Funso limodzi lomwe kawirikawiri limayambira mwa amayi omwe atangotenga kumene kuti ali ndi systemic lupus erythematosus (SLE) ndi, "kodi ndingathe kutenga pakati ndikukhala ndi mwana wathanzi?"
Yankho lalifupi: Inde.
Ngakhale akatswiri a zachipatala m'mbuyomu angapangitse amayi kukhala ndi lupus kutali ndi mimba, lero nzeru zodziwika ndizoti, ndi chithandizo chamankhwala choyenera, zikhoza kuchepetsedwa ndipo mkazi yemwe ali ndi SLE angapereke mwana wathanzi.
Koma pali zoopsa - inde, kutenga mimba kudzatengedwa kuti ndiwewopsa kwambiri - ndipo ayenera kuganiziridwa asanakhale ndi pakati. Aliyense amene akukonzekera kutenga pakati ayenera kulankhula ndi adokotala awo ndipo mosamala akonzekere kutenga mimba.
Kukuthandizani kukonzekera, pano pali mndandanda wa mafunso - ndi mayankho ena ndi zizindikiro - zomwe mungagwiritse ntchito monga momwe musanalankhulire ndi dokotala wanu.
Ndi nthawi yanji yoyenera kutenga pakati?
Pamene matenda anu, kuphatikizapo matenda a impso aliwonse, ali olamulidwa ndi okhululukidwa kwa miyezi isanu ndi umodzi. Mwa kuyankhula kwina, pamene iwe uli wathanzi kwambiri. Kutenga mimba pamene lupus lanu likugwira ntchito kungabweretse padera kapena mavuto ena. Izi zidati, si zachilendo kukhala ndi chilakolako pa nthawi yoyamba kapena yachiwiri ya trimester. Mitengo iyi, nthawi zambiri osati chifukwa cha mimba yanu, imakhala yofatsa komanso yosamalidwa mosavuta ndi corticosteroids.
Ndi mavuto ati omwe amapezeka kwambiri?
Chinthu chimodzi chomwe chingakhudze amayi onse omwe ali ndi pakati, koma zimakhudza amayi apakati omwe ali ndi lupus - 20%, malinga ndi Lupus Foundation of America - ndi preeclampsia. Preeclampsia ndi kuwonjezeka kwadzidzidzi kwa kuthamanga kwa magazi, mapuloteni mu mkodzo, kapena panthawi yomwe ali ndi pakati.
Lupus kapena ayi, ndi vuto lalikulu lomwe limafuna kuchipatala mwamsanga. Sichikhoza kunyalanyazidwa chifukwa chimayika mwanayo pachiswe. Komanso, nthawi zina, preeclampsia ikhoza kukhala yovuta kusiyanitsa ndi lupus nephritis , yomwe imakhudza impso.
Enanso, makamaka kwa amayi omwe ali ndi lupus, ndi chitukuko cha antiphospholipid antibodies, zomwe zimasokoneza ntchito ya placenta, ndipo ikhoza kuyambitsa magazi. Zikafika pamtunda, zimateteza kuti zisamakule ndikugwira ntchito bwino.
Matendawa nthawi zambiri amapezeka mu trimester yachiwiri ndipo angakhudze kukula kwa mwana. Koma ngati chitukuko chiri chabwino komanso kukonzekera kutenga mimba zisanayambe ndikutsatiridwa, mwana wa mayi akhoza kuperekedwa ndikutsogolera moyo wathanzi.
- Lupus ndi kupititsa padera
- Mankhwala a Lupus anticoagulants ndi antiphospholipid: Momwe angakhudzire mimba
Kodi mwana wanga adzakhala wachibadwa?
Mwana wanu alibe chiopsezo chachikulu cha kubala kwa thupi - maganizo kapena thupi - kusiyana ndi ana obadwa kwa amayi opanda lupus. Mwana yekhayo ali ndi chiopsezo kuti mwana wina sakhala ndi lupus. Pafupifupi 10 peresenti ya amayi omwe ali ndi ma antibodies oletsa anti-Ro - omwe amakhala pafupifupi 3% mwa amayi onse omwe ali ndi lupus - adzapereka mwana ndi nthenda ya neonatal lupus.
