So wo nso wote nsakrae a ɛyɛ nwonwa yi nka wɔ awo akyi? Momma yensua Postpartum Thyroiditis Sinhala ho ade!

Sɛ wote nka sɛ woabrɛ bere a woawo akokoaa akyi, ɛtɔ mmere bi a wote nka sɛ wo ho nyɛ wo hyew, wo mu duru kɔ soro anaasɛ wo so tew... Ebia wubesusuw sɛ eyinom yɛ nneɛma a ɛfata ma ɛna foforo. Mpɛn pii no, wɔyɛ saa. Nanso ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi ayɛ nea ɛsen awo akyi ɔbrɛ ara kwa. Ɛnnɛ, yɛrebɛka tebea bi a ɛnanom binom betumi anya wɔ awo akyi, nanso wɔnka ho asɛm pii. Ɛno ne awo akyi thyroiditis , anaa `` Awo akyi Thyroiditis '' .

Dɛn ne nea wɔfrɛ no awo akyi thyroiditis yi?

Sɛ yɛbɛka no tiawa a, `(Postpartum Thyroiditis)` yɛ tebea a ɛma wo thyroid ntini no hohoro anaasɛ ɛyɛ hyew wɔ afe a edi kan wɔ awo akyi. Eyi yɛ tebea a ɛntaa nsi koraa. So wunim sɛ thyroid ntini no yɛ ntini ketewaa bi a ɛte sɛ ntontom a ɛwɔ yɛn kɔn anim ne ase. Ɛma hormone ahorow a ɛhwɛ nneɛma a ɛho hia pii so wɔ yɛn nipadua mu. Saa thyroid hormone ahorow yi ho hia titiriw wɔ ɔkwan a yɛfa so de ahoɔden di dwuma, kyerɛ sɛ, yɛn nipadua mu nneɛma a ɛsakra no so .

Awo akyi Thyroiditis taa ba wɔ akwan horow pii so.

1. Ɔfã 1: Eyi ne bere a thyroid ntini no yɛ hormone pii dodo na ɛma ɛkɔ mogya no mu esiane ɔfe no nti. Wɔfrɛ eyi hyperthyroidism . Saa fã yi taa ba wɔ asram biako ne fã kosi asia mu wɔ awo akyi. Etumi di dapɛn biako kosi bɛyɛ asram abiɛsa.

2. Ɔfã 2: Eyi ne bere a thyroid ntini no ntumi nyɛ hormone a ɛdɔɔso. Wɔfrɛ eyi hypothyroidism . Eyi taa fi ase wɔ awo akyi asram anan kosi awotwe. Ebetumi atra hɔ afe biako.

3. Ɔfã a Ɛto so Abiɛsa: Wɔ saa ɔfã yi mu no, mpɛn pii no, thyroid ntini no san kɔ sɛnea na ɛte kan no na hormone a wɔyɛ no san kɔ sɛnea na ɛte kan no.

Nanso, ɛnyɛ obiara na ɔfa akwan abiɛsa no nyinaa mu nnidiso nnidiso yi. Nnipa binom ntumi nkɔ ɔfa a ɛtɔ so mmienu a ɛyɛ ``Hypothyroidism.'' Wɔnya ``Hyperthyroidism,'' na afei wɔn thyroid dwumadie san kɔ sɛdeɛ na ɛteɛ no. Afei nso, ɛwom sɛ ɛntaa nsi koraa de, nanso nnipa binom tumi tra ``Hypothyroidism'' tebea no mu. Afei ɛsɛ sɛ wɔkɔ so nom nnuru a wɔde si hormone ananmu na ama wɔatumi asiw wɔn thyroid hormone dodow a ɛba fam no so.

Saa tebea yi abu so dɛn?

Wobu akontaa sɛ mmea 5% kosi 10% benya awo akyi thyroiditis wɔ afe a edi kan wɔ awo, nyinsɛn a woyi gu, anaa hysterectomy akyi. Nanso, ebia ɔha biara mu nkyem yi bɛkɔ soro wɔ wɔn a wɔwɔ asiane afoforo te sɛ thyroid yare no mu.

Dɛn ne eyi ho sɛnkyerɛnne?

