When pregnancy encounters abnormal thyroid dysfunction

The thyroid gland is one of the most important endocrine organs of the human body. It can synthesize and secrete thyroid hormones, which plays an important role in maintaining the normal activities of the human body, metabolism and the functions of various organs.The abnormality of thyroid function, such as hypothyroidism or hyperthyroidism, will have a great impact on the human body.If the thyroid dysfunction occurs during pregnancy, it will have adverse effects on pregnant women and fetuses.Therefore, the examination of thyroid function during pregnancy should also be included in the conventional pre -pregnancy examination items. If the thyroid function is abnormal before pregnancy, it should be treated in time. After the thyroid function is maintained, it can be pregnantThe thyroid function should be reviewed regularly to avoid abnormalities again.However, some women check the thyroid function before pregnancy, but after pregnancy, they find that the thyroid function is abnormal. So what should I do?

Pregnancy hypothyroidism includes clinical hypothyroidism and sub -clinical hypothyroidism, and serum examinations have increased thyroid hormone (TSH) values.A hypothyroidism during pregnancy is very harmful to pregnant women and fetuses. If not treated in time, it will affect the development of fetal nervous system and even cause intellectual decline. It will also cause adverse pregnancy such as abortion, death, premature birth, and pregnancy hypertension.

The reference range of the normal values of thyroid hormone during pregnancy is: 3 months before pregnancy (January to March) between 0.1 and 2.5 mU/L, 3 months in the middle (April to June) from 0.2 ~Between 3.0 MU/L, the next 3 months (July to September) between 0.3 and 3.0 mu/L.If the pyrodia hormone is more than the highest value of each pregnancy, it is often recommended that pregnant women use drug treatment. The currently recommended therapeutic drugs are L-shaped thyroxine tablets (L-T4), which is commonly used. During the treatment period, thyroid function should also be monitored.

Hyperthyroidism of pregnancy is divided into clinical hyperthyroidism and sub -clinical hyperthyroidism. The results of serum examination have reduced the value -promoting hormone (TSH) value.However, it is not necessary to treat hyperthyroidism, but to clarify the cause, one of which is called hyperthyroidism syndrome, also known as a hyperthyroidism.The occurrence of this disease is related to the increased concentration of chorionic gonadotropin (HCG) in early pregnancy. Most of them occur in 8 to 10 weeks of pregnancy, which is related to severe pregnancy.There are increased thyroid hormone, free trimelineticine (FT3) or free thyroxine (FT4), while the thyroid itself antibody is negative.This type of pregnancy period does not advocate anthology drug treatment. Instead, symptomatic treatment is the main treatment. Severe pregnancy vomiting needs to control vomiting. Reflexation to correct dehydration and maintain hydrolysis balance. Generally, norexia hormones can be returned to normal at 14 to 18 weeks of pregnancy.

If it is hyperthyroidism caused by the lesion of the thyroid itself, it must be paid more attention.The most common is toxic permeable thyroid (Grave disease). Generally, symptoms such as panic, sweating, and hands shake are obvious. In addition to the reduction of thyroid hormones and the increase in thyroid hormones, there are also thyroid antibody positive.If it is diagnosed with this type of hyperthyroidism, the corresponding drug treatment is needed, because severe hyperthyroidism will also increase risk such as abortion, premature birth, and delay in fetal growth.

Because the results of thyroid dysfunction are complicated, it is recommended that pregnant women consult a professional obstetrician or endocrine doctor in time after examination. If you encounter problems such as hypothyroidism or hyperthyroidism, professional treatment will be performed in time to avoid delaying the disease.

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