妇科健康:多发性硬化症综合治疗监测中的缺失环节
Melika Arab Bafrani1, Viviana Rios1, Min Ji Kim1
1UCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.
概括
多发性硬化症 (MS) 的疾病修饰疗法需要注意妇科健康. 这篇评论强调了HPV,阴道炎和疹病毒感染等风险,并提供了减轻生活质量改善的策略.
科学领域:
- 妇科瘤学 妇科瘤学
- 传染性疾病 传染性疾病
- 神经免疫学 神经免疫学
背景情况:
- 多发性硬化症 (MS) 疾病修饰疗法 (DMT) 的安全监测历史上忽视了妇科健康.
- 神经学咨询往往缺乏专门关注MS患者的妇科健康.
研究的目的:
- 审查与MS DMTs相关的妇科并发症.
- 为治疗多发性硬化症妇女的临床医生概述风险减轻策略.
主要方法:
- 现有关于DMT接受多发性硬化患者妇科健康的文献的专题综述.
- 确定并发症和相关风险因素的分类.
主要成果:
- 人类乳头瘤病毒 (HPV) 阳性,宫发育不良和癌症的风险增加.
- 对炎症性阴道炎,传染性阴道炎和细菌性阴道炎 (BV) 的更高易感性.
- 疹病毒感染的发病率增加,包括生殖器疹简单病毒 (HSV).
结论:
- 积极的妇科健康管理对于患有MS的女性在DMT上至关重要.
- 策略包括HPV疫苗接种,量身定制的宫癌查和抗病毒抑制.
- 关于妇科健康的公开沟通可以提高患者的生活质量.
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