ʻO ka hypothyroidism kahi hana hoʻōla o ka thyroid. I nā pākeke, ʻo ka hōʻike nui loa o ka hypothyroidism ʻo myxedema, a me nā keiki - cretinism. Hiki i ke kūlana i ke kanaka a i kekahi manawa, akā ua pilikia mau ka wahine.
ʻO nā kumu o ka hypothyroidism ke ʻano kūikawā o ke kino wahine, ka hiki ʻana o nā hormones sex kūikawā a me ka hiki ke hānau a hānau keiki. He pilikia ʻo Hypothyroidism no ka mea hiki ke alakaʻi i ka kuhi a me ka maʻi ʻole.
ʻO nā maʻi a me nā hypothyroidism nā mea kūpono ʻole. Eia naʻe, me kahi maʻi maʻi, hiki ke hānau ʻia kahi keiki maikaʻi.
He mea nui ia e kiaʻi mau i nā loli i kou kino a ʻike i ka pathology i nā wā mua, ʻoiai hiki ke hopena maikaʻi ʻole nā hopena.
ʻO ka subclinical hypothyroidism i ka wā hapai he mea pōʻino loa ia, no ka mea, ʻaʻole i hōʻike iki kēia kūlana iā ia iho. Hōʻike mau nā loiloi i ka hoʻonui ʻana o ka hormone thyroid-hoʻoikaika i ka ulu ʻana o ka pituitary.
Nā kumu o ka hypothyroidism
ʻO ka maʻi hypnotroidism a me ka nele o ka hormone thyroid i nā wahine hāpai, ma ke ʻano he kānāwai, hoʻomohala no nā kumu like ʻole e like me nā poʻe ʻē aʻe. Ke paʻa paha kēia:
- Hoʻokuʻu i nā mea āpau a i ʻole ʻāpana o ka lula ma muli o ke ʻano o kahi maʻi maʻi a hopena paha;
- Ke hana nei i ka irradiation o ka hana thyroid a i ʻole e hoʻomaʻamaʻa ana i kona hyperfunction me ka radioactive iodine;
- Nā maʻi maʻi ʻē aʻe o ke kino;
- Heneritary predisposition;
- ʻO ka nele o Iodine i ka wai a me / aʻai paha;
- Haki ʻia nā leka kelule.
Ma ke kino o ka wahine hāpai, he nui nā hiʻohiʻona e hiki ke kūpono i nā kumu kumu o ka hypothyroidism, a i ʻole e lilo i predispositions i kēia ʻano kuʻuna:
- Ma ke kino o ka wahine hāpai, ma muli o ka hana o ka estrogens, hoʻonui ka nui i ke koko o kahi globulin (protein) i kāu thyroxin-binding. Hoʻopili kēia protein i ka hormone thyroxine a alakaʻi i kahi hoʻemi i ka kaila o ka hormone manuahi i ke koko, ka mea i hana i kāna ʻano hana;
- Mālama ʻia ka hana o ka hana thyroid gland e ka gland pituitary, ke synthesize i ka tropic hormone thyrotropin (TSH). ʻOi aku ka nui o kēia hormon ka hua māpela pituitary, ʻo ka wikiwiki ka nui o nā hormone thyroid. I ka wā hāpai, hoʻoulu ʻia ke kino o ka wahine i ka gonadotropin chorionic, e hōʻeuʻeu nui i ka nui o ka thyroid gland. Hoʻokomo ʻia kēlā me kēia hōʻeuʻeu o ka pituitary gland e hōʻemi i ka hana o ka hormone hoʻoulu i ka thyroid, ʻoiai e nalo ana kāna hana. Ma ka hopena o ka wā e hāpai ai i ka wā hapai, ua pau ka kāpili ʻana o ka gonadotropin chorionic, a ʻo ka neʻe pituitary ʻaʻole hiki ke hana iā TSH. ʻO nā hopena o kēia kūlana ke ʻano o ke ʻano o ka hypothyroidism;
- I ka hapalua ʻelua o ka hapai i ka kino wahine, ʻo ke ʻano o ka hoʻoneʻe ʻana o nā huina o ka plasenta, he nui ka hana. Hiki i kēia ke alakaʻi i ka hoʻololi o nā hormone thyroid i loko o nā pūhui koʻikoʻi.
- He mea koʻikoʻi loa ia no ka wahine i ka wā hāpai a loaʻa i ka nui o ka iodine. I ka wā hāpai, ua hoʻokaʻawale ʻia kekahi iodine ma ka urine i loko o ke kino, a hāʻawi hou ʻia kekahi mau mea i ka plasenta. Hoʻopilikia kēia i nā kūlana no ka hoʻokumu ʻana o ka nele iodine i loko o ke kino o ka wahine hāpai, no laila puka mau ka hypothyroidism.
ʻO ke kiʻi kauka o ka hypothyroidism
I nā wahine hāpai, ʻaʻole iʻokoʻa nā hōʻailona o ka hypothyroidism i nā hōʻailona o ka hōʻemi ʻana o ka hormone thyroid i ka wahine me ka ʻaʻole hapai:
- Me ka waiwa, lethargy, slowness, hōʻemi i ka hana;
- Ka hopena o ka hoʻomanaʻo a me ka hana noʻonoʻo;
- Hoʻopau i loko o ke aniani o ke kino, chilliness, yellowness o nā membrane mucous a me ka ʻili;
- Hoʻopilikiaʻana o nā lauoho a me nā kui;
- ʻEha ka naʻau, constipation, puʻuwai;
- Hoʻonui ikaika i ka paona o ke kino, ka huehue o nā limahana a me nā kino o loko (myxedema);
- Nā hemahema o ka hana cardiac, me ka hoʻonui ʻana i ka nui o ka hoʻopā, me ka ulu ʻana i ka pilikia i ka hanu ʻana, me ka ʻōlelo ʻana a me ka hoʻololi ʻana i ka leo.
