Zimakhala zachilendo kuti amayi azikhala otopa, kuvutika maganizo, komanso kukhala ndi zizindikiro zina zosiyanasiyana miyezi yomwe abereka. Koma kwa amayi ena, zizindikiro zingakhale zovuta ndipo zingayambitse vuto la chithokomiro , lotchedwa postpartum thyroiditis.
Mwachidule
Postpartum thyroiditis ndi kutupa kwa chithokomiro chomwe poyamba chimayambira chaka choyamba atabereka, kutuluka padera, kapena kuchotsa mimba.
Zikuwoneka kuti pali mitundu yosiyanasiyana ya thyroiditis, yomwe imatchedwanso Hashimoto's thyroiditis.
Ndani Ali Pangozi?
Ngati mwakhala ndi pakati, mukhoza kukhala ndi postpartum thyroiditis. Mkhalidwewu ndi wamba, chifukwa akuti akukwana pafupifupi 7 peresenti ya amayi amapanga.
Kuopsa kwa kutenga chithokomiro cha postpartum ndipamwamba ngati muli ndi zizindikiro zotsatirazi kapena / kapena chithokomiro:
- Kufikira 25 peresenti ya amayi omwe ali ndi matenda a shuga a mtundu wa 1 amayamba postpartum thyroiditis.
- Pafupifupi 50 peresenti ya amayi omwe ali ndi anti-peroxidase (anti-TPO) apamwamba amatenga chithokomiro cha postpartum.
Njira Yophiphiritsira
Njira yofala kwambiri ya postpartum thyroiditis ndi mild hypothyroidism kuyambira miyezi iwiri mpaka sikisi mwana wanu atabadwa. The hypothyroidism imatsimikiza kuti chithokomiro chanu chimaonekera.
Nkhani yotsatirayi ndi yochepa kwambiri ya hyperthyroidism , yomwe imayamba miyezi inayi pambuyo pa kubadwa, kenako chitetezo chanu chimakhala chokhazikika.
Njira yachitatu imakhala ndi hyperthyroidism yochepa yomwe imasintha nthawi yochepa ya hypothyroidism kwa milungu ingapo mpaka miyezi ingapo.
Ngakhale matenda ena atatha kutuluka kwa chithokomiro atatha nthawi, pali chiopsezo chachikulu kuti mkaziyo apitirize kukhala ndi chithokomiro.
Ndipotu, akuti pafupifupi theka la anthu omwe ali ndi postroidum thyroiditis, pakatha zaka zinayi mpaka zisanu ndi zitatu, akukhalabe ndi hypothyroidism, a goiter (chithokomiro chowonjezera cha chithokomiro), kapena onse awiri.
Zizindikiro
Pali zizindikiro zambiri za chithokomiro cha postpartum thyroiditis zomwe zingawoneke panthawi yonse ya hyperthyroid ndi hypothyroid. Izi zikuphatikizapo:
- Kuchuluka kwa mkaka kumatulutsa amayi akuyamwitsa
- Kutaya tsitsi
- Kutopa
- Goiter yomwe ili yopweteka
- Kusokonezeka maganizo, nkhawa, ndi kusangalala
Zizindikiro pa nthawi ya hyperthyroid ya postpartum thyroiditis nthawi zambiri zimakhala zizindikiro zambiri za hyperthyroidism . Zizindikirozi zingaphatikizepo nkhawa, kufooketsa minofu, kukwiya, kupweteka kwa mtima, kupweteka kwa mtima , kuthamanga, kulemera, ndi kutsekula m'mimba.
Chimodzimodzinso, zizindikiro panthawi ya chithokomiro cha postpartum thyroiditis ndi zowopsa kwambiri za hypothyroidism zizindikiro . Zitha kuphatikizapo ulesi, khungu louma, vuto lolemera (kapena kulemera ), kudzimbidwa, kutentha kwa thupi, ndi kudzikuza pamaso, nkhope, ndi manja.
