Hyperthyroidism is a common endocrine disease. Female patients have high incidence of men, especially women with childbearing age.The most worrying point for women with hyperthyroidism are the impact of fertility function.Whether it is light, medium, and severe hyperthyroidism, it will affect women’s fertility function. The probability of infertility is 6.3%, 23%and 88%, respectively.And during pregnancy, hyperthyroidism occurs, and there will be risk hazards such as premature birth, abortion, and malformations.
Therefore, during the period of hyperthyroidism, it is not advocated that female patients are intended to be pregnant. Doctors will recommend patients with hyperthyroidism first.After the condition heals, after a period of observation, you can consider pregnancy without recurrence.If you have an unexpected pregnancy during hyperthyroidism, the condition is severe, the cardiovascular complications and the drug treatment during pregnancy are usually not recommended to continue pregnancy.
However, if the condition of hyperthyroidism is properly controlled, it is still insisted on treatment during pregnancy, and the condition remains stable. Patients with hyperthyroidism can also produce healthy babies.It’s just that during pregnancy, patients must do a good job of treatment during breastfeeding to reduce the occurrence of accidental risks!
1. Pay attention to the choice and persistence of anthology drugs during pregnancy
Regardless of whether to get pregnant after hyperthyroidism or suffer from hyperthyroidism during pregnancy, patients need to be treated reasonably.Because female patients can tolerate mild hyperthyroidism during pregnancy, anti -thyroid drugs will affect the fetal thyroid function through the placenta. Generally, patients with mild condition can choose not to treat anti -thyroid drugs.
However, it should be noted that the patient’s condition is very severe, and the medication needs to check the judgment of the professional doctor.Do not consider you to stop or reduce the amount of medication, so as not to aggravate the development of the disease and have a counter -effect.In addition, patients with severe hyperthyroidism must be treated from time to time.If the patient has severe adverse reactions after medication, you can choose other treatment methods according to his own situation.
2. Pay attention to the use of hyperthyroidism drugs
Generally, hyperthyroidism during pregnancy, without adverse drug reactions, will choose anthology drug treatment.The purpose is to use the minimum effective dose of anti -thyroid drugs to achieve the upper limit of the normal value in the normal value as much as possible and maintain the FT4 in a short period of time, which can reduce the impact of anthology drugs on fetal brain development.
Therefore, patients with hyperthyroidism during pregnancy are recommended.Be sure to monitor the thyroid function on a regular basis, observe your condition, and adjust the dose in time according to your own situation.In the early stages of treatment of hyperthyroidism during pregnancy, it is best to check the thyroid function every 2-4 weeks. After that, it can be extended for 4-6 weeks according to the situation.
It should be noted that the use of beta receptor blockers, such as Puylol, has a certain relationship with spontaneous abortion, which may lead to complications such as slower growth in the fetus, extended production procedures, neonatal heartbeat and other complicationsEssenceThe medication needs to be used under the guidance and suggestions of the doctor.
3. Pay attention to the time difference between taking medicine and breastfeeding
Many patients with hyperthyroidism do not dare to feed their children after childbirth.However, some studies have shown that the application of anti -thyroid drugs during lactation is safe for babies, but during breastfeeding, the baby’s thyroid function must be monitored.After taking anti-nor nomidic drugs, the mother needs to be 3-4 hours to perform the next breastfeeding.Usually hyperthyroidism during lactation, the first choice of norepiraidazole.
4. Pay attention to the screening of neonatal thyroid function
Babies who give birth to patients with hyperthyroidism should check whether there are hypothyroidism, thyroid, and hyperthyroidism.Newborn with hyperthyroidism can appear after birth, or it may occur after 1 week.For pregnant women who take anti -norvidal gland drugs, the babies they take may have temporary hypothyroidism.Therefore, after childbirth, pay attention to the examination of the thyroid function of the newborn to eliminate risks.
Although it is not recommended that women with hyperthyroidism are pregnant, do not panic if you have accidents during the illness.Actively receive treatment and control the condition. Patients with hyperthyroidism can also be no different from healthy pregnant women during pregnancy and can give birth to healthy babies.”””””