A lokacin hawan ciki , glanden mace na gwaninta yana buƙatar fadada kayan aikin hormone da muhimmanci, don ya dace da bukatun iyayensu da kuma bunkasa jariri.
Bisa ga Sharuɗɗa na yau da kullum na Amurka Yourroid Association for Diagnosis and Management of thyroid Disease A lokacin da juna biyu da kuma Postpartum, wasu daga cikin canje-canje da suka faru sun hada da wadannan:
- A cikin matan da ba su da guba a ciki, ƙwayar thyroid tana girma ne ta hanyar kashi 10 cikin dari a lokacin daukar ciki.
- A cikin matan da suka kasance masu asali ne, gland yana yawan ƙaruwa daga kashi 20 zuwa 40 cikin girman lokacin daukar ciki.
- Yawanci, aikin mace na thyroxine (T4) da triiodothyronine (T3) ya karu da kashi 50 a cikin lokacin ciki.
- Mace mai ciki tana da karuwar kashi 50 cikin yawan bukatunta na yau da kullum.
Bisa ga wani binciken da aka ruwaito a cikin Journal of Clinical Endocrinology da Metabolism , lokacin da wata mace da ake kula da shi don yin amfani da hypothyroidism ta zama ciki, to ta dauki matakan levothyroxine gaba daya ta hanyar allunan biyu a kowace mako, don kula da aikin ta na thyroid a al'ada (" euthyroid ") kewayon.
Sakamakon binciken
Bisa ga binciken, karawar ƙarin ƙarin jita-jita guda biyu a kowane mako zai iya rage hawan hypothyroidism a cikin mahaifiyar da kuma saduwa da buƙatar cewa farkon ciki ya sanya aiki na thyroid.
Rashin kula da hypothyroidism na mahaifa a lokacin da aka haifa yana haɗuwa da haɗarin haɗari, kuma idan ciwon ciki ya ci gaba, yana ƙara haɗarin haihuwa, haihuwa da haihuwa, da kuma ci gaba da kuma jinkiri a cikin yara bayan haihuwa.
A cikin wannan binciken, matan da suke hypothyroid sun tabbatar da daukar ciki kuma sun fara karuwar maganin levothyroxine a cikin kimanin makonni biyar da rabi na biyu-ko kusa da kwanaki 40 bayan da aka tsara.
Abin sha'awa, a wancan lokacin, kashi 27 cikin 100 na mahalarta nazarin suna da matakin TSH wanda ya kai sama da 5.0 , wanda shine alamar hypothyroidism kuma matakin da ke da nasaba da sakamako mafi kyau ga ciki da kuma lafiyar jaririn da ci gaban halayen, idan aka haife shi.
Wani sashi na mata ya kawo karshen ciwon daji kuma suna shan magunguna da yawa kuma an buƙatar ƙarin daidaito. Masu bincike sun ba da shawara cewa, waɗanda suka fi dacewa su ƙare dan kadan sun hada da:
- mata ba tare da glandar thyroid ba
- matan da matakin TSH kafin suyi ciki bai kasance ba da 1.5
- mata da suke daukar akalla 100 mcg / rana na levothyroxine kafin suyi ciki.
Wannan binciken ya jaddada muhimmancin farawar ciki da kuma aiki a kan marasa lafiya, inda ya rubuta: "A cikin aikin asibiti, mata ba sa neman buƙatar obstinary a gaban makonni takwas zuwa 12. Saboda haka, marasa lafiya sun fahimci muhimmancin farko ( levothyroxine) daidaitawa nan da nan a kan wani jima'i da aka yi ba tare da jimawa ba kuma gwajin ciki mai kyau. "
Bisa ga masu binciken, kara yawan kwayar levothyroxine ta kimanin kashi 30% - karin karin makonni a kowane mako-da zarar an tabbatar da ciki "yana da muhimmanci rage hadarin hypothyroidism na mahaifa a ko'ina cikin farkon shekaru uku.
Kulawa da maganin thyroid kamar sau ɗaya a kowane wata ana buƙatar ta hanyar ciki lokacin da marasa lafiya na marasa lafiya na iya buƙatar gyaran gyare-gyaren L-T4 na gaba don kula da ƙyama TSH. "
Nazarin ya nuna cewa mafi yawan mata a kan maganin maye gurbin maganin hormone na bukatar kimanin kashi 50 a cikin kwayar cutar a lokacin fararen farko na ciki lokacin da tayi dogara akan abin da mahaifiyar kansa ta samar-ko magani-don tsananin hormone. Hanyoyin hawan karo yana da muhimmanci ga ci gaba da bace na tayi, musamman a farkon farkon watanni. Bayan na farko farkon watanni, jaririn jaririn ya iya samar da hormone thyroid, da kuma dogara ga abincin mahaifa na thyroid hormone ya rage.
> Source:
> Leila Yassa, Ellen Marqusee, Rachael Fawcett, da kuma Erik K. Alexander. "Tsarin Harshen Kawancen Karoid dinka na Harshen Hijira (The THERAPY) Trial." Journal of Clinical Endocrinology & Metabolism . An buga Mayu 12, 2010.