ʻO ka thyroid i ka hāpai ʻana: nā loli nui a mālama

Anter

• 1. Hypothyroidism
• 2. Hyperthyroidism
• Mālama i ka wā hāpai
• Nā Lapaʻau
• mea ʻai
• Nā hoʻāʻo maʻamau a me nā kūkākūkā ʻana

He mea nui ka thyroid i ka hāpai ʻana no ke olakino o ka makuahine a me ka pēpē a pono e ʻike ʻia a mālama ʻia kekahi hana pono ʻole i kumu e pilikia ai ka pēpē e pono ai nā thyroid o ka makuahine a hiki i ka hebedoma 12th o ka hāpai ʻana. Ma hope o kēia pae, hiki i ka pēpē ke hana i kāna mau homone ponoʻī.

ʻO nā Turo, ʻo T3, T4 a me TSH ka mea e hoʻonui a hoʻemi ʻia paha e hana ana i nā pilikia nui o ka thyroid i ka hāpai ʻana e like me hypothyroidism a me hyperthyroidism. Hiki i kēia mau maʻi ke hōʻeha i ka hānau keiki ʻole, hānau ʻōpio a i ʻole hoʻohuli i ka ulu ʻana o ka fetus. Hoʻohui ʻia, hiki i kāu mau hana thyroid ke hana i nā loli i loko o ke kalepuni, e paʻakikī ana i ka hāpai ʻana.

No laila, he mea nui e hana i nā hōʻaʻo pale e hāpai a prenatal e hōʻoia i ka hypothyroidism a i ʻole ka hyperthyroidism, e hōʻoia ana i ke olakino o ka makuahine a me ka pēpē. E ʻike i nā hoʻāʻo e pono ke hana ʻia ke hoʻolālā ʻana e hāpai.

ʻO nā maʻi thyroid nui i ka hāpai ʻana:

1. Hypothyroidism

ʻO ka hypothyroidism kahi hoʻemi i ka hana ʻana o nā homone thyroid i ka wā hāpai a hiki i ka hoʻonui ʻana i ke kahe ʻana o ke kō, ka hāpai ʻana o ka manawa, ka hānau mua a hoʻonui ʻia paha o ke kahe o ke koko a me ka pre-eclampsia i nā wahine hāpai. I ka pēpē, hiki i ka hypothyroidism ke hoʻolohi i ka hoʻomohala ʻana i ka noʻonoʻo, ka hemahema o ka noʻonoʻo, ka hoʻoliʻiliʻi ʻike quient (IQ) a me ka goiter (chat).

ʻO nā ʻōuli maʻamau o ka hypothyroidism ka hiamoe, ka luhi nui loa, nā kui nāwaliwali, ka nalo ʻana o ka lauoho, ka hōʻemi ʻana o ka puʻuwai, ka paʻa ʻana, ka ʻili maloʻo, ka ʻeha a me ka hoʻoliʻiliʻi o ka hoʻomanaʻo.

Hiki i ka Hypothyroidism ke hana i ka wā postpartum a i kekahi mau mahina ma hope o ka hānau ʻana o ka pēpē, e koi ana i ka lāʻau. E aʻo hou e pili ana i ka hypothyroidism.

2. Hyperthyroidism

ʻO ka Hyperthyroidism kahi hoʻonui i ka hana ʻana o nā hormones thyroid, ʻoiai ʻaʻole maʻamau i ka wā o ka hāpai ʻana, hiki ke hōʻeha i ka wahine hāpai, hāʻule ka puʻuwai, pre-eclampsia, placental neʻe a hānau mua paha. I ka pēpē, hiki i ka hyperthyroidism ke kumu i ke kaumaha o ka hānau haʻahaʻa, hyperthyroidism neonatal a i ʻole ka make fetal.

ʻO nā ʻōuli o ka hyperthyroidism i ka hāpai hāpai ʻana, ʻo ka wela, ka wela nui, ka luhi, ka puʻuwai puʻuwai a me ka hopohopo, kahi e ālai pinepine ai i ke kuhi, no ka mea maʻamau kēia mau ʻōuli i ka hāpai ʻana, akā ʻae ʻia nā hoʻokolohua hale hana e hōʻoia pono me ka hoʻomaka maikaʻi loa. E aʻo hou e pili ana i ka hyperthyroidism i ka hāpai keiki.

