When A is pregnant?Can you still have a healthy baby?

In the usual diagnosis and treatment, some patients are often found to have "hypothyroidism"."Armal hypothyroidism" will have a certain impact on pregnancy. Many patients friends "talk about the color reduction of the armor".So how should "hypothyroidism" patients pregnant correctly?Today, I will introduce to you how to regulate the hypothyroidism patients before and after pregnancy, hoping to help everyone.

28 -year -old Kobayashi was just married last year. She planned to Huaibao this year, but who knew that she had a hypothyroidism at the beginning of the year’s birth check, which confused her.Kobayashi has always been in a good body. It belongs to the envy of the friends around him and does not eat fat, and his energy is very strong. He usually does not have any discomfort, and there are no symptoms of typical fat, fatigue, and cold.Is it a reduction in A?Can such a situation be successfully pregnant and gave birth to a healthy baby?The anxious Kobayashi knows to the relatives and friends around him. It turns out that there are really a lot of expectant mothers or people who plan to be a mother like herself.

It is understood that in recent years, the prevalence of thyroid disease in China has increased significantly, about 14%, including nodular goiter, thyroiditis, hyperthyroidism, hypothyroidism, thyroid tumor, and thyroid cancer.Clinically, patients with hypothyroidism are the most common.According to the results of the 2010 Chinese Medical Association’s endocrinology branch, the survey of China’s first thyroid disease epidemiological survey showed that the prevalence of thyroid dysfunction was 6.5%.

The cause of hypothyroidism is very complicated, and it is mostly primary. It is most common in Hashimoto’s thyroiditis.Hashimoto’s thyroiditis is interacted with genetic factors and autoimmune factors.Living methods with severe environmental pollution, excessive living pressure, and unhealthy lifestyle can cause abnormal immune system function, which may be one of the reasons why the incidence of hypothyroidism has increased year by year.In addition, due to the general improvement of people’s health awareness, the increasingly advanced medical examination and testing methods have also increased the detection rate of the disease significantly.In the past, a considerable part of hypothyroidism, especially those who did not have clinical symptoms, did not know that they were sick throughout their lives.

How to get pregnant correctly?There are hypothyroidism and signs such as fatigue, fear of cold, memory loss, and edema. Actiability shows that the increase in blood TSH is also known as FT4, which is called clinical hypothyroidism.It is called sub -clinical hypothyroidism.If you have diagnosed with clinical hypothyroidism or sub -clinical hypothyroidism before pregnancy, you should immediately start treatment under the guidance of a doctor. After taking the medicine, you should regularly review the nailing skills and adjust the amount of medication.To achieve the treatment target as soon as possible, the serum TSH will be controlled to the <2.5 mIU/L level level before pregnancy.

For those high -risk groups that are susceptible to hypothyroidism such as: those with thyroid disease or personal history or family history of self -immune diseases, those with thyroidistness, have performed thyroid surgical resection or I131 treatment, positive of the previous thyroid antibody positive, before pregnancyNeed to screen.For those who do not have high risk, if possible, thyroid disease can also be performed before or early (before 8 weeks of pregnancy).

Do I still need to take medicine after pregnancy?Patients with hypothyroidism still need to adhere to the medicine after pregnancy. The left norexorine (L-T4) should be treated under the advice of a specialist. The dose often requires an increase of about 25%-30%with the increase of the gestational week.Drugs should be taken on an empty stomach in the morning. If it is vomiting on an empty stomach during early pregnancy, it can be delayed until nausea and vomiting.A regular monitoring is required throughout the pregnancy. The first half of the pregnancy (1 ~ 20 weeks) is checked once a month, and the later period can be once every two months.According to the treatment goals of serum TSH, the dosage dosage is adjusted in time under the guidance of a doctor.The dose of the L-T4 dose of hypothyroidism should be reduced to the pre-pregnancy level, and the serum TSH level is required at 6 weeks after delivery, and the L-T4 dose is adjusted.

If there is insufficient alternativeness of noretain hormones during pregnancy, it may affect the development of the fetus’s neuro and increase the risk of premature birth, abortion, low weight, death, and pregnancy hypertension.

In addition, experts also reminded expectant mothers with hypothyroidism to pay special attention to the following points:

1. While T4 replace the treatment, you should strengthen nutrition, pay attention to the correct iodine, pay attention to rest, do not overwork.

2. Regular prenatal examinations, pay attention to the growth of weight, abdominal circumference, and palace high, and use B -ultrasound to monitor the growth and development of the fetus. Once the growth of the fetus is found slow, the corresponding treatment is given as soon as possible.

3. Keeping umbilical cord blood during delivery, testing thyroid function and TSH; Mother of Hashimoto’s disease should leave umbilical cord blood detecting anti -thyroid antibodies.

Pregnancy more knowledge, pay attention to WHHPYY

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