Gudanar da Ciwon Thyroid a lokacin da kuma bayan Hawan ciki

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Gudanar da Ciwon Thyroid a lokacin da kuma bayan Hawan ciki: Sharuɗɗa

Ana san cutar ta maganin da ke da nasaba da nau'o'in ciki da kiwon lafiyar likita, da lafiyar jariri. A kokarin kokarin tsara ayyukan daban-daban da lokuta masu rikitarwa game da cutar thyroid da ciki, ka'idoji na kulawa da maganin matsalolin thyroid a cikin ciki da kuma lokacin da aka kammala a cikin shekara ta 2011, an rubuta su ne a ƙarshen shekara ta 2011, kuma an yi la'akari da shawarwarin yanzu.

Jaridar Thyroid ta wallafa sharuɗɗa a matsayin shafi na 47, wanda ake kira "Sharuɗɗa na Ƙungiyar Karoid ta Thyroid Association don ganowa da kuma Gudanar da Ciwon Thyroid a lokacin Cigaba da Lafiya" . Wannan labarin ya haɗa da wasu mahimman shawarwari na jagororin, waɗanda ke da mahimmanci abubuwan idan ka ci gaba da ciwo na thyroid a lokacin ko bayan ciki, ko kuma waɗanda ke da alamun maganin karoid kafin su yi ciki.

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Abin da Kuna Bukata Ku Yi Game da Shirye-shiryen Tawan ciki a ciki

Bugu da ƙari, ba a ɗauka yin nazarin maganin karoid a cikin mata masu juna biyu ba daidai ba bisa ga Jagororin. Masana sun bayar da shawarar, duk da haka, za a gudanar da nazarin da kuma kimantawa a tsakanin mata da ke fuskantar babbar cuta na cutar thyroid.

Kai ne mafi haɗari ga ƙwayar thyroid lokacin ciki idan ka:

• da keɓaɓɓen tarihin thyroid dysfunction da / ko thyroid tiyata
• suna da tarihin iyali na thyroid cuta
• samun goiter
• gwajin gwagwarmaya don ƙananan ƙwayoyin thyroid
• suna da alamun bayyanar cututtuka ko alamun daji wanda zai iya bayar da shawarar hypothyroidism
• suna da irin na ciwon sukari
• da tarihi na ko dai kuskure ko aikawa na farko
• suna da wasu cututtuka na kamuwa da juna wanda ake danganta da matsalolin maganin karoid, irin su: vitiligo, rashin lafiya na adrenal, hypoparathyroidism, gastritis na asrophic, anemia mai lalata, tsarin sclerosis, tsarin lupus erythematosus da Sjogren's syndrome
• sun sha wahala rashin haihuwa
• sun riga sun karbi radiation zuwa kai ko wuyanta a matsayin magani na ciwon daji, ko kuma sun sami hasken hawan ƙananan hakora
• suna da mummunan haɗari, wanda aka bayyana a matsayin ma'auni na jiki (BMI) na sama da 40, ko nauyin jiki wanda shine 20% ko fiye akan nauyin jiki na jiki
• suna da shekaru 30 ko tsufa
• An bi da su tare da behadarone (Cordarone) don zuciya na irregularities
• An bi da su tare da lithium
• an gabatar da su a iodin a wani gwajin gwajin likita a cikin makonni shida da suka gabata,

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Abin da Kuna Bukatar Sanin Harkokin Hypothyroidism da Ciki

Hypothyroidism yayin da kake ciki yana iya haifar da mummunar illa ga lafiyar jariri, don haka ya kamata a guje wa hypothyroidism na mahaifi.

Idan kun kasance hypothyroid kafin daukar ciki, Sharuɗɗa yana ba da shawara cewa za a gyara sashi don TSH yana da kasa 2.5 mIU / L kafin ɗaukar ciki . Wannan yana rage haɗarin TSH yana tasowa a farkon farkon watanni.

