Naawe owulira obukoowu obw’ekika kino n’okukyuka ng’omaze okuzaala omwana? Ka tuyige ku (Postpartum Thyroiditis)!

Obukoowu bw’owulira ng’omaze okuzaala omwana, obuteebaka, puleesa ejja n’obuvunaanyizibwa obupya... Bino byonna, oyinza okulowooza nti enkyukakyuka zino za bulijjo. Kino kitera okubaawo eri bamaama bangi. Naye oluusi, emabega w’obukoowu buno obw’amaanyi, okweraliikirira, n’enkyukakyuka mu mubiri gwo si mbeera ya bulijjo ebaawo oluvannyuma lw’okuzaala. Kiyinza okuba embeera eyitibwa ‘Postpartum Thyroiditis’, abantu bangi gye batayogerako, naye kikulu okugimanya.

Mu ngeri ennyangu, Postpartum Thyroiditis kye ki?

Kino kiyinza okuwulikika ng’erinnya ery’ekyewuunyo, naye kyangu nnyo okutegeera. Oluvannyuma lw'okuzaala kitegeeza "oluvannyuma lw'okuzaala." Obulwadde bwa thyroid kitegeeza "okuzimba oba okuzimba kw'endwadde z'ekibumba." Obulwadde bwa thyroiditis oluvannyuma lw’okuzaala buzimba bw’endwadde yo ey’ekibumba obubaawo mu mwaka ogusooka ng’omaze okuzaala omwana.

Kati osanga weebuuza, eno thyroid gland kye ki? Ye nseke entono enkulu ennyo eringa ekiwujjo mu maaso g’ensingo yaffe. Ensigo eno ekola obusimu obufuga ebintu bingi ebikulu, gamba ng’engeri omubiri gwaffe gye gukozesaamu amaanyi, oba enkyukakyuka mu mubiri. Kale bwe wabaawo ekizibu ku kino, omubiri gwonna gukiwulira.

Kino kibaawo kitya? Ka tuyige ku mitendera esatu.

Obulwadde bwa Thyroiditis oluvannyuma lw’okuzaala butera okuyita mu mitendera egiwerako. Kyokka, si buli muntu nti emitendera gino gyonna agiyitamu mu nsengeka y’emu. Kikulu okukuuma ekyo mu birowoozo.

Naye jjukira nti bamaama abamu bayinza okufuna omutendera ogusooka gwokka (Hyperthyroidism) olwo ne bawona amangu ago. Omutendera ogwokubiri (Hypothyroidism) guyinza obutabaawo n’akatono. Tekitera kubaawo, omuntu ayinza okusigala mu mutendera ogw’okubiri, ekitegeeza nti obusimu buba wansi.

Obubonero bwe buliwa? Kino tukitegeera tutya?

Ekizibu ekisinga obunene ku kino kwe kuba nti obubonero buno butera okukwatagana n’embeera eza bulijjo ezibeerawo oluvannyuma lw’okuzaala.

Ka tulabe obubonero bwe bukwatagana n’emitendera ebiri.

Omutendera ogusooka: Obusimu bwe bweyongera (Hyperthyroidism) .

Mu kiseera kino, enkola z'omubiri zifuuka "hyper," ekitegeeza nti ziyanguwa. Naye abantu bangi bayinza obutalaga bubonero bwonna bunene mu kiseera kino. Oba bayinza okubibuusa amaaso.

• Bulijjo okuwulira nga weeraliikirira era nga towummudde.
• Okufiirwa enviiri ennyingi awatali nsonga.
• Okugejja wadde olya bulungi.
• Okuwulira ng’omutima gwo gukuba mangu (Tachycardia).
• Ebbugumu terigumiikiriza.

Omutendera ogwokubiri: Obusimu bwe bukendeera (Hypothyroidism) .

Abantu bangi batandika okulaba obulungi obubonero mu kiseera kino. Wano enkola z’omubiri we zikendeera.

• Okuwulira obukoowu obuyitiridde buli kiseera n’okukoowa.
• Okweyongera omugejjo wadde ng’ofuga by’olya n’okunywa.
• Okuwulira ennaku n'okwennyamira .
• Olususu olukalu ennyo.
• Obuteeyabya .
• Obulumi mu mubiri n’ebinywa.
• Amata tegamala kuwa mwana.
• Obutasobola kugumira nnyonta.

Lwaki kino kigenda mu maaso? Ensonga eri etya?

Mu ngeri ennyangu, kino kiva ku busimu obuziyiza endwadde.Embeera ng’abaserikale b’omubiri gwaffe, abaserikale b’omubiri, balumba endwadde yaffe eya thyroid mu nsobi. Kiringa "abaserikale" (antibodies) abalina okukuuma omubiri gwaffe okuva ku ndwadde bwe bakyamulwa nti bamu ku baabwe ne bagulumba. Obulumbaganyi buno buleetera endwadde z’ekibumba okuzimba.

