Ko te ngenge e pā ana ki a koe i muri i te whānautanga o te pēpi, ngā pō kore moe, te pēhanga e pā mai ana me ngā kawenga hou... I roto i ēnei mea katoa, tera pea koe e whakaaro he mea noa ēnei huringa. He wheako noa tēnei mō te tini o ngā whaea. Engari i ētahi wā, kei muri i tēnei ngenge nui, te manukanuka, me ngā huringa o tō tinana ehara i te āhua noa e puta ana i muri i te whānautanga. Tērā pea he āhuatanga e kiia nei ko te 'Postpartum Thyroiditis', he mea kāore e kōrerohia ana e te tini o te tangata, engari he mea nui kia mōhio.
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He aha te mate pukupuku o muri i te whānautanga?
Ahakoa he ingoa rerekē tēnei, he tino māmā noa iho te mārama. Ko te tikanga o te kupu " postpartum " ko "i muri i te whānautanga." Ko te tikanga o te " thyroiditis " ko te "pupuhi, te mumura rānei o te repe tairoiti." Ko te " postpartum thyroiditis " he mumura o te repe tairoiti e puta ana i roto i te tau tuatahi i muri i te whānautanga o te pēpi.
Tērā pea kei te whakaaro koe, he aha tēnei repe tairoiti? He repe iti tino nui tēnei, he āhua pūrerehua, kei mua o tō tātou kaki. Ka whakaputahia e tēnei repe ngā homoni e whakahaere ana i ngā mea nui maha, pērā i te whakamahinga o te pūngao e tō tātou tinana, te pākia rānei o te tinana. Nō reira, ina pā mai he raruraru ki tēnei, ka rongo te tinana katoa.
Me pēhea tēnei e puta ai? Me ako tātou mō ngā wāhanga e toru.
He maha ngā wāhanga o te mate tairoidi muri i te whānautanga. Heoi, kāore e rite te raupapa o ēnei wāhanga katoa ki te katoa. He mea nui kia maumahara ki tēnā.
| Atamira | Whakaahuatanga |
|---|---|
| Wāhanga 1 (Te Hipertiroitia) | Koinei te wā e pupuhi ai te repe tairoiti, ā, ka nui rawa ngā homoni e rongoatia ana i roto i te toto. Ko te tikanga ka tino piki ake te taumata o ngā homoni tairoiti i roto i te tinana. I te nuinga o te wā ka puta tēnei i waenga i te 1 me te 6 marama i muri i te whānautanga o te pēpi. Ka roa pea tēnei āhuatanga mai i te kotahi wiki ki te toru marama pea. |
| Wāhanga 2 (Hypothyroidism) | I muri i te nui rawa o ngā homoni e whakaputaina ana, ka mutu te mahi tika a te repe tairoi. Arā, kāore e whakaputaina te nui o ngā homoni e hiahiatia ana. Ka heke nui te taumata o ngā homoni tairoi i roto i te tinana. Ka puta pea tēnei i waenga i te 4 me te 8 marama i muri i te whānautanga o te pēpi. Ka roa pea tēnei āhuatanga tae atu ki te tau. |
| Wāhanga Tuatoru (Whakaora) | I te nuinga o te wā, i muri i ēnei wāhanga e rua, ka hoki te repe tairoi ki te āhua noa, ka tīmata te whakaputa i ngā homoni i te āhua noa. |
Engari kia maumahara, ko ētahi whaea ka pāngia pea e te wāhanga tuatahi (Hyperthyroidism) kātahi ka ora tonu. Ko te wāhanga tuarua (Hypothyroidism) tērā pea kāore e puta. He onge, me noho tonu te tangata ki te wāhanga tuarua, ko te tikanga he iti ngā taumata homoni.
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Check Availability →He aha ngā tohu? Me pēhea tātou e mōhio ai ki tēnei?
Ko te raruraru nui o tēnei, he maha ngā wā ka taupatupatu ēnei tohu ki ngā āhuatanga noa e puta ana i muri i te whānautanga.
