Ready-to-be mother: Have you checked the thyroid gland?

Ready-to-be mother: Have you checked the thyroid gland?
Staff reporter Li Ying

In recent years, of our country pregnant the intersection of hypothyroidism and disease (hereafter referred to as " first reduce " )Rising rate,getting more every probably one of trouble gestation " reduce first "s at 10 pregnant women ,And the diagnosing rate and the treating rate is generally on the low side. Please pay close attention to - -

The leaderette pregnant woman is a special colony receiving much concern, their nutrition health and the growing up healthy and sound of the foetus are closely bound up, do a good job of health care in pregnancy period scientifically, it is each pregnant woman's greatest wish to give birth to the healthy baby smoothly. This edition is put out from today " Pay close attention to the series of pregnancy period " ,Thyroid gland check before being pregnant, pregnancy period nutrition, " Sub pill much " , radiation protection, funicular blood store and how about go on issues such as the prenatal guidance,etc. go on and understand pregnancy period, reader's enlightenment to some extent correctly of the expectation.

At present, our country has 40 million primary the intersection of hypothyroidism and disease(hereafter referred to as " first make a reduction of " at least )Patient, but only about 5% of the patients have received treatment. Chinese Medical Association's endocrine credit will be waited and taken the post as General Board Professor Teng WeiPing to say: The gestation of our country " The nail reduces " The ill rate is high, there is a patient in every 10 pregnant women.

The thyroid gland is easy to be ignored to check before being pregnant

The thyroid gland is known as " The engine of the body " ,Its duty is to make thyroxine. The thyroxine is transported with the blood to body each tissue, help to contribute in tissue and organ accurately each cell, such as maintaining the body temperature, guarantee every its duty to the limit of organ such as the muscle, brain, heart. And women with pregnant under the intersection of thyroxine and the intersection of level and normal situation. Moderns generally pay attention to raising healthier, better educated children, often ignored but how are thyroid gland functions and hormone levels of women, and hypothyroidism is all risky to pregnant woman and foetus.

Chinese Medical Association will be waited and taken the post as General Board Professor Yang HuiXia to appeal for to produce the credit to enclose, women need, accept the intersection of thyroid gland and inspection of function when being pregnant. "' first make a reduction of ' may bring to women's pregnancy and the offspring health development enormously and threaten, must cause the concern. "

Women should measure the thyroid gland function before gestation in 3 months, especially suffer from the thyroid gland function unusually and having family's history of of thyroid gland or the persons who lack the area in the iodine live, it is can't be more normal to adjust one's own thyroxine level to under the guidance of doctor.

Rejuvenate doctor in charge of hospital gynaecology and obstetrics Xu Che to say when being interviewed by Science and Technology Daily reporter, as to reproduction age women, main influence lies in influencing it to bear the function: Have will infertile sterility take place because of this to some patients; Even if succeed in and become pregnant, " first make a reduction of " in gestational period Also will come to look for trouble frequently. Compared with healthy crowd, " the nail reduces " , foetus' nerve growth obstacle slow in development dies in the palace in the pregnant woman's foetus miscarries, premature delivery, fetus, and the causing danger of gravidic hypertension, diabetes obviously rises.

Che Xu reveal until gestational period of our country " first make a reduction of " at present The high ill rate exists, diagnosing rate and low situation of treating rate. Teng WeiPing says, " the nail reduces " Especially inferior and clinical " The nail reduces " The diagnosing rate is low, because " first make a reduction of " slightly mainly Not or only having a slight clinical symptom, and these symptoms are apt to obscure with gestation reaction, it is difficult to be diagnosed.

" the nail reduces " the pregnant woman The influence foetus is healthy

Che Xu think no matter " first make a reduction of " Inferior and clinical " The nail reduces " ,Healthy to women and of great impact. Because " the nail reduces " It is a kind of chronic disease developing gradually, seldom have prominent clinical manifestation. Let women appear spirit to be dispirited health in disorder gradually, cause reproduction age issues of woman normal and pregnant and bearing. She says, probably 7% women present the thyroid gland function unusually in the postpartum. "If can not no be found and treated in time, ' first make a reduction of ' will enable patient's arteriosclerosis finally, even myocardial infarction ( The kidney does not have clear evidence to decline) Risk be increased greatly, even cause by old age obstacle of respects cognitive" . In addition, Che Xu say thyroxine this issue " influence " Most prominent, because the baby's development is quick, " development is delayed " The manifestation is obvious. But the growth of the thyroxine " Function " It has been very important after growing up all the time.

