多发性硬化症,尿路感染和不孕症:一个全面的范围审查
Fatemeh Nezamzadeh1, Koray Görkem Saçıntı2,3, Aylin Esmailkhani4
1Islamic Azad University Faculty of Medicine, Tonekabon, Iran.
Journal of the Turkish German Gynecological Association
|June 11, 2025
概括
多发性硬化症 (MS) 是一种影响中枢神经系统的自身免疫性疾病. 本综述研究了微生物病原体和并发症,如多发性硬化症患者的尿路感染和性功能障碍,强调需要更好的管理.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
背景情况:
- 多发性硬化症 (MS) 是一种进展性自身免疫性疾病,影响中枢神经系统,主要影响年轻人.
- 多发性硬化导致轴突和髓的破坏,导致显著的神经系统缺陷.
- 常见的并发症包括下尿路功能障碍,尿路感染 (UTI) 和性功能障碍,随着疾病的进展而恶化.
研究的目的:
- 审查现有关于可能参与多发性硬化病原的微生物病原体的现有证据.
- 调查MS患者下尿路功能障碍,尿路感染和性功能障碍的患病率和影响.
- 强调有效管理这些并发症的重要性.
主要方法:
- 关于微生物学和临床研究的综合文献综述.
- 搜索的数据库包括PubMed和Scopus.
- 专注于研究微生物联系和MS的临床表现.
主要成果:
- 有证据表明微生物病原体与MS之间存在联系,尽管需要进一步的研究.
- 尽管治疗进展,但尿路感染和性功能障碍仍然是MS患者面临的重大挑战.
- 在MS患者中,尿路感染和皮质类固醇使用之间存在因果关系.
结论:
- 意识到MS并发症,如尿路感染和不孕不育,对于有效的患者护理至关重要.
- 早期诊断和适当的管理策略对于改善MS患者的生活质量至关重要.
- 进一步研究微生物的作用和针对并发症的有针对性的干预措施是有必要的.
相关概念视频
01:21Nursing Assessment of the Genitourinary System I: Health History
822
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
822
01:26Urinary Tract Infection I: Introduction
1.3K
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
1.3K
01:25Urinary Tract Infection II: Pathophysiology
1.5K
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
1.5K
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
434
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
434
01:17Urinary Tract Infection IV: Nursing Management
683
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
683
01:19Multiple Sclerosis l: Introduction
20
Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
20