Phakathi kwezimbangela ezibonakalayo zokukhubazeka okuvamile okungaziwa noma izimo zempilo ezingalawulwa kahle kumama. Isifo se-thyroid esingahlosiwe ingenye inkinga enjalo ehlanganiswa nokukhulelwa kwesisu kwezinye izifundo. Njengoba kunikezwa ukuthi izimpawu zesifo se-thyroid zivame ukuba ngaphansi kwesibonakaliso, abesifazane abaningi abanezinsizwa eziphindaphindiwe bazibuza ukuthi bangaba nesimo se-thyroid esingelashwa.
Ama-Antibodies We-Thyroid Nendima Yabo Ekukhulelweni Ngaphandle
Isifo se-thyroid empeleni siyisigaba sezinkinga ezihlukene kunokuba sibe nesinye isakhiwo. Kunolwazi oluningi oluxubile mayelana nokuthi yini engaba yinto ebangelwa ukukhubazeka. Nakhu okushiwo i-UpToDate, indawo yokubhekisela e-intanethi yezinyanga neziguli, kumele ithi:
"Ucwaningo oluthile lubike ukuthi izinga lokulahleka kwezingane ezikhushulwa ngamantombazane anesifo esiphakeme se-serum thyroid (i-peroxidase ye-thyroid noma i-thyroglobulin), kufaka phakathi nalabo abasebenzisa i-euthyroid. Ukuzimela komzimba we-thyroid nakho kuhlobene nokuhluleka okungahlongozwanga nokuhluleka kokufakelwa. Kodwa-ke, kusadingeka ukuthi kutholakale idatha ephikisanayo.
Ukulawulwa kabi kwesifo se-thyroid (hypo-or hyper-thyroidism) kuhlotshaniswa nokungazalwa nokukhulelwa kokukhulelwa . Ukwandisa i-hormone ye-thyroid kwandisa ingozi yokukhulelwa kwesisu ngaphandle kokungasebenzi komzimba kokubeletha komama. "
Ngakho-ke, akucaci ukuthi iziphi izifo ezithathelwanayo ze-thyroid (ama-antibodies amelana namaprotheni e-thyroid) asho ngokushiywa kwesisu. Ucwaningo oluthile lubonisa ukuthi abesifazane abane-antibodies ye-thyroid banengozi enkulu yokukhulelwa kwesisu noma ukungabi nabantwana ngisho nalapho amazinga e-hormone abo ejwayelekile, kodwa ubufakazi buxutshwe, futhi okwamanje akukho ulwazi olwanele lokuthi ngabe izifo zamagciwane e-thyroid zihlobene ngokuqondile nokukhubazeka ezimweni ezinjalo .
Uma usengozini yesifo se-thyroid, udokotela wakho cishe uzobukeka ngokujulile emazingeni akho we-hormone ye-thyroid. I-hyperthyroidism engalawuliwe ne-hypothyroidism ibonakala ihlotshaniswa nokuhlukumeza, futhi ngoba lezi zimo zingelashwa ngemithi, kufanelekile ukubonana nodokotela uma ucabanga ukuthi ungase ubungozini.
Ukuhlola nokwelashwa kwezimo ze-Thyroid
Uma uzizwa unayo izimpawu ze-hypothyroidism noma i-hyperthyroidism, cela udokotela wakho mayelana nokuhlolwa. Inqubo yokuhlola ngokuvamile iqukethe ukuhlolwa kwegazi okulula. Kumele utshele udokotela wakho uma unesifo se-hyperthyroidism esaphulukiswa ukwelashwa kwe-iodine yama-radiation noma ukususwa kokuhlinzwa kwe-thyroid. Umzimba wakho usenza amagciwane anesifo somzimba wezingane zakho.
Ukwelapha kuyahlukahluka ngesimo, kodwa ngokuvamile ukwelashwa kwe-hypo noma hyperthyroidism kunezinhlobo zokuthola imithi yokwenza ama-hormone wegciwane noma ukunciphisa amazinga e-hormone amaningi, ngokulandelana. Imithi iphephile ngesikhathi sokukhulelwa.
Uma une-hyperthyroidism enamandla, udokotela wakho angakuphatha ngemithi ye-antithyroid njengepropylthiouracil ezinyangeni ezintathu zokuqala zokukhulelwa. I-Methimazole ingahle isetshenziswe esikhundleni sayo ngoba inemiphumela emibi kakhulu kepha cishe kungenzeka ukuthi ibangele ukukhubazeka okukhulu kokuzalwa.
Ngokuvamile, izinguquko ekukhiqizeni ama-antibodies ngesikhathi sokukhulelwa kusho ukuthi abesifazane abadingi imithi ye-antithyroid yi-trimester yesithathu.
Akunakwenzeka ukusho ukuthi isifo se-thyroid senze ukukhulelwa kwesisu esidlule ngaphandle kokuthi ukuhlolwa kwenziwe ngesikhathi sokulahlekelwa. Uma unenkinga ye -roid, noma kunjalo, kuwumqondo omuhle ukuthola isimo ngaphansi kokulawula ngaphambi kokuthi ukhulelwe futhi.
Ezinye izifo ezigulayo ezixhunywe ukushada
Isifo sikashukela esingalawuleki, isifo sezinso, kanye ne-lupus yizibonelo ezimbalwa zezifo ezingapheli ezingase zisho ingozi ephezulu yokukhulelwa kwesisu uma ingaphethwe. Kodwa ngokuvamile, omama abanalezi zifo banezinye izimpawu-ukulahleka kwezimoto ngokuvamile akuyona isibonakaliso sokuqala sokuthi kunenkinga (kodwa ubone udokotela wakho uma ucabanga ukuthi unamanye izimpawu).
Kukhona ukusola okungazange kutholakale ukuthi isifo se-celiac singase sibe nendima ekukhunjweni okuphindaphindiwe , kodwa akukho bufakazi ngalesi sikhathi. I-Antiphospholipid syndrome yisimo sokuthula esitholakala ngamaphesenti angaba ngu-15 wabesifazane abanezinsizakalo eziphindaphindiwe, futhi amathuba okuthi udokotela wakho uzotusa ukuhlolwa kwama-antiphospholipid antibodies uma ngabe unezintambo ezintathu noma ngaphezulu.
> Imithombo:
> Isifo Sengculazi Nokukhulelwa. Isikhungo Sesizwe Sesifo Sikashukela Nesifo Sezinyosi Nezifo Zezinso. https://www.niddk.nih.gov/health-information/endocrine-diseases/pregnancy-thyroid-disease.
> Tulandi T, u-Al-Fozan HM. Incazelo kanye ne-Etiology yokulahlekelwa okukhulelwa okuvamile. Kusesikhathini. https://www.uptodate.com/contents/definition-and-etiology-of-recurrent-pregnancy-loss#H20.