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Hypothyroidism in pregnancy

Hypothyroidism in pregnancy



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Hypothyroidism in pregnancy it can cause miscarriage, but if a hypothyroid woman continues her treatment during pregnancy, she can come to term normally. The problem arises in the pregnancy of the woman who does not know that she is hypothyroid.

During pregnancy, the thyroid gland is required to overexert itself, which is 50 percent higher. The diagnosis must be made with laboratory tests and ultrasound, since the symptoms of pregnancy, such as tiredness and fatigue, can be confused with those of hypothyroidism.

Young women of childbearing age are a risk group for hypothyroidism, which is a characterized by a decrease in the production of thyroid hormone (thyroxine) secreted by the thyroid gland. About 1 in 100 women of childbearing age has hypothyroidism, and the risk of developing it increases with age.

The decrease or lack of iodine is due, generally, to a deficient ingestion of this mineral or to a lack of ability of the thyroid gland to take advantage of the iodine from the diet.

It would be ideal for all women to have their thyroid checked before becoming pregnant to avoid possible miscarriage. A simple blood test to measure thyroid hormone (thyroxine, or T4) and serum TSH (thyroid-stimulating hormone) levels can detect this condition.

The biggest difficulty in diagnosing hypothyroidism in pregnancy is that the symptoms are often mistaken for those of the pregnancy itself. Tiredness, weight gain and irregular menstruation are some of the symptoms of hypothyroidism, which are common to pregnancy. This is the reason why they can go unnoticed.

However, other symptoms such as hoarse voice, slow speech, hair loss, dry, thick and scattered hair, dry, thick and rough skin, pain and numbness in the hands (carpal tunnel syndrome), slow pulse, cramps Muscles, confusion, orange soles and palms of the hands, constipation, facial swelling, droopy eyelids, and bored facial expression can "give away" the disease.

Therefore, a systematic study (screening) for hypothyroidism seems justified to all pregnant women to investigate the possible existence of Immune Thyroiditis and Hypothyroidism.

The basic treatment consists of increasing the dose of L-Thyroxine to meet the requirements of the pregnancy. The dose to be administered is particular in each case, since it is established in relation to the levels of thyroid hormones. This treatment does not present any risk to the mother and the baby. It is only necessary to have regular monitoring of hormone levels during pregnancy to correctly adjust the dose of L-Thyroxine, since exceeding the dose can lead to hyperthyroidism (excess thyroid hormone).

Marisol New. Guiainfantil.com

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Video: Examining abnormal thyroid function during pregnancy. (August 2022).