Ukukhathala okuzwayo ngemva kokubeletha umntwana, ubusuku bokungalali, ingcindezi ehambisana nemithwalo yemfanelo emisha... Ngakho konke lokhu, ungase ucabange ukuthi lezi zinguquko zivamile. Lokhu kuyinto evamile komama abaningi. Kodwa ngezinye izikhathi, ngemuva kwalokhu kukhathala okukhulu, ukukhathazeka, kanye nezinguquko emzimbeni wakho akusona isimo esivamile esenzeka ngemva kokubeletha. Kungaba yisimo esibizwa ngokuthi 'i-Postpartum Thyroiditis', abantu abaningi abangakhulumi ngaso, kodwa kubalulekile ukuqaphela.
Kalula nje, kuyini i-Postpartum Thyroiditis?
Lokhu kungase kuzwakale njengegama elingajwayelekile, kodwa kulula kakhulu ukuliqonda. Igama elithi Postpartum lisho ukuthi "ngemva kokubeletha." Igama elithi Thyroiditis lisho "ukuvuvukala noma ukuvuvukala kwendlala yegilo." Igama elithi Postpartum Thyroiditis ukuvuvukala kwendlala yegilo yakho okwenzeka phakathi nonyaka wokuqala ngemva kokubeletha.
Manje cishe uyazibuza, iyini le ndlala yegilo? Iyindlala encane ebaluleke kakhulu efana novemvane engaphambili entanyeni yethu. Le ndlala ikhiqiza ama-hormone alawula izinto eziningi ezibalulekile, njengokuthi umzimba wethu usebenzisa kanjani amandla, noma i-metabolism. Ngakho-ke uma kunenkinga ngalokhu, wonke umzimba uyayizwa.
Kwenzeka kanjani lokhu? Ake sifunde ngezigaba ezintathu.
I-Postpartum Thyroiditis ivame ukuqhubeka ngezigaba eziningana. Kodwa-ke, akuwona wonke umuntu obhekana nazo zonke lezi zigaba ngokulandelana okufanayo. Kubalulekile ukukhumbula lokho.
| Isiteji | Incazelo |
|---|---|
| Isigaba 1 (i-Hyperthyroidism) | Lokhu kwenzeka lapho indlala yegilo ivuvukala futhi amahomoni agcinwe kuyo aqongelela egazini ngokweqile. Lokhu kusho ukuthi izinga lamahomoni egilo emzimbeni likhuphuka kakhulu. Lokhu kuvame ukwenzeka phakathi kwenyanga eyodwa neyisithupha ngemva kokuzalwa komntwana. Lesi simo singahlala kusukela esontweni elilodwa kuya cishe ezinyangeni ezintathu. |
| Isigaba sesi-2 (i-Hypothyroidism) | Ngemva kokukhiqiza ama-hormone amaningi kakhulu, i-thyroid gland iyayeka ukusebenza kahle. Okusho ukuthi, ayikhiqizi inani elidingekayo lama-hormone. Lokhu kubangela ukuthi izinga lama-hormone e-thyroid emzimbeni lehle kakhulu. Lokhu kungenzeka phakathi kwezinyanga ezi-4 neziyi-8 ngemva kokuzalwa komntwana. Lesi simo singahlala isikhathi esingangonyaka. |
| Isigaba Sesithathu (Ukululama) | Esikhathini esiningi, ngemva kwalezi zigaba ezimbili, indlala yegilo ibuyela esimweni sayo esijwayelekile bese iqala ukukhiqiza ama-hormone ngendlela evamile. |
Kodwa khumbula, abanye omama bangase babhekane nesigaba sokuqala kuphela (i-Hyperthyroidism) bese belulama ngokushesha. Isigaba sesibili (i-Hypothyroidism) singase singenzeki nhlobo. Akuvamile ukuthi umuntu ahlale esigabeni sesibili, okusho ukuthi amazinga ama-hormone aphansi.
Ziyini izimpawu? Sikubona kanjani lokhu?
Inkinga enkulu ngalokhu ukuthi lezi zimpawu zivame ukuhlangana nezimo ezijwayelekile ezenzeka ngemva kokubeletha.
