原发性甲状腺功能减退症与妊娠相关的临床常见问题及处理

The Treatment Strategy of Pregnancy-related Clinical Common Problems about Primary Hypothyroidism

原发性甲状腺功能减退症(简称甲减)是由于甲状腺激素合成和分泌减少或组织作用减弱导致的全身代谢减低的综合征。在不同性别及年龄段均有发病。甲减女性在孕前、孕期和哺乳期的治疗策略及要求略有区别,妊娠期出现的甲减,在不同孕期,对甲状腺功能的要求也有所不同,治疗细节上也存在差别。由于妊娠期存在的甲减如果纠正不及时会和很多不良妊娠结局相关,所以,此阶段的处理备受重视,本文针对原发性甲减与妊娠相关的一些临床常见问题及其处理进行讨论和阐述,以期为基层临床医生提供参考。

Primary hypothyroidism is a syndrome caused by the decrease of thyroid hormone synthesis and the weakening of tissue action.The treatment strategy of Primary hypothyroidism is a slightly different for women during pregnancy,pregnancy and lactation.When hypothyroidism occurs during pregnancy,there should be different requirements for the thyroid function in different pregnancies,and there are differences in the treatment details.Primary hypothyroidism during pregnancy correlated to many adverse pregnancy outcomes,so this stage attracts attention.In this paper,the authors discussed some common problems of primary hypothyroidism related to pregnancy and its treatment,so as to provide reference for primary clinicians.