Manaʻo luhi ma hope o ka hānau ʻana i kahi pēpē, i kekahi manawa manaʻo hoʻomaha ʻole, loaʻa a emi paha ke kaumaha ... Manaʻo paha ʻoe he mau mea maʻamau kēia no kahi makuahine hou. ʻO ka hapa nui o ka manawa, ʻo ia nō. Akā i kekahi manawa hiki i kēia mau hōʻailona ke ʻoi aku ma mua o ka luhi postpartum. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana e hiki ai i kekahi mau makuahine ke loaʻa ma hope o ka hānau ʻana, akā ʻaʻole i kamaʻilio nui ʻia. ʻO ia ka postpartum thyroiditis , a i ʻole " Postpartum Thyroiditis " .
He aha kēia mea i kapa ʻia ʻo postpartum thyroiditis?
I ka ʻōlelo maʻalahi, ʻo `(Postpartum Thyroiditis)` kahi maʻi e pehu ai kou kelepa thyroid a mumū paha i loko o ka makahiki mua ma hope o ka hānau ʻana. He maʻi laha ʻole kēia. Ua ʻike anei ʻoe he kelepa liʻiliʻi ke kelepa thyroid, e like me ke ʻano o ka pepeke, aia ma ke alo a me ka ʻaoʻao haʻahaʻa o ko kākou ʻāʻī. Hoʻopuka ia i nā hormones e kāohi ana i nā kaʻina hana koʻikoʻi he nui i loko o ko kākou kino. He mea nui loa kēia mau hormones thyroid i ka kāohi ʻana i ke ʻano o kā kākou hoʻohana ʻana i ka ikehu, ʻo ia hoʻi, ko kākou metabolism .
Hoʻomaʻamaʻa pinepine ʻia ka thyroiditis postpartum i kekahi mau pae.
1. Pae 1: ʻO kēia ka manawa e hana ai ka ʻōpū thyroid i ka nui o ka hormone a hoʻokuʻu iā ia i loko o ke koko ma muli o ka mumū. Ua kapa ʻia kēia he hyperthyroidism . ʻO ka maʻamau, hiki kēia pae i loko o hoʻokahi a me ka hapa a ʻeono mahina ma hope o ka hānau ʻana. Hiki ke mau mai hoʻokahi pule a ʻekolu mahina paha.
2. Pae 2: ʻO kēia ka manawa ʻaʻole hana ka ʻōpū thyroid i nā hormones lawa. Ua kapa ʻia kēia he hypothyroidism . Hoʻomaka kēia ma waena o ʻehā a me ʻewalu mahina ma hope o ka hānau ʻana. Hiki ke mau a hiki i hoʻokahi makahiki.
3. Pae ʻEkolu: I kēia pae, hoʻi pinepine ka ʻōpū thyroid i ka maʻamau a hoʻi ka hana ʻana o ka hormone i nā pae maʻamau.
Eia naʻe, ʻaʻole nā kānaka a pau e hele i nā pae ʻekolu ma kēia kaʻina. ʻAʻole hiki kekahi poʻe i ka pae ʻelua, ʻo ia hoʻi ka "Hypothyroidism." Loaʻa iā lākou ka "Hyperthyroidism," a laila hoʻi hou kā lākou hana thyroid i ka maʻamau. Eia kekahi, ʻoiai he mea kakaikahi loa, hiki i kekahi poʻe ke noho i ke kahua "Hypothyroidism". A laila pono lākou e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau hoʻololi hormone e kāohi i ko lākou pae hormone thyroid haʻahaʻa.
Pehea ka maʻamau o kēia ʻano?
Ua manaʻo ʻia ma waena o 5% a me 10% o nā wahine e loaʻa i ka thyroiditis postpartum i loko o ka makahiki mua ma hope o ka hānau ʻana, ka hoʻopau ʻana i ka hāpai keiki, a i ʻole ka hysterectomy. Eia nō naʻe, ʻoi aku paha kēia pakeneka i ka poʻe me nā kumu pilikia ʻē aʻe, e like me ka maʻi thyroid.
He aha nā hōʻailona o kēia?
ʻO ka hapa nui o ka manawa, ma ke kahua mua, i kapa ʻia ʻo "Hyperthyroidism," ʻaʻole ʻike ʻia nā hōʻailona. ʻAʻole paha ʻoe e ʻike. Akā inā loaʻa nā hōʻailona, pili pinepine lākou i nā kaʻina hana o ke kino (e like me ka metabolism) e lilo ana i "hyper" a i ʻole ka wikiwiki. Eia kekahi o nā hōʻailona:
- Nā manaʻo pinepine o ka hoʻomaha ʻole a me ka hopohopo.
