Hubei's first intelligent chronic disease management system tracking service has more than 10,000 people, and women with childbearing age need to follow the whole process.

Author:Wuhan Evening News Time:2022.07.19

Wuhan Evening News July 19 (Reporter Wang Kaining Correspondent Chang Yu) "The baby has been 22 weeks, will there be no problems?" "Do I need to adjust the medicine during this time?" Affiliated Tongji Hospital was informed that since the first intelligent chronic disease management system in Hubei Province in Hubei Province in 2021, more than 1,000 patients have been followed up online, of which more than 500 are childcare women.

Dong Lingli, director of rheumatology and immunology, introduced that rheumatoid arthritis occurs in women, and many of them are nursery. 50%-70%of patients have improved during pregnancy, but half of the patients still have continuous activity rheumatoid arthritis with medium to severe during pregnancy. How to reduce the risk of potential fetal teratogenic and toxicity while controlling the disease while controlling the disease, it is necessary to collaborate on interdisciplinary collaboration. In particular, the increase or decrease of hormone drugs should make decisions that are most conducive to patients and their fetuses after the doctor's evaluation.

Multi -disciplinary diagnosis and treatment team follow -up.

At noon on July 18, they and the multidisciplinary diagnosis and treatment team formed by the obstetrics conducted an online follow -up for a expectant mother.

Ms. Jiang from Yichang, 32 years old, was diagnosed with early rheumatoid arthritis at the end of last year, and she was pregnant an unexpected pregnancy one month later. Due to the sudden joint pain, she felt that it was not convenient to go to the hospital, so she increased the treatment of rheumatism immunociopathic therapy. Who knows that on July 17, during the case 22 of the local area, she found that the fetal intestine and heart may have abnormalities, and she immediately panicked. She had asked medical treatment at Tongji Hospital because of rheumatoid arthritis, so her husband thought of asking for help through Tongji Internet Hospital.

After learning about Ms. Jiang's condition, Professor Dong Lingli, Director of Rheumatology and Immunology of Tongji Hospital and Zhang Ziyun, chief of nurses of specialist nurses, contacted the obstetric experts and quickly formed a multi -disciplinary diagnosis and treatment team. At noon on the 18th, she launched an online follow -up.

"Rest assured that the current fetus is good and the heartbeat is strong. B -ultrasound shows the left ventricle strong light spot. You remember to follow up on time and combine the obstetric conditions, we will develop a personalized drug plan for you." A professional evaluation was conducted, and the skills of governing rheumatoid arthritis during pregnancy were taught. Then Ms. Jiang let go of his heart, and said that he would insist on accepting online follow -up, and never used the medication anymore.

"With the help of chronic disease management platforms, the expectant mothers can run less legs and be at ease. At present, we already have more than 20 patients to produce a child, and the rest of the expectant mothers are in the follow -up." Dong Lingli said happily.

It is reported that with the help of Tongji Hospital's intelligent chronic disease management platform, patients can not leave home, and receive all -cycle management of Tongji experts through functions such as intelligent consulting, online registration, online consultation, evaluation and health education, and drug management. In addition to rheumatoid arthritis, the platform has now opened new crown pneumonia, special pulmonary fibrosis, lupus erythematosus, dry syndrome, connective tissue disease, IgG4 related diseases, osteochitis, dermatitis, and child obesity The follow -up of multiple diseases has continued to track more than 10,000 people. They also particularly reminded that women who suffer from chronic diseases should be followed up throughout the process.

[Edit: Yu Lina]

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