*For medical professionals for reference
Women of childbearing age should be vigilant!
Written article 丨 Nanchang Endocrine Chen Yanting
Most people are hyperthyroidism of thyroid function (referred to as "hyperthyroidism")It is better to understand that after suffering from hyperthyroidism, the neck becomes thicker, appetite, emotional excitement, and weight loss; but for thyroid dysfunction ("hypothyroidism"), people who know are much less.Women, especially women in childbearing age, have hypothyroidism once, may affect ovarian function, and even cause ovulation disorders or endocrine disorders, which affects "pregnancy".In the outpatient clinic, there are many people who do not understand this condition, and there will be three consecutive questions:
What is the hypothyroidism?
Does it affect pregnancy?
If you have a baby, will it affect your baby?
What is hypothyroidism?
On the lower part of our throat and the front of the upper part of the trachea, there is a butterfly -shaped organs that move up and down with the swallow, which is the thyroid gland.Dont underestimate this seemingly ordinary organ, it is responsible for an important physiological mission: secrete hormones with biological activity and release it into the blood.
"Amented", the full name is as thyroid dysfunction, which is due to the reduction of thyroid hormone synthesis and secretion, or its physiological effect is insufficientA disease that causes the bodys metabolism.According to whether the clinical symptoms occur, it can be divided into clinical hypothyroidism [increased thyroid hormone (TSH) elevated, free trioxyticine (FT3), and free thyroxine (FT4)] and departure. A sub -clinical hypothyroidism [TSH elevation, trioxyticine (T3) and thyroxine (T4) are normal].
Extended reading: Is this hypothyroidism or hyperthyroid? (Scan QR code learning)
How does hypothyroidism affect pregnancy?
The manifestation of hypothyroidism is manifested as systemic fatigue, drowsiness, memory loss, loss of appetite, hoarseness, constipation, slow language, sparse hair, dry skin, dry skinwait.
Womens hypothyroidism can easily lead to irregular menstruation, excessive menstrual blood or amenorrhea, ovulation disorders and ovarian atrophy.Substitute of sexual desire for hypothyroidism is also the cause of indirectly caused infertility.
Pregnancy Agreement, Anti -miscarriage, early abortion, pre -eclampsida, and premature pregnancy of placental peeling.Even if the baby is able to give birth to a baby, the baby is prone to occur in congenital thyroid or small diseases and other congenital malformations. It should be found to have hypothyroidism before or during pregnancy to timely treatment and improve the ability to conceive.
What should I do if the hypothyroidism is found before or during pregnancy?
Pre -pregnancy: If you detect hypothyroidism before pregnancy, it will generally not affect pregnancy.Adjusting the thyroid function to normal through drug treatment, it can be pregnant, which has no effect on the fetus and the mother.
The more serious hypothyroidism needs to be pregnant under the guidance of an endocrinologist, and what precautions are required during pregnancy.
Pregnancy: If you find hypothyroidism during pregnancy, whether the pregnancy depends on the degree of hypothyroidism, time, and the specific situation of pregnant women.
Under normal circumstances, before 20 weeks of pregnancy, the fetal thyroid function has not been established, and the thyroid hormone required for brain development mainly comes from the mother.At this time, replenishment of thyroid hormone should be given as soon as possible to improve the prognosis of maternal and infants.
Some "prospective mothers" are worried that drugs will affect fetal health, so even if they are diagnosed with hypothyroidism, they are not willing to receive drug treatment.In fact, hypothyroid women can take medicine with confidence. As long as you take thyroxine regularly, you can work and live like a normal person.Thyroxine is a physiological substance and has no toxic side effects, but it needs to control the amount of usage under the guidance of a doctor.Instead, if it should be used without, hypothyroidism is not well controlled, so the harm to the fetus is far more than the drug itself.
If the pregnant mother is seriously insufficient in the secretion of thyroid hormones in the early pregnancy, it is not recommended to protect the fetus on the fetal brain development.
Review expert
Li Jia
Director of the Department of Endocrinology, Medical Doctor, Graduate Tutor
p>Member of the Endocrinology Metabolic Medicine Branch of the Chinese Physician Association
Standing Committee of the Endocrinology Medicine Branch of the Guangdong Medical Association
Chairman of the Board Loose and Rehabilitation Committee of the Guangdong Provincial Senior Health Care Association
SCI, core journals have published more than 50 papers
Ministry
In recent years, 8 authorized patents of provincial and ministerial funds have been presided over.
Has the conference to translate the conference
Multiple SCI magazine reviewers
Reference Source:
[1] Tian Yan, Wang Haining, Hong Tian Dai.]. China Practical Internal Medicine Magazine, 2023 (11): 893-897.Doi: 10.19538/J.NK2023110104.
[2] Xu Liqing.]. Volkswagen Health, 2024 (01): 90-91.
[3] Shan Zhongyan, Wang Linhong. Pregnancy during pregnancy.Magazine, 2022 (04): 1-15.DOI: 10.19757/J.CNKI.ISSN1674-7763.2022.04.001.
Liu Xiaohui. Understand pregnancy hypothyroidism [J]. The opening of the book is beneficial-seeking medical treatment, 2022 (10): 33.
This article review 丨 Li Jia, director of the Department of Endocrinology, the General Hospital of the Southern Theater, Editor-in-chief 丨Kobayashi*"The medical community" strives to publish the content of the content and reliability, but does not promise the accuracy of the content;The decision -making basis will be checked separately.
