专题综述:在患有MS的妇女中,哺乳和使用DMT
Stephanie Hsu1, Ayushi Balan1, Riley Bove1
1University of California San Francisco, San Francisco, CA, USA.
概括
哺乳可能会降低患有多发性硬化症 (MS) 的女性分娩后炎症活动. 早期,有效的多发性硬化疗法和哺乳支持对于母婴健康和明智决策至关重要.
科学领域:
- 神经学 神经学
- 生殖健康 生殖健康
- 免疫学 免疫学 免疫学
背景情况:
- 大约三分之一的被诊断为多发性硬化症 (MS) 的女性在诊断后怀孕.
- 在MS患者中,产后期具有炎症复发的风险.
- 哺乳和及时启动具有较低治疗滞后的疾病修饰疗法 (DMT) 可以减轻这种风险.
研究的目的:
- 为了提供一个全面的概述乳房在妇女MS.
- 更新有关哺乳期影响和DMT转移到母乳中的数据.
- 支持产后多发性硬化症管理的共享决策.
主要方法:
- 现有文献的专题综述.
- 分析有关MS乳效应的数据.
- 对母乳中DMT的有限数据的评估.
主要成果:
- 哺乳可能会对MS的产后炎症活动产生保护作用.
- 大多数DMT转移到母乳中的数据有限.
- 在MS中对母婴双护理的指导方针需要重新制定.
结论:
- 临床医生需要了解如何管理母乳养和MS疗法.
- 支持患者在母乳养方面的知情选择至关重要.
- 基于证据的指导对于管理产后多发性硬化症复发和确保婴儿安全至关重要.
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