Ferritina antes que hemoglobina. Impacto del sangrado uterino anormal en la calidad de vida

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
D. Vela , F. Bernardez , C. Braxs , J. Calaf , E. Calle , P. Carpintero , J. Castañeda , F. Carmona
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引用次数: 0

Abstract

This article reviews two highly prevalent medical conditions: abnormal uterine bleeding (AUB) and heavy menstrual bleeding (HMB), highlighting their impact on women's health and quality of life. It is noted that AUB, particularly HMB, is associated with iron deficiency and anemia, which not only affect physical health but also emotional well-being and work productivity. The importance of early detection and appropriate management to prevent long-term complications is emphasized.
The article reviews the physiology of menstrual bleeding, the structural and non-structural causes of AUB according to the PALM-COEIN classification, and the relevance of iron metabolism in these conditions. Additionally, it discusses the epidemiology of AUB and HMB, noting that these conditions are underdiagnosed, which perpetuates their negative impact.

Methods

for diagnosing HMB in clinical practice are proposed, including qualitative tools such as questionnaires, and the importance of a comprehensive approach that considers the impact of bleeding on patients’ quality of life is highlighted. Finally, treatment strategies for HMB and iron deficiency are discussed, emphasizing the need for individualized and appropriate management.
铁蛋白在血红蛋白。异常子宫出血对生活质量的影响
本文综述了两种非常普遍的医学疾病:子宫异常出血(AUB)和月经大出血(HMB),重点介绍了它们对女性健康和生活质量的影响。值得注意的是,AUB,特别是HMB,与缺铁和贫血有关,这不仅影响身体健康,而且影响情感健康和工作效率。强调早期发现和适当管理对预防长期并发症的重要性。本文综述了月经出血的生理学,根据PALM-COEIN分类的AUB的结构性和非结构性原因,以及铁代谢在这些情况下的相关性。此外,本文还讨论了AUB和HMB的流行病学,指出这些疾病未得到充分诊断,从而使其负面影响持续存在。提出了在临床实践中诊断HMB的方法,包括问卷调查等定性工具,并强调了综合考虑出血对患者生活质量影响的重要性。最后,讨论了HMB和缺铁的治疗策略,强调需要个性化和适当的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
54
期刊介绍: Una excelente publicación para mantenerse al día en los temas de máximo interés de la ginecología de vanguardia. Resulta idónea tanto para el especialista en ginecología, como en obstetricia o en pediatría, y está presente en los más prestigiosos índices de referencia en medicina.
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