Kunzwisisa matambudziko ehutachiona panguva yekuzvitakura

Hutano Dzidzo Maternal Matters

Une pamuviri-makorokoto!

Iwe waiziva kuti muviri wako waizopfuura nemwedzi mipfumbamwe yeshanduko huru, asi iwe hauna kugadzirira izvi. Wanga uchinzwa kupenga kuneta, kupusa kunetsa, uye kusagadzikana kudzimbirirwa. Kurema kwako kuwedzera kuri kubuda mukutonga. Zvese zvakajairwa? Pamwe. Asi izvi zvinogona zvakare kuve zviratidzo zvechinetso chetachiona.

Utachiona hwako idiki, gland-yakaita gland kumberi kwemutsipa wako, nechepasi pehuro. Icho chikamu chemuviri weiyo endocrine system, nhevedzano yezvigunwe zvinokanganisa rinenge rese sero uye nhengo mumuviri wako. Utachiona hwako hungave hushoma, asi mahormone ainoburitsa-thyroxine (T4) uye triiodothyronine (T3) -anotungamira zviitiko zvikuru zvemuviri, sekugadzirisa metabolism yako (mashandisiro anoita muviri wako macalorie nesimba), tembiricha yemuviri , uye moyo, kugaya, uye mhasuru zvinoshanda.

Kana utachiona hwako husina kuburitsa mahormone akakwana ehutachiona, une izvo zvinodaidzwa navanachiremba hypothyroidism , kana utachiona husingashandi. Hyperthyroidism, kana kuve nehutachiona hwakanyanya, kunoitika kana huwandu hwehomoni yehroid hwanyanya.

Nezvikonzero izvo zvisina kunyatsonzwisiswa, vakadzi vane mukana wakanyanya kupfuura varume kuva nawo utachiona kusagadzikana . Saizvozvo, 80% yevanhu vane mamiriro ehutachiona vakadzi -Uye kubata, pamwe nekuputika kwehomoni kwainoburitsa, inogona kuve nguva inonetsa yehutachiona hwemukadzi. IAmerican Thyroid Association inoshuma izvo nehasha 3% yevakadzi vane pamuviri vane hypothyroidism pakuzvitakura. Hyperthyroidism inokanganisa mashoma pane 1 mu 100 vakadzi vakazvitakura , anodaro Stanford Vana Hutano.

Chii chiri kubatana pakati peiyo thyroid nemimba?

Fetus yako inoda kupihwa hutano hwehormone mahormone kuti ikure zvakanaka-kunyanya mukutanga trimester yepamuviri, panguva yetsinga uye kukura kwehuropi. Uine nhumbu yakajairwa, ine hutano, yako yegland gland inowedzera uye, inokurudzirwa nekuwedzera kwekutenderera kwehuremu hwehomoni HCg, inoita mamwe mahormone ehutachiona-kusvika 50% zvimwe .

Izvo zvakakosha, kuona sezvo mwana wako asingakwanise kuita zvakakwana hutachiona hwehormone kuzvitsigira kusvika kusvika Masvondo gumi nemasere kusvika makumi maviri ekubata pamuviri , anodaro National Institute of Diabetes uye Digestive uye Kidney Zvirwere (NIDDK). Asi kana uine utachiona husingaoneki, hakuzovi nekukwira kwakakodzera kwehormone mahormone uye zviratidzo zvinogona kuitika, anodaro Tina Nguyen , MD, purofesa anobatsira wemishonga yemadzimai-fetal kuDavid Geffen Chikoro cheMishonga kuUCLA.

Ndiani ari pangozi huru?

Vakadzi havana kuongororwa kwese kwese kune chirwere chetachiona pakuzvitakura kunze kwekunge vaine njodzi. Izvi zvinosanganisira:

• Kuva nenhoroondo yemhuri yezvinetso zvetachiona
• Kuva ne autoimmune kusagadzikana (semuenzaniso, Type 1 chirwere cheshuga kana rheumatoid arthritis)
• Kutora anti-thyroid mishonga (yehyperthyroidism) kana kugamuchira radioactive iodine (kurapwa kwecancer cancer)
• Kuve nekuvhiyiwa kwetachiona kana radiation kune iyo nzvimbo yemutsipa

Taura nemupi wako wezvehutano kana ukasangana neimwe yeiyi maitiro.

