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自身免疫性甲状腺疾病和怀孕:遗传,表观遗传和环境因素之间的相互作用
Tatjana Bogović Crnčić1, Božena Ćurko-Cofek2, Lara Batičić3
1Department of Nuclear Medicine, Faculty of Medicine, University of Rijeka, Braće Branchetta 20, 51000 Rijeka, Croatia.
Journal of clinical medicine
|January 11, 2025
概括
自身免疫性甲状腺疾病 (AITD) 影响女性更频繁,特别是在怀孕期间. 本综述探讨了遗传学,环境和怀孕如何影响AITD及其对母亲和婴儿的风险.
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),是甲状腺功能障碍的主要原因.
- 妇女患有AITD的患病率更高,特别是在生育年龄,怀孕可以引发或加剧这种情况.
研究的目的:
- 审查妊娠期间AITD中遗传,表观遗传和环境因素的复杂相互作用.
- 突出AITD对母亲和新生儿结局的影响.
- 强调需要更好的理解,以便更好地诊断,治疗和预防.
主要方法:
- 在怀孕期间对自身免疫甲状腺疾病 (AITD) 的文献综述.
- 对遗传,表观遗传和环境因素的分析.
- 检查对怀孕和新生儿后果的影响.
主要成果:
- AITD与诸如流产,早产,孕前,胎儿生长限制等不良妊娠结果有关.
- 由于甲状腺激素水平的变化,不充分的AITD管理可能会损害胎儿的神经发育.
- 与怀孕相关的荷尔蒙和免疫变化可能会影响AITD活动.
结论:
- 了解怀孕期间AITD的多因素原因至关重要.
- 需要改进管理策略,以提高母亲和新生儿的健康.
- 对AITD机制的进一步研究可以导致更好的诊断和治疗干预措施.
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