Zimayambitsa, zizindikiro, matenda ndi matenda a postpartum thyroiditis

Njira yachibadwa yobereka imayambitsidwa ndi zinthu zosiyanasiyana. Pochita intrauterine kukula kwa mwana wakhanda ndi mkazi, kusintha kwa kunja ndi kunja kumapezeka. Machitidwe a thupi amagwira ntchito molimbika kapena pang'onopang'ono.

Kwa miyezi 9 yonse chithokomiro chiyenera kukwaniritsa ntchito zake zoyambirira. Pa nthawiyi ayenera kugwira ntchito zamoyo ziwiri. Pafupi pakati pa mimba mwanayo amachititsa khungu lake, koma sangathe kumasula mahomoni. Pambuyo pa kuwonekera kwa kuwala kwake, mawonekedwe a thupi ayamba kubwezeretsa ntchito zawo. Nthawi zina zimachitika kwambiri, postpartum thyroiditis imapezeka .

Mbali za matendawa

Amakhulupirira kuti pamene ali ndi mimba, chitetezo cha amayi chimagwira ntchito pang'onopang'ono. Mwamsanga atangobereka, kuwonjezeka kwa mahomoni ndi ma antibodies akuwonetsedwa, machitidwe onse amasinthidwa. Chotsatira chake, chiwopsezo cha chithokomiro chikuwonjezeka, chomwe chimadziwika ngati thyroiditis. Matendawa amayamba kukula kwake ndi hyperthyroidism, ndipo amathera ndi hypothyroidism. Nthawi ina thupi limasiya kuchuluka kwa mahomoni, kuchepetsa ntchito yawo.

Postpartum thyroiditis ndi matenda okhaokha. Zimayesedwa kuti ndizo zotsatira za kuchulukitsa chitetezo chokwanira. Ali pangozi ali amayi omwe ali ndi shuga, komanso omwe amanyamula ma antibodies ku TPO.

Thyroiditis yokha imadziwika ndi kutupa kwa chithokomiro. Potsutsana ndi zomwe zimachitika nthawi zonse, maselo ake amayamba kufa. Chifuwachi chimaphatikizidwa ndi zovuta zosangalatsa komanso ngakhale ululu pamutu. Matenda a postpartum amayamba miyezi 2-3, pamene mwana akuwonekera. Patatha miyezi isanu ndi umodzi, mahomoni amatha kuimika, ndipo matenda amatha okha. Nthawi zina amapita kumalo osatha. Pakapita mimba mwa amayi oterowo, matendawa akubwerezedwa.

Ndani ali pangozi?

Zizindikiro, zochititsa, chithandizo cha postpartum thyroiditis zidzakambidwa pansipa. Choyamba, ndikofunikira kudziwa omwe amatchedwa gulu loopsya - amayi, omwe angathe kukhala okwanira ndi okwanira.

Malingana ndi madokotala, palibe amene ali ndi matendawa. Ikhoza kuonekera kwa mayi wina yemwe amasangalala ndi mimba. Komabe, zizindikiro zingapo zimatsindikitsidwa, chifukwa ndizotheka kuzindikira gulu la amai omwe ali ndi vutoli. Choyamba:

• Ali zaka zoposa 35;
• Kukhalapo kwa chibadwidwe cha cholowa;
• Chiwawa cha CNS;
• Sungunulani zitsulo m'ma anamnesis.

Zizindikiro zowonjezereka zowonjezera mphamvu zimakula ndi kubwereza mimba.

Zifukwa zazikulu

Monga taonera kale, chifukwa chachikulu cha kukula kwa chikhalidwe cha matendawa chimaonedwa kukhala chotsutsana ndi chitetezo cha m'tsogolomu. Sizinali mwangozi kuti kusintha kumeneku kunalengedwa. Kuchepetsa ntchito ya chitetezo cha mthupi nthawi ya mimba ndi kofunika kuti iwononge mwana wakhanda. Pambuyo pa kubadwa kwa phokoso, kusowa kwa izi kumatayika. Chitetezero cha thupi kubwerera ku chiyambi. Pankhani ya postpartum thyroiditis, kugwiritsiridwa ntchito kosokoneza bongo kukuwonetseratu, wogwidwa ndi vuto la chithokomiro.

