What to do about hyperthyroidism during pregnancy? What should I do if I encounter hyperthyroidism d

Hyperthyroidism tends to occur in women of childbearing age, so cases of hyperthyroidism in pregnancy are not uncommon. In this case, pregnant women and their families are most concerned about the fate of the fetus.

In general, milder cases can be controlled with antithyroid drugs (tamhimazole or propylthiouracil) to continue the pregnancy. How to control it is very particular. The goal of using antithyroid drugs** hyperthyroidism is to control the mother's thyroid function at a mild hyperthyroidism state or the upper limit of normal and to prevent the development of hyperthyroidism or hypothyroidism in the fetus.

At different stages of pregnancy, the dosage of antithyroid drugs is as follows:

1. Early pregnancy.

At 1 3 months of pregnancy, the fetus's thyroid gland is not yet mature and does not have the ability to absorb iodine, at which time adequate antithyroid drugs can be used**. The dose used should be able to control hyperthyroidism symptoms as soon as possible, so that the dose can be reduced in the second and third trimesters of pregnancy.

2. Second trimester.

At 4-6 months of gestation, the thyroid function of the fetus is basically mature, and antithyroid drugs should be reduced to smaller doses. Because antithyroid drugs can pass through the placenta, when used in large doses, it can cause fetal goiter and hypothyroidism, affect brain development, and even cause cretinism. Therefore, the symptoms of hyperthyroidism should not be controlled too strictly, and the thyroid function can be kept at a slightly higher level than normal.

3. Late pregnancy.

7 to 9 months of pregnancy and the period before the birth of the fetus, which is critical for brain development, the dosage of antithyroid drugs should be further reduced or discontinued.

4. Lactation.

Because antithyroid drugs can enter breast milk, they can cause hypothyroidism in infants and affect brain development, so breastfeeding women should stop taking antithyroid drugs. If antithyroid drugs are necessary because of the condition, breastfeeding should be stopped and artificial feeding should be used.

Whether or not it is necessary to terminate a pregnancy should be weighed against the pros and cons of both the fetus and the pregnant woman

1. If the continuation of the pregnancy will cause great risks to the mother, it is advisable to have an abortion.

1) Pregnant women's hyperthyroidism is more severe and difficult to control or has been complicated by hyperthyroid heart disease, which has not been relieved, and with the progress of pregnancy, the burden on the heart is bound to increase day by day and threaten the life safety of pregnant women.

2) If a patient with hyperthyroidism has a first trimester reaction and cannot take medication on time and in accordance with the amount, it is difficult to observe the changes in the condition, or cannot tolerate antithyroid drugs, it is best to have an abortion as soon as possible.

2. If it will cause growth and development disorders, malformations or long-term adverse consequences to the fetus, the pregnancy should also be terminated.

1) Pregnant women with hyperthyroidism who have undergone radioactive iodine (131i)** within six months, or pregnant women who have had radioactive iodine diagnostic examinations, need to have blood tests taken before planning to become pregnant, so as not to affect the development of the fetus, especially the development of the brain.

2) Pregnant women with hyperthyroidism are more seriously ill, and the dose of antithyroid drugs is larger, and the latter inhibits fetal thyroid function through the placenta, which may bring serious adverse consequences to the fetus.

The full name of hyperthyroidism during pregnancy is pregnancy combined with hyperthyroidism, which is the hyperfunction of thyroid hormone secretion, which makes excessive T3 and T4 secreted into the blood, acting on the sympathetic nervous system, causing symptoms such as palpitation, sweating, and hand tremors.

Hyperthyroidism during pregnancy is mostly physiological, mainly related to the increase in estrogen levels in the body after pregnancy. Patients with hyperthyroidism should pay attention to high calorie, high protein, high vitamins and supplement calcium, phosphorus, potassium, zinc, magnesium, etc., in order to correct the consumption caused by hypermetabolism and improve the condition of the whole body.

It is necessary to avoid eating too many iodine-containing foods, such as kelp, marine fish, seaweed, etc., because iodine can induce the aggravation of hyperthyroidism, and at the same time, it is necessary to go to the hospital for examination and take medication under the guidance of a doctor**.

If you have hyperthyroidism during pregnancy, it is recommended to give up the fetus in the first trimester, because hyperthyroidism can easily lead to premature birth of the baby, and hyperthyroidism needs to be controlled by medication, which will greatly affect the baby's nervous system development.

