulukirapoyi imatha kuyambitsa pituitary kuti itulutsenso hormone yotchedwa prolactin. Prolactin ndi hormone yomwe imalimbikitsa kupanga mkaka.
Matendawa, omwe amadziwika kuti hyperprolactinemia, amakhala ndi zotsatira zingapo pa kubereka kwanu, kuphatikizapo kuvomereza kosalekeza ndi mazira opuma. Ndipamwamba kwambiri za prolactin pamene akuyamwitsa zomwe zimathandiza kuti amayi ena asatenge pakati pamene akuyamwitsa.
Kujambula zizindikiro zanu za kusamba ndi zizindikiro zowonjezera-pamodzi ndi mayeso a magazi opima prolactin wanu-zingathandize dokotala kuti azindikire hyperprolactinemia. Ngati matenda oyenera a chithokomiro ndi chithandizo cha mankhwala a chithokomiro sichidzathetsa vuto la prolactin, mankhwala osiyanasiyana-kuphatikizapo bromocriptine kapena cabergoline-amalembedwa, ndipo amathandizira kuchepetsa ma prolactin ndikubwezeretsanso nthawi ndi mavenda.
4. Kusamba kwa nthawi yoyamba / Kusamba kwa nthawi
Ngati muli ndi vuto la chithokomiro chokha monga matenda a Hashimoto, kafukufuku akuwonetsa kuti mukukumana ndi chiopsezo chochepa chokhala ndi chiyambi cha kusamba . Ku United States, pafupifupi zaka zapakati pa kutha kwa msinkhu monga mfundo yomwe yakhala yodzaza chaka chonse kuyambira nthawi ya kumapeto kwa msambo-ndi 51. Kuyimira nthawi kumatanthauzidwa ngati nthawi yomwe nthawi ya mahomoni imasintha ndi kuchepa-nthawi zina imakhalapo mpaka 10 zaka-asanafike kusamba. Kwa amayi ena omwe ali ndi chithokomiro chosadziwika, chosatulutsidwa, kapena chosakwanira, nthawi yoyamba imayamba kuyamba ndi kutha kwa nthawi kungakhale kocheperachepera, motero kuchepetsanso zaka zobereka, ndipo kumachititsa kubereka kwachepera msinkhu.
Ngati mukukumana ndi kusintha kwapimenopausal, kufufuza kwathunthu, kuphatikizapo kuyesa malo osungirako mazira, FSH, LH, ndi mahomoni ena, akhoza kuchita ndi dokotala wanu kuti aone ngati muli ndi chonde. Malingana ndi zomwe zapeza, dokotala wanu angapange malingaliro okhudza ngati ndinu woyenera kulandira chilengedwe kapena angafunike kuthandizira kubereka.
5. Mavuto a Kutembenuka kwa Pregnenolone
Hormone ya chithokomiro imathandiza kwambiri kutembenuza kolesteroloni m'mimba ya pregnenolone. Pregnenolone ndi hormone yomwe imayamba kukhala progesterone, estrogen, testosterone, ndi DHEA. Ngati mulibe homoni yokwanira yokwanira, mungakhale ndi zofooka mu mahomoni ena akuluakulu. Zofooka mu progesterone ndi estrogen, makamaka, zingasokoneze kayendetsedwe kabwino ka msambo ndipo zimadetsa kubereka kwako.
Mayesero a mimba ya mimba, progesterone, estrogen, testosterone, ndi DHEA akhoza kuyesa kufooka kwa mahomoni awa, ndipo ngati mukuyesera kutenga pakati ndi kukhala ndi zofooka, dokotala wanu angalimbikitse mahomoni m'malo molimbika kuti mukhale ndi pakati.