Tangoganizani kuti mayi ayenera kuthana ndi matendawa, ndizotheka kuwonjezera ma antibodies m'magazi ndi chithokomiro. Kuonjezerapo, ndondomeko ya matendawa imathandiza kuti izi zichitike:

• Matenda a endocrine a chilengedwe;
• Matenda a shuga;
• Kutumizidwa pa nthawi ya mimba, matenda opatsirana ndi opuma;
• Kugwira ntchito mwakuthupi;
• Kusadya zakudya m'thupi;
• Zovuta zachilengedwe.

Chithunzi chachipatala

Zizindikiro za chithokomiro cha postpartum chithokomiro zimangotha masabata asanu ndi atatu ndi asanu ndi atatu mphambu zisanu ndi zitatu mphambu zisanu ndi zitatu mphambu zisanu ndi zitatu mphambu zisanu ndi zitatu (8-14) zitatha. Poyamba mayi wamng'onoyo amamva mphamvu zopanda kale. Chifukwa cha kuchuluka kwa mahomoni m'magazi, amayamba kuona zosawerengeka m'maganizo. Chisangalalo ndi kukhutira zimangotengedwa m'malo mwa mkwiyo, kukwiya.

Pa gawo lotsatirali la matendawa, kuchepa kwakukulu kumakhala kochepa, pomwe mayiyo savutika chifukwa chosowa chakudya. Chithunzi cha kliniki chimaphatikizidwa ndi kuthamanga kwa mtima mofulumira. Pakhoza kukhala phokoso pang'ono m'khosi chifukwa cha kuchuluka kwa kukula kwa chithokomiro.

Ndiye zizindikiro, khalidwe kale la hypothyrosis liyamba kuwonetsedwa. Pali kugona, mayi wamng'onoyo ataya mtima wofuna kusamalira mwanayo. Ngakhale katundu wochepa amachititsa kuti munthu asatope kwambiri. Polimbana ndi kuchepa kwa njala, kulemera kumapitirira kuwonjezeka. Nthawi zina, kulephera kwa msambo kumalembedwa.

Njira zozindikiritsira

Pozindikira zizindikiro za postpartum thyroiditis, muyenera kufufuza thandizo kwa katswiri wamagetsi odwala matenda opatsirana pogonana. Akatswiri awiriwa akudziŵa kuti matendawa ndi otere. Mkazi wamagetsi amafufuza ntchito ya ziwalo zoberekera za akazi. Dokotala wachiwiri amadziwika makamaka mu endocrine pathologies.

Kuzindikira kwa chithokomiro cha postpartum thyroiditis kumayamba ndi kufunsa wodwalayo, kuwerenga madandaulo ndi mbiri yake. Popeza kuti matendawa sanatanthauze zizindikiro, kuti atsimikizire kuti ndendeyo isanayambe kundende, mkaziyo ayenera kuyesedwa bwino. Nthawi zambiri zimaphatikizapo ntchito zotsatirazi:

1. Kuyezetsa magazi kwa mahomoni.
2. Immunogram (amalola kuti ayang'ane kupezeka kwa ma antibodies ku zinthu za chithokomiro).
3. Ultrasound of the organ (panthawi yophunzira, kupezeka kwa zotupa ndi nodes zinalembedwa).
4. Mankhwala osakanikirana (omwe amagwiritsidwa ntchito pofuna kudziwa kuti matendawa amatha bwanji).
5. Kujambula (kutanthauzira kumathandizira kuyeza kukula ndi kusinthasintha kwa gland, dera lomwe lakhudzidwa ndi matenda).

Atalandira zotsatira za kufufuza, chithandizo cha chithokomiro cha postpartum chimayikidwa. Masiku ano, madokotala amasankha kugwiritsa ntchito njira ziwiri zomwe zingakhudze matendawa: mankhwala ndi kompyuta reflexology. Aliyense wa iwo adzafotokozedwa mwatsatanetsatane.

