炎症性肠病你问我答
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| Publishes | Weekly | Episodes | 109 | Founded | 4 years ago |
|---|---|---|---|---|---|
| Language |  ZH-CN | Categories | Health & FitnessMedicineNutrition | ||
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对于女性而言，首先应该是将自己的疾病控制在缓解期再怀孕，这是保障母子健康的基础。在饮食和营养补充上，您需要在孕期多食用富含热量、维生素和矿物质的食物，必要时需要可以咨询营养专家。另外，在孕前12周之前补充叶酸是非常重要的，常规推荐剂量是400微克/天；但对于服用柳氮磺胺吡啶或者小肠接受过切除术的患者，叶酸的需要量要增加到2000微克/天。回肠末端被切除的患者，还需要补充维生素B12。如果您在服用激素，则需要增加钙剂避免骨质疏松。此外，补铁也很重要重要，我们推荐应用含铁的水剂，可以避免恶心……——... more
首先，疾病活动期怀孕对妈妈和孩子是否有不好的影响呢？从目前国内外的研究结果来看，炎症性肠病女性患者的生育结局与正常人相似，疾病缓解期与活动期对不良妊娠结局（也就是流产、死胎、发育异常、低体重儿等等）的影响也是相似的。但是，疾病活动的确会有更高的风险，主要是可能导致妊娠期间疾病加重和出现妊娠并发症。举例来说，处于疾病活动期的患者更容易出现早产，胎儿体重偏低等情况。因此，患者最好在怀孕前将疾病控制为缓解期，并且怀孕过程中保持疾病缓解。当然，如果孕期出现疾病活动，还是应按照需要给予药物治疗，必要时可以... more
首先，您要考虑自己的疾病类型和病情等具体情况，结合您平时的饮食限制和饮食习惯，进行食物的初步选择。如果您有挑选聚餐地点和菜品的机会，那么在聚餐之前，您可以先打电话咨询相关餐馆的具体菜单，事先找出您认为比较适合您的菜品，并且记录下来。这样，您在聚餐时就能做到“心中有底”。同样地，在某次聚餐之后，如果您觉得某家餐馆的菜特别合适，您可以记下餐馆和菜品的名字，下次聚餐时就可以优先考虑这些餐馆。——本集内容感谢杨庆帆，郅敏医师供稿；编辑：六十元，主播：可爱霸王龙，后期：lemo酱 。
克罗恩病和溃疡性结肠炎都以15～35岁为高发年龄段，很多患者在确诊和治疗时恰逢最佳生育年龄，对于每一位育龄期男性或女性，完成生育是一生中非常重要的部分。但是，大部分人也会担心，到底炎症性肠病和治疗炎症性肠病的药物对患者的生育是否存在影响呢？炎症性肠病本身以及它的活动情况、用药情况和手术治疗方案是否会影响患者的生育过程及怀孕结局呢？本期开始我们将会为大家介绍相关内容。——本集内容感谢杨庆帆，郅敏医师供稿；编辑：六十元，主播：可爱霸王龙，后期：lemon酱 。 more
由于炎症性肠病本身比较复杂，用药也会与许多药物有冲突，患友们也时常会担心自己在患其他疾病时候改怎么办？那今天我们就来聊一聊这个问题。其实呢，这个问题比较大，因为其他疾病的范围太广泛。但是，不管是什么疾病，去哪个科室就诊，很重要的一点是您需要告诉其他科的医生您有炎症性肠病，保障医生在诊疗过程中可以考虑到您的疾病基础，必要还可以请专科医生讨论会诊。并且吖，大部分时候，炎症性肠病本身不会影响其他疾病的治疗。下面我们就来举两个例子进一步说明这个问题。——本集内容感谢杜鹃医师供稿；编辑：六十元，主播：西西... more
妊娠期女性本身有其特殊性，使用活疫苗对胎儿的安全性还不明确。一般来说，如果需要接种疫苗，必须要在医生指导下进行，并且最好选择死疫苗。例如，灭活的流感疫苗就是相对安全的，接种后产生的免疫球蛋白（就是一种发挥预防作用的物质），也可通过胎盘传递给胎儿，保持6个月的保护性。 more
炎症性肠病患者应该接受哪些免疫接种？首先，请记得尽量告知您之前接种过的疫苗种类，并协调IBD药物治疗开始时间，尽量保障在治疗前接种常见感染的疫苗，包括麻疹、水痘、白喉、百日咳、破伤风、脊髓灰质炎、甲肝、乙肝等。同时，我们推荐IBD患者接种灭活的流感疫苗和肺炎球菌疫苗，以预防每年的流感，因为治疗药物可能会影响疫苗接种的效果；而女性患者也应当正常接种人乳头状瘤病毒疫苗，也就是HPV疫苗。 more
免疫接种，也就是大家俗称的打疫苗、防疫针或者预防接种等，是把疫苗接种在健康人的身体内，使人在不发病的情况下,产生对抗特定疾病的抵抗力，从而预防感染性疾病。在我国，疫苗接种有着严格的接种计划，相信你们一定还记得小时候吃的糖丸，其实就是脊髓灰质炎的疫苗糖丸，用于防止我们所谓的小儿麻痹症。 more
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炎症性肠病你问我答 launched 4 years ago and published 109 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.
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