Objetivo: Analisar a relação entre Diabetes Mellitus Gestacional (DMG) e Diabetes Mellitus tipo 2 (DM2) com desfechos negativos maternos e fetais. Revisão Bibliográfica: O Diabetes Mellitus (DM) é uma doença crônica com grande relevância para a saúde pública, uma vez que possui alta morbimortalidade. Quando essa ocorre durante a gestação, pode ser classificada como diabetes mellitus tipo 1, tipo 2 ou diabetes gestacional, sendo os dois últimos, os mais prevalentes, e portanto, mais relacionados com os desfechos negativos. Dentre as consequências fetais podemos destacar, desordens metabólicas, risco de prematuridade, hipoglicemia neonatal, aumento de mortalidade neonatal e macrossomia fetal. Já em relação aos desfechos maternos associados ao DMG e DM 2 as síndromes hipertensivas, infecção do trato urinário e hemorragia pós-parto são os mais prevalentes. Considerações Finais: Ambas as comorbidades podem estar relacionadas com desfechos negativos, tanto materno, quanto fetal, destacando-se a importância do diagnóstico precoce e tratamento adequado, através de consultas regulares de pré-natal, até o momento do parto, visando reduzir tais complicações.
Snake envenomations are one of the most common venomous accidents caused by animals in the world. The symptoms induced after bite vary accordingly to the species. Most of the snake venoms elicit direct or indirect activation of the innate immune responses that ranges from local to systemic effects and contributes to the clinical manifestations after envenoming. The venom interacts with the immune system by inducing the release of damage-associated molecular patterns, which contributes to create a proinflamatory status, release of cytokines and lipid mediators, and has properties to modulate other components of the innate immune system like the complement system. In this review, we highlitht some studies that point out over the years the mechanisms by which snake venoms interact with the innate immune system, as well as the pharmacological potential of this class of compounds with great applicability to the medical field.
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