Mpɛn pii no, wɔ ɔfã a edi kan no mu, a wɔfrɛ no ``Hyperthyroidism,'' sɛnkyerɛnne ahorow no ntumi nhu. Ebia worenhu mpo. Nanso sɛ sɛnkyerɛnne ahorow no ba a, mpɛn pii no ɛfa nipadua no nneyɛe (te sɛ nipadua no mu nneɛma a ɛsakra) a ɛbɛyɛ "hyper" anaasɛ ɛyɛ ntɛmntɛm no ho. Eyinom ne sɛnkyerɛnne ahorow no bi:

• Ahomegye ne dadwen a wɔtaa te nka.
• Nwi a ɛtɔ kɔ soro.
• Sɛ́ wobɛyɛ teateaa a ntease biara nnim.
• Koma a ɛbɔ kɛse (Tachycardia).
• Ɔhyew a wontumi nnyina ano, fifiri a ɛkɔ soro .

Nnipa dodow no ara fi ase hu sɛnkyerɛnne ahorow wɔ ɔfã a ɛto so abien a wɔfrɛ no hypothyroidism no mu. Eyi ne bere a nipadua no mu nneɛma (te sɛ nipadua no mu nneɛma a ɛsakra) brɛ ase. Eyi betumi ama woanya yare no ho sɛnkyerɛnne te sɛ:

• Ɔbrɛ a ɛtra so a wobɛte nka: Eyi nyɛ ɔbrɛ a ɛfata a ɛba bere a wowo akokoaa no ara kwa. Ɛyɛ ɔbrɛ a ɛma wote nka sɛ wobɛtena mpa so da mũ nyinaa, ɛmfa ho sɛnea wubegye w’ahome no.
• Mu duru a ɛkɔ soro : Ebia wobɛte nka sɛ wo mu duru reyɛ kɛse ɛwom mpo sɛ w’adidi su nsakrae de.
• Adwene mu tebea horow te sɛ adwenemhaw : .Mete awerɛhow nka bere nyinaa, m’ani nnye biribiara ho bio, na mente nka mpo sɛ mɛyɛ nneɛma a kan no na m’ani gye ho no.
• Wora a ɛyɛ nwunu.
• Ayamtim .
• Ntini mu yaw.
• Nufusu a ɛnnɔɔso mma akokoaa no.
• Awɔw a wuntumi nnyina ano: Ebia wobɛte awɔw a wuntumi nnyina ano bere a afoforo te atiridii a ɛfata nka.

Adeɛ a ɛho hia ne sɛ, wɔtaa tumi de saa `(Hypothyroidism)` ho sɛnkyerɛnne yi frafra nneɛma a ɛfata a ɛna foforɔ nya wɔ awo akyi. Nneɛma te sɛ ɔbrɛ ne ntini mu yaw yɛ ade a ɛfata bere a wɔrehwɛ akokoaa no. Nanso sɛ saa sɛnkyerɛnne ahorow yi kɔ so anaasɛ emu yɛ den a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Ade titiriw a ɛde `(Postpartum Thyroiditis)` ba ne wo thyroid gland no ntua a anti-thyroid antibodies de ba. So wunim, yɛwɔ yɛn nipadua no fã bi a wɔfrɛ no `Antibodies`. Wɔn adwuma ne sɛ wɔbɛko atia mmoawa a wɔde nyarewa ba no so abɔ yɛn ho ban. Ɛte sɛ awɛmfo a wɔwɔ yɛn nipadua mu no.

Nanso wɔ ``Postpartum Thyroiditis`` mu no, saa antibodies yi di mfomso ketewaa bi na wofi ase tow hyɛ yɛn ankasa thyroid gland so. Saa ntua yi na ɛma thyroid ntini no ho hyehye. Saa adeyɛ yi te sɛ ``Hashimoto yare``, thyroiditis a ɛtaa ba no ara pɛ.

