预防未发育妊娠的新方法

L. Tkachenko, T. A. Verovskaya, N. I. Sviridova, T. I. Kostenko, E. A. Homich
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摘要

不发育妊娠(NB)问题仍然具有现实意义,因为这种并发症的传播范围相当广泛,而且还需要寻找导致这种病症的重要预后原因,并对所发现的病症进行适当的预防[1-4]。叶酸基因的多态变异会导致血液中 HC 的过度积累和 DNA 的低甲基化,从而导致早期流产的增加(这种病症的发生率占所有妊娠的 20-25%)。使用大剂量叶酸进行围孕期预防可降低血液中游离 HC 的水平,但这种方法只有在受孕前 3 个月以及胚胎和胎儿发育早期(12 周内)开始使用时才有效。研究过程中对实验室和临床数据的评估证实,在 NB 高危人群(患有高同型半胱氨酸血症(GHZ)的孕妇)中使用剂量为 800 微克的叶酸是有效的。受孕前 16 周和受孕后 12 周。
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New in the prevention of undeveloped pregnanc
The problem of non-developing pregnancy (NB) remains relevant due to the rather wide spread of this complication and is due to the search for prognostically significant causes of this pathology, the development of adequate prevention of the detected disorders [1–4]. Polymorphic variants of folate genes lead to excessive accumulation of HC in the blood and hypomethylation of DNA, which contributes to an increase in early miscarriage (the frequency of this pathology is 20–25% of all pregnancies). Carrying out periconceptional prophylaxis with high doses of folic acidreduces the level of free HC in the blood, but this technique is effective only when it begins 3 months before conception and in the early stages of embryo and fetus development (up to 12 weeks). The evaluation of laboratory and clinical data in the course of the study confirmed the effectiveness of the use of folic acid at a dose of 800 mcg in a high risk group for the development of NB (pregnant women with hyperhomocysteinemia (GHZ)) 16 weeks before conception and 12 weeks after conception.
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