Ukuhlela umndeni kubalulekile kwabesifazane abane-Crohn's noma i-Ulcerative Colitis
Ukukhetha ukuba nezingane noma cha kungenye yezinqumo ezibaluleke kakhulu abantu abaningi abazozenza ekuphileni. Kukhona izici eziningi ongacabanga ngazo uma kuziwa ekukhulelweni nasekubelethweni, futhi okuyinhloko phakathi kwazo ukuthi indlela ozikhethela ngayo izothinta kanjani isifo sakho sezifo ezivuvukalayo (IBD) . Esinye sezici ezibaluleke kakhulu ekunikezeni ithuba elihle kakhulu lokukhulelwa okunempilo kanye nosana kulaba besifazane abane-IBD yisimo sesifo lapho ukukhulelwa kwenzeka.
I-Gastroenterologists icebisa ukuthi kungcono kwabesifazane abane-IBD ukukhulelwa lapho i-IBD ilahlwa, okusho ukuthi umsebenzi wezifo (ikakhulukazi ukuvuvukala) usukile noma ukhawulelwe ngangokunokwenzeka.
Ukwenza Izinqumo Ngokulawula Ukuzalwa
Ukubandakanya i-gastroenterologist kanye nodokotela wezifo-gynecologist kanye nabanye ochwepheshe bezempilo (njengososayensi kanye nodokotela ohlinzayo odokotela abahlinzekwa esikhathini esidlule) kubalulekile ngaphambi kokukhulelwa. Ngakho-ke, isinqumo sesikhathi sokuba nezingane sihlelwe kahle ngokucophelela kwabesifazane abane-IBD. Lokhu kuholela ekwenzeni izinqumo mayelana nokusebenzisa ukulawula ukubeletha kuze kufike isikhathi sokukhulelwa.
Wonke owesifazane uzodinga ukwenza izinqumo zakhe ngokuphathelene nokukhulelwa okubheka izimo zezempilo, indlela yokuphila, nokuthandayo. Ngokusobala, ukuvimbela ukubeletha ngokuvamile kuhilela izithiyo ezivimbela isidoda neqanda ukuba zingaboni, amakhemikhali abulala umuthi, noma amahomoni avimbela ukuvota.
Ukulawulwa kokuzalwa okungapheli kuyatholakala, kumadoda nakwabesifazane, kodwa lokhu kuvunyelwe kuphela ngezimo ezithile noma uma umuntu ekhetha ukuyeka ukuba nezingane.
Ukuzala Kwabesifazane Abaningi Abano-IBD Kuseduze-Okuvamile
Abesifazane abane-IBD baxoxelwe ukuba bagweme ukukhulelwa, kodwa lokhu akusasekho.
Ezimweni eziningi, abesifazane abane-IBD abangekho engozini yokukhulelwa kwengqondo, kodwa ekuxoxweni kuqinisekisa ithuba lokubeletha okunempilo kanye nengane. Abesifazane abane-IBD abangakaze babe nokuhlinzwa kwe -j-poch ngokuvamile babe namazinga avamile noma avamile okuzala.
Lokhu kungahle kumangaze kwabanye besifazane, yingakho kuyisihluthulelo ukuthi abesifazane abane-IBD basebenzise uhlobo oluthembekile lokuvimbela ukukhulelwa uma ukukhulelwa kungavunyelwe, ngoba ukuba ne-IBD ngeke kunciphise amathuba okukhulelwa. Lapha kulesi sihloko ukukhetha kokubeletha okwesikhashana kwabesifazane nemiphumela yabo ku-IBD kuxoxwa ngazo.
Izindlela Zokuvimbela Ukuvimbela Ukuzalwa
Ukuvimbela ukubeletha kwesibhakela , njenge- diaphragm , ikhanda lomlomo wesibeletho, isiponji sokukhulelwa, noma ikhondomu ( owesilisa noma owesifazane ), kuvame ukukhetha okuhle kwabesifazane abane-IBD abangafuni ukusebenzisa izindlela zokulawula ukuzalwa kwezidakamizwa. Kodwa-ke, i-diaphragm noma ikhanda lomlomo wesibeletho angeke lisebenze ekuvimbeleni ukukhulelwa kwabesifazane abane-IBD abane- fistula ehilela ubulili (njengenhlanzi ephindaphindiwe) noma ethinte ezinye izitho zokubeletha. Abesifazane abajwayele ukutheleleka esibhedlela noma besifazane bangase baxwayiswe ngokusebenzisa i-diaphragm noma ikhanda lomlomo wesibeletho ngoba la madivayisi angandisa izingozi zokuthuthukisa ukutheleleka.
