From the perspective of eugenics, it is best for women with hyperthyroidism not to get pregnant, otherwise some adverse factors will affect the normal development of the fetus. It is best to start preparing for pregnancy after recovery. Generally speaking, you can start preparing for pregnancy if the hyperthyroidism indicators have been normal for 6 consecutive months. After successfully becoming pregnant, you should have regular check-ups, pay more attention to your diet, and avoid eating spicy and irritating foods. In addition, your mentality is also particularly important. 1. How long does it take for hyperthyroidism indicators to become normal before you can get pregnant? Generally, you can get pregnant if the indicators are normal for six consecutive months. However, it is still recommended to consult a doctor of endocrinology and obstetrics and gynecology before getting pregnant, listen to their opinions comprehensively, do relevant examinations regularly during pregnancy, monitor the condition, pay attention to diet, and maintain a good attitude. 2. Clinical manifestations of hyperthyroidism Thyroid hormones promote metabolism and the body's redox reactions. Hypermetabolism requires the body to increase food intake; gastrointestinal activity is enhanced, and the frequency of bowel movements increases; although food intake increases, the oxidation reaction is enhanced, the body's energy consumption increases, and patients experience weight loss; increased heat production manifests as heat intolerance and sweating, and some patients experience low fever; increased thyroid hormones stimulate sympathetic nerve excitement, and clinical manifestations include palpitations, tachycardia, insomnia, irritability, and even anxiety. If patients with hyperthyroidism do not receive appropriate treatment for a long time, it may cause hyperthyroid heart disease. 3. Complications of Hyperthyroidism 1. Hyperthyroidism complicated by pregnancy Hyperthyroidism often occurs in women of childbearing age, so we often encounter patients with hyperthyroidism complicated by pregnancy in clinical practice. Since antithyroid drugs have teratogenic effects on the fetus, it is necessary to discuss with the doctor based on the condition of the patient to decide whether to keep or abandon the fetus. Pregnant hyperthyroidism patients are contraindicated for radioactive iodine treatment. Most hyperthyroidism patients who need to continue their pregnancy are treated with medication, and the minimum effective dose should be used as much as possible. Thyroid hormones should not be added simultaneously during treatment. Free T4 (FT4), free T3 (FT3) and TSH, rather than total T4 and total T3, need to be measured every 1 to 3 months. During treatment, free T4 needs to be maintained at the upper limit of normal values. 2. Thyroid-related eye disease Most cases of hyperthyroidism are Gravs' disease, which is an organ autoimmune disease. Organ autoimmune diseases are often combined with other organ autoimmune diseases. Hyperthyroidism patients often have exophthalmos, which is an organ autoimmune disease of the orbit (including the extraocular muscles and retroocular fat). Clinically, in addition to Graves' disease patients, some other thyroid autoimmune diseases, such as chronic lymphocytic thyroiditis, can also present with exophthalmos, so we call it "thyroid-related eye disease." There is no direct relationship between thyroid-related eye disease and Graves' disease. They are not a "father and son" relationship, but a "brother" relationship. Satisfactory control of hyperthyroidism is helpful for eye disease, but it does not necessarily improve. |
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