R. Bohîlțea, R. Boţea, O. Munteanu, C. Ciocoiu, O. Bodean, D.Voicu, M. Cîrstoiu, S. Vlădăreanu
Rezumat: The thyroid gland pathology during pregnancy is one of the
most common disease which involves serious complications
upon the pregnant women`s body and fetus. Thyroid
hormones play a critical role in fetal development. During
pregnancy, increased levels of thyroid hormone synthesis
are required to meet fetal needs. Nowadays, in our country
there are no clinical guides about monitoring of thyroid
function in pregnancy, so in consequence we will discuss
about the clinical involvement of thyroid pathology, which
includes hyperthyroidism, hypothyroidism, nodules (benign
or malignant) and autoimmune pathology. At the same time,
we will discuss about the consequences of high-levels of hCG
on thyroid hormones and the comparison between a pregnant
healthy woman and another one with thyroid pathology
will be revealed. In this article we will explain the physiology
and physiopathology of thyroid gland during pregnancy and
we will also discuss about the clinical manifestations that
appear on pregnant women. We will present normal and
pathological values of thyroid hormones and their specific
reference ranges.The effects of thyroid pathology on fetus
growth, which also includes fetus malformations that may
appear, represent another interesting fact that will be debated
în this article. In the end of the article it will be presented
the screening importance in thyroid pathology starting
with the first trimester of pregnancy and the importance
of immediate initiation of specific drugs administration. Cuvinte cheie: thyroid pathology, pregnancy, thyroid screening.