Kudziwa
Dokotala wanu nthawi zambiri amayendetsa mayesero ambiri a magazi kuti apeze matenda a postpartum thyroiditis. Mu gawo la hyperthyroid, mayeso anu a magazi amasonyeza mahomoni otsika kwambiri otchedwa thyroid (T4), ndi a triiodothyronine (T3).
Mu gawo la hypothyroid, TSH yanu idzakwezedwa, ndipo T4 ndi T3 zidzakhala zochepa kapena zochepa. Matenda a chithokomiro peroxidase (TPO) a antibody angakhale okwezeka m'mayi ambiri omwe ali ndi postpartum thyroiditis, makamaka panthawi ya hypothyroid.
Nthaŵi zina za postpartum thyroiditis, ultrasound ikuchitidwa ndipo iwonetsanso kutsekula kwa chithokomiro chanu.
Ndikofunika kuzindikira kuti kuphatikizapo postpartum thyroiditis, matenda a Graves (omwe amachititsa hyperthyroidism) angachitike mwana wanu atabadwa. Pamene postpartum thyroiditis ndizovuta kwambiri chifukwa cha hyperthyroidism, dokotala wanu adzafuna kuti asaphonye matenda a Graves.
Zina mwazosiyana ndizo mu Graves 'matenda, mkazi ali ndi zizindikiro zoopsa kwambiri, kukula kwa chithokomiro, ndipo akhoza kukhala ndi zizindikiro zokhudzana ndi maso (kutchedwa' Graves 'ophthalmopathy).
Nthaŵi zina, kuyesa kwa radioiodine kumayesetseratu kusiyanitsa chithandizo cha postpartum thyroiditis kuchokera ku Graves 'matenda. (Zindikirani, komabe, yeseso ili silinayende ngati mukuyamwitsa .)
Chithandizo
Nthaŵi zambiri, simusowa chithandizo cha chithokomiro cha postpartum thyroiditis panthawi yomwe muli hyperthyroid kapena gawo la hypothyroid. Zizindikiro kawirikawiri zimakhala zofewa, ndipo mkhalidwewo umathetsa kawirikawiri wokha, mkati mwa miyezi ingapo mpaka chaka chimodzi mwana wako atabadwa.
Komabe, ngati zizindikiro za hyperthyroidism sizikumveka bwino, dokotala wanu anganene kuti beta-blocker , monga propranolol kapena atenolol. (Kuyamwitsa sikukambidwa poyesa beta, komabe.) Mankhwala a Antithyroid sagwiritsidwa ntchito pa zizindikiro za hyperthyroid mu postpartum thyroiditis.
Ngati hypothyroidism pa chithokomiro cha postpartum thyroiditis imayambitsa zizindikiro zazikulu, akatswiri amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda . Kawirikawiri, pakatha miyezi sikisi kufika khumi ndi iŵiri pa mankhwala, dokotala wanu amalangiza kuti asiye, kotero mukhoza kuyesanso kachiwiri kuti muwone ngati postpartum thyroiditis yathetsa.
Mawu Ochokera
Mutakhala ndi postpartum thyroiditis, muli ndi chiopsezo chachikulu chokhalanso ndi mimba. Pokonzekera kutenga mimba, kapena pamene uli ndi pakati, onetsetsani kuti madokotala akudziŵa zochitika zina zapitazi za chithokomiro.
Kuonjezera apo, postpartum thyroiditis imapangitsa mpata wanu wopanga hypothyroidism kapena goiter m'moyo. Ichi ndi chifukwa chake nkofunika kuti ntchito yanu ya chithokomiro iwonedwe chaka ndi chaka.
> Chitsime:
> Alexander EK, et. Al. "2017 Malangizo a American Thyroid Association kuti apeze matenda ndi chithokomiro cha matenda a chithokomiro Pakati pa Mimba ndi Postpartum." Chithokomiro. 2017 Mar; 27 (3): 315-389.
> Burman, Kenneth. "Postpartum thyroiditis." Zaposachedwa.