Omama abaningi bacabanga ukuthi konke lokhu kukhathala nokushintshashintsha kwemizwa kubangelwa ukucindezeleka kokunakekela ingane. Ngakho-ke, abazizwa benesidingo sokubona udokotela.
Ake sibone ukuthi izimpawu zihlobene kanjani nezigaba ezimbili.
Isigaba sokuqala: Lapho ama-hormone ekhula (i-Hyperthyroidism)
Phakathi nalesi sikhathi, izinqubo zomzimba ziba "eziphezulu," okusho ukuthi ziyashesha. Kodwa abantu abaningi bangase bangakhombisi izimpawu ezinkulu phakathi nalesi sikhathi. Noma bangase bazishaye indiva.
- Ukuzizwa ukhathazekile futhi ungahlaliseki njalo.
- Ukulahlekelwa izinwele eziningi ngaphandle kwesizathu.
- Ukwehlisa isisindo noma ngabe udla kahle.
- Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha (i-Tachycardia).
- Ukushisa akubekezeleleki.
Isigaba Sesibili: Uma ama-hormone ephansi (i-Hypothyroidism)
Abantu abaningi baqala ukuzwa izimpawu ngokucacile phakathi nalesi sikhathi, lapho izinqubo zomzimba zincipha.
- Ukuzizwa ukhathele kakhulu futhi ukhathele njalo.
- Ukukhuluphala naphezu kokulawula lokho okudlayo nokuphuzayo.
- Ukuzizwa udabukile futhi ucindezelekile .
- Isikhumba esomile kakhulu.
- Ukuqunjelwa .
- Ubuhlungu bomzimba nemisipha.
- Ubisi olunganele ukupha ingane.
- Ukungakwazi ukumelana nokubanda.
Kungani lokhu kwenzeka? Iyini imbangela?
Kalula nje, lokhu kuyisifo sokuzivikela komzimba.Isimo lapho uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela komzimba, luhlasela ngephutha indlala yethu yegilo. Kunjengokungathi "amasosha" (ama-antibodies) okufanele avikele imizimba yethu ezifweni aphuthelwa njengenye yawo futhi ayihlasele. Lokhu kuhlasela kubangela ukuthi indlala yegilo ivuvuke.
Lokhu kufana kakhulu nesifo sikaHashimoto , isimo se-thyroid. Nakuba kungaziwa kahle ukuthi kungani lokhu kwenzeka ngemva kokukhulelwa, enye yezinkolelo-mbono eziyinhloko ukuthi lesi simo sokuzivikela komzimba sasikhona emzimbeni wakho ngaphambi kokukhulelwa futhi sivela kuphela ngemva kokubeletha.
Ubani osengozini enkulu yokuthola lesi simo?
Uma unesinye noma ngaphezulu kwalezi zimo ezilandelayo, ingozi yakho yokuthola i-postpartum thyroiditis iphakeme kancane.
- Uma uke waba nalesi simo ngemva kokubeletha kwangaphambilini .
- Uma unesinye isifo sokuzivikela komzimba, njengesifo sikashukela sohlobo 1 .
- Uma kukhona emndenini wakho (umama, udadewethu) onesifo se-thyroid.
- Uma ubunama -antibodies e-anti-thyroid emzimbeni wakho ngaphambi kokukhulelwa (kungenzeka ukuthi awazi ngakho, njengoba kungase kungabi khona zimpawu).
Ukuthola kanjani lokhu, Dokotela?
Uma usuzichazile izimpawu zakho, udokotela uzokuxilonga. Ngemuva kwalokho, bazokuyala ukuhlolwa kwegazi okulula ukuqinisekisa isimo.
Lokhu kuhlolwa kwegazi kuhlola amazinga ama-hormone e-thyroid (T3, T4) kanye ne-TSH (i-Thyroid Stimulating Hormone) egazini lakho. Ngokusekelwe ezinguqukweni zala mazinga, udokotela angahlonza ngokunembile ukuthi lokhu kuyi-Postpartum Thyroiditis noma esinye isifo se-thyroid njengesifo sikaGraves.
Yiziphi izindlela zokwelapha? Ingabe lokhu kuphephile kumama oncelisayo?
