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  1. Заболевания
  2. Заболевания суставов

Ревматоидный артрит при беременности причины, симптомы, методы лечения и профилактики

Дата публикации: 08.04.2019

Дата проверки статьи: 02.12.2019

Ревматоидный артрит — воспалительное заболевание суставных тканей. Подразумевает повреждение клеток иммунной системой. Заболевание характеризуется хроническим течением, развивается постепенно, поражая суставные ткани поочередно. Чаще диагностируется у представительниц женского пола в возрасте от 40 лет. Многие планируют беременность на данный возрастной период, что привело к увеличению частоты возникновения ревматоидного артрита при беременности и после неё. Заболевание не сказывается на возможности иметь детей, однако для уменьшения риска возникновения осложнений требуются периодические консультации у ревматолога и гинеколога.

Содержание статьи

Причины возникновения ревматоидного артрита при беременности

Артрит — воспаление клеток костно-суставного аппарата. Точные причины развития болезни не установлены, однако врачи выделяют факторы, увеличивающие вероятность развития болезни:

  • физические повреждения суставов;
  • синдром плоской стопы;
  • заболевания аутоиммунного характера;
  • избыточная масса тела, объясняется повышенной нагрузкой на суставы;
  • интенсивные физические нагрузки;
  • частые переохлаждения;
  • наследственный фактор;
  • сидячий образ жизни.

При беременности и после родов у женщины отмечается нарушение гормонального фона. Концентрация релаксина возрастает в несколько раз. Данный гормон отвечает за расслабление связочного аппарата. Ревматоидный артрит обостряется при осложнениях во время вынашивания ребёнка, например при токсикозе.

Как беременность влияет на ревматоидный артрит?

Чаще процесс вынашивания ребёнка ускоряет наступление ремиссии. У беременной быстрее проходят болезненные ощущения, ограничения в движении поражённого сустава, исчезает отчёность.В течение первого триместра у 46 женщин из 100 заболевание становится менее активным. Положительные изменения объясняются гормональным фоном беременной. В случае отсутствия осложнения роды проходят без дополнительного лечения. При обострении ревматоидного артрита, нарушении работы почечной и сердечной системы рекомендуется кесарево сечение.

У 7 женщин из 10 после родов заболевание обостряется, приблизительно через 70 дней. В этот период требуется наблюдение у врача, прохождение медикаментозного курса лечения.

Опасность ревматоидного артрита при беременности

При ревматоидной форме воспаления суставов запрещать можно, однако для планирования вынашивания ребёнка потребуется больше времени. Заболевание в стадии ремиссии не оказывает влияние на течение беременности. Дети рождаются здоровые. При соблюдении рекомендаций врача болезнь не вызывает осложнений ни у женщины, ни у её ребёнка.

Проблемы возможны в случае тяжелого развития заболлевания, когда в организме будущей матери формируются антитела, которые препятствуют фиксацию яйца к стенке матки. Дополнительная угроза для плода — назначение лекарств во время вынашивания ребёнка.

Лечение ревматоидного артрита при беременности

При диагностировании артрита беременной требуется постоянное наблюдение у доктора. В случае обострения заболевания курс лечения меняется. При отсутствии ухудшении женщине показана госпитализация каждые 90 дней для оценки развития ревматоидного артрита, коррекции терапии, профилактики осложнений.

Не смотря на постепенное уменьшение воспаления, терапия при вынашивании ребёнка необходима. Врач подбирает вид препарата, его дозировку исходя из индивидуальных особенностей развития заболевания. При низкой активности ревматоидного артрита используют противовоспалительный нестероидный препарат до 4 месяца беременности. Применение после данного срока может повлечь нарушение работы почек у ребёнка.

При низкой эффективности НПВС используют гормональный препарат синтетического происхождения. В случае правильного расчёта дозировки угрозы для плода и матери нет. При длительной ремиссии врач может отменить приём всех препаратов до момента родов.

В тяжёлых случаях лечение ревматоидного артрита в процессе вынашивания ребёнка проводится при помощи иммуносупрессивных лекарств. Для снижения риска обострения заболевания больной корректируется рацион питания, чтобы снизить нагрузку на органы желудочно-кишечного тракта. Беременной рекомендуются умеренные занятия спортом, также назначают физиотерапевтические процедуры. Ревматоидный артрит может передаваться по наследству, после родов врачи проводят диагностику болезни у плода с целью раннего обнаружения и профилактики осложнений.

