Ngaba nawe uyaluva olu tshintsho lungaqhelekanga emva kokubeleka? Masifunde ngePostpartum Thyroiditis Sinhala!

Ukudinwa emva kokuzala umntwana, ngamanye amaxesha uzive ungaphumli, unyuka okanye wehla ubunzima… Usenokucinga ukuba ezi zizinto eziqhelekileyo kumama omtsha. Uninzi lwexesha, zinjalo. Kodwa ngamanye amaxesha ezi mpawu zinokuba ngaphezu kokudinwa emva kokuzalwa. Namhlanje, siza kuthetha ngemeko abanye oomama abanokuyiva emva kokubeletha, kodwa akuthethwa kakhulu ngayo. Le yi -postpartum thyroiditis , okanye " Postpartum Thyroiditis " .

Yintoni le nto kuthiwa yi-postpartum thyroiditis?

Ngamafutshane, `(Postpartum Thyroiditis)` yimeko apho i-thyroid gland yakho idumba okanye ivuvukala kunyaka wokuqala emva kokubeleka. Le yimeko engaqhelekanga kakhulu. Ubusazi ukuba i-thyroid gland yi-gland encinci, efana nebhabhathane ekwinxalenye engaphambili nesezantsi yentamo yethu. Ivelisa iihomoni ezilawula iinkqubo ezininzi ezibalulekileyo emzimbeni wethu. Ezi homoni ze-thyroid zibaluleke kakhulu ekulawuleni indlela esisebenzisa ngayo amandla, oko kukuthi, imetabolism yethu.

I-Postpartum Thyroiditis idla ngokuvela ngamanqanaba ahlukeneyo.

1. Inqanaba loku-1: Kulapho i-thyroid gland ivelisa i-hormone eninzi kakhulu ize iyikhuphe iye egazini ngenxa yokuvuvukala. Oku kubizwa ngokuba yi-hyperthyroidism . Eli nqanaba lidla ngokuvela kwinyanga enye enesiqingatha ukuya kwezintandathu emva kokuzala. Lingathatha iveki enye ukuya kwiinyanga ezintathu.

2. Inqanaba lesi-2: Oku kuxa i-thyroid gland ingavelisi iihomoni ezaneleyo. Oku kubizwa ngokuba yi-hypothyroidism . Oku kudla ngokuqala phakathi kweenyanga ezine ukuya kwezisibhozo emva kokuzala. Kunokuhlala ixesha elingangonyaka.

3. Inqanaba lesiThathu: Kweli nqanaba, i-thyroid gland idla ngokubuyela kwisimo sayo esiqhelekileyo kwaye imveliso yeehomoni ibuyela kwisimo sayo esiqhelekileyo.

Nangona kunjalo, ayinguye wonke umntu odlula kuzo zonke ezi zigaba zintathu ngolu hlobo. Abanye abantu abafiki kwinqanaba lesibini, eliyi-"Hypothyroidism." Bafumana i-"Hyperthyroidism," kwaye emva koko umsebenzi wabo we-thyroid ubuyela kwisiqhelo. Kwakhona, nangona kunqabile kakhulu, abanye abantu banokuhlala kwinqanaba le-"Hypothyroidism". Emva koko kufuneka baqhubeke nokuthatha unyango lokutshintshwa kweehomoni ukulawula amanqanaba abo aphantsi ehomoni ye-thyroid.

Ixhaphake kangakanani le meko?

Kuqikelelwa ukuba phakathi kwe-5% ne-10% yabasetyhini baya kuba ne-postpartum thyroiditis kunyaka wokuqala emva kokubeleka, ukukhupha isisu, okanye ukususwa kwesibeleko. Nangona kunjalo, eli nani linokuba phezulu kwabo banezinye izinto ezinobungozi, ezifana nesifo se-thyroid.

Zithini iimpawu zoku?

