Mimba ndi Multiple Sclerosis

Mafunso Ofunsidwa Kawirikawiri Ngati Mukukonzekera Banja

Kwa amayi ambiri omwe amakhala ndi multiple sclerosis (MS) , matendawa amabwera nthawi yomwe akuganiza za kuyamba banja. M'mbuyomu, amayi omwe ali ndi MS adakhumudwa kwambiri kuti achite zimenezi chifukwa ankaganiza kuti adzadwala ndipo sangakwanitse kusamalira ana aang'ono. Mwamwayi kwa ife tonse, chithunzichi chikuwonekera kwambiri lero.

Ndipotu, kafukufuku wasonyeza kuti kutenga mimba kumachepetsa chiopsezo cha amayi kuti abwererenso , makamaka pa trimester yachitatu. Kuwonjezera apo, mankhwala omwe akuthandizidwa masiku ano amathandiza amayi kukhala ndi mwayi wabwino kwambiri wokhala ndi thanzi labwino osati zaka zokha zokhazokha koma ali ndi zaka zambiri za sukulu.

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Kodi Ndili Ndibwino Kuti Ndikhale ndi Mavuto Okhudzana ndi Mimba?

Ayi. Palibe umboni wosonyeza kuti MS imagwirizanitsidwa ndi mavuto alionse okhudzana ndi mimba, monga kutaya padera, ectopic pregnancy, birth premature kapena birthbirth.

Palibenso mgwirizano wa mavuto okhudzana ndi chonde kapena zosabala. M'mawu ena, mumakhala ndi mimba yokhala ndi thanzi labwino monga mkazi wina wa msinkhu wanu.

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Kodi Zizindikiro Zanga Zanga Zidzakhala Zoipitsitsa Pakati pa Mimba?

Ayi. Amayi ambiri amapeza mpumulo kuchokera ku zizindikiro zawo zambiri kapena ngakhale za MS panthaŵi ya mimba. Izi zikhoza kukhala chifukwa chakuti mimba yokha imachepetsa ntchito yoteteza mthupi mwa kukula kwa masoka a steroids.

Pomwe zikunenedwa, mimba imabwera ndi zizindikiro zake komanso zosokoneza zomwe zingapangitse mkhalidwe wa MS womwe ulipo kale ngati mavuto a chikhodzodzo kapena kutopa .

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Kodi Ndingatengere Mankhwala Anga a MS Pakati pa Mimba?

Ngati muli pa MS mankhwala , mwinamwake mukulangizidwa kuti musiye chithandizo pamene mukuyesera kutenga pakati komanso panthawi yonse ya mimba yanu. Zina mwazochita zothandizira pa nthawi ya mimba:

• Copaxone (galaramer acetate) ndi mankhwala a mimba B omwe amatanthawuza kuti sizinapangitse vuto ku maphunziro a nyama koma kuti palibe maphunziro okwanira a anthu omwe sanachitidwe.
• The interferons ( Avonex , Betaseron, Rebif , Plegridy, ndi Extavia) ndi onse omwe ali ndi mimba C mankhwala omwe amatanthauza kuti adayambitsa kuphunzirira kwa nyama koma kuti zotsatira za anthu sizidziwikabe.
• Tysabri (natalizumab) ndi Lemtrada (alemtuzumab) ndi mankhwala a MS omwe amaperekedwa mwachangu omwe ali mankhwala a mtundu wachiwiri C.
• Gilyena (fingolimod) ndi Tecfidera (dimethyl fumarate) ndi mankhwala omwe ali ndi MS omwe ali ndi mimba C.
• Zinbryta (daclizumab) mu MS mankhwala omwe amaperekedwa ndi jekeseni yomwe imagwiritsidwa ntchito monga gawo C.
• Novantrone (mitoxantrone) imakhalanso mankhwala osokoneza bongo omwe ali ndi gawo la mimba D. Izi zikutanthauza kuti kafukufuku wasonyeza kuvulaza kwa mwana koma kuti phindu la mankhwala likhoza kupitirira kuopsa kwa anthu ena.
• Aubagio (teriflunomide) ndi mchitidwe woyembekezera mimba X mankhwala. Izi zikutanthauza kuti zimatsutsana pa nthawi yomwe ali ndi mimba kapena poyesa mimba.
• Ocrevus (ocrelizumab) sanapatsidwe gawo la mimba ngati akadali latsopano.

Muyeneranso kukambirana za mankhwala omwe mumalandira chifukwa cha zizindikiro za MS monga ena amawoneka otetezeka ndipo ena sali.

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Nanga Bwanji Ngati Zimatenga Nthawi Yambiri Kuti Mudye Mimba?

Kawirikawiri, amayi amasiya miyezi yachipatala MS asanayambe kutenga pakati kuti mankhwala athetse nthawi. Dokotala wanu angakulangizeni kuti nthawi yayitali ndi yotani kwa inu. Nthawi ikadutsa, muyenera kuyamba kutenga mimba mofulumira

Kawirikawiri ndibwino kukomana ndi aphunzitsi anu a OB / GYN ndikukambirana zomwe mungachite kuti muwonjezere mwayi wokhala ndi mwamsanga msanga, kuphatikizapo kufufuza ovulation.

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Kodi Udindo wa Neurologist Wanga Ndi Wotani?

