Ngozi Zotengera Prednisone Panthawi Yokhala Woyembekezera Zikuwoneka Zochepa Kwambiri
Chimodzi mwa mavuto akuluakulu a amayi apakati omwe ali ndi matenda opatsirana (IBD) ndi zotsatira za mankhwala omwe amachititsa kuti IBD ikhale ndi mwana wosabadwa. Mwachitsanzo, steroid zamlomo monga prednisone zimagwiritsidwa ntchito pochiza IBD, ndipo zimakhala ndi zotsatira zambiri . Mwachidziwikire, amayi omwe ali ndi IBD ndi zina zotupa zidzakhala ndi mafunso okhudza kutenga prednisone pa nthawi ya mimba.
Kusamalira IBD Pakati pa Mimba
Kawirikawiri, mankhwala amafunikira kwambiri kwa amayi apakati omwe ali ndi matenda aakulu chifukwa cha thanzi la mayi ndi mwana. Ngati mankhwala monga prednisone (corticosteroids) akulimbikitsidwa ndi madokotala, zikutanthauza kuti kuopsa kwa mankhwalawa kudzakhala kochepa kusiyana ndi zoopsa za kusamwa mankhwala.
Kwa amayi omwe ali ndi IBD, zidzakhala zofunikira kuti akhululukidwe, kapena kuti athe kulamulidwa ndi IBD asanakhale ndi pakati. Komabe, ngakhale mimba isanakonzeke, pali njira zambiri zamankhwala zomwe zingathandize kuthetsa kutupa kwa IBD kwa amayi omwe ali ndi pakati. Kuchepetsa kutupa kwa IBD ndi kuteteza mwana kudzakhala zifukwa zofunika pakuonetsetsa kuti mimba ili ndi thanzi labwino.
Kodi Prednisone Imakhudza Bwanji Ana?
Kuti mudziwe zambiri zokhudza prednisone pa nthawi ya mimba, makamaka, zotsatira zake zomwe mankhwalawa angakhale nawo pa mwana wosabadwa, ndinatembenukira ku UpToDate , chithandizo kwa madokotala ndi odwala kufunafuna zambiri za mankhwala.
"Kafukufuku wina wasonyeza kuti pangakhale pang" ono laling'ono kwambiri lakamwa kosalekeza pakati pa makanda a amayi omwe adamwa mankhwala a steroid pamasabata 13 oyambirira a mimba. Maphunziro awiri adapeza chiopsezo chochepa cha kubereka msanga, ndipo Kafukufuku wina anapeza kuti chiwopsezo chochepa chokhala ndi mwana wobadwapo chochepa chimawonjezeka pang'ono. Komabe, ochita kafukufuku sakanakhoza kuonetsetsa kuti zotsatirazi zinali zogwirizana ndi matenda omwe mayiyo akudwala m'malo mogwiritsa ntchito mankhwalawa. "
Kodi Izi Zimatanthauza Chiyani kwa Akazi Omwe Ali Ndi IBD?
Prednisone pa nthawi yomwe ali ndi mimba imakhudzana ndi mkamwa kapena mkamwa, kubereka msanga, komanso kuchepa. Zoopsa izi zimawoneka ngati zazing'ono, komabe, komanso kwa amayi omwe ali ndi IBD, umboni umasonyeza kuti zilema zazikulu zoberekera sizingatheke.
Mphuno yamlomo. Pali chiwopsezo chochepa cha mkamwa kapena mkamwa mwa ana obadwa ndi amayi omwe amatenga prednisone pa nthawi yomwe ali ndi pakati, makamaka pa trimester yoyamba. Komabe, sizikudziwika kuti kuchuluka kwa zoopsazi kungakhale kotani chifukwa cha matenda aakulu omwe amayi ali nawo.
Kubereka msanga. Kafukufuku wina wasonyeza kuti amayi oyembekezera kutenga prednisone ali ndi kuwonjezeka pang'ono poyamwitsa mwana poyamba (kumayambiriro kwa kubereka). Kafukufuku wina mwa amayi omwe ali ndi lupus amasonyeza kuti akazi omwe lupus anali ogwira ntchito komanso amene analandira 10 mg ya prednisone pa tsiku anali ndi chiopsezo chowonjezereka chobwezeretsa. Komabe, kafukufuku wina wa amayi apakati omwe ali ndi IBD anasonyeza kuti mankhwala omwe amachititsa kuti mankhwala a IBD, monga prednisone, asakhale ndi zotsatira zowonongeka.
Kulemera kochepa. Pali umboni wina wakuti prednisone panthawi yomwe ali ndi mimba ingapangitse mwana kukhala wochepa kubadwa kwake. Komabe, phunziro lomwelo lomwe silinakhudze zotsatira za mankhwala a IBD pa kuyambitsanso kusamalanso kunasonyeza kuti mankhwala opatsirana pogonana sanawonongeke kulemera kwake.
Mawu Ochokera
Umboniwu ndi wosiyana kwambiri, wosonyeza kuti zambiri sizikudziwika pokhudzana ndi ngozi zomwe zimachitika panthawi yomwe mayi ali ndi mimba kwa mwana wosabadwa. Komabe, kafukufuku ambiri amasonyeza kuti zoopsa ndizochepa, ndipo palibe maphunziro omwe ali ndi amayi omwe ali ndi IBD asonyeza kuti prednisone imaika chiopsezo chachikulu cha kubala kwakukulu. Ngakhale zili choncho, ndibwino kuti prednisone ikhale yogwiritsidwa ntchito pokhapokha ngati mukufunikira kuti muyambe kuchitira IBD mayiyo.
Ndikofunika kuzindikira kuti ndi koopsa kuti tisiye kumwa prednisone mwadzidzidzi. Kuyankhula ndi dokotala za nkhawa iliyonse ndi njira yabwino kwambiri. Chigamulo chosiya kumwa mankhwala chiyenera kupangidwa ndi kuyankhulana ndi katswiri wamagetsi ndi gastroenterologist, makamaka munthu yemwe ali mwapadera mu IBD ndi mimba.
Zotsatira:
> Huang VW, Chang HJ, Kroeker KI, et al. "Kuwongolera Matenda Opatsirana Pakati pa Mimba ndi Kuyamwitsa Zimayendera Moyenera: Kufunika Kwambiri Maphunziro." Kodi J Gastroenterol Hepatol. 2016; 2016: 6193275.
Peppercorn Mark A. "Matenda a kutupa thupi ndi mimba." Kupititsa patsogolo . 12 May 2016.