What to do if you want to get pregnant with hyperthyroidism

Patients with hyperthyroidism may be affected by changes in hormones in their bodies, which may affect their emotions. Therefore, if patients with hyperthyroidism want to become pregnant, they need to treat the hyperthyroidism in time and do not get pregnant during the period of hyperthyroidism, because hyperthyroidism needs to be controlled by drugs and drugs cannot be used at will during pregnancy. Patients with hyperthyroidism should understand their own bodies and conceive rationally. So, what should you do if you want to get pregnant with hyperthyroidism?

⑴ Ensure adequate rest, keep a happy and comfortable spirit, pay attention to a reasonable nutritional combination of meals, and pay attention to eating foods that are high in calories, protein and vitamins. Since the fetus absorbs a large amount of calcium from the mother during pregnancy, and hyperthyroidism can cause calcium deficiency in the pregnant woman, she should eat more foods containing calcium, phosphorus, and vitamin D, such as milk, dairy products, vegetables with low oxalic acid content, beans, seafood, bone soup, animal liver, eggs, etc. People who are mentally nervous can take sedatives such as diazepam and chlordiazepoxide. For mild cases, if the pulse rate is less than 80 beats per minute when falling asleep, thyroid medication may not be needed.

⑵ It is contraindicated to use radioactive isotopes for diagnosis and treatment to prevent effects on the fetus. Because antithyroid drugs can freely enter the fetus, the dosage should be small. If the dosage is too large, it may cause miscarriage in early pregnancy and affect the development of the fetus's thyroid, brain, and bones.

⑶Propylthiouracil (PTU) is generally the first choice for the treatment of hyperthyroidism during pregnancy. Among antithyroid drugs, PTU can block the conversion of T4 to T3 and has a relatively small ability to pass through the placenta. (PTU: daily dose 100~200mg is appropriate)

⑷ Rash, fever, joint pain, nausea, diarrhea, itching, etc. that occur during medication are side effects of the drug. You may stop taking the medicine or follow the doctor's instructions.

⑸ During pregnancy or after delivery, the patient's original symptoms worsen, and there is restlessness, drowsiness, fainting, high fever (above 39 degrees), and a heart rate of more than 140 beats per minute. This is called "hyperthyroid crisis". The condition is serious and the patient should be hospitalized immediately for treatment without delay.

⑹ Pregnancy complicated by hyperthyroidism poses certain risks to both the pregnant woman and the fetus. Therefore, in addition to paying attention to the above matters, you should also go to the hospital for obstetric examinations on time to detect abnormalities in time. In the late stages of pregnancy, special attention should be paid to avoiding mental stimulation and infectious diseases, being admitted to the hospital before the due date of delivery, being mentally and therapeutically prepared, and guarding against hyperthyroidism.