Ingabe nawe uzizwa lolu shintsho olungavamile ngemva kokubeletha? Ake sifunde nge-Postpartum Thyroiditis Sinhala!

Ukuzizwa ukhathele ngemva kokubeletha, ngezinye izikhathi uzizwa ungakhululekile, ukhula noma wehlisa isisindo… Ungase ucabange ukuthi lezi yizinto ezivamile kumama omusha. Esikhathini esiningi, zinjalo. Kodwa ngezinye izikhathi lezi zimpawu zingaba ngaphezu kokukhathala ngemva kokubeletha. Namuhla, sizokhuluma ngesimo abanye omama abangabhekana naso ngemva kokubeletha, kodwa akukhulunywa ngaso kakhulu. Leso yi -postpartum thyroiditis , noma " Postpartum Thyroiditis " .

Kuyini lokhu okubizwa ngokuthi i-postpartum thyroiditis?

Kalula nje, `(Postpartum Thyroiditis)` yisimo lapho indlala yakho yegilo ivuvukala noma ivuvukala phakathi nonyaka wokuqala ngemva kokubeletha. Lesi yisimo esingavamile kakhulu. Ubuwazi ukuthi indlala yegilo iyindlala encane, efana novemvane etholakala engxenyeni engaphambili nangezansi yentamo yethu. Ikhiqiza ama-hormone alawula izinqubo eziningi ezibalulekile emzimbeni wethu. La ma-hormone egilo abaluleke kakhulu ekulawuleni indlela esisebenzisa ngayo amandla, okungukuthi, i-metabolism yethu.

I-Postpartum Thyroiditis ivame ukwenzeka ngezigaba eziningana.

1. Isigaba 1: Lokhu kwenzeka lapho i-thyroid gland ikhiqiza i-hormone eningi kakhulu bese iyikhipha egazini ngenxa yokuvuvukala. Lokhu kubizwa ngokuthi i-hyperthyroidism . Lesi sigaba sivame ukwenzeka phakathi nenyanga eyodwa nesigamu kuya kweziyisithupha ngemva kokubeletha. Singahlala kusukela esontweni elilodwa kuya cishe ezinyangeni ezintathu.

2. Isigaba 2: Lokhu kwenzeka lapho indlala yegilo ingakhiqizi amahomoni anele. Lokhu kubizwa ngokuthi i-hypothyroidism . Lokhu kuvame ukuqala phakathi kwezinyanga ezine kuya kweziyisishiyagalombili ngemva kokubeletha. Kungathatha isikhathi esingangonyaka.

3. Isigaba Sesithathu: Kulesi sigaba, indlala yegilo ivame ukubuyela esimweni esijwayelekile futhi ukukhiqizwa kwamahomoni kubuyela emazingeni ajwayelekile.

Kodwa-ke, akubona bonke abantu abadlula kuzo zonke izigaba ezintathu ngale ndlela. Abanye abantu abafiki esigabeni sesibili, okuyi-"Hypothyroidism." Bathola i-"Hyperthyroidism," bese umsebenzi wabo we-thyroid ubuyela esimweni esijwayelekile. Futhi, nakuba kungavamile kakhulu, abanye abantu bangahlala esigabeni se-"Hypothyroidism". Bese kufanele baqhubeke nokuthatha ukwelashwa kokufaka esikhundleni sama-hormone ukulawula amazinga abo aphansi ama-hormone e-thyroid.

Sivame kangakanani lesi simo?

Kulinganiselwa ukuthi phakathi kuka-5% no-10% wabesifazane bazoba ne-postpartum thyroiditis phakathi nonyaka wokuqala ngemva kokubeletha, ukukhipha isisu, noma ukususwa kwesibeletho. Kodwa-ke, leli phesenti lingase libe phezulu kulabo abanezinye izici eziyingozi, njengesifo se-thyroid.

Ziyini izimpawu zalokhu?

