Ngemva kokuzalwa komntwana wakho, ungase uzizwe ukhathele, uzizwe ushintshashintshashintsha imizwa ngokuzumayo, noma uqaphele ukushintshashintsha kwesisindo sakho—ungaze ucabange ukuthi lezi yizingxenye ezijwayelekile zokuba ngumama omusha. Nakuba lokho kuvame ukuba njalo, kunezikhathi lapho lezi zimpawu zidlula khona ukukhathala okuvamile kwangemva kokubeletha. Namuhla, sifuna ukukhuluma ngesimo abanye omama ababhekana naso ngemva kokubeletha, esivame ukunganakwa: I-Postpartum Thyroiditis .
Iyini ngempela i-Postpartum Thyroiditis?
Kalula nje, i-Postpartum Thyroiditis ukuvuvukala kwendlala yakho yegilo okwenzeka phakathi nonyaka wokuqala ngemva kokubeletha. I-thyroid iyindlala encane, efana novemvane etholakala phansi kwentamo yakho. Ikhiqiza ama-hormone alawula imisebenzi ebalulekile yomzimba, okuhlanganisa nokusetshenziswa kwe-metabolism yakho. Lawa ma-hormone egilo abalulekile endleleni umzimba wakho ocubungula ngayo amandla.
Lesi simo ngokuvamile sivela ngezigaba:
1. Isigaba Sokuqala (i-Hyperthyroidism): Ngenxa yokuvuvukala, i-thyroid ikhipha ama-hormone amaningi agciniwe egazini lakho. Lokhu kwaziwa ngokuthi i-hyperthyroidism . Lesi sigaba sivame ukwenzeka phakathi kwenyanga eyodwa kuya kweziyisithupha ngemva kokubeletha futhi singahlala amasonto amaningana kuya ezinyangeni ezimbalwa.
2. Isigaba Sesibili (i-Hypothyroidism): I-thyroid ayisebenzi kahle futhi ayikhiqizi ama-hormone anele, okuholela ku -hypothyroidism . Lokhu kuvame ukuqala phakathi kwezinyanga ezine kuya kweziyisishiyagalombili ngemva kokubeletha futhi kungase kuqhubeke kuze kube unyaka.
3. Isigaba Sesithathu: Ezimweni eziningi, indlala yegilo igcina isilulame futhi ibuyele ekukhiqizweni kwamahomoni okuvamile.
Kubalulekile ukuqaphela ukuthi akuwona wonke umuntu olandela le nqubo ngqo. Abanye bangase babhekane nesigaba se-hyperthyroid kuphela, kulandelwe ukubuyela esimweni esijwayelekile, kanti abanye bangase bathuthukele ngqo kwi-hypothyroidism. Ezimweni ezingavamile, isigaba se-hypothyroid singase sibe unomphela, sidinga ukwelashwa okuqhubekayo kokufakwa esikhundleni kwamahomoni .
Sivame kangakanani lesi simo?
Izilinganiso zisikisela ukuthi abesifazane abangu-5% kuya ku-10% bangase babe ne-Postpartum Thyroiditis phakathi nonyaka wokuqala ngemva kokubeletha, ukuphuphuma kwesisu, noma ukukhishwa kwesisu. Ingozi ingaba phezulu kulabo asebevele benomlando wezimo ze-thyroid noma ezinye izici eziyingozi.
Ziyini izimpawu?
Esigabeni sokuqala (i-hyperthyroid), izimpawu zivame ukuba zincane futhi zingase zingabonwa. Uma zikhona, zibonisa "ukusheshisa" kwe-metabolism yakho, njengokuthi:
- Ukukhathazeka noma ukucasuka okungachazeki.
- Ukulahlekelwa izinwele okwandisiwe.
- Ukwehlisa isisindo okungachazeki.
- Isilinganiso senhliziyo esisheshayo (i-tachycardia).
- Ukuzwela ukushisa kanye nokujuluka okukhulu.
Izimpawu zivame ukugqama kakhulu esigabeni sesibili (i-hypothyroidism), lapho i-metabolism yakho yehla khona. Ungase ubhekane nalokhu:
- Ukukhathala Okukhulu: Lokhu kudlula ukukhathala okuvamile komama osanda kubeletha. Ngisho noma uphumule, ungase uzizwe ukhathele ngokuphelele.
- Ukwanda kwesisindo : Ukwanda kwesisindo naphezu kokushintsha kokudla kwakho.
- Ukucindezeleka : Imizwa eqhubekayo yokudabuka, ukungabi nasithakazelo, noma ukungabi namizwa.
- Isikhumba esomile.
- Ukuqunjelwa .
- Ubuhlungu bemisipha.
- Ubunzima ngokutholakala kobisi.
- Ukuzwela umkhuhlane: Ukuzizwa ubanda ngisho noma abanye bekhululekile.
Kubalulekile ukukhumbula ukuthi lezi zimpawu ze-hypothyroidism zingadidaniswa kalula namaqiniso okunakekela usana olusanda kuzalwa. Kodwa-ke, uma lezi zimpawu ziqhubeka noma ziba zimbi kakhulu, sicela uxhumane nodokotela wakho ngokushesha. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni.
