I-Rheumatoid Arthritis kunye nokukhulelwa: Into ekufuneka uyazi

Umxholo

• Ndingaba nabo abantwana?
• Kungaba nzima ukukhulelwa
• I-RA yakho inokunciphisa
• Ukukhulelwa kwakho kunokubangela iRA
• Umngcipheko wepreeclampsia
• Umngcipheko wokuhanjiswa kwangoko
• Umngcipheko wobunzima bokuzalwa obuphantsi
• Amayeza anokunyusa umngcipheko
• Ucwangciso lwakho losapho

Ndikhulelwe- ngaba iRA yam izakubangela iingxaki?

Ngo-2009, abaphandi baseTaiwan bapapasha isifundo malunga nesifo samathambo (RA) kunye nokukhulelwa. Idatha evela kwi-Dataset yoPhando lwe-Inshurensi yezeMpilo yeSizwe yaseTaiwan ibonise ukuba abasetyhini abane-RA banomngcipheko okhulayo wokuzala umntwana onesisindo sokuzalwa esiphantsi okanye owayemncinci kubudala bokukhulelwa (obizwa ngokuba yi-SGA).

Abasetyhini abane-RA nabo basemngciphekweni omkhulu we-preeclampsia (uxinzelelo lwegazi oluphezulu) kwaye kunokwenzeka ukuba badlule kunikezelo lwecandelo le-cesarean.

Zeziphi ezinye iingozi ezikhoyo kwabasetyhini abane-RA? Ziluchaphazela njani ucwangciso-ntsapho? Funda ukuze ufumane.

Ndingaba nabo abantwana?

Ngokuka-RA, ixhaphake kakhulu phakathi kwabasetyhini kunamadoda.

Ikholeji yaseMelika yeRheumatology iphawula ukuba kangangeminyaka, abantu basetyhini abanezifo ezizimela njenge-RA bacetyiswa ukuba bangakhulelwa. Ayisekho imeko leyo. Namhlanje, ngononophelo lonyango, abafazi abane-RA banokulindela ukukhulelwa ngempumelelo kwaye babelekise abantwana abasempilweni.

Kungaba nzima ukukhulelwa

Kwabafazi abangaphezu kwama-74,000 abakhulelweyo, abo bane-RA babenzima kakhulu ukukhulelwa kunabo bangenaso isifo. Amashumi amabini anesihlanu eepesenti abasetyhini abaneRA bazamile ubuncinci unyaka ngaphambi kokuba bakhulelwe. Kuphela malunga neepesenti ezili-16 zabasetyhini abangenayo i-RA bazama ixesha elide ngaphambi kokukhulelwa.

Abaphandi abaqinisekanga ukuba yiRA uqobo, amayeza asetyenziselwa ukuyinyanga, okanye ukudumba ngokubanzi okubangela ubunzima. Ngayiphi na indlela, ikota enye kuphela yabasetyhini yayinengxaki yokukhulelwa. Akunako. Ukuba uyakwenza oko, jonga kugqirha wakho, kwaye unganikezeli.

I-RA yakho inokunciphisa

Abasetyhini abane-RA bahlala bexolelwa ngexesha lokukhulelwa. Kuphononongo lowe-1999 lwabafazi abali-140, abangama-63 eepesenti baxele ukuphucuka kweempawu kwikota yesithathu. Uphononongo olwenziwe ngo-2008 lwafumanisa ukuba abasetyhini abane-RA baziva bebhetele ngexesha lokukhulelwa, kodwa banokuba namava okuqhambuka emva kokubeleka.

Oku kunokwenzeka okanye kungenzeki kuwe. Ukuba iyenzeka, cela ugqirha wakho ukuba ayilungiselele njani i-flare-ups emva kokuba umntwana wakho ezelwe.

Ukukhulelwa kwakho kunokubangela iRA

Ukukhulelwa kukhukhula umzimba ngenani lamahomoni kunye neekhemikhali, ezinokubangela ukukhula kweRA kwabanye abantu basetyhini. Abasetyhini abachaphazeleka kwesi sifo banokufumana oko okokuqala nje emva kokubeleka.

