Перцева, Т.А. and Киреева, Т.В. and Кравченко, Н.К. (2015) Хронические заболевания дыхательной системы при беременности. Подходы к диагностике и лечению. Астма та алергія, № 2. pp. 22-26.
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Abstract
Беременность – состояние организма, на фоне которого, в силу физиологических изменений, повышающих нагрузку на дыхательную систему, может провялятся ранее не диагностированная или компенсированная патология дыхательной системы. Поэтому, актуальными являются вопросы дифференциальной диагностики респираторных жалоб у беременных и ведения хронической патологии органов дыхания в гестационном периоде. В нашей статье мы продемонстрировали алгоритмы диагностического поиска у беременных с жалобами на длительный кашель и тактику ведения редко встречающихся хронических заболеваний дыхательной системы (муковисцидоз, врожденные пороки развития легких) в гестационный период. Pregnancy due to its physiological changes that increase the load on the respiratory system can reveal previously undiagnosed or compensated respiratory pathology. Therefore, the question of differential diagnosis of respiratory complaints in pregnancy and maintenance of chronic diseases of the respiratory system in gestational period are of great importance. Aim: to demonstrate approaches to management of pregnant women with chronic pathology of the respiratory system as a risk group for respiratory failure and complicated course of respiratory infections. Materials and methods. The study involved 112 pregnant women, which were divided into two main groups: Group I – woman with acute pathology of respiratory system (RS) (n = 67) and Group II – women with chronic diseases of RS (n = 45). In each group a subgroup of patients with the most uncommon and complex diagnostic pathology were identified. In Group 1 – pregnant women with complaints of prolonged cough, in Group 2 – pregnant with cystic fibrosis and congenital malformations of the lungs. All pregnant in selected subgroups were clinically assessed and tested for saturation and respiratory function (spirography with use of bronchodilator if needed). Results and discussion. The study it showed that the most common causes of prolonged cough in pregnant women were postnasal syndrome and polypharmacy in the treatment of acute bronchitis. However, two patients with a history of long-term smoking and frequent lower respiratory tract infections had irreversible obstructive changes of lung function. The main directions in the conduct of pregnant women with cystic fibrosis and congenital malformations of the lungs are to identify violations of lung function and their correction with bronchodilators. Principals of continuity and integrity of health care are very important in treatment of pregnant women with chronic broncho-pulmonary pathology. To get an appropriate consultation in hospitals of second and third levels the primary link of health care should provide a full medical record of women.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | кашель, беременность, муковисцидоз. cough, pregnancy, cystic fibrosis. |
| Subjects: | Internal Medicine Pulmonology |
| Divisions: | Departments > Department of Internal Medicine 1 (formerly - Faculty Therapy and Endocrinology) |
| Depositing User: | Анастасия Жигар |
| Date Deposited: | 13 Jul 2016 11:41 |
| Last Modified: | 13 Jul 2016 11:41 |
| URI: | http://repo.dma.dp.ua/id/eprint/760 |
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