6. Estrogen ndi Thy Thyroid
Kugwirizana pakati pa estrogen ndi ntchito ya chithokomiro ndi zovuta. Estrogen amapikisana ndi hormone ya chithokomiro kuti agwirizane ndi malo otengera chithokomiro m'thupi lanu lonse. Mukakhala ndi oposa ochuluka, mumatha kuchepetsa mphamvu ya hormoni yanu yosunthira m'maselo anu. Kaya mukumwa mankhwala ovomerezeka omwe akuphatikizapo estrogen, kapena mulibe vuto la estrogen wotchedwa estrogen, ndiye kuti kupitirira kwa estrogen kungasokoneze chithokomiro chanu komanso kutentha kwa thupi lanu, ngakhale kuti mayendedwe anu a chithandizo cha chithokomiro amaoneka ngati achilendo .
Kuyeza kwa estrogen ndi ma progesterone akhoza kuchitidwa ndi dokotala wanu, ndipo ngati muli ndi oposa ochuluka a estrogen, dokotala wanu akhoza kupereka chitsogozo ndi mankhwala kuti abwezeretseni hormone iyi, kuti athandize kukula kwanu ndi mwayi wa mimba yabwino.
7. Kugonana kwa Hormone Kubangula Globulin (SHBG) Kusamvetseka
Ngati muli ndi matenda osokoneza bongo kapena osakwanira omwe mumagwiritsa ntchito hypothyroidism, mukhoza kukhala ndi kachilombo kochepa kamene kamasambitsa globulin, yotchedwa SHBG. SHBG ndi mapuloteni omwe amamatira ku estrogen. Pamene SHBG yanu ili yochepa, magulu anu a estrogen akhoza kukhala okwera kwambiri. Kuchuluka kwa estrojeni, kuwonjezera poyambitsa kusamvana komwe tangokambilana, kungathandizenso kukula ndi chitukuko cha ma follicles, ndi kusokoneza maulendo a FSH ndi LH omwe amagwirizanitsidwa ndi ovulation. Ngati simunazindikire kapena musagwiritse ntchito hyperthyroidism, SHBG yanu ingakwezeke, yomwe ingachepetse progesterone yanu, zomwe zingayambitsenso kutchuka kwa estrogen.
SHBG ikhoza kuyesedwa ndi kuyesedwa kwa magazi, kuti muone ngati kusowa kapena kupitirira kumakhudza kubereka kwanu.
8. Choyambitsa Choyambitsa Chithokomiro Choyamba
Pakati pa mimba, chithokomiro chodziwika bwino chimatulutsa kuti imatha kupanga mahomoni ambiri a chithokomiro kwa amayi ndi mwana. Matenda a chithokomiro ndi ofunika kwambiri kwa mwana yemwe ali ndi matenda a ubongo komanso ubongo ndipo akufunika kwambiri pa nthawi yoyamba pamene mwana wanu akukulabe chithokomiro chomwe chingathe kupanga mahomoni. Pa trimester yoyamba ija, mwanayo amadalira pa iwe chifukwa cha mahomoni onse ofunikira. Pambuyo pa masabata 12 mpaka 13, khungu la chithokomiro cha fetal limapangidwa, ndipo mwana wanu amachititsa mahomoni a chithokomiro, komanso kutenga hormoni ya chithokomiro kuchokera kwa inu, kudzera pamtunda. Pamene uli ndi pakati, kufunika kwa mahomoni a chithokomiro kumapitirira mpaka mwana wako atabadwa.
Ngati chithokomiro chanu sichikuyenda mwakuthupi-mwachitsanzo, atrophied chifukwa cha matenda a Hashimoto ndipo sangathe kukulitsa ndi kutulutsa mahomoni ambiri-chithokomiro chanu sichikhoza kupereka ma hormoni okwanira kwa mwanayo. Izi zimapangitsa kuti amayi ambiri azikhala ndi vuto la kutaya pathupi, kubereka, komanso kubereka.
