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肾脏病与妊娠常用免疫抑制剂:关注未解决问题。

Commonly used immunosuppressive drugs for kidney diseases and pregnancy: focus on open questions.

机构信息

Department of Clinical and Experimental Medicine, Unit of Nephrology and Dialysis, A.o.u. "G. Martino," University of Messina, Messina, Italy.

Department of Obstetrics and Gynecology SC2U, Città Della Salute E Della Scienza, Sant'Anna Hospital, Turin, Italy.

出版信息

Expert Rev Clin Pharmacol. 2021 Nov;14(11):1321-1323. doi: 10.1080/17512433.2021.1968831. Epub 2021 Aug 19.

Abstract

Pregnancy is still a challenge in women with autoimmune diseases or kidney transplantation. In this context, management of the immunosuppressive therapy is critical, but, in spite of more than 60 years of experience, many issues remain open, also because of the difficulty in disentangling, in complex patients, the effect of the disease and of the frequent multiple treatments. For this purpose, we have tried to synthesize the existing knowledge and the unresolved issues, to support counseling and promote patient empowerment.

摘要

在患有自身免疫性疾病或接受过肾移植的女性中,妊娠仍然是一个挑战。在这种情况下,免疫抑制治疗的管理至关重要,但尽管有 60 多年的经验,仍有许多问题悬而未决,这也是因为在复杂的患者中,难以厘清疾病和频繁的多种治疗的影响。为此,我们试图综合现有的知识和未解决的问题,以支持咨询并促进患者赋权。

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