Ucwangciso lweentsapho lubalulekile kubasetyhini abaneCrohn okanye i-Ulcerative Colitis
Ukhetho lokuba nabantwana okanye kungekho enye yezigqibo ezibalulekileyo abantu abaninzi abaza kwenza ebomini. Kukho imiba emininzi ekucingeni xa ifika ekukhulelweni nasekuzalweni, kwaye intloko phakathi kwale ndlela indlela okukhetha ngayo iya kuchaphazela isifo sakho sobungela (IBD) . Enye yezona zinto zibaluleke kakhulu ekunikezeni ithuba elihle kakhulu lokukhulelwa okusemgangathweni kunye nosana kubasetyhini abane-IBD yisimo sesifo xa ukukhulelwa kwenzeka.
I-Gastroenterologists icebisa ukuba kungcono kubasetyhini abane-IBD ukukhulelwa xa i-IBD ixoxwa, oko kuthetha ukuba umsebenzi wesifo (ikakhulukazi ukuvuvukala) usuphelile okanye awuphelelanga kangangoko.
Ukwenza iinqununu malunga nokuLawula
Ukubandakanya i-gastroenterologist kunye nesigqirha-gynecologist kunye nabanye abaqeqeshi bezempilo (njengomculi wezilwanyana kunye nodokotela ogqithisileyo obenqunyiwe kwixesha elidlulileyo) kubalulekile ngaphambi kokukhulelwa. Ngoko ke, isigqibo sokuba nini na ukuba abantwana banokucwangciswa ngokucophelela kubafazi abane-IBD. Oko kukhokelela ekwenzeni ukhetho malunga nokusebenzisa ulawulo lokuzalwa kuze kubekho ixesha lokukhulelwa.
Wonke umfazi uya kufuneka azenzele izigqibo malunga nokukhulelwa komzimba eziqwalasela izimo zempilo, indlela yokuphila, kunye nokukhetha. Ukuthetha ngokubanzi, ulawulo lokuzalwa luquka imingcipheko ekhusela isisu kunye neqanda ekuxhumeni, iikhemikhali ezibulala umdaka, okanye i-hormone ezikhusela i-ovulation.
Ukulawulwa kokuzalwa okungapheliyo kuyafumaneka, kumadoda nakwabesetyhini, kodwa oku kukhuthazwa kuphela kwiimeko ezithile okanye xa umntu ekhetha ukuyeka ukuzala abantwana.
Ukunyameka kwabesetyhini abaninzi abane-IBD sele kufuphi
Abafazi kunye ne-IBD baxelelwa ukuba baphephe ukukhulelwa, kodwa oku akusekho.
Kwiimeko ezininzi, abafazi abane-IBD abayikho ingozi yokukhulelwa kwengxaki, kodwa ukuxolelwa kuqinisekisa ithuba elihle lokukhulelwa okusemgangathweni kunye nosana. Abafazi abane-IBD abangenayo i- j-pouch ukuhlinzwa ngokuqhelekileyo banesilinganiselo esivamile okanye esingaqhelekanga yokuzala.
Oku kunokumangaliswa kwamanye amabhinqa, yingako kubalulekile ukuba abafazi abane-IBD basebenzise indlela ethembekileyo yokukhulelwa kokukhulelwa ukuba ukukhulelwa akufunanga, kuba i-IBD ayiyi kunciphisa amathuba okukhulelwa. Apha kweli nqaku kukho ukukhethwa kwexesha lokukhusela kwabasetyhini kunye nempembelelo yabo kwi-IBD.
Izindlela zokuLawulwa koNzala
Ukulawulwa kwemingcipheko yokuzalwa, njengengqungquthela, ikhanda lomlomo wesibeleko, isiponji sokukhulelwa, okanye ikhondom ( inkunzi okanye ibhinqa ), zihlala zikhetha ukhetho kubafazi abane-IBD abangenakusebenzisa iindlela zokulawula ukuzalwa kwe-hormone. Nangona kunjalo, isalathisi okanye isikhumba somlomo wesibeleko asikwazi ukusebenza ekukhuseleni ukukhulelwa kwabasetyhini abane-IBD abanesifo se- fistula esibandakanya isiswini (njenge-fistula ephindaphindiweyo) okanye inokuchaphazela ezinye izitho zokuzala. Abasetyhini abanokutheleleka kwiintsholongwane okanye kwisisu, banokucetyiswa ukuba bangasebenzisi isithintelo okanye isithwaba somlomo wesibeleko kuba ezi zixhobo zinokunyusa ingozi yokuphuhlisa isifo.
