在平衡中找到平衡:围产期双极性障碍
Caitlin Hasser1, Maithri Ameresekere1, Christina Girgis1
1Department of Psychiatry (Hasser, Knapp, Shah) and Department of Obstetrics and Gynecology (Knapp), School of Medicine, Oregon Health & Science University, Portland, Oregon; Portland VA Health Care System, Portland, Oregon (Hasser, Shah); Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston Medical Center, Boston (Ameresekere); Edward Hines, Jr. VA Hospital, Hines, Illinois (Girgis); Department of Psychiatry, Stritch School of Medicine, Loyola University, Maywood, Illinois (Girgis).
Focus (American Psychiatric Publishing)
|May 2, 2024
概括
围产期双相情感障碍的治疗需要平衡母亲的稳定性与胎儿的安全性. 治疗包括个性化的药物选择,心理社会支持,以及由于怀孕相关的生理变化而进行仔细监测.
科学领域:
- 产科和妇科 产科和妇科
- 围产阶段精神病学 围产阶段精神病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 双极性障碍在怀孕和产后存在重大风险,包括情绪发作和不良怀孕结果.
- 保持母亲的精神稳定性至关重要,同时尽量减少胎儿对药物的暴露.
研究的目的:
- 审查和总结当前 (2018-2023) 关于治疗围产期双相情感障碍的文献.
- 概述有效的治疗策略,平衡母亲健康和胎儿福祉.
主要方法:
- 对2018年至2023年间发表的研究进行了全面的文献综述.
- 分析当前的治疗前景,包括药理和心理社会干预措施.
主要成果:
- 建议进行个性化治疗,权衡治疗不足的双相情感障碍和药物风险的风险.
- ,拉莫特里金和抗精神病药物是常用的,需要经常监测和剂量调整,因为怀孕的生理变化.
- 由于相关风险,氨酸不是一线治疗;对新药的安全性数据有限.
结论:
- 心理社会干预和谨慎的药物管理是成功治疗围产双相情感障碍的关键.
- 持续监测和剂量调整对于在怀孕期间管理药物效率波动至关重要.
- 医疗保健提供者应遵循指导方针,建议不要仅仅因为怀孕或哺乳期而停止服用药物.
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