Ukusebenzisa i- spermicide (i-foam, i-jelly, i-gel, noma i-suppository ebulala isilisa) kanye nalezi zindlela zokuvimbela ngokuvamile kuvunyelwe ukuze kwandiswe ukusebenza kwazo. Amakhondomu azosiza ekuvimbeleni ukusakazwa kwezifo ezithathelwana ngocansi (STDs) , kanti izingxenyana, ama-caps omlomo wesibeletho kanye namapongipi ngeke.
Iphilisi Lokulawula Ukuzalwa ("Iphilisi")
Kukhona ukucabangela ukuthi ukuthatha ipilisi yokuvimbela inzalo ("iphilisi") ithatha ingozi kwabesifazane abane-IBD noma abasengozini yokuthuthukisa i-IBD. Iphilisi elihlanganisiwe liqukethe izinhlobo zokwenziwa kwamahomoni amabili wesifazane: i-estrogen ne-progestin (lapho ikhiqizwa emzimbeni le hormone ibizwa ngokuthi i-progesterone).
Kunezifundo ezimbalwa ezitholile ubuhlobo phakathi kokuthatha iphilisi futhi noma ekuthuthukiseni i-IBD noma ekwenzeni ukuhlaselwa kwe-IBD. Kodwa-ke, akuqondi ukuthi kungani lokhu kungase kwenzeke noma kungavumelani ukuthi lokhu kuyingozi kangakanani nokuthi izigciwane kufanele ziphathe kanjani abesifazane abane-IBD abafuna ukuthatha iphilisi.
Abesifazane abanquma ukuthatha iphilisi akufanele bashunqise, ngoba ukubhema kubandakanywa njengesici sabesifazane abathuthukise i-IBD kulezi zifundo. Abesifazane abangaphezu kweminyaka engama-35 ababhema futhi bathathe iphilisi bangase babe engozini enkulu yokuthuthukisa ama-blood clots. Ukubhema kuhlotshaniswa ikakhulukazi nokuthuthukiswa kwesifo sikaCrohn , futhi abantu abane Crohn's banxuswa ukuba bangabhemi.
Esinye isici okufanele sicabange lapho uthatha iphilisi yikhono layo lokungena emathunjini. Abantu abane-IBD bangase babe nenkinga yokuncelisa imithi ethile emathunjini, nakuba lokhu kuzohluka kakhulu. Uma iphilisi ingagxiliwe, ayikwenzi umsebenzi wayo, futhi ingasho ithuba elikhulayo lokukhulelwa. Lapho abesifazane abane-IBD bebhekene ne- flare-up , noma ngisho nesifo sohudo , enye indlela yokuvimbela ukukhulelwa kufanele icatshangelwe. Abesifazane abane-IBD abanenkinga yokuthatha iphilisi kufanele baxoxisane nomjozi wesifo sofuzo kanye nomjozi wezifo. Iphilisi ngeke livikele kuma-STD.
Izimpande Zokulawula Ukuzalwa
Ukufakela ukulawula ukubeletha kuyinto encane yepulasitiki efakwe engxenyeni engenhla equkethe i-hormone progestin futhi isebenza ukuyeka ukuvuthwa kwemithi iminyaka engaba ngu-3. Ukufakelwa kokubeletha kungenye yezindlela zokuvimbela ukuvimbela ukwelashwa kwabesifazane abane-IBD abangacabangi ukukhulelwa esikhathini esizayo esiseduze, ngoba kusebenza kahle, akudingi ukuthatha iphilisi nsuku zonke, futhi kuthatha isikhathi eside. Into eyodwa okumelwe uyikhumbule ngokufakelwa ukuthi ngeke ivikeleke nakancane ngama-STD.
I-Patch Control Patch
Isigatshana sokulawula ukuzalwa siyisikhonkwane esincane esinjengesitaki esibekwa esikhumbeni ukukhulula ama-hormone, estrogen, ne-progestin. I-patch ishintshwa masonto onke. Isebenza ngokufana nephilisi yokulawula ukuzalwa futhi ingase ihlobaniswe nezinye izinto ezifanayo mayelana nengozi eyengeziwe yokuthuthukisa i-IBD. I-patch ayisetshenziswa kakhulu, kodwa abanye besifazane banganquma ukuthi kuyona engcono kakhulu yokuphila kwabo. I-patch ngeke ivikele kuma-STD.
