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怀孕前没事怀孕后甲亢怎么治疗

柯怀 妇产科 副主任医师
阳新县人民医院 三级
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怀孕后出现甲亢可以考虑生活方式调整、抗甲状腺药物治疗、碘-131治疗、甲状腺切除术等方法来进行治疗。由于孕期甲亢可能影响胎儿发育,若症状持续或加重,应尽快就医。
1.生活方式调整
生活方式调整包括合理饮食、规律运动和充足休息,旨在改善孕期甲亢症状。通过优化生活习惯,可减轻心脏负荷及代谢负担,缓解不适症状。对于孕期甲亢患者具有一定的积极作用。
2.抗甲状腺药物治疗
抗甲状腺药物治疗通常使用硫氧嘧啶类如甲巯咪唑或丙基硫氧嘧啶来抑制甲状腺激素合成。这些药物能够减少甲状腺激素的产生,控制甲亢症状。适合于孕期甲亢患者,但需监测潜在副作用。
3.碘-131治疗
Iodine-131 treatment involves taking a radioactive iodine pill that targets and destroys overactive thyroid cells.Iodine-131 treatment can be effective in reducing the size of an enlarged thyroid gland during pregnancy, but its use must be carefully considered due to potential risks to the fetus.
4.甲状腺切除术
Thyroidectomy is a surgical procedure that removes all or part of the thyroid gland.It may be indicated for severe or uncontrolled hyperthyroidism during pregnancy that does not respond to other treatments. The decision to perform surgery should be made by an experienced endocrine surgeon after careful consideration of the risks and benefits.
孕期甲亢需要密切监测甲状腺功能指标,定期复查以便及时调整治疗方案。同时,孕妇应保持均衡饮食,避免高碘食物,以免影响胎儿健康。
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2024-02-27 浏览100
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