Kungani lokhu kwenzeka?
I-Postpartum Thyroiditis ibangelwa kakhulu ama-anti-thyroid antibodies ahlasela i-thyroid gland yakho. Ngokuvamile, ama-antibodies asebenza njengabaqaphi bomzimba wakho, ekuvikela kumagciwane ayingozi.
Uma kwenzeka i-Postpartum Thyroiditis, amasosha omzimba wakho athola ngephutha i-thyroid gland yakho njengosongo. Lokhu kusabela kwe-autoimmune kubangela ukuvuvukala. Le nqubo ifana kakhulu nesifo sikaHashimoto, olunye uhlobo oluvamile lokuvuvukala kwe-thyroid. Ithimba lakho eNirogi Lanka lilapha ukukusekela kuzo zonke izinyathelo zohambo lwakho lwezempilo.
Ososayensi basasebenza ukuqonda ukuthi kungani la ma-antibodies eqala ukuhlasela ngemva kokubeletha. Kodwa-ke, inkolelo-mbono evamile ukuthi uma uke waba nesimo sokuzivikela komzimba esingatholakalanga ngaphambi kokukhulelwa, amasosha omzimba wakho angase abe sengozini enkulu yalokhu kuqhuma ngemva kokubeletha. Njengoba kushiwo, isimo sokuzivikela komzimba senzeka lapho ama-antibodies akho ehlasela ngephutha amangqamuzana nezicubu zomzimba wakho ezinempilo.
Ubani osengozini enkulu yokuthuthukisa lokhu?
Ingozi yakho yokuthola i-Postpartum Thyroiditis ingaba phezulu uma:
- Uke waba ne- Postpartum Thyroiditis ngaphambilini ngemva kokukhulelwa kwangaphambilini.
- Unesifo sikashukela sohlobo 1 (okuyisifo esibangelwa ukuzivikela komzimba).
- Unomlando womuntu siqu noma womndeni wezinkinga ze-thyroid.
- Ubunamasosha omzimba alwa ne-thyroid akhona ohlelweni lwakho ngisho nangaphambi kokukhulelwa (kungenzeka ukuthi ubungazi ngalokhu, njengoba kungenzeka ukuthi awuzange ubonise zimpawu).
Kutholakala kanjani lokhu?
Uma uvakashela udokotela wakho, bazokwenza ukuhlolwa ngokomzimba futhi babukeze izimpawu zakho. Ngemva kwalokhu, kuzoyalwa ukuhlolwa kwegazi ukuze kuhlolwe amazinga e-hormone yakho ye-thyroid—ikakhulukazi i-T3, i-T4, kanye ne-TSH . Ngokuvamile, lokhu kuhlolwa kwegazi kwanele ukuqinisekisa i-Postpartum Thyroiditis. Kuphinde kusize ukuhlukanisa lesi simo kwezinye izinkinga ezinezimpawu ezifanayo, njengesifo sikaGraves , isimo sokuzivikela komzimba esihlala isikhathi eside esilingisa izimpawu ze-Postpartum Thyroiditis.
Yiziphi izindlela zokwelapha?
Abesifazane abaningi babhekana nezimpawu ezincane kuphela, okusho ukuthi ukwelashwa okusebenzayo kungase kungadingeki ngaso sonke isikhathi. Kodwa-ke, uma izimpawu zakho zinzima, kuzodingeka ukungenelela kwezokwelapha. Uma uncelisa, kubalulekile ukwazisa udokotela wakho ngokushesha ukuze akwazi ukukunikeza imithi ephephile kuwe nakumntwana wakho.
Isu lokwelashwa lincike ekutheni usesigabeni se -Hyperthyroidism noma se -Hypothyroidism .
- Nge-Hyperthyroidism: Imithi efana ne -corticosteroids (isb., i-prednisone) kanye ne -beta-blockers ingasetshenziswa. Ama-Corticosteroids anciphisa ukuvuvukala, kuyilapho ama-beta-blockers esiza ukulawula izimpawu ngokuvimbela imiphumela yama-hormone e-thyroid amaningi.
- Nge-Hypothyroidism: Cishe uzodinga ukwelashwa kokushintsha ama-hormone e-thyroid . Lokhu kwelashwa kuvame ukuhlala phakathi kwezinyanga eziyisithupha kuya onyakeni. Njengoba i-thyroid gland yakho ilulama, udokotela wakho uzonciphisa kancane kancane futhi ekugcineni ayeke imithi.
Kuwo wonke uhambo lwakho lokwelashwa, udokotela wakho eNirogi Lanka uzoqapha amazinga akho e-thyroid hormone eduze.
Ingabe lesi yisimo esihlala njalo?
I-Postpartum Thyroiditis ngokuvamile iyisimo sesikhashana. Kubantu abangu-70% kuya ku-80% balabo abathintekile, lesi simo siyaphela sodwa, bese indlala yegilo iqala ukusebenza ngendlela evamile. Kodwa-ke, u-20% kuya ku-30% angahlala esigabeni se -Hypothyroidism , okudinga ukwelashwa kwamahomoni isikhathi eside.
