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Введение

Рассеянный склероз (РС) – это иммуноопосредованное демиелинизирующее заболевание ЦНС, которое является одной из ведущих причин инвалидизации среди неврологических заболеваний. РС непропорционально чаще поражает женщин, чем мужчин, в соотношении приблизительно 2:1 к 3:1, а средний возраст начала РС составляет около 30 лет. В целом, распространенность РС наиболее высока в странах Северной Америки и Европы и наименьшая – в Азии, Океании и Южной Америке. Поскольку рассеянный склероз часто возникает у женщин репродуктивного возраста, вопросы планирования и ведения беременности у таких пациенток требуют особого внимания.

В данной статье рассматриваются вопросы планирования семьи, оценки активности РС, необходимости терапии препаратами, изменяющими течение заболевания (ПИТРС), а также влияние РС на беременность и беременности на течение РС. Кроме того, обсуждаются правила отмены ПИТРС перед зачатием и применение ПИТРС во время беременности.

Планирование беременности (прегравидарная подготовка)

Влияние рассеянного склероза на исходы беременности

Влияние беременности на активность рассеянного склероза

Полезные материалы

Резюме

Список литературы