Armal hypothyroidism, a corner that cannot be forgotten before and after pregnancy

At the age of 18, Awen suffered from thyroiditis. Due to the timely diagnosis and treatment, the medication was cured in 1 year.She is 30 years old and has been pregnant for 7 months.

Recently, she found that she was obviously fat, especially for 5 kilograms in half a month. She was lazy and did not like to move. In the past two days, she still felt relieved. The family also found that she was getting dull and dull.

The doctor gave her a blood pressure, 190/120mmHg. Pressing her legs, the swollen legs did not pit. The test showed that her hemoglobin was only half of the normal person, which was severe anemia.The B -ultrasound has an pericardial effusion, and the fetus is only 5 months old.The doctor told her that she had a decrease in thyroid dysfunction during pregnancy (abbreviated as: hypothyroidism), combined with pregnancy hypertension syndrome, heart failure, and severe anemia. There was danger at any time. It was necessary to be hospitalized for further examination and comprehensive treatment.

After two weeks of left oral treatment and symptomatic treatment, Awen’s urine volume increased, edema improved significantly, weight loss dropped by 3 kilograms, his body became easy, and his sullen air disappeared.However, due to the long time of hypothyroidism, it seriously affects the growth and development of the fetus, and it is likely to have a long -term impact on fetal intelligence. She has to choose to induce labor.When he was discharged, the doctor told Awen that he must come back to check the thyroid function regularly, take the regular medication, and control it before preparing to be pregnant.

Most of the hypothyroidism during pregnancy is caused by glandular gland in Graves and chronic autoimmune thyroiditis.Symptoms without symptoms during pregnancy are called sub -clinical hypothyroidism. It and hypothyroidism with pregnancy have received widespread attention. This is because they all have a significant impact on the nerves, psychology, and intellectual development of future generations.The prevalence of clinical hypothyroidism in pregnant women is 0.3%to 0.5%; sub -clinical hypothyroidism is 2%to 3%.

Frequently questions answer:

☆ What is the impact of hypothyroidism on pregnancy?

1. Mild hypothyroidism does not affect women’s pregnancy and fertility.

2. During pregnancy, hypothyroidism is not controlled or controlled, which can cause miscarriage, stem eclampsia, anemia, horizontal muscle disease, congestive heart failure, fetal growth lagDisease mortality increases.Even after the mother seems to have been treated reasonably, the child can still show weight loss, reduce the head circumference, and the occurrence of baby respiratory distress syndrome has doubled.

The fetal thyroid gland can form thyroid hormones in the middle of pregnancy. Before and after the fetal function of the fetus, the mothers’ thyroid hormones can cause the fetus through the placenta.In the middle of pregnancy, the fetal brain development is a critical stage. The mother’s thyroid hormone is the main source of the fetal brain development. At this stage, the mothers’ hypothyroidism can cause irreversible brain injury of the fetus.During other times of pregnancy, the reduction of the mother’s thyroid poinete can affect the fetal brain development to varying degrees even if it is mild or short -lived.

The descendants of simple sub -clinical hypothyroidism mothers have significantly lower intellectual scores and sports scores than the descendants of normally normally mothers.

☆ Do I need to be treated with hypothyroidism and subtraction during pregnancy?

Once the hypothyroidism is diagnosed during pregnancy, it is necessary to be treated.For sub -hypothyroidism during pregnancy, the current research defines the scope of treatment in thyroxine (TSH) ≥ 2.5 mLU / L, but further research data is needed to unify this standard.

☆ How to treat hypothyroidism during pregnancy?

Once diagnosis is confirmed, exogenous left thyroxine should be supplemented in a timely and sufficient amount.

☆ What are you paying attention to in daily life?

Most patients suffering from hypothyroidism during pregnancy response and lethargic, so do not engage in dangerous work, such as booting tools, it is best to rest fully.Due to anorexia and abdominal distension, patients usually have anemia. Pay attention to supplementing iron, vitamin B12, folic acid, etc., eat more protein and iron -rich lean meat, animal liver, etc.

Special reminder: For normal pregnant women, appropriately increase the intake of iodine, eat iodized salt, and eat seafood regularly, such as kelp, seaweed, etc., helping to avoid sub -hypothyroidism caused by lack of iodine intake.””””

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