{"id":27,"date":"2022-01-04T22:17:57","date_gmt":"2022-01-04T22:17:57","guid":{"rendered":"https:\/\/www.thyroidaware.com\/pl\/?post_type=post_health&#038;p=27"},"modified":"2023-10-13T20:37:25","modified_gmt":"2023-10-13T18:37:25","slug":"pregnancy","status":"publish","type":"post_health","link":"https:\/\/www.thyroidaware.com\/pl\/health\/pregnancy\/","title":{"rendered":"CI\u0104\u017bA"},"content":{"rendered":"\n<h4 class=\"wp-block-heading has-electviolet-color has-text-color\">CHOROBY TARCZYCY A CI\u0104\u017bA<\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-electviolet-color has-text-color\">Ci\u0105\u017ca powoduje wiele zmian fizjologicznych i hormonalnych w organizmie, kt\u00f3re wp\u0142ywaj\u0105 na gruczo\u0142 tarczowy i mog\u0105 potencjalnie zwi\u0119ksza\u0107 zapotrzebowanie na hormony tarczycy<sup>1<\/sup>. Ponadto w ci\u0105\u017cy poziom hormon\u00f3w tarczycy u p\u0142odu zale\u017cy r\u00f3wnie\u017c od hormon\u00f3w dostarczanych przez matk\u0119, co ma szczeg\u00f3lne znaczenie w pierwszym trymestrze, kiedy tarczyca p\u0142odu jest jeszcze nieaktywna<sup>1<\/sup>. Dlatego te\u017c prawid\u0142owe funkcjonowanie tarczycy matki w tym okresie jest niezwykle wa\u017cne, a matkom oczekuj\u0105cym potomstwa zaleca si\u0119 sprawdzenie czynno\u015bci tarczycy bezpo\u015brednio po stwierdzeniu ci\u0105\u017cy.<\/h4>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<div style=\"height:18px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Uwaga<\/strong>: Kontrola czynno\u015bci tarczycy jest szczeg\u00f3lnie istotna u kobiet z endometrioz\u0105 lub zespo\u0142em policystycznych jajnik\u00f3w (PCOS), poniewa\u017c schorzenia te wi\u0105\u017c\u0105 si\u0119 z wi\u0119kszym ryzykiem wyst\u0119powania zaburze\u0144 gruczo\u0142u tarczowego<sup>2<\/sup>.<\/p>\n\n\n\n<p><strong>Niedoczynna tarczyca a ci\u0105\u017ca<\/strong><\/p>\n\n\n\n<p>Nieleczona niedoczynno\u015b\u0107 tarczycy w ci\u0105\u017cy mo\u017ce by\u0107 bardzo niebezpieczna. Hormony tarczycy maj\u0105 podstawowe znaczenie w rozwoju m\u00f3zgu, a ich niedob\u00f3r mo\u017ce nara\u017ca\u0107 dziecko na rozw\u00f3j problem\u00f3w zwi\u0105zanych z uczeniem si\u0119 i rozwojem<sup>1<\/sup>.<\/p>\n\n\n\n<p><strong>Leczenie<\/strong><\/p>\n\n\n\n<p>Leczenie niedoczynno\u015bci tarczycy u kobiet ci\u0119\u017carnych i nie ci\u0119\u017carnych jest identyczne. Kobiety te musz\u0105 codziennie przyjmowa\u0107 odpowiednie leki doustnie przez ca\u0142\u0105 ci\u0105\u017c\u0119<sup>1<\/sup>. Leczenie niedoczynno\u015bci tarczycy w ci\u0105\u017cy jest niezwykle wa\u017cne, poniewa\u017c chroni matk\u0119 i dziecko przed rozwojem potencjalnych powik\u0142a\u0144. Kobiety z niedoczynno\u015bci\u0105 tarczycy stwierdzan\u0105 przed ci\u0105\u017c\u0105 b\u0119d\u0105 wymaga\u0142y zwi\u0119kszenia dawki leku przed pocz\u0119ciem i cz\u0119stszych kontroli w ci\u0105\u017cy w celu okre\u015blenia prawid\u0142owej dawki leku<sup>1<\/sup>.<\/p>\n\n\n\n<p><strong>Niedob\u00f3r jodu a ci\u0105\u017ca<\/strong><\/p>\n\n\n\n<p>Jod jest pierwiastkiem niezb\u0119dnym do produkcji hormon\u00f3w tarczycy, a w zwi\u0105zku z faktem, i\u017c organizm nie mo\u017ce go wytwarza\u0107, musi by\u0107 dostarczany z po\u017cywieniem w ramach zbilansowanej, zdrowej diety<sup>3<\/sup>. Nawet \u0142agodny niedob\u00f3r jodu w ci\u0105\u017cy mo\u017ce negatywnie wp\u0142ywa\u0107 na por\u00f3d i rozw\u00f3j dziecka, w tym powodowa\u0107 u niego niedoczynno\u015b\u0107 tarczycy<sup>1<\/sup>. Dlatego zaleca si\u0119, aby wszystkie kobiety ci\u0119\u017carne i matki karmi\u0105ce piersi\u0105 codziennie przyjmowa\u0142y suplementy diety zawieraj\u0105ce jod<sup>3<\/sup>. Kobiety w wieku rozrodczym powinny przyjmowa\u0107 \u015brednio 150 mikrogram\u00f3w jodu na dob\u0119. Ilo\u015b\u0107 t\u0119 nale\u017cy zwi\u0119kszy\u0107 w ci\u0105\u017cy i w okresie karmienia piersi\u0105, odpowiednio do 250 i 290 mikrogram\u00f3w na dob\u0119<sup>3<\/sup>.