Nā kuhi koʻikoʻi o ka mālama ʻana
Ma ke kānāwai, ʻo ka mālama ʻana o ka hypofunction thyroid ma loko o ka hoʻohana ʻana o nā hormone thyroid: levothyroxine a i ʻole thyroxine.
Ua kuhikuhi kuʻikahi ʻia nā palapala - ka mua, kuhikuhi ke kauka i ka liʻiliʻi loa i ka mea maʻi, a laila piʻi i kēlā me kēia 6-8 wiki i nā waiwai kiʻekiʻe. ʻO ia ka manaʻo i kēlā
I ka wā hāpai, ʻo ka mālamaʻana o ka hypothyroidism kekahi e hoʻopili i ka hoʻohana ʻana i ke ʻano hoʻohālikelike o ka hormon, akā, heʻokoʻa ʻokoʻa nā kumu o ka mālama ʻana. ʻO kahi wahine hāpai i ka maʻi maʻi o ka "hyperthyroidism" e kauoha ʻia ana i ka levothyroxine i ka nui o ka palena palena no ka lā mua o ka mālama ʻana.
Eia kekahi, inā i hōʻike ka wahine i ka hypothyroidism ʻoiai ma mua o ka hiki ʻana o kahi keiki, a ua lawe ʻo ia i ka hāmeʻa i nā inea maʻamau, a laila ma hope o ka hapai ʻana e pono koke iā ia e huli i ka nui o ka nui o ka hormone, e lawe ana i nā inikua i nā 9 mau mahina.
He mea koʻikoʻi loa kēia kuhi no ka mālama ʻana i ka maʻi, ʻoiai ma ka hapalua mua o ka hapai ʻana ka naʻau o ke kino o ke pēpē i kekahi, ʻoi loa ka hapa ʻole o ka thyroxine.
E makaʻala pono i kekahi mea nui: pono ka wahine e lapaʻau ʻaʻole i hōʻike ʻia o ka hypothyroidism wale nō, akā subclinical hypothyroidism hoʻi i ka wā hāpai.
Hoʻopili i nā hopena hormonal manawa pono, ʻo ka hypothyroidism i ka wā hāpai e koi aku i ka hoʻololi ʻana i ka meaʻai.
- Pono e kaupalena i ka nui o nā huamina i hoʻopau ʻia: muffin, chocolate a me nā huahana palaoa;
- He mea nui ia e hōʻemi i ka nui o nā meaʻai momona i hoʻopau ʻia: i ka ʻai, nā iʻa, nā iʻa momona, ka lard.
- Ua hōʻike ʻia kahi hoʻonui o ka protein intake;
- I ka papa ʻaina āu e pono ai e hoʻolauna i nā huahana nonfat fermato;
- Hoʻonui i kāu kauʻana o ka fiber a me nā huaora.
Eia kekahi, hāʻawi pono nā kauka i ka hōʻemi o ka nui o ka paʻakai i kēlā me kēia lā, a me nā inu wai. Pono kēia e hōʻemi i ka hopena o ka myxedema.
ʻO ka hōʻeha a me nā hopena e pili ana i ka hypothyroidism
No ke kino o ka wahine hāpai, he mea koʻikoʻi nā hormones thyroid. ʻO kahi hemahema o kēlā mau huahana e alakaʻi i nā hopena pōʻino a koʻikoʻi no ka wahine iho a me kāna wahine. Hiki i ka hoʻomohala ʻana i nā pilikia nui i ka hānau keiki hou.
Hiki ke hoʻokaʻawale i nā maʻi āpau o ka hypothyroidism no kahi wahine a me kāna mau keiki i loko o kekahi mau pūʻulu
ʻO nā maʻi i loaʻa i ka wahine hāpai.
- ʻO ka lohi i ka hoʻomohala ulu o ke keiki ma muli o ka nele o ka hormone thyroxine;
- ʻO ka huhū koko;
- Hypertension gestational - kiʻekiʻe kiʻekiʻe o ke koko e ʻike ana i ka wā hāpai;
- Detachment premature a i ʻole detachment o ka plasenta;
- ʻO ka hānau Preterm a i ʻole ka hānau hānau haʻahaʻa;
- ʻĀpana Kaisare;
- ʻO ka make o ke keiki ma ka wā hāpai a i ka wā hānau;
- I kekahi manawa he kala ʻole.
ʻO nā ʻōpiopio e ʻike ʻia ana i kahi keiki nāna e makuahine me ka hypothyroidism:
- Nā alahele holomua hanana;
- Congenital hypothyroidism;
- Nā pilikia o ka hoʻomohala ʻana o ka psychomotor, i kekahi manawa me ka ʻeha noʻonoʻo noʻonoʻo koʻikoʻi.
He mea nui: inā hele mai ka hypothyroidism ma kahi wahine i ke kahua o ka hoʻolālā ʻana o ka hapai, a laila haʻahaʻa loa ka manawa kūpono.
Hoʻopili ʻia kēia kūlana me ka hala ʻole o ka huaʻala o ka hua, i kekahi manawa me ka hypothyroidism i kekahi wahine wahine infertility e pae.
