Ukuqonda iingxaki ze-thyroid ngexesha lokukhulelwa

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Ukhulelwe-ukuvuyisana!

Ubusazi ukuba umzimba wakho uza kudlula kwiinyanga ezilithoba zotshintsho olukhulu, kodwa ubungakulungelanga oku. Kudala uziva udiniwe kukudinwa, unesicaphucaphu, kwaye ungazibambanga. Ukufumana kwakho ubunzima kuphuma kulawulo. Konke kuqhelekile? Ingayiyo. Kodwa oku kunokuba yimiqondiso yengxaki ye-thyroid.

Idlala lengqula yakho incindi encinci emile njengebhabhathane ngaphambili entanyeni, emazantsi omqala. Inxalenye yenkqubo ye-endocrine yomzimba, uthotho lwamadlala achaphazela phantse zonke iiseli kunye nelungu emzimbeni wakho. Idlala lengqula linokuba lincinci, kodwa iihomoni ezivelisayo — i-thyroxine (T4) kunye ne-triiodothyronine (T3) —zinoxanduva lweenkqubo ezininzi zomzimba, njengokulawula imetabolism (indlela umzimba wakho usebenzisa ngayo iikhalori kunye namandla), ubushushu bomzimba , kunye nentliziyo, yokwetyisa, kunye nemisebenzi yemisipha.

Xa idlala lengqula lingavelisi iihomoni ezaneleyo, unento ogqirha abiza ngayo hypothyroidism , okanye idlala lengqula elingasebenziyo. I-Hyperthyroidism, okanye i-thyroid engasebenzi, iyenzeka xa amanqanaba akho e-thyroid ephezulu kakhulu.

Ngenxa yezizathu ezingaqondakali ngokupheleleyo, abafazi banamathuba amaninzi kunokuba amadoda abe nawo ukungasebenzi kwe-thyroid . Inyaniso, I-80% yabantu abaneemeko ze-thyroid ngabafazi -Kwaye ukukhulelwa, kunye nokuvela kwamahomoni okuvelisayo, kunokuba lixesha elinzima kwi-thyroid yegciwane. Umbutho weAmerican Thyroid Association uxela ukuba phantse I-3% yabasetyhini abakhulelweyo une-hypothyroidism xa ukhulelwe. Hyperthyroidism ichaphazela abambalwa kune 1 kwabali-100 abasetyhini abakhulelweyo , utsho iStanford Children's Health.

Yintoni edibeneyo phakathi kwe-thyroid kunye nokukhulelwa?

Umbungu wakho ufuna isibonelelo esifanelekileyo sehomoni yedlala lengqondo ukuze akhule ngokufanelekileyo-ngakumbi kwinyanga yokuqala yokukhulelwa, ngexesha lenkqubo yovalo kunye nokukhula kwengqondo. Ngokukhulelwa okuqhelekileyo, okunempilo, idlala lengqula liyakhula kwaye, likhuthazwe kukonyuka kwamanqanaba okujikeleza kwehomoni HCg, yenza iihomoni zedlala lengqele- ukuya kuthi ga 50% ngaphezulu .

Kubalulekile, ukubona ukuba umntwana wakho akakwazi ukwenza ngokupheleleyo iihomoni ze-thyroid ukuze azixhase de kube malunga Iiveki ezili-18 ukuya kwezi-20 zokukhulelwa , liphawula iZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso (NIDDK). Kodwa ukuba une-thyroid dysfunction, akuyi kubakho ukunyuka okufanelekileyo kwehomoni ye-thyroid kunye neempawu ezinokuthi zenzeke, utsho UTina Nguyen , MD, unjingalwazi oncedisayo kumayeza osana olungekazalwa e-David Geffen School of Medicine e-UCLA.

Ngubani osemngciphekweni omkhulu?

Abasetyhini abavavanywanga jikelele kwizifo ze-thyroid xa bekhulelwe ngaphandle kokuba banezinto ezinobungozi. Oku kubandakanya:

• Ukuba nembali yosapho yokuphazamiseka kwengqondo
• Ukuba ne-autoimmune disorder (umzekelo, uhlobo lweswekile 1 okanye isifo samathambo)
• Ukuthatha amayeza e-anti-thyroid (i-hyperthyroidism) okanye ukufumana iodine ene-radioactive (unyango lomhlaza we-thyroid)
• Ukuba uqhaqho lwe-thyroid okanye i-radiation kwindawo yentamo

Thetha nomboneleli wakho wezempilo ukuba udibana nayo nayiphi na kwezi ndlela.

