甲状腺学中的产科争议
Obstetric controversies in thyroidology.
作者信息
Unnikrishnan Ambika Gopalakrishnan, Bhosale Shilpa, Kalra Sanjay
机构信息
Department of Endocrinology and Diabetes, Chellaram Diabetes Institute, Pune, India.
出版信息
Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S29-31. doi: 10.4103/2230-8210.119498.
Abstract
It is well known that thyroid disorders commonly affect women. The care of pregnant women affected by thyroid disease is an important clinical challenge for endocrinologists. Hypothyroidism is the commonest problem, and maternal hypothyroxinemia has been linked to adverse feto-maternal outcomes. This article would discuss the controversy regarding first-trimester thyroid hormone deficiency and fetal brain development. Certain obstetric controversies in the management of hyperthyroidism in pregnancy, including the indications of TSH receptor antibody measurements and fetal thyroid status monitoring would also be discussed.
摘要
众所周知，甲状腺疾病通常会影响女性。对于内分泌科医生而言，照料患有甲状腺疾病的孕妇是一项重要的临床挑战。甲状腺功能减退是最常见的问题，而母体甲状腺素血症与不良的母婴结局有关。本文将讨论关于孕早期甲状腺激素缺乏与胎儿脑发育的争议。还将讨论妊娠甲亢管理中的某些产科争议，包括促甲状腺激素受体抗体测量的指征和胎儿甲状腺状态监测。
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