怀孕对母亲球细胞疾病进展的影响
Luiz Paulo José Marques1, Lívia Menezes Salla1, Lilimar da Silveira Rioja1
1Universidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Departamento de Medicina, Rio de Janeiro, RJ, Brazil.
Jornal brasileiro de nefrologia
|August 4, 2025
概括
怀孕可能是可能的妇女与球体疾病 (GD),但它增加了不良结果的风险. 孕产妇GD进展与怀孕前的功能和子宫前有关,对于晚期CKD阶段的人来说,存在严重风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 产科 产科 产科 产科 产科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 淋巴细胞疾病 (GD) 影响生育年龄的女性.
- 有限的数据存在于怀孕对GD和孕产妇结果的影响.
研究的目的:
- 为了研究怀孕对活检证明的球细胞疾病 (GD) 的妇女的孕产妇结果的影响.
- 为了确定GD进展和不良妊娠结果的风险因素.
主要方法:
- 追溯的队列研究44个怀孕在38名患者的活检证明GD.
- 患者被分为CKD-KDIGO阶段 (1-2,3a-3b,4-5) 的患者.
- 分析临床数据,包括高血压,肌,孕前和蛋白尿.
主要成果:
- 8名妇女在怀孕期间进展到末期病 (ESRD),需要血液透析,主要是CKD 4-5阶段 (83.3%).
- 怀孕1年后观察到显著的膜过率 (GFR) 损失,在较高的CKD阶段更大.
- 低孕前GFR和孕前是GFR损失的显著预测因素;63.6%的怀孕有不良胎儿结果.
结论:
- 对于患有GD的女性来说,怀孕是可行的,但母亲的GD影响在分娩后仍然存在.
- 经过GD诊断,妊娠和胎儿不良后果的风险会增加.
- 怀孕期间的CKD阶段预孕和孕前是GD进展和ESRD风险的关键因素.
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