Har ila yau, ya kamata ku tabbatar da daukar ciki a wuri-wuri, kuma ku shirya shirin don ƙara yawan sakon maganin ku , don kare lafiyar ku ta hanyar goyan bayan aikin ku.

Idan an gano ku a matsayin hypothyroid a lokacin daukar ciki, ya kamata a bi ku ba tare da bata lokaci ba, tare da burin dawo da matakan thyroid zuwa al'ada da sauri. A farkon farkon watanni uku, ya kamata a kiyaye matakin TSH a matakin da ya kai tsakanin 0.1 da 2.5 mIU / L, 0.2 zuwa 3.0 mIU / L a lokacin na biyu, kuma 0.3 zuwa 3.0 mIU / L a cikin uku na uku .

A lokacin da kuka kasance cikin makonni hudu zuwa shida, zaku yi amfani da maganin maganin maganin maganin jinin kuɗin da za ku karu, mai yiwuwa ta hanyar kashi 50 cikin 100 .

Idan kana da cututtukan thyroid na autoimmune, alal misali, an gwada ku a baya ga kwayoyin maganin thyroid, kuna cikin hadarin zama hypothyroid a kowane hali a ciki. Ya kamata a kula da kai a kai a kai ta hanyar ciki don TSH mai girma.

Zaka kuma so ka kasance da masaniya game da canje-canje don tsammanin zuwan thyroid lokacin daukar ciki .

Wani muhimmin shawarwarin: tabbatar da cewa sinadarai na prenatal ya hada da iodine, mai mahimmanci na gina jiki don maganin thyroid lokacin ciki.

Dubi cikakken bayani akan Jagoran Harkokin Hypothyroidism, Cututtukan Hashimoto da Ciki .

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Abin da Kuna Bukatar Sanin Harkokin Harkokin Kwayoyin Kai da Ciki

Idan kana da matakan TSH da ƙananan al'ada, ya kamata a gwada ku don sanin ko dalilin da ake haifar da hyperthyroid a lokacin daukar ciki shine hyperthyroidism / hyperemesis gravidarum - yanayin ciki da ke haifar da cututtuka mai tsanani - ko cututtukan Graves . An gane ganewar asali ta hanyar yin la'akari idan kana da goiter, da kuma / ko gwada gwagwarmayar kwayoyin maganin karoid.

Idan kun kasance cikin ciki, kuma ku zama hyperthyroid saboda cututtukan Graves ko nodules, ya kamata ku fara jiyya na hyperthyroidism nan da nan. Yawanci, za ku karbi maganin miyagun ƙwayoyi (idan sababbin cututtuka), ko, idan an riga an magance ku, za a gyara sashin ku don daidaita matakan T4 kyauta a cikin al'ada don wanda baiyi ciki ba.

Magungunan ƙwayar magungunan antithyroid (musamman ma a farkon farkon shekaru uku) shine kwayar halitta, saboda methimazole yana da dan kadan (ko kadan) hadarin haddasa cututtuwar haihuwa a cikin jariri. Sharuɗɗa masu bada shawara suna canjawa zuwa methimazole don na biyu da na uku .

Idan kana da mummunan cututtuka ga magungunan antithyroid, buƙatar ƙwayar mahimmanci don sarrafa kajin hyperthyroidism, ko kuma samun ciwon hyperthyroidism ba tare da kulawa ba, duk da magani, ana iya bada tiyata . Yayinda za'a tilastawa tiyata a lokacin da kake ciki na biyu, lokacin da zai iya zama dan damun ciki.

Matsayi mai mahimmanci: Kada a ba da magani mai yaduwar radiyo a yayin da kake da ciki ko kuma yana da ciki.

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Abin da Kayi Bukatar Sanin Tambayoyi Game da Thyroid Antibodies, Graves 'da kuma jariri

Idan kana da TSH receptor-stimulating ko TSH mai karɓar maganin rigakafi, za su iya ƙetare mahaifa, da kuma shafar karoid din ka. Idan kayi tabbatacce ga waɗannan kwayoyin cutar a yayin daukar ciki, ana iya haifar jariri tare da hyperthyroidism ko hypothyroidism . Ya kamata a kiyasta wadannan kwayoyin cutar idan kuna da cutar ta Graves, ko kuma idan kun kasance a baya suna da jariran da suka kirkiro cutar. Zai iya zama wajibi don bi da ku da kwayoyi antithyroid yayin daukar ciki don rage hadarin ga jariri.