Zvinetso zvetachiona zvinogona kukanganisa nhumbu here?

Mahormone ehutachiona-angave akawandisa kana mashoma - anogona kukanganisa zvakanyanya pamuviri.

Hyperthyroidism pakuzvitakura

Hyperthyroidism, nepo isingawanzoitika panguva yepamuviri, inogona kukonzera matambudziko kuna vese amai nemwana wavo. Zvinosanganisira:

• Preeclampsia (mamiriro anokonzera kukwirira kweropa panguva yekuzvitakura)
• Kukurumidza kutumira
• Kurema kwekuzvarwa uremu
• Kusabvisa pamuviri

Chii chinokonzera hyperthyroidism panguva yekuzvitakura?

Chikonzero chinowanzoitika chehyperthyroidism panguva yekuzvitakura chiitiko chemuviri chinonzi Graves 'chirwere. Mamiriro acho ezvinhu anokonzera masoja ekudzivirira (eropa mapuroteni immune system inogadzira kurwisa chinhu chekunze, uye, dzimwe nguva, nekuda kwezvikonzero zvisina kunyatsojeka, kunyangwe hutano hwenyama uye nhengo) kurwisa gland yegland. Nekuda kweizvozvo, utachiona hunoita hushoma uye hunowedzera kugadzirwa kwehormone mahormone.

Zviratidzo zvehutachiona

Zviratidzo zve hyperthyroidism zvinosanganisira:

• Mvere, dzakaonda bvudzi
• Kushatirwa
• Kunzwa kusagadzikana kunodziya
• Maziso anoputika
• Tsvina kushaya simba
• Kukurumidza kurova kwemoyo
• Kuonda
• Goiter, inova yakawedzera gland yegland inoonekwa sebhuru pamutsipa

Bvunza wako mupi wezvehutano kana iwe uri kusangana nezviratidzo zvehyperthyroidism. Maererano ne Stanford Hutano hwevana , yakaoma, isingadzorwi hyperthyroidism inogona kuuraya amai-vanozove. Vakadzi vane hyperthyroidism panguva yekuzvitakura vanogona zvakare kuona postpartum thyroiditis, kana kuzvimba kweiyo gland gland, mushure mekusununguka.

Kurapa kweiyo hyperthyroidism uye nhumbu

Mutsara wekutanga mushonga wekurapa hyperthyroidism pakuzvitakura ndeye propylthiouracil , maererano ne Endocrine Sosaiti . Iyo yakajairika thyroid drug Tapazole ( methimazole ) inogona kukonzera kusakwana kwekuzvarwa kana ikatorwa nekukurumidza panguva yekuzvitakura.

Hypothyroidism uye nhumbu

Vanachiremba vanoputsa hypothyroidism pasi muzvikamu zviviri: zvakawandisa uye subclinical. Zvinoenderana ne YeAmerican Thyroid Association , iwe unozotorwa seunoverengera hypothyroidism kana ako mazinga eT4 ari pasi asi imwe hormone, inonzi thyroid-inosimudzira kemoni (TSH), iri kumusoro. Subclinical hypothyroidism inyaya yakaoma uye inoitika kana yako TSH nhanho dzakakwira asi ako T4 mazinga akajairwa.

Kuva nehutachiona hushoma kwazvo kunogona kukonzera huwandu hwakawanda hwezvinetso kuvakadzi uye nevana vavo vari kukura. Kune kutanga, maererano nekutsvaga kwakaburitswa mu Indian Zvinyorwa zveEndocrinology uye Metabolism , kana iwe uri mukadzi ane asina kurapwa hypothyroidism, iwe uchave nematambudziko akawanda kuyedza kubata pamuviri, sezvo kusagadzikana kunogona kukonzera kusarongeka ovulation. Ukangoita nhumbu, unenge uine huwandu hwepamusoro hwekuparara uye nhumbu kubata senge preeclampsia, kupererwa neropa, uye kubuda ropa kwakanyanya mushure mekusununguka (postpartum hemmorhage). Kurume kweDimes inoshuma kuti vacheche vakaberekwa naamai vasina kurapwa hypothyroidism vari pangozi huru ye:

• Kuberekwa kusati kwasvika
• Kuberekwa uye kufa muvhiki yekutanga yehupenyu
• Matambudziko nekukura kwavo mumuviri uye nehungwaru

Chii chinokonzera hypothyroidism panguva yekuzvitakura?