He tokomaha ngā whaea e whakaaro ana ko te ahotea o te tiaki i te pēpi te take o ēnei ngenge me ngā panonitanga o te wairua. Nō reira, kāore rātou e hiahia ki te toro atu ki te tākuta.
Kia tirohia tātou he aha ngā tohu e pā ana ki ngā wāhanga e rua.
Wāhanga tuatahi: Ina piki ake ngā homoni (Hyperthyroidism)
I tēnei wā, ka "kaha rawa" ngā tukanga o te tinana, arā, ka tere haere. Engari he tokomaha te hunga kāore pea e whakaatu i ngā tohu nui i tēnei wā. Kāore rānei e arohia e rātou.
- Te āwangawanga tonu, te kore okiokinga.
- Te ngaro o te nui o te makawe, kāore he take.
- Te ngaro o te taumaha ahakoa te kai pai.
- Te āhua nei kei te tere te pao o tō ngākau (Tachycardia).
- Kāore e taea te whakamanawanui i te wera.
Wāhanga Tuarua: Ina heke te nui o ngā homoni (Hypothyroidism)
He tokomaha te hunga ka tīmata ki te kite i ngā tohu i tēnei wā. Koinei te wā ka puhoi haere ngā mahi a te tinana.
- Te ahua tonu o te ngenge nui me te ngenge.
- Te piki haere o te taumaha ahakoa te whakahaere i tāu e kai ana, e inu ana.
- Te pōuri me te ngakau pouri .
- Kiri tino maroke.
- Te kōroke .
- Mamae tinana me ngā uaua.
- Kāore i te rawaka te waiū hei hoatu ki te pēpi.
- Kāore e taea te tu atu i te makariri.
He aha tēnei e tupu nei? He aha te take?
Ki te kī ngāwari, he mate pūnaha ārai mate tēnei.He āhuatanga e whakaeke hē ai te pūnaha ārai mate o tō tātou tinana, arā, te pūnaha ārai mate, i tō tātou ake repe tairoi. Me te mea nei ko ngā "hōia" (ngā paturopi) e tika ana kia tiaki i tō tātou tinana mai i te mate ka pohehetia hei hōia nō tātou, ā, ka whakaekea e rātou. Mā tēnei whakaeke ka pupuhi te repe tairoi.
He tino rite tēnei ki te mate a Hashimoto , he mate tairoi. Ahakoa kāore anō kia tino mōhiotia he aha i puta ai tēnei i muri i te hapūtanga, ko tētahi o ngā ariā matua ko tēnei mate ārai-pūnaha i roto i tō tinana i mua i te hapūtanga, ā, ka puta ake i muri i te whānautanga.
Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?
Mena kei a koe tētahi, neke atu rānei o ngā āhuatanga e whai ake nei, he paku teitei ake tō tūponotanga ki te pāngia e te mate tairoi muri i te whānautanga.
- Mena kua pāngia koe e tēnei mate i muri i te whānautanga o mua .
- Mena kei a koe tētahi atu mate pūnaha ārai mate, pērā i te mate huka momo 1 .
- Mena he mate tairoi tō tetahi o tō whānau (whaea, tuahine) .
- Mena he paturopi anti-thyroid kei roto i tō tinana i mua i te hapūtanga (kāore pea koe e mōhio mōna, nā te mea kāore pea he tohu).
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Kia oti i a koe te whakaahua i ō tohumate, ka tirotirohia koe e te tākuta. Kātahi ka whakaritea he whakamātautau toto māmā hei whakaū i te āhua.
Mā tēnei whakamātautau toto ka tirohia ngā taumata o ngā homoni tairoi (T3, T4) me te TSH (Hōmona Whakaoho Tairoi) i roto i tō toto. I runga i ngā panonitanga o ēnei taumata, ka taea e te tākuta te tautuhi tika mēnā he mate tairoi muri i te whānautanga tēnei, he mate tairoi rānei pērā i te mate a Graves.
He aha ngā maimoatanga? He haumaru ēnei mō te whaea e whāngai ana i te u?