Ixesha elininzi, kwinqanaba lokuqala, elibizwa ngokuba yi-"Hyperthyroidism," iimpawu azibonakali. Usenokungazi nokuba kunjalo. Kodwa ukuba iimpawu ziyenzeka, zihlala zinxulumene neenkqubo zomzimba (ezifana ne-metabolism) eziba "zii-hyper" okanye ezikhawulezayo. Nazi ezinye zeempawu:

• Ukuhlala uziva ungenazolo kwaye uxhalabile.
• Ukulahleka kweenwele okwandileyo.
• Ukuba mncane ngaphandle kwesizathu.
• Ukunyuka kwesantya sentliziyo (iTachycardia).
• Ukunganyamezelani nobushushu, ukubila okwandileyo.

Uninzi lwabantu luqala ukuqaphela iimpawu kwinqanaba lesibini, elibizwa ngokuba yi-hypothyroidism. Oku kuxa iinkqubo zomzimba (ezifana ne-metabolism) zicotha. Oku kunokukhokelela kwiimpawu ezifana nezi:

• Ukudinwa kakhulu: Oku akupheleli nje ekudinweni okuqhelekileyo okuza nomntwana. Luhlobo lokudinwa olukwenza uzive ngathi uza kuhlala ebhedini imini yonke, nokuba uphumle kangakanani na.
• Ukwanda kobunzima : Ungaziva ngathi uyatyeba nangona indlela otya ngayo ingatshintshanga.
• Iimeko zengqondo ezifana nokudakumba :Ndihlala ndiziva ndilusizi, ndiphelelwa ngumdla kuyo yonke into, kwaye andifuni nokwenza izinto endandizithanda ngaphambili.
• Ulusu olomileyo.
• Ukuqhinwa kwesisu .
• Intlungu yemisipha.
• Ukungavelisi ubisi lwebele olwaneleyo kumntwana.
• Ukunganyamezelani nomkhuhlane: Usenokuziva ubanda ngendlela enganyamezelekiyo ngelixa abanye beziva umkhuhlane oqhelekileyo.

Into ebalulekileyo kukuba ezi mpawu ze-`(Hypothyroidism)` zinokudidaniswa nezinto eziqhelekileyo umama omtsha ahlangabezana nazo emva kokubeleka. Izinto ezinje ngokudinwa kunye neentlungu zemisipha ziqhelekile xa enyamekela usana. Kodwa ukuba ezi mpawu ziyaqhubeka okanye ziba nzima, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto ibangela `(Postpartum Thyroiditis)` kukuhlaselwa kwe-thyroid gland yakho ngama-anti-thyroid antibodies. Ubusazi, sinenxalenye yomzimba wethu ebizwa ngokuba yi-`Antibodies'. Umsebenzi wabo kukusikhusela ngokulwa neentsholongwane ezibangela izifo. Kufana noonogada emzimbeni wethu.

Kodwa kwi-"Postpartum Thyroiditis", la ma-antibodies enza impazamo encinci aze aqale ukuhlasela i-thyroid gland yethu. Olu hlaselo lubangela ukudumba kwe-thyroid gland. Le nkqubo ifana kakhulu ne-"Hashimoto's disease", uhlobo oluqhelekileyo lwe-thyroiditis.

Izazinzulu azikayazi kakuhle ukuba kutheni la ma-antibodies eqala ukuhlasela emva kokubeleka. Kodwa enye ingcamango edumileyo kukuba ukuba ubunemeko yokuzikhusela komzimba ngaphambi kokuba ukhulelwe, kusenokwenzeka ukuba uyifumane emva kokubeleka. Imeko yokuzikhusela komzimba, njengoko benditshilo ngaphambili, kukuba ama-antibodies ethu ahlasela iiseli zethu eziphilileyo kunye nezicubu.

Ngubani osengozini enkulu yokuphuhlisa oku?

