Waa caadi in dumarku dareemaan daal, dareemaan niyad jabka, iyo inay yeeshaan calaamado kale oo dhowr ah bilaha dhalashada kadib. Laakiin haweenka qaarkood, calaamadaha waxay noqon karaan kuwo dhib badan waxana laga yaabaa inay tilmaamaan dhibaatada thyroid , oo loo yaqaan 'thyroiditis postpartum'.
Guudmarka
Qanjirka 'Postpartum thyroiditis' waa infakshan ka yimaada tayroodhka oo horayba u dhaco sanadka koowaad ka dib dhalmada, dhicis, ama ilmo iska soo ridid.
Waxaa loo tixgeliyaa kala duwanaanshaha tayrojiyaanka oogada, oo loo yaqaan 'Hashimoto's thyroiditis'.
Yaa Khatar Gelinaya?
Haddii aad uur leedahay, waxaad qaadi kartaa cudurka qanjirka 'postpartum'. Xaaladdu waa mid caadi ah, sida lagu qiyaasay in qiyaastii boqolkiiba 7 haweenku ay horumariyaan.
Khataraha qaadashada qanjirka 'postpartum thyroiditis' ayaa ka sarreeya haddii aad leedahay xaaladahan soo socda iyo / ama calaamadaha qanjirka 'thyroid':
- Ilaa boqolkiiba 25 dumarka qaba nooca 1aad ee sonkorowga waxay ku dhacaan qanjirka 'postpartum thyroid'.
- Ilaa 50 boqolkiiba haweenka qaba xanuunka anti-peroxidase (anti-TPO) ee ka hortagga uur-maskaxda ayaa horumariya thyroiditis postpartum.
Kooraska caadiga ah
Kaadida ugu badan ee cudurka thyroiditis-ka ee postpartum waa hypothyroidism khafiif ah laga bilaabo laba illaa lix bilood kadib marka ilmahaagu dhasho. Hivotiroidism ayaa markaa go'aan ka gaara sida tayroodhkaaga caadiga ah.
Soo bandhigista ugu caansan ee ugu badan waa hyperthyroidism , taas oo bilaabma hal ilaa afar bilood kadib marka dhalmada, ka dib markaa tayroodhagu caadi u dhigmaan.
Koorsada saddexaad waxaa lagu gartaa hyperthyroidis fudud oo markaa u wareegto mudo yar oo ah hypothyroidism muddo dhowr toddobaad ah illaa dhowr bilood, iyadoo la raacayo hab-nololeedka tayroodh.
Inkasta oo kiisaska qaarkood ee qanjidh-ka-dib-u-dhac ku yimaado waqti dambe, haddana waxaa jira khatar aad u xoog badan oo ah in haweenku sii wadi doonto xaalad tayroodh.
Xaqiiqdii, waxaa lagu qiyaasaa in dadka badhkood ee qaba cudurka qanjirka 'postpartum thyroiditis', afar illaa siddeed sano, ay ku dhacaan hypothyroidism joogto ah, goyso (oo ah qanjirka thyroid gland), ama labadaba.
Astaamaha
Waxaa jira tiro calaamado ah oo ah cudurka qanjirka 'postpartum' ee laga yaabo inuu ku soo baxo inta lagu jiro labadaba hyperthyroid iyo hypothyroid labadaba. Kuwaas waxaa ka mid ah:
- Mugga caanaha oo yaraaday ee haweenka naasnuujinaya
- Dhimista timaha
- Daal
- Goiter waa xanuun la'aan
- Niyadjab, walaac, iyo niyadda
Calaamadaha inta lagu jiro marxaladda hyperthyroid ee qanjirka 'postpartum thyroiditis' ayaa badanaa ah mid fudud oo ah calaamadaha guud ee hyperthyroidism . Calaamadahaasi waxaa ka mid noqon kara walaac, murqo jilicsan, xannaaqi, wadne garaaca wadnaha, garaaca wadnaha oo degdeg ah, qufac, miisaan lumis, iyo shuban.
Sidoo kale, calaamadaha inta lagu jiro marxaladda hypothyroid ee qanjirka 'postpartum thyroiditis' ayaa ah ciladaha khatarta ah ee calaamadaha guud ee hypothyroidism . Waxay ku jiri karaan isku-dhafnaan, maqaarka qalalan, adkaanta miisaanka (ama miisaanka korodhka ), caloosha, heerkulka jidhka oo hooseeya, iyo duufaanta indhaha, wejiga iyo gacmaha.
