PDF(Pubmed)
Abstract：
In a rural Japanese setting, this case report delves into managing a post-partum woman diagnosed with ankylosing spondyloarthritis (AS), showcasing the complexities of balancing effective pain relief with breastfeeding. The study highlights a multifaceted approach that incorporates medical treatment, psychosocial support, and comprehensive patient education, which are essential in rural healthcare where resources may be scarce. Initially managed with diclofenac due to its safer profile for breastfeeding, the patient\'s treatment was eventually escalated to adalimumab, aligning with improved circumstances regarding breastfeeding. This case emphasizes the critical role of holistic, patient-centered care in family medicine, particularly for managing maternal and child health chronic conditions. It illustrates how integrating mental health support, acknowledging patient fears, and educating families can significantly enhance patient care and outcomes. Through this approach, the report advocates for a broader application of family medicine principles to improve maternal and child health services in rural settings, demonstrating the importance of tailored healthcare strategies that consider patients\' medical and emotional needs.
摘要：
在日本农村的环境中，本病例报告深入研究了一名诊断为强直性脊柱关节炎（AS）的产后妇女的管理，展示了平衡有效缓解疼痛与母乳喂养的复杂性。该研究强调了一种多方面的方法，包括医疗，社会心理支持,全面的病人教育，这在资源可能稀缺的农村医疗保健中至关重要。最初用双氯芬酸管理，因为它的母乳喂养更安全，患者的治疗最终升级为阿达木单抗，与改善母乳喂养的情况保持一致。这个案例强调了整体的关键作用，家庭医学中的以患者为中心的护理，特别是用于管理孕产妇和儿童健康慢性疾病。它说明了如何整合心理健康支持，承认患者的恐惧，和教育家庭可以显着提高病人的护理和结果。通过这种方法，该报告主张更广泛地应用家庭医学原则，以改善农村地区的妇幼保健服务，展示考虑患者医疗和情感需求的量身定制医疗策略的重要性。