Idan kayi girman TSH mai karɓar mai kwakwalwa ko TSH wanda zai iya ɗaukar nauyin maganin TSH kuma ana bi da shi tare da maganin antithyroid, dole ne a gudanar da kimanin tayi a cikin tayi. Wannan duban dan tayi ya kamata neman shaidun maganin ƙwayar jikin ka a cikin jaririyarka, ciki har da ciwo mai raguwa da kuma karaɗa ciwon sanyi, tare da sauran alamu.

Idan kai sabon mahaifi ne tare da cutar Graves, ya kamata a kimanta jaririnka don rashin jin dadi bayan haihuwa bayan da haihuwa, saboda akwai hadari na yanayin da aka sani da hyperthyroidism: wanda ke da tasiri ga yara .

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Abin da Kuna Bukatar Sanin Cikin Matattun Matattun Haikali da Hawan ciki a ciki

Duk matan masu ciki da hyperemesis gravidarum (rashin lafiya mai tsanani da ya kamu da shi wanda ya hada da asarar nauyi da rashin jin dadi) ya kamata a kimanta aikin thyroid.

Idan kuna da mummunar cututtuka da safe, da kuma cike da hyperthyroidism saboda cutar Graves, da kuma hyperthyroidism na haɓaka tare da matakan hawan gwanin thyroid - T4 kyauta a sama da kewayon tunani da TSH kasa da 0.1 μU / ml - zaka iya buƙatar magani na gajeren lokaci tare da miyagun ƙwayoyi antithyroid.

Ƙara koyo game da hyperthyroidism / hyperemesis gravidarum .

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Abin da Kayi Bukatar Sanin Thyroid Nodules da Thyroid Cancer a Ciki

Bisa ga Sharuɗɗa, idan kuna da ciki kuma kuna da thyroid nodules, ya kamata ku sami TSH da Free T4. Idan kana da tarihin iyali na ƙwayar thyroid carcinoma ko ƙananan neoclasia endocrine (MEN) 2, za'a kuma auna ma'aunin digitonin.

Sharuɗɗa kuma sun bada shawarar duban dan tayi don tantance siffofin nodule, da kuma lura da girma. Idan nodule ba kasa da 10mm a girman ba, ba'a buƙatar ƙarancin buƙata na fata (FNA) ba tare da buƙata ba sai dai idan akwai wasu halaye masu haɗari.

Idan nodule yana girma, ko kuma kana da tari mai tsauri ko matsalolin murya, ko wasu alamu masu tsattsauran ra'ayi daga tarihin, Sharuɗɗa sun bada shawara a yi FNA. An dauki FNA lafiya lokacin daukar ciki.

Lokacin da ake gano thyroid nodules a farkon kullun farko ko na biyu, za'a yi aikin tiyata a karo na biyu na uku. Magungunan thyroid cancers sunyi hankali a hankali, don haka idan kimantawar ta nuna cewa ciwon daji ne na papillary ko follicular, kuma babu wata shaida game da ciwon ci gaba, ana iya ba ka zarafi ka jira har sai an haifi jaririn kafin ka fara aiki.

Idan kun kasance a halin yanzu kuma ana bincikar ku da ciwon maganin ciwon maganin thyroid, a wasu lokuta likitanku zai bada shawara jiran har sai bayan bayarwa don tiyata. Amma zaka iya samun magani tare da magunguna masu maye gurbin thyroid, don kiyaye TSH bas, amma har yanzu ana iya ganewa. Ainihin haka, matakan T4 kyauta ko matakan T4 ya kamata su kasance cikin al'ada na al'ada don ciki.

Dole ne a baiwa Idinin radiyo idan kun kasance a halin yanzu ciki ko nono.

