Ukudinwa okuvayo emva kokuba nomntwana, ubusuku obungalaliyo, uxinzelelo oluza nemisebenzi emitsha... Konke oku, unokucinga ukuba olu tshintsho luqhelekile. Olu luphawu oluqhelekileyo koomama abaninzi. Kodwa ngamanye amaxesha, emva kokudinwa okukhulu, ixhala, kunye notshintsho emzimbeni wakho asikuko imeko eqhelekileyo eyenzeka emva kokubeletha. Isenokuba yimeko ebizwa ngokuba yi-'Postpartum Thyroiditis', abantu abaninzi abangathethi ngayo, kodwa kubalulekile ukuba uyiqaphele.
Ngamafutshane, yintoni i-Postpartum Thyroiditis?
Oku kusenokuvakala ngathi ligama elingaqhelekanga, kodwa kulula kakhulu ukuliqonda. Igama elithi Postpartum lithetha "emva kokubeleka." Igama elithi Thyroiditis lithetha "ukudumba okanye ukudumba kwe-thyroid gland." Igama elithi Postpartum Thyroiditis kukudumba kwe-thyroid gland yakho okwenzeka kunyaka wokuqala emva kokuzalwa komntwana.
Ngoku mhlawumbi uyazibuza, yintoni le ndlala yegilo? Yindlala encinci ebaluleke kakhulu efana nebhabhathane engaphambili entanyeni yethu. Le ndlala ivelisa iihomoni ezilawula izinto ezininzi ezibalulekileyo, njengendlela umzimba wethu osebenzisa ngayo amandla, okanye imetabolism. Ngoko ke xa kukho ingxaki ngale nto, umzimba wonke uyayiva.
Kwenzeka njani oku? Masifunde ngamanqanaba amathathu.
I-Postpartum Thyroiditis idla ngokuhamba ngamanqanaba ahlukeneyo. Nangona kunjalo, ayinguye wonke umntu ohlangabezana nazo zonke ezi zigaba ngokulandelelana okufanayo. Kubalulekile ukukhumbula oko.
| Iqonga | Inkcazo |
|---|---|
| Inqanaba loku-1 (iHyperthyroidism) | Oku kuxa i-thyroid gland idumba kwaye ii-hormone ezigcinwe kuyo ziqokelelana ngequbuliso egazini ngokugqithisileyo. Oku kuthetha ukuba izinga lee-hormone ze-thyroid emzimbeni liyanda kakhulu. Oku kudla ngokuvela phakathi kwenyanga e-1 ukuya kwe-6 emva kokuba umntwana ezelwe. Le meko inokuhlala iveki enye ukuya kwiinyanga ezintathu. |
| Inqanaba lesi-2 (iHypothyroidism) | Emva kokuvelisa iihomoni ezininzi kakhulu, i-thyroid gland iyeka ukusebenza kakuhle. Oko kukuthi, ayivelisi ubungakanani obufunekayo beehomoni. Oku kubangela ukuba izinga leehomoni ze-thyroid emzimbeni lehle kakhulu. Oku kunokwenzeka phakathi kweenyanga ezi-4 nezi-8 emva kokuzalwa komntwana. Le meko inokuhlala ukuya kuthi ga kunyaka. |
| Inqanaba lesithathu (Ukubuyela kwimeko yesiqhelo) | Ixesha elininzi, emva kwezi zigaba zimbini, i-thyroid gland ibuyela esiqhelweni kwaye iqalise ukuvelisa iihomoni ngokwesiqhelo. |
Kodwa khumbula, abanye oomama banokufumana inqanaba lokuqala kuphela (iHyperthyroidism) baze baphile ngoko nangoko. Inqanaba lesibini (iHypothyroidism) lisenokungenzeki konke konke. Amaxesha amaninzi, umntu usenokufuneka ahlale kwisigaba sesibini, nto leyo ethetha ukuba amanqanaba eehomoni aphantsi.
Zithini iimpawu? Siyibona njani le nto?
Eyona ngxaki inkulu ngale nto kukuba ezi mpawu zihlala zidibana neemeko eziqhelekileyo ezenzeka emva kokubeleka.
