Omunye umbuzo ovame ukuvela kwabesifazane abesanda kutholakala ukuthi bane- systic lupus erythematosus (SLE), "ngingakwazi yini ukukhulelwa futhi ngibe nomntwana onempilo?"
Impendulo emfushane: Yebo.
Nakuba ochwepheshe bezempilo esikhathini esidlule kungenzeka ukuthi baqondise abesifazane nge-lupus away ekukhulelweni, namuhla ukuhlakanipha okuvamile ukuthi, ngokunakekelwa okufanele kwezempilo, izingozi zingancishiswa futhi owesifazane onama-SLE angakwazi ukuletha umntwana onempilo.
Kodwa zikhona izingozi - empeleni, ukukhulelwa kwakho kuzothathwa njengengozi enkulu - futhi kufanele kucatshangelwe ngaphambi kokuba ukhulelwe. Noma ubani ohlela ukukhulelwa kufanele akhulume nochwepheshe wezokwelapha futhi ahlele ngokucophelela ukukhulelwa kwabo.
Ukuze sikusize ulungiselele, nansi uhlu olufushane lwemibuzo - nezinye izimpendulo ezijwayelekile ngezixhumanisi - ongayisebenzisa njengezikhombisi ngaphambi kokukhuluma nodokotela wakho.
Yisiphi isikhathi esifanele sokukhulelwa?
Uma ukugula kwakho, kuhlanganise nanoma yisiphi isifo sezinso, sikhona ngaphansi kokulawulwa futhi ukuxolelwa okungenani izinyanga eziyisithupha. Ngamanye amazwi, uma usuphephile kakhulu. Ukukhulelwa uma i-lupus yakho isebenza kungabangela ukukhulelwa kwesisu noma ezinye izinkinga. Lokho kusho ukuthi akuyona into engavamile ukuba ne- flare ngesikhathi sakho sokuqala sokuqala noma sesibili. Lezi ziqhumane, ngokuvamile azibanga umphumela wokukhulelwa kwakho, zivame ukuphathwa kahle futhi ziphathwa kalula nge-corticosteroids.
Iziphi izinkinga ezivame kakhulu?
Enye inkinga engathinta noma yikuphi owesifazane okhulelwe, kodwa ihlose ukuthinta abesifazane abakhulelwe abane-lupus kaningi - 20%, ngokweLupus Foundation of America - yi-preeclampsia. I-preeclampsia yikhuphuka ngokungazelelwe kwegazi, amaprotheni emcimbini, noma kokubili ngesikhathi sokukhulelwa.
I-Lupus noma cha, kuyisimo esibucayi esidinga ukwelashwa ngokushesha. Awukwazi ukunakwa ngoba ibeka ingane engozini. Okunye okuphawulayo, ngezinye izikhathi, preeclampsia kungaba nzima ukuhlukanisa ne- lupus nephritis , echaphazela izinso.
Enye, okucacile kwabesifazane abane-lupus, ukuthuthukisa ama-antiphospholipid antibodies, okuphazamisa umsebenzi we-placenta, futhi kungabangela i-blood clots. Uma kwenzeka e-placenta, bayakuvimbela ukuba ingaqhubeki futhi isebenze ngokujwayelekile.
Lesi simo sivame ukuvela ku-trimester yesibili futhi singathinta ukukhula komntwana. Kodwa uma ukuthuthukiswa kuhle futhi ukuhlela ngaphambi kokukhulelwa kuye kwasungulwa futhi kulandelwa, ingane yomama ingathunyelwa futhi iholele impilo enempilo.
- I-Lupus nokukhulelwa kwesisu
- Ama-anticoagulants ama-Lupus nama-antiphospholipid antibodies: Indlela angathinta ngayo ukukhulelwa
Ingabe ingane yami izoba evamile?
Ingane yakho ayinayo ingozi enkulu yokuzalwa kwesiphambano - engqondweni noma emzimbeni - kunabantwana abazalwa kumama ngaphandle kwe-lupus. Ingozi kuphela ingane yakho inayo ukuthi enye ingane ayikho ukuthuthukisa i-neonatal lupus. Amaphesenti angaba ngu-10% abesifazane abano-anti-Ro antibodies - okubalelwa ku-3% kubo bonke abesifazane abane-lupus - bazoletha ingane ne-neonatal lupus.
Lokhu akusiyo i-SLE, kodwa ifomu le-lupus elivame ukushabalala phakathi nonyaka wokuqala wezinsana.
