| Autor: |
CASSIO, ALESSANDRA, CICOGNANI, ALESSANDRO, L. Chiovato, R.M. Dorini, P. Garofalo, A.R. Genazzani, D. Glinoer, M. Zini |
| Přispěvatelé: |
A.Cassio, L.Chiovato, A.Cicognani, RM.Dorini, P.Garofalo, AR.Genazzani, D.Glinoer, M.Zini |
| Jazyk: |
angličtina |
| Rok vydání: |
2007 |
| Předmět: |
|
| Popis: |
Before pregnancy Diagnosed hypothyodism • Counseling • Increase administration of FT4 or start treatment (goal for TSH: < 2.5 mU/L and FT4 within reference limits NO known hypothyroidism • Counseling and estimation of risk • Clinical and biochemical (TSH reflex) assessment and ultrasonography when goiter or nodules are present • Start l-T4 treatment if hypothyroidism is detected Pregnancy • Measure FT4 e TSH and increase l-T4 dose • Involve gynaecologist I - II trimester • Monitor TSH and FT4 bimonthly • Fetal ultrasonography (each trimester) • Thyroid ultrasonography when goiter or nodules are present III trimester • Measure TSH, FT4 and TRAb • Involve paediatrician/neonatologist Delivery • Avoid antisepsis with iodine in newborn and mother • Carry out neonatal screening indicating the mother's disease • Measure TRAb if positive in mother Post-partum Mother: • Decrease l-T4 within one month • Measure FT3, FT4, TSH after 3-9 months Newborn: • Use milk supplemented with iodine • If screening positive involve the pediatrician • Start treatment if TSH increased • In hypothyroidism carry out ultrasonography and measure thyroglobulin and TRAb. -------------------------------------------------------------------------------- Reaxys Database Information |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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