Does high thyroid in pregnancy affect children?

Today Doudehui saw a message from an expectant mother in the background: \”Does thyroid function need to be checked during pregnancy? Does hypothyroidism have an impact on the fetus? Seeing this, I gave a definite answer: Hypothyroidism has a great impact on the fetus. Large, so be sure to check! The thyroid is an important endocrine organ of the human body. Its job is to produce thyroid hormones, secrete them into the blood, and then carry them to various tissues of the human body. The main function of the thyroid is to condense iodine throughout the body , secretes thyroid hormone to help the body\’s metabolism, maintain body temperature, and keep the brain, heart, muscles and other organs in their proper state. According to statistics from authoritative organizations, the incidence of hypothyroidism accounts for about 4%-10 of the total number of pregnant women. %. It is a very common disease. Abnormal thyroid function is divided into hyperthyroidism and hypothyroidism. 01 The obvious characteristics of hyperthyroidism: palpitations, heat intolerance, sweating, irritability, hyperappetite, increased bowel movements and Weight loss and other symptoms, most patients have symptoms such as eyelid edema and vision loss. If the expectant mother suffers from hyperthyroidism: it will cause risks such as miscarriage, premature birth, placental abruption, intrauterine growth retardation, stillbirth, etc., and will also affect the baby\’s intellectual development. , nervous response ability and motor ability. 02 Obvious characteristics of hypothyroidism: Pregnant mothers after illness will have symptoms such as cold sensitivity, anorexia, pale complexion, eyelid face, indifferent expression, slow reaction, memory loss, lethargy, weight gain, etc. If the expectant mother suffers from hypothyroidism: that is, insufficient secretion of thyroid hormone, it will affect the baby\’s IQ in mild cases, and may cause mental retardation, dementia, unsteady gait, hearing impairment and other problems in the baby. When to do thyroid examination during pregnancy ?The best time for thyroid function screening should be before 8 weeks of pregnancy. It is best to conduct thyroid index screening before pregnancy. Once the expectant mother is diagnosed with the disease, she can choose to get pregnant after effective treatment before pregnancy. According to experts It said that expectant mothers with clinical hypothyroidism should have their thyroid function tested every 4 weeks during the first half of pregnancy (1 to 20 weeks). Because before 20 weeks of pregnancy is the first period of rapid brain development of the fetus, and The fetal thyroid gland does not begin to secrete thyroid hormone until the 12th week of pregnancy, and the thyroid function cannot be fully established until the 20th week of pregnancy. Therefore, before the 20th week of pregnancy, the thyroid hormones required for the growth and development of the fetus are almost entirely delivered by the mother. Therefore, expectant mothers must ensure that their thyroid function is normal. Tips from Doudehui: Thyroid diseases often have no clinical symptoms in the early stages. Even if there is no thyroid disease before pregnancy and there are no symptoms of thyroid abnormalities during pregnancy, expectant mothers must also undergo thyroid examinations. This examination mainly involves drawing blood to test whether there are functional abnormalities. The screening indicators are thyroid stimulating hormone (TSH), free thyroxine (FT4), and free triiodothyronine (FT3). At the same time, expectant mothers will be asked to do a thyroid test B-ultrasound examination or CT examination is mainly used to determine the morphology of the thyroid gland. According to the test results, it can be divided into hyperthyroidism, hypothyroidism or subhyperthyroidism and hypothyroidism. If TSH is reduced and FT3 and FT4 are elevated, it indicates hyperthyroidism. TSH increases while FT3 and FT4 decreaseLow is hypothyroidism. Iodine supplementation during pregnancy is indispensable. Iodine is an essential mineral for the body to produce thyroid hormones. After the second trimester, the fetus\’s own production of thyroid hormone also requires the mother-to-be to take in a sufficient amount of iodine. The Chinese Nutrition Society recommends the reference intake of iodine: 120 micrograms/day for adults over 18 years old, 230 micrograms/day for pregnant women, and 240 micrograms/day for lactating women. Therefore, for the average pregnant mother, as long as she can eat qualified iodized salt and supplement seafood 1-3 times a week to supplement iodine through food, she can ensure iodine nutrition and does not need to eat any iodine-containing health products or iodine-fortified foods. , to avoid causing iodine overdose. What should a pregnant mother do if she is diagnosed with hypothyroidism? If an expectant mother is diagnosed with hypothyroidism, timely treatment and intervention are required. What are the safety knowledge about diet and medication that should be avoided in daily life? Download the full-color high-definition PDF version. You can timely supplement exogenous levothyroxine sodium tablets (Euthyroxine) under the guidance of a doctor to ensure the thyroxine needs of the expectant mother and fetus during pregnancy. Expectant mothers, please rest assured that levothyroxine sodium tablets (Euthyroxine) do not easily pass through the placenta. Therefore, they have no toxic effects on the fetus and will not cause malformations. It is a relatively safe drug during pregnancy and is the first choice drug. In terms of diet, expectant mothers with hypothyroidism should avoid eating high-fat and high-cholesterol foods, such as butter, animal offal, etc. You can eat some foods with high iodine content in moderation, such as kelp, seaweed, etc., and you can also eat more soy products. Hypothyroidism is a very common disease among women. For those female compatriots who suffer from hypothyroidism before pregnancy, Ya Ya Ma recommends that they undergo examination and treatment before pregnancy until the hormone level reaches the target before choosing to have a baby. All in all, for the healthy development of the fetus, expectant mothers must undergo thyroid function screening to nip any threats to fetal growth factors in the cradle.

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