Wydanie 4/2019
str. 54 - 56
Nieinfekcyjne zapalenie błony naczyniowej u kobiet w ciąży
Non-infectious Uveitis During Pregnancy
Anna Uliasz 1 , Karolina Wojtaszek-Woźniak 1 , Kamila Nester-Ostrowska 1 , Aneta Lewicka-Chomont 1,2
1 Klinika Okulistyki Klinicznego Szpitala Wojewódzkiego Nr 1 im. Fryderyka Chopina w Rzeszowie
Kierownik: dr n. med. Aneta Lewicka-Chomont
2 Wydział Medyczny Uniwersytetu Rzeszowskiego
Summary: Autoimmune diseases affect many women who are often in their reproductive years. The hormonal as well as immunological changes in pregnancy have a key role in maintaining maternal tolerance of the semiallogeneic foetus. These changes may also influence the course of maternal autoimmune diseases. The increased levels of oestrogen and progesterone during pregnancy result in the suppression of Th1 associated immunity but the up-regulation of Th2 associated immune responses. The general consensus is that uveitis activity improves in pregnancy, with significantly decreased disease activity from the mid pregnancy onwards .The treatment of uveitis during pregnancy requires a thoughtful approach by the physician and patient, each patient’s clinical situation must be individually addressed.
Słowa kluczowe: zapalenie błony naczyniowej, ciąża, choroby autoimmunoligiczne.
Keywords: uveitis, pregnancy, autoimmune diseases.