Thyroid gland is a gland that wraps the trachea in the shape
of a horseshoe in front of the neck and weighs about 20 g.
The secreted thyroid hormones (T3 and T4) affect all
metabolism. The operation of the thyroid gland is controlled by TSH (Thyroid
stimulating hormone) secreted from the pituitary gland located in the lower
part of the brain. Iodine element is extremely necessary for the thyroid gland
to work. When taken inadequate with nutrition, the secretion of thyroid
hormones is disrupted. In our country, common thyroid gland problems arise in
iodine deficiency. Thyroid gland diseases are more common in women than in men.
For this reason, many women of childbearing age are frequently affected by
thyroid gland problems. Goiter is when the thyroid gland is larger than normal.
In approaching patients, the hormonal condition that accompanies it is more
important than goiter.
HYPERTHYROIDISM
The thyroid gland secretes too much blood into the blood is
called hyperthyroidism (poisonous goiter). In this case, weakening, rapid
beating of the heart (palpitations), intolerance to heat, hot flashes, tremor
in the hands, swelling in the eyes outwards occur. 95% of hyperthyroidism seen
during pregnancy is due to Graves' disease. Hyperthyroidism during pregnancy
can cause preterm labor, stillbirth, miscarriage, retarded development in the
baby, and heart failure and high blood pressure in the mother. Therefore, it is
very important to control hyperthyroidism before pregnancy.
The drug chosen for treatment is usually Propylthiouracil.
Radioactive Iodine (RAI) therapy is not used in pregnant women. Surgical
treatment should be done between 3-6 months if necessary in hyperthyroid
pregnant women. Surgical treatment is not performed in the first 3 months as it
increases the risk of miscarriage.
hypothyroidism
The condition of the thyroid under-running is called
hypothyroidism. When this develops; forgetfulness, weakness, dry skin, hair
loss, fatigue, and a tendency to sleep may occur in pregnant women.
Hypothyroidism occurs in 0.05% of pregnant women. In these patients, the risk
of miscarriage, premature separation of the baby's spouse, retarded development
in the baby, preterm birth, loss of prenatal baby and nervous system disorders
in the baby increase.
If the mother does not get enough iodine before the baby
thyroid gland develops (first 3 months), the baby may have mental retardation.
Treatment is done with drugs containing thyroid hormone.
-PREGNANCY DEPRESSION
-INTRAHEPATIC CHOLESTASIS OF PREGNANCY
-PREGNANCY AND EPILEPSY
-ECLAMPSIA
-PREGNANCY AND HEART DISEASES
-PREGNANCY AND SYSTEMIC LUPUS ERYTHEMATOSUS
