Indlala yegilo ekukhulelweni: izinguquko ezinkulu nokunakekelwa

-Delile

• 1. IHypothyroidism
• 2. I-Hyperthyroidism
• Ukunakekela ngesikhathi sokukhulelwa
• Imithi
• ukudla
• Ukuhlolwa njalo nokubonisana

Indlala yegilo ekukhulelweni ibalulekile empilweni kamama nengane futhi noma ikuphi ukungasebenzi kahle kufanele kukhonjwe futhi kulashwe ukuze kungabangeli izinkinga enganeni edinga amahomoni wegilo likamama kuze kube yisonto le-12 lokukhulelwa. Ngemuva kwalesi sigaba, ingane ikwazi ukukhiqiza ama-hormone ayo wegilo.

Ama-hormone e-thyroid yi-T3, T4 ne-TSH okungakhuphuka noma kwehle kubangele izinkinga ezinkulu ze-thyroid ekukhulelweni njenge-hypothyroidism ne-hyperthyroidism. Lokhu kuphazamiseka kungadala ukukhulelwa kwesisu, ukuzalwa ngaphambi kwesikhathi noma kuthinte ukukhula kwengane. Ngaphezu kwalokho, ukungasebenzi kahle kwe-thyroid kungadala ushintsho kumjikelezo wokuya esikhathini, okwenza kube nzima ukukhulelwa.

Ngakho-ke, kubalulekile ukwenza izivivinyo zokuvimbela ukukhulelwa nokubeletha ukuthola i-hypothyroidism noma i-hyperthyroidism, ukuqinisekisa impilo kamama nengane. Thola ukuthi yiziphi izivivinyo okufanele zenziwe lapho uhlela ukukhulelwa.

Izinkinga ezinkulu ze-thyroid ekukhulelweni yilezi:

1. IHypothyroidism

I-Hypothyroidism ukwehla kokukhiqizwa kwamahomoni wegilo ngesikhathi sokukhulelwa futhi kungadala ukwanda kokopha, ukukhipha isisu okuzenzakalelayo, ukuzalwa ngaphambi kwesikhathi noma ukwanda kwengcindezi yegazi kanye ne-pre-eclampsia kwabesifazane abakhulelwe. Enganeni, i-hypothyroidism ingadala ukubambezeleka kokukhula kwengqondo, ukusilela kokuqonda, ukwehla kwe-intelligence quotient (IQ) ne-goiter (ingxoxo).

Izimpawu ezivame kakhulu ze-hypothyroidism ukozela, ukukhathala ngokweqile, izinzipho ezibuthakathaka, ukulahleka kwezinwele, ukwehla kwenhliziyo, ukuqunjelwa, isikhumba esomile, ubuhlungu bemisipha nokwehla kwenkumbulo.

I-Hypothyroidism nayo ingenzeka esikhathini sokubeletha noma ezinyangeni ezimbalwa ngemuva kokuzalwa kwengane, okudinga ukwelashwa. Funda kabanzi mayelana ne-hypothyroidism.

2. I-Hyperthyroidism

I-Hyperthyroidism yanda ekukhiqizeni ama-hormone e-thyroid okuthi, noma kungenzeki kakhulu ngesikhathi sokukhulelwa, kungadala ukuthi abesifazane abakhulelwe baphuphume, bahluleke inhliziyo, pre-eclampsia, bafuduke emithanjeni noma bazalwe ngaphambi kwesikhathi. Enganeni, i-hyperthyroidism ingadala isisindo esiphansi sokuzalwa, i-neonatal hyperthyroidism noma ukufa kombungu.

Izimpawu ze-hyperthyroidism ekukhulelweni ukushisa, ukujuluka okweqile, ukukhathala, ukushaya kwenhliziyo okusheshayo nokukhathazeka, okuvame ukuvimba ukuxilongwa, njengoba lezi zimpawu zivamile ekukhulelweni, kepha ukuhlolwa kwelabhorethri kuvumela ukuxilonga ngokuphepha futhi ngaleyo ndlela kuqale ukwelashwa okuhle kakhulu. Funda kabanzi mayelana ne-hyperthyroidism ekukhulelweni.

