Kodi inunso mumamva kutopa ndi kusintha kotere mukabereka mwana? Tiyeni tiphunzire za (Postpartum Thyroiditis)!

Kutopa komwe mumamva mukabereka mwana, usiku wosagona, kupsinjika komwe kumabwera ndi maudindo atsopano... Ndi zonsezi, mungaganize kuti kusinthaku ndi kwachibadwa. Izi ndi zomwe zimachitika kwa amayi ambiri. Koma nthawi zina, kumbuyo kwa kutopa kwakukulu, nkhawa, ndi kusintha kwa thupi lanu si vuto lachibadwa lomwe limachitika mukabereka. Likhoza kukhala vuto lotchedwa 'Postpartum Thyroiditis', lomwe anthu ambiri salankhula, koma ndikofunikira kudziwa.

Mwachidule, kodi Postpartum Thyroiditis ndi chiyani?

Dzina limeneli lingamveke ngati lachilendo, koma n'losavuta kulimvetsa. Pambuyo pa kubereka limatanthauza "mutabereka." Chithokomiro chimatanthauza "kutupa kapena kutupa kwa chithokomiro." Pambuyo pa kubereka Chithokomiro ndi kutupa kwa chithokomiro chanu komwe kumachitika mkati mwa chaka choyamba mutabereka mwana.

Tsopano mwina mukudabwa, kodi chithokomiro ichi ndi chiyani? Ndi chithokomiro chaching'ono chofunikira kwambiri chooneka ngati gulugufe chomwe chili kutsogolo kwa khosi lathu. Chithokomirochi chimapanga mahomoni omwe amalamulira zinthu zambiri zofunika, monga momwe thupi lathu limagwiritsira ntchito mphamvu, kapena kagayidwe kachakudya. Choncho pakakhala vuto ndi izi, thupi lonse limamva.

Kodi izi zimachitika bwanji? Tiyeni tiphunzire za magawo atatu.

Matenda a Postpartum Thyroiditis nthawi zambiri amadutsa m'magawo angapo. Komabe, si aliyense amene amakumana ndi magawo onsewa motsatizana. Ndikofunikira kukumbukira zimenezo.

Koma kumbukirani, amayi ena amatha kungokumana ndi gawo loyamba (Hyperthyroidism) kenako nkuchira nthawi yomweyo. Gawo lachiwiri (Hypothyroidism) silingachitike konse. Nthawi zambiri, munthu angafunike kukhalabe mu gawo lachiwiri, zomwe zikutanthauza kuti kuchuluka kwa mahomoni kumakhala kochepa.

Kodi zizindikiro zake ndi ziti? Kodi tingazizindikire bwanji izi?

Vuto lalikulu ndi izi ndilakuti zizindikirozi nthawi zambiri zimafanana ndi matenda wamba omwe amachitika pambuyo pobereka.

Tiyeni tiwone zizindikiro zomwe zikugwirizana ndi magawo awiriwa.

Gawo loyamba: Pamene mahomoni akuwonjezeka (Hyperthyroidism)

Panthawi imeneyi, machitidwe a thupi amakhala "okwera kwambiri," zomwe zikutanthauza kuti amafulumira. Koma anthu ambiri sangasonyeze zizindikiro zazikulu panthawiyi. Kapena angawanyalanyaze.

• Kumva nkhawa komanso kusakhazikika nthawi zonse.
• Kutaya tsitsi kwambiri popanda chifukwa.
• Kuchepetsa thupi ngakhale mutadya bwino.
• Kumva ngati mtima wanu ukugunda mofulumira (Tachycardia).
• Kutentha sikungatheke.

Gawo Lachiwiri: Pamene mahomoni ali otsika (Hypothyroidism)

Anthu ambiri amayamba kuona zizindikiro momveka bwino panthawiyi, pamene ntchito za thupi zimachepa.

• Kumva kutopa kwambiri komanso kutopa nthawi zonse.
• Kunenepa kwambiri ngakhale mutayang'anira zomwe mumadya ndi kumwa.
• Kumva chisoni komanso kupsinjika maganizo .
• Khungu louma kwambiri.
• Kudzimbidwa .
• Kupweteka kwa thupi ndi minofu.
• Mkaka wochepa woti mwana apatsedwe.
• Kusatha kupirira kuzizira.

Chifukwa chiyani izi zikuchitika? Chifukwa chake ndi chiyani?

Mwachidule, izi ndi matenda a autoimmune.Vuto limene chitetezo cha mthupi lathu, chitetezo cha mthupi, chimaukira molakwika chithokomiro chathu cha chithokomiro. Zili ngati "asilikali" (ma antibodies) omwe akuyenera kuteteza thupi lathu ku matenda akusokonezedwa ndi chimodzi mwa izo ndipo akuchiukira. Kuukira kumeneku kumapangitsa chithokomiro kutupa.

