Kodi inunso mumamva kusintha kwachilendo kumeneku mukabereka? Tiyeni tiphunzire za Postpartum Thyroiditis Sinhala!

Kumva kutopa mutakhala ndi mwana, nthawi zina kumva kusakhazikika, kuwonjezeka kapena kuchepa thupi… Mungaganize kuti izi ndi zinthu zachibadwa kwa mayi watsopano. Nthawi zambiri zimakhala choncho. Koma nthawi zina zizindikirozi sizingakhale kutopa kokha pambuyo pobereka. Lero, tikambirana za vuto lomwe amayi ena amakumana nalo atabereka, koma silikunenedwa kwambiri. Imeneyi ndi postpartum thyroiditis , kapena " Postpartum Thyroiditis " .

Kodi vuto lotchedwa postpartum thyroiditis ndi chiyani?

Mwachidule, `(Postpartum Thyroiditis)` ndi vuto lomwe chithokomiro chanu chimatupa kapena kutupa mkati mwa chaka choyamba mutabereka. Ili ndi vuto losowa kwambiri. Kodi mukudziwa kuti chithokomiro ndi chithokomiro chaching'ono, chooneka ngati gulugufe chomwe chili kutsogolo ndi pansi pa khosi lathu. Chimapanga mahomoni omwe amalamulira machitidwe ambiri ofunikira m'thupi lathu. Mahomoni a chithokomiro awa ndi ofunikira kwambiri polamulira momwe timagwiritsira ntchito mphamvu, kutanthauza kagayidwe kathu ka thupi.

Matenda a Postpartum Thyroiditis nthawi zambiri amapezeka m'magawo angapo.

1. Gawo 1: Apa ndi pamene chithokomiro chimatulutsa mahomoni ambiri ndipo chimawatulutsa m'magazi chifukwa cha kutupa. Izi zimatchedwa hyperthyroidism . Gawoli nthawi zambiri limachitika mkati mwa mwezi umodzi ndi theka mpaka miyezi isanu ndi umodzi mutabereka. Limatha kukhala kuyambira sabata imodzi mpaka miyezi itatu.

2. Gawo lachiwiri: Apa ndi pamene chithokomiro sichipanga mahomoni okwanira. Izi zimatchedwa hypothyroidism . Izi nthawi zambiri zimayamba pakati pa miyezi inayi ndi isanu ndi itatu mutabereka. Zitha kukhalapo mpaka chaka chimodzi.

3. Gawo Lachitatu: Pa gawoli, chithokomiro nthawi zambiri chimabwerera mwakale ndipo kupanga mahomoni kumabwerera mwakale.

Komabe, si aliyense amene amadutsa m'magawo onse atatu motsatira dongosolo ili. Anthu ena safika pagawo lachiwiri, lomwe ndi "Hypothyroidism." Amapeza "Hyperthyroidism," kenako ntchito yawo ya chithokomiro imabwerera mwakale. Komanso, ngakhale kuti ndi yosowa kwambiri, anthu ena amatha kukhalabe mu gawo la "Hypothyroidism". Kenako amafunika kupitiriza kumwa mankhwala obwezeretsa mahomoni kuti achepetse kuchuluka kwa mahomoni a chithokomiro.

Kodi vutoli ndi lofala bwanji?

Akuti pakati pa 5% ndi 10% ya akazi adzakhala ndi thyroiditis ya pambuyo pa kubereka m'chaka choyamba atabereka, kuchotsa mimba, kapena kuchotsa chiberekero. Komabe, chiwerengerochi chikhoza kukhala chokwera kwa iwo omwe ali ndi zinthu zina zoopsa, monga matenda a thyroid.

Kodi zizindikiro za izi ndi ziti?

