He Ankylosing Spondylitis tōu? Kei te whakaaro koe kia whānau he pēpi? Me kōrero tāua mō tēnei!

Mena kei te hapu koe, kei te whakaaro rānei koe ki te whānau tamariki, tera pea he maha ngā pātai kei roto i tō hinengaro. He mea noa iho tēnei. Me whāngai ū koe i tāu pēpi, me whāngai pounamu rānei? Ka uaua te whānautanga? Me pēhea te kai? Ka puta ake ēnei pātai katoa ki tō hinengaro.

Engari, ki te mea he ankylosing spondylitis (AS) tōu, tera pea he rerekē ō pātai. "Ka taea e au te hapu?", "Ka uaua te whānautanga i te AS?", "Me pēhea mēnā ka kino haere te mate i te wā e hapu ana?", "Ka pāngia taku pēpi e tēnei mate?" Tērā pea kei te whakaaro koe. Nō reira, i tēnei rā, me kōrero tātou mō te āhua o te whakatau i te AS i te wā e hapu ana, me tua atu.

Ka taea e koe te hapu me te Ankylosing Spondylitis (AS)?

Ko te rongo pai, kāore te AS e pā ki tō momonatanga. Ko te tikanga ka taea e koe te hapu. Heoi, me whakamahere koe i mua i te wā i te mea kāore he AS. Ko ētahi o ngā rongoā e tangohia ana e koe mō te AS me mutu pea i mua i te haputanga hei ārai i ngā hapa whānau.

Ko tētahi o ngā huarahi pai ki te whakarite mō te hapūtanga ko te whakamahi i te ārai whānau. Ka taea e koe te whakamahi i tētahi momo ārai whānau. Engari i te nuinga o te wā, ko ngā taputapu kei roto i te kōpū, e kiia nei ko ngā taputapu intrauterine (IUD), he pai ake te whai hua mō te wā roa. He taputapu iti nei te āhua-T ka whakauruhia e tō tākuta ki roto i tō kōpū.

Ina rite koe ki te whakaaro mō te whānautanga o tētahi pēpi, me kōrero ki tō tākuta. Ka taea e ia te whakarerekē i ō rongoā mēnā e tika ana, te tango i tētahi IUD mēnā kei a koe tētahi, me te whakaako i a koe ki te whakahaere i ngā tohu AS i te wā e hapu ana.

Ka taea e te AS te whakararuraru i te wā e hapu ana?

He maha ngā rangahau e whakaatu ana he iti ake te mōrearea o ngā raruraru nui i te wā e hapu ana te AS. Ko te nuinga o te hunga whai AS he haputanga noa iho. Pērā i ngā haputanga katoa, ka puta pea ngā materoto, engari kāore te AS e whakanui ake i te mōrearea.

Heoi, ki te tino kino ō tohu ASMena he mate hauora kē atu āu, ka nui ake te tūponotanga o ngā raruraru. Waihoki, ki te pāngia koe e te toto toto tiketike i te wā e hapu ana, ka puta pea he raruraru e kiia nei ko te "preeclampsia". He āhuatanga morearea tēnei mō te whaea me te pēpi.

I roto i ēnei āhuatanga, kei te ripanga i raro nei ētahi o ngā raruraru ka puta mai i te AS.

Ka taea e aku tohu AS te kino ake i te wā e hapu ana?

I te tipu haere o tō pēpi i te wā e hapu ana, ka piki ake hoki tō taumaha tinana i roto i ngā marama e iwa. He nui te pēhanga ka pā ki tō tinana, inā koa ō hononga, uaua, me tō tuara. Nō reira, ko ngā tohu o te AS, pērā i te pakari o te tuara, te pupuhi, me te mamae, ka piki ake pea i a koe e tomo ana ki tō toru marama tuarua me tuatoru.

Ka taea te puta he mate pāwera i ngā wā katoa i te wā e hapu ana. I kitea i roto i tētahi rangahau e 80% o te hunga whai AS ka pāngia e te mate pāwera i te wā e hapu ana. Ā, tata ki te katoa ka pāngia e te kino haere o ō rātou tohumate i roto i ngā marama i muri i te whānautanga. Engari ko te rongo pai ko te nuinga o te wā ka pai ake ēnei tohumate i te roanga o te wā.

Ngā mea hei tumanakohia i te wā e hapu ana

He maha ngā mea me maumahara koe i muri i tō hapūtanga, i te tipu o tō pēpi, me te whakatata atu ki te whānautanga.