It is obviously in baby period, it mainly promotes the growth of the skeleton, brain and genitals. When the thyroxine is scarce, the thyroxine that foetus needs in 12 weeks totally comes from the mother's body, later although the foetus began to formate the thyroxine by oneself, relied on the mother's body to guarantee the hormone level was sufficient.

"When the pregnant woman secretes insufficiently, low the thyroxine, normal development, growth and intelligence development of foetus' nervous system have negative effects, the sexual organ can't reach maturity either, can initiate cretinism (intelligence low, short and small) Wait, even cause the serious intelligence obstacle. " Xu Che is revealed, when the neonatal thyroid gland function is low, if supplement the thyroxine in right amount in time, also have a result to the development of the central nervous system and recovery of brain function, but if has passed in the best period, even supplement in a large amount, can't resume the normal function either.

Che Xu say domestic and foreign clinical research prove if pregnant woman suffer from different kinds of " first reduce " ,Will make the pregnant woman miscarry and increase with gestational period complication notably, more important, " the nail reduces " the pregnant woman Will cause foetus' brain development obstacle, will lead to the fact offspring's IQ drops.

Diagnose, it is essential to mother and son to treat early early

The expert think, only before gestation or gestation sifts finding " first make a reduction of " in early days Patient, diagnose early, treat early, it is essential for the mother and son both sides.

"The gravidic women's thyroid gland has very common disease, propose preparing gestation or gestation early and checking thyroid gland functions of women actively. " Yang HuiXia says, " had better be in gestation to sift and check the thyroid gland function to women, especially to the women with dangerous factor of of thyroid gland actively before 8 weeks. "

The expert points out, inferior and clinical to gestational period" first make a reduction of " Women carry on the thyroxine ' Excellent first is happy) Intervene and treat, it should be 12 weeks ago to start the opportunity, as to this, someone is anxious, will the administration influence foetuses in pregnancy period? Xu Che says that totally unnecessary to be worried: "The thyroxine itself is a kind of essential hormone of human body, so long as monitor the thyroid gland function closely during intervention, adjust the dosage in time, up to standard as soon as possible, can guarantee normal foetus' brain development and offspring's intelligence development. "

In addition, Xu Che reminds and says, pregnant women should eat more food containing iodine, iodized salt, iodination soya-bean oil, fish, shrimp, kelp,etc., uptake that should pay attention to the iodine even more behind especially it is pregnant to suffer from local goitrous women. Patient of the iodine of urine with low level, should add and obey 20- 30 milligrams of KI every day under the guidance of doctor if necessary, in order to guarantee thyroxine is synthetic, it is ill that so not only help the pregnant woman to be healthy but also can prevent child from suffering from one gram of spit of fland.

Don't be thought to spend pregnancy period on everything is just fine safely, watch out for postpartum thyroiditis and neonatal hypothyroidism or hyperfunction. Xu Che says, there are disease family's history, chronic withering gastritis and person who has treated with interferon for a long time of thyroid gland, apt to send thyroiditis, produce, " The nail reduces " ,Check the peroxide enzyme antibody of thyroid gland, stimulating antibody of thyroid gland,etc. 6 months after proposing pregnant later period and producing, once find abnormality, interfere from early, try hard to prevent postpartum thyroiditis from, " first make a reduction of " Emergence.

Finally, Xu Che proposes, the neonate adopted the blood of heel and walked conventionally in 72 hours after being born in newborn child's illness sifted checking (lowered including the thyroid gland function) ,If the lying-in woman suffers from thyroid gland disease, even if the neonate sifts checking the result is normal, the neonate must reexamine and monitor the thyroid gland function regularly. Must do the inspection before leaving hospital, will go to the hospital to do the corresponding inspection 42 days later, the doctor will follow and check the baby according to the detailed conditions in the future.

Ready-to-be mother: Have you checked the thyroid gland?