在怀孕和哺乳期间治疗
Omotola A Hope1, Katherine Mj Harris2
1Houston Methodist Sugarland Neurology Associates, Houston, TX, USA.
概括
对于患有的女性来说,酸,托皮拉和巴比他会增加重大先天性形和神经发育障碍的风险. 拉莫特里金和 levetiracetam 是更安全的抗发作药物用于怀孕.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 甲状腺学 甲状腺学
背景情况:
- 需要治疗,通常使用抗发作药物 (ASM),在怀孕和哺乳期间存在风险.
- 有限的大型随机对照试验存在ASMs在患有的孕妇.
研究的目的:
- 审查抗发作药物 (ASM) 对患有的孕妇的安全性.
- 为了告知治疗决策,平衡控制与胎儿和婴儿安全.
主要方法:
- 审查怀孕登记册,队列研究和病例控制研究.
- 对与ASM相关的主要先天性形和神经发育障碍的数据的分析.
主要成果:
- 瓦尔酸盐与重大先天性形和神经发育障碍的最高风险有关.
- 托皮拉和巴比他也带有较高的风险,尽管比酸的风险低.
- 拉莫特里金和 levetiracetam 显示相对有利的安全性.
结论:
- 在生育年龄的妇女中,治疗的选择需要仔细考虑产卵性风险.
- 建议使用拉莫特里金和 levetiracetam 作为更安全的选择.
- 对于较新的ASM和神经刺激装置,需要进一步的研究和改进数据收集.
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