Niba utwite cyangwa utekereza kubyara, ushobora kuba ufite ibibazo byinshi mu mutwe wawe. Ni ibisanzwe cyane. Ese ugomba konsa umwana wawe cyangwa kumugaburira icupa? Ese kubyara bizagorana? Indyo igomba kumera ite? Ibibazo nk'ibi byose biza mu mutwe wawe.
Ariko niba ufite ankylosing spondylitis (AS), ibibazo byawe bishobora kuba bitandukanye gato. "Ese nshobora gutwita?", "Ese AS izagora kubyara?", "Bite se iyo indwara ikomeje kwiyongera mu gihe utwite?", "Ese iyi ndwara izagira ingaruka ku mwana wanjye?" Ushobora kuba wibaza. None rero, uyu munsi, reka tuganire ku buryo bwo guhangana na AS mu gihe utwite na nyuma yaho.
Ese ushobora gutwita Ankylosing Spondylitis (AS)?
Inkuru nziza ni uko AS itagira ingaruka ku burumbuke bwawe. Ibyo bivuze ko ushobora gusama. Ariko, uzakenera guteganya mbere y'igihe ibirenze ibyo umuntu udafite AS asanzwe asanzwe akoresha. Imwe mu miti ufata kuri AS ishobora gukenera guhagarikwa ibyumweru bike cyangwa amezi make mbere yuko usama kugira ngo wirinde ko habaho ibibazo byo kuvukana.
Bumwe mu buryo bwiza bwo gutegura gutwita ni ugukoresha uburyo bwo kuboneza urubyaro. Ushobora gukoresha ubwoko ubwo aribwo bwose bwo kuboneza urubyaro. Ariko ubusanzwe, ibikoresho bishyirwa mu mura, byitwa ibikoresho byo mu mura (IUDs), bigira akamaro mu gihe kirekire. Ibi ni ibikoresho bito bifite ishusho ya T muganga wawe ashyira mu mura wawe.
Iyo witeguye gutekereza kubyara, menya neza ko wabibwiye muganga wawe. Ashobora guhindura imiti yawe bibaye ngombwa, gukuramo indorerwamo ya IUD niba uyifite, no kukwigisha uburyo bwo gucunga ibimenyetso bya AS mu gihe utwite.
Abagabo nabo bagomba kumenya: Hari ubushakashatsi bwagaragaje ko imiti ikoreshwa mu kuvura AS, nka cyclophosphamide na sulfasalazine, ishobora kugira ingaruka ku ikorwa ry'intanga ngabo ku bagabo. Ibi bishobora kugora abagabo gutwita. Kubwibyo, niba abagabo nabo batekereza kubyara umwana, ni ngombwa cyane kubimenyesha muganga wawe vuba bishoboka.
Ese AS ishobora guteza ibibazo mu gihe cyo gutwita?
Ubushakashatsi bwinshi bwerekana ko AS ifitanye isano no kugabanya ibyago bikomeye byo kurwara mu gihe cyo gutwita. Abantu benshi barwaye AS batwite bisanzwe. Nkuko bigenda ku gutwita ukundi, gukuramo inda bishobora kubaho, ariko AS ntiyongerera ibyago.
Ariko, niba ibimenyetso byawe bya AS bikomeye cyaneIyo ufite izindi ndwara, amahirwe yo kugira ingorane aba menshi. Nanone, iyo ugize umuvuduko ukabije w'amaraso mu gihe utwite, indwara yitwa "preeclampsia," ishobora gutera ingorane. Iki ni ikibazo gikomeye kuri umubyeyi no ku mwana.
Muri bene ibyo bihe, imbonerahamwe iri hepfo igaragaza zimwe mu ngorane zishobora guterwa na AS.
| Ingorane | Ibisobanuro |
|---|---|
| Kubyara igihe kitageze | Ubwiyongere bw'ibyago byo kubyara umwana mbere y'ibyumweru 37. |
| Kugabanya ibiro by'umwana | Ibiro by'umwana igihe avuka biri munsi y'ibisanzwe. |
| Kubagwa kwa sezari | Ubushobozi bwo kubagwa mu gihe cyo kubagwa (C-bection) bwiyongera. |
| Kwinjira muri NICU | Nyuma yo kuvuka k'umwana, birashoboka ko umwana azakenera kwakirwa mu cyumba cyita ku bana bavutse (NICU). |
Ese ibimenyetso byanjye bya AS bishobora kwiyongera mu gihe ntwite?
Uko umwana wawe akura mu gihe cyo gutwita, ibiro byawe nabyo biriyongera mu gihe cy'amezi 9. Ibi bitera umubiri wawe umutwaro mwinshi, cyane cyane ingingo zawe, imitsi, n'umugongo. Kubera iyo mpamvu, ibimenyetso byo kurwara indwara ya AS, nko kunanuka k'umugongo, kubyimba, no kubabara, bishobora kwiyongera gato uko winjira mu gihembwe cya kabiri n'icya gatatu.
Kubyimba bishobora kubaho igihe icyo ari cyo cyose mu gihe cyo gutwita. Ubushakashatsi bumwe bwagaragaje ko abantu bagera kuri 80% barwaye AS bagira ikibazo cyo kubyimba mu gihe batwite. Kandi, hafi ya buri wese agira ikibazo cyo kubyimba mu mezi make nyuma yo kubyara. Ariko inkuru nziza ni uko ibi bimenyetso bikunze kumera neza uko igihe kigenda gihita.
Ariko iki ni iki: Bamwe mu bagore batwite ntibagira impinduka mu bimenyetso byabo bya AS. Mu by'ukuri, ku bagore bake cyane, ibimenyetso byabo bishobora no kwiyongera mu gihe batwite.
