Zina mwa Matenda a Crohn ndi Ulcerative Colitis Zingakhudze Matenda
Chiberekero chimaganiziridwa mozama, kwa amayi, monga momwe amatha kutenga pakati ndi mwana. Kwa amayi ogonana nthawi zonse, kusakhala ndi pakati pa nthawi ya mwezi wa 12 ndi chisonyezero chakuti chonde chikhoza kuchepetsedwa.
Pali zambiri pa nkhaniyi, makamaka makamaka kwa amayi omwe ali ndi matenda aakulu monga matenda opatsirana (IBD) .
Pofuna kutenga mimba popanda thandizo, wina ayenera kuchita zogonana zomwe zimabweretsa mwana. IBD ikhoza kuponya zolepheretsa m'njira, kuphatikizapo momwe maanja amachitira zogonana komanso momwe mimba imakhudzira ngati mayi akumva bwino, akulakwitsa, kapena akuchitidwa opaleshoni ya IBD.
Kumvetsetsa momwe IBD imakhudzira chonde kumakhala kolimbikitsa chifukwa mbali zina za IBD zomwe zawonetsedwa kuti zichepetse kubereka zingatheke. Nkhaniyi ikufufuza momwe zinthu zokhudzana ndi IBD, kuphatikizapo thanzi labwino, mankhwala, ndi opaleshoni, zimakhudza chonde kwa amayi.
IBD ndi Chiberekero mwa Akazi
Kodi kukhala ndi Crohn's disease kapena ulcerative colitis kumakhudza bwanji kubala kwa amayi sikukumvetsetsa kwathunthu. Kwa amayi omwe ali ndi matenda a Crohn, kafukufuku amasonyeza kuti kubala ndi "zachibadwa kapena pafupi," ndipo kwa amayi omwe ali ndi ulcerative colitis omwe sanachite opaleshoni, kubala ndi "kozolowereka."
Azimayi omwe ali ndi IBD alibe zochepetsetsa m'mabungwe onse.
Mwa kuyankhula kwina, amayi omwe ali ndi IBD amakonda kutenga mimba nthawi zambiri monga amayi omwe alibe IBD. Komabe, IBD imakhudza aliyense mosiyana, ndipo pali zifukwa zina zomwe IBD ingakhudzire chonde. Mwachitsanzo, kwa omwe ali ndi matenda aakulu kapena omwe ali ndi mitundu ina ya opaleshoni, kubereka kungathe kuchepetsedwa.
Azimayi omwe ali ndi IBD omwe amadera nkhawa za kubala ayenera kukambirana nawo ndi madokotala awo. Mantha okhudza kutenga mimba kapena kukhala ndi mimba yabwino nthawi zambiri amatha kuyendetsedwa. Kuonjezera apo, uphungu wovomerezeka ndi wofunikira chifukwa kukhala ndi IBD ndi mavuto alionse omwe akuyang'aniridwa ndikupereka mwayi wopambana wobereka komanso kukhala ndi pakati.
Zinthu Zogwirizana ndi IBD Zomwe Zingakhudze Ulimi
Ngakhale kuti IBD yokha imawoneka kuti imachititsa kuchepa kwa nthawi zambiri, pali zifukwa zina zakuti kubereka kwa amayi omwe ali ndi IBD kungachepe. Azimayi ambiri angaganize kuti ndi kofunika kusiya kumwa mankhwala a IBD kuti atenge mimba koma sizinali choncho, ndipo kwenikweni ndizosiyana. Kukhala ndi matenda opatsirana nthawi zina kumachepetsa kubereka, koma osati nthawi zonse. Komabe, ndikofunika kudziwa kuti kukhala mukukhululukidwa kumapereka ubwino wokhala ndi mimba yabwino.
Chikhalidwe cha matenda. Kwa amayi omwe ali ndi matenda a Crohn, kukhala ndi kutupa kwa IBD kungathe kuchepetsa chonde, koma sichidziwika ndi kuchuluka kwake. Kukhala ndi chiopsezo cha IBD kungachepetse chonde chifukwa chikhoza kuchepetsa kugonana ndi kugonana kungakhale kovuta kwa akazi. Ndikofunika kuti amayi omwe ali ndi IBD azikonzekera kutenga pakati pamene matendawa sakugwira ntchito.
Mankhwala. Kwa amayi, mankhwala ambiri omwe amagwiritsidwa ntchito mochizira kuchitira IBD sanawonetseke kuti amachepa. Komabe, zindikirani kuti amayi omwe akutenga methotrexate sayenera kutenga mimba, monga mankhwalawa ali mu Gulu la Mimba X ndipo wasonyezedwa kuti amachititsa zolepheretsa kubala m'matumbo. Gastroenterologists angalimbikitsenso kugwiritsa ntchito mankhwala otchedwa steroids (monga prednisone ) asanakhale ndi pakati, ndi chifukwa china chokonzera mimba ndikukambirana za mankhwala omwe ali ndi gulu la thanzi labwino.
