Vpliv luskavice na nosečnost : diplomsko delo

Trpin, Simona (author), Mihelič Zajec, Andreja (mentor), Mlinar, Suzana (reviewer)

Uvod: Luskavica je avtoimuna bolezen, ki najpogosteje prizadene ženske v reproduktivni dobi. Zaradi pomanjkanja informacij o tem, kaj se dogaja z žensko, obolelo za luskavico in plodom oziroma otrokom pred in med nosečnostjo ter po porodu samem, je lahko za žensko nosečnost zelo stresna, predvsem če ni bila ta načrtovana. Namen: Namen diplomskega dela je predstaviti vpliv luskavice na življenje žensk, ki se odločajo za materinstvo. Namen je tudi ugotoviti, ali imajo ženske z luskavico težave pri zanositvi, ali imata bolezen in njeno zdravljenje določen vpliv na izid nosečnosti, oziroma ali puščata posledice na materi in otroku. Metode dela: Uporabljena je bila deskriptivna metoda dela z narativnim pregledom literature. Opravljen je bil pregled slovenske in angleške strokovne in znanstvene literature. Iskanje literature je potekalo v podatkovnih bazah COBIB.SI, CINAHL with full text, Science direct, Willey online library, Medline (PubMed), do katerih smo dostopali preko Digitalne knjižnice Univerze v Ljubljani in prek spleta. Časovni okvir objav iskane literature je od leta 2011 do 2021. V analizo smo vključili 24 člankov. Rezultati: Luskavica sama po sebi ne vpliva na plodnost in ne vpliva na nosečnost samo in njen izid, vpliva pa lahko s komorbidnostmi, kot so nosečniški diabetes, nosečniška hipertenzija in preeklampsija. Za zdravljenje med nosečnostjo se v prvi vrsti uporablja emoliense in blago do zmerno močne kortikosteroide, pa tudi ultravijolično B -sevanje in inhibitorje tumorskih nekroz ter sistemska zdravila, kot je ciklosporin. Med nosečnostjo se stanje izboljša zaradi hormonov, 6 do 8 tednov po porodu pa so bila zabeležena poslabšanja. Razprava in zaključek: Ženske z luskavico bi morale vnaprej načrtovati nosečnost in se za varno nosečnost informirati in konzultirati z dermatologom in ginekologom. Smiselno bi bilo opraviti dodatne raziskave na to temo, saj se veliko podatkov izključuje.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, luskavica, nosečnost, zdravljenje, načrtovanje
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [S. Trpin]
• Year: 2021
• Number of pages: 28 str.
• PID: 20.500.12556/RUL-128339
• UDC: 616-083
• COBISS.SI-ID: 70299651
• Publication date in RUL: 09.07.2021

Secondary language

• Language: English
• Title: The impact of psoriasis on the pregnancy : diploma work

Abstract

Introduction: Psoriasis is an autoimmune disease that most commonly affects women in reproductive age. Due to the lack of information about what happens before and during pregnancy, and after childbirth with a woman with psoriasis and fetus or a child, a pregnancy can be very stressful for a woman, especially if it was not planned. Purpose: The purpose of this study is to present the impact of psoriasis on the lives of women who are planning motherhood. The purpose is to determine whether women with psoriasis have difficulty conceiving, whether the disease itself, as well as treatment affects the outcome of pregnancy or if they leave consequences on the mother and child. Methods: A descriptive method of work with a narrative review of the literature was used. A review of Slovenian and English professional and scientific literature was performed. The literature search was performed in COBIB.SI databases, CINAHL with full text, Science direct, Willey online library, Medline (PubMed), which were accessed through the Digital Library of the University of Ljubljana and online. The time frame for publications of the searched literature is from 2011 to 2021. We have included 24 articles in the analysis. Results: Psoriasis itself does not affect fertility and does not affect pregnancy alone and its outcome. However, it can be affected by comorbidities such as gestational diabetes, gestational hypertension, and preeclampsia. Mild to moderate corticosteroids and emollients are used primarily for treatment during pregnancy, ultraviolet B salvage is used in the second place, and tumor necrosis inhibitors and systemic drugs such as cyclosporine are the third choice. In pregnancy psoriasis improves, because of high level hormones and worsening has been reported 6 to 8 weeks after delivery. Discussion and conclusion: Women with psoriasis should plan their pregnancy in advance and get informed and consulted by a dermatologist and gynecologist, for a safe pregnancy. It would make sense to conduct further research on this topic, because many of information is incompatible.

• Keywords: diploma theses, nursing care, psoriasis, pregnancy, treatment, planning