Hypothyroidism ndizovuta kumvetsa, zomwe zimapangidwa chifukwa cha kupweteka kwa chithokomiro cha mahomoni a chithokomiro. Matendawa akhoza kukhala ophatikizana komanso opezeka. Congenital hypothyroidism amaphatikizapo munthu kuchokera pa nthawi yoberekera, pamene wopezayo amayamba chifukwa cha chithokomiro cholephera kugwira ntchito kapena atachita opaleshoni mu ntchito yake.
Kupeza hypothyroidism, panthawiyo, ikhoza kukhala yoyamba ndi yachiwiri. Ndi mankhwala akuluakulu a hypothyroidism, khungu la chithokomiro limadwala, ndipo lachiwiri ndilo momwe thupi lonse limakhudzidwa ndi zilonda za hypophysial-hypothalamic system yomwe imayendetsa bwino matenda a chithokomiro.
Chithokomiro hypothyroidism ndi mimba
Hysyroidism mu mimba ndi vuto lalikulu kwambiri. Ndikofunika kwambiri kupeza njira zoyenera zowunikira ndikukonza ntchito za chithokomiro. Chenjezo limeneli likugwirizana ndi zinthu zina monga:
- kusintha kwa chithokomiro pa nthawi ya pakati;
- chofunika cha thyroxine ya amayi kuti akule bwino, makamaka m'zaka zitatu zoyambirira, pamene chithokomiro cha mwanayo sichinawumbidwe;
- Kusiyanasiyana kwa njira zochizira ndi kuchiza matenda a hypothyroidism pa nthawi ya mimba kuchokera ku njira zambiri.
Mankhwala opatsirana pogonana m'mimba mwa mimba
Tizilombo toyambitsa matenda a hypothyroidism, monga akudziwika kuchokera pamutu, alibe chidziwitso choonekera bwino komanso chithunzi chachipatala. Koma kuphulika kwa chithokomiro cha chithokomiro kumatha kuwonekera momveka bwino. Choncho, ndi subclinical hypothyroidism, mlingo wa TSH-chithokomiro chochititsa chidwi cha hormone ukukwera, ndipo mlingo wa T4 ndi T3 umatsalira.
Madokotala a dziko lonse akutsutsana za vutoli. Ena amaona kuti ndizoopsa chifukwa cha kuwonjezeka kwa matenda a atherosclerosis ndi matenda a mtima, motero amaumirira kuti athetsedwa. Ena amanena kuti kupatuka pang'ono kuchoka ku chizoloŵezi sikukhala ndi mphamvu yaikulu m'thupi, ndipo ndikwanira kuti zinthu zisamayende bwino kuti asaphonye kusintha kuti asonyeze hypothyroidism.
Koma aliyense amene amathetsa mkangano, chinthu chimodzi chikuwonekera - subclinical hypothyroidism pa nthawi ya mimba ndi owopsa kwambiri. Ndipo osati kokha kwa mwana, koma kwa mayi.
Hypothyroidism ndi mimba - zotsatira
Choyamba, ndi hypothyroidism chiberekero cha mkazi chicheperachepera, ndiko kuti, kuthekera kwake kuti avomere. Izi zimachitika chifukwa cha zolakwika zomwe zimachitika panthawi ya ovulation. Kwa amayi omwe ali ndi hypothyroidism, chiopsezo chachikulu chosowa chiberekero ndi chachiwiri kuposa amayi omwe ali ndi thanzi labwino. Kotero, kuyamba kumene kwa mimba kumakhala kovuta kale. Koma ngati mimba ikuchitika, chiopsezo cha chitukuko cha mavuto ena ndi chachikulu.
Zina mwazo - kuchedwa kwa intrauterine chitukuko, kuthamanga kwambiri kwa thupi, kusokonezeka koopsa.
Chifukwa chakuti masabata khumi ndi awiri asanafike, mwanayo amayamba kukhala ndi mphamvu yokhala ndi mahomoni a chithokomiro cha amayi, ndipo nthawi yoyamba ndi yofunika kwambiri poika machitidwe ndi ziwalo zofunika, kuphatikizapo ubongo, ndikofunikira kwambiri kuti magazi a mkazi wokhayo ali nawo okwanira mahomoni a chithokomiro. Pokhapokha pa chikhalidwe chotero mwanayo adzakula bwino.
Apo ayi, chiopsezo chokhala ndi ziphuphu zolakwika, matenda osiyanasiyana a ubongo, ndi nzeru zochepa m'tsogolo ndi zabwino.