Izici ezithile zezifo zika Crohn kanye ne-Ulcerative Colitis zingathinta ukuzala
Ububele bucatshangwa kabanzi, kubantu besifazane, njengekhono lokukhulelwa kwengane. Kulaba besifazane abalala njalo, abangakhulelwa esikhathini esingangezinyanga eziyi-12 kubonisa ukuthi ukuzala kunganciphisa.
Kukhona okunye endabeni, noma kunjalo, ikakhulukazi kwabesifazane abanesifo esingelapheki njengesifo sofuba esiswini (IBD) .
Ukuze ukhulelwe ngaphandle kosizo, umuntu kufanele abe nobulili okuholela ekwenzeni umntwana. I-IBD ingaphonsa ezinye izithiyo endleleni, kufaka phakathi ukuthi abantu abashadile balala kaningi kangakanani nokuthi kungenzeka ukuthi ukukhulelwa kuncike ekutheni owesifazane uzizwa kahle, usephule, noma uhlinzekwe nge-IBD.
Ukuqonda ukuthi i-IBD ithinta kanjani ukuvuthwa kuvame ukuqinisa ngoba ezinye izici ze-IBD eziye zaboniswa ukunciphisa ukuzala zingaphathwa. Lesi sihloko sizohlola ukuthi izici ezihlobene ne-IBD, kubandakanya impilo yengqondo, imithi, kanye nokuhlinzwa, kuthinta ukuzala kwabesifazane.
I-IBD ne-Fertility yabesifazane
Ukuthi isifo sesifo sikaCrohn noma isifo sokulonda kwesilonda sithinta kanjani ukuzala okujwayelekile kwabesifazane akuqondwa ngokuphelele. Kwabesifazane abanesifo sikaCrohn, ucwaningo lubonisa ukuthi ukuzala "kuvamile noma kuvamile," nakwabesifazane abane-ulcerative colitis abangakaze bahlinzwa, ukuzala "kuvamile."
Abesifazane abane-IBD abazange banciphise ukuzala ngaphakathi ebhodini.
Ngamanye amazwi, abesifazane abane-IBD bavame ukukhulelwa kaningi njengabesifazane abangenayo i-IBD. Kodwa-ke, i-IBD ithinta wonke umuntu ngokuhlukile, futhi kunezinye izizathu zokuthi i-IBD ingathinta kanjani ukuzala. Isibonelo, kulabo abanesifo esinzima noma labo abanezinhlobo ezithile zokuhlinzwa, ukuzala kunganciphisa.
Abesifazane abane-IBD abakhathazekile nge-fertility kufanele baxoxe nabo nodokotela babo. Ukwesaba mayelana nokukwazi ukukhulelwa noma ukukhulelwa okunempilo kungaphathwa kaningi. Ngaphezu kwalokho, ukululekwa kwangaphambi kokuqala kubalulekile ngoba ukuba ne-IBD nanoma yiziphi izinkinga ezilawulwayo kuzonikeza ithuba elingcono lokugcina ukuzala nokukhulelwa okuphephile.
Izimo ezihlobene ne-IBD ezingathinta ukuzala
Ngenkathi i-IBD ngokwayo ingabonakali ibangela ukwehla kokuzala esikhathini esiningi, kunezizathu ezithile zokuthi ukuzala kwabesifazane abane-IBD kungancishiswa. Abesifazane abaningi bangase bacabange ukuthi kubalulekile ukuthi bayeke ukuthatha imithi ye-IBD ukuze bakhulelwe kodwa akusilo njalo icala, futhi empeleni kuyinto evamile. Ukuba nesifo esisebenzayo ngezinye izikhathi kunganciphisa ukuzala, kodwa hhayi njalo. Kodwa-ke, kubalulekile ukwazi ukuthi ukuxolelwa kunikeza izinkinga ezingcono kakhulu zokukhulelwa okuphephile.
Isimo sesifo. Kwabesifazane abanesifo sikaCrohn, ukuvuvukala kwe-IBD kungase kube nokwehlisa ukuzala, kodwa akuqiniseki ukuthi kungakanani. Ukuba ne- IBD ukuphazamiseka kunganciphisa ukuzala ngoba kunganciphisa ukushayela ucansi kanye nobulili kungase kungakhululeki ngabesifazane. Kubalulekile ukuthi abesifazane abane-IBD bahlele ukukhulelwa lapho lesi sifo singasebenzi.
Imithi. Kwabesifazane, imishanguzo eminingi ejwayele ukusetshenziselwa ukwelapha i-IBD ayibonwanga ukuthi ibangela ukwehla kokuzala. Kodwa-ke, kufanele kuqaphele ukuthi abesifazane abathatha imettretrexate akufanele bakhulelwe, njengoba lesi sidakamizwa sisesiGabeni sokukhulelwa X futhi siboniswe ukuthi sibangela ukukhubazeka kokubeletha kumabusi. I-Gastroenterologists ingase iphinde ikhuthaze ukuyeka ukusetshenziswa kwe-steroids (njenge- prednisone ) ngaphambi kokukhulelwa, okunye isizathu sokuhlela ukukhulelwa futhi uxoxe ngokusetshenziswa kwemithi nethimba lezempilo.
Abesifazane abane-IBD abathatha ezinye izidakamizwa bazofuna ukuxoxa ngomphumela walawo mithi ekukhuliseni nasekukhulelweni ne-gastroenterologist kanye nodokotela wezifo zogciwane.
Nakuba imithi eminingi ibhekwa njengokuphephile ngesikhathi sokukhulelwa nokukhulelwa, i-IBD yowesifazane ngamunye ihlukile futhi ushintsho kokwelashwa lungadingeka.
Ngisho noma owesifazane ezithola ekhulelwe ngokungalindelekile, imishanguzo ye-IBD akumele ivalwe ngaphandle kokuqala ukuxoxa ngesimo ne-gastroenterologist. Ukugcina ukuvuvukala kwe-IBD kuyisihluthulelo sokukhulelwa okuphephile.
Ukuhlinzwa kwe-J-pouch. Kulabo besifazane abane-ulcerative colitis abane-poal-anal anal anastomosis (IPAA) yokuhlinzwa (ngokuvamile ebizwa ngokuthi ukuhlinzwa kwe -j-pouch ), ukuzala kungancishiswa. Abahlinzayo abakwazi ukubikezela ukuzala esikhathini esizayo kunoma yimuphi owesifazane oyedwa, kodwa izifundo zibonisa ukuthi ukuvuthwa okunciphise kwabesifazane emva kokuhlinzwa kwe-j-poch kungaba khona naphakathi kwamaphesenti angu-30 kuya kuma-50, okusobala okuphathelene.
Lokhu kuvamise ukuthi izicubu ezinzima zingavimbela noma zivimbele ngokuphelele noma zombili amashubhu, okuyinto evimbela iqanda ukuba lihambe ukusuka ku- ovary kuya esibelethweni . Umphumela wokuhlinza uyaziwa, kanti abesifazane abakwenza le nqubo abafuna ukulondoloza ukuzala kwabo kufanele baxoxe ngokusemandleni okuzala okunciphise ne-gastroenterologist yabo kanye nodokotela ohlinzayo obala.
Ukuhlinzwa akubonakali kunomthelela ekutheni ukhulelwe noma abe nomntwana onempilo, ogcwele isikhathi eside. Lokho kusho ukuthi imithi yokwelapha, ngokuvamile e-vitro fertilization (IVF), ingasiza uma izigubhu ze-fallopian zivinjiwe. Ucwaningo olulodwa lubonise ukuthi i-IVF inezinga elifanayo lokuphumelela kwabesifazane abane-IBD njengoba kwenza kulabesifazane abangenayo i-IBD.