Esikhathini esiningi, esigabeni sokuqala, esibizwa ngokuthi "i-Hyperthyroidism," izimpawu azibonakali. Ungase ungaqapheli ngisho nokuqaphela. Kodwa uma izimpawu zivela, ngokuvamile zihlobene nezinqubo zomzimba (njengokushiswa kwe-metabolism) eziba "yi-hyper" noma ezisheshiswa kakhulu. Lezi ezinye zezimpawu:

• Imizwa evamile yokungahlaliseki nokukhathazeka.
• Ukulahlekelwa izinwele okwandisiwe.
• Ukuba mncane ngaphandle kwesizathu.
• Ukwanda kwesilinganiso senhliziyo (i-Tachycardia).
• Ukungabekezelelani nokushisa, ukujuluka okukhulu.

Iningi labantu liqala ukubona izimpawu esigabeni sesibili, esibizwa ngokuthi i-hypothyroidism. Lokhu kwenzeka lapho izinqubo zomzimba (njengokugaywa kwe-metabolism) zincipha. Lokhu kungaholela ezimpawini ezifana nalezi:

• Ukuzizwa ukhathele kakhulu: Lokhu akusikho nje ukukhathala okuvamile okuhambisana nokuba nomntwana. Luhlobo lokukhathala olukwenza uzizwe sengathi uzolala embhedeni usuku lonke, kungakhathaliseki ukuthi uthola ukuphumula okungakanani.
• Ukukhuluphala : Ungase uzizwe sengathi uyakhuluphala ngisho noma imikhuba yakho yokudla ingashintshi.
• Izimo zengqondo ezifana nokucindezeleka :Ngizizwa ngidabukile ngaso sonke isikhathi, ngilahlekelwa yisithakazelo kukho konke, futhi angifuni ngisho nokwenza izinto engangizijabulela.
• Isikhumba esomile.
• Ukuqunjelwa .
• Ubuhlungu bemisipha.
• Ukungakhiqizi ubisi lwebele olwanele ingane.
• Ukungabekezeleli umkhuhlane: Ungase uzizwe ubanda ngendlela engabekezeleleki kuyilapho abanye bezwa umkhuhlane ojwayelekile.

Into ebalulekile ukuthi lezi zimpawu ze-`(Hypothyroidism)` zingavame ukudidaniswa nezinto ezivamile umama omusha abhekana nazo ngemva kokubeletha. Izinto ezinjengokukhathala nobuhlungu bemisipha zivamile lapho enakekela umntwana. Kodwa uma lezi zimpawu ziqhubeka noma ziba zimbi kakhulu, kufanele nakanjani ubone udokotela.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela eyinhloko ye-`(Postpartum Thyroiditis)` ukuhlaselwa kwendlala yakho yegilo ngama-anti-thyroid antibodies. Ubuwazi, sinengxenye yomzimba wethu ebizwa ngokuthi 'ama-Antibodies'. Umsebenzi wabo ukusivikela ngokulwa namagciwane abangela izifo. Kufana nonogada emzimbeni wethu.

Kodwa ku-"Postpartum Thyroiditis", la ma-antibodies enza iphutha elincane bese eqala ukuhlasela i-thyroid gland yethu. Lokhu kuhlasela yikho okubangela ukuvuvukala kwe-thyroid gland. Le nqubo ifana kakhulu nesifo sikaHashimoto, uhlobo oluvame kakhulu lwe-thyroiditis.

Ososayensi abakakazi kahle ukuthi kungani la ma-antibodies eqala ukuhlasela ngemva kokubeletha. Kodwa enye inkolelo-mbono ethandwayo ukuthi uma uke waba nesifo sokuzivikela komzimba ngaphambi kokuba ukhulelwe, cishe uzoba naso ngemva kokubeletha. Isimo sokuzivikela komzimba, njengoba ngishilo ekuqaleni, yilapho ama-antibodies ethu ehlasela amangqamuzana nezicubu zethu ezinempilo.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Ungase ube sengozini enkulu yokuthola i-`Postpartum Thyroiditis` uma:

• Uma uke waba ne-postpartum thyroiditis ngesikhathi sokubeletha kwangaphambilini.
• KuweUma unesifo sikashukela sohlobo 1 (futhi yisimo sokuzivikela komzimba).
• Uma wena noma othile emndenini wakho enomlando wesifo se-thyroid .
• Uma ubulokhu une-anti-thyroid antibodies emzimbeni wakho kusukela ngaphambi kokuba ukhulelwe (kungenzeka ukuthi ubungazi ngakho ngoba ubungenazo izimpawu).