Azimayi omwe ali ndi IBD amene akumwa mankhwala ena akufuna kukambirana za zotsatira za mankhwala okhudzana ndi chonde komanso kutenga mimba ndi gastroenterologist ndi katswiri wamagetsi / amayi.
Ngakhale mankhwala ambiri amawoneka otetezeka panthawi yomwe ali ndi mimba ndi mimba, IBD ya amayi onse ndi yosiyana ndipo kusintha kwa chithandizo kungafunike.
Ngakhale amayi atapezeka kuti ali ndi pakati mwadzidzidzi, mankhwala a IBD sayenera kuimitsidwa musanayambe kukambiranapo ndi gastroenterologist. Kuika kutupa kwa IBD ndikofunika kwa mimba yabwino.
Kuchita opaleshoni ya J-pouch. Kwa amayi omwe ali ndi zilonda zam'mimba zomwe zimayambitsa ma opaleshoni a leal-anal anastomosis (IPAA) (omwe amatchedwa opaleshoni ya j-pouch ), kubereka kungachepetse. Ochita opaleshoni sangathe kufotokozera kuti mkazi aliyense adzabereke, komabe kafukufuku amasonyeza kuti kuchepa kwa amayi atatha opaleshoni ya j-pouch kulikonse pakati pa 30 ndi 50 peresenti, yomwe mwachiwonekere ikukhudzana.
Izi kawirikawiri chifukwa minofu yowopsya ingalepheretse kapena kupeweratu imodzi kapena ziwiri zonsezi, zomwe zimalepheretsa dzira kuchoka pa ovary kupita pachiberekero . Zotsatira za opaleshoniyi zimadziwika, ndipo amayi omwe akutsatira njirayi omwe akufuna kusunga chonde chawo ayenera kukambirana za kuthekera kwa kubereka kochepa ndi gastroenterologist ndi dokotala wochita opaleshoni.
Kuchita opaleshoni sikukuwoneka kuti kumakhudza kukhwima kapena kukhala ndi mwana wathanzi, wathanzi. Izi zikutanthawuza kuti njira zothandizira chithandizo, zomwe zimakhala mu vitro feteleza (IVF), zingathandize ngati ziphuphu zazing'ono zimatsekedwa. Kafukufuku wina anasonyeza kuti IVF ili ndi ubwino womwewo kwa amayi omwe ali ndi IBD monga momwe amachitira akazi omwe alibe IBD.
Nthawi zina, opereka chithandizo chamankhwala anganene kuti ali ndi ana asanamalize opaleshoni ya j-poch, pofuna kusunga chonde. Izi zikhoza kutanthawuza kulandira ndi kubereka mwana atatha opaleshoni ya colectomy ndipo ali ndi leostomy m'malo. Izi ndi zosankha payekha ndipo mkazi aliyense akufuna kukambirana ndi ochipatala komanso a m'banja, kuti awone zomwe angapeze kuti ayambe kapena kuthetsa banja lawo.
Ma opaleshoni ena a IBD. Pali kafukufuku wochepa omwe alipo pa momwe mitundu ina ya opaleshoni ya IBD imakhudzidwira kubereka kwa amayi. Kafukufuku wina akusonyeza kuti kwa amayi omwe ali ndi matenda a Crohn, opaleshoni ikhoza kukhala ndi zotsatira zochepa zochepetsera chonde. Komabe, maphunziro ena amavomereza kuti pamene opaleshoni imathandiza kuti IBD ikhululukidwe, kubereka kumatha kusintha. Monga momwe zilili ndi mbali zina za kubereka ndi IBD, zimalimbikitsa lingaliro lakuti kusungira kutupa kumakhala kofunika kuti pakhale mwayi wokhala ndi pakati.
Mbali zina za IBD ndi momwe zimakhudzira ubereki wamwamuna
Zojambula za thupi. Azimayi ena omwe ali ndi IBD amakumana ndi mavuto ndi thupi. Izi zikhoza kukhala chifukwa chochita zinthu zosiyanasiyana za IBD (kupweteka, kutsekula m'mimba, zipsera zopangira opaleshoni) kapena zotsatira za mankhwala.
Matenda a thupi la thupi ndi ofunika kukambirana ndi gastroenterologist, ndipo nthawi zina, kutumiza kwa katswiri wa zamaganizo kungakhale njira yabwino kwambiri. Kulimbana ndi zojambula za thupi kungatanthauze kupita ku mankhwala kapena kuchita ntchito zina kukonza malingaliro oipa, koma nthawi zambiri, zingakhale zothandiza ndikuwongolera kusintha kwa moyo.
Chidwi pa kugonana. Kafukufuku wambiri amavomereza kuti amayi omwe ali ndi IBD angakhale ndi chidwi chogonana , chomwe chingachepetse chiberekero chawo. Zifukwa zosamveketsa "mumalingaliro" zimaphatikizapo kukwiya, kukhala ndi maganizo ovutika maganizo, kapena kugonana kukhala opweteka (monga kukhala ndi mavuto m'madera a perianal).
