The role of interdisciplinary functional diagnostics in the detection of gynecological pathologies of an endocrine nature against the background of anemia
Автор: Korchagina A.M., Tadevosyan D.A., Ivanova D.D., Ermakova E.A., Kokoreva A.D., Kirkevich N.D., Chragyan D.S., Khutieva Kh.R.
Журнал: Cardiometry @cardiometry
Рубрика: Original research
Статья в выпуске: 30, 2024 года.
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The article examines the importance and relevance of interdis-ciplinary functional diagnostics for the detection of gynecolog-ical diseases with an endocrine basis against the background of anemia in women. The necessity of an integrated approach to diagnosis is sub-stantiated, combining methods from various medical fields to identify links between the endocrine system, gynecological pa-thologies and anemia. The results of the work emphasize the importance of an interdisciplinary approach for more accurate diagnosis and optimization of treatment of gynecological pa-thologies against the background of anemia, contributing to improving the quality of life of patients. This article examines a practical example of the application of interdisciplinary functional diagnostics for the detection of ane-mia against the background of endocrine pathologies in preg-nant women. Research on the health status of pregnant women is becoming increasingly relevant in the context of ensuring optimal condi-tions for fetal development and maternal health. One of the key problems requiring attention is iron deficiency anemia and its connection with thyroid function in pregnant women. Under-standing the relationship between these conditions is essential for effective pregnancy management and prevention of com-plications in both mother and fetus. In this study, attention is paid to the study of the relationship between serum ferritin levels, thyroid hormones and the pres-ence of iron deficiency in pregnant women in early pregnancy. The results of the study reviewed in this article confirmed the existence of an inverse correlation between serum ferritin levels and the level of one of the thyroid hormones, which indicates a possible relationship between iron deficiency and thyroid function in pregnant women. These findings are important to the medical community, providing a framework for developing strategies for the diagnosis and management of pregnancy, taking into account the interaction between iron deficiency and thyroid function. The results of the study can become a starting point for new research approaches and contribute to the devel-opment of more effective methods of supporting the health of pregnant women. This article also focuses on the development of anemia in women in the menopausal period.
Iron deficiency, anemia, iron deficiency anemia, pregnant, erythrocytes, thyroid gland, ferritin, thyroid peroxidase, thyroid stimulating, hemogram
Короткий адрес: https://sciup.org/148328272
IDR: 148328272 | DOI: 10.18137/cardiometry.2024.30.7379
Список литературы The role of interdisciplinary functional diagnostics in the detection of gynecological pathologies of an endocrine nature against the background of anemia
- McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993- 2005. Public Health Nutr. 2009 Apr;12(4):444-54. doi: 10.1017/S1368980008002401.
- Ali SME, Hafeez MH, Nisar O, Fatima S, Ghous H, Rehman M. Role of preoperative erythropoietin in the optimization of preoperative anemia among surgical patients – A systematic review and meta-analysis. Hematol Transfus Cell Ther. 2022 Jan-Mar;44(1):76-84. doi: 10.1016/j.htct.2020.12.006.
- Shander A, Javidroozi M, Ozawa S, Hare GM. What is really dangerous: anaemia or transfusion? Br J Anaesth. 2011 Dec;107 Suppl 1:i41-59. doi: 10.1093/bja/aer350.
- Burton BN, A’Court AM, Brovman EY, Scott MJ, Urman RD, Gabriel RA. Optimizing Preoperative Anemia to Improve Patient Outcomes. Anesthesiol Clin. 2018 Dec;36(4):701-713. doi: 10.1016/j.anclin. 2018.07.017.
- Kassebaum NJ; GBD 2013 Anemia Collaborators. The Global Burden of Anemia. Hematol Oncol Clin North Am. 2016 Apr;30(2):247-308. doi: 10.1016/j.hoc.2015.11.002.
- Haas JD, Brownlie T 4th. Iron deficiency and reduced work capacity: a critical review of the research to determine a causal relationship. J Nutr. 2001 Feb;131(2S-2):676S-688S; discussion 688S-690S. doi: 10.1093/jn/131.2.676S.
