Koj puas hnov ​​​​​​qhov kev hloov pauv txawv txawv tom qab yug me nyuam? Cia peb kawm txog Postpartum Thyroiditis Sinhala!

Xav tias nkees tom qab yug me nyuam, qee zaum xav tias tsis so, nce lossis poob phaus ... Tej zaum koj yuav xav tias cov no yog cov khoom ib txwm muaj rau niam tshiab. Feem ntau, lawv yog. Tab sis qee zaum cov tsos mob no tuaj yeem ntau dua li qhov nkees tom qab yug me nyuam. Hnub no, peb yuav tham txog ib qho mob uas qee tus niam tuaj yeem ntsib tom qab yug me nyuam, tab sis nws tsis tau tham txog ntau. Ntawd yog postpartum thyroiditis , lossis " Postpartum Thyroiditis " .

Qhov no hu ua postpartum thyroiditis yog dab tsi?

Hais yooj yim xwb, '(Postpartum Thyroiditis)' yog ib yam mob uas koj lub qog thyroid o lossis o hauv thawj xyoo tom qab yug me nyuam. Qhov no yog ib yam mob tsis tshua muaj. Koj puas paub tias lub qog thyroid yog ib lub qog me me, zoo li npauj npaim nyob rau sab pem hauv ntej thiab sab qis ntawm peb lub caj dab. Nws tsim cov tshuaj hormones uas tswj ntau yam txheej txheem tseem ceeb hauv peb lub cev. Cov tshuaj hormones thyroid no tseem ceeb heev rau kev tswj hwm txoj kev uas peb siv zog, uas yog, peb cov metabolism .

Feem ntau, cov kab mob thyroiditis tom qab yug menyuam tshwm sim hauv ntau theem.

1. Theem 1: Qhov no yog thaum lub qog thyroid tsim cov tshuaj hormones ntau dhau thiab tso nws mus rau hauv cov ntshav vim yog qhov o. Qhov no hu ua hyperthyroidism . Theem no feem ntau tshwm sim hauv ib thiab ib nrab mus rau rau lub hlis tom qab yug me nyuam. Nws tuaj yeem kav ntev li ib lub lim tiam mus txog li peb lub hlis.

2. Theem 2: Qhov no yog thaum cov qog thyroid tsis tsim cov tshuaj hormones txaus. Qhov no hu ua hypothyroidism . Qhov no feem ntau pib ntawm plaub thiab yim lub hlis tom qab yug me nyuam. Nws tuaj yeem kav ntev txog ib xyoos.

3. Theem Peb: Hauv theem no, cov qog thyroid feem ntau rov qab mus rau qhov qub thiab cov tshuaj hormones rov qab mus rau qib qub.

Txawm li cas los xij, tsis yog txhua tus neeg dhau peb theem hauv qhov kev txiav txim no. Ib txhia neeg yeej tsis tau mus txog theem ob, uas yog "Hypothyroidism." Lawv tau txais "Hyperthyroidism," thiab tom qab ntawd lawv cov thyroid ua haujlwm rov qab mus rau qhov qub. Tsis tas li ntawd, txawm hais tias tsis tshua muaj neeg mob, qee tus neeg tuaj yeem nyob hauv theem "Hypothyroidism". Tom qab ntawd lawv yuav tsum txuas ntxiv noj tshuaj hormones hloov kho kom tswj tau lawv cov thyroid hormone qis.

Tus mob no feem ntau tshwm sim li cas?

Kwv yees li ntawm 5% thiab 10% ntawm cov poj niam yuav muaj mob thyroiditis tom qab yug menyuam hauv thawj xyoo tom qab yug menyuam, rho menyuam, lossis phais tshem tsev menyuam. Txawm li cas los xij, feem pua ​​​​​​no yuav siab dua rau cov neeg uas muaj lwm yam kev pheej hmoo, xws li kab mob thyroid.

Cov tsos mob ntawm qhov no yog dab tsi?

Feem ntau, theem thawj zaug, hu ua "Hyperthyroidism," cov tsos mob tsis pom tseeb. Tej zaum koj yuav tsis paub txog nws. Tab sis yog tias cov tsos mob tshwm sim, lawv feem ntau yog cuam tshuam nrog lub cev cov txheej txheem (xws li metabolism) dhau los ua "hyper" lossis ceev dua. Nov yog qee cov tsos mob:

• Kev xav tsis tswm thiab ntxhov siab ntau zaus.
• Cov plaub hau poob ntau ntxiv.
• Ua nyias nyias tsis muaj laj thawj.
• Lub plawv dhia ceev dua (Tachycardia).
• Kev tsis haum rau cua sov, kev tawm hws ntau ntxiv.

