What should pregnant women do if they have low thyroid function?

Hypothyroidism can cause great harm to people's health, because the thyroid gland secretes hormones necessary for the human body to maintain normal functioning. Once the thyroid gland reduces hormone secretion due to disease, it will seriously damage the health of the body. For example, low thyroid function in pregnant women is a common manifestation. Let's take a look at what to do if pregnant women have low thyroid function? I hope everyone can understand it.

If a pregnant woman's three thyroid function tests are low, it will have an adverse effect on the fetus, because the development of the fetus's central nervous system is directly related to the mother's thyroid function. If the mother has severe hypothyroidism, the fetus may suffer from cretinism, a small head, and limited intellectual development. If you are diagnosed with hypothyroidism, it is best to receive treatment before pregnancy, or have regular testing during pregnancy, and continue taking thyroid hormone medications if necessary.

If the mother is a patient with severe hypothyroidism, the fetus may suffer from cretinism, with a relatively small head and limited intellectual development. If diagnosed with hypothyroidism, it is best to be treated before pregnancy, or to have regular tests during pregnancy, and to take thyroid hormone drugs if necessary. TSH is within the normal range, and free T4 is slightly decreased. An ultrasound should be done to see how the fetus is developing in various aspects, and it is best to evaluate the overall condition of the fetus. I suggest taking levothyroxine, half a tablet orally, and then have regular tests to see if the free T4 level increases. It is also worth noting that if a pregnant woman develops hypothyroidism, the impact on the fetus is greater than that of hyperthyroidism, and the miscarriage rate and perinatal mortality rate of the fetus are increased. The pregnancy should be spent under the joint supervision of obstetrics and endocrinology throughout the pregnancy.

treat

1. Lifelong thyroid replacement therapy

Early mild cases are mainly treated with oral thyroid tablets or levothyroxine. Test thyroid function and maintain TSH within the normal range.

2. Symptomatic treatment

In addition to oral thyroid tablets or levothyroxine, severe cases in the middle and late stages require symptomatic treatment such as oxygen supply, infusion, infection control, and control of heart failure. For patients with hyperthyroidism, excessive treatment should be prevented from causing hypothyroidism.