- Hoʻonui ʻia ka pohō lauoho.
- Ka wiwi ʻana me ke kumu ʻole.
- Hoʻonui ʻia ka helu o ka puʻuwai (Tachycardia).
- Ke kū ʻole i ka wela, hoʻonui ʻia ka hou ʻana .
Hoʻomaka ka hapa nui o ka poʻe e ʻike i nā hōʻailona i ka lua o ka pae, ʻo ia hoʻi ka hypothyroidism. ʻO kēia ka wā e lohi ai nā kaʻina hana o ke kino (e like me ka metabolism). Hiki i kēia ke alakaʻi i nā hōʻailona e like me:
- Manaʻo luhi loa: ʻAʻole kēia wale nō ka luhi maʻamau e hele mai me ka hānau ʻana o kahi pēpē. ʻO ke ʻano luhi ia e manaʻo ai ʻoe e noho ana ʻoe ma kahi moe i ka lā a pau, ʻaʻohe mea nui ka nui o ka hoʻomaha āu e loaʻa ai.
- Ka piʻi ʻana o ke kaumaha : Manaʻo paha ʻoe e piʻi ana kou kaumaha ʻoiai inā ʻaʻole loli kāu mau ʻano ʻai.
- Nā kūlana noʻonoʻo e like me ke kaumaha :Kaumaha mau wau, nalowale koʻu hoihoi i nā mea āpau, a ʻaʻole oʻu makemake e hana i nā mea aʻu i hauʻoli ai.
- ʻIli maloʻo.
- Ka paʻa ʻana o ka ʻōpū .
- ʻEha ʻiʻo.
- ʻAʻole lawa ka waiū umauma no ka pēpē.
- Ke hoʻomanawanui ʻole i ke anu: E manaʻo paha ʻoe i ke anu nui loa ʻoiai ke manaʻo nei kekahi i ke anu maʻamau.
ʻO ka mea nui, hiki ke huikau pinepine ʻia kēia mau hōʻailona o ka `(Hypothyroidism)` me nā mea maʻamau a ka makuahine hou e ʻike ai ma hope o ka hānau ʻana. ʻO nā mea e like me ka luhi a me ka ʻehaʻeha o nā ʻiʻo he mea maʻamau ia i ka wā e mālama ai i kahi pēpē. Akā inā hoʻomau kēia mau hōʻailona a lilo paha i mea koʻikoʻi, pono ʻoe e ʻike i ke kauka.
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ke kumu nui o ka `(Postpartum Thyroiditis)` ʻo ia ka hoʻouka ʻia ʻana o kou kelepa thyroid e nā antibodies anti-thyroid. Ua ʻike anei ʻoe, he ʻāpana ko mākou o ko mākou kino i kapa ʻia ʻo `Antibodies`. ʻO kā lākou hana ke pale aku iā mākou ma ke kaua ʻana i nā germs e hoʻoulu ai i ka maʻi. Ua like ia me nā kiaʻi i loko o ko mākou kino.
Akā i ka "Postpartum Thyroiditis", hana kēia mau antibodies i kahi hewa liʻiliʻi a hoʻomaka lākou e hoʻouka i kā mākou thyroid gland ponoʻī. ʻO kēia hoʻouka ke kumu o ka mumū o ka thyroid gland. Ua like loa kēia kaʻina hana me ka "maʻi Hashimoto", ke ʻano maʻamau o ka thyroiditis.
ʻAʻole maopopo i nā kānaka ʻepekema ke kumu e hoʻomaka ai kēia mau antibodies e hoʻouka ma hope o ka hānau ʻana. Akā, hoʻokahi manaʻo kaulana, inā loaʻa iā ʻoe kahi maʻi autoimmune ma mua o kou hāpai ʻana, ʻoi aku ka nui o kou loaʻa ʻana ma hope o ka hānau ʻana. ʻO kahi maʻi autoimmune, e like me kaʻu i ʻōlelo ai ma mua, ke hoʻouka aku kā mākou mau antibodies ponoʻī i kā mākou mau cell a me nā ʻiʻo olakino ponoʻī.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?
Hiki paha iā ʻoe ke piʻi aʻe ka pilikia o ka loaʻa ʻana o ka "Postpartum Thyroiditis" inā ʻoe:
- Inā ua loaʻa iā ʻoe ka thyroiditis postpartum i ka wā hānau mua.
