other سزارین موفق در یک خانم مبتلا به ویروس کرونا و اسکلرودرمی: یک گزارش موردی غدد درون ریز و متابولیسم Endocrinology گزارش موردي Case Report <span style="font-family:yekanYW;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="FA" style="font-size:10.0pt">زمینه و هدف: </span></i></b><span lang="FA" style="font-size:10.0pt">میزان بروز پیامدهای نامطلوب پریناتال در زنان باردار مبتلا به ویروس کرونا بیشتر است.</span><span lang="AR-SA" style="font-size:10.0pt"> همچنین وجود اسکلرودرمی در این افراد سبب</span> <span lang="AR-SA" style="font-size:10.0pt">سقط،</span> <span lang="AR-SA" style="font-size:10.0pt">محدودیت</span> <span lang="AR-SA" style="font-size:10.0pt">رشد</span> <span lang="AR-SA" style="font-size:10.0pt">جنین، مرگ</span> <span lang="AR-SA" style="font-size:10.0pt">داخل</span> <span lang="AR-SA" style="font-size:10.0pt">رحمی</span> <span lang="AR-SA" style="font-size:10.0pt">جنین و</span> <span lang="AR-SA" style="font-size:10.0pt">زایمان</span> <span lang="AR-SA" style="font-size:10.0pt">زودرس</span> <span lang="AR-SA" style="font-size:10.0pt">می‌شود.</span><span lang="FA" style="font-size:10.0pt">بنابراین</span> <span lang="AR-SA" style="font-size:10.0pt">این مطالعه با هدف گزارش انجام سزارین موفق</span><b> </b><span lang="AR-SA" style="font-size:10.0pt">در</span> <span lang="AR-SA" style="font-size:10.0pt">یک</span> <span lang="AR-SA" style="font-size:10.0pt">خانم</span> <span lang="AR-SA" style="font-size:10.0pt">مبتلا</span> <span lang="AR-SA" style="font-size:10.0pt">به</span> <span lang="AR-SA" style="font-size:10.0pt">ویروس کرونا و اسکلرودرمی انجام شد.</span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="FA" style="font-size:10.0pt">معرفی بیمار: </span></i></b><span lang="FA" style="font-size:10.0pt">بیمار خانم باردار 31 ساله با سن بارداری 29 هفته، با علایم تنگی نفس و دیس‌پنه به بیمارستان بعثت سنندج در</span> <span lang="FA" style="font-size:10.0pt">آذر ماه سال 1400 مراجعه کرد. با توجه به سه لیتر خونریزی واژینال و تشخیص دکولمان 60% و پره‌اکلامسی شدید تحت سزارین اورژانس قرار گرفت. تشخیص و درمان این بیمار دارای نکات قابل‌توجه می‌باشد که در ادامه ذکر شده است.</span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="FA" style="font-size:10.0pt">نتیجه‌گیری: </span></i></b><span lang="AR-SA" style="font-size:10.0pt">بارداری در خانم‌هایی که اسکلرودرمی دارند در</span> <span lang="AR-SA" style="font-size:10.0pt">زمان</span> <span lang="AR-SA" style="font-size:10.0pt">مناسب</span> <span lang="AR-SA" style="font-size:10.0pt">و</span> <span lang="AR-SA" style="font-size:10.0pt">نظارت</span> <span lang="AR-SA" style="font-size:10.0pt">دقیق</span> <span lang="AR-SA" style="font-size:10.0pt">زایمانی،</span> <span lang="AR-SA" style="font-size:10.0pt">احتمال موفقیت</span> <span lang="AR-SA" style="font-size:10.0pt">پیامد</span> <span lang="AR-SA" style="font-size:10.0pt">بارداری</span> <span lang="AR-SA" style="font-size:10.0pt">را</span> <span lang="AR-SA" style="font-size:10.0pt">افزایش</span> <span lang="AR-SA" style="font-size:10.0pt">خواهد</span> <span lang="AR-SA" style="font-size:10.0pt">داد</span> <span lang="AR-SA" style="font-size:10.0pt">و</span> <span lang="AR-SA" style="font-size:10.0pt">همه</span> <span lang="AR-SA" style="font-size:10.0pt">بیماران</span> <span lang="AR-SA" style="font-size:10.0pt">نیاز</span> <span lang="AR-SA" style="font-size:10.0pt">به مشاوره</span> <span lang="AR-SA" style="font-size:10.0pt">دارند</span><span lang="FA" style="font-size:10.0pt">.