在COVID-19大流行期间的生育治疗:系统性审查
Polychronis P Voultsos1, Anna-Maria I Taniskidou1
1Laboratory of Forensic Medicine and Toxicology, Department of Medicine, School of Health Sciences, Aristotle University, Greece.
African journal of reproductive health
|August 16, 2023
概括
随着COVID-19的爆发,人们的生育能力受到了破坏,这凸显了将不孕不育归类为基本护理的必要性. 非洲卫生系统的弱点和社会不平等加剧了这些挑战.
科学领域:
- 生殖医学 生殖医学
- 公共卫生 公共卫生
- 生物伦理学生物伦理学
背景情况:
- 在全球范围内,COVID-19大流行严重影响了生育保护服务.
- 最初的限制暂停了治疗,除了癌症患者,然后逐渐恢复.
- 伦理考虑和卫生系统差异,特别是在发展中国家,成为关键问题.
研究的目的:
- 在COVID-19大流行期间系统地审查在生育保护方面的挑战和伦理问题.
- 分析对非洲医疗保健系统和社会不平等的影响.
- 探索潜在的解决方案,如远程医疗和联盟的作用.
主要方法:
- 在COVID-19大流行期间对生育保护的文献进行系统审查.
- 对政策变化,伦理辩论和卫生系统反应的分析.
- 检查有关生育能力的差异和远程医疗的实用性.
主要成果:
- 不孕症越来越多地被认为是一种基本的医疗条件,通过生育治疗的COVID-19传播风险较低.
- 揭露了卫生系统的重大缺陷,特别是在非洲国家.
- 非洲加剧的歧视,不平等和社会分层影响了生育能力的提供.
结论:
- 保持生育力需要将其重新归类为基本医疗保健,而不考虑与流行病相关的风险.
- 解决卫生系统的弱点和社会经济不平等对于非洲公平的生育服务至关重要.
- 远程医疗和像Oncofertility Consortium这样的国际合作可以减轻资源有限的环境中的挑战.
相关概念视频
01:28Infertility in Females
348
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
348
01:23Infertility in Males
295
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
295
01:24In Vitro Fertilization
329
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
329
01:38Fertilization
71.2K
During fertilization, an egg and sperm cell fuse to create a new diploid structure. In humans, the process occurs once the egg has been released from the ovary, and travels into the fallopian tubes. The process requires several key steps: 1) sperm present in the genital tract must locate the egg; 2) once there, sperm need to release enzymes to help them burrow through the protective zona pellucida of the egg; and 3) the membranes of a single sperm cell and egg must fuse, with the sperm...
71.2K
01:22Birth Control Methods
337
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
337