雷诺的乳头现象:流行病学,临床,病理生理学和治疗性特征
Thaís Gomes Moreira1, Giovana Mamede Castro1, Jucier Gonçalves Júnior1
1School of Medicine, Universidade Federal do Cariri (UFCA), Barbalha 63048-080, Ceará, Brazil.
乳头雷诺现象是母乳养疼痛的原因,通常是主要的,并由压力或寒冷引发. 通道阻塞剂是这种情况的常见治疗方法.
科学领域:
- 产科和妇科 产科和妇科
- 哺乳期医学 哺乳期医学
- 血管医学 血管医学
背景情况:
- 乳头雷诺现象 (RPN) 是导致疼痛和早期停止母乳养的重要原因.
- 关于RPN的综合性表征的研究有限.
研究的目的:
- 系统地审查和描述乳头雷诺现象的流行病学,病理生理学,临床表现和治疗.
主要方法:
- 从1992年1月到2024年1月进行了一次系统的文献审查.
- 搜索的数据库包括PubMed,Scopus,科学网,VHL和CAPES报纸门户网站.
- 从438个初始结果中选择了19篇文章,并通过启发式问题对其进行了分类.
主要成果:
- RPN通常是初级性,主要影响分娩后期的妇女 (平均年龄为32岁).
- 发现的关键触发因素是压力和温度波动.
- 常见的症状包括乳头颜色变化和母乳养期间的疼痛.
结论:
- 初级RPN在产后妇女中很普遍,由环境和情绪因素引发.
- 药理学 (通道阻断剂) 和非药理学干预措施被用于管理.
- 需要进一步的研究才能充分理解和有效管理RPN.
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