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从受孕到分娩:甲状腺疾病及其对母婴健康的深远影响的全面综述

From Conception to Delivery: A Comprehensive Review of Thyroid Disorders and Their Far-Reaching Impact on Feto-Maternal Health.

作者信息

Joshi Jalormy S, Shanoo Amardeep, Patel Nainita, Gupta Aishwarya

机构信息

Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 1;16(2):e53362. doi: 10.7759/cureus.53362. eCollection 2024 Feb.

Abstract

This comprehensive review delves into the multifaceted landscape of thyroid disorders during pregnancy, exploring their impact from conception to postpartum considerations. Key findings highlight the intricate interplay between maternal thyroid health and fetal development, emphasizing the critical importance of timely screening and targeted interventions. The evolving landscape of research and technology suggests a paradigm shift toward personalized approaches in clinical practice, emphasizing integrated care models and the integration of telehealth platforms. Postpartum considerations, including postpartum thyroiditis, underscore the necessity for ongoing monitoring and intervention for maternal well-being. Implications for clinical practice encompass healthcare provider education, public awareness campaigns, and policy advocacy for standardized screening guidelines. The call to action resonates for increased research funding to advance understanding and improve outcomes. By fostering awareness, education, and collaborative efforts, this review aims to navigate the complexities of thyroid disorders during pregnancy, ensuring a healthier start for both mothers and their infants.

摘要

这篇全面的综述深入探讨了孕期甲状腺疾病的多方面情况,从受孕到产后注意事项探讨了它们的影响。主要研究结果突出了母亲甲状腺健康与胎儿发育之间的复杂相互作用,强调了及时筛查和针对性干预的至关重要性。研究和技术的不断发展表明临床实践正朝着个性化方法转变,强调综合护理模式和远程医疗平台的整合。产后注意事项,包括产后甲状腺炎,凸显了持续监测和干预以保障母亲健康的必要性。对临床实践的影响包括医疗服务提供者教育、公众宣传活动以及对标准化筛查指南的政策倡导。行动呼吁要求增加研究资金以增进理解并改善结果。通过提高认识、开展教育和进行协作努力,本综述旨在应对孕期甲状腺疾病的复杂性,确保母亲及其婴儿都有更健康的开端。

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本文引用的文献

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Thyroid Disease in Pregnancy: A Descriptive Review of Guidelines.妊娠甲状腺疾病:指南描述性综述。
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Assessment and treatment of thyroid disorders in pregnancy and the postpartum period.妊娠和产后甲状腺疾病的评估和治疗。
Nat Rev Endocrinol. 2022 Mar;18(3):158-171. doi: 10.1038/s41574-021-00604-z. Epub 2022 Jan 4.
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Optimal Thyroid Hormone Replacement.甲状腺激素替代的最佳选择。
Endocr Rev. 2022 Mar 9;43(2):366-404. doi: 10.1210/endrev/bnab031.

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