Te rongoā me te whanaketanga o te pēpi

Ki te kore he mōrearea ki te hauora me te whanaketanga o tō pēpi, ka tūtohu pea tō tākuta kia whakamahia tonutia e koe ētahi rongoā AS hei whakahaere i ō tohumate.

Kei roto i tēnei ko tētahi rōpū rongoā whakamamae mamae e kiia nei ko ngā rongoā anti-inflammatory kore-steroidal (NSAID), pērā i te aspirin, celecoxib, ibuprofen, me te naproxen. He haumaru ēnei ki te tango tae atu ki te 20 wiki o te hapūtanga. Heoi, mā te tango i ēnei i muri i tērā ka pāngia te pēpi e ngā raruraru whatukuhu me te ngākau. Nō reira, he mea nui kia kōrero koe ki tō tākuta mō te mea e tika ana māu.

Ka tukuna atu rānei te AS ki te pēpi?

Ka taea e ngā mate pūnaha ārai mate pēnei i te AS te ahu mai i ngā ira tuku iho. Arā, ka taea te tuku iho i tētahi whakatipuranga ki tētahi whakatipuranga. Mena kei a koe te ira e kiia nei ko te HLA-B27, e 50% te tūponotanga ka pāngia āu tamariki e tēnei ira. Heoi, ehara i te katoa o te hunga whai ira nei ka pāngia e te AS. E whakaatu ana ngā rangahau e 20% anake o ngā tamariki whai ira HLA-B27 ka pāngia e te AS ā muri ake nei.

AS me te whānautanga

He maha ngā wāhine whai AS e hapu ana i roto i te tinana, he hauora, he noa. Heoi, ka nui ake te pēhanga o te tuara, o te hope, me te tuaiwi e honoa ana i te wā e hapu ana. Ka uaua ake pea te whānautanga o te tara.

Waihoki, ka uaua te whiwhi i te epidural nā te mumura o te taurakira. Ko te epidural he mea ka hoatu e te tohunga whakamoe i te wā e whānau ana. Ko te tikanga o tēnei he werohanga ki roto i tō tuaiwi hei whakangāwari i te puku o raro. Ka taea e tēnei te āwhina i te whakahaere i te mamae o te whānautanga.

Me pēhea te tiaki i te pēpi i muri i te whānautanga?

He tino hoha te tiaki i tētahi pēpi hou. Hei tangata whai AS, he iti noa ngā mea me tino tupato koe.

• Te whāngai ū:Kāore te AS e pā ki tō kaha ki te whāngai ū. Ka taea te tango i te nuinga o ngā rongoā AS i a koe e whāngai ū ana. Heoi, ka taea e ētahi rongoā te uru ki roto i tō waiū ū i roto i te iti noa. Mena kei te whakaaro koe ki te whāngai ū, kōrero ki tō tākuta i te tuatahi. Māna koe e kī ko ēhea ngā rongoā kāore e haumaru mō tō pēpi.

• Ngā tohu o muri i te whānautanga: I muri i te whānautanga o te pēpi, ka nui ake te tūponotanga ka kino haere, ka pā mai rānei ō tohu o te AS. Ka roa pea tēnei mō ētahi marama. Ki te puta tēnei, tirohia tō tākuta mate rumatiki, he tākuta e tohunga ana ki ngā mate hononga. Māna e whakarerekē te horopeta o tō rongoā mēnā e tika ana.

• Te tiaki i tāu pēpi: Me aro tonu te pēpi hou ki a ia i ngā rā katoa, i ngā rā katoa, i ngā rā e whitu. Mena kei a koe te AS, ka kaha ake pea ō tohu i te mamae o ngā hononga me te tuara, te kore moe, me te ngenge. Tērā pea ka uaua ki a koe te mahi tonu i ngā mea pēnei i te hiki i tāu pēpi, te piko ki te whāngai ū, me te whakawhiti nāpi. Nō reira, whakamaheretia kia kimihia he tangata hei āwhina i a koe i mua i te whānautanga o tāu pēpi. Pātai atu ki te whānau me ngā hoa mō te āwhina. Ki te taea, kimihia he tangata hei āwhina i a koe i te taha pūtea.

I taua wā anō, he mea tino nui hoki te tiaki i a koe anō. Kai i ngā kai whai kiko, ā, ngana kia moe i te wā e moe ana tō pēpi.