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Hypothyroidism during pregnancy
Beware of affecting the baby's growth and development
Thyroid function during pregnancy has a great influence on mother and baby, which is worth every woman who intends to get pregnant. Hypothyroidism during pregnancy is usually divided into two situations. The first is that hypothyroidism has occurred before pregnancy, and the second is that it has occurred during pregnancy. Both of these situations should be highly valued.
The occurrence of hypothyroidism in early pregnancy has obvious influence on fetal brain development. Because in the 4-5 months of pregnancy, the thyroid function of the fetus is not fully developed, and its early brain development can only be carried out by the mother providing thyroid hormone. If the maternal thyroid hormone is deficient at this time, it will affect the development of fetal brain and lead to mental retardation of future generations.
At present, in different pregnancy, the international general understanding of specific data values of TSH is as follows:
Don't worry too much if you occasionally find that TSH is a little too much during review. As long as you communicate with the doctor in time and adjust the dose, the impact on the baby will not be too great. During pregnancy, regular check-ups are very important. If hypothyroidism is found before pregnancy, it is best to review it once a month in the first trimester, and then reduce the frequency of review according to the doctor's advice. If hypothyroidism is found during pregnancy, it needs to be reviewed every 2-4 weeks.
It should be emphasized that proper consumption of thyroid hormone by expectant mothers with hypothyroidism during pregnancy will not affect the health of the fetus, but the lack of thyroid hormone may affect the development of the fetal brain and the IQ of future generations. Therefore, expectant mothers must take medicine on time and in quantity and check it regularly. Don't stop taking drugs or adjust medication casually.
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Thyroid cancer during pregnancy
It's not too late to treat after giving birth.
Pregnancy complicated with thyroid cancer is not uncommon. According to American data, the incidence of thyroid cancer in pregnant women is about 14.4/65438+ ten thousand, among which papillary thyroid cancer is the most common.
Detecting thyroid cancer during pregnancy will be a huge ideological burden for the mother. However, in most cases, it develops slowly and generally does not have obvious adverse effects on the body in a short time. Studies have shown that in most cases, even if the operation is delayed until postpartum, the therapeutic effect of the operation is basically the same. However, not being treated during pregnancy does not mean that it can be ignored. During pregnancy, we must review the B-ultrasound and carefully monitor the changes and development of the tumor. If the tumor remains stable, or just grows a little, it can wait until postpartum. In the meantime, thyroid hormone can be considered for TSH inhibition therapy. Whether it is feasible or not requires an obstetrician and a thyroid doctor to evaluate the cardiovascular system of pregnant women before making a decision.
However, if the tumor is obviously enlarged during pregnancy or lymph node metastasis occurs, the operation should be performed in the relatively stable second trimester. If you are treated with iodine-13 1 after delivery, you need to pay special attention not to hug and approach the baby or breast-feed for 1 month, so as not to affect the newborn. For patients who intend to get pregnant after thyroid cancer surgery, it is necessary to control thyroid function within the normal range under the guidance of doctors and prepare for pregnancy.