与代谢功能障碍相关的脂肪性肝病和怀孕
Monika Sarkar1, Tatyana Kushner2
1Division of Gastroenterology and Hepatology, Department of Medicine, UCSF, San Francisco, California, USA.
The Journal of clinical investigation
|May 15, 2025
概括
在怀孕期间与代谢功能障碍相关的脂肪性肝病 (MASLD) 会增加妊娠糖尿病和产前的风险. 早期查和预孕咨询对于管理预期父母的MASLD风险至关重要.
科学领域:
- 生殖医学 生殖医学
- 肝病学 肝病学是一种肝病学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 在生殖年龄的个体和怀孕期间越来越普遍.
- 怀孕期间的MASLD与妊娠期糖尿病,孕前和早产的风险增加有关.
研究的目的:
- 突出怀孕期间MASLD的风险,并建议管理策略.
- 强调怀孕前咨询和代谢健康优化的重要性.
主要方法:
- 关于怀孕中MASLD的当前文献和临床指导方针的审查.
- 查,诊断评估 (肝脏成像,肝脏面板) 和纤维化评估的建议.
- 关于治疗干预措施的指导,包括阿司匹林用于预防产前.
主要成果:
- 在怀孕期间没有建立常规的MASLD查,但对于那些有代谢并发症的人来说,建议进行评估.
- 孕前纤维化评估可以识别肝硬化,指导专业的管理.
- 建议在怀孕12周时服用阿司匹林,以减少MASLD患者的孕前风险.
结论:
- 在怀孕前和怀孕期间优化代谢健康和解决MASLD至关重要.
- 应该鼓励母乳养,因为它对患有MASLD的父母和婴儿的代谢有益.
- 需要对长期结果和妊娠中MASLD特异性疗法进行进一步的研究.
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