Current aspects of the pathogenesis and prevention of preeclampsia

Yu. V. Shkurenko, A. D. Ibatov, S. Y. Trofimova
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Abstract

One of the most dangerous complications of pregnancy is preeclampsia. For effective prevention of preeclampsia, it is necessary to understand its mechanisms of development clearly. The analysis of modern patterns of preeclampsia cause and development are reviewed in this article. There are also the evidences of more effective strategies of prevention preeclampsia in our review, which have proven themselves most of all. The generalized endothelial mother’s disfunction is in the base of preeclampsia pathogenesis and caused by placental factors, genetical susceptibility and the lack of arterial invasion in trophoblast’s cell hereupon it increases the oxidative stress and inflammatory process, leading to complications of mother and fetus. More accurate understanding of preeclampsia mechanisms allows us to correct the adverse of lifestyle of patients and highlight those who are in the group of PE risk and need the prophylaxis to be prescribed. Nowadays, acetylsalicylic acid is a commonly accepted therapeutic medication and reliably effective (optimal dose from 75 to 162 mg). It is prescribed as the prevention from 11th to 14th week.
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子痫前期的发病机制和预防现状
子痫前期是最危险的妊娠并发症之一。为了有效预防子痫前期,有必要清楚地了解其发病机制。本文对子痫前期病因和发展的现代模式进行了分析。在我们的综述中,还有更有效的子痫前期预防策略的证据,这些策略已被证明是最有效的。胎盘因素、遗传易感性和滋养层细胞缺乏动脉侵袭是子痫前期发病机制的基础,母亲内皮功能的普遍失调会增加氧化应激和炎症过程,从而导致母亲和胎儿的并发症。更准确地了解子痫前期的发病机制,可以帮助我们纠正患者的不良生活方式,突出那些属于子痫前期高危人群、需要进行预防性治疗的患者。如今,乙酰水杨酸是一种普遍接受的治疗药物,而且疗效可靠(最佳剂量为 75 至 162 毫克)。在第 11 到 14 周期间,该药物可作为预防用药。
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