Odokotela bakuthola kanjani lokhu?

Uma ubona udokotela, uzokuxilonga futhi akubuze ngezimpawu zakho. Ngemuva kwalokho, bazokwenza ukuhlolwa kwegazi ukuhlola amazinga ama-hormone e-thyroid egazini lakho (ikakhulukazi, ama-hormone abizwa ngokuthi i-T3, i-T4, noma i-TSH). Lokhu kuhlolwa kwegazi kuvame ukwanele ukuxilonga i-postpartum thyroiditis. Kungasiza futhi ukuyihlukanisa nezinye izimo ezinezimpawu ezifanayo, njengesifo sikaGraves. Isifo sikaGraves yisimo esihlala isikhathi eside esibangela izimpawu ezifana ne-postpartum thyroiditis.

Iyini indlela yokwelapha?

Iningi labesifazane alibi nalesi simo esinzima kangaka. Ngakho-ke uma izimpawu zakho zingenzima kangako, ungase ungadingi ukwelashwa. Kodwa-ke, uma izimpawu zakho zinzima kakhulu, kungase kudingeke uphuze imithi. Uma uncelisa, qiniseka ukuthi utshela udokotela wakho. Angancoma imithi ephephile kuwe nakumntwana wakho.

Ukwelashwa kuncike ekutheni usesigabeni "se-Hyperthyroidism" noma "se-Hypothyroidism".

• I-(Hyperthyroidism): Imithi yalokhu ihlanganisa `(Corticosteroids)` (njenge `(Prednisone)`) kanye `(Beta-blockers)`. `(Corticosteroids)` inciphisa ukuvuvukala. `(Beta-blockers)` ivimba imiphumela yama-hormone e-thyroid. Zombili lezi zingalawula izimpawu.
• Nge-hypothyroidism: Lokhu cishe kuzodinga ukwelashwa kokufaka esikhundleni samahomoni e-thyroid . Lokhu kwelashwa kuvame ukuthatha izinyanga eziyisithupha kuya onyakeni. Uma i-thyroid gland yakho isibuyele esimweni sayo esijwayelekile, unganciphisa kancane kancane inani lalo muthi bese uyeka ukuwuthatha.

Udokotela wakho uzoqapha amazinga akho e-thyroid hormone phakathi nokwelashwa kwakho.

Ingabe lesi yisimo esihlala njalo? Ingabe sizohlala phakade?

I-Postpartum Thyroiditis ivame ukuba yisimo sesikhashana. Cishe abantu abangu-70% kuya ku-80% abanalesi simo bazogcina beyeke ukudinga imithi ngoba indlala yabo ye-thyroid izoqala ukukhiqiza ama-hormone ngendlela evamile futhi. Abanye abangu-20% kuya ku-30% bangase bahlale esigabeni se-hypothyroidism. Kuzodingeka bathathe ukwelashwa kwama-hormone e-thyroid isikhathi eside.

Futhi, i-postpartum thyroiditis ingandisa ingozi yakho yokuthola ezinye izinkinga ze-thyroid esikhathini esizayo, njenge-hypothyroidism noma i-goiter. Ngisho noma i-thyroid yakho ibuya esimeni esijwayelekile, udokotela wakho angase akucebise ukuthi uqhubeke nokuqapha i-thyroid yakho.

Kuthatha isikhathi esingakanani ukuphulukiswa?

