KadikoySifa Atasehir Hospital Gynecology and Obstetrics Specialist Op.Dr. Birgül Karakoç, easily met if the deficiency of iodine is easily met, it can be very dangerous for both the mother and baby warns. structural and functional changes in organ systems. Many hormonal disorders seen in women of childbearing age; Pregnancy is a critical period in terms of thyroid gland diseases and should therefore be investigated. It is known that goiter occurs in young women during gestation, the current goiter grows rapidly and becomes more prominent. This phenomenon is quite common in geographic regions with iodine deficiency. Iodine needs of women during pregnancy are much more than other young people. Iodine needs should be met in pregnant women with iodine deficiency. Pregnant women in this case should take iodine tablets. iodine deficiency also causes harmful effects on the child. 2% of pregnant women have obvious or hidden thyroid hormone deficiency. The most important reason is autoimmune thyroid disease (Hashimato thyroiditis) in iodine-sufficient areas. In regions with iodine deficiency is iodine deficiency. Other reasons include previous thyroid surgery, radioactive iodine therapy. Blood tests are easily diagnosed with high TSH levels and associated ST3 and ST4 deficiencies. It is due in part to the child and partly to the increase in iodine excretion in the urine and consequently to the increased iodine distribution area. The difference between the daily iodine requirement during pregnancy and the amount of iodine taken in food increases further in the lack of iodine. Iodine deficiency is the most common preventable cause of mental retardation and brain damage in the world. Iodine deficiency in pregnancy; miscarriage, pregnancy intoxication, risk of postpartum hemorrhage, preterm birth and baby deaths in the womb may also play a role. It is recommended that the TSH value is below 2.5 Mu / L. Thyroid hormone requirement increases by 30-50% in the first weeks of pregnancy.
Iodine; milk and dairy products, eggs, vegetables, seafood (especially from the ocean and salty sea products), brewer's yeast. The amount of iodine in food varies depending on the water and soil of the region. cheese 20mcg1 medium size shelled potato 60mcg half bowl strawberry 6 mcg half plate baked baked beans 32 mcg1 big size egg 29mcgSea products: Fish, especially ocean and saltwater fish, are very rich in iodine. Fish with high iodine ratio are tuna and haddock. Shrimps and other shellfish are also rich in iodine.Iodized Salt: The iodized salt you use in meals and on the table will provide more than iodine you need to take daily. Iodized salt should be stored in a closed container in a light-free manner in order not to lose its mineral properties.Vegetables: Vegetables such as spinach, soybeans, turnips, chard, zucchini, red beans and garlic have high iodine content. You can also consume these vegetables as a source of vitamins and antioxidants. 65 percent of iodine disappears in vegetables that are thrown into the water.Fruits: Although not usually a good source of iodine, a few fruits contain iodine. Strawberries among these fruits can be easily consumed for iodine deficiency due to their low calorie and iodine content. 6-7 pieces of strawberries provide approximately 8% of daily iodine needs. Yogurt, Milk and Cheese: Milk and dairy products are rich in iodine. A bowl of yogurt meets approximately 60% of the daily iodine requirement, 1 glass of milk 40%, 1 egg 20%. However, the use of iodine is also not usually necessary; Table salts are mostly iodized to prevent iodine deficiency.
Hyperthyroidism and Pregnancy
Hyperthyroidism is seen with a rate of 0.2-1% in pregnancy. Most of the cases are Graves' disease patients with hyperthyroidism. abortion, pregnancy-related hypertension, preterm labor, anemia, infection, heart rhythm disorders and more advanced cases may lead to heart failure and thyroid crisis. In terms of infant, maternal retardation, stillbirth and premature birth are possible adverse problems. TSH is low in laboratory values, ST4 and ST3 levels are high and diagnosis is made.