Oomama abaninzi bacinga ukuba konke oku kudinwa nokutshintshatshintsha kweemvakalelo kubangelwa luxinzelelo lokunyamekela umntwana. Ngenxa yoko, abaziva benyanzelekile ukubona ugqirha.
Makhe sibone ukuba zeziphi iimpawu ezinxulumene nala manqanaba mabini.
Inqanaba lokuqala: Xa iihomoni zisanda (iHyperthyroidism)
Ngeli xesha, iinkqubo zomzimba ziba "zii-hyper," oko kuthetha ukuba ziyakhawuleza. Kodwa abantu abaninzi basenokungabonakalisi zimpawu zibalulekileyo ngeli xesha. Okanye basenokungazinaki.
- Ndihlala ndiziva ndixhalabile kwaye ndingaphumli.
- Ukulahlekelwa ziinwele ezininzi ngaphandle kwesizathu.
- Ukunciphisa umzimba nangona utya kakuhle.
- Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza (i-Tachycardia).
- Ubushushu abunyamezeleki.
Inqanaba lesiBini: Xa iihomoni zincipha (iHypothyroidism)
Abantu abaninzi baqala ukubona iimpawu ngokucacileyo ngeli xesha. Kulapho iinkqubo zomzimba zicotha khona.
- Ukuhlala uziva udiniwe kakhulu kwaye udinwe kakhulu.
- Ukunyuka kobunzima nangona ulawula ukutya nokusela kwakho.
- Ndiziva ndilusizi kwaye ndidandathekile .
- Ulusu olomileyo kakhulu.
- Ukuqhinwa kwesisu .
- Intlungu yomzimba nemisipha.
- Ubisi olunganelanga ukunika umntwana.
- Ukungakwazi ukumelana nengqele.
Kutheni oku kusenzeka? Yintoni unobangela?
Ngamafutshane, oku kukuzilawula komzimba.Imeko apho inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela, ihlasela ngempazamo i-thyroid gland yethu. Kungathi "amajoni" (ii-antibodies) ekufuneka akhusele imizimba yethu kwizifo abhideka njengenye yawo aze ayihlasele. Olu hlaselo lubangela ukuba i-thyroid gland idumbe.
Oku kufana kakhulu nesifo sikaHashimoto , imeko ye-thyroid. Nangona kungaziwa ukuba kutheni oku kwenzeka emva kokukhulelwa, enye yeengcamango eziphambili kukuba le meko yokuzikhusela komzimba yayikhona emzimbeni wakho ngaphambi kokukhulelwa kwaye ivele kuphela emva kokubeleka.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Ukuba unenye okanye ngaphezulu kwezi meko zilandelayo, umngcipheko wakho wokuba ne-postpartum thyroiditis uphezulu kancinci.
- Ukuba ukhe waba nale meko emva kokubeleka kwangaphambili .
- Ukuba unesinye isifo sokuzikhusela komzimba, esifana nesifo seswekile sohlobo 1 .
- Ukuba kukho umntu kusapho lwakho (umama, udadewenu) onesifo se-thyroid.
- Ukuba ubunazo ii-antibodies ze-anti-thyroid emzimbeni wakho ngaphambi kokukhulelwa (usenokungazi ngayo, kuba kusenokwenzeka ukuba akukho zimpawu).
Uyifumana njani le nto, Gqirha?
Wakuba uchaze iimpawu zakho, ugqirha uza kukuhlola. Emva koko, baya kuyalela uvavanyo lwegazi olulula ukuqinisekisa imeko.
Olu vavanyo lwegazi lujonga amanqanaba eehomoni ze-thyroid (T3, T4) kunye ne-TSH (iHormone evuselela iThyroid) egazini lakho. Ngokusekelwe kutshintsho olukwezi nqanaba, ugqirha unokufumanisa ngokuchanekileyo ukuba esi sisifo se-Postpartum Thyroiditis okanye esinye isifo se-thyroid esifana nesifo se-Graves.
Zithini iindlela zonyango? Ngaba ezi ndlela zikhuselekile kumama oncancisayo?