Feem ntau cov neeg pib pom cov tsos mob thaum lawv nyob rau theem ob, uas hu ua hypothyroidism. Qhov no yog thaum lub cev cov txheej txheem (xws li kev zom zaub mov) qeeb qeeb. Qhov no tuaj yeem ua rau muaj cov tsos mob xws li:

• Xav tias nkees heev: Qhov no tsis yog qhov nkees ib txwm muaj los ntawm kev muaj menyuam xwb. Nws yog hom kev nkees uas ua rau koj xav tias koj yuav pw hauv txaj txhua hnub, txawm tias koj tau so ntau npaum li cas los xij.
• Qhov hnyav nce : Tej zaum koj yuav xav tias koj tab tom nce phaus txawm tias koj tus cwj pwm noj mov tsis hloov pauv los xij.
• Cov mob hlwb xws li kev nyuaj siab :Kuv tu siab txhua lub sijhawm, kuv tsis muaj siab xav ua txhua yam, thiab kuv tsis xav ua tej yam uas kuv nyiam ua yav dhau los.
• Daim tawv nqaij qhuav.
• Cem quav .
• Mob nqaij.
• Tsis tsim cov kua mis txaus rau tus menyuam.
• Tsis kam txias: Koj yuav hnov ​​​​​​qhov txias tsis txaus siab thaum lwm tus hnov ​​​​​​mob khaub thuas ib txwm.

Qhov tseem ceeb yog tias cov tsos mob ntawm '(Hypothyroidism)' feem ntau yuav tsis meej pem nrog cov yam ib txwm uas niam tshiab ntsib tom qab yug me nyuam. Tej yam xws li qaug zog thiab mob nqaij yog qhov ib txwm muaj thaum saib xyuas tus menyuam. Tab sis yog tias cov tsos mob no tseem muaj lossis hnyav zuj zus, koj yuav tsum mus ntsib kws kho mob.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov ua rau muaj '(Postpartum Thyroiditis)' yog kev tawm tsam ntawm koj lub qog thyroid los ntawm cov tshuaj tiv thaiv thyroid. Koj puas paub, peb muaj ib feem ntawm peb lub cev hu ua 'Antibodies'. Lawv txoj haujlwm yog tiv thaiv peb los ntawm kev tawm tsam cov kab mob ua rau muaj kab mob. Nws zoo li cov neeg zov hauv peb lub cev.

Tiam sis hauv "Postpartum Thyroiditis", cov tshuaj tiv thaiv no ua yuam kev me me thiab lawv pib tawm tsam peb tus kheej lub qog thyroid. Qhov kev tawm tsam no yog qhov ua rau mob qog thyroid. Cov txheej txheem no zoo ib yam li "Hashimoto tus kab mob", hom mob thyroiditis feem ntau.

Cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas cov tshuaj tiv thaiv kab mob no pib tawm tsam tom qab yug me nyuam. Tab sis ib lub tswv yim nrov yog tias yog tias koj muaj tus kab mob autoimmune ua ntej koj cev xeeb tub, koj yuav muaj feem ntau dua tom qab yug me nyuam. Tus kab mob autoimmune yog, raws li kuv tau hais ua ntej, thaum peb cov tshuaj tiv thaiv kab mob tawm tsam peb cov hlwb thiab cov nqaij noj qab haus huv.

Leej twg muaj feem yuav muaj qhov teeb meem no ntau dua?

Tej zaum koj yuav muaj feem yuav mob "Postpartum Thyroiditis" ntau dua yog tias koj:

• Yog tias koj tau muaj mob thyroiditis tom qab yug menyuam thaum lub sijhawm yug menyuam dhau los.
• Rau kojYog tias koj muaj ntshav qab zib hom 1 (tseem yog tus mob autoimmune).
• Yog tias koj lossis ib tug neeg hauv koj tsev neeg muaj keeb kwm ntawm tus kab mob thyroid .
• Yog tias koj tau muaj cov tshuaj tiv thaiv kab mob thyroid hauv koj lub cev txij li ua ntej koj cev xeeb tub (tej zaum koj yuav tsis tau paub txog nws vim tias koj tsis muaj tsos mob).

