风湿性疾病中的避孕护理:一篇综述
Nicole Luche1, Mehret Birru Talabi2
1From the Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
概括
对于患有风湿性和肌肉骨疾病 (RMDs) 的人来说,避孕对于管理生殖健康至关重要. 许多RMD患者需要针对安全的避孕选择进行量身定制的咨询,特别是那些服用致病药物或有严重疾病活动的患者.
科学领域:
- 类风湿病学 类风湿病学
- 妇科 妇科 妇科 妇科
- 药理学 药理学是指药理学的学科.
背景情况:
- 对于患有风湿性和肌肉骨疾病 (RMDs) 的人来说,避孕对于预防意外怀孕和改善生殖健康结果至关重要.
- 然而,许多患有RMD的女性缺乏关于避孕选择的一致性,疾病特异性咨询,特别是那些服用致病药物或有严重疾病活动的女性.
- 有效的避孕咨询可以使这些人能够选择合适的方法,优化他们的健康和怀孕计划.
研究的目的:
- 审查RMD女性可用的可逆性处方避孕方法.
- 根据已公布的安全指南,强调针对RMD的具体避孕考虑因素.
- 识别关于避孕和RMD的知识差距.
主要方法:
- 关于RMD女性可逆性处方避孕的初级文献的叙述性综述.
- 在已建立的避孕安全指南框架内.
- 考虑特定的RMD和患者群体 (例如,系统性红斑狼,抗脂抗体,青少年).
主要成果:
- 对于患有RMD的女性来说,有许多安全有效的避孕方案.
- 系统性红斑狼患者可能会经历外源性雌激素的疾病爆发;由于血栓形成风险,具有阳性抗脂抗体的人对含有雌激素的避孕药物禁用.
- 德波特 (Depot) 甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基乙基甲基甲基甲基甲基甲基乙基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基乙基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基甲基
结论:
- 对于大多数患有RMD的女性来说,可使用安全有效的避孕方法.
- 个性化咨询是必不可少的,考虑到特定的RMD,药物和患者因素,如血栓形成风险和疾病活性.
- 需要进一步研究避孕措施对RMD活动和副作用的影响.
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