What to do if you are pregnant with hyperthyroidism

What to do if you are pregnant with hyperthyroidism

Hyperthyroidism is something that many people may develop, and many pregnant women may also have similar diseases. If a pregnant woman suffers from the disease, then the biggest worry is that it will cause harm to the fetus, worry about abnormal fetal development, and worry about the fetus not being able to be saved. Therefore, pregnant women must pay attention to hyperthyroidism. Although the disease is very harmful to pregnant women and fetuses, treatment cannot be blindly treated. Let's take a look at what to do if you are pregnant with hyperthyroidism.

Female patients with hyperthyroidism often worry that their hyperthyroidism will affect their fertility. In fact, under the supervision of endocrine specialists, female patients with hyperthyroidism can give birth to a healthy and lively baby like normal women. However, the timing of pregnancy should be chosen after hyperthyroidism has been systematically treated and the condition has been basically relieved, and after obtaining the consent of the endocrinologist and obstetrician and gynecologist. Otherwise, if you get pregnant without treatment, it may cause premature birth, miscarriage, fetal growth retardation, or even hyperthyroidism crisis during delivery.

Hyperthyroidism patients should pay attention to the following points after pregnancy:

1. Strictly implement perinatal monitoring: The period from pregnancy, delivery to postpartum is called the perinatal period. During this period, the following should be done: ① Regularly check the thyroid hormone in the blood to keep it at a slightly higher level than normal. If the value is normal, use less or no medication. ②Adjust the dosage of the medicine. ③Avoid all kinds of infections and seek prompt treatment if any infection occurs. ④ Before and after delivery, the patient must be hospitalized for observation under the supervision of an obstetrician and gynecologist and an endocrinologist. If there are any signs of hyperthyroid crisis, they should be treated early. ⑤ Pay attention to the pattern that the symptoms of hyperthyroidism worsen in the early stage of pregnancy, improve in the middle and late stages, and relapse and worsen 2-6 months after delivery, and strengthen monitoring and treatment.

2. Selection of anti-thyroid drugs: Pregnant women with hyperthyroidism should seek guidance from an endocrinologist on medication as soon as possible, and monitor the mother's blood hormones to ensure that it reaches mild hyperthyroidism or thyroid function is at the upper limit of normal values, so as to prevent fetal hyperthyroidism or hypothyroidism. Currently, the most commonly used drugs for the treatment of hyperthyroidism are imidazoles and thiouracil drugs, which can generally be used by non-pregnant hyperthyroidism patients.

If a pregnant woman suffers from hyperthyroidism, then the treatment cannot be arbitrary or blind, because no matter what medicine is used for treatment, it is necessary to see whether the fetus can adapt to it. Some medicines cannot be allowed to come into contact with the fetus, otherwise it will cause fetal malformation or other bad diseases. Hyperthyroidism in pregnant women is best treated with Chinese medicine.

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