Izi sizowoneka, koma mawonekedwe a lupus omwe amapezeka nthawi zambiri pa chaka choyamba cha khanda.
Kubadwa msinkhu ndikumangika kwambiri. Pafupi theka la amayi omwe ali ndi lupus kupatula nthawi zonse (masabata 40). Izi zikutanthauza kuti ndi bwino kuzindikira kuti ana amene amabadwa patadutsa masabata makumi atatu, omwe amalemera mapaundi atatu, nthawi zambiri amakhala bwino ndikukula bwino.
Pofuna kutsimikizira kuti izi ndizochitika, onetsetsani kuti dokotala wanu ali ndi mimba yoopsa kwambiri komanso kuti chipatala chomwe mukukonzekera chimachitanso kuti mukhale ndi mimba yoopsa.
- Nususatal Lupus
- Mimba yoopsa kwambiri
Ndidzapereka bwanji mwana wanga?
Zosankha zokhudzana ndi njira yoperekera - gawo lachikazi kapena lachisitara - sizinapangidwe bwino.
Mavuto akuchitika nthawi yayitali kapena panthawi yolimbitsa thupi - monga kugwira ntchito msanga, ana omwe amasonyeza zipsyinjo za nkhawa, amayi odwala, ndi zina zotero - adzawona ngati gawo la C ndilofunika.
Kodi ndikuonetsetsa bwanji kuti mimba yanga ndi yathanzi?
Mukhoza kutenga njira zingapo zosavuta, ndipo pafupifupi zonsezi ndizimene mayi opanda lupus ayenera kutenga.
- Choyamba, musadutse maumboni onse ndi dokotala wanu. Kuwona kukula kwa mimba yanu ndi kukula kwa mwana ndikofunikira kwambiri.
- Pumula ndi kudya bwino. Kudzisamalira nokha kudzalimbikitsa mimba yabwino.
- Tengani mankhwala omwe mwawapatsa - ndipo musamamwe mankhwala alionse omwe dokotala wanu akupereka.
- Kumvetsetsa mitundu ya kusintha kwa thupi komwe mungakumane nayo, ndi momwe thupi lanu lidzakhudzire pakuwonjezeka kwa mahomoni ndi kusintha kwa thupi. Ena amatha kufanana ndi lupus, ndipo mungafune kusiyanitsa pakati pa awiriwa.
- Pezani mofulumira kuyitana dokotala wanu. Katswiri wanu wamagetsi ndi antchito ake adzakhala komweko kwa inu 24/7. Ngati mukuda nkhaŵa ndi chinachake-pangani kuyitana.
- Tengani makalasi. Kufunika kwa makolo, kubereka ndi kuyamwitsa n'kofunikira.
- Onetsetsani kuti ndalama zanu zikuyendetsa bwino, mwakhala mukukonzekera ndondomeko yobwereranso kuntchito ndi kusamalira ana, komanso kuti muli ndi ndondomeko yoti wina azisamalira mwana wanu ngati mukudwala.
- Kusinkhasinkha, ngati mankhwala othandizira komanso ngati chida chotsitsimutsa
Kusamalira mwana wanu
Monga kholo lirilonse latsopano, mudzazidwa ndi mafunso osiyanasiyana, kuchokera momwe mungadyetse mwana wanu wamwamuna kapena wamkazi momwe angapezere nthawi yopumula. Makolo atsopano omwe ali ndi lupus, palinso mafunso ena, kuphatikizapo ngati mwana wanu ali ndi thanzi labwino (palibe chifukwa chake sayenera kukhala) komanso ngati ali bwino kuyamwa.
Mwayi wokonzekera kuyamwa udzatsimikiziridwa mutatha kukambirana ndi dokotala, monga mankhwala angapereke kwa mwana kudzera mkaka wa m'mawere.
Zotsatira
Lupus: Buku Lopereka Chisamaliro kwa Achirendo ndi Othandizira Ena Amagulu, Zolemba 3, Mapepala Odziwitsa Odwala # 11, Mimba ndi Lupus. National Institute of Arthritis ndi Musculoskeletal ndi Matenda a Khungu. September 2006.
Mimba ndi Lupus.Lupus Foundation ya America. Anasonkhanitsidwa February 2008.