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怀孕得肺结核对胎儿有影响吗？吃过肺结核药的人会影响怀孕吗？

发布日期：2022-07-25 17:00:35编辑：美清

肺结核的药停后没多久怀了孕，是不是对胎儿有影响呢？有什么危害？

专家回答：患肺结核的孕产在临产前、产时及生完孩子可将结核杆菌传染胎宝宝，造成围生期感染。妊娠期结核菌感染胚胎，造成hcg羊膜炎，从胚胎到脐静脉月经源发送给胎儿，或经吸进，摄取环境污染的孕妇羊水而感染胎儿。血源性散播可在胎儿肝或肺产生一个或好几个原发性感染灶，而经孕妇羊水感染者则只在肺或肠内产生感染灶。先天感染病案中，血源性和孕妇羊水散播的感染各占一半。产时感染为孕妇分娩时吸进或摄取感染的孕妈生殖系统液态而感染。生完孩子感染为新生婴儿经飞沫传染吸进结核菌，或摄取环境污染的奶水，及皮肤粘膜损害妊娠期禁止使用的抗结核药。

难题是不知道您一共多服多久的药？如今的肺结核是不是也有活动变病？

一般肺结核最少要持续吃药9个月，危重症或痰菌呈阳性的药服12个月之上。不然会使变病发作或易造成抗药性。要防止药品对胎儿的负面影响，在怀孕期有一些抗结核药是要禁止使用谨慎使用的。氨基糖甙类：这类药,妊娠期都属忌讳药品。尤其链霉素，在妊娠期易根据胚胎进到胎儿循环系统，损害胎儿外展神经和耳道迷了路部位效应器，致宝宝失聪或晕眩，乃至终身失聪。

除此之外，卡那霉素、卷曲霉素等羟基甙类亦应免用。利福霉素类：包含利福平、利福定、利福喷丁等，在妊娠期都应防止应用。特别是在在头三个月，因为利福霉素类对胎儿有胎儿畸形功效，更应禁止使用。异烟胺：包含乙硫异烟胺和丙硫异烟胺，妊娠期内应免用。异烟胺于妊娠初期发觉有小动物胎儿畸形功效、而于妊娠中后期对孕妈妈有比较显著自消化道副作用和肝损伤状况。

氟嗪酸：于妊娠期和哺乳期间均应严禁应用。在妊娠期内才发觉患肺结核，该怎么办？孕妇分娩？能不能再次妊娠？

专家回答：对这个问题要作深入分析，不可以一概而论。需看肺结核的轻和重，妊娠是初期或是后半期。例如肺结核疾病非常大，显著主题活动(发烫、不断咳血、削瘦等)，也是在妊娠前期，或是尽早作人流手术为宜。不然再次妊娠对孕妈和胎儿也不好。自然假如肺结核很轻，是在妊娠中后期病发，还可以在积极主动抗痨医治的严实观查下再次妊娠。这时候，应按时由肺科医师和妇科医生复诊。

抗痨药品，如链霉素、雷米封、乙胺丁醇、利福平等对胎儿有没有欠佳的危害？

它是大伙儿关注的难题。妊娠合拼肺结核一般采用雷米封和乙胺丁醇为宜。使用量和治疗过程和非妊娠女性没有大区别。链霉素能够根据胚胎进到胎儿身体，因而，链霉素普遍的前庭神经和外展神经危害的的毒副作用，能够根据胎盘屏障危害胎儿，导致出生的婴儿发生先天性耳聋症，它是特别注意的。一般觉得乙胺丁醇和利福平对胎儿并无欠佳功效，但亦有汇报，利福平可对胎儿导致肝损伤，应用时要当心。
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