翻译：盛菲菲
审阅：Missy, Daisy
An overactive thyroid gland, also referred to as hyperthyroidism or Graves’ disease, is an important health concern. Thyroid disease is serious as the thyroid controls the body’s metabolic processes. According to the LLLI BREASTFEEDING ANSWER BOOK (BAB), any breastfeeding mother with thyroid disease should be under the care of a doctor who is supportive of her desire to breastfeed.
甲状腺过分活跃，也被称为甲亢或甲状腺功能亢进症，是一个重要的健康问题。甲状腺疾病需要引起重视，因为甲状腺控制身体的代谢过程。根据国际母乳会的《母乳喂养问答全书》（BAB），正在母乳喂养的妈妈，若得了甲状腺疾病，应寻找支持她母乳喂养意愿的医生得到医疗照护。
Diagnosis of an overactive thyroid can usually be based on the mother’s symptoms as well as a simple blood test. On occasion, radioactive testing is used to diagnose thyroid problems. If radioactive testing is recommended, the mother can ask her physician if the test could be postponed or another, non-radioactive test, be substituted.
甲状腺功能亢进可以基于哺乳妈妈的症状及同时做简单的血液测验结果来获得诊断。有时，放射性检测也用于诊断甲状腺疾病。如果需要用放射性检测，哺乳妈妈可以询问医生，是否可以推迟检测或者用别的非放射性测试来代替。
If the radioactive test is used, temporary weaning is recommended. “The length of time the mother needs to suspend breastfeeding will depend on the type and dosage of radioactive materials used for the test” (BAB). Radioactivity of breastmilk declines over time, and frequent milk expression will help the mother eliminate the radioactivity from her body more quickly. This milk must be discarded and not fed to the baby. (Frequent milk expression will not hasten the elimination of other drugs from breastmilk.) For pumping information see LLLI FAQs about pumping.
如果哺乳妈妈已经做了放射性测试，推荐她暂时离乳。“妈妈暂停母乳喂养的时间需要根据放射性药物的使用种类和剂量不同而定”（BAB）。母乳中的放射性物质会随着时间减少，频繁的挤出乳汁也会帮助母亲更迅速地消除体内的放射性物质。这段时间的母乳必须丢弃，不能喂给宝宝。（频繁的挤奶不会加速母乳中的其他药物代谢。）关于吸奶，可以参考国际母乳会常见问题解答中的吸奶部分（英文网站：llli.org）。
Contact a La Leche League Leader for the most up-do-date information about the time period needed to sufficiently clear radioactivity from breastmilk.
如希望获得关于乳汁中放射性彻底消除时间的最新信息，可以联系母乳会哺乳辅导。
Some medications for overactive thyroid are not concentrated in human milk and result in minimal doses to the breastfed baby. If a mother is taking thyroid suppressants, she will need to tell her baby’s doctor so the baby can be monitored for thyroid levels. Weaning is usually not necessary. If a doctor insists on weaning, the mother is encouraged to seek a second opinion before weaning. When temporary weaning is recommended, it is important to be sure the risks and benefits have been fully evaluated. If you have questions about the medications you are taking, contact a La Leche League Leader.
有些治疗甲亢的药物不会聚集于母乳，对母乳宝宝的影响很小。如果母乳妈妈正在服用甲状腺功能抑制剂，那就要告诉儿科医生，以便对宝宝进行甲状腺水平监测。妈妈通常并不需要因此离乳。如果医生坚持暂停母乳喂养，我们鼓励妈妈在决定离乳前能试着再寻找第二种意见以进行比较。推荐暂时离乳时，妈妈必须确保已经充分评估过这样做的风险和益处。如果您对正在服用的药物有疑问，请联系母乳会哺乳辅导。
If radioactive compounds are used to treat an overactive thyroid, temporary weaning is necessary. The mother will need to pump and discard the milk during this time. Before a mother resumes breastfeeding, her milk must be checked for radioactivity. Your local LLL Leader will be able to share more information and offer support.
如果治疗甲亢的过程中，使用了放射性药物，那就必须暂时离乳。母乳妈妈在此期间需要吸出母乳并丢弃。在妈妈再次继续母乳喂养之前，她的母乳需要接受检测，以确定是否含有放射性。您当地的母乳会哺乳辅导可以与您分享更多的信息，并提供帮助。
Contacting an LLL Leader in your area or attending a meeting will help you cope with this. To find a Group near you, call 1-800-LALECHE or look at our LLL Web Page Index.