Kwezinye izimo, abahlinzeki bezempilo bangasikisela ukuthi babe nezingane ngaphambi kokuqeda ukuhlinzwa kwe-j-poch, ukuze balondoloze ukuzala. Lokhu kungase kusho ukukhulelwa nokuletha umntwana ngemuva kokuhlinzwa okwe-colectomy kanti ngenkathi kukhona i-ileostomy endaweni. Lezi yizinqumo ngabanye futhi bonke abesifazane bazofuna ukuxoxa nabo hhayi kuphela ngabanikezeli bezempilo kodwa nabamalungu omndeni, ukuze bahlole zonke izinketho ezitholakalayo ukuqala noma ukuqeda umndeni wabo.
Ezinye izinhlinzeko ze-IBD. Kunokucwaninga okuncane okutholakala ukuthi ezinye izinhlobo ze-IBD ukuhlinzwa zithinta kanjani ukuzala kwabesifazane. Ucwaningo olulodwa lubonisa ukuthi kubantu besifazane abanesifo sikaCrohn, ukuhlinzwa kungase kube nomthelela omncane ekunciphiseni ukwanda. Kodwa-ke, ezinye izifundo ziphawula ukuthi lapho ukuhlinzwa kusiza ukugcina i-IBD ekuxoxweni, ukuzala kungathuthukiswa. Njengazo ezinye izici zokuzala kanye ne-IBD, iqinisa umbono wokuthi ukugcina ukuvuvukala phansi kuzoba yisihluthulelo ekuthuthukiseni amathuba okukhulelwa.
Ezinye izici ze-IBD nokuthi Zithinta kanjani ukuzala komama
Izinkinga zomzimba. Abanye besifazane abane-IBD bathola ubunzima ngesithombe somzimba. Lokhu kungaba ukubhekana nezici ezihlukahlukene ze-IBD (ubuhlungu, isifo sohudo, izibazi ezihlinzayo) noma imiphumela emibi yemithi.
Izimpikiswano zemizimba zibalulekile ukuxoxa nodokotela we-gastroenterologist, futhi kwezinye izimo, ukuhanjiswa kwiprofethi yezempilo yengqondo kungaba yindlela engcono kakhulu yokusebenza. Ukubhekana nezimpikiswano zomzimba kungasho ukuthatha iseshini zokwelapha noma ukwenza omunye umsebenzi ukulungisa imicabango engafanele, kodwa ezimweni eziningi, kungasiza futhi kuholele ekuthuthukiseni izinga lempilo.
Inentshisekelo kwezocansi. Ucwaningo oluthile lubika ukuthi abesifazane abane-IBD bangase babe nesithakazelo esinciphile kwezocansi , okuyinto ezokwehlisa ukuzala kwabo. Izizathu zokungabi nomuzwa wokuthi "ezinhliziyweni" zibandakanya ukuhlaselwa, ukuzwa ukucindezeleka, noma ubulili bubuhlungu (njengokungathi kube nezinkinga endaweni ye-perianal).
Ukusebenza ukuxazulula lezi zinkinga kungathatha isikhathi futhi kudinga usizo kubanikezeli bezempilo kuphela kodwa futhi kusuka kumlingani oqondayo. Kwezinye izimo, i-libido izokhipha uma izinkinga zomzimba ziphathwa, kodwa kwabanye, ukudluliselwa kuchwepheshe wezempilo yengqondo kungasiza futhi ukuxoxa ngalezi zinkinga nokunikeza izixazululo.
Ukucindezeleka. Ucwaningo olulodwa lwabesifazane abangu-181 abane-IBD lisikisela ukuthi akuzona ukukhathazeka kwesifo ngokwayo esibeka inkinga enkulu ngomsebenzi wobulili. Kulolu cwaningo, okwenziwe ngophenyo olunikezwe abantu abangenawo ngaphandle kwe-IBD, abesifazane baphendula ukuthi ukucindezeleka kwakuyinkinga ebalulekile eyathinta umsebenzi wabo wezocansi. Olunye ucwaningo oluhlolisisa abesifazane abangama-336 abane-IBD benemiphumela efanayo, futhi bathola ukuthi ukucindezeleka kunciphise isithakazelo sokulala.
