Fahimtar matsalolin thyroid yayin daukar ciki

Kiwan lafiya Ilimin Matasa

Kuna da ciki-taya murna!

Kun san jikinku zaiyi watanni tara na manyan canje-canje, amma baku shirya wannan ba. Kun kasance kuna jin mahaukacin gajiya, yawan tashin zuciya, da rashin kwanciyar hankali. Karuwar ku ma yana fita daga iko. Duk al'ada? Wataƙila. Amma waɗannan ma na iya zama alamun alamun matsalar maganin karoid.

Thyroidunƙarar jikinka ƙanana ce, mai siffar malam buɗe ido a gaban wuyanka, ta gindin makogwaro. Yana daga cikin tsarin endocrine na jiki, jerin gland wanda yake tasiri kusan kowace kwayar halitta da gabar jikinka. Thyroid dinka na iya dan kankane, amma sinadarin homonin da yake samarwa - thyroxine (T4) da triiodothyronine (T3) - sune ke da alhakin manyan lamuran jiki, kamar su kula da yadda kake aiki (yadda jikinka yake amfani da adadin kuzari da kuzari), yanayin jiki. , da zuciya, narkewar abinci, da aikin tsoka.

Lokacin da maganin ka ba ya samar da isasshen homonin thyroid, kana da abin da likitoci ke kira hypothyroidism , ko maganin kaikayin da baya aiki. Hyperthyroidism, ko ciwon ƙyamar thyroid, yana faruwa ne lokacin da matakan homonin thyroid yayi yawa.

Don dalilan da ba a fahimce su sosai ba, mata sun fi maza saurin kamuwa da su tabarbarewa ta thyroid . A zahiri, 80% na mutanen da ke da yanayin thyroid sune mata - da juna biyu, tare da ragowar homonin da yake samarwa, na iya zama lokaci mai banƙyama don maganin ƙwayar jikin mace. Tungiyar Thyroid ta Amurka ta ba da rahoton cewa kusan 3% na mata masu ciki da hypothyroidism a cikin ciki. Hyperthyroidism yana shafar ƙasa da haka 1 cikin 100 mata masu ciki , in ji lafiyar yara na Stanford.

Menene haɗin tsakanin thyroid da ciki?

Fetusan tayi yana buƙatar samun wadataccen homon na thyroid don ya girma yadda ya kamata-musamman a farkon farkon ciki, a lokacin tsarin jijiyoyi da ci gaban kwakwalwa. Tare da al'ada, cikin lafiya mai kyau, glandar ka ta faɗaɗa kuma, kara kuzari ta hanyar hauhawar matakan yaduwar kwayar cutar HCg, yana sa ƙarin maganin karoid-har zuwa 50% ƙari .

Wannan yana da mahimmanci, ganin cewa jaririnku ba zai iya yin cikakken isasshen ƙwayoyin maganin thyroid don tallafawa kansa har zuwa kusan 18 zuwa 20 makonni na ciki , bayanin kula da Cibiyar Kula da Ciwon Suga da Cututtukan narkewar abinci da Koda (NIDDK). Amma idan kuna da matsalar rashin lafiyar ku, ba za a sami hawan da ya dace a cikin ƙwayoyin cutar ba kuma alamun na iya faruwa, in ji su Tina Nguyen , MD, mataimakiyar farfesa a likitancin haihuwa a makarantar David Geffen School of Medicine a UCLA.

Wanene ke cikin babban haɗari?

Mata ba a bincikar su a duk duniya don cutar thyroid a cikin ciki sai dai idan suna da wasu abubuwan haɗari. Wadannan sun hada da:

• Samun tarihin iyali na cututtukan thyroid
• Samun rashin lafiyar jiki (alal misali, rubuta ciwon sukari na 1 ko cututtukan zuciya na rheumatoid)
• Shan shan magani na anti-thyroid (don hyperthyroidism) ko karɓar iodine na rediyo
• Bayan yin tiyata na thyroid ko radiation zuwa yankin wuya

Yi magana da mai ba da kiwon lafiya idan kun haɗu da ɗayan waɗannan ƙa'idodin.

Shin matsalolin thyroid zai iya shafar ciki?

Hormone na thyroid-ko akwai mai yawa ko kaɗan-na iya yin tasiri sosai ga mai ciki.

Hyperthyroidism a ciki

Hyperthyroidism, yayin da ba safai a lokacin daukar ciki ba, na iya haifar da matsala ga mahaifiya da jaririnta. Sun hada da:

• Preeclampsia (yanayin da ke haifar da hawan jini sosai yayin ɗaukar ciki)
• Isar da wuri
• Weightananan nauyin haihuwa
• Zubewar ciki

Menene ke haifar da hawan jini yayin daukar ciki?

Mafi sanadin sanadin hyperthyroidism a lokacin daukar ciki wani yanayi ne na karan kansa wanda ake kira cututtukan Graves. Yanayin yana haifar da kwayoyin cuta (sunadarai na jini tsarin garkuwar jiki ya samar don yakar wani bakon abu, kuma, wani lokacin, saboda dalilan da basu da cikakke bayyananne, har ma da lafiyayyen nama da gabobi) don afkawa glandar thyroid. A sakamakon haka, thyroid ya zama mai aiki sosai kuma yana haɓaka samar da hormones na thyroid.

Kwayar cututtukan hyperthyroidism

Kwayar cututtukan hyperthyroidism sun hada da:

• Siriri, gashi mai laushi
• Rashin fushi
• Jin dumi ba dadi
• Idanun bulging
• Raunin jijiyoyi
• Saurin bugun zuciya
• Rage nauyi
• Goiter, wanda shine kara girman glandar thyroid wanda ya bayyana kamar kumburi akan wuya

Tuntuɓi mai ba da lafiyar ku idan kuna fuskantar alamun bayyanar cututtukan hyperthyroidism. Bisa lafazin Kiwan lafiyar yara na Stanford , mai tsanani, rashin daidaituwa na hyperthyroidism na iya zama mummunan ga mama-zuwa-kasance. Mata masu fama da cutar hawan jini yayin daukar ciki suma na iya fuskantar alakar thyroiditis, ko kuma kumburin glandar, bayan haihuwa.

Jiyya don hyperthyroidism da ciki

Magungunan layi na farko don magance hyperthyroidism a cikin ciki shine propylthiouracil , a cewar Endungiyar Endocrine . Magungunan maganin thyroid Tapazole ( methimazole ) na iya haifar da lahani na haihuwa idan an sha shi da wuri yayin daukar ciki.

Hypothyroidism da ciki

Doctors sun raba hypothyroidism zuwa kashi biyu: bayyane da ƙaddara. A cewar Tungiyar Thyroid ta Amurka , za a sanya ku a matsayin masu dauke da hypothyroidism idan matakan ku na T4 sun yi ƙasa amma wani hormone, wanda ake kira thyroid-stimulating hormone (TSH), yana da girma. Tsarin hypothyroidism mai mahimmanci yana da sauƙi kuma yana faruwa yayin matakan TSH ɗinka suna da girma amma matakan T4 naka al'ada ne.

Samun ƙananan ƙwayar ka na iya haifar da matsala ga mata da jariran da ke tasowa. Don masu farawa, bisa ga binciken da aka buga a cikin Jaridar Indiya ta Endocrinology da Metabolism , idan ke mace ce mai dauke da cututtukan hypothyroidism, ba za ku sami matsala ba yayin da kuke kokarin yin ciki, saboda matsalar na iya haifar da haihuwar mace ba bisa ka'ida ba. Da zarar kun sami ciki, zaku sami yawan ɓarna da rikitarwa na ciki kamar preeclampsia, anemia, da zub da jini bayan haihuwa (bayan haihuwa hemmorhage). Maris din Dimes yayi rahoton cewa jariran da aka haifa ga uwaye masu fama da cutar hypothyroidism suna cikin haɗarin haɗari:

• Haihuwar da wuri
• Haihuwa da mutuwa a makon farko na rayuwa
• Matsaloli tare da ci gaban su na zahiri da na hankali

Menene ke haifar da hypothyroidism yayin daukar ciki?