Zomwe zimayambitsa mankhwala

Ndi mahomoni ochulukirapo, majeremusi a chithokomiro amatchulidwa nthawizonse thyreostatics. Mankhwalawa amathandiza kuthetsa kupitirira kwawo. Mankhwala angatengedwe ngakhale panthawi ya lactation yaikulu, chifukwa zinthu zogwira ntchito sizikhala ndi zotsatira zowononga thanzi la mwana wakhanda.

Popanda kutero, mankhwala opatsirana amadzimadzi amatchulidwa, pamene amagwiritsa ntchito mankhwala awiri okha kuchokera ku: "L-thyroxine" kapena "Eutirox". Ndi chithandizo chokhalitsa, zofukufukuzo zikupita bwino. Komabe, izi sizikutanthauza kuti thupi linatha kuthana ndi matendawa. Mahomoni abwino amasonyeza mlingo wosankhidwa bwino wa mankhwala, mmalo mobwezeretsa dongosolo la endocrine.

Komiti reflexotherapy

Kuchiza ndi mankhwala kumapangitsa kuti mzimayi wodwalayo azidwala, koma sizimathandiza kuti chizolowezi cha chithokomiro chichitike. Pofuna kuteteza mahomoni, nthawi zambiri mankhwala amathandizidwa ndi makompyuta a reflexology. Zomwe zimayambira zimachepetsedwa kukhala zowonjezereka pazinthu zina zomwe zimagwirizanitsidwa ndi malo okhudza ubongo kudzera mu njira za CNS. Pankhaniyi, kugwiritsa ntchito mankhwala sikufunika.

Mapulogalamu a kakompyuta a postpartum thyroiditis amalola kubwezeretsa mphamvu yogwira ntchito ndi nthawi. Katemera wa chithokomiro pambuyo pa mankhwala amachititsa kuchuluka kwa mahomoni. Mayi wamng'ono akuchira, ndipo machitidwe akuluakulu am'kati amayamba kuchita zinthu mogwirizana.

Nthawi ya chithandizo

Nthaŵi ya mankhwala operekedwa nthawi zonse imadalira momwe ntchito zothandizira zimatetezera komanso kuopsa kwa matendawa. Monga lamulo, nthawi iyi ikusiyana ndi miyezi iwiri mpaka miyezi isanu ndi umodzi.

Pachifukwa ichi, dokotala yemwe akupezekapo ayenera kudziwa ngati mayiyo akukonzanso kudziyesa yekha udindo wa amayi mtsogolo. Ngati sakufuna kukhala ndi ana ambiri, samapanga mankhwala okhwima. Pachifukwa ichi, nthawi zambiri amakonda kupatsidwa machitidwe omwe akuyang'aniridwa ndi akatswiri ochepa. M'chakachi matendawa amatha kuthetsedwa. Ngati kubwezeretsedwa kwa banja kukonzedweratu, wodwalayo adzapatsidwa mankhwala. Panthawi ya chithandizo, m'pofunika kuti nthawi zonse muyese kukayezetsa magazi.

Postpartum thyroiditis ndi kuyamwitsa

Ambiri mwaubwino wogonana, ataphunzira za matenda awo, ayambe kuda nkhawa za thanzi la mwanayo. Kodi lactation imaloledwa panthaŵi ya mankhwala osokoneza bongo a thyroiditis? Madokotala ambiri amapereka yankho lolondola ku funso ili. Mankhwala amasiku ano ogwiritsidwa ntchito mu thyroiditis samatsutsana ndi kuyamwitsa komanso ngakhale kutenga mimba. Ponena za matenda enieniwo, safalitsidwa kwa mayi ndi mkaka wa mayi.

Zidzitsitsirani kuti mupulumuke

Kodi n'zotheka kuchiza chithokomiro cha postpartum? Umboni wa amayi ambiri umatsimikizira kuti n'zotheka komanso kofunika kulimbana ndi matendawa. Thandizo labwino lomwe limaperekedwa limakupatsani mphamvu zowonjezera chaka chimodzi. Kupanda kutero, matendawa amatha kukhala ochiritsika, omwe amafunikira mankhwala ovuta komanso ovuta.