</span><span dir="LTR" style="font-size:8.0pt"></span></span></span></span></span><br> &nbsp; <div><span style="font-size:12pt"><span style="line-height:130%"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="line-height:130%">Background:</span></span></i></b> <span style="font-size:10.0pt"><span style="line-height:130%">The incidence of adverse perinatal outcomes including increased risk of miscarriage, preeclampsia, preterm birth and stillbirth is higher in pregnant women with coronavirus. Pregnant women who are infected with the coronavirus have placentas that are abnormal compared to the placentas of healthy women. Examples of these adverse effects have been observed before and include reduced fetal growth, pre-eclampsia, premature birth and stillbirth. Scleroderma is an uncommon connective tissue disease and its most obvious manifestation is skin fibrosis. Patients may also have involvement of visceral organs, as a result, their digestive system, kidney and heart are affected. Scleroderma also exacerbates miscarriage, fetal growth retardation, intrauterine fetal death, and preterm delivery. Pregnant women with these problems need special measures, so this study was performed to report a successful cesarean section in a woman with coronavirus and scleroderma.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:130%"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="line-height:130%">Case presentation</span></span></i></b><b><i><span style="font-size:10.0pt"><span style="line-height:130%">: </span></span></i></b><span style="font-size:10.0pt"><span style="line-height:130%">The patient was a 31-year-old pregnant woman with a gestational age of 29 weeks who presented to </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:130%">Sanandaj Besat Hospital in </span></span><span style="font-size:10.0pt"><span style="line-height:130%">November </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:130%">2021</span></span><span style="font-size:10.0pt"><span style="line-height:130%"> with symptoms of shortness of breath and dyspnea. HRCT-positive, PCR-positive, bilateral pleural effusion, and pulmonary dilatation corona were diagnosed. Due to 3 liters of vaginal bleeding and diagnosis of D&eacute;collement</span></span> <span style="font-size:10.0pt"><span style="line-height:130%">60% and severe preeclampsia underwent emergency cesarean section. The</span></span> <span style="font-size:10.0pt"><span style="line-height:130%">live baby was born weighing 1300 g with Apgar 7. During surgery, he received 3 units of FFB and 3 units of Cryoprecipitate. Microcalcifications and fibrin thrombi were reported in the pathology of intermittent nodules. The diagnosis and treatment of this patient has significant points that are mentioned below.</span></span><span style="font-size:8.0pt"><span style="line-height:130%"></span></span></span></span></span></div> <div> <table align="center" hspace="0" vspace="0"> <tbody> <tr> <td align="left" style="padding-top:0in; padding-right:12px; padding-bottom:0in; padding-left:12px" valign="top"> <div><span style="font-size:12pt"><span style="line-height:130%"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="line-height:130%">Conclusion:</span></span></i></b> <span lang="EN" style="font-size:10.0pt"><span style="line-height:130%">Complications of pregnancy and childbirth in pregnant women infected with Corona </span></span><span style="font-size:10.0pt"><span style="line-height:130%">virus</span></span> <span lang="EN" style="font-size:10.0pt"><span style="line-height:130%">include an increase in premature birth and an increase in the rate of cesarean section. Pregnancy in women with scleroderma at the right time and careful delivery monitoring will increase the probability of successful pregnancy outcome and all patients need counseling.</span></span><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="line-height:130%"><span style="font-family:"B Lotus""></span></span></span></span></span></span></div> </td> </tr> </tbody> </table> </div> <div></div> سزارین, ویروس کرونا, اسکلرودرمی. cesarean section, corona virus, scleroderma. 584 589 http://tumj.tums.ac.ir/browse.php?a_code=A-10-3666-559&slc_lang=other&sid=1 Shamsi Zare شمسی زارع No Department of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran. گروه زنان و زایمان، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران. Payman Rezagholi پیمان رضاقلی paimanrezagholy@gmail.com Yes Department of Operating Room, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran. گروه اتاق عمل، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران