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在怀孕期间患有甲状腺功能低下症的妇女的女儿的小青春期
Karolina Kowalcze1,2, Robert Krysiak3, Joanna Kula-Gradzik1
1Department of Pediatrics in Bytom, Faculty of Health Sciences in Katowice, Medical University of Silesia, Stefana Batorego 15, 41-902 Bytom, Poland.
International journal of molecular sciences
|August 10, 2024
概括
怀孕期间的母体甲状腺功能低下症可能会对女婴的迷你青春期产生负面影响,影响生殖激素水平和生殖器发育. 适当的治疗似乎可以防止这些不良影响.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
- 儿科内分泌学 儿科内分泌学
背景情况:
- 迷你青春期涉及过渡性激活的下丘脑-垂体-阴茎轴对女性婴儿发育至关重要.
- 妊娠性甲状腺功能低下症对女性婴儿迷你青春期的影响在很大程度上仍未得到研究.
研究的目的:
- 调查孕期母亲甲状腺功能低下症对女婴生殖轴和生殖器发育的影响.
主要方法:
- 对比了三组婴儿女孩:未接受治疗/治疗不充分的甲状腺功能低下母亲的后代,得到充分治疗的甲状腺功能低下母亲和健康的母亲.
- 从出生到18个月,监测唾液激素水平 (雌激素,孕,雄激素) 和尿道性腺激素.
- 在随访期间评估卵巢体积,子宫长度和乳房直径.
主要成果:
- 没有治疗/治疗不当的甲状腺功能低下症母亲的女婴表现出较低的FSH,LH和雌激素水平.
- 这一组还显示出这些激素的检测期较短,卵巢体积,子宫长度和乳房直径减少.
- 在接受充分治疗的甲状腺功能低下母亲的婴儿和健康母亲的婴儿之间没有发现显著差异.
结论:
- 怀孕期间不充分的母体甲状腺激素替代可能会扰乱雌性后代中小青春期的正常过程.
- 这些干扰可以表现为改变生殖激素配置和减少生殖器官发育.
- 在怀孕期间适当地治疗甲状腺功能低下症对于确保婴儿正常发育至关重要.
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