Izinkinga ze-thyroid zivame kakhulu kwabesifazane abakhulelwe ngemva kwesifo sikashukela.
Ukuqapha ngezikhathi ezithile ukusebenza kwale ndlala kubalulekile phakathi nezinyanga eziyisishiyagalolunye zokulinda, ukugwema imiphumela nezingozi kumama nengane.
U-Marta usevikini lakhe lama-23 ekhulelwe, kanti u-Elena usezothatha izifundo zeMedical Assisted Procreation (MAP). Bobabili basemtholampilo owodwa ngomsebenzi wegazi kanye nokuhlolwa kwegilo. Bese beqala ukuzibuza imibuzo: kungani kubalulekile ukuhlola umsebenzi we-thyroid ngesikhathi sokukhulelwa? Indlela yokwelapha nokuvimbela ukungasebenzi kahle kwale ndlala nokunye vimbela noma iyiphi inkinga Ngesikhathi sokukhulelwa?.
I-thyroid ishintsha kanjani ngesikhathi sokukhulelwa?
La yegilo iyindlala ye-endocrine etholakala engxenyeni engaphambili yentamo; Ichazwa ngokuthi i-endocrine ngoba ikhiqiza amahomoni ajikeleza emzimbeni futhi enze imisebenzi ehlukahlukene. okuyinhloko yi-T4 (thyroxine) ne-T3 (triiodothyronine), ekhishwa egazini ngesenzo sehomoni ye-thyroid-stimulating (TSH) ekhiqizwa yi-pituitary gland (i-endocrine ebaluleke kakhulu emzimbeni womuntu).
Njengoba kushiwo, indlala yegilo ingaphinde ibe nezinguquko zomzimba phakathi nesikhathi sokukhulelwa, ngokuqondile ngenxa yezinguquko ezivamile zokukhulelwa. Phakathi kwalokhu, ukwanda kwevolumu yegilo ngokwayo, ukwanda kokukhiqizwa kwamahomoni egilo kanye nokuncipha okuqondile kokukhiqizwa kwe-TSH, okwenzeka ikakhulukazi phakathi nezigaba zokuqala zokukhulelwa futhi ngokuyinhloko kubangelwa amazinga aphezulu e-Beta hCG. (Okuthiwa "i-hormone yokukhulelwa", kulesi sihloko sizochaza ukuthi kuyini).
Izinkinga ze-thyroid ekukhulelweni
Izinkinga ngomsebenzi we-thyroid zivame kakhulu kwabesifazane abakhulelwe ngemva kwesifo sikashukela.
Okuyinhloko ukungasebenzi kahle kwe-thyroid ngesikhathi sokukhulelwa Ziyi-hypothyroidism, okungukuthi, ukuncipha kwamahomoni egilo, kanye ne-hyperthyroidism, okungukuthi, ukukhululwa ngokweqile kwamahomoni egilo, futhi kuzo zombili izimo kuyalulekwa ukuthi kuhlolwe noma yikuphi. uphawu Okubangelwa yizo zombili izimo: Abesifazane abane-hypothyroidism babika ukukhathala, ukukhuluphala ngokweqile, nokungabekezelelani amakhaza, kanye nezimpawu ezibonakalayo njengesikhumba esomile, ubuso obukhukhumele, ne-bradycardia (izinga lokushaya kwenhliziyo eliphansi). Esikhundleni salokho, i-hyperthyroidism ingabangela ukushaya kwenhliziyo, ukujuluka ngokweqile nokungabekezelelani ukushisa, okuhambisana ne-tachycardia (izinga eliphezulu lenhliziyo). Ku ukungabi khona kwezimpawu, kusadingeka ukuhlola amanani egazi ngokusebenzisa i-venipuncture.
Ingabe ukungasebenzi kahle kwegilo kuyingozi kumama nosana? Kokubili ukungasebenzi kahle kungaholela ukungasebenzi kahle komzimba womama kanye, ngakho-ke, kanye ne-feto-neonatal organism, nemiphumela engemihle engenzeka ekukhulelweni ngokwayo uma ingelashwa ngokwanele. Phakathi kweziyinhloko, ngesikhathi sokukhulelwa sithola ingozi yokuphuphuma kwesisu kanye nokuzalwa ngaphambi kwesikhathi, umfutho wegazi ophakeme, kanye ne-preeclampsia, kuyilapho kamuva, nokho, ukopha kwangemva kokubeletha kanye nesisindo sokuzalwa esiphansi sosana olusanda kuzalwa.
El ingozi ye ukungasebenzi kahle kwe-thyroid ayiqedwa neze, kodwa ngokuhlolwa kwezokwelapha, ukuhlolwa kwegazi kanye nokwelashwa okufanele, imiphumela engenzeka kanye nezingozi ziyancipha.
Indlela yokuvimbela nokwelapha ukungasebenzi kahle kwe-thyroid ngesikhathi sokukhulelwa
Ukuxilonga noma yikuphi ukuphazamiseka kwe-tiroidea Kunconywa ukwenza i-anamnesis eyanele ekuqaleni kokukhulelwa - okungcono ngisho nangaphambi kokukhulelwa, njengasendabeni ka-Elena - futhi uqhubeke nayo phakathi nezinyanga eziyisishiyagalolunye, uyihlanganise nokuhlolwa kokulawula (njengaku- icala likaCarola).
Indlela yokwelapha izinkinga ze-thyroid ngesikhathi sokukhulelwa? Konke ukungasebenzi kahle kwegilo kunendlela ethile yokwelapha, kuye ngezimpawu namanani egazi. Ukwelashwa kunqunywa udokotela noma uchwepheshe, ngokunikezwa kwemithi ehambisana nesimo sokukhulelwa.
Ingabe kungavinjelwa?
Kepha kungenzeka ukuvimbela ukungasebenzi kahle kwegilo ekukhulelweni? Njengoba sekushiwo kakade, ukuvimbela kwenziwa kusukela esikhathini sangaphambi kokukhulelwa futhi phakathi namasonto okuqala okukhulelwa nge-anamnesis ngokucophelela. Ibe iqhubeka phakathi nezinyanga eziyisishiyagalolunye ezigcwele zokulinda kuze kudlule a ukudla okulungile kwe-iodine, i-micronutrient eyakha ukwakheka kwamakhemikhali amahomoni egilo. Ukukhiqizwa okwandayo kwe-T3 ne-T4, kanye neqiniso lokuthi kwandisa umsebenzi wezinso ukuqeda la ma-hormone, kwandisa isidingo se-iodine ngesikhathi sokukhulelwa, ngokunembile ukuze kube nokulinganisela okulungile kokujikeleza kwamahomoni e-thyroid egazini.
Kodwa kanjani ukuthatha iodine? Itholakala kuphi ekudleni le nto? Iodine ingatholakala ngokusebenzisa a ukudla okuhlukahlukene. Eqinisweni, itholakala emaqanda nobisi, i-shellfish nezinhlanzi zasolwandle futhi, ekugcineni, kancane kancane enyameni, izithelo nemifino. Kwabesifazane abakhulelwe, isidingo se-iodine sikhuphuka cishe 250 micrograms ngosuku, ukuqinisekisa ukukhula okufanele komntwana esibelethweni. Ngenxa yalesi sizathu, kunconywa ukuthi abesifazane abanempilo bandise ukudla kwabo kwento ngosawoti we-iodized, njalo njengengxenye yokudla okuhlukahlukene nokulinganisela.