Ukunakekela ngesikhathi sokukhulelwa

Ezinye izindlela zokuphepha ezibalulekile ngesikhathi sokukhulelwa yilezi:

Imithi

Ukwelashwa kwe-hypothyroidism ekukhulelweni kwenziwa ngemithi, njenge-levothyroxine, ngokwesibonelo. Kubalulekile ukuthatha umuthi ngasikhathi sinye nsuku zonke. Kodwa-ke, uma ukhohlwa ukuthatha umthamo, wuthathe ngokushesha nje lapho ukhumbula, unakekele ukuthi ungathathi imithamo emibili ngasikhathi sinye. Ukulandelwa ngaphambi kokubeletha noma ukubonisana nodokotela we-endocrinologist kufanele kwenziwe okungenani njalo emavikini ayisithupha kuya kwayisishiyagalombili ukuhlola amazinga amahomoni wegilo futhi, uma kunesidingo, ulungise umthamo womuthi.

Endabeni ye-hyperthyroidism ekukhulelweni, landelela njalo emavikini ama-4 kuye kwayi-6 kanye nama-ultrasound ajwayelekile enganeni kufanele kwenziwe. Ukwelashwa kwe-hyperthyroidism ekukhulelweni kufanele kuqalwe ngokushesha ngemuva kokuxilongwa futhi kwenziwa ngemithi efana ne-propylthiouracil, ngokwesibonelo, futhi umthamo kufanele ulungiswe, uma kunesidingo. Ngemuva kokubeletha, udokotela wezingane kufanele aziswe ukuthi une-hyperthyroidism ngesikhathi sokukhulelwa ukuze ingane ihlolwe futhi, ngakho-ke, ihlole ukuthi ingabe ingane nayo ine-hyperthyroidism futhi, uma kunesidingo, iqale ukwelashwa. Bona ezinye izivivinyo eziyi-7 okumele zisetshenziswe yingane ezisanda kuzalwa.

ukudla

Ukondla ngesikhathi sokukhulelwa kufanele kube okuhlukahlukene futhi kulinganiswe ukuze kunikezwe umama nengane izakhi ezidingekayo. Okunye ukudla kune-iodine ekwakhiweni kwayo okudingekayo ekukhiqizeni ama-hormone e-thyroid, njenge-cod, iqanda, isibindi nobhanana, okusiza ukugcina ukulingana kwe-thyroid. Ezimweni zokukhubazeka kwe-thyroid ekukhulelweni, kunconywa ukuqapha nesazi sokudla ukuze kugcinwe ukudla okunempilo. Bona okunye ukudla okungama-28 okunothe iodine.

Ukuhlolwa njalo nokubonisana

Kubalulekile ukuthi abesifazane abatholakala ukuthi bane-hypothyroidism noma i-hyperthyroidism ekukhulelweni bahambisane nodokotela wezifo zabesifazane noma owezobuchwepheshe ukuqapha ukukhula kombungu nokuqinisekisa impilo kamama nengane. Kodwa-ke, uma esikhathini esiphakathi kokubonisana uthola izimpawu ze-hypothyroidism noma i-hyperthyroidism, funa usizo lwezokwelapha ngokushesha. Funda kabanzi mayelana nokunakekelwa kokubeletha.

Ngesikhathi sokubonisana, kucelwa ukuhlolwa kwe-laboratory yamazinga ama-hormone T3, T4 kanye ne-TSH ukuhlola ukusebenza kwe-thyroid futhi, uma kunesidingo, i-ultrasound yegilo. Uma kwenzeka kuba nezinguquko, ukwelashwa okufanele kakhulu kufanele kuqale ngokushesha.