{"id":17945,"date":"2018-06-12T08:23:53","date_gmt":"2018-06-12T06:23:53","guid":{"rendered":"http:\/\/humanitasalute.it\/donne-infertilita-lupus-eritematoso-sistemico-le-cause-vero-falso\/"},"modified":"2024-08-10T11:07:36","modified_gmt":"2024-08-10T09:07:36","slug":"86931-donne-infertilita-lupus-eritematoso-sistemico-le-cause-vero-falso","status":"publish","type":"post","link":"https:\/\/www.humanitasalute.it\/in-salute\/salute-donna\/86931-donne-infertilita-lupus-eritematoso-sistemico-le-cause-vero-falso\/","title":{"rendered":"\u201cDonne e infertilit\u00e0, il lupus eritematoso sistemico tra le cause\u201d, vero o falso?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Ricevere diagnosi di <strong>lupus eritematoso sistemico<\/strong>, per una giovane donna significa mettere in discussione la possibilit\u00e0 di avere figli. Infatti, alcune donne credono che questa patologia autoimmune possa causare <strong>infertilit\u00e0<\/strong>. Vero o falso? Risponde il professor <a href=\"http:\/\/www.humanitas.it\/medici\/carlo-francesco-selmi\" target=\"_blank\" rel=\"noopener\">Carlo Selmi<\/a>, <\/span><span style=\"font-weight: 400;\">responsabile di Reumatologia ed Immunologia Clinica presso Humanitas e docente dell\u2019Universit\u00e0 di Milano.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">&#8220;<strong>Falso<\/strong>. Il lupus eritematoso sistemico (LES) colpisce donne in et\u00e0 fertile ed in alcuni casi, specialmente se sono presenti anticorpi anti-fosfolipidi, pu\u00f2 causare ripetuti aborti e quindi ridurre la fertilit\u00e0, ovvero la capacit\u00e0 di avere un figlio &#8211; spiega l\u2019esperto. &#8211; E\u2019 vero anche che la gravidanza pu\u00f2 esacerbare e inasprire la malattia aumentando il rischio di complicazioni per la mamma e il feto. Per questo motivo, fino a pochi anni fa, alle donne veniva sconsigliata fortemente la gravidanza, soprattutto in presenza di fattori di rischio come la nefrite, oppure in corso di terapia con farmaci immunosoppressori o con specifici anticorpi. Insieme al peggioramento delle funzioni renali e dell\u2019ipertensione arteriosa, e a un aumentato rischio tromboembolico per la mamma, la donna affetta da LES ha un rischio maggiore rispetto alle donne sane di aborto spontaneo e pre-eclampsia, nota anche come gestosi gravidica che mette a rischio la vita della donna, mentre per il feto aumenta il rischio di nascita pretermine, sindrome di lupus neonatale o cutaneo, e cardiopatie congenite gravi. Oggi invece, una maggior conoscenza della patologia ha permesso anche alle donne affette da lupus eritematoso sistemico di diventare madri e allattare il proprio bimbo, grazie all\u2019introduzione di farmaci di ultima generazione, una maggior comprensione della malattia e, soprattutto, alla pianificazione della gravidanza con il proprio medico reumatologo. Infatti, come dimostra uno studio condotto dal Dipartimento di reumatologia e immunologia clinica di Humanitas Research in collaborazione con l\u2019universit\u00e0 di California, pianificare la gravidanza nel periodo di inattivit\u00e0 o remissione della malattia, aumenta le probabilit\u00e0 di portare a termine una gravidanza di successo, riducendo o evitando le complicanze note per mamma e bambino.&#8221;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ricevere diagnosi di lupus eritematoso sistemico, per una giovane donna [&hellip;]<\/p>\n","protected":false},"author":227,"featured_media":17946,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[16804],"tags":[7064,613,15275],"class_list":["post-17945","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salute-donna","tag-carlo-selmi","tag-infertilita","tag-lupus-eritematoso-sistemico"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u201cDonne e infertilit\u00e0, il lupus eritematoso sistemico tra le cause\u201d, vero o falso? - Humanitas Salute<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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