Nader Shahla
Division of Endocrinology and Division of Reproductive Endocrinology, University of Texas Medical School-Houston, 6431 Fannin Street, Suite 3.604, Houston, TX 77030, USA.
Obstet Gynecol Clin North Am. 2004 Jun;31(2):257-85, v-vi. doi: 10.1016/j.ogc.2004.03.004.
Endocrine disorders, in particular, thyroid disorders, are common in pregnancy. The endocrine adaptation to pregnancy, need for adequate iodine supplementation, and thyroxine replacement are presented. In addition, autoimmune diseases of the thyroid and pituitary that may occur subsequent to the immune changes of pregnancy and the postpartum period are discussed. A brief account of the presentation of other endocrine disorders (ie, pituitary,parathyroid, calcium, adrenal and gonadal disorders) also is given, along with their evaluation and management.
内分泌紊乱,尤其是甲状腺疾病,在孕期很常见。文中介绍了孕期内分泌的适应性变化、充足碘补充的必要性以及甲状腺素替代治疗。此外,还讨论了孕期和产后免疫变化可能引发的甲状腺及垂体自身免疫性疾病。文中还简要介绍了其他内分泌紊乱(即垂体、甲状旁腺、钙、肾上腺和性腺疾病)的表现,以及它们的评估和管理方法。