I-Hypothyroidism: Isikhokelo sabasetyhini ekuzaleni nasekukhulelweni

Umxholo

• Ukukhulelwa kwangaphambili
• Ukukhulelwa
• Emva kokukhulelwa
• Ukuthatha

Uphononongo olwenziwe ngo-2012 lwafumanisa ukuba iipesenti ezi-2 ukuya kwezi-4 zexesha lokuzala abantwana banamanqanaba asezantsi e-thyroid. Oku kuthetha ukuba baninzi abantu basetyhini abachaphazeleka kwimicimbi yokuzala ebangelwa yi-hypothyroidism. Qhubeka ufunda ukuze ufumane ukuba amanqanaba e-thyroid aphantsi angakhokelela njani emngciphekweni ngaphambi, ngexesha kunye nasemva kokubeleka.

Ukukhulelwa kwangaphambili

IHypothyroidism kunye namanqanaba asezantsi e-thyroid anokuchaphazela imiba eyahlukeneyo yokuya exesheni kunye ne-ovulation. Ukuba namanqanaba asezantsi e-thyroxine, okanye i-T4, okanye i-hormone ephezulu yokukhupha i-thyroid (TRH) ikhokelela kumanqanaba aphezulu eprolactin. Oku kunokubangela ukuba kungabikho qanda liza kukhutshwa ngexesha lokukhutshwa kweqanda okanye ukukhutshwa kweqanda ngokungaqhelekanga kunye nobunzima bokukhulelwa.

I-Hypothyroidism inokubangela ukuba isiqingatha sesibini esifutshane somjikelo wokuya esikhathini siye sifutshane. Oku akunakuvumela iqanda elichumayo ukuba lanele ixesha lokuncamathela esibelekweni. Inokubangela ubushushu bomzimba obuphantsi, i-thyroid ephezulu ye-peroxidase (TPO), kunye ne-ovarian cysts, ezinokukhokelela ekuphulukaneni nokukhulelwa okanye ukungakwazi ukukhulelwa.

Kuya kufuneka ube unehomoni yakho ekhuthaza i-thyroid (TSH) kunye ne-T4 ngaphambi kokuba ukhulelwe. Oku kuyinyani ngakumbi ukuba sele unehomoni ephantsi ye-thyroid okanye sele ukhe waphunyelwa sisisu. Izinto ezinobungozi obuphezulu zibandakanya imbali yosapho yeengxaki ze-thyroid okanye esinye isifo. Ukujongana neempawu zakho ze-hypothyroid kwangoko kwinqanaba lokucwangcisa ukukhulelwa kuvumela unyango kwangoko. Oku kunokukhokelela kwisiphumo esiphumelele ngakumbi.

Ukukhulelwa

Iimpawu zehypothyroidism ziyafana neempawu zokukhulelwa kwasekuqaleni. Iimpawu zeHypothyroid ekukhulelweni kwasekuqaleni zibandakanya:

• ukudinwa kakhulu
• ukutyeba kwakho
• uvakalelo kumaqondo obushushu abandayo
• izihlunu zemithambo
• ubunzima bokugxila

Unyango lwe-hypothyroidism xa ukhulelwe ngokubanzi luyafana nangaphambi kokukhulelwa. Nangona kunjalo, kubalulekile ukuba wazise ugqirha wakho nje ukuba ukhulelwe ukuze ufumane unyango olufanelekileyo kwaye unokuhlengahlengiswa ukuba kukho imfuneko. Ugqirha wakho uya kujonga iilebhu zakho ze-TSH rhoqo kwiiveki ezine ukuya kwezintandathu ukuqinisekisa ukuba iihomoni zakho zikuluhlu olufanelekileyo. Iimfuno zakho zehomoni yehomoni zikhula ngexesha lokukhulelwa ukuxhasa umntwana kunye nesiqu sakho. Kwakhona kubalulekile ukuba uqaphele ukuba i-vitamin yakho yokubeletha iqulethe i-iron kunye ne-calcium, enokuthintela indlela umzimba osebenzisa ngayo unyango lwe-hormone yonyango. Ungayiphepha le ngxaki ngokuthatha amayeza akho endaweni ye-thyroid kunye nevithamin ngaphambi kokubeleka ngaphandle kweeyure ezine ukuya kwezintlanu.

Ugqirha wakho kuya kufuneka asebenzise ukhathalelo olukhethekileyo ukunyanga i-hypothyroidism yakho ngexesha lokukhulelwa kwakho. Ukuba ayilawulwa ngokufanelekileyo, inokubangela:

• I-anemia yoomama
• ukwanda koxinzelelo lwegazi koomama
• ukuphuma kwesisu okanye ukuzala umntwana ofileyo
• ubunzima bokuzalwa kosana obuphantsi
• ukuzalwa ngaphambi kwexesha

Iimpawu ezingalawulwayo zinokuchaphazela ukukhula komntwana wakho kunye nokukhula kwengqondo.

Emva kokukhulelwa

Emva kokubeleka, i-postpartum thyroiditis yinto eqhelekileyo. Abasetyhini abanesifo se-thyroid sokuzimela komzimba baphuhlisa le ngxaki rhoqo. I-Postpartum thyroiditis iqala kwiinyanga ezintathu ukuya kwezintandathu zokuqala emva kokubeleka. Le meko ithatha iiveki ezininzi ukuya kwiinyanga. Ezinye zeempawu kunokuba nzima ukwahlulahlula kumzabalazo onxulunyaniswa nokuba ngumzali omtsha.

Iimpawu zasemva kokubeleka ze-thyroiditis zinokwenzeka ngokwamanqanaba amabini:

• Kwinqanaba lokuqala, iimpawu zakho zinokubonakala ngathi yihyperthyroidism. Umzekelo, unokuba novalo, ukungcangcazela, ukubetha kwentliziyo ngamandla, ukwehla ngesiquphe komzimba, ingxaki ngobushushu, ukudinwa, okanye ubunzima bokulala.
• Kwinqanaba lesibini, iimpawu ze-hypothyroid ziyabuya. Awunamandla, unengxaki ngamaqondo obushushu abandayo, ukuqhina, ulusu olomileyo, iintlungu kunye neentlungu, kunye neengxaki zokucinga ngokucacileyo.

Abakho mabhinqa amabini afanayo ngendlela echaphazeleka ngayo emva kokubeleka. Umngcipheko ophezulu we-postpartum thyroiditis uvela kubafazi abane-high-TPO antibodies ekukhulelweni kwasekuqaleni. Oku kungenxa yokuba buthathaka amajoni omzimba.

I-Hypothyroidism inokuchaphazela imveliso yakho yobisi kodwa ngonyango olululo lwe-hormone, le ngxaki ihlala isombulula.

Ukuthatha

Kuya kufuneka uthethe nogqirha wakho ukuba uzama ukukhulelwa kwaye une-thyroid okanye isifo se-autoimmune okanye iingxaki zokukhulelwa kwangaphambili. Ugqirha wakho angayalela iimvavanyo ezifanelekileyo kwaye avelise isicwangciso esifanelekileyo sokukhulelwa. Kwangoko ungazilungiselela, kokukhona amathuba akho okuba nesiphumo esiphumelelayo. Kwaye sukukujongela phantsi ukubaluleka kokuzilolonga rhoqo, ukutya ukutya okusempilweni, kunye nokunciphisa amanqanaba oxinzelelo.