9 Imibuzo ebuzwa rhoqo xa Ucwangcisa intsapho
Kubafazi abaninzi abaphila nge- multiple sclerosis (MS) , ukuxilongwa kuza kwixesha apho bacinga ngokuqalisa intsapho. Kwixesha elidlulileyo, abafazi abane-MS babencitshiswa ngamandla ukwenza oko njengoko kwakucingelwa ukuba baya kugula kwaye bancinci bakwazi ukunyamekela abantwana abancinci. Ngenhlanhla kuthi sonke, umfanekiso ukhanya ngakumbi namhlanje.
Enyanisweni, uphando lubonise ukuba ukukhulelwa kunciphisa umngcipheko wesifazane wokufumana ukuphindaphinda , ngokukodwa ngexesha lekota yesithathu. Ukongezelela, iipilisi eziguqulwayo ezikhoyo zibonelela abafazi ithuba elihle lokuhlala bephilile kulo lonke ixesha kungekhona kuphela ukukhulelwa kwabo kodwa iminyaka eminingi yesikolo ilandele.
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Ngaba Ndiyakwazi ngakumbi Ukuba neengxaki zokukhulelwa?Ayikho ubungqina bokuba i-MS idibene naluphi na iingxaki zokukhulelwa, njengokukhulelwa kwesisu, ukukhulelwa kwe-ectopic, ukuzalwa kwangaphambili okanye ukuzalwa.
Akukho nxu lumano kwiinkathazo zokuzala okanye ukungazalwa komntwana. Ngamanye amagama, unako ukufumana ukukhubazeka okunempilo njengawo nawuphi na umfazi oneminyaka yobudala bakho.
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Ngaba ii-MS zam Symptoms ziza kuba zibi kakhulu ngexesha lokukhulelwa?Akuninzi. Abafazi banamava amaninzi kwiindawo ezininzi okanye zonke iimpawu zabo ze-MS ngexesha lokukhulelwa. Oku kubonakala ukuba ukukhulelwa ngokwayo kunciphisa umsebenzi we-immune ngokunyusa amazinga e-steroid yemvelo.
Xa kuthethwa ukuba, ukukhulelwa kuza kunye neempawu zalo kunye nokuphazamiseka okungazinyusa imeko ye-MS ekhoyo ngaphambili njengeengxaki zesantya okanye ukukhathala .
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Ndiyakuthatha i-MS My Medication ngexesha lokukhulelwa?Ukuba ulapha kwi- MS unyango , uya kucetyiswa ukuba unqabe unyango ngelixa uzama ukukhulelwa kwaye ngexesha lonke lokukhulelwa kwakho. Phakathi kokunyangwa kwexesha lokukhulelwa:
- I-Copaxone (i-acatiate ye-glatiramer) yinkqubo ye-B ye-pregnancy echaza ukuba ayizange ibangele izilwanyana kwizifundo zezilwanyana kodwa ukuba akukho zifundo zoluntu ezaneleyo ezenziwa.
- I-interferons ( Avonex , Betaseron, Rebif , Plegridy, kunye ne-Extavia) zonke izidakamizwa ze-C ezikhulayo zithetha ukuba zenze ingozi kwizifundo zezilwanyana kodwa ukuba iziphumo kubantu azikaziwa.
- I-Tysabri (natalizumab) kunye neLimtrada (alemtuzumab) zi-MS zonyango ezithunyelwa kwangaphakathi ezi zizo zombini izidakamizwa zeC.
- UGilyena (fingolimod) kunye ne-Tecfidera (dimethyl fumarate) ziyimilonyeni ye-MS imithi yokukhulelwa C.
- I-Zinbryta (daclizumab) kwi-MS izidakamizwa ezithunyelwa ngejoza engaphantsi kwendlela echazwe njengeCandelo C.
- I-Novantrone (i-mitoxantrone) nayo igalelo le-intravenous edidiyweni lwe-pregnancy D. Le nto ithetha ukuba uphando lubonakalise ukulimala komntwana kodwa ukuba inzuzo yonyango ingaba ngaphezu kweengozi kubantu abathile.
- I-Aubagio (teriflunomide) yinkqubo yokukhulelwa komlomo X inkunkuma. Oku kuthetha ukuba ityhiyelwa ngexesha lokukhulelwa okanye xa uzama ukukhulelwa.
- I-Ocrevus (ocrelizumab) ayinabelwe isigaba sokukhulelwa njengoko sisengumtsha.
Uya kufuneka kwakhona uxoxe nayiphi na imichiza oyithathayo iimpawu ze-MS njengoko ezinye zibhekwa njengezikhuselekileyo kwaye ezinye azikho.
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Kuthiwani Ukuba Kuthatha ixesha elide ukuba ukhulelwe?Ngokuqhelekileyo, abafazi baya kumisa inyanga zonyango ze-MS ngaphambi kokuzama ukukhulelwa ukuze amayeza anethuba lokucima kwinkqubo. Ugqirha wakho unokukucebisa malunga nani ixesha elikhuselekileyo kuwe. Emva kokuba ixesha liphelile, kufuneka uzame ukukhulelwa ngokukhawuleza
Ngokuqhelekileyo iinjongo ezilungileyo ukudibana ne- OB / GYN ingcali yakho kwaye uxoxe ngezinto ongayenza ukuze ukwandise amathuba akho okukhulelwa ngokukhawuleza, kuquka ukulandelwa kwe-ovulation.
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Iyini Indima Ye-Neurologist Yami?I- neurologist yakho iya kuba neengcinga malunga nokukhetha unyango, zombini xa uzama ukukhulelwa kwaye ngexesha lokukhulelwa. Kukho kwakhona kunokuthintela ukuthatha ukuthintela ukubuyela emva kokubuya.
