Diagnóstico y tratamiento de los trastornos tiroideos durante el embarazo: un enfoque para el cuidado integral del binomio madre-hijo.

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Title: Diagnóstico y tratamiento de los trastornos tiroideos durante el embarazo: un enfoque para el cuidado integral del binomio madre-hijo.
Alternate Title: Diagnosis and management of thyroid disorders during pregnancy: an approach to comprehensive care of mother and child.
Authors: García Botina, Hernán David1 davidgabo11@hotmail.com, Ramírez, Nathalia Córdoba1, Builes Barrera, Carlos Alfonso2
Source: Iatreia. abr-jun2013, Vol. 26 Issue 2, p172-184. 13p.
Subjects: CHILD care, PREGNANCY, PARENT-child relationships, BIRTH control, ECONOMIC sanctions
Abstract (English): Thyroid disorders are frequent in women of reproductive age. However, they are often overlooked because their manifestations may be confused with those of the hypermetabolic state that is characteristic of pregnancy. To the physiological changes that occur during pregnancy -cardiovascular, pulmonary, hematological, immunological, etc., it is necessary to add modifications in the thyroid axis that presents different situations during pregnancy; those variations make it difficult to correctly diagnose and treat pathological situations. Disorders of thyroid axis have negative consequences on both mother and fetus, among them: preeclampsia, abortion, premature delivery and disorders of the fetal central nervous system. Treatment must be oriented to counteract the effects of either increased or diminished thyroid function; for that purpose, differences concerning requirements and safety of medicines must be taken into account. Presently there is controversy concerning routine screening of pregnant women for thyroid disorders; so far, the available tests are usually performed only in high-risk women. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Los trastornos tiroideos son frecuentes en mujeres en edad reproductiva. Sin embargo, a menudo no se diagnostican porque su sintomatología se confunde con el estado hipermetabólico característico del embarazo. A los cambios fisiológicos en el embarazo de índole cardiovascular, pulmonar, hematológica, inmunológica, etc., se añaden las modificaciones en el eje tiroideo que a lo largo de la gestación presenta diferentes estados, lo que hace aún más difícil el diagnóstico y tratamiento correctos en los casos patológicos. Los trastornos del eje tiroideo tienen repercusiones negativas sobre la madre y el feto, entre otras: preeclampsia, aborto, parto prematuro y trastornos del sistema nervioso central del feto. El tratamiento se debe dirigir a contrarrestar los efectos del aumento o la disminución del funcionamiento de la glándula teniendo en cuenta las diferencias en cuanto a requerimientos y seguridad de los fármacos en el feto. Actualmente es motivo de controversia la tamización de rutina en gestantes para trastornos tiroideos, pues hasta el momento se destinan las pruebas a mujeres embarazadas de alto riesgo. [ABSTRACT FROM AUTHOR]
Copyright of Iatreia is the property of Universidad de Antioquia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Diagnóstico y tratamiento de los trastornos tiroideos durante el embarazo: un enfoque para el cuidado integral del binomio madre-hijo.
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  Label: Alternate Title
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  Data: Diagnosis and management of thyroid disorders during pregnancy: an approach to comprehensive care of mother and child.
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22García+Botina%2C+Hernán+David%22">García Botina, Hernán David</searchLink><relatesTo>1</relatesTo><i> davidgabo11@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Ramírez%2C+Nathalia+Córdoba%22">Ramírez, Nathalia Córdoba</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Builes+Barrera%2C+Carlos+Alfonso%22">Builes Barrera, Carlos Alfonso</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Iatreia%22">Iatreia</searchLink>. abr-jun2013, Vol. 26 Issue 2, p172-184. 13p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22CHILD+care%22">CHILD care</searchLink><br /><searchLink fieldCode="DE" term="%22PREGNANCY%22">PREGNANCY</searchLink><br /><searchLink fieldCode="DE" term="%22PARENT-child+relationships%22">PARENT-child relationships</searchLink><br /><searchLink fieldCode="DE" term="%22BIRTH+control%22">BIRTH control</searchLink><br /><searchLink fieldCode="DE" term="%22ECONOMIC+sanctions%22">ECONOMIC sanctions</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Thyroid disorders are frequent in women of reproductive age. However, they are often overlooked because their manifestations may be confused with those of the hypermetabolic state that is characteristic of pregnancy. To the physiological changes that occur during pregnancy -cardiovascular, pulmonary, hematological, immunological, etc., it is necessary to add modifications in the thyroid axis that presents different situations during pregnancy; those variations make it difficult to correctly diagnose and treat pathological situations. Disorders of thyroid axis have negative consequences on both mother and fetus, among them: preeclampsia, abortion, premature delivery and disorders of the fetal central nervous system. Treatment must be oriented to counteract the effects of either increased or diminished thyroid function; for that purpose, differences concerning requirements and safety of medicines must be taken into account. Presently there is controversy concerning routine screening of pregnant women for thyroid disorders; so far, the available tests are usually performed only in high-risk women. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Los trastornos tiroideos son frecuentes en mujeres en edad reproductiva. Sin embargo, a menudo no se diagnostican porque su sintomatología se confunde con el estado hipermetabólico característico del embarazo. A los cambios fisiológicos en el embarazo de índole cardiovascular, pulmonar, hematológica, inmunológica, etc., se añaden las modificaciones en el eje tiroideo que a lo largo de la gestación presenta diferentes estados, lo que hace aún más difícil el diagnóstico y tratamiento correctos en los casos patológicos. Los trastornos del eje tiroideo tienen repercusiones negativas sobre la madre y el feto, entre otras: preeclampsia, aborto, parto prematuro y trastornos del sistema nervioso central del feto. El tratamiento se debe dirigir a contrarrestar los efectos del aumento o la disminución del funcionamiento de la glándula teniendo en cuenta las diferencias en cuanto a requerimientos y seguridad de los fármacos en el feto. Actualmente es motivo de controversia la tamización de rutina en gestantes para trastornos tiroideos, pues hasta el momento se destinan las pruebas a mujeres embarazadas de alto riesgo. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Iatreia is the property of Universidad de Antioquia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.17533/udea.iatreia.14372
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      – Code: spa
        Text: Spanish
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        PageCount: 13
        StartPage: 172
    Subjects:
      – SubjectFull: CHILD care
        Type: general
      – SubjectFull: PREGNANCY
        Type: general
      – SubjectFull: PARENT-child relationships
        Type: general
      – SubjectFull: BIRTH control
        Type: general
      – SubjectFull: ECONOMIC sanctions
        Type: general
    Titles:
      – TitleFull: Diagnóstico y tratamiento de los trastornos tiroideos durante el embarazo: un enfoque para el cuidado integral del binomio madre-hijo.
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            NameFull: García Botina, Hernán David
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            NameFull: Ramírez, Nathalia Córdoba
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            NameFull: Builes Barrera, Carlos Alfonso
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              M: 04
              Text: abr-jun2013
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              Y: 2013
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              Value: 26
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