Usually during the period of trying to conceive and during the first trimester, routine tests are required to check for pregnancy with hyperthyroidism or hypothyroidism. After the diagnosis of hyperthyroidism, drugs are usually the main treatment, and drugs that have less impact on fetal development can reduce the harm, such as thioureas and other drugs.

Have your thyroid gland checked regularly. During pregnancy, we need to be checked regularly so that we can know the baby's physical condition. After the problem of hyperthyroidism appeared, we also added an examination on the original basis, as long as we follow the doctor's instructions to take medication and exercise, in fact, it will not cause harm to the baby.

Women with hyperthyroidism during pregnancy should be considered to be related to pregnancy endocrine disorders, resulting in abnormal thyroid function. If the condition of hyperthyroidism is not very severe, it can generally be treated with diet and good lifestyle habits, which can reduce the symptoms and control the condition, in which case there is no need to use drugs**.

Female hyperthyroidism patients try to get pregnant after the condition is controlled smoothly, or stop the drug or take oral drugs at the smallest dose to get pregnant, and are currently pregnant, these are relatively late for you, it is recommended to pay attention to rest on a low-iodine diet, avoid exertion, and do not smoke.

If you have hyperthyroidism during pregnancy, you need to intervene, because too much thyroid hormone may have a certain impact on the fetus and the pregnant woman, and too much thyroid hormone can cause miscarriage.

This should be a priori a priori thyroid hormonal indicators, if not particularly severe, then by lowering your diet to control hyperthyroidism. If it is particularly severe, it is necessary to take medication. Because hyperthyroidism is a hormone drug, it will have a certain impact on the fetus.

It is necessary to be anxious about hyperthyroidism during pregnancy, hurry to the hospital, follow the doctor's guidance, at this time it can be controlled by medication, if the situation is more serious, it is also necessary to listen to the doctor, at this time the most should be believed is the doctor's explanation, and guidance.

Hello, hyperthyroidism during pregnancy, if the body temperature is not high, the pulse is not fast, there is no panic, hyperactivity, you can temporarily do without medication. The teratogenic effect of antithyroxine drugs on children. If you don't have symptoms, try not to take medication.

If you have hyperthyroidism during pregnancy, you must be cautious when taking medication, and you should start using it in a small dose to prevent the drug from having adverse effects on the fetus. At the same time, a series of tests such as blood routine, thyroid function 5 items, and liver function should be carried out regularly during the whole period of taking the drug. Regular check-ups and less foods high in iodine will suppress hyperthyroidism as soon as possible, so as to ensure the safety of the mother and fetus.

If a pregnant woman has hyperthyroidism, if it is in the first trimester, propylthiouracil is needed for antithyroid treatment** because propylthiouracil has less effect on the fetus. If it is after the second trimester, anti-thyroid drugs with methimazoles can be considered.

If you suffer from the adverse symptoms of hyperthyroidism during pregnancy, you need to use the lowest dose of antithyroid drugs** so that the condition of the pregnant woman can be stabilized and the health of the fetus will not be harmed.

In the early stage, propylthiourmetine can be applied, *** will be smaller, especially the teratogenic effect on the fetus is much smaller, if it is the third trimester, you can change to methumirazole, because the impact on the formation of the fetal liver will be relatively small, and the impact on the mother's liver function is also relatively small.

If a woman is found to have hyperthyroidism during pregnancy, she must accept the corresponding **, which will seriously affect the development of the fetus and the physical health of the pregnant woman. Pregnant women with hyperthyroidism should be rechecked regularly and adjusted in a timely manner according to the results of the reexamination.

Hyperthyroidism during pregnancy should first be identified to see the cause of hyperthyroidism, that is, the type and symptom**. Hyperthyroidism in pregnancy, which is common in the second to third trimester of pregnancy, is caused by an increase in pregnancy hormones, but the thyroid hormone level is not increased.

Women should pay great attention when taking drugs during pregnancy, because many drugs have a great impact on the growth and development of the fetus.

The daily caloric intake is higher than that of normal pregnant mothers, and the basal metabolism in the first trimester is the same as before pregnancy, but with the growth and development of the fetus, the basal metabolism will gradually increase, and in the second trimester, hyperthyroidism patients have higher requirements for calories and nutrients than normal pregnant mothers.

Hyperthyroidism is hyperthyroidism, which I had when I was pregnant.

It is necessary to go to the hospital regularly for checkups, and the heart rate of hyperthyroidism itself will be very fast, and then there will be various uncomfortable symptoms during pregnancy.