Usenokuba sengozini enkulu yokuba ne-``Postpartum Thyroiditis``` ukuba:

• Ukuba ukhe waba ne-postpartum thyroiditis ngexesha lokubeleka kwangaphambili.
• Eya kuweUkuba unesifo seswekile sohlobo loku-1 (kwakhona sisifo sokuzikhusela komzimba).
• Ukuba wena okanye umntu kusapho lwakho unembali yesifo se-thyroid .
• Ukuba ubukhe waba nee-anti-thyroid antibodies emzimbeni wakho ukususela ngaphambi kokuba ukhulelwe (usenokuba ubungazi ngayo kuba ubungenazo iimpawu).

Oogqirha bayixilonga njani le nto?

Xa ubona ugqirha, uza kukuxilonga aze akubuze ngeempawu zakho. Emva koko, baza kwenza uvavanyo lwegazi ukujonga amanqanaba eehomoni ze-thyroid egazini lakho (ngokukodwa, iihomoni ezibizwa ngokuba yi-T3, T4, okanye i-TSH). Olu vavanyo lwegazi ludla ngokwanela ukufumanisa i-postpartum thyroiditis. Lunokunceda ukwahlula kwezinye iimeko ezineempawu ezifanayo, ezifana nesifo sikaGraves. Isifo sikaGraves sisifo esihlala ubomi bonke esibangela iimpawu ezifana ne-postpartum thyroiditis.

Luthini unyango?

Uninzi lwabasetyhini alubi naso esi sifo sinzima kangaka. Ngoko ke, ukuba iimpawu zakho azinzima kangako, usenokungadingi unyango. Nangona kunjalo, ukuba iimpawu zakho zinzima kakhulu, usenokufuna ukuthatha amayeza. Ukuba uncancisa, qiniseka ukuba uxelele ugqirha wakho. Angacebisa amayeza akhuselekileyo kuwe nakumntwana wakho.

Unyango luxhomekeke ekubeni ukwinqanaba elithi "Hyperthyroidism" okanye "Hypothyroidism".

• Kwi-(Hyperthyroidism): Amayeza oku aquka `(Corticosteroids)` (ezifana ne `(Prednisone)`) kunye `(Beta-blockers)`. `(Corticosteroids)` anciphisa ukudumba. `(Beta-blockers)` athintela imiphumo yeehomoni ze-thyroid. Zombini ezi zinto zinokulawula iimpawu.
• Kwi-hypothyroidism: Oku kuya kufuna unyango lokutshintshwa kwehomoni ye-thyroid . Olu nyango ludla ngokuthatha iinyanga ezintandathu ukuya kunyaka. Nje ukuba i-thyroid gland yakho ibuyele esiqhelweni, unganciphisa kancinci kancinci inani lale mayeza uze uyeke ukuwasebenzisa.

Ugqirha wakho uza kujonga amanqanaba ehomoni yakho ye-thyroid kulo lonke unyango lwakho.

Ingaba le yimeko ehlala ihleli? Ngaba iya kuhlala ihleli?

I-Postpartum Thyroiditis idla ngokuba yimeko yexeshana. Malunga nama-70% ukuya kuma-80% abantu abanale meko ekugqibeleni baya kuyeka ukufuna amayeza kuba i-thyroid gland yabo iya kuqala ukuvelisa iihomoni ngokuqhelekileyo kwakhona. Amanye ama-20% ukuya kuma-30% asenokuhlala kwinqanaba le-hypothyroidism. Kuya kufuneka bathathe unyango lwe-thyroid hormone ixesha elide.

Kwakhona, i-postpartum thyroiditis inokunyusa umngcipheko wokuba nezinye iingxaki ze-thyroid kwixesha elizayo, ezifana ne-hypothyroidism okanye i-goiter. Nokuba i-thyroid yakho ibuyela esiqhelweni, ugqirha wakho unokukucebisa ukuba uqhubeke nokujonga i-thyroid yakho.

Kuthatha ixesha elingakanani ukuphiliswa?

I-Postpartum Thyroiditis idla ngokuthatha unyaka ukuya kunyaka onesiqingatha. Kwiimeko ezininzi, i-thyroid yakho iya kubuyela esiqhelweni kwiinyanga ezili-12 ukuya kwezili-18 emva kokuba uqale ukubona iimpawu. Awusayi kufuna amayeza.

