Hyperthyroidism ekukhulelweni: izimpawu, izinkinga ezingaba khona nokuthi ungaphatha kanjani

-Delile

• Izimpawu ze-hyperthyroidism ekukhulelweni
• Indlela yokwelapha
• Izinkinga ezingenzeka
• Ukunakekelwa kwangemva kokubeletha

I-Hyperthyroidism ingavela ngaphambi noma ngesikhathi sokukhulelwa, futhi uma iyekwa ingalashwa ingadala izinkinga ezinjengokubeletha ngaphambi kokubeletha, umfutho wegazi ophakeme, ithimba le-placental kanye nokukhipha isisu.

Lesi sifo singatholakala ngokuhlolwa kwegazi, kanti ukwelashwa kwaso kwenziwa ngokusetshenziswa kwemithi elawula ukusebenza kwendlala yegilo. Ngemuva kokubeletha, kubalulekile ukuqhubeka nokuqashwa kwezokwelapha, ngoba kujwayelekile ukuthi lesi sifo sihlale impilo yonke yowesifazane.

Izimpawu ze-hyperthyroidism ekukhulelweni

Izimpawu ze-hyperthyroidism ekukhulelweni zivame ukudideka nezimpawu ezivela ngenxa yezinguquko zehomoni ezivame ukukhulelwa, futhi kungahle kube khona:

• Ukushisa nokujuluka okweqile;
• Ukukhathala;
• Ukukhathazeka;
• Inhliziyo esheshayo;
• Ukucanuzela kwenhliziyo nokuhlanza ngamandla amakhulu;
• Ukwehla kwesisindo noma ukungakwazi ukukhuluphala, noma ngabe udla kahle.

Ngakho-ke, uphawu oluyinhloko lokuthi okuthile kungahle kungahambi kahle nge-thyroid ukungabi nesisindo, noma ngabe ukwanda kwesifiso nenani lokudla okudliwayo.

Kubalulekile ukuthi owesifazane abhekwe njalo ngudokotela ukuze kwenziwe izivivinyo zokusiza ukuhlola isimo sempilo yowesifazane nengane. Ngakho-ke, kulokhu, kunganconywa umthamo we-T3, T4 kanye ne-TSH egazini, okuthi uma ngamanani akhuphukile kungakhombisa i-hyperthyroidism.

Kodwa-ke, kubalulekile ukukhumbula ukuthi i-hormone ye-T4 ingaphakanyiswa ngenxa yamazinga aphezulu we-beta-HCG egazini, ikakhulukazi phakathi kweviki lesi-8 nele-14 lokukhulelwa, ebuyela kokujwayelekile ngemuva kwalesi sikhathi.

Indlela yokwelapha

Ukwelashwa kwe-hyperthyroidism ekukhulelweni kwenziwa ngokusetshenziswa kwemithi esiza ukulawula ukukhiqizwa kwamahomoni yi-thyroid, njengeMetimazole nePropilracil, okufanele isetshenziswe ngokuyalelwa ngudokotela.

Ekuqaleni, kunikezwa imithamo emikhulu yokulawula ama-hormone ngokushesha okukhulu, futhi ngemuva kwamasonto ayisithupha kuya kwayisishiyagalombili okwelashwa, uma owesifazane eba ngcono, umthamo womuthi uyancipha, futhi ungamiswa ngemuva kwamasonto angama-32 noma angama-34 ekhulelwe.

Kubalulekile ukuthi ukwelashwa kwenziwe ngokwelulekwa kwezokwelapha, ngoba kungenjalo amazinga aphezulu ama-hormone e-thyroid angaholela ekukhuleni kwezinkinga zomama nengane.

Izinkinga ezingenzeka

Izinkinga ze-hyperthyroidism ekukhulelweni zihlobene nokuntuleka kokwelashwa noma ukwelashwa okungaphelele kwe-hyperthyroidism, okungaholela ku:

• Ukuzalwa ngaphambi kwesikhathi;
• Isisindo esiphansi ngesikhathi sokuzalwa;
• Umfutho wegazi ophezulu kumama;
• Izinkinga zegilo lengane;
• Ukususwa kwe-placenta;
• Ukwehluleka kwenhliziyo kumama;
• Ukukhipha isisu;

Kubalulekile ukukhumbula ukuthi ezimweni eziningi abesifazane babevele benezimpawu zesifo ngaphambi kokukhulelwa ngakho-ke abaziboni izinguquko ezidalwa emzimbeni lapho bekhulelwa. Imbangela enkulu ye-hyperthyroidism yisifo se-Graves, okuyisifo esizimele lapho amaseli amasosha omzimba ehlasela indlala yegilo uqobo, okuholela ekwehlisweni komkhiqizo wokukhiqizwa kwamahomoni. Bona okuningi ngesifo samathuna.

Ukunakekelwa kwangemva kokubeletha

Ngemuva kokubeletha, kuyadingeka ukuqhubeka nokuthatha imishanguzo ukulawula i-thyroid, kepha uma umuthi unqanyuliwe, kufanele kwenziwe ukuhlolwa kwegazi okusha ukuze kuhlolwe ama-hormone emavikini ayisithupha ngemuva kokubeletha, njengoba kujwayelekile ukuthi inkinga iphinde ivele.

Ngaphezu kwalokho, ngesikhathi sokuncelisa kunconywa ukuthi imithi iphuzwe ngemithamo ephansi kakhulu, okungcono ngemuva nje kokuba ingane incelisiwe ibele futhi ngokuya ngezeluleko zezokwelapha.

Kubalulekile futhi ukukhumbula ukuthi izingane kufanele zihlolwe njalo ukuze zihlole ukusebenza kwe-thyroid, ngoba kungenzeka ukuthi zibe ne-hyper noma i-hypothyroidism.

Bona amathiphu wokondla ukwelapha nokuvikela izinkinga ze-thyroid ngokubuka ividiyo elandelayo: