Ngokwezinhloso zamaphepha amaningi okucwaninga, ukungabi namuntu kuchazwa ngokuthi akakwazi ukukhulelwa ingane unyaka (ezinyangeni ezingu-12) ngenkathi ehlala ocansini engavikelekile. Kwabesifazane okusho ukuthi ukukhulelwa akukwenzeka futhi kumadoda ukuthi umlingani wabo akazukufeza ukukhulelwa ngesikhathi ezama iminyaka.
IBD nokunciphisa ukuzala
Ngokuvamile, umphumela wesifo sofuba esivuvukalayo (IBD) ekuzalweni akucaci kahle.
Ezinye izifundo zibonise ukuthi amadoda nabesifazane abane-IBD abanalo izinga lokuzala elihlukile kakhulu kubantu abangenayo i-IBD. Ezinye izifundo zibonise ukuthi amadoda ane-IBD angase abe nokuncipha kokuzala, kanti lokhu kungase kube yinkinga kubantu abane-Crohn's disease.
Esinye isici se-IBD esicatshangwa ukuthi siyisisekelo sokunciphisa ukuzala akusiyo inkinga yangokwenyama kepha esikhundleni sesinqumo sokuzithandela sokungabi nabantwana. Abantu abane-IBD bavame ukukhathazeka ngokuthi lesi sifo singadluliselwa ezinganeni, okungabangela ukuba bakhethe ukungabi nabantwana nhlobo.
Kodwa-ke, kunezinto eziningi zomzimba ze-IBD ezingathinta ukuzala, okubandakanya imithi ethile, ukuhlinzwa, ukungondleki kahle, izinkinga zengqondo, kanye nempilo jikelele jikelele. Lesi sihloko sizokwenzeka ukuthi lezozinto zingathinta kanjani ukuzala emadodeni. Amadoda (nabesifazane) abane-IBD abanenkinga mayelana nokuzala kwabo kwamanje noma okuzayo kufanele bacele isifo sabo sesisu sokudluliselwa kwesazi sokuzala uma kudingeka.
Indlela i-IBD ethinta ngayo ukuzala komuntu
Ukucwaninga ukuthi i-IBD ithinta kanjani ukuzala komuntu kungenalutho nokujula; ayikho ucwaningo oluningi lokudonsela kulo, okwenza kube nzima ukwazi kahle ukuthi ukwelashwa kuthinta kangakanani amadoda ane-IBD. Kodwa-ke, kunezimo ezimbalwa lapho kwaziwa ukuthi ukuzala kubantu abane-IBD kungathinteka.
Isimo sesifo. Njengoba kungenzeka kulindeleke, umsebenzi wesifo unomthelela emandleni omuntu wokuzala ingane. Amadoda asesimweni esilinganiselwe kuya esibi kakhulu se- IBD-up have amanani aphezulu e- erectile ukungasebenzi , ngakho-ke ukuzitholela ukulawulwa phansi kuyoba kubalulekile ngaphambi kokuqala umndeni.
Imithi. Imithi eminingi esetshenziselwa ukwelapha i-IBD ayizange iboniswe ukuthi iyathinta ukuzala kakhulu kubantu, ngokuhlukile. I-Azulfidine (sulfasalazine) , esetshenziselwa ukwelapha i-ulcerative colitis, ingathinta ukuzala komuntu. Ifomu lesikhashana lokungakhulelwa libangelwa yi-sulfa ingxenye yalesi sidakamizwa kuze kube ngamaphesenti angaba ngu-60 abantu abayithatha. Cishe izinyanga ezimbili ngemuva kokumisa i-Azulfidine, ukuzala kubuyela emuva kulokho okwakukhona ngaphambi kokuba umuthi uqalwe.
Ukuhlinzwa. Izinqubo zokuhlinzwa ezenziwa ukwelapha i-IBD zingathinta ukuzala komuntu, nakuba ukuhlinzwa akubandakanyi izitho zobulili zesilisa. Uhlobo lokuhlinzeka olubonakala lunamandla kakhulu okubangela izinkinga ngokuzala yilokho olubandakanya ukuqondiswa eduze kwe-rectum. Lokhu kuhlanganisa i- proctocolectomy ne- analomosis ye- poal-anal anastomosis (i-IPAA) , ngokuvamile ebizwa ngokuthi ukuhlinzwa kwe-j-pouch nokuhlinzwa kwe-colostomy kanye nokuhlinzwa kwe-ileostomy.
