I-Hypothyroidism ekukhulelweni: izingozi, ukuthi ungabona kanjani nokuthi kanjani ukwelashwa

-Delile

• Izingozi kumama nasenganeni
• Ingabe i-hypothyroidism ingenza ukukhulelwa kube nzima?
• Ungayibona kanjani
• Ukwelashwa kufanele kube kanjani
• I-Hypothyroidism ngemuva kokubeletha

I-Hypothyroidism ekukhulelweni lapho kungaziwa futhi yelashwa kungadala izingqinamba enganeni, ngoba ingane idinga ama-hormone e-thyroid akhiqizwa ngumama ukuze ikwazi ukukhula kahle. Ngakho-ke, lapho kune-hormone ye-thyroid encane noma engekho, njenge-T3 ne-T4, kungahle kube nokukhulelwa kwesisu, ukubambezeleka kokukhula kwengqondo nokuncipha kwe-intelligence quotient, i-IQ.

Ngaphezu kwalokho, i-hypothyroidism inganciphisa amathuba okukhulelwa ngoba kuguqula ama-hormone okuzala yowesifazane, kubangele ukuthi i-ovulation nesikhathi esivundile kungenzeki ngesikhathi sokuya esikhathini. Ngakho-ke, kubalulekile ukuthi abesifazane abakhulelwe bahambisane nodokotela wokubelethisa kanye nezilinganiso ze-TSH, T3 ne-T4 zenziwa ukukhomba i-hypothyroidism bese kuqala ukwelashwa uma kunesidingo.

Izingozi kumama nasenganeni

I-Hypothyroidism ekukhulelweni ingadala izinkinga kumama nasenganeni, ikakhulukazi lapho kutholakala ukuxilongwa futhi lapho ukwelashwa kungaqaliwe noma kwenziwa kahle. Ukukhula kwengane kuncike ngokuphelele, ikakhulukazi emavikini ayi-12 okuqala ekhulelwe, kumahomoni wegilo akhiqizwa ngumama. Ngakho-ke, lapho owesifazane ene-hypothyroidism, kunengozi eyengeziwe yemiphumela kanye nezinkinga enganeni, okuyiyona eyinhloko:

• Izinguquko zenhliziyo;
• Ukubambezeleka kokukhula kwengqondo;
• Ukwehla kwe-intelligence quotient, IQ;
• Ukucindezeleka kwe-Fetal, okuyisimo esingajwayelekile esibonakala ngokuncipha kokunikezwa kwe-oksijini enganeni, okuphazamisa ukukhula nokukhula kwengane;
• Isisindo esiphansi ngesikhathi sokuzalwa;
• Ukuguqulwa kwenkulumo.

Ngaphezu kokuba nezingozi enganeni, abesifazane abane-hypothyroidism abangaziwa noma abaphethwe basengozini enkulu yokuthola i-anemia, i-placenta previa, ukuphuma kwegazi ngemuva kokubeletha, ukubeletha ngaphambi kwesikhathi nokuba ne-pre-eclampsia, okuyisimo esivame ukuqala emasontweni angama-20 ukukhulelwa futhi kubangele umfutho wegazi ophezulu kumama, ongathinta ukusebenza kahle kwezitho futhi kubangele ukukhulelwa kwesisu noma ukuzalwa ngaphambi kwesikhathi. Bona okuningi nge-pre-eclampsia nokuthi ungayelapha kanjani.

Ingabe i-hypothyroidism ingenza ukukhulelwa kube nzima?

I-Hypothyroidism ingenza ukukhulelwa kube nzima ngoba ingaguqula umjikelezo wokuya esikhathini futhi ithonye ukuphuma kweqanda, futhi kwezinye izimo kungahle kungabikho ukukhishwa kweqanda. Lokhu kungenxa yokuthi ama-hormone e-thyroid anethonya ekukhiqizeni ama-hormone abesilisa besifazane, abhekene nomjikelezo wokuya esikhathini nokuzala kowesifazane.