- Kavle JA, Stoltzfus RJ, Witter F, Tielsch JM, Khalfan SS, Caulfield LE. Association between anaemia during pregnancy and blood loss at and after delivery among women with vaginal births in Pemba Island, Zanzibar, Tanzania. J Health Popul Nutr. 2008 Jun;26(2):232-40.
- Jans О, Jоrgensen C, Kehlet H, Johansson PI; Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty. Transfusion. 2014 Mar;54(3):717-26. doi: 10.1111/trf.12332.
- Muñoz M, Gómez-Ramírez S, Campos A, Ruiz J, Liumbruno GM. Pre-operative anaemia: prevalence, consequences and approaches to management. Blood Transfus. 2015 Jul;13(3):370-9. doi: 10.2450/2015.0014-15.
- Alexander DP, Frew N. Preoperative optimization of anaemia for primary total hip arthroplasty: a systematic review. Hip Int. 2017 Nov 21;27(6):515-522. doi: 10.5301/hipint.5000530.
- Abbas W, Elmugabil A, Hamdan HZ, Rayis DA, Adam I. Iron deficiency and thyroid dysfunction among sudanese women in first trimester of pregnancy: a cross-sectional study. BMC Endocr Disord. 2023 Oct 13; 23(1): 223. doi: 10.1186/s12902-023-01487-z.
- So-Osman C, Nelissen RG, Koopman-van Gemert AW, Kluyver E, Pöll RG, Onstenk R, Van Hilten JA, Jansen-Werkhoven TM, van den Hout WB, Brand R, Brand A. Patient blood management in elective total hip- and knee-replacement surgery (Part 1): a randomized controlled trial on erythropoietin and blood salvage as transfusion alternatives using a restrictive transfusion policy in erythropoietin-eligible patients. Anesthesiology. 2014 Apr;120(4):839-51. doi: 10.1097/ALN.0000000000000134
- Yang Y, Hou Y, Wang H, Gao X, Wang X, Li J, Teng W, Shan Z. Maternal Thyroid Dysfunction and Gestational Anemia Risk: Meta-Analysis and New Data. Front Endocrinol (Lausanne). 2020 Apr 15;11:201. doi: 10.3389/fendo.2020.00201.
- Wang F, Zhang Y, Yuan Z, Li Y, Liu S, Zeng X, Qiu X, Ye L, Huang D. The association between iron status and thyroid hormone levels during pregnancy. J Trace Elem Med Biol. 2022 Dec;74:127047. doi: 10.1016/j.jtemb.2022.127047.
- Spahn DR, Schoenrath F, Spahn GH, Seifert B, Stein P, Theusinger OM, Kaserer A, Hegemann I, Hofmann A, Maisano F, Falk V. Effect of ultra-shortterm treatment of patients with iron deficiency or anaemia undergoing cardiac surgery: a prospective randomised trial. Lancet. 2019 Jun 1;393(10187):2201-2212. doi: 10.1016/S0140-6736(18)32555-8.
- Wessells K, Ouédraogo C, Young R, Faye M, Brito A, Hess S. Micronutrient status among pregnant women in Zinder, Niger and risk factors associated with deficiency. Nutrients. 2017;9:430. doi: 10.3390/nu9050430.
- Ruscio M, Guard G, Piedrahita G, D’Adamo CR. The Relationship between Gastrointestinal Health, Micronutrient Concentrations, and Autoimmunity: A Focus on the Thyroid. Nutrients. 2022 Aug 30;14(17):3572. doi: 10.3390/nu14173572.
- Lin DM, Lin ES, Tran MH. Efficacy and safety of erythropoietin and intravenous iron in perioperative blood management: a systematic review. Transfus Med Rev. 2013 Oct;27(4):221-34. doi: 10.1016/j.tmrv.2013.09.001.
- Veltri F, Poppe K. Variables Contributing to Thyroid (Dys)Function in Pregnant Women: More than Thyroid Antibodies? Eur Thyroid J. 2018 Jun;7(3):120-128. doi: 10.1159/000488279.
- Borstlap WA, Stellingwerf ME, Moolla Z, Musters GD, Buskens CJ, Tanis PJ, Bemelman WA. Iron therapy for the treatment of preoperative anaemia in patients with colorectal carcinoma: a systematic review. Colorectal Dis. 2015 Dec;17(12):1044-54. doi: 10.1111/codi.13110.