Nthawi zambiri, mu gawo loyamba, lotchedwa "Hyperthyroidism," zizindikiro sizimaonekera. Simungazindikire nkomwe. Koma ngati zizindikirozo zichitika, nthawi zambiri zimagwirizana ndi momwe thupi limagwirira ntchito (monga kagayidwe kachakudya) kukhala "hyper" kapena kufulumira. Izi ndi zina mwa zizindikiro:

• Kumva kutopa komanso kuda nkhawa pafupipafupi.
• Kuchuluka kwa tsitsi.
• Kukhala woonda popanda chifukwa.
• Kuwonjezeka kwa kugunda kwa mtima (Tachycardia).
• Kusalekerera kutentha, thukuta lowonjezeka.

Anthu ambiri amayamba kuzindikira zizindikiro mu gawo lachiwiri, lomwe limatchedwa hypothyroidism. Apa ndi pamene machitidwe a thupi (monga kagayidwe kachakudya) amachepa. Izi zingayambitse zizindikiro monga:

• Kumva kutopa kwambiri: Uku si kutopa kwachibadwa komwe kumabwera chifukwa chokhala ndi mwana. Ndi kutopa komwe kumakupangitsani kumva ngati mugona tsiku lonse, mosasamala kanthu kuti mumapuma bwanji.
• Kunenepa : Mungamve ngati mukunenepa ngakhale kuti kadyedwe kanu sikanasinthe.
• Matenda amisala monga kuvutika maganizo :Ndimamva chisoni nthawi zonse, ndimataya chidwi ndi chilichonse, ndipo sindikufunanso kuchita zinthu zomwe ndinkakonda kale.
• Khungu louma.
• Kudzimbidwa .
• Kupweteka kwa minofu.
• Kusapanga mkaka wokwanira wa m'mawere wa mwana.
• Kusalekerera chimfine: Mungamve kuzizira kwambiri pamene ena akumva chimfine wamba.

Chofunika kwambiri ndichakuti zizindikiro izi za `(Hypothyroidism)` nthawi zambiri zimatha kusokonezedwa ndi zinthu zachibadwa zomwe mayi watsopano amakumana nazo atabereka. Zinthu monga kutopa ndi kupweteka kwa minofu ndi zachilendo posamalira mwana. Koma ngati zizindikirozi zikupitirira kapena kukhala zazikulu, muyenera kuwona dokotala.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Chifukwa chachikulu cha `(Postpartum Thyroiditis)` ndi kuukira kwa chithokomiro chanu pogwiritsa ntchito ma antibodies oletsa chithokomiro. Kodi mukudziwa, tili ndi gawo la thupi lathu lotchedwa `Antibodies`. Ntchito yawo ndi kutiteteza polimbana ndi majeremusi omwe amayambitsa matenda. Zili ngati alonda m'thupi lathu.

Koma mu ``Postpartum Thyroiditis``, ma antibodies amenewa amapanga cholakwika chaching'ono ndipo amayamba kuukira chithokomiro chathu. Kuukira kumeneku ndiko kumayambitsa kutupa kwa chithokomiro. Njirayi ikufanana kwambiri ndi ``Hashimoto's disease``, mtundu wofala kwambiri wa chithokomiro.

Asayansi sakudziwabe chifukwa chake ma antibodies amenewa amayamba kuukira munthu akabereka. Koma lingaliro limodzi lodziwika bwino ndilakuti ngati munali ndi vuto la autoimmune musanayambe kutenga pakati, mumakhala ndi mwayi waukulu woti mudzakhala nalo munthu akabereka. Vuto la autoimmune, monga ndanenera kale, ndi pamene ma antibodies athu amaukira maselo ndi minofu yathu yathanzi.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Mungakhale pachiwopsezo chachikulu chotenga "Postpartum Thyroiditis" ngati:

• Ngati munakhalapo ndi postpartum thyroiditis panthawi yobereka kale.
• Kwa inuNgati muli ndi matenda a shuga a mtundu 1 (komanso matenda a autoimmune).
• Ngati inu kapena wina m'banja mwanu ali ndi mbiri ya matenda a chithokomiro .
• Ngati mwakhala muli ndi ma antibodies a anti-thyroid m'thupi lanu kuyambira musanakhale ndi pakati (mwina simunadziwe za izi chifukwa simunali ndi zizindikiro).

