Thyroid Nodules Yafi Ƙarƙashin Ƙara Girma A Girma Lokacin Ciki
Tuna da ciki zai iya shafar thyroid nodules , wanda shine swellings ko lumps a cikin thyroid gland shine, kuma zai iya zama wani m salla, ko kuma mai cika da ruwa. Yawancin nodules na thyroid suna da ladabi, amma karamin kashi zai iya kasancewa mai wahala.
Thyroid Nodules
Bisa ga 2011 "Sharuɗɗa na Amurka Yourroid Association don ganewa da kuma Management na thyroid cuta a lokacin da juna biyu da kuma Postpartum," Nodules sun fi na kowa bayan mahaifa ciki, kuma yourroid nodules za su iya ƙara yawan a lokacin ciki .
Lokacin da aka gano nodules a lokacin daukar ciki, an bada shawara cewa a tambayi mata game da tarihin gidansa na mummunan cututtuka da ciwon cututtuka da kuma endocrin cuta, cutar da ta gabata ko magani da ke kunshe da wuyansa (musamman, duk wani maganin radiation zuwa kai ko wuyansa a lokacin yarinya ), da kuma lokacin da aka gano nodule, da yadda sauri yake girma.
Sharuɗɗa sun bada shawarar cewa dukan mata da ƙwayar thyroid suna da TSH da Free T4 . Idan mace tana da tarihin iyali na ƙwayar thyroid carcinoma ko ƙananan neoplasia endocrine (MEN) 2, za'a kuma auna ma'aunin digitonin.
Bisa ga Sharuɗɗa, ana bada shawarar duban dan tayi don ƙayyade fasali na nodule, da kuma lura da ci gaban su. Idan nodule ba kasa da 10mm a girman ba, ba'a buƙatar ƙarancin ingarci (FNA) ba tare da buƙata ba sai dai idan akwai halayen m.
Idan nodule yana girma, ko kuma idan akwai tari mai ƙarfi ko matsalolin murya, ko kuma duk wani alamomi masu ban sha'awa daga tarihin, Sharuɗɗa na bada shawara a yi FNA.
An dauki FNA lafiya lokacin daukar ciki.
Yin amfani da radionuclide nazarin nodule - abin da yake dacewa da nodules masu tsatstsauran ciki a waje na ciki - an hana shi a lokacin daukar ciki, saboda damuwa game da yaduwar radiation ga tayin. Bisa ga Sharuɗɗa, yawancin binciken bincike sun nuna, duk da haka, amfani da rashin amfani na RAI a gaban makonni 12 na gestation bai bayyana ba don lalata ƙwayar jikin ka.
Don benign thyroid nodules, da Guidelines bayar da shawarar ba jiyya. Idan nodules ya nuna ci gaba sosai, canje-canje na ciwon ciwon daji, dole ne a yi FNA mai maimaitawa . Idan nodules suna damun trachea ko esophagus, za a iya yin aikin tiyata .
Ciwon daji na thyroid
Idan ana samun ciwon ciwon thyroid , irin ciwon maganin thyroid ya ƙayyade magani. Don samun ciwon maganin ciwon maganin ciwon maganin ciwon daji a lokacin daukar ciki, Jagoran ya bayar da shawarar cewa za a iya jinkirta aikin tiyata har sai an ba shi.
Don ƙwayar cutar ciwon thyroid, tiyata an bada shawarar a lokacin daukar ciki idan akwai babba babba na farko, ko kuma yaduwa sosai zuwa ƙananan lymph.
Anyi nazarin tasirin thyroidectomy a lokacin daukar ciki, kuma idan an yi aikin tiyata a lokacin na biyu, ba a hade shi tare da yawan ƙwayar mahaifiyar ko tayi ba.
Sharuɗɗa sun bayar da shawarar cewa idan an tilasta ciwon daji don magance ciwon maganin thyroid har sai bayan bayarwa, dole a yi amfani da duban dan tayi a kowane lokaci don kallo don ci gaba da ciwon tumo. Lokacin da akwai ci gaba mai sauri, ko kuma yaduwa zuwa ƙwayoyin lymph, ana bada shawarar tiyata.
A cikin wata mace da ke dauke da ciwon maganin thyroid da ke da bambanci har sai bayan an ba shi, za a iya amfani da magani na levothyroxine , tare da burin kawar da matakin TSH zuwa 0.1-1.5mIU / L.
Yin maganin Hypothyroidism a Cutar Yourroid Ciwon daji
Bisa ga Jagoran, a cikin matan da ke ciwon ciwon maganin thyroid, TSH za a iya kiyaye shi a kasa 0.1 mIU / L a lokacin daukar ciki. A cikin matan da basu da ciwon ciwon maganin thyroid amma waɗanda ke da ciwon haɗari mai tsanani a baya, za a kiyaye murmushi a matakin TSH tsakanin 0.1 mIU / L da 0.5 mIU / L. A cikin marasa lafiya marasa lafiya da babu alamun ciwon maganin thyroid, ana iya kiyaye TSH a ƙananan ƙananan al'ada (0.3-1.5 mU / L).
Yawancin lokaci, matan da suke ciki a kan maye gurbin hormone na thyroid bayan ciwon ciwon thyroid ya buƙaci karamin kashi karuwa idan aka kwatanta da matan da suke hypothyroid saboda wasu cututtuka.
Sharuɗɗa sun bada shawarar cewa a cikin waɗannan mata, TSH za a kula da kowane makonni 4 yayin haihuwa, har zuwa makonni 16 zuwa 20, kuma a kalla sau ɗaya tsakanin makonni 26 da 32 na gestation.
RAI Jiyya don Ciwon daji da Kwayar Tsarin ciki
Masu binciken ba su samo karuwa a cikin rashin haihuwa ba, rashin haihuwa, haihuwa, mummunan mace, rashin lalacewar haihuwa, haihuwa, rashin haihuwa, ko mutuwa a farkon shekara ta rayuwa bayan da radioidyid din din din (RAI) ke jiyya don maganin ciwon ciwon thyroid . Akwai, duk da haka, akwai haɗarin haɗarin rashin haɗuwa a cikin watanni masu zuwa bayan RAI wanda zai iya haifar da rashin kulawa da maganin hormones . Sharuɗɗa masu bada shawara suna jira a kalla watanni shida bayan RAI don tabbatar da kyakkyawan maganin thyroid kafin ɗaukar hankali.
Tashin ciki bai bayyana ya ƙara haɗarin hadarin ciwon daji na thyroid ba a cikin matan da ba su da wata cuta da ke gaban kafin juna biyu. A cikin matan da ke da ciwon ciwon maganin ciwon thyroid, ko dai a cikin launi na thyroid, ko kuma tayi girma ga matakan thyroglobulin (Tg), ciki zai iya kara da ciwon ciwon cancer.
Idan mace ta rigaya ta shawo kan ciwon maganin thyroid, da kuma matakin thyroglobulin (Tg), ba a buƙatar saka idanu na musamman a lokacin daukar ciki. Duk da haka, Sharuɗɗa na bada shawara akan duban dan tayi a kowane lokaci a cikin wata mace da aka rigaya ta bi don maganin ciwon daji na thyroid wanda yana da matakan Tg masu girma ko wani shaida na cutar mai ci gaba.
> 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)