妊娠期甲狀腺功能低下的處理：孕婦和胎兒兩面兼俱

Management of Hypothyroidism During Pregnancy

陳瑜忻(Yu-Hsin Chen) ； 龔信宗(Shinn-Tzong Gong) ； 林慶齡(Ching-Ling Lin) ； 陳冠羽(Kuan-Yu Chen)

《內科學誌》 27卷3期 (2016/06) Pp. 135-138

https://doi.org/10.6314/JIMT.2016.27(3).03

摘要

目前已知明顯母體甲狀腺功能低下對胎兒具有嚴重的不利影響。因此，如果可能，應在妊娠前篩檢甲狀腺功能，對甲狀腺功能低下(hypothyroidism)或亞臨床型甲狀腺低下(subclinical hypothyroidism)的女性應盡早開始治療，降低母體甲狀腺功能低下對其本身以及對胎兒的不良影響。本文包含如何判讀血清甲狀腺刺激素(TSH)、游離T4、總T4和游離T4指數來診斷甲狀腺功能低下或亞臨床型甲狀腺低下，以及相關的治療。

關鍵字

妊娠 ； 甲狀腺功能低下 ； 亞臨床型甲狀腺低下

並列摘要

It is well established that maternal hypothyroidism has adverse effect on fetal development. Our goal is to decrease the adverse effect both on mother and fetus by screening thyroid function before pregnancy and treating hypothyroidism or subclinical hypothyroidism as early as possible. We discuss hypothyroidism and subclinical hypothyroidism from the diagnosis by using TSH, free T4, total F4, and free T4 index to the timely and dosage of treatment.

並列關鍵字

Pregnancy ； Hypothyroidism ； Subclinical hypothyroidism