关于怀孕和哺乳期相关骨质疏松症 (PLO) 的最新见解
Maria Florencia Scioscia1, Maria Belen Zanchetta1
1Instituto de Diagnóstico e Investigaciones Metabólicas (IDIM), Universidad del Salvador, Buenos Aires, ZC 1012, Argentina.
International journal of women's health
|August 8, 2023
概括
怀孕和哺乳期相关的骨质疏松症 (PLO) 是一种罕见的疾病,导致脆弱性骨折. 本综述总结了有关PLO的当前知识.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 骨的新陈代谢 骨的新陈代谢
- 孕产妇健康 孕产妇健康
背景情况:
- 女性生理学适应胎儿/新生儿的和需求.
- 大多数女性保持骨完整性,但有些人患有脆弱性骨折.
- 怀孕和哺乳相关的骨质疏松症 (PLO) 涉及妊娠晚期或产后的非创伤性骨折.
研究的目的:
- 审查和总结目前关于PLO病理学知识.
- 修订和总结PLO目前的管理策略.
主要方法:
- 对案例报告和案例系列的文献综述.
- 分析有关风险因素和潜在遗传影响的现有数据.
- 评估当前的治疗建议和新兴疗法.
主要成果:
- 人们还没有完全理解PLO的生理病理学.
- 二次性骨质疏松症的危险因素在多达80%的PLO病例中存在.
- 遗传因素可能在PLO发展中发挥重要作用.
结论:
- 停止哺乳和补充/维生素D是最初的管理步骤.
- 对PLO的长期和药理管理仍然存在争议.
- 特里巴拉提德在治疗PLO方面表现有前途.
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