If yu gɛt bɛlɛ ɔ yu de tink bɔt fɔ bɔn pikin, yu kin gɛt bɔku kwɛstyɔn dɛn na yu maynd. I rili nɔmal. Yu fɔ gi yu pikin in bɛlɛ ɔ yu fɔ gi am bɔtul? Yu tink se i nɔ go izi fɔ bɔn pikin? Aw di it fɔ tan lɛk? Kwɛstyɔn dɛn lɛk dis ɔl kin kam na wi maynd.
Bɔt if yu gɛt ankylosing spondylitis (AS), yu kwɛstyɔn dɛn kin difrɛn smɔl. "A kin gɛt bɛlɛ?", "AS go mek i nɔ izi fɔ bɔn pikin?", "Wetin if di sik wɔs we a gɛt bɛlɛ?", "Dis sik go afɛkt mi pikin?" Sɔntɛm yu go de wɔnda. So, tide, lɛ wi tɔk bɔt aw fɔ bia wit AS we yu gɛt bɛlɛ ɛn afta dat.
Yu kin gɛt bɛlɛ wit Ankylosing Spondylitis (AS)?
di gud nyus na dat AS nכ de afekt yu fεtiliti. Dat min se yu kin gɛt bɛlɛ. Bɔt yu go nid fɔ plan bifo tɛm smɔl pas pɔsin we nɔ gɛt AS. Sɔm pan di mɛrɛsin dɛm we yu kin tek fɔ AS kin nid fɔ stɔp sɔm wik ɔ mɔnt bifo yu gɛt bɛlɛ fɔ mek yu nɔ bɔn pikin we gɛt prɔblɛm.
Wan pan di bɛst we fɔ plan fɔ gɛt bɛlɛ na fɔ yuz bɔn kɔntrol. Yu kin yuz ɛni kayn we fɔ kɔntrol pikin. Bɔt bɔku tɛm, di tin dɛn we dɛn kin put insay di uterus, we dɛn kɔl intrauterine devices (IUD), kin wok fayn fɔ lɔng tɛm. Dis na smɔl smɔl tin dɛn we tan lɛk T we yu dɔktɔ kin put insay yu uterus.
We yu dɔn rɛdi fɔ tink bɔt fɔ bɔn pikin, mek shɔ se yu tɛl yu dɔktɔ. I kin chenj yu mɛrɛsin if nid de, pul IUD if yu gɛt wan, ɛn tich yu aw fɔ manej AS simptom dɛn we yu gɛt bɛlɛ.
Man dɛn fɔ no bak: Sɔm stɔdi dɛn dɔn sho se di mɛrɛsin dɛn we dɛn kin yuz fɔ trit AS, lɛk sayklofosfamid ɛn sɔlfasalazin, kin afɛkt di we aw man dɛn de mek di swɛt. Dis kin mek i nɔ izi fɔ man dɛn fɔ gɛt bɛlɛ. So if man dɛnsɛf de tink bɔt fɔ bɔn pikin, i rili impɔtant fɔ tɛl yu dɔktɔ kwik kwik wan.
AS kin mek kɔmplikɛshɔn dɛn we uman gɛt bɛlɛ?
Bɔku stɔdi dɛn sho se AS gɛt fɔ du wit di smɔl risk fɔ gɛt siriɔs kɔmplikeshɔn dɛn we uman gɛt bɛlɛ. כl di pipul dεm we gεt AS kin gεt nכmal bεlε. lεk εni bεlε, bεlε kin apin, bכ t AS nכ de inkrεs di risk.
Bɔt if yu AS simptom dɛn rili siriɔsIf yu gɛt ɔda mɛrɛsin, di chans fɔ gɛt prɔblɛm dɛn kin bɔku. כlso, if yu gεt hεy bכdi prεshכn we yu bεlε, wan kכndyushכn we dεn kכl ``preeclampsia,'' kכmplikεshכn kin apin. Dis na denja tin fɔ di mama ɛn di pikin.