Izi zikufanana kwambiri ndi matenda a Hashimoto , matenda a chithokomiro. Ngakhale kuti sizikudziwika bwino chifukwa chake izi zimachitika mutatenga mimba, chimodzi mwa mfundo zazikulu ndichakuti vutoli la autoimmune linalipo m'thupi lanu musanayambe kutenga mimba ndipo limawonekera pokhapokha mutabereka.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Ngati muli ndi vuto limodzi kapena angapo mwa awa, chiopsezo chanu chotenga matenda a postpartum thyroiditis chimakhala chachikulu pang'ono.

• Ngati munakhalapo ndi vutoli mutabereka kale .
• Ngati muli ndi matenda ena odziteteza ku matenda ena, monga matenda a shuga a mtundu woyamba .
• Ngati wina m'banja mwanu (amayi, mlongo) ali ndi matenda a chithokomiro.
• Ngati munali ndi ma antibodies a anti-thyroid m'thupi lanu musanayambe kutenga mimba (mwina simungadziwe za izi, chifukwa mwina sipangakhale zizindikiro).

Kodi mwapeza bwanji izi, Dokotala?

Mukamaliza kufotokoza zizindikiro zanu, dokotala adzakuyesani. Kenako, adzalamula kuti muyesedwe magazi kuti atsimikizire vutoli.

Kuyezetsa magazi kumeneku kumayesa kuchuluka kwa mahomoni a chithokomiro (T3, T4) ndi TSH (Chithokomiro Cholimbikitsa Chithokomiro) m'magazi mwanu. Kutengera ndi kusintha kwa kuchuluka kumeneku, dokotala amatha kuzindikira molondola ngati iyi ndi Postpartum Thyroiditis kapena matenda ena a chithokomiro monga matenda a Graves.

Kodi mankhwala ndi ati? Kodi awa ndi otetezeka kwa mayi woyamwitsa?

Nkhani yabwino ndi yakuti amayi ambiri safunikira chithandizo chapadera chifukwa zizindikiro zawo si zazikulu kwambiri. Komabe, ngati zizindikiro zanu zili zazikulu ndipo zikusokoneza moyo wanu, dokotala wanu adzakupatsani mankhwala.

Chithandizo chimadalira pa msinkhu womwe muli.

• Ngati muli ndi mahomoni ambiri (Hyperthyroidism): Pankhaniyi, mankhwala monga beta-blockers nthawi zambiri amatha kuperekedwa kuti achepetse kugunda kwa mtima, ndi mankhwala monga corticosteroids (monga prednisone) kuti achepetse kutupa.
• Hypothyroidism: Izi zimachiritsidwa ndi mapiritsi a mahomoni a chithokomiro chakunja. Mankhwalawa nthawi zambiri amatenga miyezi 6 mpaka chaka chimodzi. Anthu ambiri amatha kusiya pang'onopang'ono kumwa mankhwalawa chithokomiro chawo chikabwerera mwakale.

Kodi iyi ndi matenda okhalitsa? Kodi ndiyenera kumwa mankhwala kwamuyaya?

Ayi. Matenda a Thyroiditis a Pambuyo pa Kubereka nthawi zambiri amakhala akanthawi kochepa. Mu 70% - 80% ya amayi omwe ali ndi vutoli, kutanthauza kuti, asanu ndi awiri mpaka asanu ndi atatu mwa khumi, chithokomiro cha thyroid chidzayambanso kugwira ntchito bwino pakapita nthawi. Kenako mankhwala sadzafunika.

Komabe, pafupifupi 20% mpaka 30% ya anthu akhoza kukhala ndi hypothyroidism yokhazikika, zomwe zimafuna chithandizo chopitilira cha mahomoni a chithokomiro.

Mukakhala ndi vutoli, mumakhala pachiwopsezo chachikulu chotenga matenda ena a chithokomiro (hypothyroidism kapena goiter) mtsogolo. Chifukwa chake, ngakhale chithokomiro chanu chitabwerera mwakale, ndi bwino kupita kukawonana ndi dokotala nthawi zonse.

Kodi ndingatenge mimba kachiwiri?

Inde, mungathedi. Kukhala ndi thyroiditis ya pambuyo pa kubereka sikukulepheretsani kukhala ndi mwana wathanzi kachiwiri.

Komabe, ngati mukuganiza zokhala ndi mwana wina, ndikofunikira kuuza dokotala wanu za mbiri yanu yakale ya vutoli mukakonzekera kutenga pakati. Izi zili choncho chifukwa anthu omwe adakhalapo ndi vutoli kale ali ndi mwayi wa 20% woti adzalipezenso pa mimba yawo yotsatira. Dokotala wanu amatha kuyang'anira kuchuluka kwa mahomoni a chithokomiro chanu ndikukuthandizani kukhala ndi mimba yabwino.