Ukulawulwa kokuLawula ukuzalwa
Ukulawulwa kokuzalwa kudutshulwa ngumjovo onikezwa njalo ezinyangeni ezintathu futhi usebenza ngokuvimbela ukuvunguza. I-hormone esetshenziswe kudubula i-progesin, ngakho-ke leli fomu lokulawulwa kokuzalwa lifana nokufakelwa kokulawula ukuzalwa. Ukungalungi okukhulu nokulawulwa kokuzalwa kwesibhamu ukuthi kungabangela ukuncipha kwamathambo. Lokhu kuyabakhathalela ngokukhethekile abesifazane abane-IBD, abangase basengozini ye-osteopenia kanye ne-osteoporosis, ngenxa yokuntuleka kwevithamini noma njengomphumela omubi wemithi. Ukudubula futhi akuvikeli ema-STD. Kungaba ukhetho lokuvimbela ukubeletha kwabesifazane abane-IBD, kodwa ukukhathazeka mayelana nezempilo yethambo kufanele kukhulunywe nomuntu we-gastroenterologist kanye nomjozi wezifo.
Indandatho yamaVaginal yokukhulelwa
Indandatho yangasese iyindandatho yepulasitiki equkethe i-estrogen ne-progestin futhi ifakwe ngaphakathi kwesifazane. Sigqoke amaviki amathathu kulandelwa isonto elilodwa ngaphandle kwalo, futhi lisebenzisa isilinganiso esingaphansi samahomoni kunezinye izindlela zokulawula ukuzalwa kwe-hormonal. Akunconywa ngabesifazane ababhema noma abanomlando wezindwangu zegazi. Nakulokhu, ngoba indandatho yama-vaginal isebenzisa inhlanganisela yama-hormone, ingase ihlobaniswe nezinye izingozi ezifanayo mayelana ne-IBD njengephilisi yokubeletha yomlomo, nakuba ijaji lingakapheli kulokho. Leli fomu lokulawulwa kokuzalwa ngeke livikele kuma-STD.
I-Intrauterine Device (IUD)
IUD idivaysi yokukhulelwa efaka phakathi komlomo wesibeletho kanye nasesibelethweni ngumqeqeshi wezempilo (ngokuvamile umjozi wezifo). Isebenza ukuvimbela ukukhulelwa noma ngokuvimbela isidoda ekuxhumaneni neqanda noma ngokukhulula i-hormone progestin, okuvimbela ukuvuthwa. IUDs iminyaka edlule, kuye ngokuthi uhlobo olwenziwe, noma kuphi kusukela eminyakeni engu-3 ukuya kweyishumi nambili. Ukususa i-IUD kubuyisela ukuzala komfazi. Ama-IUD ayasebenza kakhulu ekuvimbeleni ukukhulelwa futhi angasetshenziswa ngisho nakwabesifazane abangazange babe nabantwana. Izifundo azibonisi umthelela ku-IBD, okwenza ukuba kube nokukhetha ukulawulwa kokuzalwa kokubeletha kwabesifazane abanesifo sikaCrohn noma isifo sofuba esiswini. Kodwa-ke, i-IUD ngeke ivikele kuma-STD.
Ukusebenzisa Okungaphezu Kweyodwa Ifomu Yokulawula Ukuzalwa
Ngezinye izikhathi, kungcono kakhulu ukusebenzisa izinhlobo ezimbili noma ngaphezulu zokulawulwa kokuzalwa, njengokungathi ngesikhathi sokuvuleka, noma emva kokuhlinzwa. Lezi zikhathi ngeke zinikeze ithuba elihle lokukhulelwa okunempilo nengane, ngakho kubalulekile ukuqinisekisa ukuthi kuthathwa izinyathelo zokuqapha.
Izwi elivela
Kungakhathaliseki ukuthi izinhlelo zakho ziphi ngokuphathelene nokukhulelwa esikhathini esizayo, kubalulekile ukwazi zonke izinqumo zakho zokwelapha ezitholakalayo . Uzofuna ukuqinisekisa ukuthi indlela yakho yokuzikhethela isebenza kuwe, umlingani wakho, nomndeni wakho, kodwa futhi ukuthi kuyoba ngempumelelo ngangokunokwenzeka phakathi nalezo zikhathi lapho ukukhulelwa kungcono kugwenywe.
> Imithombo:
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