Ukusebenzisa i- spermicide (i-foam, i-jelly, i-gel, okanye i-suppository ebulala umdoda) kunye nale ndlela yokukhawulela isoloko icetyiswa ukwenzela ukwandisa ukusebenza kwayo. Iikhondom ziya kunceda ukukhusela ukusasazeka kwezifo ezithathelwana ngocansi (STDs) , ngelixa iidrafms, iifowuni zomlomo wesibeleko kunye neepongipi aziyi kukwazi.
I pilisi yoLawulo lokuzalwa ("I pilisi")
Kukho ukucinga ukuba ukuthatha ipilisi yokukhulelwa ("ipilisi") inomngcipheko kubasetyhini abane-IBD okanye abasengozini yokuphuhlisa i-IBD. Iphilisi yokudibanisa iqukethe iifom zokwenziwa kwee-hormone ezimbini zamabhinqa: i-estrogen kunye neprogesin (xa iveliswa emzimbeni le hormone kuthiwa yi-progesterone).
Kukho izifundo ezimbalwa ezithe zafumana ulwalamano phakathi kokuthatha iipilisi kunye nokuba kuphuhliswe i-IBD okanye kubangele ukuhlaselwa kwe-IBD. Nangona kunjalo, akuqondwa ukuba kutheni kwenzeka oku kwaye akukho mvumelwano malunga nokuba lukhulu kangakanani lo mngcipheko okanye ukuba i-gynecologists imele iphathe njani abafazi abane-IBD abafuna ukuthatha ipilisi.
Abasetyhini abagqibayo ukuthatha ipilisi akufanele bashiye, kuba ukutshaya kubandakanywa njengento ebangela abafazi abaphuhlisa i-IBD kwezi zifundo. Abasetyhini abangaphezu kweminyaka engama-35 abatshitshisayo kwaye bathathe i pilisi banokubeka ingozi ekuphuhliseni ama-blood clots. Ukubhema kudibene ngokukodwa nokuphuhliswa kwesifo sikaCrohn , kwaye abantu abaneCrohn banxuswa ukuba bangabambi.
Enye into ekufuneka uyiqwalasele xa uthatha ipilisi yinto yokukwazi ukungena emathunjini. Abantu abane-IBD banokuba neengxaki zokunyanga amayeza athile emathunjini, nangona oku kuya kuhluka ngokubanzi. Ukuba ipilisi ayinakunyulwa, ayinakwenza umsebenzi wayo, kwaye ingathetha ithuba lokukhulelwa. Xa abesifazana abane-IBD bafumana i- flare-up , okanye i- diarrhea , enye indlela yokukhulelwa kufuneka iqwalaselwe. Abasetyhini abane-IBD abanenkxalabo malunga nokuthatha ipilisi kufuneka baxoxe ngegastroenterologist kunye ne-gynecologist. I pilisi ayiyi kukhusela kuma-STD.
UkuLawula Ukuzalwa
Ukufakelwa kolawulo lokuzalwa kuyincinci encinci yeplastiki efakwa kwingalo ephezulu equle i-hormone progesin kwaye isebenza ukuyeka u-ovulation malunga neminyaka emithathu. Ukufakela ukukhulelwa komzimba ngenye yeendlela zokucwangcisa ngokuphindaphindiweyo kubasetyhini abane-IBD abangakhange baqwalasele ukukhulelwa esikhathini esiseduze, kuba kuyasebenza, ayifuni ukuthatha ipilisi imihla ngemihla, kwaye ihlala ixesha elide. Into enye okumele uyikhumbule ngokufakelwa kwayo kukuba ayiyi kukhusela nxamnye ne-STD.
I-Patch Control Patch
Isiqwenga sokulawula isibeleko sisicatshulwa esincinci esincinci esifakwe elukhumbeni ukukhulula ama-hormone, isrogen, kunye neprogesin. Iqhosha liyashintshwa ngeveki. Isebenza ngokufana nepilisi yolawulo lokuzalwa kwaye inokudibaniswa nezinye zeengxaki ezifanayo malunga nobungozi obandayo bokuphuhlisa i-IBD. Iqhosha aliqhelekanga lisetyenziswe, kodwa abanye abafazi banokugqiba isigqibo sokuba yinto efanelekileyo yokuphila kwabo. Isiqendu asiyi kukhusela kuma-STD.
Ulawulo lokuLawula ukuzalwa
Ukulawulwa kolawulo lokutsalwa kukutsalwa kwintsholongwane enikwa zonke iinyanga ezi-3 kwaye isebenza ngokukhusela i-ovulation. Ihomoni esetyenzisiweyo kwipilongo yiprostin, ngoko le ndlela yokulawula ukuzalwa ifana nokuzaliswa kolawulo lokuzalwa. I-disadvantage enkulu kunye nokulawulwa kolawulo lokuzalwa kukuthi kungabangela ukuncipha kwamathambo. Oku kukhathazeka ngokukodwa kubasetyhini abane-IBD, abasenokuba sele besengozini ye-osteopenia kunye ne-osteoporosis, ngenxa yokungaphumeleli kwe-vitamin okanye njengempembelelo embi yeyeza. Udulo alukhuselanga nakwi-STD. Ingaba yinto efanelekileyo yokukhetha ukukhulelwa kwabafazi kunye ne-IBD, kodwa ukuxhalabisa ngempilo yethambo kufuneka kuxutyushwa kunye ne-gastroenterologist kunye ne-gynecologist.