Chitsogozo chachikulu ndi chakuti, matenda a chithokomiro ayenera kupezeka ndi kuchiritsidwa bwino asanakhale ndi pakati. Ndipo ngati mukupatsidwa chithandizo cha hypothyroidism ndi kukonzekera kutenga pakati musanayambe kutenga mimba, inu ndi dokotala muyenera kukhala ndi ndondomeko yotsimikizira kuti mutenga mimba mwamsanga, komanso kuti muwonjeze mlingo wanu wa mahomoni oterewa mwamsanga mukangotenga mimba .
9. Kufunikira kwa Iodini
Iodine Zakudya ndizofunikira kwambiri kuti thupi lanu likhale ndi mahomoni a chithokomiro. Monga tafotokozera, kutenga mimba kumafuna kuti chithokomiro chiwonjezere kukula kwake, ndipo chiwonjezere chiwerengero cha mahomoni a chithokomiro kukwaniritsa zosowa za amayi ndi mwana. Kafukufuku amasonyeza kuti amayi oyembekezera ali ndi kuchuluka kwa 50 peresenti kufunika kwake kwa ayodini tsiku ndi tsiku, kuti athe kuwonjezera mavitamini a chithokomiro.
Ngakhale amayi ambiri omwe ali ndi zaka za kubala ku United States alibe kusowa kwa ayodini, chiwerengero chomwe chikuwonjezeka. Malinga ndi kafukufuku wa National Health and Nutrition Examination Survey (NHANES), pafupifupi 15 peresenti ya akazi a msinkhu wobereka ndi omwe alibe ayodini, ndipo kafukufuku wina apeza kuti apamwamba kwambiri m'madera ena a fukoli.
Akatswiri otchedwa Endocrinologist amalimbikitsa akazi kuti aziwonjezera ndi 150 mcg wa ayodini, kuchokera pachiyambi poyamwitsa. Njira yosavuta yowonetsetsa kuti mukupeza ayodini wokwanira ndi kuyamba kumwa vitamini omwe ali ndi mavitamini omwe ali ndi ayodini kumayambiriro pomwe mukuyamba kukonzekera kutenga pakati ndikupitiriza kuwatenga mpaka mutatha kumwa.
Madokotala olimbikitsa nthawi zambiri amalimbikitsa kuti mukhale ndi ma ayodini omwe mumayesedwa musanayambe kutenga pakati, ndipo muwathetse vuto lililonse la ayodini musanayambe kutenga mimba.
Chinthu chofunika kwambiri: Zosavomerezeka, mavitamini ambiri omwe ali ndi ma ARV komanso mavitamini ambiri omwe ali ndi mavitamini operekera mavitamini ambiri omwe ali ndi mavitamini asanabadwe alibe ayodini. Muyenera kufufuza malemba mosamala, kuonetsetsa kuti vitamini yanu yobereka ili ndi ayodini.
Komanso, kumbukirani kuti ma vitamini ena opatsirana amakhala ndi chitsulo ndi calcium. Ngati ndi choncho, muyenera kuwatenga maola osachepera atatu kapena 4 kupatula mankhwala anu a chithokomiro, kuti muteteze kuyanjana kulikonse ndi mankhwala anu a chithokomiro omwe amachepetsetsa kutengeka ndi kupambana.
10. Kubwezeretsedwa kwa chithokomiro ndi kuthandizidwa
Ngati mukutsata njira zothandizira kubereka komanso kuthandizira kubereka (ART), dziwani kuti ART imayika matenda enaake pa chithokomiro chanu. Kafukufuku wasonyeza kuti kufunika kokhala mahomoni a chithokomiro kumachitika kale, ndipo ndi kwakukulu kwambiri, kwa amayi omwe ali ndi kachilombo ka HIV, poyerekezera ndi kugonana kosagonjetsedwa. Ngati muli ndi hypothyroid komanso mankhwala a chithokomiro chotsitsirako mankhwala, muyenera kuonetsetsa kuti chithandizo chanu cha chithokomiro chidzasinthidwa mofulumira komanso mofulumira ngati mukutheka.
