Naute i neih hnuah pawh hetiang chau leh inthlak danglamna hi i nei ve em? (Postpartum Thyroiditis) chungchang hi i zir chiang ang u!

Naute i neih hnua i hahna te, mut theih lohna te, mawhphurhna thar nena lo awm pressure te... Heng zawng zawng nen hian heng inthlak danglamna te hi thil pangngaiah i ngai mai thei. Hei hi nu tam tak tan chuan thil tawn tlanglawn tak a ni. Mahse, a châng chuan, he hahna nasa tak, lungkhamna leh i taksaa inthlâk danglamna hnuaiah hian nau i neih hnua thil awm dân pangngai chu a awm lo. ‘Postpartum Thyroiditis’ tih natna a ni thei a, chu chu mi tam takin an sawi ngai lo a, mahse fimkhur a pawimawh hle.

A awlsam zawngin, Postpartum Thyroiditis hi eng nge ni?

Hei hi hming mak tak angin a lang thei a, mahse hriatthiam a awlsam hle. Postpartum tih awmzia chu "nau neih hnuah" tihna a ni. Thyroiditis tih awmzia chu "Thyroid gland a hring emaw, a hring emaw" tihna a ni. Postpartum Thyroiditis hi naute i neih hnu kum khatna chhunga i thyroid gland inflammation a ni.

Tunah chuan i ngaihtuah mai thei, he thyroid gland hi eng nge ni? Kan kawr hmalam a butterfly ang maia lian gland te tak te pawimawh tak a ni. He gland hian thil pawimawh tam tak, kan taksain chakna a hman dan, a nih loh leh metabolism a hman dan ang chi hormone a siam chhuak thin. Chuvangin he thila harsatna a awm chuan taksa pumin a hre vek a ni.

Engtin nge hetiang hi a lo thlen? Stage pathum chungchang hi i zir ang u.

Postpartum Thyroiditis hi a tlangpuiin stage engemaw zat kaltlangin a kal zel a. Mahse, mi zawng zawng hian heng stage zawng zawng hi a hnuaia mi ang hian kan tawng vek lo. Chu chu ngaihtuah reng a pawimawh.

Mahse hre reng ang che, nu thenkhat chuan stage hmasa ber (Hyperthyroidism) chauh an nei a, chutah chuan an dam nghal mai thei. Stage pahnihna (Hypothyroidism) hi a awm lo thei lo. A tlem berah chuan mi pakhat chu second stage-ah a awm reng a ngai mai thei a, chu chu hormone level a hniam tihna a ni.

Eng nge a lan chhuah dan? Engtin nge hei hi kan hriat chian?

Hemi chungchanga harsatna lian ber chu heng symptoms te hi nau neih hnua thil awm dan pangngai nen a inzawm fo thin hi a ni.

Stage pahnih nen hian eng symptoms nge inzawm tih i lo en ang u.

A hmasa ber: Hormone a pun chuan (Hyperthyroidism) .

Hemi hun chhung hian taksa kalphung chu "hyper" a lo ni ta a, chu chu a chak zawk tihna a ni. Mahse mi tam tak chuan he hun chhung hian symptom lian tham an nei lo mai thei. A nih loh leh an ngaihsak lo mai thei bawk.

• Lungngaihna leh rilru hahdam lohna nei reng.
• Chhan awm lova sam tam tak hloh.
• Chaw ei tha mahse taksa rihna tihtlem.
• I thinlung a na hle tih hriatna (Tachycardia).
• A lumna chu tuar theih loh a ni.

Stage hnihna: Hormone a tlahniam chuan (Hypothyroidism) .

Hemi hun chhung hian mi tam tak chuan symptoms chiang takin an nei tan thin. Hei hi taksa kalphung a slow lai a ni.

• Chauhna leh hahna nasa tak awm reng.
• I ei leh in tur control mahse i taksa rihna tihpun.
• Lungngaihna leh lungngaihna nei .
• Vun a vawt hle.
• Ek khal .
• Taksa leh thau natna.
• Naute hnena pek tur bawnghnute tling lo.
• Khua a tuar thei lo.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

A awlsam zawngin hei hi autoimmune a ni.Kan taksa defence system, immune system-in kan thyroid gland ngei pawh a rawn bei sual thinna dinhmun. Kan taksa natna laka humhim tura ngaih "sipai" (antibodies) te chu anmahni zinga mi anga ngaih sual a, an bei ang mai a ni. He attack hian thyroid gland a ti hring chhuak thin.

