Postnatal thyroiditis
Contents:
Description:
The postnatal thyroiditis — develops in a puerperal period at the women who earlier were not noting disturbances from a thyroid gland.
Anatomy of a thyroid gland
Reasons of a puerperal thyroiditis:
During pregnancy (according to McGregor) the maternal immune response is suppressed, the number of T-suppressors increases and quantity T-helperov decreases. TTG-blocking antibodies are capable to get through a placental barrier to a fruit and to cause a neonatal hypothyroidism. Spontaneous recovery of the child occurs in 1,5 — 2 months (when maternal antibodies eliminirutsya from the child's blood).
Symptoms of a puerperal thyroiditis:
The thyroid gland is increased 2 — 3 degrees, is painless, hypothyroidism signs (weakness, fatigue, a chill, tendency to locks) are moderately expressed.
Observation against the background of pregnancy. Sufficient clinical experience because monitoring of a state on the T4 and T3 levels in a blood plasma of mother can yield incorrect results is necessary for maintaining pregnant women with an autoimmune thyroiditis.
Treatment of a puerperal thyroiditis:
Purpose of drugs of thyroid hormones leads to normalization of a state.
Existence at mother of an autoimmune thyroiditis is not an absolute contraindication to pregnancy and its approach does not aggravate autoimmune processes in mother's organism. Nevertheless, normal fetation demands good compensation of a hypothyroidism from mother.