Ngaba iingxaki ze-thyroid zichaphazela ukukhulelwa?

Iihomoni ze-thyroid-nokuba zininzi okanye zincinci-zinokuba nefuthe elikhulu ekukhulelweni.

Hyperthyroidism xa ukhulelwe

I-Hyperthyroidism, ngelixa inqabile ngexesha lokukhulelwa, inokubangela iingxaki kubo bobabini umama nosana lwakhe. Ziquka:

• IPreeclampsia (imeko ebangela uxinzelelo lwegazi xa ukhulelwe)
• Ukuhanjiswa kwangaphambi kwexesha
• Ubunzima bokuzalwa obuphantsi
• Ukuphuma kwesisu

Yintoni ebangela hyperthyroidism ngexesha lokukhulelwa?

Unobangela oqhelekileyo wehyperthyroidism ngexa lokukhulelwa yimeko yokuzimela komzimba ebizwa ngokuba sisifo seMangcwaba. Imeko ibangela ii-antibodies (iiproteni zegazi amajoni omzimba avelisa ukulwa into yasemzini, kwaye, ngamanye amaxesha, ngenxa yezizathu ezingacacanga ngokupheleleyo, nditsho nezicwili ezisempilweni kunye namalungu) ukuze ahlasele idlala lengqula. Ngenxa yoko, idlala lengqula lisebenza kakhulu kwaye linyusa imveliso yehomoni yedlala lengqula.

Iimpawu hyperthyroidism

Iimpawu zehyperthyroidism zibandakanya:

• Izinwele ezibhityileyo, ezibhityileyo
• Ukucaphuka
• Ukuziva ushushu kamnandi
• Amehlo aqhumayo
• Ubuthathaka bemisipha
• Ukukhawuleza kwentliziyo
• Ukuhla ukusinda
• I-Goiter, eyindlala ye-thyroid eyandayo ebonakala ngathi yintsimbi entanyeni

Nxibelelana nomboneleli wakho wezempilo ukuba ufumana naziphi na iimpawu zehyperthyroidism. Ngoku ka Impilo yaBantwana baseStanford , I-hyperthyroidism engalawulekiyo inokubulala umntu oza kuba ngumama. Abasetyhini abane-hyperthyroidism ngexesha lokukhulelwa banokuba namava e-postpartum thyroiditis, okanye ukudumba kwedlala lengqula, emva kokubeleka.

Unyango lwe-hyperthyroidism kunye nokukhulelwa

Iyeza lodidi lokuqala ukunyanga i-hyperthyroidism xa ukhulelwe eyiyoyama , ngokuka Umbutho we-Endocrine . Isiyobisi esiqhelekileyo se-thyroid ITapazole ( imethimazole ) kunokubangela iziphene zokuzalwa ukuba kuthathwe kwangethuba kakhulu ngexesha lokukhulelwa.

Hypothyroidism kunye nokukhulelwa

Oogqirha baphula i-hypothyroidism baphantsi kweendidi ezimbini: ngaphezulu kunye ne-subclinical. Ngokwe- Umbutho we-Thyroid waseMelika , Uza kuchazwa njengonobuninzi be-hypothyroidism ukuba amanqanaba akho e-T4 asezantsi kodwa enye ihomoni, ebizwa ngokuba yi-thyroid-stimulating hormone (TSH), iphezulu. I-subclinical hypothyroidism yimeko enobunzima kwaye yenzeka xa amanqanaba akho e-TSH ephezulu kodwa amanqanaba akho e-T4 aqhelekileyo.

Ukuba ne-hormone encinci ye-thyroid kunokubangela iingxaki ezininzi kubasetyhini kunye neentsana zabo ezikhulayo. Okokuqala, ngokophando olupapashwe kwi Ijenali yaseIndiya ye-Endocrinology kunye neMetabolism , ukuba ungumfazi one-hypothyroidism enganyangekiyo, uya kuba neengxaki ezininzi ngokuzama ukukhulelwa, njengoko esi sifo sinokubangela i-ovulation engaqhelekanga. Nje ukuba ukhulelwe, uya kuba namazinga aphezulu okuphuphuma kwesisu kunye neengxaki zokukhulelwa njenge-preeclampsia, i-anemia, kunye nokopha kakhulu emva kokubeleka (postpartum hemmorhage). Matshi weeDimes uxela ukuba abantwana abazelwe ngoomama abanganyangekiyo i-hypothyroidism basemngciphekweni omkhulu woku:

• Ukuzalwa ngaphambi kwexesha
• Ukuzalwa kwakhona kunye nokufa kwiveki yokuqala yobomi
• Iingxaki ngokukhula ngokwasemzimbeni nangokwasengqondweni

Yintoni ebangela i-hypothyroidism ngexesha lokukhulelwa?

