身体健康就是怀不上,这是什么原因?
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30岁的王女士在一家外企工作。她平时身体很好,没有什么症状,但是怀孕半年了。她去做检查了。医生告诉她,怀孕困难是因为她甲状腺功能降低。甲减也会导致不孕吗?
据统计,约有2.5%的孕妇患有甲减,“亚临床甲减”者高达6%。但由于亚临床甲减介于健康和疾病之间,往往无症状,容易被忽视,导致问题加重。今天就来说说甲减到底是怎么回事吧!
什么是甲减?
简单来说,甲状腺激素合成分泌过少导致代谢活性降低
甲减的小伙伴往往怕冷、口齿不清、表情淡漠、乏力、唇厚舌薄、食欲不振、腹胀便秘、心动过缓、记忆力减退、性欲减退等。
孕妇甲状腺功能减退会直接影响胎儿神经系统的正常发育,导致胎儿智力低下,出生后智力水平低下,如痴呆。
一般来说,甲减女性比男性多见。20~40岁女性甲状腺功能减退症发病率约为2%~4%,尤其是40岁以上女性,患病率随年龄增长而增加。研究发现,不孕患者中甲状腺功能减退的患病率显著增加。
甲减对怀孕有什么影响?
1。导致不育
患有甲减的蘑菇往往容易出现月经不调、月经过多或闭经、排卵障碍和卵巢萎缩。
男性伴侣容易出现精子数量减少、形态异常、精子活力下降等现象。此外,甲状腺功能减退引起的性欲减退、性生活不满意也是不孕的间接原因。
2。伤害胎儿
孕妇孕期甲状腺功能减退会导致流产、早产、胎儿生长迟缓、胎儿畸形等。即使宝宝能顺利出生,也很容易出现先天性甲状腺肿大或发育迟缓等先天畸形。
因此,要尽早发现孕前或孕期甲减,及时治疗,提高受孕能力,保证胎儿正常生长发育。
甲减如何备孕?
查“阿公”应该是女性备孕必不可少的一个环节,而且要在孕前3个月做。一般甲减不严重,不影响我们怀孕,只要把甲状腺激素控制在正常水平就行。
孕前将TSH控制在2.5以下,可以保证母亲对胎儿大脑发育所需的甲状腺激素。一旦确定怀孕,要及时去医院复查美甲,调整药物剂量。
确实如此。补碘也是有科学依据的。不能只补碘。甲减患者可适当摄入碘,但应避免碘过少或过多。如果是桥本甲状腺炎(慢性淋巴细胞性甲状腺炎)引起的甲状腺功能减退,则不宜摄入过多的碘。
甲减患者如何补充营养?
刚才我们谈到了桥本甲状腺炎引起的甲减。我们不能摄入过多的碘,但是如果你有缺碘导致的甲减,比如缺碘导致的大脖子病,那就另当别论了。
一般我们饮食的原则是适量补碘,低盐低脂,补充蛋白质、铁和维生素,少吃生冷食物,防止便秘。当然,最好谨慎食用引起甲状腺肿大的食物,如白菜、大白菜、油菜、木薯、核桃等。,以免甲状腺肿大。
如何避免甲减对备孕的影响?
1。准备怀孕时,尤其是孕前三个月,去医院做甲状腺相关检查。
2。许多甲状腺功能减退是由手术切除或碘131用于治疗甲状腺功能亢进引起的。因此,医生必须保留足够的甲状腺组织,在手术中更专业、更正确地使用碘131的剂量,避免二次伤害。
3。常规体检时最好检查甲状腺功能,尤其是孕妇、孕妇、不孕妇女以及排卵功能异常、有甲状腺疾病家族史和个人史、有症状或体检提示甲状腺结节或甲状腺功能减退、1型糖尿病或自身免疫功能障碍者。
4。先天性自身免疫性疾病和缺碘性甲状腺肿的预防。
据统计,我国缺碘性甲状腺肿高发地区补碘充足后,地方性愚型病发病率明显下降。