How to treat hyperthyroidism during pregnancy?

When a woman is pregnant, her body's resistance will be very weak, and her resistance to many diseases, viruses, etc. will be greatly reduced. Therefore, it is easy to develop some diseases, such as abnormal thyroid function. Prenatal examinations and other health examinations should be conducted in time, and then effective methods should be used for treatment. Below, the editor will introduce the treatment methods for hyperthyroidism in pregnant women.

(1) For the treatment of hyperthyroidism in pregnant women, it is necessary to avoid emotional fluctuations, get adequate rest, and patients should learn to control their emotions. Family members and colleagues at work should understand the patient and create a better environment to avoid mental stimulation. For those who suffer from mental tension, insomnia, palpitations and tremors, use medication to treat these symptoms first.

(2) Treatment is mainly oral medication, with propylthiouracil being the first choice. However, the maximum dose should be less than 200 mg per day, with 50-150 mg per day being appropriate, because high doses may damage the fetal thyroid development. If symptoms are still difficult to control, drugs such as propranolol may be appropriately added.

(3) The disease should be controlled moderately. It is not necessary to completely control the heart rate, basal metabolic rate, thyroid function test (T3, T4) and other observation indicators to the normal range, because even for normal pregnant women, the above observation indicators will be slightly higher than the normal range. Controlling the disease too low will cause hypothyroidism in mother and child.

(4) Pregnant women with hyperthyroidism should not undergo thyroid iodine-131 uptake tests, nor should they use isotopes to treat hyperthyroidism, so as not to affect the growth and development of the fetus. If the doctor decides that surgical treatment is necessary, it should be done during the 4th to 6th month of pregnancy, and the hyperthyroidism condition must be under control before the operation.

The mother needs to increase the frequency of checkups during pregnancy to understand the development of the fetus, and report any abnormalities to the doctor in a timely manner. The concentration of thyroid receptor antibodies must be measured regularly during pregnancy. If TRAb is several times higher than the normal value, it indicates that the fetus may also suffer from hyperthyroidism, so that the doctor can take timely measures.

When a pregnant woman has thyroid dysfunction, she should undergo a B-ultrasound examination of the uterus before delivery to prevent the disease from entering the fetus' body through the umbilical cord and causing the fetus to have an enlarged thyroid or deformity, etc. After delivery, it is best to resume breastfeeding about 20 days after stopping treatment.