Umbuzo omnye ovame ukuvela kwabasetyhini abasandul 'ukuvavanywa nge- systemic lupus erythematosus (SLE), "ngaba ndingakwazi ukukhulelwa kwaye ndibe nomntwana ophilileyo?"
Impendulo emfutshane: Ewe.
Nangona abasebenzi bezempilo belixesha elidlulileyo banokubakhokela abafazi nge-lupus kude nokukhulelwa, namhlanje ubulumko obuqhelekileyo kukuba, ngokunyamekelwa ngonyango olufanelekileyo, ingozi ingancitshiswa kwaye ibhinqa elinama-SLE lingakwazi ukuvelisa umntwana ophilileyo.
Kodwa kukho iingozi - eqinisweni, ukukhulelwa kwakho kuya kuthathwa njengengozi enkulu-kwaye kufuneka kuthathelwe ingqwalasela ngaphambi kokukhulelwa. Nabani na oceba ukukhulelwa kufuneka bathethe neengcali zabo zonyango kwaye bacwangcise ngokucophelela ukukhulelwa kwabo.
Ukukunceda ukulungiselela, nolu luhlu oluncinci lwemibuzo - kunye nezimpendulo eziqhelekileyo kunye nezikhonkco - ukuba ungasisebenzisa njengenqakwana ngaphambi kokuthetha nodokotela wakho.
Yiliphi ixesha elifanelekileyo lokukhulelwa?
Xa isigulo sakho, kubandakanywa nasiphi na isifo sesifo, silawulwa kunye nokuxolelwa okungenani kweenyanga ezintandathu. Ngamanye amazwi, xa usenakho impilo yakho. Ukukhulelwa xa i-lupus yakho isebenzayo kunokubangela ukukhulelwa kwesisu okanye ezinye iingxaki. Oko kwathiwa, akuqhelekanga ukuba ne- flare ngexesha lakho lokuqala okanye lesibini. Le mililo, ngokuqhelekileyo ayiyiyo imbangela yokukhulelwa kwakho, ithambekele ngokulula kwaye iphathwa ngokulula nge-corticosteroids.
Ziziphi iingxaki eziqhelekileyo?
Enye inkxalabo enokuchaphazela nayiphi na ibhinqa elikhulelweyo, kodwa iyakuthintela abafazi abakhulelwe abaneepulus rhoqo - i-20%, ngokutsho kweLupus Foundation of America - yi-preeclampsia. I-Preeclampsia kukunyuka ngokukhawuleza kwexinzelelo lwegazi, iiprotheni kumchamo, okanye zombini ngexesha lokukhulelwa.
I-Lupus okanye akunjalo, yimeko ebalulekileyo efuna ukunikwa ngonyango. Ayikwazi ukunyanzelwa kuba ibeka umntwana engozini. Kananjalo inqaku, ngamanye amaxesha, i-preeclampsia ingaba nzima ukuhlula kwi- lupus nephritis , echaphazela izintso.
Omnye, ngokucacileyo kubasetyhini abane-lupus, kukuphuhliswa kwamagciwane okulwa ne-antiphospholipid, okuphazamisana nomsebenzi we-placenta, kwaye ingabangela ukuba igazi livaliwe. Xa zivela kwi-placenta, ziyakuthintela ekukhuleni nasekusebenzeni ngokuqhelekileyo.
Le meko isoloko ivela kwi-trimester yesibili kwaye inokuchaphazela ukukhula komntwana. Kodwa ukuba uphuhliso luhle kwaye ukucwangciswa kokuqala kokukhulelwa kuye kwaphuhliswa kwaye kulandelwa, umntwana wengane unokuhanjiswa kwaye uphile ubomi obuphilileyo.
- ULupus kunye nokuphuphuma komzimba
- I-Lupus antiticoagulants kunye ne-antiphospholipid-antibodies: Indlela abanokuchaphazela ngayo ukukhulelwa
Ngaba umntwana wam uya kuqheleka?
Umntwana wakho akanalo mngcipheko omkhulu wesiphene sokuzalwa - engqondweni okanye emzimbeni - kunabantwana abazelwe oomama ngaphandle kwe-lupus. Umngcipheko wodwa umntwana wakho unomnye umntwana ongaqulunqa i-neonatal lupus. Phantse i-10% yabasetyhini abane-antibodies-anti-elingana nama-3% kuwo onke amabhinqa abane-lupus-aya kuzisa umntwana kunye ne-neonatal lupus.