Olunye ucwaningo oluncane lubonise ukuthi iziguli ezingu-18 kwabayisishiyagalolunye zinezinkinga zokugaya amanzi emva kokuhlinzwa kwe-IPAA. Ukuba nokuhlinzwa okwenziwe esikhungweni esikhethekile ngabahlinzayo nabahlinzeki bezempilo abasebenza ngokukhethekile ku-IBD futhi bagcwalise ukuhlinzwa okuningi kwalolu hlobo kungaletha izingozi ngisho nangaphansi.
Kuyinto engavamile, kodwa ukungabi nalutho kungenzeka ngemva kwalezi zinhlobo ze-IBD ukuhlinzwa. Into ebalulekile okumele uyikhumbule ngalokhu ukuthi kunezindlela zokwelapha ezitholakalayo zamadoda abhekana nokunciphisa ukuzala. Okunye ukwelashwa kwezidakamizwa, ikakhulukazi, kuye kwaboniswa ukusiza emazweni amaningi angu-79 amacala.
Ngenxa yalokhu, noma kunjalo, ukukhishwa kwesilisa kubalulekile ukucabangela amadoda afuna ukuba nomndeni futhi azohlinzwa ngenxa ye-IBD yabo engathinta ukuzala kwabo.
Imithi ye-IBD Nemithelela Yabo
Imithi yokwelapha i-IBD ingase ibe nomthelela ekwenzeni ubaba ingane. Kwezinye izimo, kungaba ngcono ukushintsha imithi noma ukuyeka imithi ngaphambi kokuqala umndeni. Lokhu kuzohluka kuzo zonke iziguli nomndeni wabo, ngakho-ke kubalulekile ukuxoxa ngemithi ye-IBD ne-gastroenterologist ngaphambi kokunquma ukuba nomntwana.
6-MP. Ucwaningo oluthile olwenziwe ngo- 6-mercaptopurine (6-MP) emadodeni abelethe izingane wabonisa ukuthi kungaba khona ingozi yokukhulelwa kwezifo noma ukungajwayelekile. Ezinye izifundo azikhombisi ingozi yezinkinga ngokukhulelwa lapho obaba bethatha khona-6-MP. Ngenxa yalokhu, kunconywa ukuthi abahlinzeki bezempilo baxoxisana namadoda athatha u-6-MP abafuna ukuba ngubaba futhi baxoxe ngezinkinga ezingenzeka lapho bebeletha ingane.
Azulfidine. Kube okungenani kube nesifundo esisodwa esibonisa ukuthi kungaba khona ingozi encane yokukhubazeka kokuzalwa ezinganeni ezazalwa lapho ubaba ethatha i-Azulfidine. Ngakho-ke, kungase kuphakanyiswe ukuthi amadoda ane-IBD afuna ukuzala ingane ekushintsheni komunye umuthi.
I-Methotrexate. Kulabo besifazane abafuna ukukhulelwa, i- methotrexate kumele imiswe (yi-Category Pregnancy X drug). Kubantu, kunconywa ukuthi i-methotrexate imiswe cishe izinyanga ezintathu noma ezine ngaphambi kokuqala umndeni, njengoba umuthi ungahlala emzimbeni izinyanga ezimbalwa.
Ezinye izici ze-IBD Worth Noting
Akusiyo imithi kuphela engaba nethonya ekukhuliseni nasekukhulelweni, ukuphazamiseka, isimo esingenamsoco, nokuphila kwansuku zonke nokugula okungapheli nakho kuyinkinga.
Ukuphila nokugula okungapheli. Ukugula okungapheli kunzima ukubhekana nayo, futhi i-IBD iyona ethinta izici eziningi zokuphila kwabantu. Ukuba nesithombe somzimba enempilo kungaba umzabalazo kwabanye abantu abane-IBD. I-IBD ingashiya umuntu uzizwa sengathi awuthandeki noma awuthandeki kumlingani wakho. Lokhu kungaba nomthelela wokunciphisa ukushayela ucansi, okuyinto eyanciphisa amathuba okukhulelwa.
IBD nokucindezeleka. Esinye isici okufanele sicatshangelwe ukuhlobana phakathi kwe-IBD nokucindezeleka , okuthinta nesifiso somuntu sokulala naye. Ukuba nobuhlobo bobulili enempilo nokuthola izingane kunzima uma ubhekene nezinkinga ezihlobene ne-IBD ne-IBD. Ukukhuluma nomgastroenterologist ngalezi zindaba kungasiza, ngoba kungenziwa kuhlobene ne-IBD. Kwezinye izimo, ukuhola isiqondiso kumsebenzi wokunakekela impilo yengqondo kunganconywa. Kunezindlela zokwelashwa ezingasiza kakhulu ekufundeni ukuhlala nesifo esingapheli, futhi ngisho nokuba nomuntu ongakhuluma ngakho ngakho kungasiza.
