Izingozi Zokuthatha i-Prednisone Ngesikhathi Ukukhulelwa Kubonakala Kuphansi
Esinye sezikhathazo eziyinhloko ngabesifazane abakhulelwe abanezifo zesifo sofuba (IBD) umphumela wokuthi imithi yokwelapha i-IBD ingaba nengane engakazalwa. Isibonelo, i-steroids yomlomo njenge- prednisone esetshenziswa kakhulu ukuphatha i-IBD, futhi ithwala amathuba okuba nemiphumela emibi . Ngokuvamile, abesifazane abane-IBD nezinye izimo ezivuthayo bazoba nemibuzo ngokuthatha i-prednisone ngesikhathi sokukhulelwa.
Ukuphatha i-IBD ngesikhathi sokukhulelwa
Ezimweni eziningi, imithi iyadingeka ngokucacile kwabesifazane abakhulelwe abanezimo ezingapheli-impilo yomama nomntwana. Uma imithi efana ne-prednisone (corticosteroids) iyanconywa odokotela, kusho ukuthi izingozi zezidakamizwa zizobe ziphansi kunezingozi zokungayithathi imithi.
Kulaba besifazane abane-IBD, kuyoba kubalulekile ukuba kube nokuxolelwa, noma ukuba ne-IBD ibe ngaphansi kokulawula ngaphambi kokukhulelwa. Kodwa-ke, ngisho noma ukukhulelwa kungenakulungiswa, kunamathuba amaningi okukhethwa kwemithi angasiza ekulawuleni ukuvuvukala kwe-IBD kumama okhulelwe. Ukwehlisa ukuvuvukala ku-IBD nokuvikela ingane kuzoba izici eziyinhloko ekuqinisekiseni ukuthi ukukhulelwa okunempilo kunempilo ngangokunokwenzeka.
I-Prednisone ithinta kanjani amantombazane?
Ukuze uthole okwengeziwe mayelana ne-prednisone ngesikhathi sokukhulelwa futhi, ikakhulukazi, noma yimiphi imiphumela le mithi ingase ibe nayo enganeni engakazalwa, ngaphendukela ku- UpToDate , insizakalo odokotela neziguli ezifuna imininingwane ejulile yezokwelapha.
"Ucwaningo oluthile luye lwafakazela ukuthi kungase kube khona ingozi encane kakhulu yokwandisa imilomo noma i-cleate palate emantwaneni omama abasebenzisa imithi yokwelapha ngomlomo emavikini ayisishiyagalolunye okuqala kokukhulelwa. Izifundo ezimbili zathola ingozi encane yokubeletha ngaphambi kwesikhathi, futhi Ucwaningo olulodwa lwathola ingozi encane yokuba nesisindo sokuzalwa esincane esingaphansi kwengane. Kodwa-ke, abacwaningi abakwazi ukukhipha ukuthi kungenzeka ukuthi lezi zihlobana zihlobene nesimo sezempilo esingaphansi kwesifazane kunokusebenzisa izidakamizwa. "
Lokho Okushiwo Abesifazane Abano-IBD
I-prrednisone ngesikhathi sokukhulelwa ihlotshaniswa ne-lip or lip, ukubeletha ngaphambi kwesikhathi, nesisindo sokuzalwa esincane. Lezi zingozi zibonakala ziyingcosana, kodwa, nakwabesifazane abane-IBD, ubufakazi bubonisa ukuthi amaphutha amakhulu okuzalwa angenakwenzeka.
Imiklamo yomlomo. Kukhona ingozi encane kakhulu yomlomo ocacile noma uketshezi ezinganeni ezithwele abesifazane abazithatha i-prednisone ngesikhathi sokukhulelwa, ikakhulukazi i-trimester yokuqala. Kodwa-ke, aziwa ukuthi ingozi enkulu kangakanani empeleni ingaba ngenxa yesimo esingokwemvelo esingokwempilo esingumama.
Ukulethwa kwangaphambi kwesikhathi. Ucwaningo olunye luye lwabonisa ukuthi abesifazane abakhulelwe bathatha i-prednisone kunyuke kancane ekukhululeni ingane ekuqaleni (ukudilizwa kwangaphambi kwesikhathi). Ucwaningo olulunye lwabesifazane abane- lupus lubonise ukuthi abesifazane abaphethwe i-lupus futhi abakhathale ngaphezu kuka-10 mg we-prednisone ngosuku babe nengozi yokulethwa kwezidingo zangaphambi kwesikhathi. Kodwa-ke, ucwaningo olulodwa lwabesifazane abakhulelwe abane-IBD babonisa ukuthi imithi yokwelapha i-IBD, njenge-prednisone, ayizange ibe nethonya elibalulekile ekuhlinzekeni kwangaphambi kwesikhathi.
Isisindo sokuzalwa esincane. Kunobunye ubufakazi bokuthi i-prednisone ngesikhathi sokukhulelwa kungabangela ingozi yokuba nesisindo sokuzalwa esincane. Kodwa-ke, isifundo esifanayo esingazange sibe nomthelela wemithi ye-IBD yokudilizwa kwangaphambi kwesikhathi futhi yabonisa ukuthi imishanguzo ye-IBD yayingenalo umphumela ekutheni isisindo sokuzalwa.
Izwi elivela
Ubufakazi buyinto ephikisanayo, okubonisa ukuthi okuningi okwamanje akungaziwa mayelana nezingozi ezingakapheli ngesikhathi sokukhulelwa kubantwana abangakazalwa. Kodwa-ke, ucwaningo oluningi lubonisa ukuthi izingozi ziphansi, futhi akukho zifundo ngabesifazane abane-IBD abonise ukuthi i-prednisone ibeka ingozi yokukhubazeka okukhulu kokuzalwa. Noma kunjalo, kunconywa ukuba i-prednisone isetshenziswe kuphela ezimweni lapho kudingeka khona ngokucacile ukuphatha i-IBD yomama.
Kubalulekile ukuqaphela ukuthi kungase kube yingozi ukuyeka ukuthatha i-prednisone ngokungazelelwe. Ukukhuluma nodokotela mayelana nanoma yikuphi ukukhathazeka kuyindlela engcono kakhulu yokusebenza. Isinqumo sokuyeka ukuthatha imithi kufanele senziwe ngokubonisana nodokotela wezifo zengqondo kanye nesifo se-gastroenterologist, okungcono umuntu ogxile ku-IBD nokukhulelwa.
Imithombo:
> Huang VW, Chang HJ, Kroeker KI, et al. "Ukulawulwa Kwezifo Zengqondo Ezivuthayo ngesikhathi sokukhulelwa kanye nokubeletha kuhlukahluka kakhulu: Isidingo semfundo eqhubekayo." Can J Gastroenterol Hepatol. 2016; 2016: 6193275.
Mark Peppercorn A. "Isifo sesifuba sokuvuvukala nokukhulelwa." UpToDate . 12 Meyi 2016.