Ukuzalwa kwangaphambi kokuqala kungakhathazeka kakhulu. Cishe isigamu sabomama abane-lupus ngaphambi kokugcwele isikhathi (amaviki angu-40). Lokho kusho, kubalulekile ukuqaphela ukuthi abantwana abazalwa emva kwamasonto angu-30, obunzima ngamakhilogremu amathathu, ngokuvamile benza kahle futhi bavame ukukhula.
Ukusiza ukuqinisekisa ukuthi yilokho okwenzayo, qiniseka ukuthi isazi sakho sezinambuzane sinokuhlangenwe nakho kokukhulelwa okuphezulu futhi ukuthi isibhedlela lapho uhlela khona ukuletha nakho kutholakala ekwelapheni ukukhulelwa okuphezulu.
- I-Lupus ye-Neonatal
- Ukukhulelwa okuphezulu
Ngizoletha kanjani ingane yami?
Izinqumo mayelana nokulethwa kwezidingo - isigaba sangasese noma seCesarean - azenziwe kahle ngaphambi kokusebenza.
Izimo ezenzeka ngaphambi nje noma ngesikhathi sokubeletha - njengemisebenzi yangaphambi kwesikhathi, izinsana ezibonisa izimpawu zokucindezeleka, omama abagulayo, njalonjalo - zizonquma ukuthi isigaba se-C siyadingeka yini.
Ngiyaqiniseka kanjani ukuthi ukukhulelwa kwami kuyinempilo?
Ungathatha izinyathelo ezimbalwa ezilula, futhi cishe zonke izinyathelo umama ngaphandle kwe-lupus okufanele azithathe.
- Okokuqala, ungayeki noma yimaphi ama-aphoyintimenti nodokotela wakho. Ukulandelela intuthuko yokukhulelwa kwakho nokukhula komntwana kubaluleke kakhulu.
- Phumla futhi udle kahle. Ukuzinakekela kwakho kuzokhuthaza ukukhulelwa okuphephile.
- Thatha imithi yakho enqunyiwe - futhi uyeke ukuthatha noma imiphi imithi udokotela wakho akusikisela.
- Qonda izinhlobo zezinguquko zomzimba ozothola ngazo, nokuthi umzimba wakho uzothinta kanjani ukwanda kwamahomoni kanye nezinguquko ezihlukahlukene zomzimba. Abanye bangalingisa i-lupus flares, futhi uzofuna ukwazi ukuhlukanisa phakathi kwalababili.
- Thola ukhululekile ukubiza udokotela wakho. Isibhedlela sakho kanye nabasebenzi bayo kuzoba khona kuwe 24/7. Uma ukhathazekile ngento ethile - yenza ucingo.
- Thatha amakilasi. Ukubaluleka kokubeletha, ukubeletha nokubeletha kubalulekile.
- Qinisekisa ukuthi izimali zakho zihlelekile, usebenze uhlelo lokubuyisela emsebenzini nohlelo lokunakekelwa kwabantwana, nokuthi unecebo endaweni yokuthi umuntu anakekele ingane yakho uma ugula.
- Ukuzindla, njengokwelashwa okuhambisanayo kanye nethuluzi lokuphumula
Ukunakekela ingane yakho
Njengomzali omusha omusha, uzogcwala imibuzo eningi, kusuka endleleni ongayidla ngayo indodana noma indodakazi yakho entsha ukuthi ungathola kanjani isikhathi sokuphumula. Kubazali abasha abane-lupus, kunezinye imibuzo, kuhlanganise nokuthi ingane yakho izoba nempilo (ayikho isizathu akufanele ibe nayo) futhi uma kufanelekile ukubeletha.
Ithuba lokuncelisa lizonqunywa emva kwengxoxo nodokotela wakho, njengoba imithi ingadlulela kumntwana ngokusebenzisa ubisi lwebele.
Imithombo
I-Lupus: Umhlahlandlela Wokunakekelwa Phambi Kwabahlengikazi Nabanye Abasebenzi BezeMpilo, Umqulu We-3, Iphepha Lolwazi Lweziguli # 11, Ukukhulelwa kanye ne-Lupus. I-National Institute of Arthritis neMisculoskeletal kanye Nezifo Zesikhumba. September 2006.
Ukukhulelwa kanye neLupus.Lupus Foundation of America. Iqoqwe ngoFebhuwari 2008.