Hyperthyroidism and pregnancy, what do you need to pay attention to

Pregnancy is a special physiological process experienced by women. It usually refers to from conception to childbirth. The whole journey is 280 days. For 28 days as a pregnancy month, the whole journey is 10 pregnancy months or 40 weeks.If pregnant women have hyperthyroidism before pregnancy, or hyperthyroidism during pregnancy, a tricky problem will occur because hyperthyroidism may have some adverse effects on pregnant women and fetuses.

The effect of pregnancy on hormones

Some hormones in the body during pregnancy will change greatly.In particular, h-HCG gradually increased after pregnancy.Because it has some homology and TSH effects with TSH, some women will have some symptoms similar to hyperthyroidism during pregnancy, including pregnancy drama.Due to the rise in estrogen levels in pregnant women’s blood, thyroid binding globulin (TBG) levels will also increase, and total serum T3 and T4 will also increase accordingly.T4 increases, but free T3 and T4 are in normal range, generally do not require special treatment.

If women with normal pregnancy have some performance similar to hyperthyroidism, such as palpitations, sweat, fear of heat, appetite, and weight loss, you need to determine whether there is hyperthyroidism, or normal pregnancy reaction.

We can have many ways to judge.If the weight does not increase with the number of months of pregnancy, the period rate is more than 100 times/minute at rest, the neck is thicker, the eyeballs are prominent, and the level of testing is increased. TSH decreases.EssencePregnancy poison will generally disappear after 20 weeks of pregnancy.

Hyperthyroidism and pregnancy

Generally speaking, women with hyperthyroidism have menstrual disorders, reduced menstruation or amenorrhea, and their natural fertility ability is low.However, some patients with hyperthyroidism were found to be pregnant without discovery or treatment. It is generally believed that unchanged hyperthyroidism will affect mothers and fetuses.It can cause pregnancy complications such as miscarriage, premature birth, premature eclampath, and premature placenta in pregnancy. Premature babies, slower growth in the fetal palace, and small -moon small samples will also increase.In addition, due to the mother’s hyperthyroidism, its TRAB (TSH receptor antibody) is often elevated. This antibody can pass the placenta, which may stimulate the fetal thyroid gland, which will cause fetal or neonatal hyperthyroidism.Therefore, in general, if the mother has hyperthyroidism and wants to be pregnant, it is best to control the hyperthyroidism and then get pregnant after stopping the drug, which is safer.

How to treat hyperthyroidism after pregnancy

However, some patients find hyperthyroidism after pregnancy, because hyperthyroidism must be treated, then we will inform the risks that may exist in pregnancy and fetuses. If patients choose to continue pregnancy, we will generally choose anti -thyroid drugs for treatment. If it is not suitable for drug treatment, we are not suitable for drug treatment.Surgical treatment can be selected in the middle of pregnancy.During pregnancy, the side effects of drugs should be monitored and fetal growth and development should be monitored.

Anti -thyroid drugs The goal of hyperthyroidism during pregnancy: Use the minimum dose of anti -thyroid drugs to achieve and maintain the upper limit of the normal value of the serum FT4 in the normal value in the short period of time as possible, reducing the impact of anti -thyroid drugs on the fetus through the placenta.

In terms of anti -hyperthyroid drugs, the first choice of propyl oxyraine (PTU) is generally selected in the early stage. At present, it is believed that in addition to reducing the synthesis of thyroid hormones, PTU can also block the T4 to T3, and the amount of the placenta is relatively small.Niamole can be used after pregnancy, because its liver damage is smaller than PTU.Personally think that anti -thyroid drugs are relatively safe, and if the dosage is used small, it can not be converted.During the treatment period, the side effects of the drug should be monitored, and the thyroid function is checked every 2-4 weeks in the early stage, and then extended to 4-6 weeks.If the treatment of anti -norcetic drugs is not effective, or allergies of thyroid drugs, or thyroid mysyum is obviously obvious, when a large dose of anti -thyroid drugs is required to control hyperthyroidism, surgical treatment can also be considered.

During pregnancy, you should ensure that you should rest enough to maintain a happy spirit, high calories, high protein and high -vitamin foods.Because the fetus takes a large amount of calcium from the mother during pregnancy, and hyperthyroidism can cause the loss of calcium in the pregnant woman’s body. Therefore, you should eat more foods containing calcium, phosphorus, and vitamin D, such as dairy products, beans, bone soup, and soup,, and bone soup, and bone soup.Animal liver, eggs, etc.

Hyperthyroidism with hyperthyroidism has a certain adverse effect on both pregnant women and fetuses. You should go to the hospital for relevant examinations on time, detect abnormalities early, early treatment, do not wait until hyperthyroidism is treated.Essence

If you want to know more about popular science knowledge related to nutrition, diabetes, and thyroid disease, please pay attention to my WeChat public account: Fragrant Zhou Dr. Health (zhou66188665)

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