[妊娠和哺乳期骨质疏松症的药物治疗]

Clinical calcium Pub Date : 2019-01-01 DOI:CliCa19017076
Maiko Kitajima, Osamu Chaki
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引用次数: 0

摘要

妊娠和哺乳期相关骨质疏松症(PLO)是一种罕见的疾病,妇女在怀孕期间,产后时期,或在母乳喂养。其发病机制尚不清楚。这使得巴解组织目前没有明确的战略。大多数PLO患者的骨密度(BMD)在停乳后自发恢复。另一方面,重症患者有时需要骨特异性治疗。有一些报告显示,双膦酸盐、特立帕肽和/或地诺单抗对PLO病例有效。当患者有生育愿望时,我们要注意处方对下次怀孕是否有影响。
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[Pharmacological treatment for pregnancy and lactation associated osteoporosis.]

Pregnancy and lactation associated osteoporosis(PLO)is a rare disorder for women during pregnancy, the post-partum period, or while breastfeeding. It still remains unknown factors in its pathogenesis. That makes it there is no evident strategy for PLO now. In most cases, bone mineral density(BMD)of PLO patients spontaneously recovers after giving lactation up. On the other hand, patients with severe cases sometimes need bone specific therapy. There are some reports that show bisphosphonate, teriparatide and/or denosumab are effective on PLO cases. When the patients have wishes for having babies, we have to pay attention if the prescription effect on next pregnancy.

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[Nomenclature on Cell Death, apoptosis and autophagic cell death.] [Perinatal bone and calcium metabolism in the patient complicated with renal dysfunction.] [Fracture management and current concepts related to pregnancy-associated osteoporosis.] [Pharmacological treatment for pregnancy and lactation associated osteoporosis.] [Prevention of osteoporosis during pregnancy and lactation period.]
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