RESUMO
Objetivo: Ações na terapia oncológica durante a gestação, e respectivamente seus sentimentos de medos vivenciados. Método: Revisão integrativa realizada de agosto a setembro de 2021 na Biblioteca Virtual em Saúde. Foram utilizadas as seguintes palavras chaves para a busca: circulação fetal AND gestação oncológica AND quimioterapia na gestação AND quimioterapia na gestação, neoplasias gravidez, câncer. Resultados: A gestação é o período mais marcante na vida da mulher, e com o diagnóstico de câncer irá promover um longo tratamento, podendo incluir quimioterapia. Gerando complicações durante a gestação, e promovendo sentimentos de medos. Conclusão: Pode-se concluir que o tratamento de neoplasia é fundamental para a gestante. Contudo promoverá sentimentos insalutíferos. Assim, necessitando de atenção e assistência da equipe multidisciplinar.
Objective Actions in cancer therapy during pregnancy, and respectively their feelings of fears experienced. Method: Integrative review carried out from August to September 2021 at the Virtual Health Library. The following key words were used for the search: fetal circulation AND oncological pregnancy AND chemotherapy during pregnancy AND chemotherapy during pregnancy, neoplasms pregnancy, cancer. Results: Pregnancy is the most important period in a woman's life, and a diagnosis of cancer will promote a long treatment, which may include chemotherapy. This generates complications during pregnancy, and promotes feelings of fear. Conclusion: It can be concluded that the treatment of cancer is fundamental for pregnant women. However, it will promote unhealthy feelings. Thus, requiring attention and assistance from the multidisciplinary team.
Objetivo: Acciones en la terapia contra el cáncer durante el embarazo y, respectivamente, sus sentimientos de temores experimentados. Método: Revisión integradora realizada de agosto a septiembre de 2021 en la Biblioteca Virtual en Salud. Para la búsqueda se utilizaron las siguientes palabras clave: circulación fetal Y embarazo oncológico Y quimioterapia durante el embarazo Y quimioterapia durante el embarazo, neoplasias embarazo, cáncer. Resultados: El embarazo es el periodo más destacado en la vida de una mujer, y el diagnóstico de cáncer promoverá un largo tratamiento, que puede incluir quimioterapia. Generando complicaciones durante el embarazo, y promoviendo sentimientos de miedo. Conclusión: Se puede concluir que el tratamiento de la neoplasia es esencial para la mujer embarazada. Sin embargo, promoverá sentimientos poco saludables. Por lo tanto, necesita la atención y la asistencia del equipo multidisciplinar.
Assuntos
Gravidez , Neoplasias , RadioterapiaRESUMO
The diagnosis and treatment of thyroid cancer during pregnancy is one of the hot spots and difficult problems in the diagnosis and treatment of thyroid diseases.The detection of thyroid cancer during pregnancy has been a great challenge for both clinicians and pregnant women.It should be diagnosed as soon as possible through multidisciplinary collaboration. Comprehensive and reasonable assessment of the status of pregnant women and fetuses,selection of the most appropriate treatment and follow-up methods are needed to avoid iatrogenic side effects on pregnant women and fetuses,maintain normal pregnancy and obtain the best therapeutic effect.
RESUMO
Introducción: el diagnóstico y tratamiento de cáncer durante el curso del embarazo es una situación clínica desafiante para el paciente y el médico. Dada su relativa rareza, la evidencia sigue siendo escasa, ya que es prácticamente imposible llevar a cabo grandes ensayos clínicos prospectivos. Otro tema crítico es el conflicto potencial entre el bienestar materno y fetal, esto podría conducir a la toma de decisiones inapropiadas de las mujeres embarazadas por miedo a toxicidad fetal o en el ofrecimiento de terapia que podría resultar en la morbilidad y la mortalidad fetal. Si bien hay algunas pautas generales que se pueden aplicar a todos los tipos de tumores, cada enfermedad tiene características específicas que deben ser consideradas en el curso del embarazo.
Introduction: the diagnosis and treatment of cancer during the course of pregnancy is a challenging clinical situation for the patient and the doctor. Given its relative rarity, the evidence is still scarce, as it is virtually impossible to conduct large prospective clinical trials. Another critical issue is the potential conflict between the maternal and fetal well, this could lead to inappropriate decision making from pregnant women for fear of fetal toxicity in offering therapy that could result in fetal morbidity and mortality. While there are some general guidelines that can be applied to all types of tumors, each disease has specific characteristics that must be considered in the course of pregnancy.