Ama-flare-ups. Ukuvuvukala okusebenzayo, okuyinto eyenzekayo ohlelweni lokugaya ukudla ngesikhathi sokuqhuma kwe-IBD, kungathinta ezinye izinhlelo eziningi zomzimba. Ukuvuvukala kunomthelela omubi ekuzaleni, ikakhulu uma ukuvuvukala kubhekwa njengobunzima. Ucwaningo luye lwabonisa ukuthi amadoda ane-IBD nokuvuvukala okukhulu kunamanani aphezulu e-erectile disys function.
Ukudla okunomsoco. Ayikho ucwaningo oluningi lokuthi isimo somsoco singathinta kanjani amadoda abane-IBD abafuna ukuzala abantwana. Kunobufakazi bokuthi ukungabi khona kwe-zinc kunganciphisa ukuzala, futhi iziguli eziningi ezinezifo zikaCrohn ziye zaboniswa ukuthi zinamazinga aphansi e-zinc. Ukudla okunomsoco kubalulekile kunoma yikuphi ubaba ozoba khona futhi kungase kubaluleke nakakhulu kubantu abane-Crohn's disease abanezibilini emathunjini amancane okuvimbela ukutholakala okuhle kwamavithamini.
Ihlala ingenabantwana. Abantu abane-IBD ngezinye izikhathi banquma ukungabi nabantwana ngenxa yokukhathazeka ukuthi i-IBD ingadluliselwa. I-IBD inengxenye yezofuzo, kodwa akunikezwa ukuthi umzali one-IBD uyoba nengane ethuthukisa i-IBD. Ingozi yokudlula i-IBD eya kwengane ihlukahluka kuye ngokucwaninga, kodwa kucatshangwa ukuthi iphakathi kwamaphesenti ayishumi namaphesenti angu-20. Kunconywa ukuthi abantu abane-IBD bakhulume nodokotela babo mayelana nalezi zinto ezikhathazayo ngoba kungase kube okuqinisekisayo ukuqonda ukuthi izingozi ziphansi kangakanani.
Inothi Kusuka
Ezimweni eziningi, ukuxilongwa kwe-IBD ngeke kuholele kwesinye ukuxilongwa kokungazalwa. Kodwa zikhona izindawo ezithile zokukhathazeka ngamadoda ane-IBD, ikakhulukazi kulabo abanezinhlobo ezithile zokuhlinza noma abasesifo esibhedlela.
Njengezici eziningi ze-IBD, ukuthola ukuvuvukala ngaphansi kokulawula kuyoba yisici esikhulu ekunikezeni ithuba elihle lokuba ubaba. Ukukhuluma ngokuba ubaba one-gastroenterologist ngokushesha kunokuba kamuva kungasiza. Uma kunesidingo, isifo se-gastroenterologist singenza ukuthunyelwa kwengcweti yokubeletha oqeqeshwe ekusizeni ukuhlonza nokuphatha izinkinga ngokuzala.
> Imithombo:
> Berndtsson I, Oresland T, Hultén L. "Ukuziphatha ngokocansi ezigulini ezinesifo sochungechunge lwe-ulcerative colitis ngaphambi nangemva kwe-proctocolectomy yokuvuselela: isifundo sokutadisha." Scand J Gastroenterol . 2004; 39: 374-379.
> El-Tawil AM. "Ukuntuleka kweZinc emadodeni anesifo sikaCrohn kungabangela ekusebenzeni komzimba ompofu nokungasebenzi komuntu." I-Andrologia . 2003 Dec; 35: 337-341.
> Tavernier N, Fumery M, Peyrin-Biroulet L, Colombel JF, Gower-Rousseau C. "Ukubuyekezwa okuhlelekile: ukuzala ekuguleni okungavunyelwe ukuvuvukala kwesifo sofuba." Ukudla Pharmacol Ther. 2013; 38: 847-853.
> I-Timmer A, i-Bauer A, uDignass A, uRogler G. "Umsebenzi wobulili kubantu abanezifo zesifo sofuba: inhlolovo ehambisana nokulawula." I-Clin Gastroenterol Hepatol . 2007 Jan; 5: 87-94.