Imibuzo evame ukubuzwa Uma Uhlela Umndeni
Kwabesifazane abaningi abaphila ne- multiple sclerosis (MS) , ukuxilongwa kuza esikhathini lapho bacabanga ngokuqala umndeni. Esikhathini esedlule, abesifazane abane-MS babenqotshwa ngenkuthalo ekwenzeni lokho ngoba kwakucatshangwa ukuthi bazogula futhi bangakwazi ukuzinakekela izingane ezincane. Ngenhlanhla ngathi sonke, isithombe sikhanya kakhulu namhlanje.
Empeleni, ucwaningo luye lwabonisa ukuthi ukukhulelwa kunciphisa ingozi yowesifazane yokubhekana nokubuyela emuva , ikakhulukazi ngesikhathi sesithathu. Ngaphezu kwalokho, lezi zindlela zokwelashwa ezikhona manje zinikeza abesifazane amathuba okuba bahlale benempilo yonke indawo hhayi kuphela ukukhulelwa kwabo kodwa iminyaka eminingi yesikole ukulandela.
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Ngabe Kungenzeka Ngibe Nezinkinga Zokukhulelwa?Cha. Akekho ubufakazi bokuthi i-MS ixhunyaniswe nanoma yiziphi izinkinga zokukhulelwa, njengokukhulelwa kwesisu, ukukhulelwa kwe-ectopic, ukuzalwa kwangaphambi kokuzalwa noma ukubeletha.
Asikho futhi isixhumanisi kunenkinga yokuzala noma ukungavamile kokuzalwa. Ngamanye amazwi, cishe unomkhuba ovamile, wokukhulelwa okunempilo njenganoma yimuphi omunye wesifazane osezingeni lakho lobudala.
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Ingabe Izimpawu Zami Zama-MS Ziyobe Zibi Kakhulu Phakathi Nokukhulelwa?Cha. Abesifazane abaningi baphuthunyiswa ukukhululeka emanzini amaningi noma ngisho nawo wonke ama-MS ngesikhathi sokukhulelwa. Lokhu kungenzeka ngoba ukukhulelwa ngokwakho kunciphisa umsebenzi we-immune ngokukhuphula amazinga we-steroids yemvelo.
Ngalokho kuthiwa, ukukhulelwa kufike ngezibonakaliso zalo kanye nokukhathazeka okungase kuthuthukise izimo ze-MS zangaphambili ezifana nezinkinga zesibindi noma ukukhathala .
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Ngingathatha imithi yami ye-MS ngesikhathi sokukhulelwa?Uma uphethwe nge- MS , cishe uzokweluleka ukuba uyeke ukwelapha ngenkathi uzama ukukhulelwa futhi phakathi nesikhathi sokukhulelwa kwakho. Phakathi kokucutshungulwa kokwelashwa ngesikhathi sokukhulelwa:
- I-Copaxone (i-glatiramer acetate) isigaba sokukhulelwa kwesigaba B sisho ukuthi asizange silimaze kwizifundo zesilwane kodwa ukuthi akukho okwenziwa ngokwanele kwezifundo zomuntu okwamanje okwenziwayo.
- I-interferons (i- Avonex , i-Betaseron, i- Rebif , i-Plegridy, ne-Extavia) yizo zonke izidakamizwa zesigaba C zokukhulelwa ezisho ukuthi zibangele ukulimala kwizifundo zesilwane kodwa ukuthi umphumela kubantu awusaziwa.
- I-Tysabri (natalizumab) ne-Lemtrada (alemtuzumab) yi-MS yokwelashwa okulethwa ngaphakathi ngaphakathi kokubili izidakamizwa zesigaba C.
- I-Gilyena (fingolimod) ne-Tecfidera (dimethyl fumarate) yi-MS ngomlomo imithi ekhulelwe isigaba C.
- I-Zinbryta (daclizumab) e-MS izidakamizwa ezinikezwe umjovo ongaphansi kwesigaba C.
- I-Novantrone (i-mitoxantrone) iphinde ibe yimithi yokwelashwa engaphansi kwesigaba sokukhulelwa D. Lokhu kusho ukuthi izifundo zibonise ukulimala kwesisu kodwa ukuthi izinzuzo zokwelashwa zingaphezu kwezingozi kwabanye abantu.
- I-Aubagio (teriflunomide) isigaba sokukhulelwa ngomlomo X izidakamizwa. Lokhu kusho ukuthi kuyaphikisana ngesikhathi sokukhulelwa noma lapho ezama ukukhulelwa.
- I-Ocrevus (ocrelizumab) ayabelwe isigaba sokukhulelwa njengoba sisanda kusha.
Uzodinga futhi ukuxoxa nganoma yimiphi imithi oyithathayo izimpawu ze-MS njengoba ezinye zibhekwa njengeziphephile kanti ezinye azikho.
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Kuthiwani Uma Kuthatha Isikhathi Eside Ukuze Ukhulelwe?Ngokuvamile, abesifazane bayomisa izinyanga ze- MS ngaphambi kokuzama ukukhulelwa ukuze imithi ithole isikhathi sokususa ohlelweni. Udokotela wakho angakukwazisa ukuthi yisiphi isikhathi esiphephile kuwe. Uma leso sikhathi sesiphelile, kufanele uzame ukukhulelwa ngokushesha ngangokunokwenzeka
Ngokuvamile umqondo omuhle ukuhlangana nochwepheshe wakho we- OB / GYN futhi uxoxe ngalokho ongakwenza ukuze ukwandise amathuba akho okukhulelwa ngokushesha, kufaka phakathi ukuvota kokulandela.
