Hypothyroidism: Kahi Alakaʻi a ka Wahine e pili ana i ka momona a me ka hāpai keiki

Anter

• Pre-hāpai keiki
• Hapai keiki
• Paʻi Ma hope
• Lawe ʻia

Ua loaʻa kahi noiʻi ma 2012 i ka loaʻa he 2 a 4 paha ka pākēneka o nā wahine hānau keiki i nā kiʻekiʻe o ka hormone thyroid. ʻO kēia ka manaʻo he nui nā wahine i hoʻopilikia ʻia e nā pilikia momona i hoʻokumu ʻia e hypothyroidism. E hoʻomau i ka heluhelu ʻana e ʻike pehea e loaʻa ai i nā pae hormonone thyroid haʻahaʻa i nā pōpilikia ma mua, i ka wā, a ma hope o ka hānau ʻana.

Pre-hāpai keiki

Hiki i ka Hypothyroidism a me nā pae hormone thyroid haʻahaʻa ke hoʻopili i nā ʻano like ʻole o ka menstruation a me ka ovulation. Loaʻa nā pae haʻahaʻa o kāu thyroxine, a i ʻole T4, a i ʻole hoʻokiʻekiʻe ʻia ka thyroid-hoʻokuʻu i ka hormone (TRH) i nā pae prolactin kiʻekiʻe. Hiki i kēia ke kumu i kahi hua manu e hoʻokuʻu i ka wā o ka hānau ʻana a i ʻole kahi hoʻokuʻu hua manu i kū ʻole a paʻakikī i ka hāpai ʻana.

Hiki i ka Hypothyroidism ke kumu i ka hapalua o ka hapalua o ke kaʻe menstrual. ʻAʻole paha kēia e ʻae i kahi hua manu momona i lawa ka manawa e hoʻopili ai i ka ʻōpū. Hiki iā ia ke kumu i ka mahana o ke kino basal haʻahaʻa, nā thyroid peroroidase (TPO) kiʻekiʻe, a me nā cist ovarian, i hiki ai ke lilo i ka hāpai hāpai a i ʻole hiki ʻole ke hāpai.

Pono ʻoe e nānā i kāu pae thyroid-stimulate (TSH) a me nā pae T4 ma mua o ka hāpai ʻana. He ʻoiaʻiʻo loa kēia inā he haʻahaʻa kou mau hormone thyroid i kēia manawa a i ʻole he hānau keiki ʻole. ʻO nā kumuhana kiʻekiʻe e pili ana i ka moʻolelo ʻohana o nā pilikia thyroid a i ʻole nā ​​maʻi autoimmune ʻē aʻe. Hoʻoponopono i kāu mau hōʻailona hypothyroid i ka wanaʻao o ka hoʻolālā hoʻolālā hāpai e ʻae ai i ka mālama mua. Hiki i kēia ke alakaʻi i kahi hopena kūleʻa hou aʻe.

Hapai keiki

ʻO nā ʻōuli o ka hypothyroidism e like me nā ʻōpū hāpai mua. ʻO nā hōʻailona Hypothyroid i ka hāpai mua ʻana:

• luhi loa
• loaʻa kaupaona
• ʻike i nā mahana anuanu
• ʻūpē mākala
• paʻakikī paʻakikī

ʻO ka mālama ʻana i ka hypothyroidism i ka hāpai ʻana he mea like ia ma mua o ka hāpai ʻana. Eia nō naʻe, mea nui e hoʻomaopopo i kāu kauka ke hāpai ʻoe i hiki iā ʻoe ke loaʻa i ka lāʻau kūpono a hiki ke hoʻoponopono ʻia inā pono. E nānā kāu kauka i kāu helu lab TSH i kēlā me kēia ʻehā a i ʻeono pule e hōʻoia ai i kāu mau hormona i ka pae kūpono. Kū aʻe kāu mau koi hormonone thyroid i ka wā hāpai e kākoʻo i ka pēpē a me ʻoe iho. He mea nui nō hoʻi e hoʻomaopopo aia i loko o kāu huaora prenatal ka hao a me ka calcium, i hiki ke ālai i ke ʻano o ka hoʻohana ʻana o ke kino i ka lāʻau thyroid Hiki iā ʻoe ke hōʻalo i kēia pilikia ma ka lawe ʻana i kāu lāʻau hoʻōla thyroid a me ka wikamina prenatal ʻehā a ʻelima mau hola ke kaʻawale.

