{"id":27,"date":"2022-01-04T22:17:57","date_gmt":"2022-01-04T22:17:57","guid":{"rendered":"https:\/\/dev-merck-ml.digitasproject.com\/it\/?post_type=post_health&#038;p=27"},"modified":"2024-12-18T22:50:16","modified_gmt":"2024-12-18T21:50:16","slug":"pregnancy","status":"publish","type":"post_health","link":"https:\/\/dev-merck-ml.digitasproject.com\/it\/health\/pregnancy\/","title":{"rendered":"Gravidanza"},"content":{"rendered":"\n<h4 class=\"wp-block-heading has-electviolet-color has-text-color\">MALATTIA TIROIDEA E GRAVIDANZA<\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-electviolet-color has-text-color\">La gravidanza causa una serie di cambiamenti fisiologici e ormonali che influiscono sulla ghiandola tiroidea.<sup>1<\/sup> Anche il bimbo dipende dalla madre per l\u2019apporto di ormoni tiroidei durante la gravidanza, soprattutto nel primo trimestre quando la tiroide fetale non \u00e8 attiva.<sup>1<\/sup> \u00c8 fondamentale che la tiroide funzioni correttamente durante questo importante periodo e le madri in attesa dovrebbero controllare la salute della tiroide.<\/h4>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<div style=\"height:18px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Nota<\/strong>: \u00e8 particolarmente importante controllare la tiroide se soffri di endometriosi o sindrome dell\u2019ovaio policistico (PCOS), poich\u00e9 sei pi\u00f9 esposta.<sup>1<\/sup><\/p>\n\n\n\n<p><strong>Tiroide ipoattiva e gravidanza<\/strong><\/p>\n\n\n\n<p>Se non trattato, l\u2019ipotiroidismo in gravidanza potrebbe essere molto pericoloso, poich\u00e9 espone il bambino al rischio di problemi relativi all\u2019apprendimento e allo sviluppo.<sup>2<\/sup><\/p>\n\n\n\n<p><strong>Trattamento<\/strong><\/p>\n\n\n\n<p>Il trattamento dell\u2019ipotiroidismo \u00e8 lo stesso, a prescindere che una donna sia incinta o meno. Le donne con ipotiroidismo, prima di avere un figlio, necessiteranno di una dose pi\u00f9 elevata del farmaco ad hoc e di un monitoraggio pi\u00f9 frequente durante i nove mesi.<sup>2<\/sup><\/p>\n\n\n\n<p><strong>Carenza di iodio e gravidanza<\/strong><\/p>\n\n\n\n<p>Lo iodio \u00e8 vitale per la produzione di ormoni tiroidei; poich\u00e9 il corpo non lo produce, \u00e8 necessario assumerlo attraverso una dieta sana.<sup>3<\/sup> Anche una leggera carenza di iodio in gravidanza pu\u00f2 avere effetti negativi sul parto e sullo sviluppo del bambino, tra cui il suo ipotiroidismo.<sup>2 <\/sup>Quindi \u00e8 consigliata a tutte le donne in gravidanza e a quelle che allattano l\u2019assunzione quotidiana di un integratore alimentare contenente iodio.<sup>3<\/sup><\/p>\n\n\n\n<p>Le donne in et\u00e0 fertile dovrebbero assumere una media di 150 microgrammi di iodio al giorno, quantit\u00e0 che dovrebbe essere aumentata a circa 250 microgrammi in gravidanza e a circa 290 microgrammi durante l\u2019allattamento.<sup>3<\/sup><\/p>\n\n\n\n<p><strong>Tiroide iperattiva e gravidanza<\/strong><\/p>\n\n\n\n<p>Una tiroide iperattiva (ipertiroidismo) nelle donne in gravidanza \u00e8 causata dalla malattia di Graves.<sup>2<\/sup> Si tratta di una patologia autoimmune che porta la ghiandola tiroidea a produrre ormoni in eccesso, determinando ipertiroidismo.<\/p>\n\n\n\n<p>Il mancato trattamento dell\u2019ipertiroidismo durante la gravidanza pu\u00f2 aumentare il rischio di parto di feto morto, parto prematuro e malformazioni del bambino.<sup>2<\/sup><\/p>\n\n\n\n<p>Il trattamento per le donne in gravidanza con ipertiroidismo a volte \u00e8 diverso da quello offerto ad altre donne, poich\u00e9 alcuni dei farmaci disponibili possono danneggiare il nascituro.<sup>2<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Le donne con ipertiroidismo lieve che non lamentano sintomi saranno strettamente monitorate durante la gravidanza. Non \u00e8 richiesto alcun trattamento se madre e bambino stanno bene.<sup>2<\/sup><\/li>\n\n\n\n<li>Possono essere usati farmaci per trattare le palpitazioni e il tremore associati all\u2019ipertiroidismo, ma dovrebbero essere usati con moderazione i durante la gravidanza.<sup>2<\/sup><\/li>\n\n\n\n<li>In alcuni casi, \u00e8 possibile rimuovere chirurgicamente la tiroide o parte di essa: La chirurgia \u00e8 indicata se la gestante \u00e8 allergica a un farmaco o se necessita di dosaggi elevati che potrebbero compromettere la salute del bambino.<sup>2<\/sup><\/li>\n<\/ul>\n\n\n      <section class=\"reference-content\">\n        <div class=\"ref-header\">\n          <a class=\"collapsed\" data-toggle=\"collapse\" href=\"#collapseExample\" role=\"button\" aria-expanded=\"false\" aria-controls=\"collapseExample\">\n            <i class=\"fas\"><\/i>\n            Bibliografia          <\/a>\n        <\/div>\n        <div class=\"collapse content-collapse\" id=\"collapseExample\">\n          <div class=\"row\">\n            <div class=\"col-12 text-reference\">\n              <ol>\n<li>Poppe K, Velkeniers B, Glinoer D. Thyroid disease and female reproduction. Clin Endocrinol (Oxf) 2007; 66: 309\u2013321.<\/li>\n<li>American Thyroid Association. Thyroid disease and pregnancy. Available at http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/Thyroid_Disesease_Pregnancy_brochure.pdf. Last accessed February 2017<\/li>\n<li>American Thyroid Association. American Thyroid Association (ATA) on the potential risks of excess iodine ingestion and exposure. Available at http:\/\/www.thyroid.org\/american-thyroid-association-ata-issues-statement-on-the-potential-risks-of-excess-iodine-ingestion-and-exposure\/. Last accessed February 2017<\/li>\n<\/ol>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/section>\n\n\n\n<p>IT-NONT-00028<br>18\/12\/2024<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La gravidanza causa una serie di cambiamenti fisiologici e ormonali che influiscono sulla ghiandola tiroidea&#8230;<\/p>\n","protected":false},"featured_media":811,"template":"","category_health":[8],"class_list":["post-27","post_health","type-post_health","status-publish","has-post-thumbnail","hentry","category_health-la-tua-salute"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Gravidanza - Italiano<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev-merck-ml.digitasproject.com\/it\/health\/pregnancy\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gravidanza - 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