If you have hyperthyroidism during pregnancy, if your body temperature is not high, your pulse is not fast, and you are not flustered or excited, you should not take medicine for the time being. Antithyroid drugs are teratogenic to children. If you don't have symptoms, try not to take medicine.

It is important to determine whether hyperthyroidism is due to autoimmune causes of diffuse toxic goiter or due to hyperthyroidism associated with HCG due to changes in hormone levels during the first trimester. Only when the different types of hyperthyroidism are identified can the correct treatment be taken.

At this time, you eat some seafood, especially kelp and the like, so that it will be for you. Hyperthyroidism has certain benefits. Remember, don't use drugs indiscriminately, and be sure to consult a doctor if you use drugs.

Pregnant women suffering from hyperthyroidism should not be anxious, keep their emotions stable, go to bed on time, and do not smoke or inhale second-hand smoke. The diet should be paid attention to a low-iodine diet.

Women are very sensitive when they are pregnant, and they will be particularly concerned about what others think of them, and this concern will make their bodies uncomfortable. For example, many pregnant women will suffer from hyperthyroidism, so what should I do?

1. Relax and don't be afraid.

In fact, pregnant women with hyperthyroidism are prone to hyperthyroidism because they are too nervous, resulting in an imbalance of hormones in the body. If you suffer from hyperthyroidism during pregnancy, it will make pregnant women more afraid, and many pregnant women will become more anxious, which will make the situation of hyperthyroidism worse. Therefore, if you encounter hyperthyroidism during pregnancy, you must relax your mood to avoid being overly nervous and affecting the fetus in your womb.

If the pregnant woman's mood becomes relaxed and actively cooperates with the doctor's **, then the symptoms of hyperthyroidism will also be relieved.

2. Go to the hospital regularly to check the thyroid gland.

When a woman is pregnant, there will be a lot of changes in her body, and some diseases that she usually does not get will come to her door, because the body of a pregnant woman is very weak. Therefore, pregnant women must often go to the hospital for some examinations during pregnancy, so that they can observe the changes in their body and know the development of the baby in the womb. If the examination finds that you have hyperthyroidism, then you should actively seek a doctor for **, take medication and exercise according to the doctor's instructions, and take some drugs that will not affect the baby in the womb.

Therefore, it is better to go to the hospital regularly to check the thyroid gland during pregnancy, and the changes of the thyroid gland can be observed to prevent the occurrence of hyperthyroidism.

3. Summary. If a pregnant woman has hyperthyroidism, the family must accompany the pregnant woman carefully, do not scold her too much, and give her a sense of security. In fact, hyperthyroidism will not have much impact on the fetus in the womb, you must pay more attention during pregnancy, and if you really encounter hyperthyroidism, you must go to the hospital for examination**.

Pregnant women should also maintain a calm mind during pregnancy, do not let their emotions become nervous, which is also a cause of hyperthyroidism.

Pregnant women with hyperthyroidism must be under the guidance of endocrinologists and obstetricians, scientific and standardized medication, avoid the use of drugs that have an impact on fetal development, pregnant women have hyperthyroidism, manifested as hyperphagia, polyphagia, easy to starve. In addition to scientific norms, we should also pay attention to diet.

If you encounter hyperthyroidism during pregnancy, I think that if you have such a way, you can only recover your mood and treat it calmly, and only after the child is born safely, everything will slowly heal itself.

You must eat reasonably, take the initiative to adjust your eating habits, maintain a good living habits, stay up less late, and eat some fruits and vegetables.

At this time, you should go to the hospital for examination in time, and at the same time, you should have a certain reasonable arrangement, otherwise it will have a certain impact on the child, and it will be very troublesome.

If the child has a cold or has a strong cough or fever, you can give the child a photo, so that you can determine whether it is a fever and cough caused by pneumonia, and if it is caused by pneumonia, then it needs to be carried out systematically.

Dr. Ma from the Thyroid Diagnosis and Treatment Center of Chongqing National Defense Hospital suggested that patients with hyperthyroidism can get pregnant after their condition is complete, but if the condition recurs during pregnancy, the drug will have an impact on the fetus.

Guidance: Hello, female hyperthyroidism patients who take **, considering that hyperthyroidism is not good for both the pregnant woman and the fetus, it is generally recommended to take abortion. For some specific reasons, if a hyperthyroid patient is pregnant during the pregnancy and does not want to terminate the pregnancy, he or she must do a good job of hyperthyroidism and pregnancy health care under the joint supervision of an endocrinologist and an obstetrician and gynecologist, and see a doctor regularly according to the doctor's requirements.