Kino kifaananako nnyo n’obulwadde bwa Hashimoto , embeera y’ekibumba. Wadde nga tekinnamanyika ddala lwaki kino kibaawo oluvannyuma lw’olubuto, emu ku ndowooza enkulu eri nti embeera eno ey’obusimu obuziyiza endwadde yaliwo mu mubiri gwo nga tonnafuna lubuto era ejja ku ngulu oluvannyuma lw’okuzaala.

Ani asinga okubeera mu bulabe bw’okufuna embeera eno?

Bw’oba ​​olina embeera emu oba eziwera ku zino wammanga, emikisa gy’okufuna obulwadde bwa thyroiditis oluvannyuma lw’okuzaala buba bungi katono.

• Bw'oba obadde n'embeera eno oluvannyuma lw'okuzaala emabegako .
• Bw’oba ​​olina obulwadde obulala obuziyiza endwadde, gamba nga sukaali ow’ekika kya 1 .
• Singa omuntu yenna mu maka go (maama, mwannyinaffe) alina obulwadde bwa thyroid.
• Singa walina obutoffaali obuziyiza thyroid mu mubiri gwo nga tonnafuna lubuto (oyinza obutakimanya, kuba buyinza obutabaawo bubonero).

Kino okisanga otya Omusawo?

Bw’omala okunnyonnyola obubonero bwo, omusawo ajja kukukebera. Olwo, bajja kulagira okukeberebwa omusaayi okwangu okukakasa embeera.

Okukebera omusaayi kuno kukebera emiwendo gy’obusimu bwa thyroid (T3, T4) ne TSH (Thyroid Stimulating Hormone) mu musaayi gwo. Okusinziira ku nkyukakyuka mu mitendera gino, omusawo asobola okuzuula obulungi oba kino kya Postpartum Thyroiditis oba obulwadde obulala obwa thyroid nga Graves’ disease.

Obujjanjabi bwe buruwa? Bino tebirina bulabe eri maama ayonsa?

Amawulire amalungi gali nti bamaama abasinga tebeetaaga bujjanjabi bwa njawulo kubanga obubonero bwabwe si bwa maanyi bwe butyo. Kyokka singa obubonero bwo buba bwa maanyi era ne butaataaganya obulamu bwo, omusawo ajja kukuwa eddagala.

Obujjanjabi businziira ku mutendera gw’oli.

• Mu mbeera z’obusimu obuyitiridde (Hyperthyroidism): Mu mbeera eno, eddagala nga beta-blockers litera okuweebwa okufuga okukuba kw’omutima, n’eddagala nga corticosteroids (e.g. prednisone) okukendeeza ku kuzimba.
• Obulwadde bwa Hypothyroidism: Buno bujjanjabwa n’empeke z’obusimu bwa thyroid ez’ebweru. Obujjanjabi buno butera okumala emyezi 6 okutuuka ku mwaka. Abantu abasinga basobola okulekera awo okumira eddagala lino mpolampola ng’endwadde zaabwe ez’omubiri (thyroid gland) ekomyewo mu mbeera eya bulijjo.

Buno bulwadde bwa lubeerera? Nnaaba nnina okumira eddagala emirembe gyonna?

Nedda.Obulwadde bwa Thyroiditis oluvannyuma lw’okuzaala butera okuba embeera ey’akaseera obuseera. Mu bamaama 70% - 80% abafuna embeera eno, kwe kugamba, musanvu ku munaana ku kkumi, endwadde ya thyroid ejja kuddamu okukola mu ngeri eya bulijjo oluvannyuma lw’ekiseera. Olwo eddagala terijja kwetaagisa.

Wabula abantu nga 20% ku 30% bayinza okufuna obulwadde bwa hypothyroidism obw’olubeerera, nga kyetaagisa okugenda mu maaso n’obujjanjabi obw’okukyusa obusimu bwa thyroid.

Bw’omala okufuna embeera eno, oba mu bulabe obusingako katono obw’okufuna embeera endala ez’ekibumba (hypothyroidism oba goiter) mu biseera eby’omu maaso. N’olwekyo, ne bwe kiba nti endwadde yo eya thyroid edda mu mbeera eya bulijjo, kiba kya magezi okwekebejjebwa buli kiseera n’omusawo.

Nsobola okuddamu okufuna olubuto?

Yee, mazima ddala osobola. Okubeera n’obulwadde bwa thyroiditis oluvannyuma lw’okuzaala tekikulemesa kuddamu kuzaala mwana mulamu.

Wabula bw’oba ​​olowooza ku ky’okuzaala omwana omulala, kikulu okubuulira omusawo wo ebyafaayo by’embeera eno gye wayitamu ng’oteekateeka okufuna olubuto. Kino kiri bwe kityo kubanga abantu ababadde n’embeera eno emabegako balina emikisa gya bitundu 20% okuddamu okubufuna mu lubuto lwabwe oluddako. Olwo omusawo asobola okulondoola obusimu bwo mu thyroid n’akuyamba okufuna olubuto olulungi.