Wani binciken da aka wallafa a cikin Jarida na Birtaniya ya nuna cewa yin maganin hypothyroidism a lokacin daukar ciki zai iya rage haɗarin ɓarna. A lokaci guda kuma, masu binciken sun gano cewa mata suna kula da su don maganin tsauraran kwayar cutar da ke fama da ƙwayar cuta mai tsanani wanda ya hada da ba da haihuwa, preeclampsia, da ciwon sukari.
Game da Nazarin
Binciken ya kimanta fiye da mata 5,000 wadanda ke ƙarƙashin asibiti hypothyroid, tare da maganin hormone (TOP) na thyroid stimulating (TSH) tsakanin 2.5 da 10 mIU / L. Masu bincike sun gano cewa matan da suka yi amfani da kwayoyin maye gurbin maganin hormone sun sami kashi 38 cikin 100 na hadarin rashin zubar da ciki, idan aka kwatanta da ƙungiyar da ba a yi ba. Abu mai mahimmanci, sakamakon ne kawai ya shafi matan da ke da matakin TSH na 4.1 mIU / L na mafi girma kafin magani.
Rashin rage hadarin ƙetare ba a gani a cikin matan da ke da TSH ba daga 2.5 zuwa 4.0 mIU / L. A gaskiya ma, waɗannan mata suna da mummunar haɗari na tasowa na hawan jini-yanayin da zai iya haifar da pre-eclampsia.
Preeclampsia ne yanayin da zai iya ci gaba a ciki da ke haifar da hawan jini. Hakanan zai iya haifar da cikakken eclampsia, wanda zai iya haifar da hanta ko gazawar koda, ciwo na zuciya, haɗari, zubar da ciki, kuma zai iya zama mummunan ga mahaifiyar da jariri.
Canje-canje ga Sharuɗɗa
Binciken ya nuna matsala ga shawarwari ga mata a lokacin daukar ciki. A baya, an bada magani ga mata masu juna biyu tare da hypothyroidism wanda matakan hormone (TSH) masu motsawa na thyroid sun fadi tsakanin 2.5 da 4.0 mIU / L.
Cibiyar Thyroid Association (ATA) ta sake fitar da sababbin ka'idoji a shekara ta 2017 wanda ya saurari shawarwarin da aka yi a jaridar Birtaniya .
A cewar ATA, saboda shaidar cewa za a iya haifar da mummunan sakamako ga masu ciki, jagorancin masana sun bada shawarar maganin mata da suka shafe hypothyroidism, wanda aka bayyana a matsayin matakin TSH sama da 4.1 mIU / L.
Za a iya magance jiyya ga mata masu tsauraran hypothyroidism-TSH tsakanin 2.5 da 4.0 mIU / L-idan sun tayar da kwayoyin maganin thyroid peroxidase (TPO) wadanda suke shaidun thyroiditis na Hashimoto.
Bisa ga marubucin masanin binciken, Spyridoula Maraka, MD:
Ci gaba da bayar da maganin hormone thyroid don rage haɗarin hasara na ciki yana da dacewa ga mata tare da ragowar TSH na 4.1-10.0 mIU / L. Duk da haka, an ba da ƙaramiyar tasiri a cikin mata da ƙananan matakan TSH na 2.5-4.0 mIU / L, kuma idan akwai yiwuwar haɓaka ƙari ga sauran abubuwa masu banƙyama, ana iya buƙatar kulawa a wannan rukunin.
Kamar yadda aka lura, duk da haka, sharuɗɗan ATA sun ba da shawarar cewa likitoci suyi la'akari da matsayin mace ta TPO a matsayin yanke shawarar yin maganin hypothyroidism. Har yanzu ana iya miƙa jiyya ga mata masu TPO-tabbatacce kuma suna da matakin TSH tsakanin 2.5 da 4.0 mIU / L.
Mene ne Hypothyroidism Tsakanin?
Harkokin hypothyroidism na rikici yana rinjayar kusan kashi 15 cikin 100 na matan Amurka yayin da ke ciki.
Samun matakan yaduwar hormone na da muhimmanci don ci gaba da lafiyar tayi, musamman ma a farkon farkon shekaru uku, lokacin da mahaifiyar ta samar da hormone thyroid zuwa tayin tayi. Bayan na farko farkon watanni uku, tayi na tayi ya fara girma kuma ya fara samar da kansa na hormone thyroid, don kari ga mahaifa na thyroid hormone.
Tsarin hypothyroidism na mahaifa a lokacin daukar ciki yana haɗuwa da abubuwa masu yawa na ciki, ciki har da rashin karuwa, matukar damuwa, rashin ƙarfin haihuwa, haihuwa, rigar haihuwa, ciwon sukari, da kuma saukar da matakin IQ a cikin yara.
Matakanku na gaba?
Idan kuna da juna biyu kuma kuna da hypothyroidism - amma kai ne TPO-korau-masu bincike sun bada shawarar tattaunawa tare da likita. Bisa ga binciken binciken:
Don sauƙaƙe tsarin aiwatar da shawara ga mata masu juna biyu tare da hypothyroidism na yaudara, ana ƙarfafa likitoci suyi amfani da shawarar yanke shawara. Tare da wannan hanyar, likitoci na iya tattaunawa da marasa lafiya rashin tabbas a bayan shawarwarin maganin mu kuma gano abin da yake da muhimmanci ga su a lokacin da suke yanke shawarar game da lafiyar su tare da manufar yanke shawarar game da magani wanda ya fi dacewa da halin su.
Kalma Daga
Yana da mahimmanci a nuna cewa binciken shi ne na zaman aiki, kuma ba jimillar ba, gwaji na gwaji. A wannan karshen, ana buƙatar ci gaba da bincike don yin koyarda maye gurbi na hormone ga mata masu juna biyu yana inganta damar samun kwanciyar hankali, ko kuma ayyana wani ƙaddamar da mahimmanci ƙaddamarwa don ba da magani ga mata masu tayar da hankalin hypothyroidism lokacin daukar ciki.
Wani batun da ya cancanci yin nazari shine lokaci na magani. Rashin jimawa mafi yawan lokuta yakan faru a farkon farkon shekara ta uku, lokacin daidai lokacin da jaririn ya dogara ga uwar a matsayin tushen asalin hormone thyroid. Masu binciken sunyi zaton cewa yana yiwuwa yiwuwar kula da hypothyroidism na yaudara ne kawai a lokacin farko na farkon ciki. Ƙarin bincike a kan waɗannan batutuwa zai taimaka wajen bayyana waɗannan matsalolin.
> Sources:
> Elizabeth AE, et. al. "2017 Sharuɗɗa na Ƙungiyar Karoid ta Thyroid Association don ganowa da Gudanar da Ciwon Thyroid a Cikin Ciki da Cikin Gida." Thyroid, Volume 27, Lamba 3, 2017. A layi: http://online.liebertpub.com/doi/pdfplus/10.1089/thy.2016.0457
> Spyridoula M et. al. "Karancin maganin jinin kawo tsakanin mata masu juna biyu tare da tsinkayen magungunan hypothyroidism: binciken Amurka." Jarida ta asibiti na Birtaniya. J 2017; 356: i6865 Doi: 10.1136 / bmj.i6865 2017. A yanar gizo: http://www.bmj.com/content/bmj/356/bmj.i6865.full.pdf