20.07.2015

Y can\u0027t i get pregnant i have lupus

Even when other predictors of poor pregnancy outcomes in lupus were controlled for, elevated Bb was still associated with at least a 40% increased risk of pregnancy complications. Despite the well-established association between SLE and APL with pregnancy complications, only 20% of women with these conditions who become pregnant when their SLE is inactive, in fact, have poor pregnancy outcomes.
Even if you take medicine for lupus, you may find that there are times when the symptoms become worse. A rheumatologist (ROOM-uh-TALL-uh-jist) is a doctor who specializes in treating diseases that affect the joints and muscles, like lupus.
People with chronic diseases like lupus should check with their health care professional before starting an exercise program.
Scientists have demonstrated that people with lupus who test positive for certain antibodies are more likely to have severe flares, and that taking prednisone can prevent flares in many individuals.
Researchers have found that the process of clearing out dead cells from the body may not work well in lupus. Scientists are beginning to understand what roles different types of immune cells play in lupus. Proteins have been identified in the urine of lupus patients that can indicate the type and severity of kidney disease they have. Certain genes make some people more likely to have serious complications, such as kidney disease.


It was assumed that the likelihood of pregnancy complications was too high in this population. The study has identified multiple clinical and biologic markers that correlate with adverse pregnancies, including, most recently, the activation of complement, a series of proteins that protect us from invading microbes. Identification of those women likely to have safe, uncomplicated pregnancies with biomarkers, including products of complement activation, along with clinical risk factors, would enable us to reassure low-risk mothers that their pregnancies should progress normally, and reduce the need for extensive medical evaluations, visits, and costs.
Salmon's work is also helping to identify drug targets that could benefit SLE and APL patients at risk for pregnancy complications. Telling a doctor about your symptoms and other problems you have had can help him or her understand your situation. Your obstetrician and your lupus doctor should work together to find the best treatment plan for you.
NIAMS researchers have found a gene linked to a higher risk of lupus kidney disease in African Americans. However, ongoing work by researchers at Hospital for Special Surgery (HSS) is helping identify those lupus patients who are - and aren't - at increased risk of problem pregnancies. Many people feel very tired or have pain, a rash, a fever, stomach discomfort, headache, or dizziness just before a flare. We don’t understand why some people seem to have more problems with lupus than others.


Other health professionals who can help you deal with different aspects of lupus include psychologists, occupational therapists, dermatologists, and dietitians. They also may make fewer visits to the doctor, have more self-confidence, and remain more active. The people you live with and work with may have trouble understanding that you’re sick. More men develop drug-induced lupus because the drugs that cause it, hydralazine and procainamide, are used to treat heart conditions that are more common in men. Steps to prevent flares, such as limiting the time you spend in the sun (and artificial indoor light) and getting enough rest and quiet, can also be helpful.
This information, along with a physical examination and the results of laboratory tests, helps the doctor decide whether you have lupus or something else. The important thing is to follow up with your health care team on a regular basis, even when your lupus is quiet and all seems well. Other people who have similar genetic backgrounds may not get signs or symptoms of the disease.



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