Explanations about hyperthyroidism in pregnancy
Hyperthyroidism and pregnancy are interconnected. The thyroid gland is a protozoan in the middle of the neck of the individual and under the chamber, and from the 10th week of life in the uterus (embryo) begins to function and releases two T3 and T4 hormones. So the fetus from this age depends on the thyroid hormone. The two thyroid hormones play an essential role in consuming and storing energy. In hyperthyroidism, because of these two hormones, metabolism increases in the body. About 1.3% of the general population is afflicted with hyperthyroidism, unfortunately, the incidence in women is five times that of men. During pregnancy, it secretes a hormone called HCG due to its molecular similarity to the thyroid stimulating hormone that binds to the thyroid receptors and causes temporary transpiration of the thyroid during the first three months of pregnancy. The hCG (hCG) is humanized. This hormone is secreted in large quantities, and if it is very high, in some people it causes severe nausea during pregnancy. Individuals who have twin or multiple pregnancies, or in pregnancies that cause moles (abnormal growth of pairs In pregnancy, this hormone is very high, which, in addition to severe nausea, affects the individual's thyroid and temporarily secretes thyroid hormones too much. In normal mode, every woman in the first 3 months of pregnancy may have varying degrees of disease, which does not require special treatment, but if the tests are misinterpreted and unnecessary treatment is taken for the person, the medication may be mistaken It is unnecessary for a mother to risk pregnancy. In this article, we are bold about the complications and risks of hyperthyroidism and pregnancy and pregnancy, and the intention of pregnancy and non pregnancy. We hope that this will be of interest to you.
Hyperthyroidism and pregnancy
It should be noted that the disease in the first trimester of pregnancy leads to abortion and, in subsequent months, leads to preterm delivery, impaired fetal development, and fetal death.Suitable treatment of the disease largely prevents these complications, But the mother and the embryo are not in safety and the mother must be fully supervised and supervised until the end of pregnancy. After the birth of the fetus, a hypothyroidism or hyperthyroidism should be performed under laboratory examination and, if necessary, ultrasonography of the neck to determine the size of the thyroid. Hyperthyroid therapy involves the use of radioactive iodine which is contraindicated in pregnancy and who can not be pregnant for up to 6 months.
Symptoms of hyperthyroidism and pregnancy
Some have pregnant women with prolonged thyroid without symptoms, but most people have symptoms like this:
1. Anxiety 2. Irritability 3. Hand shaking 4. Sleep disorder 5. Muscle weakness in the arms and thighs (some can not lift something up or go up the stairs). 6. Heat intolerance 7. Sweating 8. Increased heart rate 9. Fatigue feeling 10. Weight loss despite good appetite 11. Frequent defection 12. Menstrual disorder is usually terminated as menstruation or delayed by menstruation. 13- Disorders of pregnancy.
Hyperthyroidism increases heart rate and affects cardiac function and disrupts the natural pregnancy process, which can cause pregnancy toxicity or cause premature labor and even abortion.
Hyperthyroidism and pregnancy
If a woman is overweight before pregnancy, she should be treated with medication and it's best not to get pregnant until thyroid is untreated. If you have a hyperthyroid woman, you will need to test your symptoms after the pregnancy and check your thyroid function. If thyroidism is really prolific, there are 3 therapies during pregnancy; drug therapy, radioactive iodine and surgery; drug therapy is usually recommended and 2 other methods are recommended to non-pregnant women. Surgery or iodine can be used to treat normal people with hyperthyroidism; however, for pregnant women, oral medications should be used to keep thyroid hormones at normal levels, and at least a dose of the drug should be given to the goiter and Do not induce hypothyroidism in the baby. The patient should also be carefully considered during this period and regularly give a thyroid test and consult a physician monthly. The research team at the Endocrinology and Metabolism Research Institute for lactation at the time of taking the drug said that during this period, a person can have breastfeeding during treatment, But it should be noted that when the mother is using these drugs, her baby should also be considered for thyroid function, because if the baby is afflicted with thyroid, mental development may be difficult.
Ways to treat hyperthyroidism during pregnancy
In the treatment of hyperthyroidism in pregnancy, we work in the following ways: - Administration of beta-blockers such as propranolol, which lasts two to six weeks depending on the physician's opinion and reduces cardiac palpitation and tremor and anxiety. Thyroid hormones, such as tweenamides, are the best treatment, but they are the best treatment and should be taken from a pregnant mother every month during the thyroid test. - The use of radioactive iodine, which is the best treatment for hyperthyroidism, but if used Which has not responded to other treatments by the patient's body.
