[揭开荷尔蒙的秘密] 荷尔蒙的秘密
Andrés Felipe García Ramos1, Claudia Monsalve Arango2, Jose Fernando Botero Arango3
1Clínica Imbanaco. Departamento de Endocrinología.
Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina)
|December 13, 2024
概括
怀孕时甲状腺功能障碍对母亲和婴儿构成风险. 早期诊断和管理,特别是明显的甲状腺功能低下症,改善了结果,尽管边境病例需要更多的研究.
科学领域:
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
- 生殖健康 生殖健康
背景情况:
- 怀孕期间甲状腺功能障碍对母亲和胎儿的健康构成重大风险,特别是在怀孕早期.
- 积极的怀孕前和怀孕护理对于确保怀孕的积极结果至关重要.
研究的目的:
- 综合当前关于怀孕时诊断和治疗甲状腺功能障碍的科学证据.
- 提供关于怀孕期间甲状腺生理学和识别高风险个体的指导.
主要方法:
- 使用DeCS和MeSH术语进行了全面的文献综述.
- 从2015-2022年搜索了5个数据库,包括与PICOT问题相关的英语和西班牙语文章.
- 在选了1452个初始记录后,包括32篇文章.
主要成果:
- 怀孕期间的过度甲状腺功能低下与不良的孕产妇和胎儿结果有关,这些结果在治疗后会得到改善.
- 治疗边缘性甲状腺疾病 (如亚临床性甲状腺功能低下症和孤立性甲状腺功能低下症) 的证据仍然有限,原因是有限的受控试验.
结论:
- 建议在怀孕期间治疗明显的甲状腺功能低下症,以减轻不良后果.
- 对于怀孕期间的边界甲状腺疾病需要进一步的研究.
- 医生必须了解怀孕期间管理甲状腺疾病的知识.
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