- Iā ʻoeInā loaʻa iā ʻoe ka maʻi diabetes Type 1 (he maʻi autoimmune nō hoʻi).
- Inā he moʻolelo kou a i ʻole kekahi o kou ʻohana no ka maʻi thyroid .
- Inā he mau antibodies anti-thyroid kou i loko o kou kino mai ka wā ma mua o kou hāpai ʻana (ʻaʻole paha ʻoe i ʻike e pili ana i ia mea no ka mea ʻaʻohe ou hōʻailona).
Pehea e ʻike ai nā kauka i kēia?
Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. A laila, e hana lākou i kahi hoʻāʻo koko e nānā i nā pae o nā hormones thyroid i loko o kou koko (ʻo ia hoʻi, nā hormones i kapa ʻia ʻo T3, T4, a i ʻole TSH). ʻO kēia hoʻāʻo koko ka mea maʻamau e lawa ai e ʻike i ka postpartum thyroiditis. Hiki iā ia ke kōkua i ka hoʻokaʻawale ʻana iā ia mai nā kūlana ʻē aʻe i loaʻa nā hōʻailona like, e like me ka maʻi Graves. ʻO ka maʻi Graves kahi maʻi no ke ola holoʻokoʻa e hoʻoulu ai i nā hōʻailona like me ka postpartum thyroiditis.
He aha ka lāʻau lapaʻau?
ʻAʻole ʻike ka hapa nui o nā wahine i kēia maʻi me ka ʻino. No laila, inā ʻaʻole ʻino kou mau hōʻailona, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. Eia naʻe, inā ʻino kou mau hōʻailona, pono paha ʻoe e lawe i ka lāʻau lapaʻau. Inā ʻoe e hānai waiū ana, e hōʻoia e haʻi i kāu kauka. Hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau palekana no ʻoe a me kāu pēpē.
Aia ka lāʻau lapaʻau i kou kūlana ma ke kahua "Hyperthyroidism" a i ʻole "Hypothyroidism".
- No (Hyperthyroidism): ʻO nā lāʻau lapaʻau no kēia e komo pū ana me `(Corticosteroids)` (e like me `(Prednisone)`) a me `(Beta-blockers)`. Hoʻēmi nā `(Corticosteroids)` i ka mumū. Hoʻopale nā `(Beta-blockers)` i nā hopena o nā hormones thyroid. Hiki i kēia mau mea ʻelua ke kāohi i nā hōʻailona.
- No ka hypothyroidism: ʻO ka mea paha e pono ai kēia i ka lāʻau hoʻololi hormone thyroid . ʻO ka maʻamau, ʻeono mahina a i hoʻokahi makahiki kēia lāʻau lapaʻau. Ke hoʻi hou kou kelepa thyroid i ka maʻamau, hiki iā ʻoe ke hōʻemi mālie i ka nui o kēia lāʻau lapaʻau a hoʻōki i ka lawe ʻana.
E nānā pono kāu kauka i kāu pae hormone thyroid i kou wā e mālama ʻia ai.
He kūlana mau loa anei kēia? E mau loa anei ia?
ʻO ka maʻamau, he maʻi manawa pōkole ka maʻi thyroiditis ma hope o ka hānau ʻana. Ma kahi o 70% a 80% o ka poʻe me kēia maʻi e pau ka pono o ka lāʻau lapaʻau no ka mea e hoʻomaka hou ana ko lākou kelepa thyroid e hana i nā hormones ma ke ʻano maʻamau. ʻO ke koena o 20% a 30% paha e noho i ke kahua hypothyroidism. Pono lākou e lawe i ka lāʻau lapaʻau hormone thyroid no ka wā lōʻihi.
Eia kekahi, hiki i ka thyroiditis postpartum ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā pilikia thyroid ʻē aʻe i ka wā e hiki mai ana, e like me ka hypothyroidism a i ʻole ka goiter. ʻOiai inā hoʻi kou thyroid i ka maʻamau, hiki i kāu kauka ke aʻo iā ʻoe e hoʻomau i ka nānā ʻana i kāu thyroid.
ʻEhia ka lōʻihi e ho'ōla ai?
ʻO ka maʻamau, ʻo ka Thyroiditis ma hope o ka hānau ʻana he hoʻokahi makahiki a hoʻokahi makahiki a me ka hapa. I ka hapanui o nā hihia, e hoʻi hou kou thyroid i ka maʻamau i loko o 12 a 18 mau mahina ma hope o kou hoʻomaka ʻana e ʻike i nā hōʻailona. ʻAʻole ʻoe e pono hou i ka lāʻau lapaʻau.
