{"id":122581,"date":"2019-04-03T12:00:18","date_gmt":"2019-04-03T09:00:18","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/gebelikte-tiroid-sorununa-dikkat\/"},"modified":"2019-04-03T12:00:21","modified_gmt":"2019-04-03T09:00:21","slug":"gebelikte-tiroid-sorununa-dikkat","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/gebelikte-tiroid-sorununa-dikkat\/","title":{"rendered":"Gebelikte tiroid sorununa dikkat"},"content":{"rendered":"

Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dr. Hale Erba\u015f, tiroid hormonu eksikli\u011finin bir numaral\u0131 nedeninin iyot eksikli\u011fi oldu\u011funu s\u00f6yledi.<\/p>\n

Ac\u0131badem Adana Hastanesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Uzman\u0131 Dr. Hale Erba\u015f, tiroid bezinin az \u00e7al\u0131\u015farak yeterli miktarda tiroid hormonu salg\u0131lamamas\u0131na hipotiroidi, a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131na ise hipertroidi ad\u0131 verildi\u011fini belirterek, \u201cAnne adaylar\u0131n\u0131n tiroid fonksiyonlar\u0131n\u0131n takibi \u00e7ok \u00f6nemli. Gebelikte en s\u0131k g\u00f6r\u00fclen tiroid rahats\u0131zl\u0131\u011f\u0131 ise \u2019hipotiroid\u2019. Her 100 gebeden 3\u2019\u00fcnde hipotiroidi g\u00f6r\u00fcl\u00fcyor. Bunun binde 3 ila 5\u2019ini \u2019a\u015fikar hipotiroidizm\u2019, y\u00fczde 2-2,5\u2019luk k\u0131sm\u0131n\u0131n ise \u2019subklinik hipotiroidizm\u2019 olarak tan\u0131mlanan iki farkl\u0131 t\u00fcr\u201d dedi.<\/p>\n

Hipotiroidide en s\u0131k g\u00f6r\u00fclen belirti ve bulgular\u0131n yorgunluk, kab\u0131zl\u0131k, so\u011fu\u011fa kar\u015f\u0131 hassasiyet, kas kramplar\u0131 ve kilo al\u0131m\u0131, ciltte kuruluk ve sa\u00e7 d\u00f6k\u00fclmesi oldu\u011funun alt\u0131n\u0131 \u00e7izen Uzm. Dr. Erba\u015f, \u201c\u0130yot eksikli\u011fi a\u00e7\u0131s\u0131ndan riskli b\u00f6lgelerde ya\u015fayan hastalarda g\u00f6r\u00fclen hipotiroidi guatr hastal\u0131\u011f\u0131n\u0131 da beraberinde getiriyor. Hipotiroidinin bir di\u011fer \u00f6nemli nedeni olan Hashimoto hastal\u0131\u011f\u0131 da guatra yol a\u00e7abiliyor. Anne aday\u0131nda hipotiroidi g\u00f6r\u00fclmesi; d\u00fc\u015f\u00fck, erken do\u011fum, preeklampsi (gebelik zehirlenmesi), plesanta dekolman\u0131 (halk aras\u0131nda bebe\u011fin e\u015finin hen\u00fcz do\u011fum ba\u015flamadan \u00f6nce ayr\u0131lmas\u0131) ve do\u011facak bebekte zihinsel fonksiyonlarda azalmaya neden olabiliyor\u201d diye konu\u015ftu.<\/p>\n

\u0130yot eksikli\u011fi diyetle desteklenmeli<\/p>\n

Gebelikte g\u00f6r\u00fclen hipotiroidinin gebeli\u011fin ilk 3 ay\u0131nda 2.5 U\/ml\u2019nin alt\u0131nda di\u011fer aylarda 3.5 alt\u0131nda olmas\u0131 gerekti\u011fini ifade eden Uzm. Dr. Erba\u015f, \u015funlar\u0131 kaydetti:<\/p>\n

