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Asthme et grossesse : ce qu'il faut faire et ne pas faire

机译:哮喘和怀孕:做什么和不做

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Asthma and pregnancy: What you must do... and not do!: Asthma is the most frequently encountered disease in pregnant women. When uncontrolled, particularly in the event of severe exacerbations, it is associated with an increased risk of complications for the mother, the fetus and the pregnancy itself. The therapeutic objective for asthmatic pregnant women is consequently to achieve perfect control of the disease and to avoid any exacerbation at any stage of the pregnancy. That is why pharmacological treatments, particularly inhaled corticosteroids, need to be carried out, especially insofar as they have already been prescribed over the course of hundreds of thousands of pregnancies that have proceeded without complications. The main obstacle to satisfactory asthma control during pregnancy is patients' and caregivers' fear of the potential teratogenicity of pharmacological asthma treatments. However, numerous data have shown that the majority of treatments for mild to moderate asthma can be used without risk. Asthma management during a pregnancy also involves a number of non-pharmacological measures, including therapeutic education, smoking cessation and optimized indoor air quality. In the rare cases of severe asthma, the continuation or non-continuation of step 5 treatments should be discussed with specialists in severe asthma. Optimized management necessitates monthly monitoring throughout the pregnancy.
机译:哮喘和怀孕:您必须做什么……而不是!:哮喘是孕妇最常见的疾病。当不受控制时,特别是在严重加重的情况下,它与母亲,胎儿和怀孕本身的并发症的风险增加有关。因此,哮喘孕妇的治疗目标是实现对疾病的完美控制,并避免在怀孕的任何阶段发生任何恶化。这就是为什么需要进行药理学治疗,尤其是吸入的皮质类固醇,尤其是在数十万妊娠中已经开处方的情况下,尤其是在没有并发症的情况下开出了处方。在怀孕期间,令人满意的哮喘控制的主要障碍是患者和护理人员对药理学哮喘治疗潜在的致病性的恐惧。但是,许多数据表明,轻度至中度哮喘的大多数治疗方法可以使用无风险。怀孕期间的哮喘治疗还涉及多种非药物措施,包括治疗教育,戒烟和优化的室内空气质量。在极少数严重哮喘的情况下,应与严重哮喘的专家讨论第5步处理的延续或不持续。优化的管理需要在整个怀孕期间进行每月监控。

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