Symptoms of hyperthyroidism during pregnancy

summary

Hyperthyroidism is a very common disease in our life. Once the disease occurs, the body that we all like will be seriously affected. For example, the patient will have the symptoms of big neck and personality change. Therefore, it is particularly important for fat people to carry out relevant treatment in time after determining the disease, Most patients can be controlled as long as they actively cooperate with doctors. Let's talk about the symptoms of hyperthyroidism during pregnancy.

Symptoms of hyperthyroidism during pregnancy

In normal pregnant women, due to the hypertrophy of anterior pituitary gland, goiter may occur. Due to the increase of serum estrogen level, thyroid binding globulin (TBG) is increased, and serum total T3 and total T4 are also increased correspondingly. In addition, the occurrence of metabolic syndrome such as palpitation, hyperhidrosis, fear of heat and increased appetite during pregnancy is very similar to hyperthyroidism, The diagnostic criteria of pregnancy with hyperthyroidism should be improved.

Diagnostic criteria of pregnancy with hyperthyroidism: if the body weight does not increase with the number of months of pregnancy, the pulse rate at rest is more than 100 times / min, and the muscle near the extremities is emaciated, the suspected hyperthyroidism can be diagnosed by detecting the levels of FT3 and FT4. If the body weight increases, it can be diagnosed as hyperthyroidism, but the 131I rate should not be checked. If accompanied with eye sign, diffuse goiter, thyroid vascular murmur and tremor, it can be diagnosed as toxic diffuse goiter after excluding other causes of hyperthyroidism or thyrotoxicosis.

Ensure enough rest, keep the spirit happy and comfortable, pay attention to the reasonable collocation of nutrition in diet, and pay attention to the food with high calorie, high protein and high vitamin. Because the fetus during pregnancy intake a lot of calcium from the mother, and hyperthyroidism body can cause calcium deficiency in pregnant women, so, should eat more calcium, phosphorus, vitamin D foods, such as milk, dairy products, less oxalic acid vegetables, beans, bone soup, animal liver, eggs and so on. To avoid high iodine content of food, especially like kelp, fish, and other seafood.

matters needing attention

1. Pregnant women with hyperthyroidism are prone to fetal growth restriction (FGR) and low birth weight due to hypermetabolism and insufficient nutrition for the fetus. Pay attention to the growth of mother's weight, uterine height and abdominal circumference, and carry out fetal B-ultrasound examination every 1 ~ 2 months to estimate fetal weight. At ordinary times, strengthen nutrition, pay attention to rest, take the left lying position. When FGR was found, they were hospitalized in time. 2. Taking ATD in pregnant women with hyperthyroidism may lead to fetal hypothyroidism: fetal goiter, slow weight gain, slow fetal heart rate 110 ~ 120 times / min, fewer fetal movements and less amniotic fluid. The prognosis of congenital hypothyroidism fetus may be poor. It has been suggested that umbilical cord puncture is feasible, and umbilical cord blood should be taken to check the nail function in order to make a definite diagnosis. 3. Pregnant women with hyperthyroidism are prone to premature delivery. If there is threatened preterm birth, should actively protect the fetus, treatment to avoid using β Acceptor stimulant, stay in bed as far as possible, use magnesium sulfate, turinal, procaine and other fetal protection drugs. 4. Pregnant women with hyperthyroidism are prone to complicate pregnancy induced hypertension. Pay attention to early calcium, low salt diet, nutrition guidance. Prenatal examination attention: weight change, edema, urine protein and blood pressure rise. The pregnant women should be hospitalized for observation at 37-38 weeks of late pregnancy. The fetal heart rate should be monitored every week. Attention should be paid to fetal distress. The pregnant women should take electrocardiogram to know whether there is heart damage. If necessary, echocardiography should be performed.