Chikonzero chakajairika chehypothyroidism panguva yekuzvitakura chirwere chemoto chinonzi Hashimoto's thyroiditis. Ichi chiitiko umo muviri unokanganisa masero eiyo thyroid gland sevapambi vekunze, zvinopisa iyo yegland gland uye nekukuvadza maseru ayo kusvika padanho rekuti haigone kuita yakakwana mahormone etachiona.

Hazvirevi kuti kubata pamuviri kunokonzeresa mamiriro - kana kunyangwe hosha yehutachiona, anodaro Cheryl R. Rosenfeld, DO, mutauriri American Association yeClinical Endocrinologists (AACE) . Ndezvekuti inogona kutanga yawanikwa panguva yekuzvitakura. Ma immune immune evakadzi vazhinji anowanzo dzikama panguva yekuzvitakura, anotsanangura, saka kazhinji zviitiko zve autoimmune thyroid chirwere varwere vane chirwere chiripo chiripo chinonyanya kuoneka panguva yepamuviri uye inozoonekwa ichionekwa.

Zviratidzo zve hypothyroidism

Zviratidzo zvakajairika zvehypothyroidism zvinoteedzera yakawanda yeaya ekutanga kubata pamuviri, zvinoreva kuti unogona kuvasuwa nyore. Zvinosanganisira:

• Kuneta zvakanyanya
• Kunzwa kusvotwa
• Kuzvimbirwa

Zvimwe zviratidzo ndezvi:

• Bvudzi kurasikirwa
• Ganda rakaoma / brittle zvipikiri
• Tsvina kushaya simba / cramps
• Kufema kwekufema pamwe nekuita muviri
• Inzwi rakashoshoma
• Kuzvimba
• Goiter

Usazeze kuunza chero cheizvi zviratidzo kune wako wehutano mutarisiri. Zvimwe zviratidzo zvehypothyroidism iwe zvausingafanire kuregeredza zviri kunzwa kutonhora nguva dzese, kuwana huwandu hwakawanda hwehuremu, uye / kana kunonoka kwemoyo wako, anodaro Dr. Nguyen.

Kurapa kwehypothyroidism uye nhumbu

Wehutano wako mupi anogona kuyedza yako utachiona hwehomoni nekuongororwa kweropa nyore. Kana hypothyroidism ikabatwa ikarapwa nekukasira, vakadzi vazhinji vanogona kuenderera mberi vaine hutano nhumbu. Mushonga wesarudzo mushonga unonzi Synthroid ( levyothyroxine ), iyo inotsiva iyo T4 muviri wako unofanirwa kuzviita. (T3 haina kushandiswa mukukura kwehuropi, saka haufanire kuitora panguva yekuzvitakura.)

[Levothyroxine] yakatonyanya kukosha kutora panguva yekuzvitakura, anodaro Omayra Qujano-Vega, MD , endocrinologist ane Paloma Hutano, yepamhepo yekurapa tsika yakazvipira chete kune hypothyroidism. Dr. Qujano-Vega vanoti ndiyo chete mishonga yehypothyroidism yakatemwa neDFA sechikamu chepamuviri A, zvichireva kuti hapana njodzi kumwana achiri mudumbu. Kunyangwe [mazhinji] mavitamini epamuviri ane nhumbu yepamu B, kunyange iri yakachengeteka zvikuru uye ichikurudzirwa.

RELATED: Hypothyroidism kurapwa uye mishonga

Kufungisisa nezve mishonga yechisikigo? Hapana imwe inoonekwa yakachengeteka uye inoshanda kuti ishandiswe panguva yekuzvitakura, Dr. Rosenfeld anodaro.Pamitengo yakanakisa pane levothyroxine kurapwa uye zviuru zvemimwe mishonga, shandisa yako Kadhi reSchoolCare rekudzikisa .