Kubalulekile ukuqaphela ukuthi ukuba ne-Postpartum Thyroiditis kwandisa ingozi yakho yezinkinga ze-thyroid esikhathini esizayo, njenge-Hypothyroidism engapheli noma i-Goiter (ukwanda kwe-thyroid). Ngisho noma i-thyroid yakho ilulama, udokotela wakho angase ancome ukuqapha njalo ukuqinisekisa impilo yakho yesikhathi eside.
Kuthatha isikhathi esingakanani ukululama?
I-Postpartum Thyroiditis ivame ukuhlala phakathi kwezinyanga ezingu-12 kuya kwezingu-18. Ezimweni eziningi, ukusebenza kwe-thyroid yakho kuzobuyela esimweni esijwayelekile phakathi nalesi sikhathi, lapho imithi ivame ukungasadingeki khona.
Ngingakhulelwa futhi ngemva kwe-Postpartum Thyroiditis?
Impela. Abesifazane abaningi abaye baba ne-Postpartum Thyroiditis bayaqhubeka nokukhulelwa okunempilo nokuphumelelayo. Isinyathelo esibaluleke kakhulu ukwazisa udokotela wakho uma uhlela ukukhulelwa okunye . Lokhu kungenxa yokuthi cishe abesifazane abangu-20% abaye baba nalesi simo bangase baphinde babhekane nokukhulelwa esikhathini esizayo.
Ngokuqapha amazinga akho e-thyroid ngendlela esebenzayo, udokotela wakho angakuqondisa ekukhulelweni okunempilo nokuphephile.
Yini okufanele ngiyibuze udokotela wami?
Uma uthintana nodokotela wakho, sincoma ukuthi ubuze imibuzo elandelayo:
- Ingabe nginezinye izinkinga ze-thyroid noma izinkinga zokuzivikela komzimba eziyisisekelo?
- Yiluphi uhlelo lokwelashwa olungincomayo?
- Njengoba ngincelisa, yimiphi imithi ephephile kakhulu kimi ukuyisebenzisa?
- Ngingakwazi nini ukunciphisa noma ukuyeka imithi yami ye-thyroid?
- Yisiphi isimiso sokulandelela osincomayo ukuze ngiqaphe isimo sami?
- Yiziphi izimpawu ezithile okufanele ngiziqaphele ezingase zibonise inkinga entsha noma eya iba yimbi ye-thyroid?
Omama abaningi abanesifo se-Postpartum Thyroiditis bayaphuza ukuya kudokotela ngoba baphambanisa izimpawu zabo nezinselele ezivamile zokuphila ngemva kokubeletha. Eqinisweni, ukukhathala okukhulu kanye nobuhlungu bemisipha obuhambisana nokunakekela usana olusanda kuzalwa kungazifihla kalula izimpawu ze-hypothyroidism. Kodwa-ke, uma lezi zimpawu ziqhubeka, sicela ungabi nomuzwa wokuthi udinga nje 'ukumelana nazo.' Inkinga ingaba yi-thyroid yakho. Ukuhlolwa kwegazi okulula kungaqinisekisa lokhu, futhi kunezindlela zokwelapha ezisebenzayo neziphephile ezitholakalayo zokukusiza uzizwe sengathi ungubani futhi futhi uphathe impilo nomntwana wakho omusha. Inhlalakahle yakho ibalulekile, ngakho-ke sicela ubeke impilo yakho phambili.
Izinto Ezibalulekile Okufanele Uzikhumbule (Okufanele Uzikhumbule)
Sithemba ukuthi lokhu kubuka konke kukunikeze ukuqonda okucacile nge-Postpartum Thyroiditis. Nazi izinto ezibaluleke kakhulu okufanele uzikhumbule:
- I-Postpartum Thyroiditis ukuvuvukala kwendlala yegilo okungenzeka phakathi nonyaka wokuqala ngemva kokubeletha.
- Lesi simo singabonakala njenge -hyperthyroidism yokuqala, kulandelwe yi-hypothyroidism, yize kungebona bonke abantu ababhekana nezigaba zombili.
- Ungazinaki izimpawu—ikakhulukazi ukukhathala okukhulu, ukukhuluphala, ukucindezeleka, ukuqunjelwa, noma ukwehla kokunikezwa kobisi lwebele —njengengxenye nje yokuba ngumama omusha.
- Imbangela eyinhloko impendulo yokuzivikela komzimba lapho ama-antibodies ethinta khona i-thyroid gland.
- Lesi simo sitholakala kalula ngokuhlolwa kwegazi okulula.
- Ngokuvamile kungokwesikhashana futhi kuyalapheka kakhulu, kunezinketho eziphephile komama abancelisayo.
- Uma ubona lezi zimpawu, ungangabazi ukubonana nodokotela wakho. Ukutholwa kusenesikhathi kuholela ekukhululekeni okusheshayo kanye nokuphathwa okungcono.
Sithemba ukuthi lolu lwazi luwusizo kuwe. KwaNirogi Lanka, sikufisela okuhle kakhulu wena nomndeni wakho empilweni nasenhlalweni.
