I muri i te whānautanga o tō pēpi, tera pea ka ngenge koe, ka pāngia e ngā huringa ohorere o te wairua, ka kite rānei koe i ngā piki me ngā heke o tō taumaha—tērā pea ka whakaaro koe he wāhanga noa iho ēnei o te noho hei whaea hou. Ahakoa he maha ngā wā ka pēnei, tera pea ētahi wā ka nui ake ēnei tohu i te ngenge noa i muri i te whānautanga. I tēnei rā, e hiahia ana mātou ki te kōrero mō tētahi āhuatanga e pāngia ana e ētahi whaea i muri i te whānautanga, e kore nei e arohia: Te Mate Tairoiti i muri i te Whānautanga .
He aha tonu te mate pukupuku o te roro i muri i te whānautanga?
I roto i ngā kupu māmā, ko te mate tairoiti i muri i te whānautanga he mumura o te repe tairoiti e puta ana i roto i te tau tuatahi i muri i te whānautanga. Ko te tairoiti he repe iti, he āhua pūrerehua kei te pūtake o tō kaki. Ka whakaputa i ngā homoni e whakahaere ana i ngā mahi nui o te tinana, tae atu ki tō pākia o te tinana . He mea nui ēnei homoni tairoiti mō te tukatuka pūngao e tō tinana.
Ko te tikanga ka puta tenei ahuatanga i roto i nga waahanga:
1. Wāhanga Tuatahi (Hyperthyroidism): Nā te mumura, ka tukuna e te tairoiti he nui rawa o ngā homoni kua rongoatia ki roto i ō toto. E mōhiotia ana tēnei ko te hyperthyroidism . Ka puta tēnei wāhanga i waenga i te kotahi me te ono marama i muri i te whānautanga, ā, ka roa pea mō ētahi wiki ki ētahi marama.
2. Wāhanga Tuarua (Hypothyroidism): Ka ngoikore te mahi a te tairoi, ā, kāore e nui ngā homoni e puta mai ana, ka hua ake te hypothyroidism . Ka tīmata tēnei i waenga i te whā me te waru marama i muri i te whānautanga, ā, ka roa pea mō te tau.
3. Wāhanga Tuatoru: I te nuinga o te wā, ka ora anō te repe tairoi ka hoki anō ki te hanga homoni noa.
He mea nui kia mōhiotia kāore te katoa e whai i tēnei raupapa tika. Tērā pea ka pāngia ētahi e te wā hyperthyroid anake, ā, ka hoki anō ki te āhua noa, ko ētahi ka huri tika ki te hypothyroidism. I ētahi wā onge, tērā pea ka pumau tonu te wā hypothyroid, me te hiahia tonu ki te rongoā whakakapinga homoni .
He pēhea te noa o tēnei āhuatanga?
E ai ki ngā whakatau tata, 5% ki te 10% o ngā wāhine ka pāngia e te mate tairoidi i muri i te whānautanga i roto i te tau tuatahi i muri i te whānautanga, te mate pāwera, te whakamutu rānei i te haputanga. Tērā pea ka nui ake te mōrearea mō te hunga kua pāngia e te mate tairoidi, e ētahi atu āhuatanga mōrearea rānei.
He aha ngā tohu?
I te wāhanga tuatahi (hyperthyroid), he ngawari noa iho ngā tohu, ā, kāore pea e kitea. Mēnā kei te kitea, e whakaatu ana i te "tere haere" o tō pākia o te tinana, pērā i:
- Te manukanuka, te pukuriri rānei kāore i te mārama.
- Te nui haere o te ngaro o te makawe.
- Te whakahekenga taumaha kāore i te mārama.
- Te tere o te manawa (tachycardia).
- Te aro nui ki te wera me te nui haere o te werawera .
Ka kitea nuitia ake ngā tohu i te wāhanga tuarua (hypothyroid), te wā e puhoi ai tō pūnaha io. Tērā pea ka pāngia koe e ēnei āhuatanga:
- Ngenge Tino Nui: Ehara tēnei i te ngenge noa o te whaea hou. Ahakoa te okioki, tera pea ka tino ngenge koe.
- Te pikinga o te taumaha : Te pikinga o te taumaha ahakoa kāore he huringa i roto i tō kai.
- Pouri : Ngā kare ā-roto tonu o te pouri, te kore hiahia, te kore rānei e mōhio ki te āhua o te tangata.
- Kiri maroke.
- Te kōroke .
- Ngā mamae o te uaua.
- Te uaua ki te tuku waiū.
- Te aro ki te makariri: Te mātao ahakoa te whakamarie o ētahi atu.
He mea nui kia maumahara ka taea te whakapoauau i ēnei tohumate o te hypothyroid ki ngā āhuatanga tūturu o te tiaki i tētahi pēpi hou. Heoi, ki te mau tonu ēnei tohumate, ki te kino rawa atu rānei, me toro atu ki tō tākuta tonu. Ki te pāngia koe e tētahi āhuatanga ohorere hauora, waea atu ki te 911, ki ō ratonga ohorere ā-rohe rānei.
