Izingozi zokuthatha i-Prednisone ngexesha lokukhulelwa kubonakala ukuba luphantsi kakhulu
Enye yezona nkxalabo ezibalulekileyo ngabafazi abakhulelweyo abanezifo ezikhulayo (IBD) yimpembelelo yokuba unyango lwe-IBD lunokuthi lube nolutsha olungakazalwa. Ngokomzekelo, i-oral steroids njenge- prednisone isetyenziselwa ukuphatha i-IBD, kwaye ithwala amandla okuba nemiphumo emibi . Ngokuqhelekileyo, abafazi abane-IBD kunye nezinye izinto ezivuthayo ziya kuba nemibuzo malunga nokuthatha i-prednisone ngexesha lokukhulelwa.
Ukulawula i-IBD ngexesha lokukhulelwa
Kwiimeko ezininzi, imichiza iyadingeka ngokucacileyo kubafazi abakhulelweyo abanemiqathango engapheliyo-kwimpilo yomama nomntwana. Ukuba imithi efana ne-prednisone (corticosteroids) ikhuthazwa oogqirha, ithetha ukuba izingozi zamachiza ziya kuba ngaphantsi kweengozi yokungathathi naliphi na imishanguzo.
Kubamabhinqa abane-IBD, kuya kuba kubalulekile ukuba kuxolelwe, okanye ukuba ne-IBD ibe phantsi kokulawula ngaphambi kokuba ukhulelwe. Nangona kunjalo, nangona ukukhulelwa kungenakucwangciswa, kusekho iindlela ezininzi zokuncedisa unyango onokukunceda ukulawula ukuvuvukala kwe-IBD kumama okhulelwe. Ukunciphisa ukuvuvukala kwi-IBD nokukhusela umntwana kuya kuba yinto ebalulekileyo ekuqinisekiseni ukuba unempilo yokukhulelwa kunokwenzeka.
I-Prednisone ichaphazela njani iintsana?
Ukuze ufumane okungakumbi malunga ne-prednisone ngexesha lokukhulelwa kwaye, ngokukodwa, nayiphi na imiphumo yonyango enokuthi ibe nayo kumntwana ongakazalwa, ndaphendukela kwi- UpToDate , isibonelelo samagqirha kunye nezigulana zifuna ulwazi olunzulu lwezonyango.
Ezinye iingcaphephe zicebise ukuba kubekho ingcipheko encinci yokunyuka komlomo okanye i-palate i-palate kwiintsana zonina owathatha umlomo we-steroid kwiimviwo ezi-13 zokuqala zokukhulelwa. Uphando oluthile lufumene ubuncipheko obuncinane bokuba nesisindo sokuzalwa esincinane. Kodwa ke, abaphandi abazange bakwazi ukulawula ukuba le miphumo yayixhomekeke kwimeko yesigqirha yonyango kunokusetyenziswa kweziyobisi. "
Ziyintoni le Njongo kubasetyhini abane-IBD
I-Prednisone ngexesha lokukhulelwa lidibaniswe nomlomo ococekileyo okanye i-palate, ukuhanjiswa kwangethuba, kunye nokukhula okuphantsi. Ezi ngozi zibonakala ziyingcinci, nangona kunjalo, nakwabasetyhini abane-IBD, ubungqina bubonisa ukuba iziphene ezinzima zokuzalwa azikho.
Imisebenzi yomlomo. Kukho umngcipheko omncinci womlomo okanye intlungu kwiintsana ezizalwe ngabasetyhini abathabatha i-prednisone ngexesha lokukhulelwa, ngokukodwa i-trimester yokuqala. Nangona kunjalo, akwaziwa ukuba lukhulu kangakanani lo mngcipheko luya kuba ngenxa yeso sigulo esingasigxina sonyango unina.
Ukuthunyelwa kwangaphambili. Ezinye izifundo zibonise ukuba abafazi abakhulelweyo bathatha i-prednisone banyuke kancinci ekunikeleni umntwana ekuqaleni (ukuhanjiswa kwangaphambili). Olunye uphando lwabasetyhini abane- lupus lubonise ukuba abasetyhini abane-lupus basebenzayo kwaye nabo bathabatha ngaphezu kwe-10 mg ye-prednisone ngosuku banomngcipheko ophezulu wokunikezelwa kwangaphambili. Nangona kunjalo, uphando oluthile lwabafazi abakhulelweyo abane-IBD lubonise ukuba imishanguzo esetyenziswa ekuphatheni i-IBD, njenge-prednisone, ayizange ibe nefuthe elibi kwi-preterm delivery.
Isisindo sokuzalwa esincinane. Kukho ubungqina bokuba i-prednisone ngexesha lokukhulelwa linokubangela umngcipheko wokuba nesisindo sokuzalwa esincinane. Nangona kunjalo, isifundo esifanayo asibonisi miphumo yonyango lwe-IBD kwi-preterm delivery ebonise ukuba imishanguzo ye-IBD ayizange ibe nomthelela kwisisindo sokuzalwa.
ILizwi
Ubungqina buyinto ephikisanayo, obonisa ukuba akukho nto ingaziwa malunga neengozi ze-prednisone ngexesha lokukhulelwa kubantwana abangakazalwa. Nangona kunjalo, uphando oluninzi lubonisa ukuba ubungozi buphantsi, kwaye akukho zifundo malunga nabasetyhini abane-IBD abonise ukuba i-prednisone ibonisa ingozi yeziphene ezinkulu zokuzalwa. Nangona kunjalo, kucetyiswa ukuba i-prednisone isetyenziswe kuphela kwiimeko apho kucacile ukuba kufuneka ukuphatha i-IBD yomama.
Kubalulekile ukuqaphela ukuba kunokuyingozi ukuyeka ukuthatha i-prednisone ngokukhawuleza. Ukuthetha nogqirha malunga naluphi na ukukhathazeka yindlela efanelekileyo kakhulu yokusebenza. Isigqibo sokuyeka ukuthabatha amayeza kufuneka senziwe ngokubonisana nomthinteli wezilwanyana kunye ne-gastroenterologist, ngokukhethekileyo umntu othe ngqo kwi-IBD nokukhulelwa.
Imithombo:
> Huang VW, Chang HJ, Kroeker KI, et al. "Ukulawulwa kwezifo ezithintekayo kwizifo zengqondo ngexesha lokukhulelwa kunye nokuxhatshazwa ngokuxhatshazwayo ngokubanzi: Isidingo semfundo eqhubekayo." Ngaba J Gastroenterol Hepatol. 2016; 2016: 6193275.
Mark Peppercorn A. "Izifo zesibindi sokukhukhumeza nokukhulelwa." UpToDate . 12 Meyi 2016.