Nyansahufo da so ara nnim nea enti a nnuru a ɛko tia nyarewa yi fi ase tow hyɛ wɔn so bere a wɔawo awie no ankasa. Nanso nsusuwii biako a agye din ne sɛ sɛ na wowɔ yare bi a nipadua no tumi ko tia nyarewa ansa na worenyinsɛn a, ɛda adi sɛ wubenya bi bere a woawo akyi. Tebea a nipadua no tumi ko tia nyarewa ne sɛnea madi kan aka no, bere a yɛn ankasa nipadua mu nkwammoaa a ɛko tia nyarewa no tow hyɛ yɛn ankasa nkwammoaa ne ntini a ɛte apɔw so no so.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Ebia wobɛkɔ asiane kɛse mu sɛ wubenya ``Postpartum Thyroiditis`` sɛ wo:

• Sɛ woanya awo akyi thyroiditis bere a woadi kan awo a.
• Wo de ma woSɛ wowɔ asikreyare a ɛto so 1 (a ɛno nso yɛ tebea a nipadua no tumi ko tia nyarewa).
• Sɛ wo anaa w'abusua mu obi wɔ abakɔsɛm a ɛkyerɛ sɛ woanya thyroid yare a .
• Sɛ wowɔ anti-thyroid antibodies wɔ wo nipadua mu fi ansa na worenyinsɛn (ebia na wunnim ho asɛm efisɛ na wunni sɛnkyerɛnne biara).

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛhwɛ wo na wabisa wo yare no ho sɛnkyerɛnne. Afei, wɔbɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛnea thyroid hormone dodow a ɛwɔ wo mogya mu (titiriw, hormone a wɔfrɛ no T3, T4, anaa TSH). Mpɛn pii no, mogya mu nhwehwɛmu yi dɔɔso na ama wɔahu awo akyi thyroiditis. Ebetumi aboa nso ma wɔahu nsonsonoe a ɛda tebea afoforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara te sɛ Graves yare no ntam. Graves yare yɛ nkwa nna nyinaa mu tebea a ɛde sɛnkyerɛnne ahorow a ɛte sɛ awo akyi thyroiditis ba.

Dɛn ne ayaresa no?

Mmea dodow no ara nhyia saa tebea yi denneennen saa. Enti sɛ wo yare no ho sɛnkyerɛnne no mu nyɛ den a, ebia worenhia ayaresa. Nanso, sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den a, ebia ebehia sɛ wonom nnuru. Sɛ worenom nufu a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Obetumi akamfo nnuru a asiane biara nni ho ama wo ne wo ba no nyinaa.

Ayaresa no gyina sɛ ebia wowɔ ``Hyperthyroidism'' anaa ``Hypothyroidism'' gyinabea so.

• Wɔ (Hyperthyroidism): Nnuru a wɔde sa eyi bi ne `(Corticosteroids)` (te sɛ `(Prednisone)`) ne `(Beta-blockers)`. `(Corticosteroids)` tew ɔfe so. `(Beta-blockers)` siw thyroid hormone ahorow no nkɛntɛnso ano. Eyinom abien nyinaa tumi di yare no ho sɛnkyerɛnne ahorow so.
• Wɔ hypothyroidism ho: Ɛda adi kɛse sɛ eyi behia sɛ wɔde sa thyroid hormone ananmu . Saa ayaresa yi taa gye asram asia kosi afe biako. Sɛ wo thyroid ntini no san ba sɛnea na ɛte kan no a, wubetumi atew aduru yi dodow so nkakrankakra na woagyae nom.

Wo duruyɛfo bɛhwɛ wo thyroid hormone dodow so wɔ w’ayaresa no nyinaa mu.

So eyi yɛ tebea a ɛtra hɔ daa? So ɛbɛtra hɔ daa?

Awo akyi Thyroiditis taa yɛ bere tiaa mu tebea. Nnipa a wɔwɔ saa tebea yi mu bɛyɛ 70% kosi 80% awiei koraa no wobegyae nnuru a wohia efisɛ wɔn thyroid ntini no befi ase ayɛ hormone sɛnea ɛsɛ bio. Ebia 20% kosi 30% a aka no bɛkɔ so atra hypothyroidism tebea no mu. Ɛho behia sɛ wɔfa thyroid hormone ayaresa bere tenten.

Afei nso, awo akyi thyroiditis betumi ama asiane a ɛwɔ hɔ sɛ wubenya thyroid haw afoforo te sɛ hypothyroidism anaasɛ goiter no ayɛ kɛse. Sɛ wo thyroid san ba sɛnea na ɛte kan mpo a, ebia wo duruyɛfo betu wo fo sɛ kɔ so hwɛ wo thyroid no so.

Bere tenten ahe na egye ansa na asa?