Chofunika chofunika: Musaganize kuti dokotala wanu wobereka adzakhala pamwamba pa nkhani zanu za chithokomiro. Chodabwitsa n'chakuti madokotala ena opatsa chithandizo komanso zipatala saganizira kwambiri za kuyesedwa kwa chithokomiro, kapena kuyang'anira matenda a chithokomiro pa nthawi yoyamba, ART, kapena kutenga pakati. Muyenera kuonetsetsa kuti dokotala wanu wachonde kapena kliniki ndi chithokomiro-savvy, komanso kuti ali ndi ndondomeko yoyenera kuti chithokomiro chanu chisasokoneze chithandizo cha mankhwala a ART kapena mimba yabwino.
Zotsatira Zanu Zotsatira
Njira imodzi yabwino yomwe mungathere ndikuonetsetsa kuti dokotala wa matenda opatsirana pogwiritsa ntchito chithokomiro, komanso dokotala, ngati ali oyenera, amadziwa za matenda a chithokomiro, ndipo adzakambirana ndi inu pafupipafupi kuti athetse thanzi labwino la chithokomiro. .
Kafukufuku wasonyeza kuti ambiri odwala tizilombo toyambitsa matenda sakudziwa kwambiri za kuyang'anira pakati pa odwala chithokomiro. Ndipotu, kafukufuku wina wofufuza za akatswiri odwala matenda a maganizo apeza kuti ndi 50 peresenti ya madokotala amene amakhulupirira kuti adalandira "maphunziro okwanira" poyang'anira matenda a chithokomiro panthawi yoyembekezera. Ambiri okhulupirira zachipatala amakhalanso osakonzekeretsa matenda a chithokomiro pakati pa odwala omwe ali ndi pakati. Mungafunike kufufuza kuti mukhale ndi abambo odziwa zachipatala kumabungwe anu azachipatala, popeza akatswiriwa amadziwa zambiri za momwe chithokomiro chimakhudzira chonde komanso kutenga mimba.
> Zotsatira:
> Abalovich, Marcos, ndi. al. "Kusamalira Matenda a Chithokomiro Pakati pa Mimba ndi Postpartum: An Endocrine Society Guide Guide Practice." Journal of Clinical Endocrinology & Metabolism 92 (8) (Supplement): 2007. S1-S47. lembani: 10.1210 / jc.2007-0141.
> American College of Othandizira ndi Amayi a Gynecologists. 2002. "Malangizo: Matenda a Chithokomiro Pakati pa Mimba." Phunzitsani Ma Bulletin No. 37 100 (2) (August): 387-96. http://journals.lww.com/greenjournal/Fulltext/2002/08000/ACOG_Practice_Bulletin_No_37_Thyroid_Disease_in.47.aspx.
> Braverman, Lewis E., ndi Robert D. Utiger. 2005. Werner ndi Ingbar a Chithokomiro: Mawu Ofunika Kwambiri Ndi Ochipatala, 9th. Philadelphia: Lippincott Williams & Wilkins.
> Carp, HJ, C. Selmi, ndi Y. Shoenfeld. "Magalimoto Osokoneza Bongo ndi Osayembekezera." Journal of Autoimmunity 38 (2-3) (May 2012.): J266-J274. lembani: 10.1016 / j.jaut.2011.11.016.
> De Groot, Leslie, ndi. al. "Kusamalira Matenda a Chithokomiro Pakati pa Mimba ndi Postpartum: Buku la Endocrine Society Guide Guide Practice." Journal of Clinical Endocrinology & Metabolism 97 (8) (August 2012): 2543-65. onetsani: 10.1210 / jc.2011-2803.
> Leung, Angela M., Elizabeth N. Pearce, ndi Lewis E. Braverman. 2009. "Zamkatimu za Iodine za Multivitamins Osakwatiwa ku United States." New England Journal of Medicine 360 (February): 939-40. onetsani: 10.1056 / NEJMc0807851.