Recently, the People’s Hospital of Suzhou High -tech Zone treated a twin pregnant woman. In March of pregnancy, it frequently vomited and could not eat.During the hospitalization period, the pregnant woman was abnormal. The doctor considered the hyperthyroidism of the thyroid gland and needed anti -thyroid drugs for treatment.Do you want to treat it?How to treat it?Will it affect the twin babies in the stomach?… The patient and their families are very entangled, I don’t know what to do.The endocrinologist has eliminated concerns after detailed communication with the patients and family members. After emergency treatment, the symptoms of pregnant women have improved.
Xu Huaizhong, director of the endocrinology department, said that hyperthyroidism during pregnancy should be treated carefully.If it is not treated, it may bring some dangers, such as premature birth, small fetus, hyperthyroidism, even abortion, even abortion, dead tires, can cause maternal anxiety, signsonia, hypertolochromic heart disease;The mother and their families are concerned.Therefore, choose the appropriate treatment plan and consider minimizing the risk brought by hyperthyroidism.
Director Xu further supplemented that during pregnancy, he found hyperthyroidism, which is divided into two cases: one is HCG (chorionic gonadotropin) related hyperthyroidism.The tire can secrete a large amount of HCG). Because HCG and TSH (a pituitary hormone can promote the secretion of thyroid hormone), there is a common sub -tado, which can promote the increased secretion of inappropriate thyroxine, which will cause patients with mild hyperthyroidism.Such as: panic, hands shake, weight loss, and frequent stool, patients will be uncomfortable.Generally, the symptoms will gradually alleviate the symptoms after 3 months. The laboratory checks the mild abnormality of the thyroid function, the HCG value is high, and the thyroid color Doppler ultrasound is generally normal.Regular review.The other is hyperthyroidism and pregnancy.Among them, mild hyperthyroidism is combined with pregnancy, generally only iodine is required, and no special treatment is required. Patients with severe hyperthyroidism are generally relatively severe, obvious clinical symptoms, and more serious laboratory indicators. Some specific indicators can be positive (such as TPOAB (such as TPOAB\ Trab).The color Doppler ultrasound can be manifested as: the thyroid gland is enlarged, the blood flow is abundant, and it is a sea of fire.Patients with hyperthyroidism combined with pregnancy need to be treated in addition to basic iodine control.Treatment methods are mainly two types of medicine and surgery.Most of the drugs choose PTU (propymioline). The dosage is generally smaller than normal people. Generally, 150-200 mg is taken three times a day for orally; because PTU has fatal liver damage, it is generally only applied in early pregnancy. Once the patient symptoms are controlledAfter that, you need to change the MMI (hebazole, Saizhi) 15-20 mg once a day.Because anti -thyroid drugs can bring some side effects such as liver dysfunction, decreased particle cells, itching of skin, teratogenic, etc., while determining drug treatment, we must communicate with patients and family members and obtain the consent of patients and family members.Surgery is generally selected in the middle of pregnancy. The surgical indication should be strictly grasped. For example, patients with severe hyperthyroidism are not tolerated, and huge thyroid gland causes compression symptoms.
Director Xu reminded that due to the rapid development of society and the accelerated pace of life, the intake of excessive iodine, people’s pressure increased, and more and more patients with thyroid disease.According to relevant reports, the prevalence of thyroid disease in my country is about 20%, and the diagnosis rate is less than 2%.Considering the eugenics and eugenics, it is recommended to routinely check the thyroid function before pregnancy.
