脏疾病和生殖健康
Priscilla A Smith1,2, Ippokratis Sarris1,3, Katherine Clark1,2
1Division of Women's Health, King's College London, London, UK.
Nature reviews. Nephrology
|November 5, 2024
概括
慢性病 (CKD) 影响生育能力,但大多数患有病的女性可以怀孕. 谨慎的管理确保了母亲和婴儿的良好结果,尽管存在风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 生殖内分泌学 生殖内分泌学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 慢性病 (CKD) 影响男性和女性的生殖健康.
- 慢性瘤可以通过炎症,荷尔蒙失衡和减少异构质量导致不孕.
- 怀孕对于许多患有慢性病的妇女来说是可行的,包括在透析或移植后接受透析的妇女.
研究的目的:
- 审查CKD对生殖健康的影响.
- 讨论患有CKD的女性怀孕后果和风险.
- 突出多学科护理和药物管理的重要性.
主要方法:
- 文献综述和当前证据的综合.
- 分析影响CKD患者生育能力的因素.
- 检查怀孕期间的孕产妇和胎儿的风险与CKD.
主要成果:
- 慢性瘤对生育能力有负面影响,但不排除怀孕.
- 在CKD中怀孕与母亲和孩子的风险增加有关.
- 怀孕前咨询和优化产前护理改善了结果.
结论:
- 整体护理整合生殖和脏健康对于CKD患者至关重要.
- 在怀孕和哺乳期间,仔细检查药物是必不可少的.
- 需要进一步研究分娩时间和母亲和孩子的长期结果.
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