Ibintu byo kwitega mu gihe cyo gutwita
Hari ibintu byinshi ugomba kuzirikana nyuma yo gutwita, uko umwana wawe akura, ndetse no mu gihe uri hafi kubyara.
Ubuvuzi n'iterambere ry'umwana
Keretse niba hari ingaruka ku buzima n'iterambere ry'umwana wawe, muganga wawe ashobora kukugira inama yo gukomeza gukoresha imiti ya AS kugira ngo ugenzure ibimenyetso byawe.
Ibi birimo itsinda ry'imiti igabanya ububabare yitwa imiti igabanya ubukana idakoresha steroidal (NSAIDs), nka aspirine, celecoxib, ibuprofen, na naproxen. Iyi miti muri rusange ni myiza kuyifata kugeza ku byumweru 20 byo gutwita. Ariko, kuyifata nyuma yayo bishobora gutera ibibazo by'impyiko n'umutima ku mwana. Rero, ni ngombwa kuganira na muganga wawe ku bikubereye.
Ese AS izahererezwa umwana?
Indwara zo kwirwanaho mu mubiri nka AS zishobora kuba imiterere y’uturemangingo. Ibyo bivuze ko zishobora guhererekanywa kuva ku gisekuru kugeza ku kindi. Niba ufite gene yitwa HLA-B27, hari amahirwe angana na 50% ko abana bawe bazayirwara. Ariko, si buri wese ufite iyi gene uzarwara AS. Ubushakashatsi bwerekana ko 20% by'abana bafite gene ya HLA-B27 ari bo bazarwara AS mu gihe kizaza.
AS n'ivuka ry'umwana
Abagore benshi barwaye AS batwite neza kandi bisanzwe. Ariko, gutwita bitera umuvuduko mwinshi ku mugongo wawe, ku matako no ku mugongo uvanze. Ibi bishobora gutuma kubyara mu gitsina bigorana gato.
Nanone, kubyimba mu mugongo bishobora gutuma bigorana kubona epidural. Epidural ni ikintu umuganga w’inzobere mu gutera ikinya aguha mu gihe cyo kubyara. Ibi bisaba guterwa urushinge mu mugongo wawe kugira ngo ugire ibinure mu nda yo hasi. Ibi bishobora gufasha mu kugabanya ububabare bwo kubyara.
Uburyo bwiza bwo kwitegura ibi ni ukuganira na muganga wawe w’indwara z’abagore (OB/GYN) n’inzobere mu gutera ikinya mbere y’igihe. Reba niba bafite uburambe mu gukorana n’abarwayi ba AS. Bashobora kugusobanurira amahitamo yawe. Iyo bibaye ngombwa, bashobora guteganya igihe cyo kubagwa C-section hakiri kare kugira ngo bagabanye ibyago ku mwana wawe no ku mugongo wawe.
Ni gute wakwita ku mwana nyuma yo kumubyara?
Kwita ku mwana ukiri mu nda bishobora kunaniza cyane. Nk'umuntu urwaye indwara ya AS, hari ibintu bike ugomba kwitondera cyane.
- Konsa:AS ntabwo igira ingaruka ku bushobozi bwawe bwo konsa. Imiti myinshi ya AS ishobora gufatwa mu gihe wonsa. Ariko, hari imiti ishobora kwinjira mu mashereka yawe mu rugero ruto. Niba uteganya konsa, banza uganire na muganga wawe. Azakubwira imiti idafitiye akamaro umwana wawe.
- Ibimenyetso nyuma yo kubyara: Nyuma yo kubyara, ibimenyetso byawe bya AS bishobora kwiyongera cyangwa bikazamuka. Ibi bishobora kumara amezi menshi. Ibi nibibaho, reba inzobere mu ndwara z'imitsi, umuganga w’inzobere mu kuvura ingingo. Azaguhindurira urugero rw'imiti yawe nibiba ngombwa.
- Kwita ku mwana wawe: Umwana uvutse akeneye kwitabwaho amasaha 24/7. Niba ufite AS, ibimenyetso byawe bishobora kwiyongera bitewe no kubabara ingingo n'umugongo, kudasinzira neza, no kunanirwa. Ushobora gusanga bigoye gukomeza gukora ibintu nko guterura umwana wawe, kunama kugira ngo wonse, no guhindura imyenda. Rero, teganya gushaka umuntu wo kugufasha mbere yuko umwana wawe avuka. Saba ubufasha ku muryango n'inshuti. Niba bishoboka, shaka umuntu ushobora kugufasha mu by'imari.
Ariko kandi, ni ingenzi cyane kwiyitaho. Rya ibiryo bifite intungamubiri, kandi ugerageze gusinzira igihe umwana wawe asinziriye.
Ubutumwa bwo kujyana mu rugo
- Ankylosing Spondylitis (AS) ntabwo igira ingaruka ku bushobozi bwawe bwo gutwita, ariko niba urimo gutekereza kubyara, ni ngombwa kuvugana na muganga wawe no gutegura mbere y'igihe .
- Ibimenyetso bishobora kwiyongera mu gihe cyo gutwita, kandi bishobora no kugaragara nyuma yo kubyara. Ntugahangayike, ibi ni ibisanzwe.
- Baza muganga wawe imiti iyo ari yo yose ufata mu gihe utwite, cyane cyane imiti igabanya ububabare.
- Vugana n'umuganga w'abagore n'umuganga w'ibinya mbere yo kubyara kugira ngo bagufashe guhitamo uburyo bwo kubyara bukubereye.
- Nyuma yo kubyara, kugira umuntu uzagufasha bizagufasha cyane ku buzima bwawe bw'umubiri. Ntugatinye gusaba ubufasha.
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