Síndrome antifosfolípide e diabetes mellitus na gestação
Palavras-chave:
diabetes mellitus, diabetes gestacional, tromboembolismo, sindrome antifosfolipidicaResumo
O diabetes mellitus é uma doença metabólica que, quando presente em mulheres grávidas, cursa com maior risco materno e fetal, tanto em casos de diabetes gestacional como pré-gestacional. A síndrome antifosfolípide consiste na presença de anticorpos antifosfolípides e complicações clínicas, com pior prognóstico gestacional e maior número de perdas fetais. A associação do diabetes mellitus com a síndrome antifosfolípide é frequente. A presença de anticorpos antifosfolípides em gestantes diabéticas é alta, podendo aumentar o risco de doenças oclusivas vasculares, ocasionando maior morbidade materno-fetal. Desta forma, destacamos a importância da propedêutica diagnóstica da síndrome antifosfolípide em gestantes diabéticas que forem admitidas ao pré-natal, pois se os anticorpos estiverem presentes, as gestantes deverão ser tratadas de forma a evitar o comprometimento da vitalidade materna e fetal.
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