Mavuto a kutsegula m'mimba-omwe amachititsa kuti matenda a m'mimba asakwiyitse (IBS-D) si ovuta pansi pa nthawi zambiri ndipo ndi zovuta kwambiri ndi mimba . Muyenera kugwira ntchito kuti mupeze njira zothandizira kuthetsa zizindikiro popanda kuyika mwana wanu pachiswe. Tiyeni tiwone zomwe zimadziwika za IBS-D ndi mimba ndi zomwe mungachite kuti muzisunga nokha ndi mwana wanu wathanzi.
IBS ndi Pregnancy
Kawirikawiri, amayi omwe ali ndi pakati amakhala ndi zizindikiro zambiri za IBS kuposa amayi omwe alibe pakati. Izi ndizotheka chifukwa mahomoni omwe ali ndi mimba ali ndi mphamvu yogwira ntchito yanu. Zotsatirazi zikuphatikizapo kuyendetsa liwiro limene chimatuluka mumatumbo anu aakulu ndi momwe madzi amadziwira kuchokera ku chitseko pamene akudutsa. Palibe zambiri zodziwika bwino za mgwirizano pakati pa IBS-D ndi mimba, koma phunziro limodzi laling'ono linapeza kuti zizindikiro za IBS-D zikhoza kuwonjezereka mu yachiwiri ndi itatu ya trimesters.
Chodetsa nkhaŵa kwambiri ndi zotsatira za phunziro lalikulu lomwe lapeza kuwonjezeka kwa chiopsezo chopita padera ndi ectopic pregnancy kwa amayi omwe ali ndi IBS. Phunziro ili silinaperekepo kanthu za momwe chiopsezochi chikukhudzira IBS subtype . Zomwezo zinawonjezeka kwambiri kuti atuluke padera ndipo ectopic pregnancy inapezedwanso mwa amayi omwe ali ndi IBS pamodzi ndi nkhawa ndi kupsinjika maganizo.
Ndizosadabwitsa kuti chiopsezo chinali chokwanira kwa amayi omwe anali ndi IBS ndi kusuta. Mwamwayi, panalibe ngozi yowonjezereka yotchulidwa pokhala ndi mwana wakufa.
Kumbukirani kuti maphunziro oterewa amavomereza kuti mgwirizanowo ndi wosagwirizana. Zikutheka kuti si IBS-D yanu yomwe imabweretsa chiopsezo chanu, koma makamaka chinthu china chosadziwika chomwe chimayambitsa chiopsezo cha IBS ndi mavuto omwe mungakhale nawo ndi mimba yanu.
Ngakhale kuti sichidziwika chifukwa chake pangakhale ngozi yowonjezera ya mavuto a mimba, phunziroli likutsindika kufunikira kokhala ndi chithandizo choyenera cha zachipatala komanso chisamaliro cha kudzikonda pamene muli ndi pakati. Nazi zina zomwe mungachite:
1. Gwiritsani Ntchito Bwino Dokotala Wanu
Ndikofunika kuti muyankhule ndi dokotala wanu musanayambe kumwa mankhwala anu kuti muzitha kuchiza matenda anu a IBS-D, kuphatikizapo zowonjezereka. Pankhani ya chitetezo cha mankhwala odzola kutsekula m'mimba , dokotala wanu ali ndi udindo wabwino kuti akuchenjezeni za mbiri ya chitetezo cha zosiyanasiyana. Mankhwala ena akhoza kukhala abwino ngati agwiritsidwa ntchito molakwika; zina zimapewa bwino. Ndipo ngakhale kuti mwakhala mukufikira Imodium nthawi zonse musanayambe kutenga mimba monga momwe anthu ambiri amawonera kuti ndibwino, sizingakhale zabwino kwambiri kwa inu tsopano. Pali zotsatira zofukufuku zofufuza ngati imodium kapena ayi ingayambitse vuto la mwana wosabadwa. Monga mukuonera, ndikofunika kuti mugwire ntchito ndi dokotala kuti mudziwe mankhwala omwe angagwiritsidwe ntchito mosamala mukakhala ndi pakati.