Hiki iaʻu ke hāpai hou ma hope o ka loaʻa ʻana o ka postpartum thyroiditis?
He mea hiki nō ia. He nui nā wāhine i loaʻa i ka postpartum thyroiditis e hoʻomau i ka hāpai ʻana i nā manawa olakino. Akā ʻo ka mea nui loa, inā ʻoe e hoʻolālā ana e hāpai hou, pono ʻoe e haʻi i kāu kauka ua loaʻa iā ʻoe kēia maʻi ma mua. No ka mea, ma kahi o 20% o nā wāhine i loaʻa i ka postpartum thyroiditis ma mua e loaʻa hou iā lākou i ko lākou hāpai ʻana aʻe.
A laila hiki i kāu kauka ke nānā i kāu pae hormone thyroid a alakaʻi iā ʻoe i kahi hāpai olakino.
He aha kaʻu e nīnau aku ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kēia mau nīnau:
- Loaʻa iaʻu kekahi maʻi thyroid a i ʻole ke ʻano autoimmune ʻē aʻe?
- He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
- ʻOiai ke hānai waiū nei au, he aha nā lāʻau lapaʻau palekana loa e hoʻohana ai?
- Āhea e hiki ai iaʻu ke hōʻemi i kaʻu lāʻau lapaʻau thyroid?
- I ka papa hana hea e pono ai iaʻu e hoʻi hou mai e nānā i koʻu kūlana?
- Inā loaʻa iaʻu kahi pilikia thyroid hou, he aha nā hōʻailona e pono iaʻu e makaʻala?
He nui ka poʻe me nā hōʻailona o ka `(Postpartum Thyroiditis)` e hoʻopaneʻe ana i ka ʻike ʻana i ke kauka no ka mea manaʻo lākou he mea maʻamau kēia mau loli ma hope o ka hānau ʻana. ʻO ka ʻoiaʻiʻo, ʻo nā mea e like me ka luhi a me ka ʻehaʻeha o nā ʻiʻo i ka wā e mālama ai i kahi keiki hānau hou e like me nā hōʻailona `(Hypothyroidism)`. Eia naʻe, inā ʻaʻole e hoʻomaikaʻi kēia mau hōʻailona, mai manaʻo, "Pono wau e hoʻoponopono i kēia." ʻO ka pilikia paha me kou thyroid. Hiki i kahi hoʻāʻo koko maʻalahi ke haʻi maopopo. Aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e noho olakino a hoʻokele i ke ola me kahi pēpē hou. ʻO ia ke kumu he mea nui loa ka mālama ʻana iā ʻoe iho.
Nā mea nui e hoʻomanaʻo mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)
ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai (Postpartum Thyroiditis). Eia kekahi mau mea nui e hoʻomanaʻo ai:
- ʻO ka Postpartum Thyroiditis kahi mumū o ka thyroid gland e hiki ke hana i loko o ka makahiki mua ma hope o ka hānau ʻana.
- I kēia , hiki i nā hormones thyroid ke hoʻonui mua (Hyperthyroidism) a laila e emi iho (Hypothyroidism). ʻAʻole ʻike nā kānaka a pau i nā pae ʻelua.
- ʻO nā hōʻailona (ʻoi aku hoʻi i ka hypothyroidism) e komo pū me ka luhi, ka piʻi ʻana o ke kaumaha, ke kaumaha, ka paʻa ʻana o ka umauma, a me ka emi ʻana o ka hana ʻana o ka waiū umauma.) Mai huikau i kēia me nā loli maʻamau e hiki mai ana ma hope o ka hānau ʻana.
- ʻO kēia ma muli o ka hoʻouka ʻana o nā antibodies i ka thyroid gland.
- Hiki ke ʻike ʻia kēia me kahi hoʻāʻo koko .
- He manawa pōkole kēia a hiki ke ho'ōla ʻia me ka lāʻau lapaʻau. Aia kekahi mau lāʻau lapaʻau palekana no nā makuahine hānai waiū.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai kānalua e ʻike i ke kauka no ka ʻōlelo aʻo. ʻO ka wikiwiki o kou ʻike ʻana, ʻo ka wikiwiki hoʻi e loaʻa ai ka hōʻoluʻolu.
Inā ua ʻike ʻoe he mea pono kēia ʻike, ʻo ia ka hauʻoli nui loa. Makemake au iā ʻoe a me kou ʻohana i ke olakino maikaʻi!
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