Thyroid disorders during pregnancy
most common thyroid disease during pregnancy - lack of hormones produced by the thyroid gland, or hypothyroidism.Hypothyroidism can cause many changes in a woman's body - cause irregular, heavy menstruation, absence of menstruation, reduce fertility.
Hypothyroidism and pregnancy
Because some symptoms of hypothyroidism - such as fatigue and weight gain - considered quite ordinary phenomenon for pregnant women, very often it is the disease of the thyroid gland during pregnancy do not notice.Blood tests, and, above all, a blood test for levels of thyroid-stimulating hormone helps determine whether thyroid problems in pregnant women.
Medications for the treatment of hypothyroidism (eg, levothyroxine), are almost identical to hormones produced by the thyroid health, so even pregnant women during childbearing can take such drugs.If you stick to the recommended dosage of a physician, levothyroxine and other drugs for the treatment of hypothyroidism does not cause side effects.It is important to understand that, even if the mother is found hypothyroidism, the thyroid gland in a child will function normally.
Women previously treated for hypothyroidism, the recommended dose of levothyroxine, or other similar drugs may be increased during pregnancy.During the course of treatment is recommended to make regular blood test for thyroid stimulating hormone, and after treatment - every two or three months during pregnancy to check the thyroid gland.
Hyperthyroidism and pregnancy
Hyperthyroidism - disease associated with increased activity of the thyroid gland and excessive secretion of hormones.Hyperthyroidism is often seen in young women.As signs of the disease - heart palpitations, nervousness, sleep disturbances Dreams: how to understand our dreams , nausea, weight loss - in some cases, can be confused with symptoms of pregnancy, hyperthyroidism is not always diagnosed during pregnancy.
In non-pregnant women the increased activity of the thyroid gland primarily affects the menstrual cycle: menstruation does not start regularly, quickly run out or disappear altogether.A woman suffering from hyperthyroidism, pregnant more difficult, and the risk of miscarriage Miscarriage - whether it can be insured? her up.It is a disease of the thyroid gland is very important to diagnose and treat in time during pregnancy because of hyperthyroidism increases the risk of miscarriage or birth defects in the baby.
Fortunately, there are effective treatments for hyperthyroidism, safe even for pregnant women.The most common method is considered to be receiving special drugs that suppress thyroid function and in just a few weeks to facilitate the symptoms of hyperthyroidism.For pregnant women, so the safest drug propylthiouracil is considered.
Since propylthiouracil may act on the thyroid gland of the embryo, it is important to accompany the course of the drug regular blood tests to ensure timely correction of dosing.In rare cases, receiving propylthiouracil is contraindicated (eg, allergies or the appearance of side effects).In such cases, the only alternative is the removal of part of the thyroid gland is surgically.The operation is performed before a planned pregnancy or, if necessary, even during pregnancy.
Although in most cases the removal of the thyroid gland surgically replaced successfully treated with radioactive iodine, the effective treatment of hyperthyroidism is not recommended for pregnant women - too great a risk of thyroid damage the embryo.
treat hyperthyroidism during pregnancy is quite difficult, so doctors recommend that women who are planning to become pregnant in the near future, the first to solve all the problems with the thyroid gland.In this case, only one administration of drugs that suppress the activity of the thyroid gland may not be an effective method of treatment, because hyperthyroidism often returns after discontinuation of the drug.
Treatment with radioactive iodine is the most common and effective treatment for hyperthyroidism, and surgical removal of part or all of the thyroid is considered as an alternative in case of failure of the first treatment.This method of treatment of hyperthyroidism involves injecting a small amount of the blood of radioactive iodine, which, after the capture of the thyroid gland, destroying cancer cells.That is why this method of treatment of hyperthyroidism is not recommended for pregnant women - a radioactive iodine can destroy perfectly healthy thyroid cells of the embryo.In general, radioactive iodine treatment is safe enough, and the only side effect of this method of treatment of hyperthyroidism - insufficient activity of the thyroid gland that occurs as a result of too great extent of organ damage.Fortunately, this condition can be easily treated with levothyroxine or other hormone replacement drugs.
According to statistics, every twenty women after childbirth is faced with an inflammation of the thyroid gland.Such a condition called postpartum thyroiditis - the disease is absolutely painless and causes only a slight, almost imperceptible increase in thyroid Increase in thyroid - that underlies the disease .However, despite its apparent harmlessness, postpartum thyroiditis affects the thyroid gland: in particular, it can cause 'attack' hyperthyroidism, lasting several weeks.Later the impaired inflammatory thyroid gland may be unable to produce sufficient amounts of hormones, which leads to hypothyroidism.
symptoms of thyroid disease during pregnancy and after childbirth
- Insomnia Nervousness Irritability
- Difficulties with losing weight
Usually, the symptoms of postpartum thyroiditis are themselves a few months later, however, during the active inflammatory process is recommended to treat the symptoms of deficiency or excess thyroid hormones.Some of the symptoms of postpartum thyroiditis, associated with an excess of thyroid hormone Thyroid hormones: mechanism of action and physiological effects (eg, tremors or palpitations), treated taking beta-blockers (eg, propranolol).Receiving drugs that suppress the function of the thyroid gland, radioactive iodine treatment and, especially, the surgical removal of the thyroid gland in the treatment of post-partum thyroiditis is not necessary because it is a disease of the thyroid gland is considered temporary.