Ko te rongo pai, ko te nuinga o ngā whaea kāore e hiahia ki tētahi maimoatanga motuhake nā te mea kāore ō rātou tohumate i te tino kino. Heoi, ki te tino kino ō tohumate, ā, ka whakararuraru i tō oranga, ka tohua e tō tākuta he rongoā.
Ko te mea nui, mēnā kei te whāngai u koe i te pēpi, me kōrero koe ki tō tākuta kia taea ai e ia te tohu rongoā haumaru mōu me tō pēpi.
Ko te maimoatanga e whakawhirinaki ana ki te wāhanga kei roto koe.
- Mēnā he nui ngā taumata homoni (Hyperthyroidism): I tēnei wā, ka taea te hoatu i ngā rongoā pēnei i ngā beta-blockers hei whakahaere i te tere o te manawa, me ngā rongoā pēnei i ngā corticosteroids (hei tauira, te prednisone) hei whakaiti i te pupuhi.
- Te mate Hypothyroidism: Ka rongoātia tēnei mā te whakamahi i ngā pire homoni tairoi o waho. Ko te tikanga ka roa tēnei rongoā mō te 6 marama ki te tau. Ka taea e te nuinga o te tangata te mutu haere i te tango i tēnei rongoā ina hoki anō te repe tairoi ki te āhua noa.
He mate tūturu tēnei? Me kai rongoā tonu ahau?
Kāo. He mate rangitahi te mate tairoiti i muri i te whānautanga. Mō te 70% - 80% o ngā whaea e pāngia ana e tēnei mate, arā, e whitu ki te waru i roto i te tekau, ka tīmata anō te mahi a te repe tairoiti i roto i te wā. Kātahi ka kore e hiahiatia he rongoā.
Heoi, tata ki te 20% ki te 30% o te tangata ka pāngia e te hypothyroidism pumau, me te hiahia tonu ki te rongoā whakakapinga homoni tairoi.
Kia pāngia koe e tēnei mate, he nui ake te tūponotanga ka pāngia koe e ētahi atu mate tairoi (hypothyroidism, goiter rānei) ā muri ake nei. Nō reira, ahakoa ka hoki anō tō repe tairoi ki te āhua noa, he mea whakaaro nui kia tirotirohia koe e tō tākuta i ia wā.
Ka taea e au te hapu anō?
Ae, ka taea e koe. Ahakoa te pāngia koe e te mate tairoi muri i te whānautanga, kāore e ārai i a koe ki te whānau anō i tētahi pēpi hauora.
Heoi, ki te mea kei te whakaaro koe ki te whānau anō i tētahi atu pēpi, he mea nui kia kōrero koe ki tō tākuta mō tō hītori o mua mō tēnei mate ina whakamahere koe ki te hapu. Nā te mea ko te hunga kua pāngia e tēnei mate i mua he 20% te tūponotanga ka pāngia anō e tēnei mate i roto i tā rātou haputanga e whai ake nei. Kātahi ka taea e tō tākuta te aroturuki i ngā taumata o ō homoni tairoi me te āwhina i a koe kia hauora te haputanga.
Karere Tangohia ki te Kāinga
- Kaua e whakakorekoretia ngā kare ā-roto o te tino ngenge, te pouri, me ngā panonitanga o te taumaha i muri i te whānautanga o te pēpi he mea "noa." Tērā pea he mate e kiia nei ko te Postpartum Thyroiditis kei muri.
- He āhuatanga rangitahi noa iho tēnei. Ka ora katoa te nuinga o te tangata i roto i te wā. Nō reira kaua e manukanuka.
- Mena kei a koe ēnei tohu, me toro atu ki tō tākuta mō ētahi tohutohu. Ka taea te tautuhi i tēnei mate mā te whakamātautau toto noa iho.
- Mena kei te whāngai u koe, kaua e wareware ki te kōrero ki tō tākuta i mua i te tango i te maimoatanga. He rongoā haumaru kei reira mōu me tō pēpi.
- Ahakoa tēnei āhuatanga, ka taea tonu te hapu anō i roto i te huarahi hauora. Heoi, he mea tino nui kia whakamōhio atu koe ki tō tākuta i mua i tō haputanga e whai ake nei.
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