Izindaba ezinhle ukuthi iningi lomama alidingi ukwelashwa okukhethekile ngoba izimpawu zabo azizimbi kangako. Kodwa-ke, uma izimpawu zakho zimbi kakhulu futhi ziphazamisa impilo yakho, udokotela wakho uzokunikeza imithi.
Into ebaluleke kakhulu ukuthi uma uncelisa, kufanele utshele udokotela wakho ukuze akwazi ukukunikeza imithi ephephile kuwe nakumntwana wakho.
Ukwelashwa kuncike ekutheni ukusiphi isigaba.
- Ezimweni zamazinga aphezulu ama-hormone (i-Hyperthyroidism): Kulesi simo, imithi efana ne -beta-blockers ingavame ukunikezwa ukulawula izinga lokushaya kwenhliziyo, kanye nemithi efana ne -corticosteroids (isb. i-prednisone) yokunciphisa ukuvuvukala.
- I-Hypothyroidism: Lokhu kwelashwa ngamaphilisi e-hormone ye-thyroid yangaphandle. Lokhu kwelashwa kuvame ukuhlala izinyanga eziyisithupha kuya onyakeni. Iningi labantu lingayeka kancane kancane ukuthatha lo muthi uma i-thyroid gland yabo isibuyele esimweni sayo esijwayelekile.
Ingabe lesi yisifo esihlala njalo? Ingabe kuzodingeka ngithathe imithi unomphela?
Cha. I-Postpartum Thyroiditis ivame ukuba yisimo sesikhashana. Kumama abangu-70% - 80% ababhekana nalesi simo, okungukuthi, abayisikhombisa kuya kwabayisishiyagalombili kwabayishumi, i-thyroid gland izoqala ukusebenza ngokujwayelekile futhi ngokuhamba kwesikhathi. Ngemuva kwalokho imithi ngeke idingeke.
Kodwa-ke, cishe abantu abangu-20% kuya ku-30% bangase babe ne-hypothyroidism engapheli, okudinga ukwelashwa okuqhubekayo kokushintsha ama-hormone e-thyroid.
Uma usunalesi simo, usengozini enkulu kancane yokuthola ezinye izimo ze-thyroid (i-hypothyroidism noma i-goiter) esikhathini esizayo. Ngakho-ke, noma ngabe i-thyroid gland yakho ibuyela esimweni sayo esijwayelekile, kuwukuhlakanipha ukuhlolwa njalo nodokotela wakho.
Ngingakhulelwa futhi?
Yebo, ungakwenza nakanjani. Ukuba ne-postpartum thyroiditis akukuvimbeli ekubeni nomntwana ophilile futhi.
Kodwa-ke, uma ucabanga ngokuba nomunye umntwana, kubalulekile ukutshela udokotela wakho ngomlando wakho wangaphambilini walesi simo uma uhlela ukukhulelwa. Lokhu kungenxa yokuthi abantu abake baba nalesi simo ngaphambili banethuba elingu-20% lokuphinde baphinde babe naso ekukhulelweni kwabo okulandelayo. Udokotela wakho angabe eseqapha amazinga akho e-thyroid hormone futhi akusize ube nokukhulelwa okunempilo.
Umlayezo Wokuya Nawe Ekhaya
- Ungayithathi kalula imizwa yokukhathala okukhulu, ukudabuka, kanye nokushintsha kwesisindo ngemva kokubeletha njengento "evamile." Kungaba khona isimo esibizwa ngokuthi i-Postpartum Thyroiditis ngemuva kwaso.
- Lokhu kuvame ukuba yisimo sesikhashana. Iningi labantu liyalulama ngokuphelele ngokuhamba kwesikhathi. Ngakho-ke ungakhathazeki.
- Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko. Lesi simo singatholakala ngokuhlolwa kwegazi okulula.
- Uma uncelisa, ungakhohlwa ukutshela udokotela wakho ngaphambi kokuthatha ukwelashwa. Kunemithi ephephile kuwe nakumntwana wakho.
- Ngisho noma unalesi simo, kungenzeka ukuthi uphinde ukhulelwe ngendlela enempilo. Kodwa-ke, kubaluleke kakhulu ukwazisa udokotela wakho ngaphambi kokukhulelwa kwakho okulandelayo.
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