So wo nso wote ɔbrɛ ne nsakrae a ɛte sɛɛ nka bere a woawo akokoaa awie no? Momma yensua (Postpartum Thyroiditis) ho ade!

Ɔbrɛ a wote nka bere a woawo akokoaa akyi, anadwo a wuntumi nna, nhyɛso a ɛde asɛyɛde foforo ba... Eyi nyinaa akyi no, ebia wubesusuw sɛ nsakrae yi yɛ ade a ɛfata. Eyi yɛ osuahu a ɛnanom pii taa nya. Nanso ɛtɔ mmere bi a, ɛnyɛ tebea a ɛfata a ɛba wɔ awo akyi no na ɛwɔ ɔbrɛ a emu yɛ den, dadwen, ne nsakrae a ɛba wo nipadua mu yi akyi. Ebetumi ayɛ tebea bi a wɔfrɛ no ‘Postpartum Thyroiditis’, a nnipa pii nka ho asɛm, nanso ɛho hia sɛ wohu.

Sɛ yɛbɛka no tiawa a, dɛn ne Postpartum Thyroiditis?

Ebia eyi bɛyɛ te sɛ edin a ɛyɛ nwonwa, nanso ɛyɛ mmerɛw yiye sɛ wobɛte ase. Awo akyi kyerɛ "awo akyi." Thyroiditis kyerɛ "thyroid ntini a ɛho ahonhon anaasɛ ɛyɛ hyew." Awo akyi Thyroiditis yɛ wo thyroid ntini a ɛyɛ hyew a ɛba wɔ afe a edi kan bere a woawo akokoaa akyi no mu.

Afei ebia woresusuw ho sɛ, dɛn ne saa thyroid ntini yi? Ɛyɛ ntini ketewaa bi a ɛho hia yiye a ɛte sɛ ntontom wɔ yɛn kɔn anim. Saa ntini yi ma nkwaadɔm a ɛhwɛ nneɛma a ɛho hia pii so, te sɛ sɛnea yɛn nipadua de ahoɔden, anaa nipadua mu nneɛma a ɛsakra no di dwuma. Enti sɛ ɔhaw bi wɔ eyi ho a, nipadua no nyinaa te nka.

Ɔkwan bɛn so na eyi ba? Momma yensua nneɛma abiɛsa ho ade.

Awo akyi Thyroiditis taa kɔ so wɔ akwan horow pii so. Nanso, ɛnyɛ obiara na onya saa mmere yi nyinaa mu osuahu nnidiso nnidiso. Ɛho hia sɛ yɛma ɛno tra w’adwenem.

Nanso kae sɛ ebia ɛnanom binom benya ɔfã a edi kan (Hyperthyroidism) nkutoo na afei wɔn ho atɔ wɔn ntɛm ara. Ebia ɔfã a ɛto so abien (Hypothyroidism) no rensi koraa. Ɛntaa mma sɛ ebia ɛsɛ sɛ obi kɔ so tra ɔfã a ɛto so abien no mu, a ɛkyerɛ sɛ hormone dodow sua.

Dɛn ne sɛnkyerɛnne ahorow no? Yɛyɛ dɛn hu eyi?

Ɔhaw kɛse a ɛwɔ eyi mu ne sɛ saa sɛnkyerɛnne ahorow yi taa ne tebea horow a ɛfata a ɛba wɔ awo akyi no di nsɛ.

Momma yɛnhwɛ nea sɛnkyerɛnne ahorow no fa akwan abien no ho.

Ade a edi kan: Bere a nkwaadɔm a ɛma nipadua no yɛ adwuma no kɔ soro (Hyperthyroidism) .

Saa bere yi mu no, nipadua no nneyɛe bɛyɛ "hyper," a ɛkyerɛ sɛ ɛyɛ ntɛmntɛm. Nanso ebia nnipa pii renkyerɛ yare no ho sɛnkyerɛnne titiriw biara wɔ saa bere yi mu. Anaasɛ ebia wobebu wɔn ani agu wɔn so.

• Bere nyinaa a ɔte nka sɛ ne ho yeraw no na ne ho nyɛ no dɛ.
• Nwi pii a wɔhwere a ntease biara nnim.
• Wo mu duru a wobɛtew ɛmfa ho sɛ wudi yiye no.
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm (Tachycardia).
• Ɔhyew no yɛ nea wontumi nnyina ano.

Ɔfã a Ɛto so Abien: Bere a hormone ahorow no sua (Hypothyroidism) .

Nnipa pii fi ase hu sɛnkyerɛnne ahorow no pefee wɔ saa bere yi mu. Eyi ne bere a nipadua no mu nneɛma brɛ ase.

• Ɔbrɛ ne ɔbrɛ a ɛtra so a wɔte nka bere nyinaa.
• Mu duru a ɛkɔ soro ɛmfa ho sɛ wudi nea wudi ne nea wonom so no.
• Awerɛhow ne adwenemhaw a wɔte nka .
• Wora a ɛyɛ kusuu yiye.
• Ayamtim .
• Nipadua ne ntini mu yaw.
• Nufusu a ɛdɔɔso a wɔde bɛma akokoaa no.
• Awɔw a wontumi nnyina ano.

Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?

