Don’t let the dream of becoming a mother overwhelm your thyroid

Diseases of the thyroid gland are quite common in women of reproductive age. Thyroid problems, which are often encountered by pregnant women or those who want to have a baby, can complicate the process. However, regular and thorough check-ups, strictly following the recommendations of the following doctors and taking the necessary pre-treatment before pregnancy, allow the thyroid to pass this magical journey without any problems. >

Professor of Endocrinology and Metabolic Diseases. Dr. Ayşe Kubat Üzüm provided important information about thyroid problems that are often felt during pregnancy.

Thyroid hormones play an important role in the development of the baby

The thyroid gland is an important endocrine organ located in the midline of the neck, just in front of the trachea. Diseases of the thyroid gland are common in women of reproductive age. Thyroid hormones play a vital role in maintaining a healthy pregnancy and in the health of both mother and baby. Like all endocrine glands, the thyroid gland gets a little bigger during pregnancy. The thyroid gland is responsible for the secretion of two hormones, T3 and T4. In a healthy pregnancy, T4 starts to increase from the 7th week of pregnancy and reaches its maximum in the 16th week. The growth of this hormone is very important for both the mental and physical development of the growing child. In the early stages of pregnancy, since the baby’s thyroid gland does not work, thyroid hormones play an important role from mother to baby, especially in the development of the baby’s central nervous system. 16-17 dates of pregnancy. The baby’s thyroid gland also begins to produce hormones by the 3rd week, but this should not be forgotten; Thyroid hormone transfer from mother to baby continues until about the last week of pregnancy.

Pregnant women are recommended to take 200-250 mcg of iodine daily.

Iodine is a very important substance for the production of thyroid hormone and in order for the baby to make adequate thyroid hormone, the mother needs to pass adequate amount of iodine. Maternal iodine demand increases during pregnancy. Also, iodine deficiency is still a very important problem in our country. It is recommended that pregnant women take 200-250 mcg of iodine per day for the healthy development of the baby and to prevent the formation of goiter in the mother. The most important source of iodine is iodine-rich salt. It may also be necessary to take an iodine supplement under the control of a doctor.

If you meet these criteria …

You have to be a mother;

হলে Over 30 years of age

• If his thyroid works more or less

If you have thyroid disease such as goiter or Hashimoto’s thyroiditis

• If you have had thyroid surgery before

• If you have a disease that affects the immune system, such as type 1 diabetes

• If you have a history of miscarriage, premature birth, miscarriage, high blood pressure during pregnancy

• If she is treated for infertility

থাকলে If there is thyroid disease in the family

• If he is fat

তিনি If he is in an iodine deficient area, thyroid hormone should be measured.

Beware of hypothyroidism!

The inability of the thyroid gland to produce adequate thyroid hormone is called hypothyroidism and is a common condition during pregnancy. On the other hand, Hashimoto’s disease and hypothyroidism are more common after previous thyroid surgery. If hypothyroidism is diagnosed in a pregnant mother, treatment should be started without delay and the goal should be to reach the recommended thyroid hormone standards according to the week of pregnancy. If pregnancy is planned with assisted reproductive techniques such as vaccination or in vitro fertilization, thyroid hormones should be brought to target values ​​in advance.

If you have had hypothyroidism before and are receiving treatment, keep in mind that high doses of medication will be needed during pregnancy. As soon as you realize that you are pregnant, you should increase the daily dose of your medication by 25-30% and consult an internal medicine specialist or endocrinologist as soon as possible.

Hyperthyroidism occurs in only 2 out of every 1000 pregnancies.

Excessive production of thyroid hormone by the thyroid gland is called hyperthyroidism, and in contrast to hypothyroidism, it occurs in only 2 out of every 1000 pregnancies. Although the most common cause is Graves’ disease (85-90%), thyroid nodules are sometimes the cause of hyperthyroidism. Signs and symptoms of hyperthyroidism include nervousness, tremors, palpitations, sweating, heat intolerance, weight loss, insomnia, increased bowel movements and goiter. Since these results are common in normal pregnancies, they cannot be noticed. Thyroid function tests are important in diagnosing differential diseases. If hyperthyroidism is not treated properly, it can lead to adverse events between mother and baby. Maternal abortion, placental abruption, premature birth, heart failure, high blood pressure, thyroid storm can occur. It can cause premature birth, low birth weight, stillbirth. Thyroid testing of mothers with hyperthyroidism during pregnancy should be strictly controlled to avoid the risk of miscarriage and treatment should be started if necessary. If a hyperthyroid woman plans to become pregnant, thyroid disease should be permanently resolved, especially through surgery or radioactive iodine treatment, and pregnancy should be allowed after thyroid hormone has returned to normal.

Excess thyroid hormone during pregnancy can be temporary.

Another important condition to differentiate during pregnancy is the temporary increase in thyroid hormone due to pregnancy. Increased levels of the pregnancy hormone (beta-HCG) in the blood have a stimulating effect on the thyroid gland, and the effects of this hormone in the first months of pregnancy can cause a temporary increase in thyroid hormone. 6-8 weeks of gestation. It occurs in the 18-20th week of pregnancy. This is resolved spontaneously within a week. The incidence of twin pregnancies is higher among those who have undergone IVF treatment. It is often accompanied by nausea and vomiting. In this case, most of the time, no treatment is required for the thyroid, adjuvant treatments such as serum and vitamin supplements are sufficient.

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