Hypothyroidism in pregnancy: causes, treatment
Hypoteriosis is a condition that occurs with a persistent and prolonged deficiency of hormones T4 and T3, which are produced by the thyroid gland. This endocrine disorder does not have strictly specific symptoms, so it is not always possible to identify it in a timely manner. Due to the peculiarities of the structure and genital function of the female body in women, this condition is revealed more often than in men, and it is for women that the disease is a threat even at the initial stage, since hypothyroidism and pregnancy are not very compatible.
Focusing on the factors that cause hypothyroidism, distinguish:
- The primary form, which is caused by pathological processes developing in the thyroid gland. This form of hypothyroidism can develop with hypoplasia or aplasia of the thyroid gland, congenital disruption of thyroid hormone secretion, thyroiditis (thyroid inflammation), a deficiency in iodine diet, an excess of thiocyanates present in cabbage or an excess of iodine-blocking calcium and lithium ions, and with removal of the gland or after taking some medicines.
- Secondary form, which occurs with pathologies of the pituitary and hypothalamus, regulating the functioning of the thyroid gland. It develops with the reduction or termination of the synthesis of hormones by the pituitary gland (hypopituitarism), as well as in the case of a defect in the synthesis and delivery to the hypophysis of the hormone hypothalamus tyroliberin.
- Tertiary form, which develops when neutralizing hormones TTG, T3 and T4 autoantibodies or activating in pancreatitis, sepsis and shock enzymes, with low sensitivity of cells to hormones or deiodination of hormones in the blood.
Hypoteria also contributes to perenashivaniyu and weak labor. After giving birth, a woman can develop bleeding.
Currently, the correctly selected and timely begun treatment of this disease in a pregnant woman avoids the development of irreversible disorders in the child.
The signs of hypothyroidism are:
- the propensity to regular infectious diseases, which arises from the lack of immune-stimulating effects of thyroxin and triiodothyronine;
- enduring fatigue and weakness, present even in the morning immediately after awakening;
- Drowsiness, problems with concentration and intellectual decline associated with inhibited activity of the nervous system;
- propensity to depression, forgetfulness;
- chilliness and decrease in temperature, arising from the slowing down of metabolic processes in the body;
- pain in the joints, convulsive twitching of the muscles and numbness of the upper limbs, caused by compression of the nerves with swelling tissues;
- increase in body weight;
- slow heart rhythm (bradycardia);
- decreased respiratory rate;
- swelling and dry skin;
- change of voice (becomes low) due to swelling of the vocal cords;
- brittle nails and hair;
- impaired vision and hearing, the presence of ringing in the ears;
- constipation and nausea caused by slowed digestion.