PharmatecaPharmatecaФарматека2073-40342414-9128Bionika Media289773ArticlesСтатьиResearch ArticleHYPERTENSION IN PREGNANCY: DIAGNOSIS, TREATMENT, PREVENTION OF COMPLICATIONSАРТЕРИАЛЬНАЯ ГИПЕРТЕНЗИЯ У БЕРЕМЕННЫХ: ДИАГНОСТИКА, ЛЕЧЕНИЕ, ПРОФИЛАКТИКА ОСЛОЖНЕНИЙPustotinaO. AПустотинаО. А

MD, Prof. at the Department of Obstetrics, Gynecology and Reproductive Medicine FATMP

д.м.н., проф. кафедры акушерства, гинекологии и репродуктивной медицины ФПК МР

pustotina@gmail.comPeoples' Friendship University of RussiaРУДН10022017243NO3 (2017)№3 (2017)122126022023Copyright ©; 2017, Bionika MediaCopyright ©; 2017, ООО «Бионика Медиа»2017Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/2073-4034/article/view/289773

In pregnant women, the presence of arterial hypertension is associated with such serious complications of pregnancy as preeclampsia, eclampsia, preterm delivery, placental abruption, antenatal fetal death, cerebrovascular disease and stroke in the mother. The review presents the modern classification of arterial hypertension in pregnant women (chronic hypertension, gestational hypertension, «de novo» pre-eclampsia or pre-eclampsia on the background of chronic hypertension; «white coat» hypertension); principles of diagnosis of various hypertensive disorders and their pathogenesis during pregnancy are discussed. International and national recommendations on the tactics of management of pre-eclampsia and its prevention and treatment (antihypertensive therapy, aspirin, calcium supplements, vitamin D) are presented. It is emphasized that the results of treatment of hypertensive disorders in pregnant women are not always successful. Therefore, special attention should be paid to the prevention of their development at the stage of preparation and planning of pregnancy.

У беременных женщин наличие артериальной гипертензии ассоциируется с такими серьезными осложнениями беременности, как преэклампсия, эклампсия, преждевременные роды, отслойка плаценты, антенатальная гибель плода, нарушение мозгового кровообращения и инсульт у матери. В обзоре представлена современная классификация гипертензии у беременных (хроническая гипертензия; гестационная гипертензия; преэклампсия, возникшая «de novo» или на фоне хронической гипертензии; гипертензия «белого халата»), рассмотрены принципы диагностики различных гипертензивныхрасстройств и их патогенез при беременности. Приведены международные и отечественные рекомендации по тактике ведения преэклампсии, ее профилактике и лечению (антигипертензивная терапия, аспирин, препараты кальция, витамин D). Подчеркивается, что результаты терапии гипертензивных расстройств у беременных женщин далеко не всегда успешны. Поэтому особое внимание необходимо уделять профилактике их развития на этапе подготовки и планирования беременности.

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