Katswiri wanu wa zamagulu adzakhala ndi malingaliro okhudza chithandizo chamankhwala, panthawi yomwe mukuyesera kutenga pakati komanso pamene mukuyembekezera. Pakhoza kukhalanso ndi zodzitetezera kuti muteteze kubwereranso mukatha kupereka.

Kafukufuku wasonyeza kuti mlingo wa intunoglobulin (IVIG) woperekedwa kwa amayi mwamsanga pambuyo pa kubala kumachepetsa kwambiri chiopsezo cha kubwerera kwa abambo pambuyo pake. Akatswiri ena a m'mitsempha amatha kupereka mlingo umodzi kapena angapo wa Solu-Medrol (corticosteroids) mofanana ndi cholinga chimodzi, pamene ena amakonda njira yowonjezera.

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Kodi Ndingagwiritse Ntchito Kudzala Mtengo Wathu?

M'mbuyomu, akatswiri ena a m'magulu a ubongo adalangiza kuti asagwiritse ntchito mankhwala a msana wamtsempha (omwe amadziwikanso ngati msana) pamene amakhulupirira kuti pali vuto lalikulu la mavuto. Komabe, kafukufuku waposachedwapa wasonyeza kuti akazi omwe anali ndi matenda a epidural (mtundu wina wa anesthesia wamba) analibe chiwerengero chapamwamba cha kubwereranso kuposa omwe sanatero.

Masiku ano, malinga ndi National Multiple Sclerosis Society, mitundu yonse ya aneshesia imatengedwa kuti ndi yotetezeka kwa amayi omwe ali ndi MS panthaŵi yoleredwa ndi kubereka.

Ngakhale zili choncho, kusankha kwa anesthesia kuyenera kukambidwa ndi katswiri wanu wa sayansi ya zakuthambo, wodwalayo, ndi wodwala matenda am'mawa kumayambiriro kwachitatu. Mwa njira iyi, pali dongosolo lomwe aliyense adzakhale nalo pamene nthawi yobereka imadza.

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Kodi Ndingatani Ngati Mwana Wanga Akubadwa?

Mwezi wanu woyamba kubereka umakhala pakati pa 20 peresenti ndi 40 peresenti.

Chifukwa chaichi, nkofunika kuti mukhale ndi ndondomeko pambali ngati mutayambiranso kubwereranso (kuphatikizapo kukhala ndi wina kuti akupititseni kwa dokotala ndi kumuthandiza mwanayo). Monga ndi zinthu zonse mu MS, palibe amene angadziwe ngati mutabwereranso, ndipo ngati mutero, ndi zizindikiro ziti zomwe mungakhale nazo.

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Kodi Ndingatani Kuti Ndisamalidwe Bwino?

MS ngokhayo sichilepheretsa kuyamwitsa. Komabe, popeza sizidziwika ngati mankhwala osokoneza bongo angaperekedwe mkaka wa m'mawere, madokotala ambiri amalangiza kuti musayambe kumwa mankhwala mpaka mutatsiriza kuyamwitsa.

Azimayi ena omwe ali ndi MS adzasankha kupitanso mankhwala nthawi yomweyo ndikudyetsa ana awo (potero amachepetsa chiopsezo cha kubwereranso). Ena, panthawiyi, adzayamwitsa kwa miyezi inayi kuti apatse ana awo ubwino wa mkaka wa m'mawere.

Ngakhalenso zosankha zabwino kapena zolakwika. Pamapeto pake, ndi okhawo amene mungasankhe zomwe zili zabwino kwa inu ndi mwana wanu.

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Kodi Mwana Wanga Angakhale ndi MS?

Ngakhale MS sichibadwa mwachindunji, majini ena amathandiza. Kafukufuku akusonyeza kuti pakati pa magawo awiri ndi asanu aliwonse mwayi wa mwana wobadwa ndi kholo lomwe ali ndi MS akukula MS.

Komabe, m'pofunika kudziwa kuti panopa palibe ma genetic kapena mayesero apakati-kapena ngakhale mayesero kwa mwana wanu wakhanda-amene anganene kuti chingachitike.

Mawu Ochokera

Kaya mukuyankhula ndi wokondedwa wanu za kutenga mimba kapena kuti muli ndi pakati, pitirizani kudziphunzitsa nokha ndikutsatirani kwambiri ndi katswiri wanu wa zamagetsi.

Ngakhale kuti nthawi zina zingakhale zovuta kuthana ndi mavuto a MS omwe ali nawo komanso kutenga mimba, khalani olimba ndipo mupitilize kugwira ntchito mwakhama. Phindu lidzakhaladi loyenera.

> Zotsatira:

> Brandt-Wouters, E ;; Gerlach, O .; ndi Hupperts, R. "Zotsatira za katemera wotchedwa postpartum intravenous immunoglobulins pafupipafupi omwe akudwala matenda ambiri a sclerosis." Int J Gynaecol Obstet. 2016; 134 (2): 194-6.

> Pastò, L., et al. "Epidural analgesia ndi kulephera kubereka m'magazi ambirimbiri omwe amatha kubwerera m'mbuyo: gulu laling'ono la ku Italy." BMC Neurology , 2012; 12: 165.

> Tsui, A., ndi Lee, MA "Multiple sclerosis ndi mimba." Malingaliro Amakono mu Zovuta Zambiri ndi Zachikazi za 2011; 23 (6): 435-9.