Ngakho-ke, ukuze ukhulelwe noma ngabe une-hypothyroidism, kufanele ugcine isifo silawulwa kahle, wenze ukuhlolwa kwegazi ukuhlola amazinga ama-hormone nokwenza kahle ukwelashwa okunconywe ngudokotela.

Lapho kulawulwa lesi sifo, amahomoni ohlelo lokuzala nawo alawulwa kakhulu futhi, ngemuva kwezinyanga ezintathu kungenzeka ukuthi ukhulelwe ngokwejwayelekile. Kodwa-ke, kuyadingeka ukuqhubeka nokwenza ukuhlolwa kwegazi njalo, ukuhlola isidingo sokulungisa imishanguzo kanye nemithamo efanele.

Ngaphezu kwalokho, ukuze ukukhulelwa kube nokwenzeka, kubalulekile ukuthi owesifazane abheke ukuthi ngabe umjikelezo wakhe wokuya esikhathini ukwazile ukuba njalo noma kancane, ngosizo lukadokotela wezifo zabesifazane, ukuthola isikhathi esivundile, esihambelana nesikhathi lapho kunamathuba amakhulu okukhulelwa.ukukhulelwa. Thola ukuthi isikhathi esivundile sinini ngokuthatha isivivinyo esilandelayo:

Ungayibona kanjani

Ezimweni eziningi, abesifazane abakhulelwe sebene-hypothyroidism ngaphambi kokukhulelwa, kepha ukuhlolwa kokubeletha kusiza ukuthola izifo kwabesifazane ababengenazo izimpawu zenkinga.

Ukuthola lesi sifo, ukuhlolwa kwegazi kufanele kwenziwe ukuhlola inani lamahomoni wegilo emzimbeni, ne-TSH, T3, T4 kanye namasosha omzimba wegilo futhi, ezimweni ezinhle, kuphindwe ukuhlaziywa njalo emavikini amane noma ayisishiyagalombili. Kukho konke ukukhulelwa ukugcina ukulawula yalesi sifo.

Ukwelashwa kufanele kube kanjani

Uma owesifazane esevele ene-hypothyroidism futhi ehlela ukukhulelwa, kufanele agcine lesi sifo silawulwa kahle futhi ahlolwe igazi njalo emavikini ayisithupha kuya kwayisishiyagalombili kusukela ku-trimester yokuqala yokukhulelwa, futhi umthamo womuthi kufanele ube mkhulu kunangaphambi kokukhulelwa, bese ulandela izincomo zikadokotela wokubelethisa noma we-endocrinologist.

Lapho lesi sifo sitholakala ngesikhathi sokukhulelwa, ukusetshenziswa kwezidakamizwa ukufaka ama-hormone e-thyroid kufanele kuqale ngokushesha lapho inkinga itholakele, futhi ukuhlaziywa kufanele kuphindwe njalo emavikini ayisithupha noma ayisishiyagalombili ukulungisa umthamo.

I-Hypothyroidism ngemuva kokubeletha

Ngaphezu kwesikhathi sokukhulelwa, i-hypothyroidism nayo ingavela onyakeni wokuqala ngemuva kokubeletha, ikakhulukazi ezinyangeni ezi-3 noma ezi-4 ngemuva kokuzalwa kwengane. Lokhu kungenxa yezinguquko kumasosha omzimba wesifazane, aqala ukubhubhisa amangqamuzana e-thyroid. Ezimweni eziningi, inkinga idlula okwesikhashana futhi ixazululwa kungakapheli unyaka owodwa ngemuva kokubeletha, kepha abanye besifazane baba ne-hypothyroidism yaphakade, futhi bonke kungenzeka baphinde babe nenkinga ekukhulelweni okuzayo.

Ngakho-ke, umuntu kufanele anake izimpawu zesifo futhi ahlolwe igazi ukuze ahlole ukusebenza kwendlala yegilo phakathi nonyaka wokuqala ngemuva kokubeletha. Ngakho-ke, bona ukuthi ziyini izimpawu ze-hypothyroidism.

Buka le vidiyo elandelayo ukuze ufunde ukuthi ungadlani ukuvimbela izinkinga ze-thyroid: