Ke manaʻo nei hoʻi ʻoe i kēia ʻano luhi a me ka loli ma hope o ka hānau ʻana i kahi pēpē? E aʻo kākou e pili ana i (Postpartum Thyroiditis)!

ʻO ka luhi āu e manaʻo ai ma hope o ka hānau ʻana i kahi pēpē, nā pō hiamoe ʻole, ke kaomi e hele mai me nā kuleana hou ... Me kēia mau mea a pau, manaʻo paha ʻoe he mea maʻamau kēia mau loli. He ʻike maʻamau kēia no nā makuahine he nui. Akā i kekahi manawa, ma hope o kēia luhi nui, ka hopohopo, a me nā loli i kou kino ʻaʻole ke ʻano maʻamau e kū mai ana ma hope o ka hānau ʻana. He ʻano paha ia i kapa ʻia ʻo 'Postpartum Thyroiditis', kahi mea a ka poʻe he nui i kamaʻilio ʻole ai, akā he mea nui e makaʻala.

I ka ʻōlelo maʻalahi, he aha ka Postpartum Thyroiditis?

He inoa ʻē paha kēia, akā he mea maʻalahi loa ke hoʻomaopopo. ʻO ke ʻano o ka postpartum ʻo "ma hope o ka hānau ʻana." ʻO Thyroiditis ke ʻano o "ka pehu ʻana a i ʻole ka mumū o ke kelepa thyroid." ʻO ka Postpartum Thyroiditis kahi mumū o kou kelepa thyroid e kū mai ana i loko o ka makahiki mua ma hope o ka hānau ʻana o kahi pēpē.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, he aha kēia kelepa thyroid? He kelepa liʻiliʻi koʻikoʻi loa ia e like me ke ʻano o ka pulelehua ma ke alo o ko kākou ʻāʻī. Hoʻopuka kēia kelepa i nā hormones e kāohi ana i nā mea nui he nui, e like me ke ʻano o ka hoʻohana ʻana o ko kākou kino i ka ikehu, a i ʻole ka metabolism. No laila, i ka wā e loaʻa ai kahi pilikia me kēia, ʻike ke kino holoʻokoʻa.

Pehea e hana ai kēia? E aʻo kākou e pili ana i ʻekolu mau pae.

ʻO ka maʻamau, hele ka maʻi thyroiditis ma hope o ka hānau ʻana ma o kekahi mau pae. Eia naʻe, ʻaʻole i ʻike nā kānaka a pau i kēia mau pae āpau ma ke kaʻina like. He mea nui e hoʻomanaʻo i kēlā.

Akā e hoʻomanaʻo, hiki i kekahi mau makuahine ke ʻike wale i ke kahua mua (Hyperthyroidism) a laila ola koke. ʻAʻole paha e hana iki ʻia ke kahua ʻelua (Hypothyroidism). I kekahi manawa, pono paha kekahi e noho i ke kahua ʻelua, ʻo ia hoʻi he haʻahaʻa nā pae hormone.

He aha nā hōʻailona? Pehea mākou e ʻike ai i kēia?

ʻO ka pilikia nui me kēia, ʻo ia ka pinepine o kēia mau hōʻailona e pili pū me nā kūlana maʻamau e kū mai ana ma hope o ka hānau ʻana.

E nānā kākou i nā hōʻailona e pili ana i nā pae ʻelua.

Kahua mua: Ke piʻi aʻe nā hormones (Hyperthyroidism)

I loko o kēia manawa, lilo nā kaʻina hana o ke kino i "hyper," ʻo ia hoʻi ke wikiwiki nei lākou. Akā, ʻaʻole paha e hōʻike ka nui o ka poʻe i kekahi mau hōʻailona nui i kēia manawa. A i ʻole e hoʻowahāwahā paha lākou iā lākou.

• Ke hopohopo mau nei a me ka hoʻomaha ʻole.
• Ka nalowale ʻana o ka lauoho he nui me ke kumu ʻole.
• Ke emi nei ke kaumaha ʻoiai ʻoe e ʻai maikaʻi ana.
• Manaʻo e like me ka wikiwiki o ka paʻi ʻana o kou puʻuwai (Tachycardia).
• ʻAʻole hiki ke hoʻomanawanui i ka wela.

Kahua ʻElua: Ke haʻahaʻa nā hormones (Hypothyroidism)

Hoʻomaka ka nui o ka poʻe e ʻike maopopo i nā hōʻailona i kēia manawa. ʻO kēia ka manawa e lohi ai nā kaʻina hana o ke kino.

• Ka manaʻo mau o ka luhi nui a me ka luhi.
• Ke piʻi nei ke kaumaha ʻoiai ke kāohi nei i kāu mea e ʻai ai a inu ai.
• Ke kaumaha a me ke kaumaha .
• ʻIli maloʻo loa.
• Ka paʻa ʻana o ka ʻōpū .
• ʻEha kino a me nā ʻiʻo.
• ʻAʻole lawa ka waiū e hāʻawi aku i ka pēpē.
• ʻAʻole hiki ke kū i ke anu.

No ke aha lā kēia e hana nei? He aha ke kumu?

I ka ʻōlelo maʻalahi, he autoimmune kēia.He kūlana kahi e hoʻouka hewa ai ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale maʻi, i ko mākou kelepa thyroid ponoʻī. Me he mea lā ua kuhihewa ʻia nā "koa" (nā antibody) i manaʻo ʻia e pale i ko mākou kino mai ka maʻi me kekahi o lākou iho a hoʻouka iā ia. ʻO kēia hoʻouka ke kumu o ka pehu ʻana o ka kelepa thyroid.

Ua like loa kēia me ka maʻi Hashimoto , kahi maʻi thyroid. ʻOiai ʻaʻole i ʻike maopopo ʻia ke kumu e hana ai kēia ma hope o ka hāpai ʻana, ʻo kekahi o nā manaʻo nui, aia kēia maʻi autoimmune i loko o kou kino ma mua o ka hāpai ʻana a ʻike wale ʻia ma hope o ka hānau ʻana.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kūlana ma lalo nei, ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o ka thyroiditis postpartum.

• Inā ua loaʻa iā ʻoe kēia maʻi ma hope o ka hānau ʻana ma mua .
• Inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe, e like me ka maʻi diabetes Type 1 .
• Inā loaʻa i kekahi o kou ʻohana (makuahine, kaikuahine) ka maʻi thyroid.
• Inā he mau antibodies anti-thyroid kou i loko o kou kino ma mua o ka hāpai ʻana (ʻaʻole paha ʻoe e ʻike e pili ana i ia mea, no ka mea, ʻaʻohe paha he mau hōʻailona).

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke wehewehe ʻoe i kāu mau hōʻailona, ​​e nānā ke kauka iā ʻoe. A laila, e kauoha lākou i kahi hoʻāʻo koko maʻalahi e hōʻoia i ke kūlana.

Nānā kēia hoʻāʻo koko i nā pae o nā hormones thyroid (T3, T4) a me TSH (Thyroid Stimulating Hormone) i loko o kou koko. Ma muli o nā loli o kēia mau pae, hiki i ke kauka ke ʻike pololei inā he Postpartum Thyroiditis kēia a i ʻole kekahi maʻi thyroid ʻē aʻe e like me ka maʻi Graves.

He aha nā lāʻau lapaʻau? Palekana anei kēia no ka makuahine hānai waiū?

ʻO ka nūhou maikaʻi, ʻaʻole pono ka hapa nui o nā makuahine i kekahi lāʻau lapaʻau kūikawā no ka mea ʻaʻole koʻikoʻi loa ko lākou mau hōʻailona. Eia nō naʻe, inā koʻikoʻi kāu mau hōʻailona a hoʻopilikia i kou ola, e kuhikuhi kāu kauka i ka lāʻau lapaʻau.

Aia ka lāʻau lapaʻau i ke kahua āu e noho nei.

• I nā hihia o ke kiʻekiʻe o nā hormone (Hyperthyroidism): I kēia hihia, hiki ke hāʻawi pinepine ʻia nā lāʻau lapaʻau e like me nā beta-blockers e kaohi i ka helu o ka puʻuwai, a me nā lāʻau lapaʻau e like me nā corticosteroids (e.g. prednisone) e hōʻemi i ka pehu.
• Hypothyroidism: Hoʻōla ʻia kēia me nā pila hormone thyroid waho. ʻO ka maʻamau, ʻeono mahina a i hoʻokahi makahiki ka lōʻihi o kēia lāʻau lapaʻau. Hiki i ka hapa nui o ka poʻe ke hoʻōki mālie i ka lawe ʻana i kēia lāʻau lapaʻau ke hoʻi hou ko lākou kelepa thyroid i ka maʻamau.

He maʻi mau loa anei kēia? Pono anei au e lawe i ka lāʻau lapaʻau no ka wā pau ʻole?

ʻAʻole. He maʻi manawa pōkole pinepine ka maʻi thyroiditis ma hope o ka hānau ʻana. I loko o 70% - 80% o nā makuahine i loaʻa i kēia maʻi, ʻo ia hoʻi, ʻehiku a ʻewalu mai ka ʻumi, e hoʻomaka hou ka hana maʻamau o ke kelepa thyroid i ka hala ʻana o ka manawa. A laila, ʻaʻole pono ka lāʻau lapaʻau.

Eia nō naʻe, ma kahi o 20% a 30% o nā kānaka e hoʻomohala paha i ka hypothyroidism mau loa, e koi ana i ka hoʻomau ʻana o ka lāʻau hoʻololi hormone thyroid.

Ke loaʻa iā ʻoe kēia maʻi, aia ʻoe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana o nā maʻi thyroid ʻē aʻe (hypothyroidism a goiter paha) i ka wā e hiki mai ana. No laila, ʻoiai inā hoʻi kou kelepa thyroid i ka maʻamau, he mea naʻauao ke hana i nā nānā mau ʻana me kāu kauka.

Hiki iaʻu ke hāpai hou?

ʻAe, hiki nō iā ʻoe. ʻO ka loaʻa ʻana o ka thyroiditis postpartum ʻaʻole ia e pale iā ʻoe mai ka loaʻa hou ʻana o kahi pēpē olakino.

Eia nō naʻe, inā ʻoe e noʻonoʻo ana e loaʻa hou kahi pēpē, he mea nui e haʻi i kāu kauka e pili ana i kou mōʻaukala mua o kēia maʻi ke hoʻolālā ʻoe e hāpai. ʻO kēia no ka mea ʻo ka poʻe i loaʻa i kēia maʻi ma mua he 20% ka manawa e loaʻa hou ai iā ia i ko lākou hāpai ʻana aʻe. A laila hiki i kāu kauka ke nānā i kāu mau pae hormone thyroid a kōkua iā ʻoe e loaʻa kahi hāpai olakino.