hat
Hypothyroidism pre-egziste: Kondisyon dòz òmòn tiwoyid ka ogmante pandan gwosès. Mezire seri TSH ak gratis-T4 le pli vit ke se gwosès konfime ak, nan minimòm, pandan chak trimès nan gwosès la. Nan pasyan ki gen prensipal hypothyroidism, kenbe TSH sewòm nan trimès-espesifik ranje referans lan. Pou pasyan ki gen serik TSH pi wo a trimès nòmal-ranje a espesifik, ogmante dòz la nan òmòn tiwoyid ak mezire TSH chak semèn 4 jiskaske yon dòz ki estab rive ak serik TSH se nan seri a trimès nòmal-espesifik. Diminye dòz òmòn tiwoyid la nan nivo pre-gwosès imedyatman apre akouchman an epi mezire nivo sewòm TSH 4 8 semèn apre akouchman pou asire ke dòz òmòn tiwoyid la apwopriye.
eng
Pre-existing Hypothyroidism: Thyroid hormone dose requirements may increase during pregnancy. Measure serum TSH and free-T4 as soon as pregnancy is confirmed and, at minimum, during each trimester of pregnancy. In patients with primary hypothyroidism, maintain serum TSH in the trimester-specific reference range. For patients with serum TSH above the normal trimester-specific range, increase the dose of thyroid hormone and measure TSH every 4 weeks until a stable dose is reached and serum TSH is within the normal trimester-specific range. Reduce thyroid hormone dosage to pre-pregnancy levels immediately after delivery and measure serum TSH levels 4 to 8 weeks postpartum to ensure thyroid hormone dose is appropriate.