孕吐:与个人和家族恶心病史的关系

V. Lindström, L. Laitinen, J. Nurmi, M. Koivisto, P. Polo-Kantola
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摘要

(Acta Obstet Gynecol Scand. 2023; 102:1176-1182)恶心和呕吐是孕早期的常见症状,3.6%的孕早期妇女会出现孕吐(HG)的严重症状。妊娠剧吐的特点是发病早、进食受阻、日常生活受限,会导致脱水和体重下降,成为孕早期住院治疗的主要原因。遗憾的是,医疗机构对 HG 的认识不足,导致诊断和治疗不足。该病的多因素起源包括前庭、嗅觉、荷尔蒙和胃肠道因素。全身性恶心与各种情况有关,而 HG 家族史则表明有遗传因素。研究表明,有恶心病史的女性可能更容易患 HG。找出这些联系有助于医护人员识别和控制 HG 风险。
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Hyperemesis Gravidarum: Associations With Personal and Family History of Nausea
(Acta Obstet Gynecol Scand. 2023;102:1176–1182) Nausea and vomiting are prevalent in early pregnancy, with 3.6% experiencing severe symptoms termed hyperemesis gravidarum (HG). Characterized by early onset, impaired eating, and impactful daily life restrictions, HG leads to dehydration and weight loss, becoming a primary cause for early pregnancy hospitalization. Unfortunately, health care recognition of HG is insufficient, resulting in underdiagnosis and undertreatment. The condition’s multifactorial origins include vestibular, olfactory, hormonal, and gastrointestinal factors. General nausea links to various situations and a family history of HG suggests a genetic component. Research indicates that women with a history of nausea may be more susceptible to HG. Identifying such connections can aid health care professionals in recognizing and managing HG risk.
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