联系您所在地区的母乳会哺乳辅导，或者可以参加聚会，都可以帮助到您。您可以致电1-800-LALECHE或者从国际母乳会网站可以找到离您最近的小组。
Resources for Additional Information
LLLI FAQ on breastfeeding while taking medications
提供更多信息的资源:
国际母乳会关于服药期间母乳喂养的常见问题解答(LLLI FAQ)
The following items, plus many others, are available from the LLLI Online Store or through your local Leader:
以下书籍都可以从国际母乳会网站在线商店（store.llli.org）或者通过您当地的母乳会哺乳辅导获得。
THE WOMANLY ART OF BREASTFEEDING La Leche League International’s keynote title includes important references and resources for the breastfeeding mother. Its vast depth of factual information makes this book a necessary source for breastfeeding mothers, and its warm, friendly tone makes it a classic worth reading again. THE WOMANLY ART OF BREASTFEEDING is the definitive guide, bringing the importance of parenting through breastfeeding into the 21st century. Softcover, 465 pages.
《母乳喂养的女性艺术》是国际母乳会的旗帜书籍，囊括了给母乳妈妈的重要参考内容和资源。这本书里有大量深入的真实信息，是母乳喂养的妈妈们的必备信息来源，温暖，友好的文风使其成为值得反复阅读的经典。《母乳喂养的女性艺术》是一本指南性书籍，它指出，在当今21世纪藉由母乳喂养来育儿的重要性。英文简装版，465页。
La Leche League International’s BREASTFEEDING ANSWER BOOK by Nancy Mohrbacher and Julie Stock is the definitive resource for those who are dedicated to helping mothers breastfeed. This guidebook can be used by LLL Leaders, lactation consultants, doctors, and other health care professionals with confidence to help mothers establish and enjoy a satisfying breastfeeding relationship with their babies. Hardcover, spiral bound book, 680 pages.
《国际母乳会母乳喂养问答书》（BAB）是一本由Nancy Mohrbacher和Julie Stock撰写的权威书籍，它致力于帮助妈妈们进行母乳喂养。国际母乳会哺乳辅导、当地的哺乳顾问、医生以及其他的健康照护人员都可以使用这本指南，来帮助母亲建立并享受与自己的孩子快的哺乳关系。英文精装版，680页。
Breastfeeding and Human Lactation, Revised by Jan Riordan, EdD, RN, IBCLC and Kathleen G. Auerbach, PhD, IBCLC: This classic textbook, written by two La Leche League Leaders and internationally recognized lactation specialists, is a skillful blend of clinical experience, research documentation, and technical know-how. Hardcover, 874 pages.
《母乳喂养和人类泌乳》一书由由教育学博士、注册护士、国际认证哺乳顾问Jan Riordan和 Kathleen G. Auerbach博士、国际认证哺乳顾问修订。这本经典教材是由两位母乳会哺乳辅导和国际公认的哺乳专家撰写，将临床经验、研究文献和技术诀窍完美的融合在一起。英文精装版，874页。
Breastfeeding Conditions and Diseases, by Anne Merewood, MA IBCLC, and Barbara L. Phillip, MD, IBLCE: A comprehensive reference guide that addresses issues surrounding breastfeeding in medically complicated situations, this book explores a wide variety of information from the common cold to Sheehan’s syndrome. Breastfeeding Conditions and Diseases also includes suggestions on how to help breastfeeding mothers in difficult situations, fully referenced data, up-to-date research on human milk and breastfeeding, and background information on medical conditions. Softcover, 267 pages.
《母乳喂养状况和疾病》一书由Anne Merewood（硕士，国际认证哺乳顾问）和Barbara L. Phillip（医学博士，国际认证哺乳顾问委员会成员）撰写，这本书是一本全面的参考指南，它剖析了医学复杂情况下的母乳喂养的问题，从普通的感冒到席汉氏综合征，此书都给出了很多参考信息。这本书也包括哺乳妈妈在困难情况下哺乳的一些建议。此书充分引用数据，以及关于母乳喂养的最新研究，医疗条件下的背景资料。英文简装版，267页。
Page last edited 2016-01-09 23:45:07 UTC.