“\u0130yotun tiroid hormonunun sentez ve sal\u0131n\u0131m\u0131nda \u00e7ok \u00f6nemli oldu\u011funun alt\u0131n\u0131 \u00e7iziyor. Gebelik s\u0131ras\u0131nda b\u00f6brekten iyot kayb\u0131n\u0131n artmas\u0131, tiroid hormonlar\u0131n\u0131n ilki olan tiroksin ihtiyac\u0131n\u0131n artmas\u0131n\u0131 kompanse etmek ve fet\u00fcs\u00fcn iyot gereksinimi nedeniyle gebelerde iyot ihtiyac\u0131 daha fazla oluyor. \u00dclkemiz gibi orta-ciddi derecede iyot eksikli\u011fi ya\u015fayan b\u00f6lgelerde, hamilelik ve emzirme d\u00f6nemi boyunca diyetle iyot al\u0131m\u0131na ek olarak g\u00fcnl\u00fck 150 g iyot deste\u011fi yap\u0131lmas\u0131 gerekiyor. Gebelikte hipertiroidi ise hipotiroidiye g\u00f6re \u00e7ok daha az g\u00f6r\u00fcl\u00fcyor. Hipertiroidi sonucu fet\u00fcste, neonatal (yenido\u011fan) hipertiroidisi, hipotiroidi, guatr, rahim i\u00e7i geli\u015fme gerili\u011fi, erken do\u011fum, \u00f6l\u00fc do\u011fum ve do\u011fumsal anomaliler gibi komplikasyonlar ortaya \u00e7\u0131kabiliyor. Anne aday\u0131nda ise ayn\u0131 paralelde d\u00fc\u015f\u00fck, erken do\u011fum, plasenta ayr\u0131lmas\u0131, gebelik zehirlenmesi, enfeksiyon, kalp yetmezli\u011fi, a\u011f\u0131r sabah bulant\u0131s\u0131 sonucu ortaya \u00e7\u0131kan kilo ve su kayb\u0131 (hiperemezis gravidarum) sorunlar\u0131 g\u00f6r\u00fclebiliyor. Gebelik d\u00f6neminde ortaya \u00e7\u0131kan hipertiroidinin, tedavide kullan\u0131lan ila\u00e7lar\u0131n hepsi plasentaya ge\u00e7ti\u011fi i\u00e7in fet\u00fcs\u00fcn tiroid dokusunu tahrip etme riski mevcut. Bunun i\u00e7in m\u00fcmk\u00fcn olan en d\u00fc\u015f\u00fck doz tedavinin uygulanmas\u0131 tavsiye ediliyor. Ek olarak karaci\u011fer enzimleri ve tiroid fonksiyonlar\u0131 da yak\u0131ndan takip edilmeli.\u201d<\/p>\n

Gebelik s\u0131ras\u0131nda tiroid bezinde nod\u00fcl g\u00f6r\u00fclmesi durumunda ultrasonografi ile nod\u00fcl tespiti yap\u0131larak nod\u00fcl\u00fcn \u00f6zelliklerinin incelenmesi gerekti\u011fini tiroid kanserlerinin y\u00fczde 10\u2019unun gebelik s\u0131ras\u0131nda veya do\u011fumdan sonraki 1 y\u0131l i\u00e7inde tan\u0131 ald\u0131\u011f\u0131n\u0131 s\u00f6yleyen Uzm. Dr. Erba\u015f, boyutu 10 mm \u00fczerinde olan ve ayr\u0131ca \u015f\u00fcpheli g\u00f6r\u00fcnen bir nod\u00fcl mevcutsa gebelik haftas\u0131na bak\u0131lmadan ince i\u011fne aspirasyon biyopsisi yap\u0131lmas\u0131n\u0131n \u015fart oldu\u011funun alt\u0131n\u0131 \u00e7izdi.<\/p>\n

Uzm. Dr. Erba\u015f, nod\u00fcl\u00fcn b\u00fcy\u00fcmesi durumunda gebelik s\u0131ras\u0131nda da olsa cerrahi m\u00fcdahale yap\u0131lmas\u0131 ve operasyon sonras\u0131nda da LT4 tedavisi ile s\u00fcrece devam edilmesi gerekti\u011fini ifade etti.

\"Gebelikte <\/a> <\/div>
\"Gebelikte <\/a> <\/div> <\/div>
\"Gebelikte <\/a> <\/div> <\/div> <\/div> <\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

T\u0130RO\u0130D HORMONU EKS\u0130KL\u0130\u011e\u0130N\u0130N B\u0130R NUMARALI NEDEN\u0130N\u0130N \u0130YOT EKS\u0130KL\u0130\u011e\u0130 OLDU\u011eU BEL\u0130RT\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":122582,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[1440,12214,418,1607],"class_list":["post-122581","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dikkat","tag-gebelikte","tag-sorununa","tag-tiroid"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/gebelikte-tiroid-sorununa-dikkat_b990c9d.jpg?fit=1000%2C662","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-vT7","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/122581","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=122581"}],"version-history":[{"count":1,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/122581\/revisions"}],"predecessor-version":[{"id":122586,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/122581\/revisions\/122586"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/122582"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=122581"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=122581"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=122581"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}