I-Hypothyroidism: Umhlahlandlela Wesifazane Wokuzala Nokukhulelwa

-Delile

• Ukukhulelwa kwangaphambili
• Ukukhulelwa
• Ukukhulelwa Kwangemva Kokukhulelwa
• Ukuthatha

Ucwaningo lwango-2012 lutholile ukuthi amaphesenti amabili kuya kwamane abantu besifazane abaneminyaka yobudala yokuzala banamazinga aphansi e-hormone yegilo. Lokhu kusho ukuthi kunabesifazane abaningi abathintekayo yizinkinga zokuzala ezibangelwa yi-hypothyroidism. Qhubeka ufunda ukuthola ukuthi ukuba namazinga aphansi ama-hormone e-thyroid kungaholela kanjani engcupheni ngaphambi, ngesikhathi nangemva kokubeletha.

Ukukhulelwa kwangaphambili

I-Hypothyroidism kanye namazinga we-hormone aphansi e-thyroid angathinta izici eziningi ezahlukahlukene zokuya esikhathini kanye ne-ovulation. Ukuba namazinga aphansi we-thyroxine, noma i-T4, noma i-hormone ephakeme ekhipha i-thyroid (TRH) iholela emazingeni aphezulu e-prolactin. Lokhu kungadala ukuthi kungabi nalo iqanda elizokhululwa ngesikhathi sokuvuthwa noma ukukhishwa kwamaqanda okungajwayelekile nobunzima bokukhulelwa.

I-Hypothyroidism nayo ingadala isigamu sesibili esifushane somjikelezo wokuya esikhathini. Lokhu kungenzeka kungavumeli iqanda elikhulelwe ukuba nesikhathi esanele sokunamathisela esibelethweni. Kungadala nokushisa okuphansi komzimba we-basal, amasosha omzimba aphezulu we-thyroid peroxidase (TPO), nama-cysts ama-ovarian, okungaholela ekulahlekelweni kokukhulelwa noma ukungakwazi ukukhulelwa.

Kufanele ubhekelwe amazinga akho e-thyroid-stimulating hormone (TSH) kanye ne-T4 ngaphambi kokukhulelwa. Lokhu kuyiqiniso ikakhulukazi uma une-hormone ephansi yegilo noma usukhulelwe isisu. Izici ezinobungozi obukhulu zifaka umlando womndeni wezinkinga ze-thyroid noma esinye isifo esizimele. Ukubhekana nezimpawu zakho ze-hypothyroid ekuqaleni kwezigaba zokuhlela ukukhulelwa kuvumela ukwelashwa ngaphambi kwesikhathi. Lokhu kungaholela kumphumela ophumelela ngokwengeziwe.

Ukukhulelwa

Izimpawu ze-hypothyroidism ziyefana nezimpawu zokuqala zokukhulelwa. Izimpawu ze-Hypothyroid ekukhulelweni kokuqala zifaka:

• ukukhathala ngokweqile
• ukuzuza kwesisindo
• ukuzwela emazingeni okushisa abandayo
• amajaqamba
• ubunzima bokugxila

Ukwelashwa kwe-hypothyroidism ekukhulelweni ngokuvamile kuyafana nangaphambi kokukhulelwa. Kodwa-ke, kubalulekile ukwazisa udokotela wakho ngokushesha nje lapho ukhulelwa ukuze uthole ukwelashwa okufanele futhi kungalungiswa uma kunesidingo. Udokotela wakho uzohlola amanani akho elebhu le-TSH njalo emavikini amane kuya kwayisithupha ukuqinisekisa ukuthi ama-hormone akho asebangeni elifanele. Izidingo zakho zehomoni yegilo zikhuphuka ngesikhathi sokukhulelwa ukuxhasa ingane kanye nawe. Kubalulekile futhi ukuqaphela ukuthi uvithamini wakho ongaphambi kokubeletha uqukethe i-iron ne-calcium, engavimba indlela umzimba osebenzisa ngayo ukwelashwa kwehomoni ye-thyroid. Ungayigwema le nkinga ngokuthatha umuthi wakho wokufaka i-thyroid kanye novithamini ongaphambi kokubeletha uhlukane ngamahora amane kuya kwamahlanu.

Udokotela wakho uzodinga ukusebenzisa ukunakekelwa okukhethekile ukwelapha i-hypothyroidism yakho ngesikhathi ukhulelwe. Uma ingalawulwa kahle, ingadala:

• i-anaemia yomama
• ukwanda kwengcindezi yegazi lomama
• ukukhulelwa kwesisu noma ukuzala ingane ishonile
• isisindo sokuzalwa kwezinsana eziphansi
• ukuzalwa ngaphambi kwesikhathi

Izimpawu ezingalawulwa nazo zingathinta ukukhula kwengane yakho nokukhula kobuchopho.

Ukukhulelwa Kwangemva Kokukhulelwa

Ngemuva kokubeletha, i-postpartum thyroiditis ivamile. Abesifazane abanezifo ze-thyroid ezizimele bahlakulela le nkinga kaningi. I-Postpartum thyroiditis ivame ukuqala ezinyangeni ezintathu kuya kweziyisithupha zokuqala ngemuva kokubeletha. Lesi simo sithatha amasonto ambalwa kuya ezinyangeni. Ezinye zezimpawu kungaba nzima ukuzihlukanisa nezinkinga ezihambisana nokuba umzali omusha.

Izimpawu ze-postpartum thyroiditis zingavela ngezigaba ezimbili:

• Esigabeni sokuqala, izimpawu zakho zingabukeka njenge-hyperthyroidism. Isibonelo, ungahle ube novalo, ubhuquzele, ukushaya kwenhliziyo okushaya ngamandla, ukwehla kwesisindo okungazelelwe, ukukhathazeka ngokushisa, ukukhathala, noma ubunzima bokulala.
• Esigabeni sesibili, izimpawu ze-hypothyroid ziyabuya. Ungahle ungabi namandla, unenkinga ngamazinga okushisa abandayo, ukuqunjelwa, isikhumba esomile, izinhlungu nezinhlungu, nezinkinga zokucabanga kahle.

Abekho abesifazane ababili abafanayo ngendlela i-postpartum thyroiditis ebathinta ngayo. Ingcuphe ephezulu ye-postpartum thyroiditis yenzeka kwabesifazane abane-high-TPO antibodies ekukhulelweni kokuqala. Lokhu kubangelwa amasosha omzimba abuthakathaka.

I-Hypothyroidism ingathinta nokukhiqizwa kwakho kobisi kepha ngokwelashwa okufanele kwe-hormone esikhundleni, le nkinga ivame ukuxazululwa.

Ukuthatha

Kufanele ukhulume nodokotela wakho uma uzama ukukhulelwa futhi unesifo se-thyroid noma isifo sokuzimela noma izinkinga zokukhulelwa zangaphambilini. Udokotela wakho angalawula izivivinyo ezifanele futhi athuthukise uhlelo lokukhulelwa olunempilo. Ngokushesha lapho ungazilungiselela, ngcono amathuba akho okuba nomphumela ophumelelayo. Futhi ungakubukeli phansi ukubaluleka kokuzivocavoca umzimba njalo, ukudla okunempilo, nokunciphisa amazinga okuxineka.