• Вагітність у жінок з епілепсією

Вагітність у жінок з епілепсією

HEALTH OF WOMAN. 2017.8(124):61–64; doi 10.15574/HW.2017.124.61  

Мелікова Шахла Ягуб гизи
Азербайджанський Медичний Університет, м Баку

Епілепсія є одним з найбільш поширених серйозних неврологічних захворювань. Вивчено безліч публікацій, що стосуються взає-мовпливу епілепсії і вагітності. Жінки з епілепсією переживають низку фізичних і соціальних проблем, пов’язаних з акушерським ризиком, ризиком нападів під час вагітності. Генералізовані епілептичні напади можуть чинити пряму пошкоджувальну дію на плід, хоча немає переконливих даних на користь достовірного підвищення частоти розвитку ускладнень під час вагітності у жінок з епілепсією. Антенатальний вплив протиепілептичних препаратів, особливо у високій дозі і в режимі політерапії, збільшує ризик розвитку вроджених мальформацій. Існують побоювання, пов’язані з впливом протиепілептичних препаратів на немовлят під час грудного вигодовування. Однак ризик ускладнень, пов’язаних як із самим захворюванням, так і впливом протиепілептичних препаратів на плід, може бути знижений за умови ретельного спільного спостереження неврологом-епілептологом та акушером-гінекологом.
Ключові слова: вагітність, антиепілептичні препарати, епілепсія, монотерапія, політерапія.

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