| Avtor/Urednik | Gaberšček, Simona; Geršak, Ksenija; Cerar, Vasilij Matko; Hojker, Sergej; Kornhauser-Cerar, Lili; Meglič-Matoh, Veruška; Molnar-Novak, Helena; Novak-Antolič, Živa; Pirnat, Edvard; Zaletel, Katja | |
| Naslov | Nosečnost in ščitnica | |
| Prevedeni naslov | Pregnancy and thyroid | |
| Tip | članek | |
| Vir | Zdrav Vestn | |
| Vol. in št. | Letnik 73, št. 1 | |
| Leto izdaje | 2004 | |
| Obseg | str. 25-9 | |
| Jezik | slo | |
| Abstrakt | Background. In conditions with appropriate iodine intake, thyroid gland adapts to changes during pregnancy without any consequences. Fetal need for thyroid hormones in the first trimester is directly connected with transplacental transport of thyroid hormones. Fetal synthesis of thyroid hormones depends on availability of iodine in the feto placental unit. Hypo- and hyperthyroidism during pregnancy are risk factors for pregnant woman and for normal development of fetus and child. Conclusions. Pregnant women with appropriately treated thyroid diseases have the same outcome of pregnancy as healthy women, and neuroendocrinological development of children is not impaired. If the disease is unrecognized or untreated, complications of pregnancy and delivery occur more frequently. Therefore, timely recognition and treatment of the diseases with appropriate drugs during pregnancy and, also, after delivery is very important. | |
| Izvleček | Izhodišča. Zdrava ščitnica se v razmerah ustrezne preskrbe z jodom brez posledic prilagodi spremembam v nosečnosti. Plodova potreba po ščitničnih hormonih je v prvi tretjini nosečnosti neposredno povezana s prehajanjem materinih hormonov preko posteljice. Plodova lastna sinteza pa je odvisna od dostopnosti joda v feto placentarni enoti. Hipo in hipertiroza v nosečnosti predstavljata tveganje za zdravje nosečnice in za normalen razvoj ploda in otroka. Zaključki. Ob dobro kontrolirani bolezni ščitnice v nosečnosti je izid nosečnosti podoben kot v splošni populaciji in ne vodi v slabši nevroendokrinološki razvoj otroka. Pri neprepoznani ali nezdravljeni bolezni so pogostejši zapleti nosečnosti in poroda. Zato je pomembno pravočasno prepoznavati motnje in jih zdraviti z varnimi zdravili že v nosečnosti, a tudi po porodu. | |
| Deskriptorji | THYROID DISEASES PREGNANCY COMPLICATIONS FETUS THYROTROPIN THYROID GLAND PREGNANCY THYROIDITIS, AUTOIMMUNE HYPOTHYROIDISM HYPERTHYROIDISM PUERPERIUM |