Pono kāu kauka e hoʻohana i ka mālama kūikawā e mālama ai i kāu hypothyroidism i kou hāpai ʻana. Inā ʻaʻole kaohi pono ʻia, hiki iā ia ke kumu:

• anemia makuahine
• hoʻonui i ke kaomi koko makuahine
• hāʻule hānau a hānau hānau hou paha
• kaumaha hānau pēpē haʻahaʻa
• hānau hānau mua

Hiki i nā hōʻailona ke kāohi ʻole ke hoʻopili i ka ulu a kāu pēpē a me ka ulu ʻana o ka lolo.

Paʻi Ma hope

Ma hope o ka hānau ʻana, maʻamau ka thyroiditis postpartum. ʻO nā wahine me ka maʻi thyroid autoimmune e hoʻomōhala pinepine i kēia pilikia. Hoʻomaka ka hoʻomaka ʻana o ka thyroiditis postpartum i ka mua ʻekolu a ʻeono paha mahina ma hope o ka hānau ʻana. ʻO kēia kūlana he mau pule i ka mau mahina. Hiki i kekahi o nā ʻōuli ke paʻakikī e hoʻokaʻawale mai nā paio e pili ana i ka lilo ʻana i makua hou.

Hiki ke kau ʻia nā ʻōuli o ka lāʻau thyroiditis postpartum i ʻelua mau hanana:

• I ka pae mua, like paha kāu mau hōʻailona me he hyperthyroidism. ʻO kahi laʻana, hopohopo paha ʻoe, cranky, kuʻi ka puʻuwai puʻuwai nei, ka pohō hikiwawe, ka pilikia me ka wela, luhi, a paʻakikī paha e hiamoe.
• I ka papa ʻelua, hoʻi nā ʻōuli hypothyroid. ʻAʻohe ou ikehu, pilikia me nā anuanu anuanu, paʻa paʻa, ʻili maloʻo, ʻeha a me nā ʻeha, a me nā pilikia e noʻonoʻo pono nei.

ʻAʻohe wahine ʻelua e like me ka hopena o ka hopena o ka thyroiditis ma hope o lākou. Loaʻa ka nui o ka makaʻi no ka thyroiditis postpartum i nā wahine me nā anti-TPO kiʻekiʻe i ka hāpai mua. Loaʻa kēia i kahi ʻōnaehana pale nāwaliwali.

Hiki i ka Hypothyroidism ke hoʻopili i kāu hana waiū akā me ka pono o ka hoʻoliʻiliʻi hormone, hoʻonā pinepine kēia pilikia.

Lawe ʻia

Pono ʻoe e kamaʻilio me kāu kauka inā e hoʻāʻo nei ʻoe e hāpai a loaʻa i kāu maʻi thyroid a i ʻole autoimmune maʻi a i ʻole nā ​​pilikia ma mua o ka hāpai ʻana. Hiki i kāu kauka ke kauoha i nā hoʻokolohua kūpono a hoʻomohala i kahi hoʻolālā hāpai olakino maikaʻi. ʻO ka mua hiki iā ʻoe ke hoʻomākaukau, ʻoi aku ka maikaʻi o kāu kūlana no kahi hopena kūleʻa. A mai hoʻowahāwahā i ka mea nui o ka hoʻoikaika mau, ka ʻai ʻana me ke olakino, a me ka hoʻēmi ʻana i kāu mau pae koʻikoʻi.