Kodi madokotala amazindikira bwanji izi?

Mukapita kwa dokotala, adzakuyesani ndikufunsani za zizindikiro zanu. Kenako, adzakuyesani magazi kuti aone kuchuluka kwa mahomoni a chithokomiro m'magazi mwanu (makamaka mahomoni otchedwa T3, T4, kapena TSH). Kuyezetsa magazi kumeneku nthawi zambiri kumakhala kokwanira kuzindikira matenda a chithokomiro pambuyo pa kubereka. Kungathandizenso kusiyanitsa matendawo ndi matenda ena omwe ali ndi zizindikiro zofanana, monga matenda a Graves. Matenda a Graves ndi matenda omwe amakhalapo kwa moyo wonse omwe amayambitsa zizindikiro zofanana ndi matenda a chithokomiro pambuyo pa kubereka.

Kodi chithandizo chake ndi chiyani?

Azimayi ambiri sakumana ndi vutoli kwambiri. Choncho ngati zizindikiro zanu sizili zazikulu, simungafunike chithandizo. Komabe, ngati zizindikiro zanu zili zazikulu, mungafunike kumwa mankhwala. Ngati mukuyamwitsa, onetsetsani kuti mwauza dokotala wanu. Iye angakulangizeni mankhwala omwe ndi otetezeka kwa inu ndi mwana wanu.

Chithandizo chimadalira ngati muli pa siteji ya "Hyperthyroidism" kapena "Hypothyroidism".

• Kwa (Hyperthyroidism): Mankhwala a izi ndi monga `(Corticosteroids)` (monga `(Prednisone)`) ndi `(Beta-blockers)`. `(Corticosteroids)` amachepetsa kutupa. `(Beta-blockers)` amaletsa zotsatira za mahomoni a chithokomiro. Zonsezi zimatha kuwongolera zizindikiro.
• Pa vuto la hypothyroidism: Izi mwina zingafunike chithandizo cholowa m'malo mwa mahomoni a chithokomiro . Chithandizochi nthawi zambiri chimatenga miyezi isanu ndi umodzi mpaka chaka chimodzi. Chithokomiro chanu chikabwerera mwakale, mutha kuchepetsa pang'onopang'ono kuchuluka kwa mankhwalawa ndikusiya kumwa.

Dokotala wanu adzayang'anira kuchuluka kwa mahomoni a chithokomiro chanu panthawi yonse ya chithandizo chanu.

Kodi izi ndi zinthu zosatha? Kodi zidzakhalapo kwamuyaya?

Matenda a Thyroiditis Pambuyo pa Kubereka nthawi zambiri amakhala akanthawi kochepa. Pafupifupi 70% mpaka 80% ya anthu omwe ali ndi vutoli pamapeto pake amasiya kufunikira mankhwala chifukwa chithokomiro chawo chimayambanso kupanga mahomoni mwachibadwa. 20% mpaka 30% ena akhoza kukhalabe mu gawo la hypothyroidism. Adzafunika kumwa mankhwala a mahomoni a chithokomiro kwa nthawi yayitali.

Komanso, matenda a thyroiditis pambuyo pa kubereka angapangitse kuti mukhale ndi chiopsezo chotenga matenda ena a thyroid mtsogolo, monga hypothyroidism kapena goiter. Ngakhale thyroid yanu itabwerera mwakale, dokotala wanu angakulangizeni kuti mupitirize kuyang'anira thyroid yanu.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Matenda a chithokomiro cha Postpartum nthawi zambiri amatenga chaka chimodzi mpaka chaka chimodzi ndi theka. Nthawi zambiri, chithokomiro chanu chimabwerera mwakale mkati mwa miyezi 12 mpaka 18 mutayamba kuona zizindikiro. Simudzafunikiranso mankhwala.

Kodi ndingathe kutenga mimba kachiwiri nditadwala matenda a thyroiditis pambuyo pobereka?