Insay dɛn kayn tin ya, di tebul we de dɔŋ ya de sho sɔm pan di prɔblɛm dɛn we kin apin wit AS.
| Kɔmplikɛshɔn | Tɔk bɔt |
|---|---|
| Fɔ bɔn pikin bifo tɛm | di risk fכ bכn pikin bifo 37 wiks de bכku. |
| Bebi weit lɔs | di pikin in wet we i bכn de dכn nכmal. |
| Sizarian sɛkshɔn | Di chans we de fɔ mek dɛn gɛt sizarian sɛkshɔn (C-section) go bɔku. |
| Admɛshɔn na NICU | afta dεn bכn di pikin, i go bi se dεn go nid fכ admit di pikin na di Neonatal Intensive Care Unit (NICU). |
Mi AS simptom kin wɔs we a gɛt bɛlɛ?
as yu pikin de gro we yu bεlε, yu bכdi wet de inkrεs bak ova di kכs fכ 9 mכnt. Dis kin put bɔku prɛshɔn pan yu bɔdi, mɔ yu jɔyn dɛn, mɔsul dɛn, ɛn bak. Dis kin mek yu AS simptom dɛm, lɛk fɔ mek yu bak stif, fɔ swel, ɛn fɔ fil pen, kin go ɔp smɔl as yu de go insay yu sɛkɔn ɛn tɔd trimɛst.
Flare-up kin apin ɛni tɛm we uman gɛt bɛlɛ. wan stכdi sho se lεk 80% pan di pipul dεm we gεt AS kin gεt flare-up we dεn bεlε. Ɛn, ɔlmost ɔlman kin gɛt in sik dɛn we de wɔs insay di mɔnt dɛn afta dɛn bɔn pikin. Bɔt di gud nyus na dat, dɛn sik ya kin bɛtɛ as tɛm de go.
Bɔt na di tin ya: Sɔm bɛlɛ uman dɛn nɔ kin gɛt ɛni chenj na dɛn AS simptom dɛm. Infakt, fɔ smɔl uman dɛn, dɛn sik kin ivin bɛtɛ we dɛn gɛt bɛlɛ.
Tin dεm fכ εkspεkt we uman bεlε
Bɔku tin dɛn de we yu fɔ mɛmba afta yu gɛt bɛlɛ, as yu pikin de gro, ɛn we yu de kam nia fɔ bɔn pikin.
Mεdisin εn di pikin in divεlכpmεnt
If nɔ gɛt prɔblɛm fɔ yu pikin in wɛlbɔdi ɛn divɛlɔpmɛnt, yu dɔktɔ kin tɛl yu fɔ kɔntinyu fɔ yuz sɔm AS mɛrɛsin fɔ kɔntrol yu sik dɛn.
Dis inklud wan grup fɔ mɛn pen we dɛn kɔl nonsteroidal anti-inflammatory drugs (NSAID), lɛk aspirin, sɛlɛkoksib, ibuprofen, ɛn naproxen. dis kin jεnarali sef f כ tek 20 wiks we uman bεlε. Bɔt if yu tek dɛn afta dat, dat kin mek di pikin gɛt prɔblɛm wit in kidni ɛn at. So, e fayn fɔ tɔk to yu dɔktɔ bɔt wetin rayt fɔ yu.
Yu tink se dɛn go pas AS to di pikin?
כtoimyun kכndishכn dεm lεk AS kin bi jεnεtik. Dat min se dɛn kin pas frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn. If yu gɛt di jin we dɛn kɔl HLA-B27, 50% chans de fɔ mek yu pikin dɛn gɛt am. Bɔt nɔto ɔlman we gɛt dis jin go gɛt AS. stכdi dεm sho se na כnli 20% pan di pikin dεm we gεt di HLA-B27 jin go divεlכp AS insay di fכs tεm.
AS ɛn fɔ bɔn pikin
Bɔku uman dɛn we gɛt AS kin gɛt nɔmal, wɛlbɔdi bɛlɛ. Bɔt we yu gɛt bɛlɛ, dat kin mek yu bak, yu hip, ɛn yu spayna we dɔn miks, prɛshɔ. Dis kin mek di vagina dilivri at smɔl.