Iindaba ezimnandi zezokuba uninzi loomama aludingi naluphi na unyango olukhethekileyo kuba iimpawu zabo azikho mbi kangako. Nangona kunjalo, ukuba iimpawu zakho zinzima kwaye ziphazamisa ubomi bakho, ugqirha wakho uya kukunika amayeza.
Eyona nto ibalulekileyo kukuba ukuba uncancisa, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ukuze akwazi ukukunika amayeza akhuselekileyo kuwe nakumntwana wakho.
Unyango luxhomekeke kwinqanaba okulo.
- Kwimeko yamanqanaba aphezulu eehomoni (iHyperthyroidism): Kule meko, amayeza afana ne -beta-blockers anokunikwa ukulawula izinga lokubetha kwentliziyo, kunye namayeza afana ne -corticosteroids (umz. i-prednisone) ukunciphisa ukudumba.
- I-Hypothyroidism: Oku kunyangwa ngeepilisi zehomoni ye-thyroid yangaphandle. Olu nyango luhlala luthatha iinyanga ezi-6 ukuya kunyaka. Uninzi lwabantu lunokuyeka kancinci kancinci ukuthatha eli yeza xa i-thyroid gland yabo ibuyele esiqhelweni.
Ingaba esi sisifo esingapheliyo? Ngaba kuya kufuneka ndithathe amayeza ngonaphakade?
Hayi. I-Postpartum Thyroiditis idla ngokuba yimeko yexeshana. Kwi-70% - 80% yoomama abafumana le meko, oko kukuthi, abasixhenxe ukuya kwabasibhozo kwabalishumi, i-thyroid gland iya kuqala ukusebenza ngokuqhelekileyo kwakhona ngokuhamba kwexesha. Emva koko amayeza akayi kufuneka.
Nangona kunjalo, malunga nama-20% ukuya kuma-30% abantu banokuba ne-hypothyroidism engapheliyo, nto leyo edinga unyango oluqhubekayo lokutshintshwa kweehomoni ze-thyroid.
Wakuba unesi sifo, usemngciphekweni omkhulu wokuba nezinye iimeko ze-thyroid (i-hypothyroidism okanye i-goiter) kwixesha elizayo. Ngoko ke, nokuba i-thyroid gland yakho ibuyela esiqhelweni, kububulumko ukuba uhlolwe rhoqo ngugqirha wakho.
Ndingakhulelwa kwakhona?
Ewe, ngokuqinisekileyo unako. Ukuba ne-postpartum thyroiditis akukuthinteli ekubeni nomntwana ophilileyo kwakhona.
Nangona kunjalo, ukuba ucinga ngokuba nomntwana omnye, kubalulekile ukuxelela ugqirha wakho ngembali yakho yangaphambili yale meko xa uceba ukukhulelwa. Oku kungenxa yokuba abantu abakhe baba nale meko ngaphambili banethuba elingama-20% lokuphinda bayifumane kwakhona ekukhulelweni kwabo okulandelayo. Ugqirha wakho unokujonga amanqanaba ehomoni yakho ye-thyroid aze akuncede ukuba ukhulelwe kakuhle.
Umyalezo Wokuya Ekhaya
- Musa ukuyityeshela iimvakalelo zokudinwa kakhulu, usizi, kunye notshintsho lobunzima emva kokufumana umntwana njengezinto "eziqhelekileyo." Kusenokuba kukho imeko ebizwa ngokuba yi-Postpartum Thyroiditis emva kwayo.
- Oku kudla ngokuba yimeko yexeshana. Uninzi lwabantu luyaphila ngokupheleleyo ngokuhamba kwexesha. Ngoko ke ungakhathazeki.
- Ukuba unale mpawu, qiniseka ukuba ubona ugqirha wakho ukuze akunike ingcebiso. Le meko ingafunyanwa ngovavanyo lwegazi olulula.
- Ukuba uncancisa, ungalibali ukuxelela ugqirha wakho ngaphambi kokuba uthathe unyango. Kukho amayeza akhuselekileyo kuwe nakumntwana wakho.
- Nangona ukhulelwe ngale meko, kunokwenzeka ukuba uphinde ukhulelwe ngendlela esempilweni. Nangona kunjalo, kubaluleke kakhulu ukwazisa ugqirha wakho ngaphambi kokuba ukhulelwe kwakhona.
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