Low action in the thyroid gland is known as Hydrothyroidism. It is also refered
to as thyroid hormone deficiency. It is possible in either gender and at any age
but is most common in women between the age of thirty five and sixty. Women
sometimes develop hypothyroidism after pregnancy, a condition called postpartum
hypothyroidism, and is believed to be associated with postpartum
depression.
Thyroid hormone is produced by thyroid gland. It circulates
throughout the human body, and it plays an essential role in developing and
differentiating all cells of the body. There are different types of thyroid
hormones, all of which function mainly in regulating the
metabolism.
Postpartum hypothyroidism develops within 4 to 12 months
after childbirth and typically resolves without treatment. However, when
symptoms are persistent, you must consult your doctor for proper medication.
There is no need to worry though as this condition is not life threatening. The
signs and symptoms to watch for include goiter or swelling of the thyroid gland,
weight gain, hoarseness of voice, constipation, increased cold sensitivity,
muscle cramping, fatigue, and depression.
During pregnancy, human
gonadotropin (hCG) and estrogen levels increase. The hCG produced as the
conceptus implants into the uterine lining rises in the early stage of
pregnancy. This hormone stimulates the thyroid gland to generate more thyroid
hormones. On the other hand, estrogen produced mainly by the placenta also
increases, which in turn generates higher levels of thyroid-binding globulin.
This protein acts as a carrier of the thyroid hormone into the bloodstream. This
mechanism normally happens during pregnancy to aid in the baby抯
development.
One to eight months after delivery, the mother is said to be
in the preliminary hyperthyroid state wherein there is very high level of
thyroid hormones in the blood. The normal functioning of the gland usually goes
back to normal after this. However, in the case of lymphocytic thyroiditis, the
gland enters into a hypothyroid state. Lymphocytic thyroiditis is an autoimmune
disease wherein there is inflammation of the thyroid gland due to the
lymphocytes infiltrating into the gland. It then alters the function of the
gland, thus producing less thyroid hormones.
Since the main function of
the thyroid hormone is to regulate metabolism, less amount of it leads to low
energy among women who just gave birth. Thus, they may be sleeping too much but
still wake up feeling unrefreshed. Hypothyroidism after pregnancy also causes
the new mothers to gain more weight even with proper diet and exercise because
their bodies are no longer able to process the extra calories. As a result,
their moods may be affected. Due to the degree of mood change and fatigue
experienced by women after delivery, they may end up being in a depressed state
characterized by feelings of sadness and hopelessness, sense of worthlessness
and guilt, lack of interest in taking care of the baby, appetite disturbance,
mood swings, and anxiety.
Women experiencing the aforementioned signs and
symptoms of postpartum hypothyroidism should consult their doctors to undergo
diagnostic testing such as blood tests. In some cases, they may undergo an
ultrasound to determine the presence of an enlarged thyroid gland. The treatment
depends on the underlying cause and the severity of the condition. In mild
cases, it would just resolve on its own after 4 months to a year. However,
hormone replacement therapy may sometimes be needed. In severe cases, permanent
hypothyroidism after pregnancy may occur if the thyroid gland is too damaged to
regain its normal function. Therefore, ongoing monitoring and lifelong treatment
will be required.
没有评论:
发表评论