Gebelikte Sık Karşılaşılan Otoimmün Hastalıklar ve Ebelik Yaklaşımı

Yıl 2020, Cilt: 2 Sayı: 1, 30 - 36, 29.02.2020

Saadet Yazıcı , Emine Kınık

Öz

Sistemik otoimmün hastalıklar üreme çağındaki kadınlarda yaygın olarak görülmektedir. Otoimmün hastalıklar vücudun kendi hücrelerine karşı anormal immünolojik reaksiyon ile karakterize, doku ve organlarda iltihaplanma ve hasar ile sonuçlanan hastalıklardır. Gebelikte annenin immün sistemi, fetüsün immün sistemine uyum cevabı verecek şekilde değişir. Gebelik nedeni ile bazı otoimmün hastalıklar (SLE, RA vb.) agreve olurken bazıları ise hiçbir alevlenici ya da ilerleyici etki göstermemektedir. Ancak otoimmün hastalıkların tedavisi gebelik sürecinde istenmeyen etkilere neden olabilmektedir. Otoimmün hastalığa sahip kadınlarda, hastalık sebebi ile meydana gelebilecek fizyolojik değişimler ve komplikasyonlar açısından hastalığın uygun değerlendirilmesi ve yönetimi kritik öneme sahiptir. Bu nedenle sağlık bakım profesyonelleri otoimmün hastalıkların gebelikte yönetimi ve gebeliğe olan etkileri hakkında bilgi sahibi olmalıdır.
Anahtar kelimeler: Ebelik Yaklaşımı; gebelik, otoimmün hastalık

Anahtar Kelimeler

ebelik yaklaşımı, gebelik

Common Autoimmun Disease During Pregnancy and Midwifery Approach

Öz

Systemic autoimmune diseases are relatively common in women of childbearing age. Autoimmune diseases are characterized by an abnormal immunologic reaction against one’s own cells, tissues, and organs, resulting in inflammation and damage. During pregnancy, the immune system changes in response to accommodation of the fetal immune system. Because of pregnancy, some autoimmune disorders (e.g., rheumatoid arthritis, systematic lupus erythematosus) improve during pregnancy. For others, pregnancy has no effect on the progress of the disorder but the disorder or treatment can have adverse effects on the course of pregnancy. The awareness of pregnancy-related physiologic changes and complications is critical for the appropriate assessment and management of pregnant patients with systemic autoimmune diseases. Therefore, health care professionals should be informed about the management of autoimmune diseases during pregnancy and their effects on pregnancy

Anahtar Kelimeler

Midwifery approach; pregnancy; autoimmun disease

Kaynakça

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