Pregnancy combined with hyperthyroidism can cause adverse effects on maternal women and their offspring.If you are afraid of hot sweat, nausea and vomiting, or accelerated heart rate (heart rate> 100 times/minute) after pregnancy, you must pay attention to
Text/Yangcheng School reporter Chen Yingping correspondent Wu Jiayi
The survey data of the Endocrinology Branch of the Chinese Medical Association in 2013 showed that the incidence of hyperthyroidism in China was 3.7%, and one of the average of 27 people had a patient with hyperthyroidism.Hyperthyroidism is not uncommon for pregnancy, with a incidence of 0.5 to 2%. Among them, the cause of pregnancy combined with Graves (the cause of hyperthyroidism includes diffuse toxic thyroid m Qenia, referred to as GD) is the most common.
Han Yajuan, deputy director of the Department of Endocrine metabolic metabolism at the Traditional Chinese and Western Medicine Hospital of Southern Medical University, said: Pregnancy should be paid attention to, because this disease may affect the two generations.
There are many causes of hyperthyroidism. Pay attention to these two types of pregnancy
Hyperthyroidism, also known as hyperthyroidism, is a common endocrine disease.
There are many causes of hyperthyroidism, including diffuse toxic thyroid enlargement (that is, Graves disease), inflammatory hyperthyroidism (sub -acute thyroiditis, etc.), drug -derived hyperthyroidism, HCG -related hyperthyroidism (temporary hyperthyroidism of pregnancy vomiting), and pituitaryTSH tumor hyperthyroidism.
Han Yajuan introduced that pregnancy combined with hyperthyroidism is mainly a pregnancy of hyperthyroidism (GTT) and pregnancy Graves disease. The former is related to the increased HCG concentration.The clinical manifestations are the symptoms of the first five months of pregnancy, and the symptoms of the last 5 months are alleviated. Because the cause is related to autoimmune, it is necessary to perform examination of thyroxine receptor antibodies (Trab).
Many changes in pregnancy are similar to the clinical manifestations of hyperthyroidism, and diagnosis is difficult.
Han Yajuan reminded that if there is a fear of hot sweat, nausea, vomiting or accelerated heart rate (heart rate> 100 times/minute), or the weight does not increase accordingly with the number of pregnancy months, and even the muscles of the limbs are thinner, they should immediately exclude hyperthyroidism.
Harm is great, what about pregnant mothers?
Han Yajuan pointed out that hyperthyroidism may have adverse effects on pregnant women and fetuses.
The impact on pregnant women includes dead tires, premature birth, premature eclampsia, congestive heart failure, hyperthyroidism, miscarriage, premature placental peeling and infection.Child (SGA).
In addition, hyperthyroidism can also lead to abnormal thyroid dysfunction in the fetus and neonatal, including the occurrence of hyperthyroidism and hyperthyroidism of the fetus and neonatal.
Drug treatment or surgery varies from person to person
"Specific mothers can treat drugs. It can be surgery if necessary, but radioactive iodine 131 treatment is taboo." Han Yajuan emphasized.
The purpose of the treatment of hyperthyroidism with hyperthyroidism is to reduce the level of thyroid hormone, treat the treatment of anti -thyroid drugs for the treatment, control symptoms in a dose, and restore normally. When the patient relies on the minimum dose of ATD (PTU50 mg/d or mmi 5mg/d)After a weeks normally, you can consider discontinued.
Patients with anti -A drug allergies, poor anti -A drug treatment effects, psychological burdens, and excessive worry about the side effects of drugs can choose surgical treatment after the doctor’s assessment.Surgical treatment should be more suitable in the middle of pregnancy (4-6 months), and the risk of abortion and premature birth can be minimized.(For more news, please pay attention to the Yangcheng Pai Pai.ycwb.com)
Source ｜ Yangcheng School
Responsible editor ｜ Zheng Zongmin
Title ｜ Visual China (Graphic has nothing to do)