Abstract：
Mental anorexia nervosa is a rare, potentially severe, chronic, and recurrent mental disorder that occurs more often in women than in men, especially during the childbearing years. The disorder is associated with an increased risk of mortality, mainly related to the physical consequences of severe malnutrition and suicide. Malnutrition of the body can cause serious hormonal and somatic problems. Despite significant hormonal disturbances that reduce fertility, a woman with anorexia can become pregnant. A new phenomenon now seen with increasing frequency is pregorexia, an eating disorder associated with pregnancy. It involves the use of dietary restrictions to avoid excessive weight gain during pregnancy. Pregnancy changes the hormonal economy mainly due to the development of the placenta, which secretes many hormones, not just sex hormones. Mental anorexia poses a significant risk to both mother and child if not diagnosed and treated properly. Treatment of anorexia involves simultaneous somatic and psychological treatment. During pregnancy, additional care should be taken to create an optimal environment for the developing foetus. Unfortunately, there is still a lack of research providing guidance in this area. Available studies are mainly case reports or reports focusing on specific clinical situations. It is worth noting that no study to date has attempted a comprehensive assessment of endocrine disruption in pregnant women with anorexia. Recognising the existing knowledge gap on endocrine disorders in pregnant women with anorexia nervosa, a systematic review of the literature was conducted.
摘要：
神经性精神厌食症是一种罕见的，潜在严重,慢性，女性比男性更常发生的复发性精神障碍，尤其是在生育年龄。这种疾病与死亡风险增加有关，主要与严重营养不良和自杀的身体后果有关。身体的营养不良会导致严重的荷尔蒙和躯体问题。尽管严重的荷尔蒙紊乱会降低生育能力，患有厌食症的妇女可能会怀孕。现在出现的一种新现象频率越来越高，与怀孕有关的饮食失调。它涉及使用饮食限制，以避免怀孕期间体重过度增加。怀孕改变荷尔蒙经济主要是由于胎盘的发育，分泌许多荷尔蒙，不仅仅是性激素.如果没有正确诊断和治疗，精神厌食症对母亲和孩子都构成重大风险。厌食症的治疗涉及同时进行躯体和心理治疗。在怀孕期间,应额外注意为发育中的胎儿创造最佳环境。不幸的是,在这方面仍然缺乏提供指导的研究。可用的研究主要是病例报告或针对特定临床情况的报告。值得注意的是，迄今为止还没有一项研究试图对厌食症孕妇的内分泌干扰进行全面评估。认识到神经性厌食症孕妇内分泌失调的现有知识差距，对文献进行了系统回顾.