Hei hi Hashimoto’s disease , thyroid natna nen a inang hle. Naupai hnua hetiang thil a thlen chhan chiang tak hriat a la ni lo nain, theory lian ber pakhat chu he autoimmune condition hi naupai hma khan i taksaah a awm a, nau neih hnuah chauh a rawn lang chhuak thin tih hi a ni.

He natna hi tu nge vei thei ber?

A hnuaia natna pakhat emaw a aia tam emaw i neih chuan nau neih hnua thyroiditis vei theihna a sang deuh hlek a ni.

• Nau i neih hmasak hnuah pawh hetiang dinhmun hi i nei tawh a nih chuan .
• Autoimmune natna dang i neih chuan, Type 1 diabetes .
• I chhungte (nu, unaunu) tu pawhin thyroid natna an neih chuan.
• Naupai hma khan i taksaah anti-thyroid antibodies i neih chuan (i hre lo mai thei, symptoms a awm loh avangin).

Engtin nge hei hi i hmuh theih, Doctor?

I symptoms i sawi zawh chuan doctor chuan a enfiah ang che. Tichuan, a natna hriat chian nan thisen test awlsam tak an order ang.

He thisen test hian i thisenah thyroid hormone (T3, T4) leh TSH (Thyroid Stimulating Hormone) awm zat a enfiah thin. Heng level inthlak danglamna atang hian doctor chuan hei hi Postpartum Thyroiditis nge Graves’ disease ang chi thyroid natna dang a nih leh nih loh dik takin a hre thei a ni.

Enkawlnate chu engte nge ni? Hengte hi nu hnute petu tan a him em?

Thu lawmawm tak chu nu tam zawk hian an natna lan chhuah dan a nasat loh avangin enkawlna bik an mamawh lo. Mahse, i natna lan chhuah dan a nasat a, i nun a tibuai a nih chuan i doctor chuan damdawi a pe ang che.

Enkawlna chu eng stage-ah nge i awm tih a innghat.

• Hormone level sang (Hyperthyroidism): Hetiang a nih chuan heart rate control nan beta-blockers ang chi damdawi pek theih a ni fo a, corticosteroids (e.g. prednisone) ang chi damdawi te pawh pek theih a ni bawk.
• Hypothyroidism: Hei hi pawn lam thyroid hormone pill hmanga enkawl a ni. He enkawlna hi thla 6 atanga kum khat chhung a awh tlangpui. Mi tam zawk chuan an thyroid gland a lo awm tawh chuan zawi zawiin he damdawi hi an ei tawh lo thei a ni.

Hei hi natna awm reng a ni em? Chatuan atan damdawi ka ei a ngai dawn em ni?

No. Nau neih hnua Thyroiditis hi hun rei lote chhunga awm a ni fo thin. Hetiang natna vei nu zinga 70% - 80%, chu chu sawm zinga pasarih atanga pariat inkarah chuan hun kal zelah thyroid gland chu a pangngaiin hna a thawk tan leh ang. Tichuan damdawi a ngai tawh lovang.

Mahse, mi 20% atanga 30% vel chuan permanent hypothyroidism an nei thei a, hei vang hian thyroid hormone replacement therapy chhunzawm zel a ngai a ni.

Hetiang dinhmun i neih hnu hian nakin lawkah thyroid natna dang (hypothyroidism emaw goiter) i vei theihna chance a sang deuh hlek a ni. Chuvangin, i thyroid gland chu a pangngaiin a lo kir leh a nih pawhin, doctor hnenah checkup neih fo a finthlak hle.

Nau ka pai leh thei ang em?

Ni e, i ti thei ngei ang. Postpartum thyroiditis neih hian naute hrisel tak neih leh theihna tur a dal lo.

Mahse, naute dang neih i ngaihtuah a nih chuan naupai i tum laiin i doctor hnenah he natna hi i lo neih tawh dan kha i hrilh a pawimawh hle. Hei hi a chhan chu a hmaa he natna hi lo nei tawhte hian an naupai leh hunah pawh 20% zetin an vei leh theihna chance an nei a ni. Chumi hnuah chuan i doctor chuan i thyroid hormone level a enfiah thei ang a, naupai hrisel tak i neih theih nan a pui thei ang che.