Pregnant while treating thyroid tumors, what to do?

Pregnancy with thyroid disease is one of the concerns and concerns of many women. When the pregnant mother has thyroid disease, there will be many serious effects on the mother and the fetus. However, there are still many methods for mothers to both treat the disease and minimize the impact on the child.

1. Thyroid disease overview

The thyroid gland is a part located right in front of the neck, which has the function of secreting thyroid hormones that play a role in regulateing metabolism, promoting the growth of cells, organizations, agencies … as well as brain development. In case this hormone secretes too much or too little is not beneficial for the mother and the fetus.

Especially, basedow occurs when the thyroid gland is active, causing the formation of thyroid tumors and having a great impact on the health of patients. Therefore, pregnancy should be avoided when thyroid disease is in place.

2. Risks to the mother and fetus

Take medication

Women taking thyroid pills can cause thyroid failure to pregnancy

Usually the fetal thyroid gland will be formed, starting to work from the 10th – 12th week of pregnancy. It means that during this period the fetus depends entirely on the thyroid hormone of the mother. When you have anthyroidism, the high concentration of thyroxin in the mother's blood causes typical symptoms such as hand tremors, heart beating, rapid pulse, bulging eyes, heavier than heart failure.

More thyroxin will penetrate the gestational bloodstream with high concentrations leading to an increase in the gestational heart rate, a smaller pregnancy than age, even causing miscarriage,premature birth, still still death. In addition, the risks also include malformations, pregnancy malformations.

Pregnant women who take thyroid medications (synthetic antithyroid drugs) may experience certain harms. One of these harms is to cause impaired pregnancy. Most synthetic antithyroid drugs such as Methylthiouracil (MTU), thyrozol, methimazol, carbimazol, propylthiouracil (PTU) have this dangerous toxicity. PTU is less placenta-free, so the level of toxicity is less.

Pregnant women with severe advanced disease may be at risk of bouts of high-level thyroid attacks (called armor storms) that can cause med death at a fairly high rate. In the last 3 months of pregnancy the bout of armor may decrease but after birth increases, which is hindering childbirth. Therefore, doctors recommend that women with putthyroidism (Basedow), who are treating goiter should not get pregnant during the period when the disease is progressing, it is best to cure the disease before getting pregnant.

3. Methods of treatment of thyroid disease

Although thyroid disease carries many risks for pregnant women, if you have missed pregnancy, you do not necessarily have to give up the pregnancy because if you know good treatment, most babies are born normally. Instead, for treatment, the pregnant person needs to visit regularly and take the medicine prescribed by a specialist.

  • In case of mild armor (unknown symptoms, the patient does not recognize the difference, the test finds that the blood thyroxin concentration is not too high), the pregnant woman only needs to closely monitor and do not need to use the drug.
  • In case of more serious illness, pregnant women who take thyroid medication should be aware of the right type and dose as directed by their doctor. Avoid the field of drugs permeated through the fetal blood, causing the pregnancy to become impaired. Often doctors will prescribe the drug PTU (less through the placenta) at the lowest effective dose. If medical treatment is not possible, thyroid surgery may be considered.

However, this case is still limited because the operation involves anesthesia, which is not beneficial for the fetus. The solution to cure with radioactive iodine is also not positive because radioactive iodine can enter the pregnancy, destroying the thyroid gland of the pregnancy causing permanent thyroid failure of the child.

Another solution to treat thyroid tumors is to take beta blockers to relieve hand tremor syndrome, chest drumming. However, this effect should only be taken when it is really necessary and at a limited level, since it can affect the development of pregnancy (babies born with low weight).

  • In case of re reluctant need to give up the pregnancy, the doctor also recommends treating armor until the disease is temporarily stable to abandon the pregnancy. Because if you give up your pregnancy suddenly, it can cause an armor attack (armor storm), which is easily life-threatening.

General principles when treating thyroid tumors in pregnancy

  1. Ideally, treatment of thyroid disease is stable first and then planned to become pregnant.
  2. However, if you are treating and "missed" pregnancy, you can still keep the pregnancy, as long as the patient closely monitors and uses the medicine prescribed by the doctor.
  3. The goal of treating thyroid disease (thyroid) during pregnancy is to take the lowest dose of antithyroidism, as long as thyroid hormones are returned to normal and maintained to that extent.
  4. As recommended by the Thyroid Society, pregnant women with condiguous disease may take PTU or Thyrozol to treat the disease. In the first tri tri month of pregnancy, PTU antithyroid medication should be preferred as it is less soaked through the placenta. In the following months until post-birth and breastfeeding, if the pregnant woman still needs antithyroidism, Thyrozol can be used because the drug is less through breast milk and has little side effects on the liver for both mother and baby.
  5. Pregnant women with armor can still give birth to healthy babies. However, during the entire course of treatment, both mother and baby should be carefully and regularly monitored by obstetrician and end of ende specialist at reputable units.

Pregnant week 24

Pregnant women with giapoids can still give birth to healthy babies

4. Thyroid disease treatment at Share99 Times City International Health Hub

Share99 Times City International Health Hub – endo noisyist is considered as one of the leading units in the treatment of endo noisular and thyroid-related diseases. With modern medical equipment system, vinmec Times City's experienced and highly specialized doctors have accurately diagnosed the health condition and offered appropriate treatment options for many complex cases.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • Is mediassures dangerous?
  • Is it dangerous to have a left lobe thyroid tumor? Is it curable?
  • What is tirads 3 thyroid disease?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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