Mafi sanadin sanadin hypothyroidism yayin daukar ciki wata cuta ce da ake kira autoimmune wanda ake kira Hashimoto’s thyroiditis. Wannan yanayin ne wanda jiki yayi kuskuren sel na glandar thyroid a matsayin maharan ƙasashen waje, ƙaddamar da glandar thyroid da lalata ƙwayoyinta har ta yadda ba zai iya samar da isasshen hormones na thyroid ba.

Ba wai cewa ciki yana haifar da yanayin ba-ko da gaske wata cuta ta thyroid, bayanin kula Cheryl R. Rosenfeld, DO, kakakin kungiyar Americanungiyar (asar Amirka ta Clinical Endocrinologists (AACE) . Yana da cewa za'a iya fara gano shi a lokacin daukar ciki. Tsarin rigakafi na yawancin mata yana da nutsuwa yayin daukar ciki, in ji ta, don haka mafi yawan al'amuran cututtukan thyroid na marasa lafiya marasa lafiya ne wanda ke bayyana a lokacin juna biyu kuma daga baya aka gano shi.

Kwayar cututtukan hypothyroidism

Alamun yau da kullun na hypothyroidism suna kwaikwayon yawancin waɗanda basuda ciki, wanda ke nufin zaka iya rasa su. Sun hada da:

• Tsananin gajiya
• Jin jiri
• Maƙarƙashiya

Signsarin alamu sune:

• Rashin gashi
• Bushewar fata / ƙusoshin kusoshi
• Raunin jijiyoyi / raɗaɗi
• Ofarancin numfashi tare da motsa jiki
• Arsaramar murya
• Kumburi
• Goiter

Kada ku yi jinkirin kawo ɗayan waɗannan alamun zuwa hankalin mai kula da lafiyar ku. Sauran alamun hypothyroidism da bai kamata ku yi watsi da su ba suna jin sanyi a koyaushe, samun nauyi mai yawa, da / ko raguwar bugun zuciyar ku, in ji Dokta Nguyen.

Jiyya don hypothyroidism da ciki

Mai kula da lafiyar ku na iya gwada ku matakan hormone na thyroid tare da gwajin jini mai sauki. Lokacin da aka kama hypothyroidism kuma aka magance shi da wuri, yawancin mata na iya ci gaba da samun sakamako mai kyau na ciki. Maganin zabi shine magani da ake kira Synthroid ( levothyroxine ), wanda zai maye gurbin T4 jikinka yakamata yayi. (T3 ba a amfani dashi a ci gaban kwakwalwar tayi, don haka ba kwa buƙatar ɗaukar shi yayin ɗaukar ciki.)

[Levothyroxine] ya fi mahimmanci a ɗauka yayin ciki, in ji shi Omayra Qujano-Vega, MD , masanin ilimin likita tare da Paloma Health, aikin likita na kan layi wanda ya keɓe kawai ga hypothyroidism. Dokta Qujano-Vega ya ce shine kawai magani don hypothyroidism wanda FDA ta ƙaddara a matsayin rukunin masu ciki A, ma'ana babu haɗari ga ɗan tayi. Ko da [yawancin] bitamin kafin lokacin haihuwa suna da nau'in ciki na B, kodayake suna da aminci sosai kuma ana ba da shawarar.

Dangantaka: Magungunan Hypothyroidism da magunguna

Abin al'ajabi game da magunguna na halitta? Babu wanda aka yi la'akari da aminci da tasiri don amfani yayin ciki, Dr. Rosenfeld ya ce.Don mafi kyawun farashi akan maganin levothyroxine da dubban sauran magunguna, yi amfani da ku SingleCare katin ragi .