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Iyini Indima Ye-Neurologist Yami?I- neurologist yakho iyoba nombono mayelana nezinketho zokwelapha, kokubili uma uzama ukukhulelwa futhi ngesikhathi sokukhulelwa. Kungase kube nezinyathelo zokuqapha ukuvimbela ukubuyela emuva ngemva kokuletha.
Ucwaningo luye lwabonisa ukuthi umthamo we- immunoglobulin (IVIG) owenziwe ngaphakathi emzimbeni owanikezwa abesifazane ngokushesha ngemuva kokubeletha kunciphisa kakhulu ingozi yokuphindaphinda emuva kwe-postpartum. Ezinye izazi ze-neurologists zingase zibeke umthamo owodwa noma amaningana we -Solu-Medrol (i-corticosteroids emangcwabeni) ngenhloso efanayo, kanti abanye bakhetha indlela yokubuka elindile.
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Ngingayisebenzisa Nginezikhathi Ezingenile Zesikhathi?Esikhathini esedlule, ezinye izazi zezinzwa zeluleka ngokusebenzisa i-anesthesia yomgogodla (owaziwa nangokuthi ibhokisi lomgogodla) njengoba bekholelwa ukuthi kwakukhona ingozi enkulu yezinkinga. Kodwa-ke, ucwaningo lwamuva luveze ukuthi abesifazane abano-epidural (enye indlela ye-anesthesia yendawo) babengenayo inombolo ephakeme yokubuyela kabusha kunelabo abangazange babuyele.
Namuhla, ngokweNational Multiple Sclerosis Society, zonke izinhlobo ze-anesthesia zibhekwa ziphephile kwabesifazane abane-MS ngesikhathi sokubeletha nokulethwa.
Noma kunjalo, ukhetho lwe-anesthesia kufanele luxoxwe ne-neurologist yakho, isazi sezidakamizwa, nesazi-anesthesiologist ekuqaleni kwe-trimester yesithathu. Ngale ndlela, kukhona uhlelo olukhona lapho wonke umuntu ezokhululeka khona lapho isikhathi sokubeletha sifika.
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Kukhona Ingozi Yokubuya Ngemva Kokuzalwa Kwami?Ingozi yakho yokubuyela emuva ezinyangeni eziyisithupha zokuqala emva kokulethwa iphakathi kwamaphesenti angu-20 namaphesenti angu-40.
Ngenxa yalokhu, kubalulekile ukuthi ube necebo endaweni yakho uma kwenzeka ubhekana nokuphindaphinda (kufaka phakathi kokuba nomuntu akuyise kudokotela bese usiza ingane). Njengazo zonke izinto ku-MS, akekho ongakwazi ukubikezela ukuthi uzobuyela emuva futhi, uma wenza, yiziphi izimpawu ongase ube nazo.
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Ngingakwazi Ukuncelisa I-Breastfeed?I-MS ngokwayo ayikho isithiyo ekunceliseni ingane. Kodwa-ke, njengoba kungaziwa ukuthi izidakamizwa zokuguqula izifo zingadluliselwa ubisi lwebele, odokotela abaningi bazokweluleka ngokumelene nokwelashwa kabusha kuze kube yilapho usuqedile ukondla.
Abanye besifazane abane-MS bazokhetha ukuqhubeka kabusha ukwelashwa ngokushesha kanye ne-formula-feed izingane zabo (ngaleyo ndlela ukunciphisa ingozi yokuphindaphinda). Abanye, okwamanje, bayomncelisa isikhathi esingangezinyanga ezine ukunikeza izingane zabo izinzuzo zobisi lwebele.
Azikho izinqumo ezilungile noma ezingalungile. Ekugcineni, nguwe kuphela onganquma ukuthi yini enhle wena nomntanakho.
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Ingabe Ingane Yami Iyoba ne-MS?Ngenkathi i- MS ingasilo ifa eliqondile, ezinye izakhi zofuzo zidlala indima. Ucwaningo lubonisa ukuthi phakathi kwamathuba amaphesenti amabili nesishiyagalolunye wengane ezelwe umzali one-MS othuthukisa i-MS.
Kodwa-ke, kubalulekile ukuqaphela ukuthi okwamanje akukho ukuhlolwa kofuzo noma kokubeletha-noma ngisho nokuvivinywa kokuzalwa kwakho-okungakwazi ukubikezela ukuthi kwenzeke lokhu.
Izwi elivela
Kungakhathaliseki ukuthi ukhuluma nomlingani wakho mayelana nokukhulelwa noma kakade ukhulelwe, qhubeka ufunda futhi ulandele eduze eduze ne-neurologist yakho.
Nakuba ngezinye izikhathi kungase kube inselele ekubhekaneni nokucindezeleka okuhlangene kwe-MS nokukhulelwa, uhlale ukhuthazekile futhi uqhubeke uthatha indima ebalulekile empilweni yakho. Imali yokuthola imali iyoba yinto efanele.
> Imithombo:
> Brandt-Wouters, E .; UGerlach, O .; no-Hupperts, R. "Umphumela we-postpartum immravenous immunogne immunoglobulins ngokuphindaphindiwe kwesiguli phakathi kweziguli ezine-multiple sclerosis." I-Int J Gynaecol I-Obstet. 2016; 134 (2): 194-6.
> Pastò, L., et al. "I-Epidural analgesia ne-cearean delivery in multiple sclerosis post-partum ibuyele emuva: isifundo seqembu lase-Italy." BMC Neurology , 2012; 12: 165.
> Tsui, A., no-Lee, MA "Izifo eziningi ze-sclerosis nokukhulelwa." Umbono wamanje ku-Obstetrics and Gynecology 2011; 23 (6): 435-9.