Graves' disease during pregnancy - what pregnant women need to know

This is an automatically translated article.

If hyperthyroidism during pregnancy is not diagnosed and treated in time, when hyperthyroidism is too severe, the consequences will be very severe, even causing death for the pregnant woman.

1. What causes hyperthyroidism during pregnancy?

Hyperthyroidism accounts for 0.1 to 0.4% of pregnant women. Two common causes of hyperthyroidism during pregnancy are Graves' disease and severe morning sickness due to excessive secretion of hCG (human chorionic gonadotropin).

2. What are the manifestations of hyperthyroidism during pregnancy?

Pregnant women do not see weight gain, even lose weight Pregnant women feel tired, insomnia Feeling nervous, palpitations, fast heartbeat Nausea, vomiting, heavy morning feeling Trembling limbs, sweating

Mẹ bầu có triệu chứng ra nhiều mồ hôi tay

3. What tests are needed to diagnose hyperthyroidism during pregnancy?

You need to do some tests to diagnose the disease and find the cause of the disease such as:
Tests to evaluate thyroid function: FT3, FT4, TSH Thyroid ultrasound, quantification of TrAb, antiTPO to diagnose the disease hyperthyroidism do basedow Quantification of beta- hCG. If beta-HCG levels are too high, it may point to hyperthyroidism due to excessive hCG secretion

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4. How does hyperthyroidism affect mother and fetus?

Hyperthyroidism will exhaust the mother's body: the mother loses weight, does not gain weight, reduces resistance. From there can cause opportunistic infections such as tuberculosis, pneumonia Long-term hyperthyroidism can cause severe heart failure in the mother, even the mother can die if severe hyperthyroidism Hyperthyroidism can cause spontaneous abortion , premature birth, stillbirth, preeclampsia Hyperthyroidism can cause fetal growth retardation, hyperthyroidism in the fetus

5. Is hyperthyroidism during pregnancy dangerous?

If hyperthyroidism during pregnancy is not diagnosed and treated in time, when hyperthyroidism is too severe, the consequences will be very severe, even causing death for the pregnant woman. Hyperthyroidism is treated late and when there are complications, the treatment is very complicated. Many drugs that are harmful to the fetus still have to be used because the priority must be to save the mother first.

6. I'm taking basedow but found out I'm pregnant. I want to quit the treatment and continue to keep the pregnancy, can I?

Arbitrarily quitting smoking, unfollowing basedow's disease during pregnancy can cause many serious consequences. Many pregnant women have left many unfortunate consequences due to this lack of understanding. You need to see an Endocrinologist for advice, monitoring and treatment throughout your pregnancy.

Mẹ bầu không nên tự ý sử dụng các loại thuốc

7. Is the drug basedow, also known as a synthetic antithyroid drug, harmful to the fetus?

Currently, all synthetic antithyroid drugs cross the placental barrier and enter the fetus. However, an Endocrinologist will advise and choose for you the most appropriate antithyroid drug and dose depending on each week of pregnancy, both to ensure the treatment of the mother's disease, and to ensure the safety of the fetus. develope.

8. Do I have to have an abortion/abortion when I find out I have basedow?

Basedow's disease is not a mandatory indication for abortion/abortion. Pregnant women can still get pregnant and give birth. If a pregnant woman adheres to the treatment of Grave's disease under the guidance of a specialist, the fetus will still develop well and be healthy.

Hãy tìm đến bác sĩ để được tư vấn và thăm khám kịp thời

9. When I have this disease, do I have to go to the doctor and get treatment regularly?

For patients with a history of Graves' disease or taking synthetic anti-thyroid drugs, when detecting pregnancy, it is necessary to visit a doctor early to get advice from a doctor to adjust the drug, the dose is safe for the fetus. Pregnant women with clinical symptoms as listed in item 2 need to be screened for thyroid disease at an Endocrinology specialist clinic. so that the doctor can adjust the most appropriate dose of medicine to both control the mother's Graves' disease and be safe for the fetus.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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