In comparison, the estrogen level of patients with mild hyperthyroidism is almost the same as that of normal people, and they can ovulate normally. However, patients with severe hyperthyroidism may experience amenorrhea. In this case, even if the hormone level can reach the maximum, ovulation will not occur. Therefore, if patients with hyperthyroidism want to become pregnant, they must first receive correct treatment. Only when menstruation is normal and ovulation occurs can they become pregnant. 1. Will hyperthyroidism affect ovulation? The LH and FSH levels of patients with hyperthyroidism are significantly higher than those of normal people. For patients with mild hyperthyroidism who have menstruation, the effect of hyperthyroidism on the gonadal axis is not significant, which is similar to that of normal women. However, patients with severe hyperthyroidism often experience amenorrhea. Although estrogen can reach a peak in the middle of the menstrual cycle, there is no accompanying LH and FSH peak, so ovulation does not occur. Therefore, the progesterone levels of patients with severe hyperthyroidism and amenorrhea are at a lower level. Through treatment, the patient's abnormal female hormone levels can be restored after thyroid function returns to normal and normal menstruation occurs. 2. Nursing of hyperthyroidism 1. Get adequate rest and exercise. When clinical symptoms are significant, bed rest should be the main focus. Activities should be restricted 1 to 2 hours after meals, especially. When clinical symptoms are significantly improved, appropriate activities or physical exercise should be performed while paying attention to rest, but excessive fatigue should be avoided. If there are no clinical symptoms and all laboratory tests are normal, activities can be unrestricted. 2. Emotional care Traditional Chinese medicine believes that a person's mental state is closely related to the body's internal organs, qi and blood, and a person's emotional activities are closely related to the function of the heart to store the spirit. Patients who are energetic and cheerful generally have better therapeutic effects, otherwise they will be worse. Therefore, in nursing, we should care for patients, talk to them more, understand their mental state, and guide them to put aside their doubts. 3. Diet care The diet should be based on the principles of high calories, high protein, high vitamins, moderate fat and sodium salt intake, and less spicy and irritating condiments. The food should be soft, easy to digest, and rich in nutrition. Do not eat too much high-iodine food, such as kelp, seaweed, jellyfish, seaweed and algae, to prevent poor control of hyperthyroidism. No smoking, no drinking, strong tea or coffee. (l) Provide adequate carbohydrates and fats. Carbohydrates and fats have the effect of saving protein. If they are supplied in sufficient quantities, protein can play its unique physiological functions. Provide adequate vitamins and inorganic salts. Vitamins and inorganic salts can regulate physiological functions and improve body metabolism, especially vitamin B and vitamin C. Adequate calcium and iron should be given to prevent deficiency. (2) Appropriately increase the intake of animal offal, fresh green leafy vegetables, or vitamin supplements. (3) Appropriately control the intake of foods high in fiber. Hyperthyroidism patients often suffer from diarrhea, and excessive supply of fiber-rich foods will aggravate the diarrhea. 4. Condition care The main purpose is to observe whether there are symptoms of high metabolic syndrome in the whole body, whether the thyroid gland is enlarged, whether the eyeballs are bulging, whether there are abnormalities in the nervous system, cardiovascular system, digestive system, blood system, reproductive system, and motor system, and whether there are abnormal symptoms such as edema, flushing, dampness, and swollen fingers in the skin and extremities. Pay special attention to changes in body temperature and cardiovascular system to prevent the occurrence of hyperthyroid crisis and hyperthyroid heart disease. 5. Symptomatic care When using Western medicine for treatment, pay attention to age, gender, and condition when selecting thyroid medication. During treatment, pay attention to observe changes in the condition, whether there is allergy to thyroid medication, drug rash, liver damage, leukopenia, and regularly check liver function and blood routine. When using traditional Chinese medicine for treatment, you should pay attention to the method of decocting and taking the medicine, as well as the taboos during the medication process. |
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