Kukonzekera kwa kulera n'kofunika kwa amayi omwe ali ndi Crohn's kapena Ulcerative Colitis
Kusankha kukhala ndi ana kapena ayi ndi chimodzi mwa zosankha zofunika kwambiri zomwe anthu ambiri adzachite pamoyo wawo. Pali zinthu zambiri zomwe muyenera kulingalira pa nkhani ya mimba ndi kubadwa, ndipo mtsogoleri pakati pawo ndi momwe zisankho zanu zidzakhudzire matenda anu opatsirana (IBD) . Chimodzi mwa zifukwa zofunika kwambiri pakupatsa mwayi wokhala ndi mimba yabwino ndi mwana kwa amayi omwe ali ndi IBD ndi mkhalidwe wa matenda pamene mimba ikuchitika.
Gastroenterologists akulangiza kuti ndi bwino kuti amayi omwe ali ndi IBD azikhala ndi chilakolako pamene IBD ikukhululukidwa , kutanthauza kuti matenda opatsirana (makamaka kutupa) apita kapena ndi ochepa momwe angathere.
Kusankha Zochita Zokhudza Kugonana
Kuthandiza gastroenterologist ndi katswiri wa zachipatala komanso akatswiri ena a zachipatala (monga katswiri wa zaulimi komanso opaleshoni ya opaleshoni kwa anthu amene anachitidwa opaleshoni m'mbuyomu) ndizofunika kuti asanakhale ndi pakati. Choncho, chisankho chokhala ndi ana chiyenera kukonzedweratu bwino kwa amayi omwe ali ndi IBD. Zomwe zimapangitsa kusankha zochita zogwiritsa ntchito nthawi yobereka mpaka nthawi yoyenera kutenga mimba.
Mayi aliyense adzafunika kudzipangira yekha njira zokhudzana ndi kulera komwe kumaganizira za thanzi, moyo, ndi zokonda. Mwachidule, njira zothandizira kubereka zimaphatikizapo zopinga zomwe zimathandiza kuti umuna ndi dzira zisagwirizane, mankhwala omwe amapha umuna, kapena mahomoni omwe amalepheretsa ovulation.
Kugonjetsa kwamuyaya kumapezekanso, kwa amuna ndi akazi, koma izi zimangodzitsidwira pazinthu zina kapena pamene munthu akuganiza kuti asiye kukhala ndi ana.
Chiberekero cha Amayi Ambiri Omwe Ali ndi IBD Ali Pafupi-Wachibadwa
Azimayi omwe ali ndi IBD analimbikitsidwa kuti asatenge mimba, koma izi siziri choncho.
Kawirikawiri, amayi omwe ali ndi IBD sakhala ndi vuto lalikulu la kutenga mimba, koma pokhululukidwa zimatsimikizira kuti pali mwayi wokhala ndi pakati ndi mwana wathanzi. Azimayi omwe ali ndi IBD omwe sanachite opaleshoni ya j-pouch amakhala ndi chiwerengero chachibadwa chokhala ndi chonde.
Izi zingadabwe kwa amayi ena, chifukwa chake ndizofunika kwambiri kuti amayi omwe ali ndi IBD azigwiritsa ntchito njira zodalirika za kulera ngati mimba sichifunidwa, chifukwa kukhala ndi IBD sikuchepetsa mwayi wokhala ndi pakati. Apa m'nkhaniyi, zosankha zazing'ono zothandizira amayi ndi zotsatira zawo pa IBD zikufotokozedwa.
Njira Zopinga Zowonetsera Ana
Kuletsa kubereka, monga diaphragm , kapu yachiberekero, siponji yothandizira, kapena kondomu ( yamwamuna kapena wamkazi ), nthawi zambiri ndi zosankha zabwino kwa amayi omwe ali ndi IBD omwe safuna kugwiritsa ntchito njira zoletsa kubereka. Komabe, chotupa kapena chikhomo cha khola sangagwire ntchito popewera mimba kwa amayi omwe ali ndi IBD omwe ali ndi fistula yomwe imakhuza abambo (monga fistula) kapena kukhudza ziwalo zina zobereka. Azimayi omwe amatha kudwala matenda a chikhodzodzo kapena m'mimba mwa abambo angathenso kulangizidwa kuti asagwiritse ntchito diaphragm kapena kapu ya chiberekero chifukwa zipangizozi zingapangitse chiopsezo chotenga matenda.
