Molar gebeliğin tetiklediği tiroid krizinde anestezik yaklaşım [Anesthetic management in thyroid crisis triggered by molar pregnancy]

Yıl 2012, , - , 01.09.2012

Harun Aydoğan Şaban Yalçın Ahmet Küçük Hasan Hüsnü Yüce Aysun Camuzcuoğlu Mehmet Ali Eren

https://doi.org/10.5799/ahinjs.01.2012.03.0197

Öz

Clinical thyrotoxicosis is one of the rare complications of molar pregnancy. The cause of the symptoms associated with hyperthyroidism in mol hydatiform is the thyrotrophic effects of high levels of β-hCG. The hCG molecule consists of α and β subunits; the α subunit is identical to TSH and the β subunit has a similar structure to TSH. In this case report it was aimed to discuss the anesthetic management of a dilatation and curettage case in a patient with mol hydatiform and thyroid crisis.

Anahtar Kelimeler

Hydatidiform mole, hyperthyroidism, anesthesia

Molar gebeliğin tetiklediği tiroid krizinde anestezik yaklaşım [Anesthetic management in thyroid crisis triggered by molar pregnancy]

Öz

Klinik tirotoksikoz molar gebeliğin nadir görülen komplikasyonlarından biridir. Mol hidatiformda hipertiroidi ile ilişkili semptomların sebebi; yüksek konsantrasyonlardaki β-hCG'nin tirotropik etkisidir. HCG molekülü α ve β subünitelerinden meydana gelir. α subunitesi TSH\'a birebir benzerken β subunitesi kısmi olarak benzer. Bu olgu sunumunda yeterli açlık süresi sağlanamayan dilatasyonal küretaj planlanan tiroid krizindeki mol hidatiformlu hastaya anestezik yaklaşımın tartışılması amaçlandı.

Anahtar Kelimeler

Mol hidatiform, hipertiroidizm, anestezi

Kaynakça

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