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在怀孕期间自身免疫性甲状腺疾病的先天免疫力
Tatjana Bogović Crnčić1, Neva Girotto1, Maja Ilić Tomaš1
1Department of Nuclear Medicine, Faculty of Medicine, University of Rijeka, Braće Branchetta 20, 51000 Rijeka, Croatia.
International journal of molecular sciences
|October 28, 2023
概括
自身免疫性甲状腺疾病 (AITD) 由于免疫系统的适应和荷尔蒙变化,会影响怀孕. 保持甲状腺健康对于母亲和胎儿的健康至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 生殖医学 生殖医学
背景情况:
- 自免疫性甲状腺疾病 (AITD),包括哈西莫托甲状腺炎 (HT) 和格雷夫斯病 (GD),是常见的.
- AITD是由复杂的遗传,环境和免疫因素引起的.
- 怀孕由于代谢和荷尔蒙变化而显著改变甲状腺功能.
研究的目的:
- 为了检查怀孕对自身免疫性甲状腺疾病的影响.
- 在AITD中了解怀孕期间母亲免疫系统适应的作用.
- 强调未经治疗的甲状腺疾病对生育能力和怀孕结果的风险.
主要方法:
- 对AITD,怀孕和免疫系统调节的现有文献的审查.
- 对荷尔蒙影响 (雌激素,孕,hCG) 对先天性免疫细胞,特别是NK细胞的分析.
- 检查先前存在的甲状腺疾病对生殖健康的影响.
主要成果:
- 怀孕引起的免疫适应和荷尔蒙变化可以加剧AITD,特别是影响NK细胞.
- 以前存在的甲状腺功能障碍带来了诸如不孕不育,胎盘断裂,流产和早产等风险.
- 胎儿并发症包括生长迟缓和潜在的神经发育障碍.
结论:
- 在生育年龄的妇女和怀孕期间保持甲状腺平衡至关重要.
- 怀孕期间先天免疫的荷尔蒙调节可能会使AITD恶化.
- 有效的AITD管理对于成功的妊娠结果至关重要.
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