Ndizotheka ndithu. Azimayi ambiri omwe adakumana ndi postpartum thyroiditis amapitiliza kukhala ndi mimba zabwino. Koma chofunika kwambiri ndichakuti ngati mukukonzekera kutenganso mimba, muyenera kuuza dokotala wanu kuti mudakumanapo ndi vutoli kale. Chifukwa pafupifupi 20% ya akazi omwe adakumanapo ndi postpartum thyroiditis kale adzakhalanso ndi vutoli pa mimba yawo yotsatira.

Kenako dokotala wanu akhoza kuyang'anira kuchuluka kwa mahomoni a chithokomiro chanu ndikukutsogolerani kuti mukhale ndi pakati pabwino.

Kodi ndifunse dokotala chiyani?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Kodi ndili ndi matenda ena a chithokomiro kapena vuto la autoimmune?
• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Popeza ndikuyamwitsa, ndi mankhwala ati abwino kwambiri oti ndigwiritse ntchito?
• Kodi ndi liti pamene ndingachepetse mankhwala a chithokomiro?
• Kodi ndi nthawi yanji yomwe ndiyenera kubweranso kuti ndikayang'ane momwe matenda anga alili?
• Ngati ndili ndi vuto latsopano la chithokomiro, ndi zizindikiro ziti zomwe ndiyenera kuyang'anitsitsa?

Anthu ambiri omwe ali ndi zizindikiro za `(Postpartum Thyroiditis)` amachedwa kupita kwa dokotala chifukwa amaganiza kuti kusintha kumeneku ndi kwabwinobwino akabereka. Ndipotu, zinthu monga kutopa ndi kupweteka kwa minofu posamalira mwana wakhanda zimatha kumveka ngati zizindikiro za `(Hypothyroidism). Komabe, ngati zizindikirozi sizikutha, musaganize kuti, "Ndingoyenera kuthana ndi izi." Vutoli likhoza kukhala ndi chithokomiro chanu. Kuyezetsa magazi kosavuta nthawi zambiri kumatha kutsimikizira. Pali mankhwala omwe angakuthandizeni kukhala ndi thanzi labwino komanso kusamalira moyo ndi mwana watsopano. Ndicho chifukwa chake ndikofunikira kwambiri kudzisamalira nokha.

Zinthu zofunika kwambiri zomwe tiyenera kukumbukira kuchokera pa zomwe takambirana (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsetsa bwino zomwe takhala tikulankhula (Postpartum Thyroiditis). Nazi zinthu zofunika kukumbukira:

• Matenda a Postpartum Thyroiditis ndi kutupa kwa chithokomiro komwe kumachitika mkati mwa chaka choyamba mutabereka.
• Pankhaniyi , mahomoni a chithokomiro amayamba kuwonjezeka (Hyperthyroidism) kenako n’kuchepa (Hypothyroidism). Si aliyense amene amakumana ndi magawo onse awiriwa.
• Zizindikiro (makamaka mu hypothyroidism) zimaphatikizapo kutopa, kunenepa kwambiri, kuvutika maganizo, kudzimbidwa, komanso kuchepa kwa mkaka wa m'mawere.) Musasokoneze izi ndi kusintha kwachibadwa komwe kumachitika munthu akabereka.
• Izi zimachitika chifukwa cha ma antibodies omwe amaukira chithokomiro.
• Izi zitha kuzindikirika poyesa magazi .
• Izi nthawi zambiri zimakhala zakanthawi kochepa ndipo zimatha kuchiritsidwa ndi chithandizo. Palinso mankhwala otetezeka kwa amayi oyamwitsa.
• Ngati muli ndi zizindikiro izi, musazengereze kupita kwa dokotala kuti akakupatseni upangiri. Mukazindikira msanga, mudzapeza mpumulo mwachangu.

Ngati mwapeza kuti izi ndi zothandiza, zimenezo zingakhale zosangalatsa kwambiri. Ndikufunirani inu ndi banja lanu thanzi labwino!