He aha i pēnei ai?
Ko te mate tairoidi muri i te whānautanga te take matua o ngā paturopi anti-thyroid e whakaeke ana i tō repe tairoi. I te nuinga o te wā, ka mahi ngā paturopi hei kaitiaki mō tō tinana, hei tiaki i a koe mai i ngā huakita kino.
Mō te mate tairoiti i muri i te whānautanga, ka hē te whakaaro o tō pūnaha ārai mate ki tō repe tairoiti hei tūmomo mōrearea. Ka puta te mumura i tēnei urupare ārai mate. He rite tonu tēnei tukanga ki te mate a Hashimoto, tētahi atu momo mumura tairoiti noa. Kei konei tō tīma i Nirogi Lanka hei tautoko i a koe i roto i ia taahiraa o tō haerenga hauora.
Kei te mahi tonu ngā kaipūtaiao ki te mārama he aha i tīmata ai te whakaeke a ēnei paturopi i muri i te whānautanga. Heoi, ko te ariā whānui ko te mea mēnā he mate pūnaha ārai mate kāore anō kia kitea i mua i te haputanga, tera pea ka nui ake te tūponotanga o tō pūnaha ārai mate ki tēnei mate i muri i te whānautanga. E ai ki te kōrero, ka puta he mate pūnaha ārai mate ina he te aro o ō ake paturopi ki ngā pūtau me ngā kiko hauora o tō tinana.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?
Tērā pea ka nui ake tō tūponotanga ki te pāngia e te mate tairoidi i muri i te whānautanga mēnā:
- Kua pāngia koe e te mate tairoidi i muri i te whānautanga i mua i muri i tētahi hapūtanga o mua.
- He mate huka momo 1 tōu (he mate pūnaha ārai mate anō hoki tēnei).
- He hītori whaiaro, he hītori whānau rānei tōu mō ngā mate tairoi.
- I mua atu i te haputanga, i kitea anō he paturopi ārai-tairoi i roto i tō tinana (kāore pea koe i te mōhio ki tēnei, nā te mea kāore pea koe i whakaatu i tētahi tohu).
Me pēhea te tautuhi i tēnei?
Ina toro atu koe ki tō tākuta, ka tirotirohia e rātou ō tohumate, ā, ka arotakehia anō hoki ō tohumate. Whai muri i tēnei, ka tonoa he whakamātautau toto hei tirotiro i ō taumata homoni tairoi—ina koa ko te T3, T4, me te TSH . I te nuinga o te wā, he rawaka tēnei whakamātautau toto hei whakaū i te mate tairoi muri i te whānautanga. Ka āwhina hoki ki te wehewehe i tēnei mate mai i ētahi atu take he rite ngā tohumate, pērā i te mate a Graves , he mate pūnaha ārai mate mō te wā roa e whai ana i ngā tohumate o te mate tairoi muri i te whānautanga.
He aha ngā kōwhiringa maimoatanga?
He maha ngā wāhine e pāngia ana e ngā tohu ngawari noa iho, arā, kāore pea e hiahiatia he maimoatanga kaha i ngā wā katoa. Heoi, ki te kaha rawa ō tohu, me rapu awhina hauora. Mena kei te whāngai u koe, he mea nui kia whakamōhio tonu atu koe ki tō tākuta kia taea ai e rātou te tohu rongoā haumaru mōu me tō pēpi.
Ko te rautaki maimoatanga e whakawhirinaki ana ki te mea kei roto koe i te wāhanga Hyperthyroidism , Hypothyroidism rānei.
- Mō te Hyperthyroidism: Ka taea te whakamahi i ngā rongoā pēnei i te corticosteroids (hei tauira, te prednisone) me ngā beta-blockers . Ka whakaitihia e ngā corticosteroids te mumura, ā, ka āwhina ngā beta-blockers ki te whakahaere i ngā tohu mā te aukati i ngā pānga o ngā homoni tairoi nui rawa.
- Mō te Hypothyroidism: Tērā pea ka hiahiatia he rongoā whakakapinga homoni tairoi . Ko te tikanga ka roa tēnei maimoatanga i waenga i te ono marama ki te kotahi tau. I te ora ake o tō repe tairoi, ka āta whakaitihia e tō tākuta te rongoā, ā, i te mutunga ka mutu.
I roto i tō haerenga maimoatanga, ka aroturukihia e tō tākuta i Nirogi Lanka ngā taumata o ō homoni tairoi.
He āhuatanga pumau tēnei?
He mate rangitahi noa iho te mate tairoiti i muri i te whānautanga. Mō te 70% ki te 80% o te hunga e pāngia ana, ka memeha haere te mate, ā, ka hoki anō te repe tairoiti ki te mahi noa. Heoi anō, 20% ki te 30% pea ka noho tonu ki te wāhanga Hypothyroidism , me te hiahia kia roa te rongoā homoni.