I Ring Ring yeVaginal Contraceptive
Ingqumbo yesondo yincinci yeplastiki equkethe i-estrogen kunye neprogesin kwaye ifakwe kwisini. Kugqithwe iiveki ezi-3 zilandelwa enye iveki ngaphandle kwayo, kwaye isebenzise i-dose ephantsi yamahomoni kunezinye iindlela zokulawula ukuzalwa kwe-hormonal. Akukhuthazwa ngabasetyhini abashunayo okanye abanembali yamacwecwe egazi. Kwakhona, ngenxa yokuba isondo lesisu sisasebenzisa inhlanganisela ye-hormone, inokuthi idibaniswe nezinye iingozi ezifanayo malunga ne-IBD njengepilisi yokukhulelwa komlomo, nangona ijaji isaphuma kuloo nto. Olu hlobo lokulawula ukuzalwa aluyi kukhusela kuma-STD.
I-Intrauterine Device (IUD)
IUD iyisisombululo sokukhusela esifakelwe ngomlomo wesibeleko kunye nasesibilini sesigqirha sokunakekelwa kwezempilo (ngokuqhelekileyo isifo somzimba). Kusebenza ukukhusela ukukhulelwa okanye ngokuthintela isidoda ukuba ungathintani neqanda okanye ngokukhulula i-hormone progestin, ekhusela ukuvuthwa. IUDs iminyaka edlulileyo, kuxhomekeke kumhlobo osetyenziswayo, naphi na kwi-3 ukuya kwe-12 iminyaka. Ukususwa kwe-IUD kubuyisela ukuzala komfazi. IUDs ziphumelela kakhulu ekukhuseleni ukukhulelwa kwaye zingasetyenziswa nakwabasetyhini abangenabantwana. Izifundo azibonisanga niphumo kwi-IBD, ezenza ukuba kubekho ukhetho oluphakamileyo lokuncinwa kokuzalwa kwabasetyhini abane-Crohn's disease okanye i-ulcerative colitis. I-IUD, nangona kunjalo, ayiyi kukhusela kuma-STD.
Ukusebenzisa okungaphezulu koMnye Uhlobo loLawulo lokuzalwa
Ngamanye amaxesha, kungcono kakhulu ukusebenzisa ii-2 okanye ezininzi iindlela zokulawulwa kokuzalwa, njengokuba ngexesha lokutshatyalaliswa, okanye emva kokuhlinzwa. Ezi zihlandlo aziyi kunika ithuba elihle lokukhulelwa okusemgangathweni kunye nosana, ngoko kubalulekile ukuqinisekisa ukuba kuthathwa amanyathelo okuqapha.
ILizwi
Kungakhathaliseki ukuba izicwangciso zakho zithini malunga nokukhulelwa kwixesha elizayo, kubalulekile ukuba uqaphele yonke into ekhoyo yokukhetha ukukhulelwa . Uyakufuna ukuqinisekisa ukuba indlela yakho yokukhetha isebenza kuwe, iqabane lakho kunye nosapho lwakho, kodwa kwakhona ukuba kuya kuba luncedo ngangoko kula maxesha xa ukukhulelwa kukuphephe.
> Imithombo:
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> Gawron LM, uGawron AJ, uKasper A, uHammond C, uKeefer L. "UkuKhethwa kweNkqubo yokuLawula ukuThatyathwa kwabasetyhini abanezifo ezikhubazayo: Izifundo eziPhezulu." Ukukhulelwa . 2014 Meyi; 89: 419-425.
> Khalili H, Higuchi LM, Ananthakrishnan AN, et al. "Ukukhulelwa komlomo, izinto zokuzala kunye nomngcipheko wesifo sesisu." Gut . 2013 Aug; 62: 1153-1159.
> Martin J, Kane SV, Feagins LA. "Ukunyameka nokuNyameka kwabasetyhini abanezifo ezikhubazayo." I-Gastroenterol Hepatol (NY). 2016 Feb; 12: 101-109.
> Zapata LB, Paulen ME, eCansino C, et al. "Ukusetyenziswa kweentlobo phakathi kwabasetyhini abanezifo zesibindi sokuvuvukala: Uhlolo oluchanekileyo." Ukukhulelwa . 2010 Julayi; 82: 72-85.