Cov kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho mob, nws yuav kuaj koj thiab nug txog koj cov tsos mob. Tom qab ntawd, lawv yuav kuaj ntshav los xyuas cov theem ntawm cov tshuaj hormones thyroid hauv koj cov ntshav (tshwj xeeb, cov tshuaj hormones hu ua T3, T4, lossis TSH). Qhov kev kuaj ntshav no feem ntau txaus los kuaj mob postpartum thyroiditis. Nws kuj tseem tuaj yeem pab kom paub qhov txawv ntawm lwm yam mob uas muaj cov tsos mob zoo sib xws, xws li Graves' kab mob. Graves' kab mob yog ib qho mob uas kav ntev uas ua rau muaj cov tsos mob zoo ib yam li postpartum thyroiditis.

Kev kho mob yog dab tsi?

Feem ntau cov poj niam tsis muaj mob hnyav li no. Yog li ntawd, yog tias koj cov tsos mob tsis hnyav, koj yuav tsis tas yuav kho. Txawm li cas los xij, yog tias koj cov tsos mob hnyav, koj yuav tsum tau noj tshuaj. Yog tias koj pub niam mis, nco ntsoov qhia rau koj tus kws kho mob. Nws tuaj yeem pom zoo cov tshuaj uas muaj kev nyab xeeb rau koj thiab koj tus menyuam.

Kev kho mob nyob ntawm seb koj puas nyob rau theem "Hyperthyroidism" lossis "Hypothyroidism".

• Rau (Hyperthyroidism): Cov tshuaj rau qhov no suav nrog '(Corticosteroids)' (xws li '(Prednisone)') thiab '(Beta-blockers)'. '(Corticosteroids)' txo qhov o. '(Beta-blockers)' thaiv cov teebmeem ntawm cov tshuaj hormones thyroid. Ob qho tib si no tuaj yeem tswj cov tsos mob.
• Rau cov neeg mob uas muaj mob hypothyroidism: Qhov no yuav xav tau kev kho mob hloov cov tshuaj thyroid hormone . Kev kho mob no feem ntau yuav siv sijhawm rau lub hlis txog ib xyoos. Thaum koj cov qog thyroid rov qab zoo li qub, koj tuaj yeem maj mam txo cov tshuaj no thiab tsum tsis txhob noj.

Koj tus kws kho mob yuav saib xyuas koj cov tshuaj hormones thyroid thoob plaws koj txoj kev kho mob.

Qhov teeb meem no puas yuav kav mus ib txhis?

Feem ntau, tus mob thyroiditis tom qab yug me nyuam yog ib qho mob ib ntus xwb. Kwv yees li ntawm 70% txog 80% ntawm cov neeg uas muaj tus mob no yuav tsum tsis txhob noj tshuaj lawm vim tias lawv cov qog thyroid yuav pib tsim cov tshuaj hormones li qub dua. Lwm 20% txog 30% tej zaum yuav tseem nyob rau theem hypothyroidism. Lawv yuav tsum tau siv tshuaj thyroid hormone kho mob mus sij hawm ntev.

Tsis tas li ntawd xwb, mob thyroid tom qab yug menyuam tuaj yeem ua rau koj muaj feem yuav mob lwm yam teeb meem thyroid yav tom ntej, xws li hypothyroidism lossis goiter. Txawm tias koj cov thyroid rov qab zoo li qub los xij, koj tus kws kho mob yuav qhia koj kom txuas ntxiv saib xyuas koj cov thyroid.

Yuav siv sijhawm ntev npaum li cas thiaj kho tau?

Feem ntau, tus mob thyroiditis tom qab yug menyuam yuav kav ntev li ib xyoos txog ib xyoos thiab ib nrab. Feem ntau, koj tus mob thyroid yuav rov qab zoo li qub li ntawm 12 txog 18 lub hlis tom qab koj pib muaj cov tsos mob. Koj yuav tsis tas yuav noj tshuaj lawm.

Kuv puas tuaj yeem cev xeeb tub dua tom qab muaj mob thyroiditis tom qab yug menyuam?