Ngaba ndingakhulelwa kwakhona emva kokuba ndinesifo se-postpartum thyroiditis?

Ngokuqinisekileyo kunokwenzeka. Abafazi abaninzi abaye baba ne-postpartum thyroiditis bayaqhubeka nokukhulelwa okunempilo. Kodwa eyona nto ibalulekileyo kukuba ukuba uceba ukukhulelwa kwakhona, kufuneka uxelele ugqirha wakho ukuba ukhe waba nale meko ngaphambili. Kuba malunga nama-20% abafazi abaye baba ne-postpartum thyroiditis ngaphambili baya kuba nayo kwakhona ekukhulelweni kwabo okulandelayo.

Emva koko ugqirha wakho unokujonga amanqanaba ehomoni yakho ye-thyroid aze akukhokele ekukhulelweni okunempilo.

Ndingayibuza ntoni ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Ngaba ndinesinye isifo se-thyroid okanye imeko yokuzikhusela komzimba?
• Luhlobo luni lonyango olucetyiswayo?
• Ekubeni ndincancisa, zeziphi amayeza akhuselekileyo okusebenzisa?
• Ndingawunciphisa nini amayeza am e-thyroid?
• Yeyiphi ishedyuli ekufuneka ndibuye kuyo ukuze ndijonge imeko yam?
• Ukuba ndifumana ingxaki entsha ye-thyroid, zeziphi iimpawu ekufuneka ndizijonge?

Abantu abaninzi abaneempawu ze-`(Postpartum Thyroiditis)` bayalibazisa ukuya kugqirha kuba becinga ukuba olu tshintsho luqhelekile emva kokubeleka. Enyanisweni, izinto ezinje ngokudinwa kunye neentlungu zemisipha ngexesha lokunyamekela usana olusandul' ukuzalwa zinokuvakala njengeempawu ze-`(Hypothyroidism)`. Nangona kunjalo, ukuba ezi mpawu azipheli, musa ukucinga ukuba, "Ndimele ndijongane nale nto." Ingxaki isenokuba yi-thyroid yakho. Uvavanyo olulula lwegazi lunokubonisa ngokuqinisekileyo. Kukho amayeza anokukunceda uhlale usempilweni kwaye ulawule ubomi nosana olutsha. Yiyo loo nto kubaluleke kakhulu ukuzinyamekela.

Izinto ezibalulekileyo ekufuneka sizikhumbule kwizinto esizithethileyo (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo (i-Postpartum Thyroiditis). Nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• I-Postpartum Thyroiditis kukudumba kwe-thyroid gland okunokwenzeka kunyaka wokuqala emva kokuzalwa.
• Kule meko , iihomoni ze-thyroid zinokwanda ekuqaleni (i-Hyperthyroidism) zize zinciphe (i-Hypothyroidism). Asinguye wonke umntu ofumana la manqanaba omabini.
• Iimpawu (ingakumbi kwi-hypothyroidism) ziquka ukudinwa, ukutyeba, ukudakumba, ukuqhina, kunye nokuncipha kokuveliswa kobisi lwebele.) Musa ukubhidanisa oku notshintsho oluqhelekileyo oluza emva kokubeleka.
• Oku kungenxa yee-antibodies ezihlasela i-thyroid gland.
• Oku kungafunyaniswa ngovavanyo lwegazi .
• Oku kudla ngokuba yinto yexeshana kwaye kunokunyangeka ngonyango. Kukho unyango olukhuselekileyo loomama abancancisayo.
• Ukuba unale mpawu, ungathandabuzi ukubona ugqirha ukuze akunike icebiso. Okukhona uyibona ngokukhawuleza, kokukhona ungafumana isiqabu ngokukhawuleza.

Ukuba olu lwazi luluncedo, oko kuya kuba luvuyo olukhulu. Ndikunqwenelela impilo entle wena nosapho lwakho!