Ubulili obubuhlungu. Ithimba lezokwelapha lobuhlungu phakathi kocansi i-dyspareunia. Ubuhlungu ngesikhathi sezocansi kungenzeka ngezizathu ezihlukahlukene, kodwa njengoba kuhlobene ne-IBD, kungaba ngumphumela wokuhlinzwa noma ngenxa yezinkinga endaweni ye-perianal (njenge-fistula). Ukuba nobuhlungu kunganciphisa ikhono nesifiso sokulala ngokocansi futhi ngaleyo ndlela kungaholela ekunciphiseni ukuzala.
Abesifazane abanobuhlungu phakathi kocansi bazofuna ukukhuluma ne-gastroenterologist yabo kanye nomzimba wabo wezifo ukuze bazi ukuthi yini ebangela ubuhlungu nendlela yokuphathwa ngayo. Iminye imibono engasiza ingabandakanya ukusebenzisa ukushisa ukuze kusize nganoma yikuphi ukumelela kwesisu noma ukusebenzisa indawo ehlukile ngesikhathi socansi. Kodwa-ke, ubuhlungu obunzima nokuphikelela kufanele buhlolwe njalo ngudokotela, nakuba kungase kube namahloni ukuxoxa ngawo.
Ukungabi nabantwana ngokuzithandela. Kunesimo esithile phakathi kwabantu abane-IBD ukugwema ukuba nezingane nhlobo, ezimweni eziningi ngenxa yokukhathazeka ngokudlulisela lesi sifo kwengane. Kwezinye izimo, kungase kube nokukhathazeka ukuthi ngenxa yokuba ne-IBD, owesifazane akakwazi ukukhulelwa futhi abe nokukhulelwa okunempilo nengane.
Kuyiqiniso ukuthi eminyakeni edlule, odokotela bangase banikeze abanye besifazane abane-ulcerative colitis noma isifo sikaCrohn ukuze bagweme ukukhulelwa, kodwa lokho akusasekho. Ukwelashwa kuye kwathuthuka kakhulu futhi ezimweni eziningi, imithi ngeke kudingeke imiswe ngesikhathi sokukhulelwa. Ukwengeza, ingozi yokudlula i-IBD yengane iphansi. Manje siyazi ukuthi i-IBD inesici sezakhi zofuzo, kodwa kucatshangwa ukuthi sinokudalwa kwemvelo.
Ucwaningo olulodwa lubonisa ukuthi abesifazane abangazange banikezwe imfundo eminingi nge-IBD babengase bakwazi ukugwema ukuba nezingane, ngokuvamile okungadingekile. Ukukhuluma ne-gastroenterologist nabanye abahlinzeki bezempilo mayelana nezingozi zokukhulelwa, ukuzalwa nokudlula i-IBD kubantwana kubalulekile ekwenzeni izinqumo mayelana nokuba nomndeni. Ezimweni eziningi, ukwesaba mayelana nokukhulelwa kanye nobungozi be-IBD cishe kuzohlehliswa kakhulu.
Izwi elivela
Ezimweni eziningi, ukuzala akuyekeki kwabesifazane abane-IBD. Kunezimo ezithile ezingathinta ikhono lokukhulelwa, kuhlanganise nokucindezeleka nezinhlobo ezithile zokuhlinzwa.
Ngeshwa, kuboniswe ukuthi abesifazane abane-IBD abanalo ulwazi oludingayo ukwenza izinqumo mayelana nokukhulelwa. Lokhu kungaba yithonya elikhulu kunazo zonke lokuba nezingane, ngoba inganekwane yokuthi ukukhulelwa nokuzalwa kufanele kugwenywe kuqhubeka.
Ukukhuluma ne-gastroenterologist kanye nabanye ochwepheshe bezempilo mayelana nokuzala kungabangela imiphumela engcono ngoba amathuba okukhulelwa nokuba nomntwana onempilo angcono kunokuba ucabange. Usizo lwezinkinga eziningi ezinciphisa ukuzala ziphinde zitholakale-kuyindaba nje yokwazi ngabo futhi ukhethe okulungile kuwe.
> Imithombo:
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