Pogwiritsira ntchito spermicide (chithovu, chodzola, gel, kapena suppository chomwe chimapha umuna) pamodzi ndi njira zotsutsanazi nthawi zambiri zimalimbikitsidwa kuti ziwoneke bwino. Makondomu amathandiza kuchepetsa kufalikira kwa matenda opatsirana pogonana (matenda opatsirana pogonana) , pomwe zidutswa, zikopa za pakhosi, ndi masiponji sizidzatero.
Piritsi Loperekera Kubadwa ("Piritsi")
Pali lingaliro lakuti kutenga piritsi limodzi ("mapiritsi") kumaika chiopsezo kwa amayi omwe ali ndi IBD kapena omwe ali pachiopsezo chokhala ndi IBD. Mapiritsi ophatikiza amakhala ndi mahomoni awiri azimayi: estrogen ndi progestin (popangidwa m'thupi thupi la progesterone).
Pali maphunziro owerengeka omwe apeza mgwirizano pakati pa kumwa mapiritsi ndi kumayambitsa IBD kapena kupangitsa kuti IBD iwonongeke. Komabe, sizikumveka chifukwa chake izi zikhoza kuchitika komanso palibe mgwirizano wokhudzana ndi momwe chiopsezochi chiriri kapena momwe magynecologists ayenera kuyendetsera amayi omwe ali ndi IBD omwe akufuna kumwa mapiritsi.
Akazi omwe amasankha kumwa mapiritsi sayenera kusuta, chifukwa kusuta kunali kofunika ngati chinthu cha amayi amene adapanga IBD mu maphunzirowa. Azimayi opitirira zaka 35 omwe amasuta ndi kumwa mapiritsi akhoza kukhala pangozi yowonjezera magazi. Kusuta kumagwirizana makamaka ndi chitukuko cha matenda a Crohn , ndipo anthu omwe ali ndi Crohn's akulimbikitsidwa kuti asasute.
Chinthu china choyenera kuganizira mukamamwa mapiritsi ndikumatha kutengeka m'matumbo. Anthu omwe ali ndi IBD angakhale ovuta kumwa mankhwala ena m'matumbo awo, ngakhale izi zidzasintha kwambiri. Ngati mapiritsi sakunyamulidwa, sakuchita ntchito yake, ndipo angatanthauze mwayi wowonjezera kutenga mimba. Pamene amayi omwe ali ndi IBD akukumana ndi vutoli , kapena kutsegula m'mimba , mtundu wina wa kulera ayenera kulingalira. Azimayi omwe ali ndi IBD omwe ali ndi nkhawa iliyonse ponena za kumwa mapiritsi ayenera kukambirana ndi gastroenterologist ndi azimayi. Piritsi silingateteze ku matenda opatsirana pogonana.
Zowononga Zobadwa
Kuikapo pathupi ndi kachidutswa kakang'ono ka pulasitiki kamene kamayikidwa mu mkono wapamwamba womwe uli ndi hormone progesin ndipo imayesetsa kuletsa ovulation kwa zaka zitatu. Njira ya kulera ndi imodzi mwa njira zowonetsera njira za kulera kwa amayi omwe ali ndi IBD omwe salingalire kutenga mimba posachedwa, chifukwa ndizovuta, sizikusowa kumwa mapiritsi tsiku ndi tsiku, ndipo zimatenga nthawi yaitali. Chinthu chimodzi choyenera kukumbukira ndi kukhazikitsa ndikuti sichidzateteza konse pa matenda opatsirana pogonana.
Patch Control Patch
Chigamba choletsa kubereka ndi chigamba chaching'ono chomwe chimayikidwa pakhungu kuti amasule mahomoni, estrogen, ndi progestin. Chigambachi chimasinthidwa mlungu uliwonse. Zimagwira ntchito mofanana ndi mapiritsi oletsa kubadwa ndipo zingayanjane ndi mavuto ena omwe ali nawo powonjezera chiopsezo chokhazikitsa IBD. Chigambachi sichitha kugwiritsidwa ntchito, koma amayi ena angasankhe kuti ndizofunikira kwambiri pamoyo wawo. Chigamba sichingateteze ku matenda opatsirana pogonana.
