风险评估和优化怀孕在患有风湿性疾病的患者
1Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, 1601 Trinity St., Austin, TX 78712, USA.
Diagnostics (Basel, Switzerland)
|July 13, 2024
概括
本综述为计划怀孕的风湿病患者提供了指导. 它的重点是通过适当的管理和安全的药物来最大限度地降低风险,以获得更好的孕产妇和新生儿结果.
科学领域:
- 类风湿病学 类风湿病学
- 产科 产科 产科 产科 产科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 患有风湿性疾病的患者经常面临不完整的关于怀孕计划和管理的信息.
- 提供者知识的变化有助于为患有风湿性疾病的孕妇提供低于最佳的护理.
- 在整个怀孕期间 (怀孕前,怀孕期间和产后) 进行风险评估对于减少并发症至关重要.
研究的目的:
- 编制最新的,以证据为基础的指导,以尽量减少与风湿性疾病患者不良妊娠结果 (APO) 相关的风险因素.
- 为优化这一群体的生育能力和妊娠健康提供全面的资源.
主要方法:
- 对当前文献和临床指南进行系统审查.
- 专注于基于证据的策略,以减轻所有妊娠阶段的风险.
- 包括关于怀孕前咨询,疾病管理和药物安全性的建议.
主要成果:
- 优化生育能力包括解决不孕不育的原因,并实现低疾病活动.
- 怀孕安全的疾病修饰性抗风湿药物 (DMARDs) 在怀孕之前是必不可少的.
- 关键是管理诸如高血压等并发症,以及明智地使用辅助药物 (例如低剂量阿司匹林).
结论:
- 积极的风险评估和管理对于预防风湿性疾病的不良妊娠结果至关重要.
- 在怀孕前通过安全药物实现低疾病活性,可以显著改善母亲和新生儿的健康.
- 综合性,特定阶段的指导可以为成功怀孕的患者和提供者提供权力.
相关概念视频
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
125
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
125
01:23Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
267
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
267
01:30Radiological Investigation I: X-ray and CT
220
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
220
01:20Imaging Studies for Cardiovascular System III: X-Ray
169
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
169
01:22Nursing Diagnosis
2.7K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.7K
01:19Rh Blood Group
1.4K
The Rhesus (Rh) antigen is crucial in determining blood groups and ensuring compatibility during blood transfusions.
1.4K