Awo akyi Thyroiditis taa di afe kosi afe ne fã. Mpɛn pii no, wo thyroid bɛsan ayɛ sɛnea na ɛte kan no wɔ asram 12 kosi 18 akyi bere a woafi ase ahu sɛnkyerɛnne ahorow no. Worenhia nnuru bio.

So metumi anyinsɛn bio bere a manya awo akyi thyroiditis akyi?

Akyinnye biara nni ho sɛ ebetumi aba. Mmea pii a wɔanya awo akyi thyroiditis no kɔ so nyinsɛn a ahoɔden wom. Nanso nea ɛho hia sen biara ne sɛ, sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn bio a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ woanya saa tebea yi pɛn. Efisɛ mmea a wɔanya awo akyi thyroiditis pɛn no mu bɛyɛ 20% bɛsan anya bi bio wɔ wɔn nyinsɛn a edi hɔ no mu.

Afei wo duruyɛfo betumi ahwɛ wo thyroid hormone dodow na wakyerɛ wo kwan akɔ nyinsɛn a ahoɔden wom mu.

Dɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm yi:

• So mewɔ thyroid yare foforo anaasɛ autoimmune tebea?
• Ayaresa bɛn na wokamfo kyerɛ?
• Esiane sɛ merema nufu nti, nnuru bɛn na ahobammɔ wom sen biara a ɛsɛ sɛ mede di dwuma?
• Bere bɛn na metumi atew nnuru a mede di dwuma wɔ thyroid no so?
• Nhyehyɛe bɛn na ebehia sɛ mesan ba de hwɛ me tebea no so?
• Sɛ minya thyroid haw foforo a, sɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?

Nnipa pii a wɔwɔ `(Postpartum Thyroiditis)` ho sɛnkyerɛnne no twentwɛn wɔn nan ase sɛ wɔbɛkɔ oduruyɛfo nkyɛn efisɛ wosusuw sɛ nsakrae yi yɛ nea ɛfata wɔ awo akyi. Nokwarem no, nneɛma te sɛ ɔbrɛ ne ntini mu yaw bere a worehwɛ abofra a wɔawo no foforo no betumi ate nka te sɛ `(Hypothyroidism)` sɛnkyerɛnne. Nanso, sɛ saa sɛnkyerɛnne ahorow yi ankɔ yiye a, nsusuw sɛ, "Ɛsɛ sɛ midi eyi ho dwuma ara kwa." Ebia ɔhaw no fi wo thyroid no ho. Mpɛn pii no, mogya mu nhwehwɛmu a ɛnyɛ den betumi ahu no yiye. Nnuru bi wɔ hɔ a ebetumi aboa wo ma woanya apɔwmuden na woadi akokoaa foforo asetra ho dwuma. Ɛno nti na ɛho hia paa sɛ wohwɛ wo ho.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ nea yɛaka ho asɛm (Postpartum Thyroiditis) no ho. Nneɛma a ɛho hia a ɛsɛ sɛ wokae ni:

• Awo akyi Thyroiditis yɛ thyroid ntini a ɛyɛ hyew a ebetumi aba wɔ afe a edi kan wɔ awo akyi.
• Wɔ eyi mu no , thyroid hormone ahorow betumi akɔ soro mfiase no (Hyperthyroidism) na afei ɛso atew (Hypothyroidism). Ɛnyɛ obiara na onya akwan abien no nyinaa mu osuahu.
• Nsɛnkyerɛnne (titiriw wɔ hypothyroidism mu) ne ɔbrɛ, mu duru a ɛkɔ soro, adwenemhaw, akisikuru, ne nufusu a ɛso tew.) Mfa eyi nfrafra nsakrae a ɛfata a ɛba wɔ awo akyi no.
• Eyi fi nnuru a ɛko tia nyarewa a ɛtow hyɛ thyroid ntini no so.
• Wobetumi de mogya mu nhwehwɛmu ahu eyi .
• Eyi taa yɛ bere tiaa mu de na sɛ wɔde sa yare a, wobetumi asa. Ayaresa ahorow a ahobammɔ wom wɔ hɔ ma ɛnanom a wɔma wɔn nufu nso.
• Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu. Dodow a wuhu ntɛm no, dodow no ara na wubetumi anya ahotɔ ntɛm.

Sɛ wuhu sɛ mfaso wɔ saa nsɛm yi so a, ɛno bɛyɛ anigye kɛse. Mepɛ sɛ wo ne w’abusua nya akwahosan pa!