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Причины развития ревматоидного артрита после родов

После вынашивания ребёнка риск воспалительного процесса суставных тканей увеличивается под воздействием инфекционных, аутоимунных болезней, физических повреждений сустава, переохлаждений. Также болезнь могут спровоцировать нехватка витаминов, ослабленный иммунитет, частые стрессовые ситуации.

Особенности лечения ревматоидного артрита после родов

У большинства женщин заболевание обостряется спустя 70 дней после родов, в такой ситуации больной назначается медикаментозное лечение. Чаще лактация на период прохождения терапии ревматоидного артрита прерывается. Для борьбы с заболевание используют нестероидные противовоспалительные средства, гормональные лекарства, хондропротекторы и витаминные комплексы. Вместе с медикаментозным лечением матери назначают физиотерапевтические процедуры. При низкой эффективности консервативных методик потребуется хирургическое вмешательство. Поражённый сустав удаляют, устанавливают имплант.

Источники

  1. Влияние беременности на активность ревматоидного артрита и его терапию по данным проспективного наблюдения, Матьянова Е.В. Кошелева Н.М Алекберова З.С. Александрова Е.Н, 2015
  2. Ревматоидный артрит и беременность Кошелева Надежда Михайловна Матьянова Е.В, 2014

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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


    [~PREVIEW_TEXT] => 

	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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Сергей Шнуров

Российский рок-музыкант, киноактёр, телеведущий и художник.

Ц. М. Р. Т. «Петроградский» спасибо!

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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.

Открыть скан отзыва 
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Русанова

Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.

Открыть скан отзыва 
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!

Открыть скан отзыва 
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Кузнецов В.А.

Очень отзывчивый администратор. Вежливая, культурная, добрая.

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Храброва В.Е.

Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.

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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.

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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.

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    ул. Касаткина, 3

    +7 495 640-36-09

    8:00–22:00 без выходных

    Автомобиль можно оставить на бесплатной городской парковке в кармане напротив центра

  • Дубровка

    ул. Шарикоподшипниковская, 1

    +7 495 640-36-09

    8:00–22:00 без выходных

  • Сокольники

    ул. Стромынка, 11

    +7 495 640-36-09

    8:00–22:00 без выходных

    Автомобиль можно оставить на бесплатной городской парковке на ул. Малая Остроумовская 1Г, около 200 метров до входа в центр

  • Новослободская

    ул. Палиха, 10, стр. 10

    +7 495 640-36-09

    8:00–22:00 без выходных

    Автомобиль можно оставить на парковке центра, въезд с ул. Сущевская между домами 23 и 27. Для въезда закажите пропуск у оператора при записи.

Санкт-Петербург
  • Чернышевская

    ул. Захарьевская, д. 14

    +7 812 640-36-03

    8:00–23:00 без выходных

    Автомобиль можно оставить возле центра на улице Захарьевской

  • Нарвская

    ул. Ивана Черных, д. 29

    +7 812 640-36-03

    8:00–23:00 без выходных

    Автомобиль можно оставить возле центра в Молодёжном переулке или на улице Метростроевцев

  • Озерки

    Выборгское ш., д. 40

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить в парковочном кармане возле центра. Или возле дома 48, в 200 метрах от центра

  • Ладожская

    ул. Ленская, д. 19, корп. 1

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно поставить на улице Ленской. Или во дворе дома 19, корп. 1

  • Петроградская

    ул. Рентгена, д. 5

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить возле центра на улице Рентгена

  • Московская

    ул. Типанова, д. 12А

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить на улице Типанова. Или во дворе рядом с центром

  • Старая деревня

    ул. Дибуновская, д. 45

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить на Дибуновской улице возле центра. Или во дворах домов 51 и 39

Великий Новгород
Ленинградская обл.
  • Колпино

    бул. Трудящихся, д. 18, корп. 1

    8:00–22:00 без выходных

    Автомобиль можно оставить на бульваре Трудящихся или во дворе дома 22

  • Кингисепп

    ул. Воровского, д. 20

    пн, ср, пт, сб, вс — 9:00–22:00 вт, чт — 7:00–00:00

    Автомобиль можно оставить на стоянке возле центра

  • Выборг

    ул. Куйбышева, д. 10

    8:00–22:00 без выходных

    Автомобиль можно оставить возле центра на улице Куйбышева. Или на улицах Ильинская и Акулова