Mālama i ka wā hāpai

ʻO kekahi mau akahele koʻikoʻi i ka wā hāpai.

Nā Lapaʻau

ʻO ka mālama ʻana i ka hypothyroidism i ka hāpai ʻana e hana ʻia me nā lāʻau, e like me levothyroxine, no ka laʻana. He mea nui e lawe i ka lāʻau i ka manawa like i kēlā me kēia lā. Eia nō naʻe, inā poina iā ʻoe ke lawe i kahi lāʻau, lawe iā ia ke hoʻomanaʻo ʻoe, e mālama ana ʻaʻole e lawe i ʻelua mau lāʻau i ka manawa like. Pono e hana ma hope o ka prenatal a me nā kūkākūkā ʻana me ka endocrinologist ma ka liʻiliʻi loa i kēlā me kēia 6 a 8 mau pule e nānā i nā kiʻekiʻe o nā hormone thyroid a, inā pono, e hoʻoponopono i ka mahele lāʻau o ka lāʻau.

I ke kumu o ka hyperthyroidism i ka hāpai keiki, e mālama pono i kēlā me kēia 4 a 6 mau pule a me nā ultrasound maʻamau i ka pēpē. ʻO ka mālama ʻana i ka hyperthyroidism i ka hāpai hāpai ʻana e pono e hoʻomaka koke ma hope o ka hōʻoia ʻana a hana ʻia me kahi lāʻau e like me propylthiouracil, no ka laʻana, a pono e hoʻoponopono ʻia ka mahele lāʻau, inā pono. Ma hope o ka hānau ʻana, pono e hoʻomaopopo ʻia ka pediatrician ua loaʻa ʻo ia i ka hyperthyroidism i ka wā o ka hāpai ʻana i hiki ai ke nānā ʻia ka pēpē a, no laila, e nānā inā he hyperthyroidism kā ka pēpē a, inā pono, e hoʻomaka i ka lāʻau. E ʻike i nā hoʻokolohua ʻē aʻe e pono ai i kahi keiki hānau hou.

mea ʻai

ʻO ka hānai ʻana i ka wā o ka hāpai ʻana e loli a kaulike e hāʻawi i ka makuahine a me ka pēpē me nā mea pono e pono ai. Aia kekahi mau meaʻai i ka iodine i kā lākou haku pono ʻana e pono ai no ka hana ʻana i nā hormone thyroid, e like me ka cod, egg, ate a me ka maiʻa, e kōkua ana e mālama i ke kaulike thyroid. I nā hihia o ka hana ʻole o ka thyroid i ka hāpai hāpai ʻana, koi ʻia ka nānā ʻana me kahi nutrististist i mea e mālama ai i ka papaʻai olakino. E ʻike i nā meaʻai momona iodine he 28 hou aku.

Nā hoʻāʻo maʻamau a me nā kūkākūkā ʻana

He mea nui i nā wahine i ʻike ʻia me ka hypothyroidism a i ʻole ka hyperthyroidism i ka hāpai ʻana e hele pū me kahi gynecologist-obstetrician a endocrinologist paha e nānā i ka ulu ʻana o ka fetus a hōʻoia i ke olakino o ka makuahine a me ka pēpē. Eia nō naʻe, inā i ka wā ma waena o nā kūkākūkā ʻike ʻoe i nā ʻōuli o hypothyroidism a i ʻole hyperthyroidism, e ʻimi koke i ka lāʻau. E aʻo hou aʻe e pili ana i ka mālama prenatal.

I ke kūkākūkā ʻana, noi ʻia nā hoʻokolohua hoʻokolohua no nā pae o nā hormones T3, T4 a me TSH e loiloi i ka hana o ka thyroid a, inā pono, ultrasound o ka thyroid. Inā loaʻa nā loli, pono e hoʻomaka koke ka lāʻau kūpono kūpono loa.