Kugwira ntchito pothetsa nkhanizi kungatenge nthawi ndikusowa thandizo kwa osamalira odwala okha komanso kuchokera kwa womvetsetsa. Nthaŵi zina, libido idzayamba pamene mavuto akuthupi akuyendetsedwa, koma kwa ena, kutumizidwa kwa katswiri wa zamaganizo kungathandizenso kukambirana mavutowa ndi kupereka njira zothetsera mavuto.
Kusokonezeka maganizo. Kafukufuku wina wa amayi 181 omwe ali ndi IBD adanena kuti sizinthu zomwe zimayambitsa matendawa. Mu kufufuza kumeneku, komwe kunachitika kudzera mu kafukufuku woperekedwa kwa anthu omwe ali ndi, popanda IBD, amayi adayankha kuti kuvutika maganizo kunali vuto lalikulu lomwe linakhudza kugonana kwawo. Kafukufuku wina amene adafunsa amayi 336 omwe ali ndi IBD anali ndi zotsatira zofananako, ndipo adapeza kuti maganizo opsinjika mtima adachepetsa chidwi chogonana.
Zowawa zogonana. Mawu achipatala chifukwa cha ululu pa nthawi yogonana ndi dyspareunia. Zowawa pa nthawi yogonana zikhoza kuchitika pa zifukwa zosiyanasiyana, koma zokhudzana ndi IBD, zikhoza kukhala zotsatira za opaleshoni kapena chifukwa cha zovuta m'dera la perianal (monga fistula). Kukhala ndi ululu kungachepetse mphamvu ndi chilakolako chogonana ndipo zikhoza kuchepetsa kuchepa.
Azimayi omwe ali ndi ululu pa nthawi yogonana akufuna kuyankhula ndi gastroenterologist wawo ndi amai awo aakazi kuti apeze chomwe chikupweteka ndi momwe angachitire. Malingaliro ena omwe angawathandize kumaphatikizapo kugwiritsa ntchito mafuta odzola kuti athandizidwe ndi amayi omwe ali owuma kapena kugwiritsa ntchito malo osiyana pa nthawi yogonana. Komabe, kupweteka komwe kuli kovuta komanso kolimbikira nthawi zonse kumafunika kufufuza ndi dokotala, ngakhale kuti kungakhale kochititsa manyazi kuti mukambirane.
Kupanda ana mwaufulu. Pali chiwerengero cha anthu omwe ali ndi IBD kupeŵa kukhala ndi ana konse, nthawi zambiri chifukwa cha nkhawa za kudutsa matendawa kwa mwana. Nthawi zina, pangakhale nkhaŵa kuti chifukwa cha kukhala ndi IBD, mkazi sangathe kutenga mimba ndi kukhala ndi mimba yabwino ndi mwana.
Ndi zoona kuti zaka zapitazo, madokotala angapereke uphungu kwa amayi omwe ali ndi ulcerative colitis kapena matenda a Crohn kuti asatenge mimba, koma izi siziri choncho. Mankhwala apititsa patsogolo kwambiri ndipo nthawi zambiri, mankhwala sayenera kuimitsidwa panthawi yomwe ali ndi mimba. Kuwonjezera pamenepo, chiopsezo chotengera IBD kwa mwana ndi chochepa. Tsopano tikudziwa kuti IBD ili ndi chibadwa, koma imalinganiziranso kukhala ndi chilengedwe.
Kafukufuku wina adawonetsa kuti akazi omwe sanaphunzitsidwe zambiri za IBD amapewa kukhala ndi ana, nthawi zambiri osayenera. Kuyankhula ndi gastroenterologist ndi ena othandizira zaumoyo zokhudzana ndi kuopsa kwa mimba, kubadwa, ndi kudutsa kwa IBD kwa ana n'kofunika pakupanga zisankho zokhuza banja. Nthawi zambiri, mantha okhudza mimba ndi chiopsezo cha IBD akhoza kuchepetsedwa kwambiri.
Mawu Ochokera
Nthaŵi zambiri, kubereka sikutsika kwa amayi omwe ali ndi IBD. Pali zochitika zina zomwe zingakhudze luso lokhala ndi pakati, kuphatikizapo kuvutika maganizo ndi mitundu ina ya opaleshoni.
Mwatsoka, tawonetsedwa kuti amayi omwe ali ndi IBD alibe nzeru zomwe akufunikira kuti athe kupanga zisankho zokhudzana ndi mimba. Izi zikhoza kukhala zovuta kwambiri pa iwo kukhala ndi ana, chifukwa chakuti nthano yakuti kutenga mimba ndi kubadwa kuyenera kupewedwa kumapitirirabe.
Kuyankhula ndi gastroenterologist ndi ena othandizira zaumoyo zokhuza kubereka kungayambitse zotsatira zabwino chifukwa mwayi wokhala ndi pakati ndi kukhala ndi mwana wathanzi ungakhale wabwino kuposa momwe mukuganizira. Thandizo pazinthu zambiri zomwe zimachepetsa kubereka zimapezeka - ndi nkhani yodziwa za iwo ndikusankha zomwe zili zoyenera kwa inu.
> Zotsatira:
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