<\/p>\n\n\n\n<p><strong>Nadczynna tarczyca a ci\u0105\u017ca<\/strong><\/p>\n\n\n\n<p>Nadczynno\u015b\u0107 tarczycy u kobiet w ci\u0105\u017cy jest w wi\u0119kszo\u015bci przypadk\u00f3w wywo\u0142ana chorob\u0105 Gravesa i Basedowa<sup>1<\/sup>. Jest to schorzenie autoimmunologiczne, w kt\u00f3rym tarczyca wytwarza nadmiern\u0105 ilo\u015b\u0107 hormon\u00f3w, co skutkuje rozwojem nadczynno\u015bci.<\/p>\n\n\n\n<p>Nieskuteczne leczenie nadczynno\u015bci tarczycy w ci\u0105\u017cy mo\u017ce zwi\u0119ksza\u0107 ryzyko urodzenia martwego dziecka, porodu przedwczesnego i zniekszta\u0142ce\u0144 cia\u0142a<sup>1<\/sup>.<\/p>\n\n\n\n<p>Leczenie kobiet ci\u0119\u017carnych z nadczynno\u015bci\u0105 tarczycy jest nieco inne ni\u017c to oferowane kobietom nieb\u0119d\u0105cym w ci\u0105\u017cy, poniewa\u017c niekt\u00f3re rutynowo stosowane leki mog\u0105 by\u0107 niebezpieczne dla p\u0142odu<sup>1<\/sup>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kobiety z \u0142agodn\u0105 nadczynno\u015bci\u0105 tarczycy bez objaw\u00f3w b\u0119d\u0105 dok\u0142adnie monitorowane w ci\u0105\u017cy; przy braku objaw\u00f3w i dobrym stanie zdrowia leczenie matki i dziecka nie jest jednak konieczne<sup>1<\/sup>.<\/li>\n\n\n\n<li>Z kolei kobiety z ci\u0119\u017ck\u0105 nadczynno\u015bci\u0105 i objawami b\u0119d\u0105 przyjmowa\u0107 leki przeciwtarczycowe, jak metamizol lub propylotiouracyl. Ten ostatni jest u\u017cywany jako preferowana opcja leczenia w pierwszym trymestrze ci\u0105\u017cy<sup>1<\/sup>.<\/li>\n\n\n\n<li>Beta-adrenolityki mo\u017cna stosowa\u0107 w ci\u0105\u017cy w leczeniu przyspieszonej czynno\u015bci serca \u201cko\u0142atania serca\u201d i dr\u017cenia zwi\u0105zanych z nadczynno\u015bci\u0105 tarczycy, ale nale\u017cy ich u\u017cywa\u0107 oszcz\u0119dnie i tylko do momentu osi\u0105gni\u0119cia kontroli zaburze\u0144 za pomoc\u0105 lek\u00f3w przeciwtarczycowych<sup>2<\/sup>.<\/li>\n\n\n\n<li>W przypadku kobiet z uczuleniem na lub wymagaj\u0105cych wysokich, potencjalnie niebezpiecznych dla p\u0142odu dawek leku mo\u017cna wykona\u0107 operacyjne usuni\u0119cie fragmentu tarczycy.<\/li>\n<\/ul>\n\n\n      <section class=\"reference-content\">\n        <div class=\"ref-header\">\n          <a class=\"collapsed\" data-toggle=\"collapse\" href=\"#collapseExample\" role=\"button\" aria-expanded=\"false\" aria-controls=\"collapseExample\">\n            <i class=\"fas\"><\/i>\n            PI\u015aMIENNICTWO          <\/a>\n        <\/div>\n        <div class=\"collapse content-collapse\" id=\"collapseExample\">\n          <div class=\"row\">\n            <div class=\"col-12 text-reference\">\n              <ol>\n<li>Poppe K, Velkeniers B, Glinoer D. Thyroid disease and female reproduction. Clin Endocrinol (Oxf) 2007: 66: 309\u2013321.<\/li>\n<li>American Thyroid Association. Thyroid disease and pregnancy. Available at\u00a0<a href=\"https:\/\/www.thyroid.org\/thyroid-disease-pregnancy\">https:\/\/www.thyroid.org\/thyroid-disease-pregnancy<\/a>\/ Last accessed February 2022<\/li>\n<li>American Thyroid Association. American Thyroid Association (ATA) on the potential risks of excess iodine ingestion and exposure. Available at\u00a0<a href=\"http:\/\/www.thyroid.org\/american-thyroid-association-ata-issues-statement-on-the-potential-risks-of-excess-iodine-ingestion-and-exposure\/\">http:\/\/www.thyroid.org\/american-thyroid-association-ata-issues-statement-on-the-potential-risks-of-excess-iodine-ingestion-and-exposure\/<\/a>. Last accessed February 2022<\/li>\n<\/ol>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/section>\n\n\n\n<p>GL-NONE-00102<\/p>\n\n\n\n<p>Data opracowania: Luty 2022 r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Problemy z tarczyc\u0105 mog\u0105 pojawi\u0107 si\u0119 w dowolnym momencie ci\u0105\u017cy&#8230;<\/p>\n","protected":false},"featured_media":811,"template":"","category_health":[8],"class_list":["post-27","post_health","type-post_health","status-publish","has-post-thumbnail","hentry","category_health-your-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CI\u0104\u017bA - Polski<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thyroidaware.com\/pl\/health\/pregnancy\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CI\u0104\u017bA - 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