The long-term results of surgical treatment of nodular goiter and thyroid cancer were studied. Glands in 239 women under the age of 40 years. The patients were divided into two homogeneous groups: 1st - operated on for differentiated thyroid cancer; 2nd - operated on for benign neoplasms. Revealed causes and frequency the occurrence of recurrence of the disease, especially the course of postoperative hypothyroidism. The relationship of the occurrence of complications with the nosology and volume of the operation is analyzed. Evaluated the reproductive function of women after surgery. Tactics offered treatment of nodular goiter and thyroid cancer in pregnant women. We studied the long-term results in 239 women under the age of 40 years. Patients were divided into two homogeneous groups:
Operated for benign tumors.
The causes and frequency of recurrence of the disease and postoperative hypothyroidism were identified. The relation between the occurrence of complications with nosology and operation volume was analyzed. We evaluated the reproductive function of treatment of the goiter and thyroid cancer in pregnant women.
Hyperthyroidism; Hypothyroidism; Nodular Thyroid; Human Chorionic Gonadotropin
The thyroid diseases-hyperthyroidism and hypothyroidism-are relatively common in pregnancy and important to treat. The thyroid is an organ located in the front of your neck that releases hormones that regulate your metabolism (the way your body uses energy), heart and nervous system, weight, body temperature, and many other processes in the body [1,2].
Thyroid hormones are particularly necessary to assure healthy fetal development of the brain and nervous system during the first three months of your pregnancy since the baby depends on your hormones, which are delivered through the placenta. At around 12 weeks, the thyroid gland in the fetus will begin to produce its own thyroid hormones [1-3].
There are 2 pregnancy-related hormones: estrogen and human chorionic gonadotropin (hCG) that may cause your thyroid levels to rise [1,2]. This may make it a bit harder to diagnose thyroid diseases that develop during pregnancy. However, your doctor will be on the look-out for symptoms that suggest the need for additional testing .
However, if you have pre-existing hyperthyroidism or hypothyroidism, you should expect more medical attention to keep these conditions in control while you are pregnant, especially for the first trimester. Occasionally, pregnancy may cause symptoms similar to hyperthyroidism should you experience any uncomfortable or new symptoms, including palpitations, weight loss, or persistent vomiting, you should, of course, contact your physician [1-3].
Untreated thyroid diseases during pregnancy may lead to premature birth, preeclampsia (a severe increase in blood pressure), miscarriage, and low birth weight among other problems. Therefore, it is important to talk to your doctor if you have had a history of hypothyroidism or hyperthyroidism so you can be monitored before and during your pregnancy, and to be sure that your medication is properly adjusted, if necessary [4,5].