Causes of the disease
Unfortunately, modern medicine has not yet been able to establish the reason due to which the immune system "fails" and it begins to produce special proteins (antibodies) to certain body tissues, as a result of which its own healthy cells and tissues are damaged. Antiphospholipid bodies include: lupus anticoagulant and anticardiolipin antibodies. These types of antibodies can be detected in a variety of diseases, as well as while taking certain medications. Therefore, only a professional doctor can correctly diagnose antiphospholipid syndrome and prescribe the necessary treatment.
The diagnosis of "antiphospholipid syndrome" is made in the presence of two clinical manifestations:
- the presence of arterial or venous thrombosis
- loss of pregnancy due to severe toxicosis in the second half of pregnancy.
To confirm the diagnosis, a blood test is done to detect antiphospholipid antibodies and the number of platelets in the peripheral blood is determined. The diagnosis of "primary APS" is made if the patient has no systemic autoimmune (or some other) diseases. In the case of the presence of such diseases, we are already talking about "secondary APS".
When antiphospholipid antibodies are detected and the diagnosis of "APS" is made, a woman should take pregnancy planning seriously and strictly follow the recommendations of obstetricians-gynecologists and hemostasiologists. Such women are prescribed direct anticoagulants in early pregnancy. Sometimes their reception continues until childbirth. If there were no miscarriages and thrombosis before, then the appointment of low doses of aspirin is sufficient.
Throughout pregnancy, careful regular monitoring is necessary: ultrasound examination of the fetus, control over blood clotting, analysis of immunological indicators. Indirect anticoagulants are contraindicated during pregnancy. However, already during lactation, their intake is not prohibited.
The Department of Obstetrics and Gynecology of the Gatling-Med Clinic deals with the complex diagnosis and treatment of miscarriage. Antiphospholipid syndrome, today, a poorly understood pathology. However, our specialists have the necessary experience and knowledge to timely identify the presence of this disease and prevent its negative impact on the course of your pregnancy!