Sɛ yɛbɛka no tiawa a, eyi yɛ autoimmune.Tebea a yɛn nipadua no ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa, di mfomso tow hyɛ yɛn ankasa thyroid ntini so. Ɛte sɛ nea "asraafo" (antibodies) a wɔkyerɛ sɛ wɔbɔ yɛn nipadua ho ban fi nyarewa ho no, wodi mfomso bu wɔn sɛ wɔn ankasa mu biako na wɔtow hyɛ so. Saa ntua yi ma thyroid ntini no hohoro.

Eyi te sɛ Hashimoto yare , a ɛyɛ thyroid yare no ara pɛ. Bere a wonnya nhuu nea enti a eyi ba wɔ nyinsɛn akyi ankasa no, nsusuwii atitiriw no mu biako ne sɛ na saa tebea a nipadua no tumi ko tia nyarewa yi wɔ wo nipadua mu ansa na worenyinsɛn na ɛba bere a woawo akyi nkutoo.

Hena na ɔwɔ asiane kɛse sɛ obenya saa tebea yi?

Sɛ wowɔ tebea horow a edidi so yi mu biako anaa nea ɛboro saa a, asiane a ɛwɔ hɔ sɛ wubenya awo akyi thyroiditis no yɛ kɛse kakra.

• Sɛ woanya saa tebea yi wɔ awo a atwam akyi a .
• Sɛ wowɔ yare foforo a nipadua no tumi ko tia nyarewa, te sɛ asikreyare a ɛto so 1 a .
• Sɛ obi wɔ w’abusua mu (ɛna, onuawa) wɔ thyroid yare a.
• Sɛ na wowɔ anti-thyroid antibodies wɔ wo nipadua mu ansa na worenyinsɛn (ebia wunnim ho asɛm, efisɛ ebia na sɛnkyerɛnne biara nni hɔ).

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ woka wo sɛnkyerɛnne ahorow ho asɛm wie a, oduruyɛfo no bɛhwɛ wo. Afei, wɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu a ɛnyɛ den mfa nkyerɛ sɛ tebea no wɔ hɔ.

Saa mogya mu nhwehwɛmu yi hwɛ sɛnea thyroid hormone (T3, T4) ne TSH (Thyroid Stimulating Hormone) dodow wɔ wo mogya mu. Oduruyɛfo no gyina nsakrae a ɛba saa dodow yi so betumi ahu pɛpɛɛpɛ sɛ ebia eyi yɛ Postpartum Thyroiditis anaasɛ thyroid yare foforo te sɛ Graves yare.

Dɛn ne ayaresa ahorow no? So eyinom yɛ nea asiane biara nni ho ma ɛna a ɔma nufu?

Asɛmpa no ne sɛ ɛnanom dodow no ara nhia ayaresa titiriw biara efisɛ wɔn yare no ho sɛnkyerɛnne no mu nyɛ den saa. Nanso, sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den na ɛhaw w’asetra a, wo duruyɛfo bɛkyerɛw wo nnuru.

Ayaresa no gyina ɔfã a wowɔ mu so.

• Wɔ tebea horow a hormone dodow a ɛkɔ soro (Hyperthyroidism): Wɔ eyi mu no, wɔtaa de nnuru te sɛ beta-blockers ma de siw koma no bɔ so, ne nnuru te sɛ corticosteroids (e.g. prednisone) a wɔde bɛtew ɔfe so.
• Hypothyroidism: Wɔde akyi thyroid hormone nnuru na ɛsa eyi. Saa ayaresa yi taa di asram 6 kosi afe biako. Nnipa dodow no ara betumi agyae aduru yi nom nkakrankakra bere a wɔn thyroid ntini no asan ayɛ sɛnea na ɛte kan no.

So eyi yɛ yare a ɛtra hɔ daa? So ɛsɛ sɛ menom nnuru daa?

Dabi, Awo Akyi Thyroiditis taa yɛ bere tiaa mu tebea. Wɔ ɛnanom a wonya saa tebea yi mu 70% - 80% mu, kyerɛ sɛ, du biara mu ason kosi awotwe mu no, thyroid ntini no befi ase ayɛ adwuma sɛnea ɛsɛ bio bere kɔ so. Afei nnuru ho renhia.

Nanso, nnipa bɛyɛ 20% kosi 30% betumi anya hypothyroidism a ɛtra hɔ daa, na ɛho behia sɛ wɔkɔ so de sa thyroid hormone ananmu.

Sɛ wunya saa tebea yi wie a, asiane kɛse wom kakra sɛ wubenya thyroid tebea afoforo (hypothyroidism anaa goiter) daakye. Enti, sɛ wo thyroid ntini no san ba sɛnea na ɛte kan mpo a, nyansa wom sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwɛ wo daa.

So metumi anyinsɛn bio?

Yiw, akyinnye biara nni ho sɛ wubetumi. Awo akyi thyroiditis a wubenya no nsiw wo kwan sɛ wobɛsan awo akokoaa a ɔwɔ apɔwmuden bio.

Nanso, sɛ woresusuw ho sɛ wobɛwo akokoaa foforo a, ɛho hia sɛ woka tebea yi a woadi kan anya ho asɛm kyerɛ wo duruyɛfo bere a woreyɛ nhyehyɛe sɛ wubenyinsɛn no. Eyi te saa efisɛ nnipa a wɔanya saa tebea yi pɛn no wɔ hokwan 20% sɛ wɔbɛsan anya bi bio wɔ wɔn nyinsɛn a edi hɔ no mu. Afei wo duruyɛfo betumi ahwɛ wo thyroid hormone dodow na waboa wo ma woanyinsɛn yiye.