Isizathu esiqhelekileyo se-hypothyroidism ngexesha lokukhulelwa sisifo esizimele esibizwa ngokuba yiHashimoto's thyroiditis. Le yimeko apho umzimba uziphosisa khona iiseli zedlala lengqula njengabahlaseli bamanye amazwe, betshisa idlala lengqula kunye nokonakalisa iiseli zalo ukuya kuthi ga kwinqanaba lokuba lingakwazi ukwenza iihomoni zedlala lengqele.

Ayisiyo into yokuba ukukhulelwa kubangela imeko-okanye nyani nayiphi na ingxaki ye-thyroid, utshilo uCheryl R. Rosenfeld, DO, isithethi se Umbutho waseMelika weeKlinikhi ze-Endocrinologists (AACE) . Kungenxa yokuba ingaqala ukufunyanwa ngexesha lokukhulelwa. Amajoni omzimba uninzi lwabasetyhini athambekele ekuzoliseni ngexesha lokukhulelwa, uyacacisa, ke uninzi lwezifo zesifo sokudumba komzimba zizigulana ezinesifo esivele sikhona esiya sivele ngakumbi ngexesha lokukhulelwa kwaye emva koko kufunyaniswe isifo.

Iimpawu zehypothyroidism

Iimpawu eziqhelekileyo ze-hypothyroidism zilingisa uninzi lokukhulelwa kwasekuqaleni, oko kuthetha ukuba ungazikhumbula ngokulula. Ziquka:

• Ukudinwa kakhulu
• Ndiziva ndinesicaphucaphu
• Ukuqunjelwa

Iimpawu ezongezelelweyo zezi:

• Ukulahleka kweenwele
• Ulusu olomileyo / iinzipho ezi brittle
• Ubuthathaka / izihlunu zemisipha
• Ukuphefumla kancinci kunye nomsebenzi womzimba
• Ilizwi elingxolayo
• Ukudumba
• Goiter

Unganqikazi ukuzisa nayiphi na impawu kumboneleli wakho wezempilo. Eminye imiqondiso ye-hypothyroidism akufuneki ungayihoyi uziva ubanda ngalo lonke ixesha, ufumana ubunzima obukhulu, kunye / okanye nokucothisa kwenhliziyo yakho, utshilo uGqirha Nguyen.

Unyango lwe-hypothyroidism kunye nokukhulelwa

Umboneleli wakho wezempilo angakuvavanya amanqanaba ehomoni ye-thyroid ngovavanyo lwegazi olulula. Xa i-hypothyroidism ibanjiwe kwaye inyangwa kwangethuba, uninzi lwabasetyhini lunokuba neziphumo zokukhulelwa okunempilo. Unyango olukhethiweyo sisiyobisi esibizwa Synthroid ( ilevothyroxine ), ethatha indawo ye-T4 umzimba wakho kufuneka uyenze ngokwendalo. (I-T3 ayisetyenziswanga ekukhuleni kwengqondo yomntwana, ngoko akuyomfuneko ukuyithatha ngexesha lokukhulelwa.)

[I-Levothyroxine] ibaluleke ngakumbi ekuthathweni ngexesha lokukhulelwa, utsho Omayra Qujano-Vega, MD , ugqirha we-endocrinologist onempilo yePaloma, unyango olukwi-Intanethi olunikezelwe kuphela kwi-hypothyroidism. Ugqirha Qujano-Vega uthi kuphela kwonyango lwe-hypothyroidism olinganiswe yi-FDA njengoluhlu lokukhulelwa u-A, okuthetha ukuba akukho bungozi kwimveku. Nditsho [neevithamini] ezininzi zokubeleka zinoluhlu lokukhulelwa lwe-B, nangona zikhuselekile kwaye ziyacetyiswa.

Ezinxulumene: Unyango lwe-Hypothyroidism kunye namayeza

Ukucinga ngamayeza endalo? Akukho nanye ethathwa njengekhuselekileyo nesebenzayo ekusetyenzisweni ngexesha lokukhulelwa, utshilo uGqirha Rosenfeld.Ngawona maxabiso aphezulu kunyango lwe-levothyroxine kunye namanye amawaka eziyobisi, sebenzisa eyakho Ikhadi lesaphulelo esisodwa .