He mea nui kia mōhio koe, mā te pāngia e te mate tairoi i muri i te whānautanga ka nui ake te tūponotanga o ngā raruraru tairoi ā muri ake nei, pērā i te Hypothyroidism tuturu, te Goiter rānei (te whakanui i te tairoi). Ahakoa ka ora ake tō tairoi, ka tūtohu pea tō tākuta kia aroturukitia tonutia kia pai ai tō hauora mō te wā roa.
Kia pēhea te roa o te wā e ora ai?
Ko te mate tairoiti i muri i te whānautanga ka roa pea i waenga i te 12 ki te 18 marama. I te nuinga o te wā, ka hoki anō te mahi a tō tairoiti ki te āhua noa i roto i tēnei wā, ā, i taua wā kāore e hiahiatia he rongoā.
Ka taea e au te hapu anō i muri i te mate thyroiditis i muri i te whānautanga?
Ae. He maha ngā wāhine kua pāngia e te mate tairoidi i muri i te whānautanga ka whai haputanga hauora, angitu hoki. Ko te mahi nui ko te whakamōhio atu ki tō tākuta mēnā kei te whakamahere koe i tētahi atu haputanga . Nā te mea e 20% pea o ngā wāhine kua pāngia e tēnei mate ka pāngia anō i ngā haputanga o muri mai.
Mā te aroturuki tonu i ngā taumata o tō tairoi, ka taea e tō tākuta te ārahi i a koe ki tētahi hāputanga hauora, haumaru hoki.
He aha taku e pātai atu ai ki taku tākuta?
Ina kōrero koe ki tō tākuta, ka tūtohu mātou kia pātai koe i ēnei pātai:
- He mate tairoi anō kei a au, he raruraru pūnaha ārai mate rānei kei roto?
- He aha te mahere maimoatanga e taunaki ana koe mōku?
- Nā te mea kei te whāngai ū ahau, ko ēhea ngā rongoā te mea tino haumaru hei whakamahi māku?
- Āhea ahau ka taea te whakaiti, te whakamutu rānei i taku rongoā tairoi?
- He aha te kaupapa aroturuki e taunaki ana koe hei aroturuki i tōku āhua?
- He aha ngā tohu motuhake me tirotiro e au, e tohu ana pea i tētahi raruraru hou, i tētahi raruraru kino rānei o te tairoi?
He maha ngā whaea e pāngia ana e te mate tairoidi i muri i te whānautanga ka whakaroa i te haerenga ki te tākuta nā te mea e pohehe ana rātou ki ō rātou tohumate hei wero noa o te oranga i muri i te whānautanga. Inaa, ko te ngenge nui me te mamae o ngā uaua e puta mai ana i te tiaki i tētahi pēpi hou ka huna i ngā tohu o te hypothyroidism. Heoi, ki te mau tonu ēnei tohumate, kaua e whakaaro me 'whakapakari noa koe.' Ko te raru pea ko tō tairoidi. Mā te whakamātautau toto noa ka taea te whakaū i tēnei, ā, kei reira ngā maimoatanga whai hua, haumaru hoki e wātea ana hei āwhina i a koe kia rite anō ki a koe me te whakahaere i te oranga me tō pēpi hou. He mea nui tō oranga, nō reira me whakarite tō hauora ki te kaupapa matua.
Ngā Kaupapa Matua (Ngā Mea Me Mahara Koe)
Ko te tumanako kua mārama ake koe ki te mate tairoidi i muri i te whānautanga nā tēnei tirohanga whānui. Anei ngā mea nui hei maumahara māu:
- Ko te mate tairoiti i muri i te whānautanga he mumura o te repe tairoiti ka puta i roto i te tau tuatahi i muri i te whānautanga.
- Tērā pea ka puta te mate hei hyperthyroidism i te tīmatanga, ā, muri iho ka puta ko te hypothyroidism, ahakoa kāore e pāngia te katoa e ēnei wāhanga e rua.
- Kaua e whakakorekore i ngā tohumate—ina koa te ngenge nui, te taumaha nui, te pouri, te mate puku, te hekenga rānei o te waiū ū —he 'wāhanga noa iho o te noho hei māmā hou'.
- Ko te pūtake he urupare ārai mate i te repe tairoi e pāngia ai te repe tairoi e ngā paturopi.
- Ka ngāwari te tautuhi i tēnei mate mā te whakamātautau toto noa iho.
- He wā poto noa iho te nuinga, ā, ka taea te rongoā, me ētahi atu kōwhiringa haumaru hoki mō ngā whaea e whāngai ana i ā rātou u.
- Ki te kite koe i ēnei tohu, kaua e mangere ki te toro atu ki tō tākuta. Mā te kitenga wawe ka tere ake te whakaora me te whakahaere pai ake.
Ko te tumanako i whai hua ēnei kōrero ki a koe. I Nirogi Lanka, kei te hiahia mātou kia ora pai koe me tō whānau.