Kugonjetsedwa Kwachibadwa
Kuwombera kumawombera ndi jekeseni yomwe imaperekedwa miyezi itatu iliyonse ndikugwira ntchito poteteza ovulation. Mahomoni omwe amagwiritsidwa ntchito pawombera ndi progesin, kotero mawonekedwe awa oletsa kubereka ali ofanana ndi kuikidwa kwa mphamvu yobadwa. Chinthu chachikulu chomwe chimakhala ndi vuto la kubadwa ndi chakuti chikhoza kuyambitsa kupopetsa mafupa. Izi ndizofunikira kwambiri kwa amayi omwe ali ndi IBD, omwe ali kale pachiopsezo cha osteopenia ndi matenda otupa mafupa, chifukwa cha kuchepa kwa vitamini kapena zotsatira za mankhwala. Mfutiyi imatetezanso ku matenda opatsirana pogonana. Zingakhale zosankha zabwino zokhuza kulera kwa amayi omwe ali ndi IBD, koma nkhawa zokhudzana ndi mafupa ziyenera kuyankhulana ndi gastroenterologist ndi mayi wamayi.
Mimba Yamagulu Yogonana
Mng'oma ya m'mimba ndi mphete ya pulasitiki yomwe ili ndi estrogen ndi progestin ndipo imayikidwa mukazi. Zavalira kwa masabata atatu ndikutsatira sabata imodzi popanda izo, ndipo amagwiritsa ntchito mlingo wa mahomoni ochepa kusiyana ndi njira zina zowonetsera mahomoni. Sikoyenera kwa amayi omwe amasuta kapena omwe ali ndi mbiri ya magazi. Kachiwiri, chifukwa mphete ya ubini imagwiritsa ntchito mahomoni ambiri, ingakhale yogwirizana ndi zoopsa zofanana za IBD monga mapiritsi a chithandizo chamankhwala, ngakhale amilandu akadali apobe. Fomu iyi yoletsa kubereka sikungateteze ku matenda opatsirana pogonana.
Chipangizo cha Intrauterine (IUD)
Kachilombo ka HIV ndi kachilombo koyambitsa matenda komwe kamalowa m'mimba mwa chiberekero komanso mu chiberekero ndi katswiri wa zamankhwala (kawirikawiri amakhulupirira za akazi). Zimathandiza kupewa mimba mwa kulepheretsa umuna kuti usagwirizane ndi dzira kapena kutulutsa hormone progestin, yomwe imalepheretsa kuvuta. Zaka zapitazo, malinga ndi mtundu umene wagwiritsidwa ntchito, kulikonse kuyambira zaka 3 mpaka 12. Kuchotsa IUD kumabwezeretsa kubereka kwa mkazi. Mankhwalawa amathandiza kwambiri popewera mimba ndipo amatha kugwiritsidwa ntchito kwa amayi omwe alibe ana. Kafukufuku wasonyeza kuti palibe zotsatira pa IBD, zomwe zimawapanga kukhala ovomerezeka kwambiri pa amayi omwe ali ndi matenda a Crohn kapena ulcerative colitis. Kachilombo ka HIV, komabe, sikungateteze ku matenda opatsirana pogonana.
Kugwiritsa Ntchito Zoposera Zowonjezera Njira Zina za Kugonana
Nthawi zina, zingakhale bwino kugwiritsa ntchito njira ziwiri kapena zowonjezera zowononga, monga nthawi yowonongeka, kapena atatha opaleshoni. Nthawi izi sizingapereke mpata wabwino kwa mimba yabwino ndi mwana, choncho nkofunika kuonetsetsa kuti zotetezedwa zimatengedwa.
Mawu Ochokera
Zilizonse zomwe mukufuna kuchita pokhudzana ndi mimba m'tsogolo, nkofunika kudziwa zonse zomwe mwasankha pakulera . Mudzafuna kuonetsetsa kuti njira yanu yosankha ikuthandizani, mnzanuyo, ndi banja lanu, komanso kuti izi zidzakhala zogwira mtima panthawi yomwe mimba ili yabwino kwambiri kupewa.
> Zotsatira:
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