Fischer-Betz R
Klinik für Endokrinologie, Diabetologie und Rheumatologie, Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, 40225 Düsseldorf, Deutschland.
Internist (Berl). 2012 Sep;53(9):1047-53. doi: 10.1007/s00108-012-3029-2.
The treatment of inflammatory rheumatic diseases, such as rheumatoid arthritis, spondylitis ankylosans and systemic lupus erythematosus, is improving continuously. This has lead to an increasing number of young patients with a wish to have children. Greater insight into the course of rheumatic diseases during pregnancy and post partum has enabled optimized support for women with rheumatic diseases wishing to have children. To ensure a favorable outcome, pregnancy should be started during a period of disease stability and should be monitored closely. A careful assessment of possible risks and the justified use of antirheumatic drugs before, during and after pregnancy are key issues for success.
类风湿关节炎、强直性脊柱炎和系统性红斑狼疮等炎性风湿性疾病的治疗正在不断改善。这使得越来越多的年轻患者希望生育。对风湿性疾病在妊娠和产后病程的更深入了解，使得能够为希望生育的风湿性疾病女性提供优化的支持。为确保良好结局，应在疾病稳定期开始妊娠，并应密切监测。仔细评估可能的风险以及在妊娠前、期间和之后合理使用抗风湿药物是成功的关键问题。