Ciladeynta
Takhtarkaagu wuxuu caadi ahaan ku shaqeyn doonaa dhowr dhiig oo baadhitaan ah si loo ogaado cudurka qanjirka 'postpartum'. Marka lagu jiro marxaladda hyperthyroid, baaritaanka dhiiggaaga wuxuu caadi ahaan muujinayaa hoormoonka kor u kaca ee kor u kaca (TSH ), iyo tayriska caadiga ah ama sareeya (T4) iyo triiodotyronine (T3).
Marka la eego marxaladda hypothyroid, TSH waa la siyaadin doonaa, T4 iyo T3 waxay noqon doonaan kuwo hooseeya ama hooseeya. Heerka qanjirka 'Thyroid peroxidase (TPO)' ayaa laga yaabaa inay sare u kacaan inta badan haweenka qaba thyroiditis postpartum, gaar ahaan inta lagu jiro marxaladda hypothyroid.
Xaaladaha qaarkood qanjaha 'postpartum thyroiditis', ultrasound ayaa la sameeyaa waxayna muujin doontaa ballaarinta qanjiradaada qanjirka.
Waxaa muhiim ah in la xusuusto in ay la socoto cudurka qanjirka 'postpartum thyroiditis', ' autoimmune Graves' (oo sababa hyperthyroidism) laga yaabo inay dhacaan kadib marka ilmahaagu dhasho. Inkasta oo qanjirka 'postpartum' uu yahay midka ugu badan ee keena hyperthyroidism, dhakhtarkaagu wuxuu doonayaa inuu hubiyo inuusan seegin cudurka cudurka Graves '.
Qaar ka mid ah arrimuhu waa kuwa ku jira cudurka Graves, haweeney ayaa leh astaamo aad u daran, xajmiga qanjirada oo badan, iyo waxay yeelan karaan calaamado la xiriira indhaha (oo loo yaqaan Graves 'ophthalmopathy).
Xaaladaha qaarkood, tijaabo baaritaan raadiye raadiye ayaa la sameeyaa si loo kala saaro cudurka thyroiditis-ka ee cudurka Graves. (Fiiro gaar ah, si kastaba ha ahaatee, baaritaankan lama samayn haddii aad naas nuujinayso .)
Daaweynta
Xaaladaha intooda badan, uma baahnid daaweyn loogu talagalay qanjirka 'postpartum thyroiditis' xilliga hyperthyroid ama marxaladaha hypothyroid. Calaamaduhu badanaa waa mid sahlan, xaaladduna si isdaba joog ah ayey u go'aaminaysaa, dhowr bilood gudahood illaa iyo sannad ka dib marka ilmahaagu dhasho.
Si kastaba ha noqotee, haddii calaamadaha cudurka hyperthyroid-ku yahay mid aan raaxo lahayn, dhakhtarkaagu wuxuu kuu qori karaa beta-blocker , sida propranolol ama atenolol. (Naas nuujinta looma soo jeedin inta lagu guda jiro qaadashada beta blockers, si kastaba ha ahaatee.) Daawooyinka Antithyroid looma isticmaalo calaamadaha hyperthyroid ee qanjirka 'postpartum'.
Haddii cudurka hypothyroidism inta lagu guda jiro cudurka qanjirka 'postpartum' wuxuu keenaa calaamado muhiim ah, khabiiro ayaa kugula taliya daaweynta beddelidda hormoonka tayroodh. Caadi ahaan, ka dib lix ilaa laba iyo toban bilood oo daawada ah, dhakhtarkaagu wuxuu kugula talin doonaa inuu joojiyo, markaa mar labaad ayaa lagaa baari karaa si loo arko haddii cudurka qanjidhka kaadihaysta ee xallinta.
Ereyga
Ka dib markaad qabtid thyroiditis postpartum, waxaad leedahay khatar aad u weyn oo ku soo kordha mar labaad uurarka mustaqbalka. Markaad qorsheyneysid uur, ama markaad uur leedahay, hubi in dhakhtarradaadu ay ka warqabaan wixii horay u dhacay.
Waxaa intaa dheer, thyroiditis postpartum waxay kordhisaa khatarta ah inaad qaaddo hypothyroidism ama goor dambe oo nolosha ah. Tani waa sababta ay muhiim u tahay in hawlahaaga tirtiriddaada la qiimeeyo sanadkiiba.
> Isha:
> Alexander EK, et. al. "2017 Tilmaamaha Ururka Astaamaha Ameerikaanka ee loogu talagalay Xanuunka iyo Maareynta Cudurka Qaaxada ee Uurka iyo Dhalmada Kadib." Tirada. 2017 Mar; 27 (3): 315-389.
> Burman, Kenneth. "Sonkorta dhiigga kadib." UpToDate.