Thyroid disorder in Pregnancy

in #medical6 years ago

"Hypothyroidism in Pregnancy"

♦ If a pregnant woman is diagnosed with hypothyroidism, how will she be treated?

Pregnancy should also be known to other people, including hypnotherapeutics and endocrinologists as hyperthyroidism patients in our country are much more.

Usually, when we treat hypothyroidism, we start thyroxine in low dose and after 15 days we come to normal dosage in the dose house. After that follow up after 1.5-2 months.

However, hypoglycemia treatment is required to start from the high dose, after which it is necessary to reduce the adjustments.

Thyroxin dosage in pregnancy is 2-2.4 microgram / kg That means 50 doses of 50 kg of pregnant woman start with 2 or 2.5 tablets and 15 days after adjustment of FT4 dose. Then after 1 month there is a follow up with FT4 & TSH.

And pre-hypothyroidism is a trial for pregnant patients, then tell them to consume 20-30% of their dose to increase the dose. After coming to the doctor and reporting the dose will adjust and follow up should be done every month.

♦ The target range of TSH in Pregnancy is different. Such as:
▪1m Trimester- 0.1- 2.5 μU / ml
▪ Trimester2.2 - 3 μU / ml
▪ 3th Trimester- 0.3- 3 μU / ml

♦ When will you try thyroid test?
▪ Sometimes the thyroid problem is detected
▪ If there is a thyroid problem in the family
▪ There are no other auto-immune diseases
▪ If you have history or history of Eborans
▪ If you have symptoms of hypothyroidism

What can be the problem of hypothyroidism?
▪ Hypertension / Precamcias
▪ Abrasion
▪ Increase the cigarettes requirements
▪ More bleeding after the next

What kind of problem can babi be?
▪ Pregnancy before birth
▪ Weight loss is low
▪ loss of children
▪ Nuclear, psychological or cognitive problems

If you get too much TSH during hypoglycemic diagonosis of pregnant women, then tell you to ebro?

No, there is no indication of Hypothyroidism. However, you can scan fital anomaly through the ultrasangogram. And the patient will have to be well-counseled. But it is best to leave the final decision on the patient.
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