Uphononongo luka-2011 luvavanye iirekhodi ezingaphezulu kwesigidi esinye sabasetyhini abazalwa phakathi kowe-1962 nowe-1992. Malunga nama-25,500 ahlasele izifo ezizimela njenge-RA. Abasetyhini babenomngcipheko omkhulu we-15 ukuya kuma-30 wepesenti wokufumana ezi ntlobo zokuphazamiseka kunyaka wokuqala emva kokubeleka.

Umngcipheko wepreeclampsia

I-Mayo Clinic iqaphela ukuba abasetyhini abaneengxaki kumasosha abo omzimba banomngcipheko ophezulu we-preeclampsia. Kwaye isifundo esivela eTaiwan sikwabonisa ukuba abasetyhini abane-RA banomngcipheko okhulayo wale meko.

I-Preeclampsia ibangela uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa. Iingxaki zibandakanya ukuxhuzula, iingxaki zezintso, kwaye kwiimeko ezinqabileyo, ukusweleka kukamama kunye / okanye umntwana. Iqala emva kweeveki ezingama-20 zokukhulelwa kwaye inokubakho ngaphandle kweempawu ezibonakalayo. Ihlala ifunyanwa ngexesha lokuhlolwa kokubeleka.

Xa kufunyenwe, oogqirha banikezela ukonyuka kokujonga kunye nokunyanga xa kufuneka baqiniseke ukuba umama nosana bahlala bephilile. Unyango olucetyiswayo lwe-preeclampsia kukuhanjiswa kosana kunye ne-placenta ukuthintela isifo ukuba siqhubeke. Ugqirha wakho uza kuxoxa ngobungozi kunye nezibonelelo ngokubhekisele kwixesha lokuhanjiswa.

Umngcipheko wokuhanjiswa kwangoko

Abasetyhini abane-RA banokuba nomngcipheko ophezulu wokuhanjiswa kwangaphambi kwexesha. Ku, abaphandi beYunivesithi yaseStanford bajonge konke ukukhulelwa okunzima yiRA phakathi kukaJuni 2001 noJuni 2009. Itotali engama-28 eepesenti yamanina abelekiswa ngaphambi kokukhulelwa kweeveki ezingama-37, ngaphambi kwexesha.

Ngaphambili kwaqatshelwa ukuba abasetyhini abane-RA banomngcipheko ophezulu wokuhambisa i-SGA kunye neentsana zokuqala.

Umngcipheko wobunzima bokuzalwa obuphantsi

Abasetyhini abafumana iimpawu ze-RA ngexesha lokukhulelwa banokuba semngciphekweni omkhulu wokuhambisa iintsana ezingaphantsi komzimba.

Ukujongwa kwabafazi abane-RA abakhulelweyo, emva koko bajonge kwiziphumo. Iziphumo zabonisa ukuba abasetyhini abaneRA "elawulwa kakuhle" babengekho semngciphekweni omkhulu wokuzala abantwana abancinci.

Abo bahlupheke ngakumbi kwiimpawu ngexesha lokukhulelwa, nangona kunjalo, kunokwenzeka ukuba babe nabantwana abanesisindo sokuzalwa esisezantsi.

Amayeza anokunyusa umngcipheko

Olunye uphononongo lubonisa ukuba amayeza eRA anokunyusa umngcipheko wokukhulelwa. Qaphela ukuba ezinye iziyobisi ezichaphazela isifo se-antirheumatic (i-DMARDs) zinokuba yityhefu kumntwana ongekazalwa.

Ingxelo ixeliwe ukuba ubukho bolwazi ngokhuseleko ngokubhekisele kumayeza amaninzi eRA kunye nemingcipheko yokuzala lilinganiselwe. Thetha noogqirha bakho malunga namayeza owathathayo kunye nezibonelelo ngokuthelekiswa nomngcipheko.

Ucwangciso lwakho losapho

Kukho umngcipheko kwabasetyhini abakhulelweyo abane-RA, kodwa akufuneki bakunqande ekucwangciseni ukuba nabantwana. Into ebalulekileyo kukufumana uvavanyo rhoqo.

Buza ugqirha wakho malunga naziphi na iziphumo ebezingalindelekanga zamayeza owathathayo. Ngononophelo lwangaphambi kokubeleka, kuya kufuneka ukuba ube nokukhulelwa okunempilo kunye nokuzala kunye nokuhanjiswa.