在接受维持透析的妇女怀孕
Cristina Popa1, Priyadarshini John2, Prasoon Verma3,4
1Department of Internal Medicine-Nephrology, University of Medicine and Pharmacy "Grigore T Popa", Iasi, Romania.
Kidney medicine
|February 19, 2025
概括
患有功能衰竭的女性面临着影响生殖健康的荷尔蒙变化. 风险管理和寻求专家护理对于接受透析的女性成功怀孕至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 生殖内分泌学 生殖内分泌学
- 产科 产科 产科 产科 产科
背景情况:
- 功能衰竭会破坏下丘脑-垂体-卵巢轴,导致女性的月经不规则,性功能障碍和不孕.
- 患有脏疾病的妇女,特别是接受维持透析的妇女,怀孕对母亲和胎儿都有很大的风险.
研究的目的:
- 审查在维持透析中患有功能衰竭的妇女的怀孕发生率,结果和管理策略.
- 突出这一群体中预孕咨询和风险因素管理的重要性.
主要方法:
- 文献综述,重点关注患有功能衰竭的妇女怀孕和接受维持透析的妇女的研究.
- 综合了关于怀孕率,母胎并发症和当前管理协议的数据.
主要成果:
- 患有功能衰竭的女性经历了影响生育能力的荷尔蒙干扰.
- 接受维持透析的女性怀孕与高水平的不良孕产妇和胎儿结局有关.
- 多学科管理对于优化妊娠结果至关重要.
结论:
- 孕前咨询和高血压等危险因素的管理对于考虑怀孕的患有脏疾病的女性至关重要.
- 在维持透析的妇女中,怀孕需要专门的,以团队为基础的护理来减轻风险.
相关概念视频
01:27Dialysis
252
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
252
01:11Renal Failure: Dose Adjustments
60
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
60
01:33Hormonal Regulation
32.8K
The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
32.8K
01:13Introduction to Urinary System
2.1K
The urinary system consists of two kidneys, two ureters, the urinary bladder, and the urethra.
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
2.1K
01:20Pathophysiology of Diabetes
845
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
845
01:24Physiology of Urine Formation
2.7K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
2.7K