Phakathi kwezizathu ezibonakalayo zokulahleka kwamathambo angapheliyo okanye izimo zempilo ezilawulwa kakubi kumama. Isifo se-thyroid esingaqhelwanga sisinye ingxaki enxulumene nokuphuphuma kwesisu kwezinye iincwadi. Ngenxa yokuba iimpawu zesifo se-thyroid zihlala zingaphantsi kunezinto ezibonakalayo, abaninzi abafazi abanamalahle aphindaphindiweyo bayazibuza ukuba ngaba banokuba ne-thyroid.
Iingqungquthela ze-Thyroid kunye nomsebenzi wazo ekutshatweni komtshato
Isifo se-Thyroid ngokwenene siyinqanaba leengxaki ezahlukeneyo kunokuba lilungu elinye. Kukho ulwazi oluninzi oluxubileyo malunga nokuba luyintoni into ebangelwa ngamathambo. Nantsi i-UpToDate, indawo ye-reference ye-intanethi kuogqirha kunye nezigulane, kufuneka ithi:
Ezinye iziphumo ziye zachaza izinga lokunyuka kwama-fetal kwi-women-high-concentrations (i-thyroid i-peroxidase okanye i-thyroglobulin), kuquka abo ba-euthyroid. Nangona kunjalo, kusekho ikhoyo kunye neenkcukacha eziphikisanayo ziye zabikwa.
Ukulawulwa kakubi kwesifo se-thyroid (i-hypo- okanye i-hyper-thyroidism) inxulumene nokungabikho komzimba kunye nokulahleka kokukhulelwa . I-hormone ye-thyroid eyongezelayo yandisa umngcipheko wokukhulelwa kwesisu ngaphandle koxinzelelo lwesisu somzimba. "
Ngoko, akucaci ukuba iziphiko zamachiza e-thyroid (iintsholongwane ezinxamnye neeprotheni ze-thyroid) zithetha ngokutshatyalaliswa kwesisu. Ezinye izifundo zibonisa ukuba abafazi abane-antibodies abanomngcipheko ophezulu wokukhulelwa kwesisu okanye ukungabi nantlungu nangona amazinga e-hormone aqhelekileyo, kodwa ubungqina buxutywe, kwaye ngoku kwangoku akukho ulwazi olwaneleyo lokuthi ingaba i-thyroid antibodies ihambelana ngokuthe ngqo kumathambo apha .
Ukuba usengozini yesifo se-thyroid, ugqirha wakho uya kukhangeleka ngakumbi kwizinga lakho le-hormone ye-thyroid. I-hyperthyroidism engalawulwayo kunye ne-hypothyroidism ibonakala idibene kunye nokungahambi kakuhle, kwaye ngenxa yokuba le miqathango ingaphathwa ngamachiza, kufuneka uxoxe nodokotela xa ucinga ukuba usengozini.
Ukuhlola nokuPhathwa kweMeko yeTroid
Ukuba uziva unempawu ze-hypothyroidism okanye i-hyperthyroidism, cela udokotela wakho malunga nokuvavanya. Inkqubo yokuvavanya ngokuqhelekileyo iqukethe iimvavanyo zegazi ezilula. Kufuneka uxelele ugqirha wakho ukuba unesifo se-hyperthyroidism esaphiliswa ngonyango lwe-iodine okanye i-thyroid. Umzimba wakho usenza iziza-antibodies ezichaphazela i-thyroid yakho.
Unyango luyahlukahluka kwimeko, kodwa ngokuqhelekileyo unyango lwe-hypo okanye hyperthyroidism liqukethe amayeza atshintshe amahomoni e-thyroid okanye ukunciphisa ama-hormone amaninzi, ngokulandelanayo. Amachiza aphephile ngexesha lokukhulelwa.
Ukuba unobungozi obukhulu be-hyperthyroidism, ugqirha wakho unokukuphatha ngamachiza e-antithyroid njengepropylthiouracil kwiinyanga ezintathu zokuqala zokukhulelwa. I-Methimazole ingasetyenziselwa endaweni yokokuba kunemiphumo embalwa yecala kodwa yinto enokwenzeka kakhulu ukuba ibangelwe iimeko ezibi kakhulu zokuzalwa.
Ngokuqhelekileyo, utshintsho kwimveliso yamanqindi ngexesha lokukhulelwa kuthetha ukuba abafazi abayidingi imithi ye-antithyroid nge-trimester yesithathu.
Akunakwenzeka ukusho ukuba isifo se-thyroid sabangela ukuphuphuma kwexesha elidlulileyo ngaphandle kokuvavanywa kwithuba lokulahleka. Ukuba unengxaki ye-thyroid, kunjalo, yinto efanelekileyo yokufumana imeko phantsi kolawulo ngaphambi kokuba ukhulelwe kwakhona.
Ezinye izifo eziSigxina ezixhatshazelwe ukuThatyathwa
Isifo sikashukela esingalawulwayo, isifo sesifo, kunye ne-lupus ziyimimiselo embalwa yezifo ezingapheliyo ezinokuthi umngcipheko ophezulu wokukhulelwa komzimba xa ungalawulwa. Kodwa ngokuqhelekileyo, oomama abanalo zi zifo banezinye iimpawu-iziqhekeza eziqhelekileyo aziqhelekanga okokuqala ukuba kukho ingxaki (kodwa khangela ugqirha wakho ukuba ucinga ukuba uneminye impawu).
Kukho ukukrokra okungafumaniyo isifo se-celiac singabamba indima kwiimfucuza eziphindaphindiweyo , kodwa akukho ubungqina ngeli xesha. I-Antiphospholipid syndrome ngokuqhelekileyo ithobileyo efumaneka kwi-15 ekhulwini yabasetyhini abaneemfucuza eziphindaphindiweyo, kunye namathuba ukuba ugqirha wakho uya kuncomela ukuvavanywa kwamagciwane omzimba we-antiphospholipid ukuba unamatholethi amathathu okanye ngaphezulu.
> Imithombo:
> Izifo zeTyroid kunye nokukhulelwa. Isizwe seSizwe seSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. https://www.niddk.nih.gov/health-information/endocrine-diseases/pregnancy-thyroid-disease.
> Tulandi T, Al-Fozan HM. Inkcazo kunye ne-Etiology yoLwazi lokuLawula uMva. Isemgangathweno. https://www.uptodate.com/contents/definition-and-etiology-of-recurrent-pregnancy-loss#H20.