2. Idyani Mwanzeru
Njira yabwino kwambiri yothetsera vuto lanu la IBS-D pamene mukuyembekezera ndi kudzera mu zakudya zowonjezera. Mufuna kutsimikizira kuti mukutsatira zakudya zokwanira kuti mutsimikizire kuti mwana wanu akukula bwino.
Pamene mukuchita zimenezi, kumbukirani mfundo izi:
- Pewani kudya zakudya zodzaza ndi mafuta osayenera. Izi zimaphatikizapo zakudya zokazinga, zakudya zamatumbo, ndi zakudya zowonjezereka monga zakudya izi zingalimbikitse kupweteka kwa m'mimba kumapangitsa kupweteka m'mimba ndi m'mimba. Musanyalanyaze kutenga mafuta abwino, monga mafutawa ndi ofunikira thanzi lanu ndi la mwana wanu amene akukula. Zitsanzo za mafuta abwino zimaphatikizapo mapeyala , mafuta a kokonati , mtedza ndi nutters.
- Pewani shuga wosakanizika bwino , monga lactose , fructose , ndi sorbitol, ngati mumakhala ndi zotsekula m'mimba.
- Ngati mukuvutika kwambiri, sungani zakudya zakupha .
3. Imwani Zakudya Zambiri
Kumbukirani kuti mukumwa kwa awiri. Kusunga madzi okwanira ndi kofunikira pa thanzi lanu ndi la mwana wanu. Ngati mukudwala matenda otsegula m'mimba, muli pangozi yowonongeka kwa madzimadzi komanso chifukwa cha kutaya madzi m'thupi. Mudzadziwa kuti mukumwa madzi okwanira ngati mkodzo wanu uli bwino.
4. Gwiritsani ntchito Zochita Zokakamizika
Ngati simunayesere kale matenda a psychotherapy ngati mankhwala anu a IBS-D, mimba yanu ingakhale chinthu chokha kuti mutengeke. Izi zingakhale zofunikira makamaka ngati mukudandaula kapena kupanikizika pamodzi ndi IBS yanu, monga pali kafukufuku amene amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda komanso tizilombo toyambitsa matenda.
Mitundu iwiri ya mankhwala - chidziwitso cha khalidwe labwino (CBT) ndi hypnotherapy - zasonyezedwa kukhala zothandiza kuchepetsa zizindikiro za IBS. Chinthu chachikulu mwa mankhwalawa ndikuti simuyenera kudera nkhaŵa za zotsatirapo zina zomwe zimakhudza mwana wanu.
Njira zina zamaganizo / thupi zimapereka njira zina. Yoga ikhoza kukhala yopindulitsa pa zizindikiro zanu za IBS koma zingakuthandizenso kuchepetsa mavuto pamene mukugwira ntchito ndi kubereka. Kusinkhasinkha ndichinthu chabwino kwambiri chothetsera mavuto a kunja kwa thupi lanu.
Zotsatira:
Adibi, N. et. al. "Zizindikiro zoopsa za m'mimba pa nthawi ya mimba itatu" Journal of Research in Medical Sciences 2012 17: S171-S174.
Einarson, A., ndi. al. "Chodziwika, cholamulidwa, kuphunzira zambiri za loperamide mu mimba" Canadian Journal of Gastroenterology ndi Hepatology 2000 14: 185-187.
Hasler, W. "Matenda opweteka a m'mimba pa nthawi ya mimba" Zipatala za Gastroenterology za kumpoto kwa America 2003 32: 385-406.
Kallen, B., Nilsson, E. & Otterblad Olausson, P. "Kugwiritsidwa ntchito kwa amayi pa nthawi yomwe ali ndi mimba yoyambirira komanso yobereka." Acta Paediatrica 2008: 541-545.
Khashan, A., ndi. al. "Kuwonjezeka kwa Ngozi Yokwatirana ndi Ectopic Pregnancy Among Women With Irritable Bowel Syndrome" Clinical Gastroenterology ndi Hepatology 2012 10: 902-909.