כlso, inflameshn na di spεnal kכd kin mek i at fכ gεt epidural. Epidural na sɔntin we dɔktɔ we de anestez kin gi yu we yu de bɔn pikin. Dis min se dɛn kin inj yu na yu spayna fɔ mek di bɛlɛ we de dɔŋ nɔ ebul fɔ du natin. Dis kin ɛp fɔ kɔntrol di pen we pɔsin kin fil we i de bɔn.
Di bɛst we fɔ pripia fɔ dis na fɔ tɔk to yu OB/GYN ɛn di dɔktɔ we de anestez bifo tɛm. Si if dɛn gɛt ɛkspiriɛns fɔ wok wit pasɛnt dɛn we gɛt AS. Dɛn kin ɛksplen to yu di tin dɛn we yu go ebul fɔ du. If nid de, dɛn kin arenj fɔ mek dɛn du C-section kwik kwik wan fɔ ridyus di risk to yu pikin ɛn yu bak.
Aw fɔ kia fɔ pikin afta yu dɔn gɛt am?
Fɔ kia fɔ pikin we dɛn jɔs bɔn kin rili taya. As pɔsin we gɛt AS, sɔm tin dɛn de we yu nid fɔ tek tɛm mɔ bɔt.
- Fɔ gi pikin in mama in bɛlɛ:AS nɔ de afɛkt di we aw yu ebul fɔ gi pikin in bɛlɛ. כl di AS mεdikeshכn dεm kin tek we yu de gi pikin bεlε. Bɔt sɔm mɛrɛsin dɛn kin pas insay yu mama in milk smɔl smɔl. If yu de plan fɔ gi pikin in bɛlɛ, tɔk to yu dɔktɔ fɔs. I go tɛl yu us mɛrɛsin dɛn nɔ sef fɔ yu pikin.
- di simptom dεm we yu kin si afta yu bכn: Afta yu bכn pikin, yu AS simptom dεm kin bכku כ fכ fכm. Dis kin las fɔ sɔm mɔnt. If dis apin, go to yu rεumatכlכg, we na dכkta we spεshal pan jכyn sik dεm. I go ajɔst di we aw yu de tek di mɛrɛsin if nid de.
- Fɔ kia fɔ yu pikin: Pikin we dɛn jɔs bɔn nid fɔ pe atɛnshɔn to am 24 awa ɛvride. If yu gɛt AS, yu sik kin wɔs bikɔs yu gɛt pen na yu jɔyn ɛn bak, yu nɔ kin ebul fɔ slip, ɛn yu taya. Yu kin si se i nɔ izi fɔ kɔntinyu fɔ du tin dɛn lɛk fɔ es yu pikin ɔp, fɔ bɛn fɔ gi in mama in bɛlɛ, ɛn fɔ chenj dayapɛt. So, plan fɔ fɛn pɔsin fɔ ɛp yu bifo dɛn bɔn yu pikin. Aks yu fambul ɛn padi dɛn fɔ ɛp yu. If i pɔsibul, fɛn pɔsin we go ɛp yu wit mɔni.
At di sem tɛm, i rili impɔtant bak fɔ tek kia ɔf yusɛf. It tin dɛn we gɛt fayn fayn tin dɛn fɔ it, ɛn tray fɔ slip smɔl we yu pikin de slip.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) nɔ de afɛkt yu ebul fɔ gɛt bɛlɛ, bɔt if yu de tink fɔ bɔn pikin, i impɔtant fɔ tɔk to yu dɔktɔ ɛn plan bifo tɛm .
- di AS simptom dεm kin wכs we uman bεlε, εn i kin fכm afta dεn bכn. Nɔ wɔri, dis na nɔmal tin.
- Aks yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek we yu gɛt bɛlɛ, mɔ di wan dɛn we de mek yu fil pen.
- Tɔk to yu dɔktɔ we de mɛn uman ɛn anestezi bifo yu bɔn pikin fɔ disayd aw fɔ bɔn pikin we go bɛtɛ fɔ yu.
- Afta yu bɔn pikin, if yu gɛt pɔsin fɔ ɛp yu, dat go ɛp yu bad bad wan. So nɔ shem fɔ aks fɔ ɛp.
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