Nws yeej ua tau. Muaj ntau tus poj niam uas tau muaj mob thyroiditis tom qab yug me nyuam lawm ces lawv tseem muaj cev xeeb tub zoo. Tab sis qhov tseem ceeb tshaj plaws yog tias yog koj npaj yuav cev xeeb tub dua, koj yuav tsum qhia rau koj tus kws kho mob tias koj tau muaj tus mob no ua ntej lawm. Vim tias muaj li ntawm 20% ntawm cov poj niam uas tau muaj mob thyroiditis tom qab yug me nyuam ua ntej yuav muaj dua hauv lawv cev xeeb tub tom ntej.

Tom qab ntawd koj tus kws kho mob tuaj yeem saib xyuas koj cov tshuaj hormones thyroid thiab coj koj mus rau kev xeeb tub noj qab nyob zoo.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug cov lus nug no:

• Kuv puas muaj lwm yam kab mob thyroid lossis tus mob autoimmune?
• Koj pom zoo kom siv hom kev kho mob twg?
• Vim kuv pub niam mis rau menyuam, cov tshuaj twg zoo tshaj plaws siv?
• Thaum twg kuv thiaj li txo tau kuv cov tshuaj thyroid?
• Kuv yuav tsum tau teem sijhawm twg rov qab los saib xyuas kuv tus mob?
• Yog tias kuv muaj teeb meem thyroid tshiab, kuv yuav tsum saib xyuas cov tsos mob twg?

Muaj ntau tus neeg uas muaj cov tsos mob ntawm '(Postpartum Thyroiditis)' ncua mus ntsib kws kho mob vim lawv xav tias cov kev hloov pauv no yog ib txwm muaj tom qab yug me nyuam. Qhov tseeb, tej yam xws li qaug zog thiab mob nqaij thaum saib xyuas tus menyuam mos tuaj yeem zoo li cov tsos mob '(Hypothyroidism)'. Txawm li cas los xij, yog tias cov tsos mob no tsis zoo dua, tsis txhob xav tias, "Kuv tsuas yog yuav tsum daws qhov no xwb." Qhov teeb meem yuav yog nrog koj lub thyroid. Kev kuaj ntshav yooj yim feem ntau tuaj yeem qhia qhov tseeb. Muaj cov tshuaj uas tuaj yeem pab koj kom noj qab haus huv thiab tswj lub neej nrog tus menyuam tshiab. Yog vim li cas nws thiaj li tseem ceeb heev rau kev saib xyuas koj tus kheej.

Cov lus tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog (Cov Lus Coj Mus Tsev)

Zoo, yog li tam sim no koj nkag siab zoo dua txog yam peb tau tham txog (Postpartum Thyroiditis). Nov yog qee yam tseem ceeb uas yuav tsum nco ntsoov:

• Kab mob thyroiditis tom qab yug menyuam yog ib qho mob o ntawm cov qog thyroid uas tuaj yeem tshwm sim hauv thawj xyoo tom qab yug menyuam.
• Hauv qhov no , cov tshuaj hormones thyroid yuav pib nce (Hyperthyroidism) thiab tom qab ntawd txo qis (Hypothyroidism). Tsis yog txhua tus neeg muaj ob theem no.
• Cov tsos mob (tshwj xeeb tshaj yog nyob rau hauv hypothyroidism) muaj xws li qaug zog, hnyav nce, kev nyuaj siab, cem quav, thiab txo cov kua mis niam.) Tsis txhob xav tias qhov no yog qhov kev hloov pauv ib txwm muaj tom qab yug menyuam.
• Qhov no yog vim muaj cov tshuaj tiv thaiv kab mob tawm tsam cov thyroid caj pas.
• Qhov no tuaj yeem kuaj pom los ntawm kev kuaj ntshav .
• Qhov no feem ntau tsuas yog ib ntus xwb thiab kho tau los ntawm kev kho mob. Kuj muaj kev kho mob zoo rau cov niam uas pub niam mis rau menyuam thiab.
• Yog koj muaj cov tsos mob no, tsis txhob yig mus ntsib kws kho mob kom tau lus qhia. Thaum koj paub sai npaum li cas, koj yuav tau kev pab sai npaum li ntawd.

Yog koj pom cov ntaub ntawv no muaj txiaj ntsig, qhov ntawd yuav yog qhov kev xyiv fab tshaj plaws. Kuv xav kom koj thiab koj tsev neeg muaj kev noj qab haus huv zoo!