سه شنبه 28 فروردین 1403
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دوره 14، شماره 11 - ( 8-1395 )
جلد 14 شماره 11 صفحات 686-677 |
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Alemu A, Terefe B, Abebe M, Biadgo B. Thyroid hormone dysfunction during pregnancy: A review. IJRM 2016; 14 (11) :677-686
URL: http://ijrm.ir/article-1-709-fa.html
URL: http://ijrm.ir/article-1-709-fa.html
اختلال عملکرد هورمون تیروئید در دوران بارداری: یک مقاله مروری. International Journal of Reproductive BioMedicine. 1395; 14 (11) :677-686
چکیده: (3797 مشاهده)
اختلالات تیروئید مانند کمکاری، پرکاری و ندولهای تیروئید ممکن است در دوران بارداری منجر به سقط جنین، جدایی جفت، پره اکلامپسی، زایمان زودرس و عملکرد ذهنی کاهش یافته در فرزندان شود. مطالعات اپیدمیولوژیک نقش مهم هورمون تیروئید مادر در تکوین عصبی جنین و سلامت مادر را نشان دادهاند. اثرات مخرب اختلال عملکرد تیروئید نیز میتواند فراتر از دوران بارداری و زایمان بوده و بر روی تکوین عصبی ذهنی در اوایل زندگی کودک نیز تاثیر بگذارد. بارداری یک چالش مهم برای غده تیروئید مادر به حساب میآید به نحوی که هورمون مورد نیاز در طول بارداری به دنبال افزایش در اتصال تیروئید-گلوبولین ، اثر تحریکی هورمون hCG بر گیرنده TSH و افزایش نیاز محیطی به هورمون تیروئید، افزایش مییابد. اختلال عملکرد تیروئید مادر با افزایش خطر ابتلا به سقط زودرس، زایمان زودرس و بیماری نوزادان همراه است. تشخیص زود هنگام برای اختلال عملکرد تیروئید در زنان باردار و درمان اختلال عملکرد تیروئید در دوران بارداری برای جلوگیری از عوارض مادری و جنینی ثانویه به اختلال عملکرد تیروئید مهم و مقرون به صرفه است. بنابراین هدف از این بررسی ارزیابی تغییرات عملکرد تیروئید در دوران بارداری، اختلالات مختلف در ارتباط با مادر و پیامدهای جنین و شیوههای تشخیص آزمایشگاهی در این زمینه، و بهترین راه برای مدیریت این شرایط بود.
نوع مطالعه: Original Article |
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