Ucwaningo luye lwabonisa ukuba umthamo we- immunoglobulin (IVIG) obengenayo i-intravenous immunoglobulin (IVIG) enikwe abafazi ngokukhawuleza emva kokubeleka kunciphisa kakhulu umngcipheko wokuphindaphinda kwe-postpartum. Ezinye izazi ze-neurologists ziyakumisela omnye okanye amanani amaninzi e- Solu-Medrol (i-corticosteroids engenayo ) ngenjongo efanayo, ngelixa abanye bakhetha indlela yokulindira.
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Ndiyakwazi Ukusebenzisa I-Epidural During Delivery?Kwixesha elidlulileyo, ezinye izazi ze-neurologists zacebisa malunga nokusebenzisa i-anesthesia yomgogodla (eyaziwa nangokuthi i-block spinal block) njengoko bekholelwa ukuba kukho umngcipheko omkhulu weengxaki. Nangona kunjalo, uphando lwangoku luye lwabonisa ukuba abafazi ababenesifo sengqondo (enye indlela ye-anesthesia yendawo) babengenayo inombolo ephezulu yokubuyela kwakhona kunabo bangenayo.
Namhlanje, ngokwe-National Multiple Sclerosis Society, zonke iintlobo ze-aneshesia zibhekwa zikhuselekileyo kubasetyhini abane-MS ngexesha lokubambisana nokuhanjiswa.
Nangona kunjalo, ukhetho lwama-anesthesia lufanele luxoxwe nge-neurologist yakho, umgqirha, kunye ne-anesthesiologist ekuqaleni kwe-trimester yesithathu. Ngale ndlela, kukho isicwangciso endaweni yokuba wonke umntu uya kukhululeka xa kufika ixesha lokuthumela.
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Kukho Umngcipheko Wokubuya Emva kokuzalwa Kwam umntwana?Ingozi yakho yokuphindaphinda kwiinyanga ezintandathu zokuqala emva kokuhanjiswa kukuphakathi kwama-20 ekhulwini kunye nama-40 ekhulwini.
Ngenxa yoko, kubalulekile ukuba ucebise endaweni xa ufumana ukubuyela kuphinda (kubandakanywa nokuba nomntu ekuthabathe ugqirha kunye nokuncedisa umntwana). Njengazo zonke izinto kwi-MS, akukho mntu unokuqikelela ukuba uya kubuyela kwakhona kwaye, ukuba wenza, yiziphi iimpawu onokuzenza.
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Ngaba Ndinokunxila?I-MS ngokwayo ayifaki nayiphi na isithintelo ekunceliseni. Nangona kunjalo, ekubeni ingaziwa ukuba izidakamizwa zokuguqula izifo zingadluliselwa kubisi lwebele, uninzi oogqirha baya kunika ingcebiso ngokuchasana nokuhlaziya unyango de emva kokugqitywa kokuncelisa.
Abanye abafazi abane-MS baya kukhetha ukuhlaziya kwakhona unyango ngokukhawuleza kunye nokondla i-formula-babo iintsana (ngokunciphisa umngcipheko wokuphindaphinda). Abanye, ngoxa kunjalo, baya kuncelisa ixesha elide ukuya kwiinyanga ezine ukunika abantwana babo inzuzo yobisi lwebele.
Akukho zigqibo ezichanekileyo okanye ezingalunganga. Ekugqibeleni, nguwe kuphela onokugqiba oko kukulungele wena nomntwana wakho.
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Ngaba Umntwana Wami Uya kuba ne-MS?Ngelixa i- MS ayilona ifa ngokuzenzekelayo, izakhi ezithile zegesi zidlala indima. Uphando lubonisa ukuba phakathi kwamathuba amabini anesihlanu ekhulwini lomntwana ozelwe ngumzali one-MS ophuhlisa i-MS ngokunjalo.
Nangona kunjalo, kubalulekile ukuba uqaphele ukuba akukho nto ikhoyo yokuhlola izakhi zofuzo okanye zokubeleka-okanye nokuba uvavanyo lwakho olusandul 'ukuzalwa-olunokuthi ubungqina bokuba oku kwenzeka.
ILizwi
Ingaba uthetha nomlingani wakho malunga nokukhulelwa okanye sele sele ukhulelwe, qhubeka ufundisa kwaye ulandelelene ngokusondeleyo ne-neurologist yakho.
Nangona ngamanye amaxesha kunokuba lunzima ukujongana noxinzelelo oluhlangeneyo lwe-MS nokukhulelwa, uhlale unamandla kwaye uqhubeke nokuthatha inxaxheba kwimpilo yakho. Umvuzo uya kufikelela ngokuqinisekileyo.
> Imithombo:
> Brandt-Wouters, E .; Gerlach, O; kunye noHupperts, R. "Igalelo le-immunoglobulins yokuhamba emva kokubeleka ngokuphindaphindiweyo kwimiba yezigulane ezine-multiple sclerosis." Int J Gynaecol Isibambiso. 2016; 134 (2): 194-6.
> Pastò, L., et al. "I-epidural analgesia kunye nokuhanjiswa kwe-cereosis kwi-multiple sclerosis emva kwe-partum ibuyele kwakhona: isifundo seqela lesiTaliyane." BMC Neurology , 2012; 12: 165.
> Tsui, A., no-Lee, MA "I-multiple sclerosis kunye nokukhulelwa." I-Opinion yamanje kwi-Obstetrics and Gynecology 2011; 23 (6): 435-9.