[癫痫患者妊娠的管理和计划]。

La Revue du praticien Pub Date : 2024-11-01
Sophie Dupont
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摘要

癫痫患者妊娠的管理和计划。管理癫痫患者的妊娠涉及多学科管理和妊娠计划。由于妊娠登记,某些抗癫痫药物在致畸性和神经发育方面的影响被更好地了解。两种抗癫痫药物在这方面特别有害:丙戊酸钠和托吡酯。有关最新分子的数据正在等待中。产后也应密切监测:管理母乳喂养,筛查产后抑郁症,重新平衡抗癫痫药物剂量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Managing and planning pregnancy in patients with epilepsy].

MANAGING AND PLANNING PREGNANCY IN PATIENTS WITH EPILEPSY. Managing the pregnancy of a patient with epilepsy involves multidisciplinary management and pregnancy planning. Thanks to pregnancy registries, the impact of certain antiepileptic drugs in terms of teratogenicity and neurodevelopment is better known. Two anti-epileptic drugs are particularly deleterious in this respect: sodium valproate and topiramate. Data are awaited on the most recent molecules. The postpartum period should also be closely monitored: management of breastfeeding, screening for postpartum depression, rebalancing of antiepileptic drug dosages.

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