Bayan da ka sami magungunan magani na iodine rediyo, yakamata ka jira watanni shida zuwa shekara don yin ciki, don tabbatar da cewa aikin thyroid yana da karko, kuma ciwon daji na thyroid yana cikin gafara.

Ƙara koyo game da Thyroid Nodules da Thyroid Cancer a Ciki .

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Abin da Kayi Bukatar Sanin Game da Matsaloli na Thyroid

Idan kana da tarihi na postpartum thyroiditis , kana cikin wata babbar haɗari na bunkasa hypothyroidism. Ya kamata ku sami kimanin shekara-shekara na thyroid.

Yawancin lokaci, magungunan antithyroid ba a bada shawara ga tsawon lokaci na hyperroid na postpartum thyroiditis. Idan kana da likitan kaji na thyroiditis kuma suna da alama, za'a iya amfani da beta blocker. Bena mai amfani da beta shine propranolol, a mafi ƙanƙantar da zai yiwu don taimakawa bayyanar cututtuka.

Sharuɗɗa sun bayar da shawarar cewa bayan kwanakin hyperthyroid, TSH ya kamata a kula da shi a kowane watanni biyu har zuwa shekara 1, don nunawa ga hypothyroidism.

Idan bayyanar cututtuka sun kasance mai tsanani, ko kuma idan kuna shirin yin ciki, hypothyroidism da aka haifar da postrolum thyroiditis ya kamata a bi da ku. Idan kun kasance mai matukar damuwa, Jagoran Sharuɗɗa suna bada TSH dinku a kowane mako hudu zuwa takwas.

Idan hyperthyroidism ya bayyana bayan zuwanka, Jagoran ya bada shawara cewa a bi da hyperthyroidism, amma ya bada shawarar cewa idan an buƙata, zaɓin farko na magani shine maganin antithyroid wanda ake kira methimazole (sunan Tapazole). Yawanci har zuwa 20 zuwa 30 MG / d suna dauke da lafiya ga mahaifiyar da jaririnta. Hanya na biyu don maganin antithyroid bayan ciki shine propylthiouracil (wanda aka sani da PTU), a allurai har zuwa 300mg / d. Masana sun fi damuwa game da amfani da PTU saboda matsaloli tare da haɗarin hanta da suke hade da miyagun ƙwayoyi.

Idan kana nadawa da shan magungunan antithyroid, Jagoran suna bada shawara cewa an yi amfani da maganin maganin antithyroid, kuma a dauka a lokutan da ke faruwa bayan haihuwa. Idan kana shan maganin antithyroid da shayarwa, ya kamata a yi jariri jaririn lokaci-lokaci tare da gwajin gwajin ka, bisa ga jagororin.

Don ƙarin bayani, duba:

• Magunguna Thyrotoxicosis / Hyperthyroidism
• Makaranta Thyroiditis

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Abin da Kuna Bukatar Sanin Game da Yara da Yayi da Thyroid Disease

Yawancin iyaye masu yawa za su zabi nono. Idan kana da yanayin thyroid, zaka iya yin tunani game da lafiyar nono.

Idan ana bi da ku don hypothyroidism yayin da kuke shayarwa , za ku iya ci gaba da daukar magani na maye gurbin maganin horroone a hanyar da kuka dace ba tare da cutar da jariri ba .

Tambayar shan shan antithyroid don hyperthyroidism yayin da nono yana da rikice-rikice, kuma kana iya gano wadatar da wadata.

Har ila yau, ya kamata ku lura da sharuɗɗa da wasu takamaiman shawarwari game da yadda za ku iya samun maganin thyroid yayin da ake shayarwa .

> Source:

> Stagnaro-Green, Alex, et. al. "Sharuɗɗa na Ƙungiyar Karoid ta Amurka da ke Kula da Ciwon Bincike da Gudanar da Ciwon Thyroid a Cikin Ciki da Cikin Gida." Thyroid . Volume 21, Lamba 10, 2011 (Online)