Tisztelt P.Ivett!

Az eddigi kezelés folytatását javaslom (az "FT4 a laborok többségében felő lő!")( a terhesség szempontjából az emelt dózis kedvező!).
De ha nőgyógyász jobban tudja, ám tegye!

"If a woman is hypothyroid prior to pregnancy, the Guidelines recommend that her dosage be adjusted so that TSH is below 2.5 mIU/L prior to conception. This lowers the risk of the TSH elevating in the first trimester.
If a woman is diagnosed as hypothyroid during pregnancy, she should be treated without delay, with the goal of restoring her thyroid levels to normal as quickly as possible. During the first trimester, the TSH level should be maintained at a level of between 0.1 and 2.5 mIU/L, 0.2 to 3.0 mIU/L during the second trimester, and 0.3 to 3.0 mIU/L in the third trimester.
By the time a woman is four to six weeks pregnant, her dose of thyroid medication will usually need to be increased, potentially by as much as 50 percent.
A woman with thyroid autoimmunity (such as she has previously tested positive for thyroid antibodies) who has normal TSH levels in the early stages of her pregnancy is still at increased risk of becoming hypothyroid at any point in the pregnancy. She should be monitored regularly through the pregnancy for elevated TSH.
See a detailed summary of the Guidelines for Hypothyroidism, Hashimoto’s Disease and Pregnancy."

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Prof. Dr. Balázs Csaba
2014-05-20 13:25:54