Oku akusiyo i-SLE, kodwa ifomu ye-lupus edla ngokugqithisa ngexesha lokuqala kunyaka.
Ukuzalwa kwangaphambi kokuqala kusenokuba kukukhathazeka kakhulu. Phantse isiqingatha sabamama abane-lupus ukunikela phambi kwexesha elipheleleyo (iiveki ezingama-40). Oku kuthetha, kubalulekile ukuqaphela ukuba iintsana ezizalwe emva kweeveki ezingama-30, ezilingana ngaphezu kweekhilogram ezintathu, zihlala ziqhuba kakuhle kwaye zikhula ngokuqhelekileyo.
Ukukunceda ukuqinisekisa ukuba kunjalo, qiniseka ukuba umgqirha wakho unamava anokukhulelwa kakhudlwana kwaye isibhedlele apho uceba ukuyifumana nayo iyakwazi ukunyanga ukukhulelwa okuphezulu.
- I-Lupus ye-Neonatal
- Ukukhulelwa okuphezulu
Ndiza kuzisa njani umntwana wam?
Izigqibo malunga neendlela zokuhambisa - iindawo zesini okanye iCesarean - ayilungiswanga kakuhle ngaphambi kokusebenza.
Imiba eyenzeka kwangaphambili okanye ngexesha lokubambisa - njengabasebenzi bokuqala, iintsana ezibonisa iimpawu zokuxinezeleka, oomama abagulayo, njalonjalo-ziya kugqiba ukuba icandelo le-C liyimfuneko.
Ndiqinisekisa njani ukuba ukukhulelwa kwam kunempilo?
Unokuthatha amanyathelo ambalwa, kwaye phantse onke amanyathelo unina ngaphandle kokuba i-lupus ithathe.
- Okokuqala, ungabhiyi naluphi na utyando kunye nogqirha wakho. Ukulandelela inkqubela yokukhulelwa kwakho kunye nokukhula komntwana kubaluleke kakhulu.
- Phumla uze udle kakuhle. Ukunyamekela kwakho kuya kukhuthaza ukukhulelwa okusemgangathweni.
- Thatha imithi yakho enqunyiwe - kwaye uyeke ukuthatha nayiphi na imichiza ugqirha wakho ubonisa.
- Qonda iintlobo zeenguqu zomzimba oza kuhamba ngazo, kunye nendlela umzimba wakho oya kuthathelwa ngayo ukwanda kwamahomoni kunye noshintsho oluthile lomzimba. Abanye banokulinganisa i-lupus flares, kwaye uya kufuna ukukwazi ukwahlula phakathi kwababini.
- Yenza ukhululekile ubize ugqirha wakho. Umgqirha wakho kunye nabasebenzi bakhe baya kuba khona kuwe 24/7. Ukuba ukhathazekile ngento ethile - yenza ifowuni.
- Thatha iiklasi. Ukubaluleka kwabazali, ukubeletha kunye nokuncelisa iiklasi kubalulekile.
- Qinisekisa ukuba iimali zakho zilungelelanisiweyo, usebenze isicwangciso sokubuyisela emsebenzini kunye nokucwangcisa abantwana, kwaye unesicwangciso esithile ukuba umntu anakekele umntwana wakho xa ugula.
- Ukucamngca, njengonyango olongezelelweyo kunye nesixhobo sokuphumla
Ukunyamekela umntwana wakho
Njengomzali omtsha, uya kugcwaliswa ngemibandela yemibuzo, ukusuka kwindlela yokutya unyana wakho omtsha okanye intombi indlela yokufumana ixesha lokuphumla. Kubazali abatsha abane-lupus, kukho enye imibuzo, kubandakanywa nokuba umntwana wakho uya kuba nempilo (akukho sizathu angayifanelekanga) kwaye ukuba kulungile ukuba uncelise.
Ithuba lokuncelisa liza kunqunywa emva kwengxoxo kunye nogqirha wakho, njengoko amayeza angadlulela kumntwana ngokusebenzisa ubisi lwebele.
Imithombo
I-Lupus: Isikhokelo soNonophelo lweMonde sabanesiNtu kunye nabanye abaPhezulu bezeMpilo, u-3rd Edition, i-Information Sheet # 11, Ukukhulelwa kunye neLupus. Isiko seSizwe seArthritis kunye neMisculoskeletal kunye Nezifo Zesikhumba. Septemba 2006.
Ukukhulelwa kunye neLupus.Lupus Foundation yaseMelika. Eqokelelwa ngoFebruwari 2008.