甲状腺疾病作为一个原体
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1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
孕妇的甲状腺激素对胎儿发育至关重要,但怀孕会导致生理变化,使甲状腺管理复杂化. 本综述涵盖了怀孕期间甲状腺功能障碍,强调了诊断和管理方面的挑战.
科学领域:
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
- 发展生物学 发展生物学
背景情况:
- 孕产妇的甲状腺激素对胎儿发育,特别是大脑发育至关重要.
- 怀孕引起的代谢变化需要增加甲状腺激素的产生.
- 胎盘对甲状腺激素转移到胎儿的调节至关重要;失衡可能是致病性.
研究的目的:
- 审查当前关于甲状腺生理学和怀孕期间功能障碍的文献.
- 为了突出怀孕期间诊断和管理甲状腺疾病的挑战.
- 讨论有争议的领域和该领域的未来考虑.
主要方法:
- 关于怀孕期间甲状腺疾病的综合文献综述.
- 综合了关于明显和亚临床甲状腺功能障碍,甲状腺功能障碍和自身免疫的信息.
- 在怀孕期间检查甲状腺风暴,产后甲状腺炎和甲状腺癌.
主要成果:
- 甲状腺激素参考范围因人群,实验室和三个月而异,使诊断复杂化.
- 亚临床甲状腺功能低下症和隔离甲状腺自身免疫的治疗仍然存在争议.
- 在怀孕期间进行普遍的甲状腺查正在考虑中.
结论:
- 准确的诊断和母亲甲状腺功能障碍的管理对于预防不良结果至关重要.
- 解决诊断挑战和有争议的治疗领域是必要的.
- 需要进一步的研究和标准化的指导方针,以实现最佳的孕产妇和胎儿健康.
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