I-Postpartum Thyroiditis ivame ukuhlala unyaka kuya onyakeni nesigamu. Ezimweni eziningi, i-thyroid yakho izobuyela esimweni sayo esijwayelekile zingakapheli izinyanga ezingu-12 kuya kwezingu-18 ngemuva kokuqala ukuzwa izimpawu. Ngeke usadinga imithi.

Ngingakhulelwa futhi ngemva kokuthola i-postpartum thyroiditis?

Kungenzeka impela. Abesifazane abaningi abake baba ne-postpartum thyroiditis bayaqhubeka nokukhulelwa okunempilo. Kodwa into ebaluleke kakhulu ukuthi uma uhlela ukukhulelwa futhi, kufanele utshele udokotela wakho ukuthi uke waba nalesi simo ngaphambili. Ngoba cishe amaphesenti angama-20 abesifazane abake baba ne-postpartum thyroiditis ngaphambili bazophinde babe naso ekukhulelweni kwabo okulandelayo.

Udokotela wakho angaqapha amazinga akho e-thyroid hormone futhi akuqondise ekukhulelweni okunempilo.

Yini okufanele ngiyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Ingabe nginesinye isifo se-thyroid noma isimo sokuzivikela komzimba?
• Hlobo luni lokwelashwa olunconywayo?
• Njengoba ngincelisa, yimiphi imithi ephephile kakhulu ongayisebenzisa?
• Ngingayinciphisa nini imithi yami ye-thyroid?
• Yisiphi isimiso engizodinga ukubuya ngaso ukuze ngiqaphe isimo sami?
• Uma ngiba nenkinga entsha ye-thyroid, yiziphi izimpawu okufanele ngiziqaphele?

Abantu abaningi abanezimpawu ze-`(Postpartum Thyroiditis)` bayaphuza ukubona udokotela ngoba bacabanga ukuthi lezi zinguquko zivamile ngemva kokubeletha. Eqinisweni, izinto ezifana nokukhathala nobuhlungu bemisipha ngenkathi unakekela umntwana osanda kuzalwa zingase zizwakale njengezimpawu ze-`(Hypothyroidism)`. Kodwa-ke, uma lezi zimpawu zingabi ngcono, ungacabangi ukuthi, "Kufanele ngibhekane nalokhu." Inkinga ingaba nge-thyroid yakho. Ukuhlolwa kwegazi okulula ngokuvamile kungasho ngokuqinisekile. Kunemithi engakusiza uhlale uphilile futhi uphathe impilo nomntwana omusha. Yingakho kubaluleke kakhulu ukuzinakekela.

Izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esixoxe ngakho (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho (i-Postpartum Thyroiditis). Nazi ezinye izinto ezibalulekile okufanele uzikhumbule:

• I-Postpartum Thyroiditis ukuvuvukala kwendlala yegilo okungenzeka phakathi nonyaka wokuqala ngemva kokubeletha.
• Kulokhu , ama-hormone e-thyroid angase akhule ekuqaleni (i-Hyperthyroidism) bese ehla (i-Hypothyroidism). Akuwona wonke umuntu obhekana nezigaba zombili.
• Izimpawu (ikakhulukazi ku-hypothyroidism) zifaka phakathi ukukhathala, ukukhuluphala, ukucindezeleka, ukuqunjelwa, kanye nokwehla kokukhiqizwa kobisi lwebele.) Ungadidanisi lokhu nezinguquko ezivamile eziza ngemva kokubeletha.
• Lokhu kungenxa yama-antibodies ahlasela i-thyroid gland.
• Lokhu kungatholakala ngokuhlolwa kwegazi .
• Lokhu kuvame ukuba okwesikhashana futhi kungelapheka ngokwelashwa. Kukhona nezindlela zokwelapha eziphephile zomama abancelisayo.
• Uma unalezi zimpawu, ungangabazi ukubona udokotela ukuze akunike iseluleko. Uma usheshe ukuqaphela, kulapho ungathola khona usizo ngokushesha.

Uma lolu lwazi luwusizo, lokho kungaba injabulo enkulu. Ngikufisela impilo enhle wena nomndeni wakho!