Gerber P
Schweiz Rundsch Med Prax. 1993 Aug 10;82(32):854-7.
Functional disorders of the thyroid, in particular hypothyroidism, can be the cause of reduced fertility in women. These dysfunctions may also increase the frequency of spontaneous miscarriage and/or fetal malformations. It is important to know the physiological adaptation-mechanisms of the thyroid in this special situation in order to understand and to diagnose such malformations and miscarriages. After a review of the physiology the most frequently observed thyroid disorders of mother and fetus during pregnancy are mentioned. Diagnostic methods and therapeutic measures are described. Finally a frequently misdiagnosed disorder of the thyroid, manifesting itself within the months following a delivery is presented: the postpartal thyroiditis.
甲状腺功能紊乱，尤其是甲状腺功能减退，可能是女性生育力下降的原因。这些功能障碍还可能增加自然流产和/或胎儿畸形的发生率。了解甲状腺在这种特殊情况下的生理适应机制，对于理解和诊断此类畸形及流产很重要。在回顾了生理学知识后，文中提到了孕期母亲和胎儿最常出现的甲状腺疾病。描述了诊断方法和治疗措施。最后介绍了一种在分娩后数月内表现出来的、常被误诊的甲状腺疾病：产后甲状腺炎。
