Ukuba ukhulelwe okanye ucinga ngokuba nomntwana, usenokuba nemibuzo emininzi engqondweni yakho. Kuqhelekile kakhulu. Ngaba kufuneka uncancise okanye uncancise umntwana wakho ngebhotile? Ngaba ukuzalwa kuza kuba nzima? Ukutya kufanele kube njani? Yonke imibuzo efana nale ifika engqondweni yakho.
Kodwa ukuba une-ankylosing spondylitis (AS), imibuzo yakho isenokuba yahlukile kancinci. "Ndingakhulelwa?", "Ngaba i-AS ingenza kube nzima ukuzala?", "Kuthekani ukuba esi sifo siya sibi ngexesha lokukhulelwa?", "Ngaba esi sifo siya kuchaphazela umntwana wam?" Usenokuba uzibuza. Ngoko ke, namhlanje, masithethe ngendlela yokujongana ne-AS ngexesha lokukhulelwa nasemva koko.
Ngaba ungakhulelwa yi-Ankylosing Spondylitis (AS)?
Iindaba ezimnandi zezokuba i-AS ayichaphazeli ukuzala kwakho. Oko kuthetha ukuba ungakhulelwa. Nangona kunjalo, kuya kufuneka ucwangcise kwangaphambili ngaphezu komntu ongena-AS. Amanye amayeza owasebenzisayo kwi-AS anokufuna ukuyekiswa kwiiveki okanye kwiinyanga ezimbalwa ngaphambi kokuba ukhulelwe ukuthintela iziphene zokuzalwa.
Enye yezona ndlela zibalaseleyo zokucwangcisa ukukhulelwa kukusebenzisa ulawulo lokubeleka. Ungasebenzisa naluphi na uhlobo lolawulo lokubeleka. Kodwa ngokuqhelekileyo, izixhobo ezifakwa ngaphakathi kwesibeleko, ezibizwa ngokuba zizixhobo ze-intrauterine (IUDs), zisebenza ngakumbi kwixesha elide. Ezi zizixhobo ezincinci ezimile okwe-T ezifakwa ngugqirha wakho kwisibeleko sakho.
Xa sele ukulungele ukucinga ngokuba nomntwana, qiniseka ukuba uxelela ugqirha wakho. Angatshintsha amayeza akho ukuba kuyimfuneko, asuse i-IUD ukuba unayo, aze akufundise indlela yokulawula iimpawu ze-AS ngexesha lokukhulelwa.
Amadoda nawo kufuneka aqaphele: Ezinye izifundo zibonise ukuba amayeza asetyenziselwa ukunyanga i-AS, anjenge-cyclophosphamide kunye ne-sulfasalazine, anokuchaphazela ukuveliswa kwesidoda kumadoda. Oku kunokwenza kube nzima kumadoda ukukhulelwa. Ke ngoko, ukuba amadoda nawo acinga ngokuba nomntwana, kubaluleke kakhulu ukuxelela ugqirha wakho ngokukhawuleza.
Ngaba i-AS ingabangela iingxaki ngexesha lokukhulelwa?
Izifundo ezininzi zibonisa ukuba i-AS inxulunyaniswa nomngcipheko ophantsi weengxaki ezinkulu ngexesha lokukhulelwa. Uninzi lwabantu abane-AS banokukhulelwa okuqhelekileyo. Njengakweyiphi na inkathi yokukhulelwa, ukuphuphuma kwesisu kunokwenzeka, kodwa i-AS ayongezi umngcipheko.
Nangona kunjalo, ukuba iimpawu zakho ze-AS zinzima kakhuluUkuba unezinye izifo, amathuba okuba neengxaki aphezulu. Kwakhona, ukuba unesifo soxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa, ingxaki ebizwa ngokuba yi-"preeclampsia," inokwenzeka. Le yimeko eyingozi kumama nakumntwana.
Kwiimeko ezinjalo, itheyibhile engezantsi idwelisa ezinye zeengxaki ezinokuvela nge-AS.
| Ingxaki | Inkcazo |
|---|---|
| Ukuzalwa ngaphambi kwexesha | Umngcipheko ophezulu wokuba nomntwana ngaphambi kweeveki ezingama-37. |
| Ukunciphisa umzimba womntwana | Ubunzima bomntwana ekuzalweni kwakhe bungaphantsi kwesiqhelo. |
| Isebe likaCesarean | Amathuba okwanda okuba kwenziwe utyando ngotyando (C-section). |
| Ukwamkelwa kwi-NICU | Emva kokuba umntwana ezelwe, kusenokwenzeka ukuba umntwana kuya kufuneka angeniswe kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (i-NICU). |
Ngaba iimpawu zam ze-AS ziya zisiba mandundu ngexesha lokukhulelwa?
Njengoko umntwana wakho ekhula ngexesha lokukhulelwa, ubunzima bomzimba wakho buyanda nakwixesha leenyanga ezili-9. Oku kubeka uxinzelelo olukhulu emzimbeni wakho, ingakumbi amalungu akho, izihlunu, nomqolo. Ngenxa yoko, iimpawu zakho ze-AS, ezifana nokuqina komqolo, ukudumba, kunye nentlungu, zinokunyuka kancinci njengoko ungena kwi-trimester yakho yesibini neyesithathu.
Ukuvuvukala kwesisu kunokwenzeka nangaliphi na ixesha ngexesha lokukhulelwa. Olunye uphando lufumanise ukuba malunga nama-80% abantu abane-AS bafumana ukuvuvukala kwesisu ngexesha lokukhulelwa. Kwaye, phantse wonke umntu ufumana iimpawu zakhe eziya zisiba mbi kwiinyanga emva kokubeleka. Kodwa iindaba ezimnandi zezokuba ezi mpawu zihlala ziphucuka ngokuhamba kwexesha.
Kodwa nantsi into: Abanye abafazi abakhulelweyo abafumani naluphi na utshintsho kwiimpawu zabo ze-AS. Enyanisweni, kwinani elincinci kakhulu labasetyhini, iimpawu zabo zisenokuphucuka ngexesha lokukhulelwa.
Izinto onokuzilindela ngexesha lokukhulelwa
Kukho izinto ezininzi ekufuneka uzikhumbule emva kokuba ukhulelwe, njengoko umntwana wakho ekhula, nanjengoko usondela ekubelekeni.
Amayeza kunye nophuhliso lomntwana
Ngaphandle kokuba kukho umngcipheko kwimpilo nophuhliso lomntwana wakho, ugqirha wakho unokucebisa ukuba uqhubeke nokusebenzisa amayeza e-AS ukulawula iimpawu zakho.
Oku kuquka iqela leepilisi zokuthomalalisa iintlungu ezibizwa ngokuba zii-nonsteroidal anti-inflammatory drugs (NSAIDs), ezifana ne-aspirin, i-celecoxib, i-ibuprofen, kunye ne-naproxen. Ezi zihlala zikhuselekile ukuba zithathe iiveki ezingama-20 zokukhulelwa. Nangona kunjalo, ukuzithatha emva koko kunokubangela iingxaki zezintso kunye nentliziyo kumntwana. Ngoko ke, kubalulekile ukuthetha nogqirha wakho malunga nokuba yintoni ekulungeleyo.
Ngaba i-AS iza kudluliselwa kumntwana?
Iimeko zokuzikhusela komzimba ezifana ne-AS zinokuba zezemfuza. Oko kuthetha ukuba zinokudluliselwa kwizizukulwana ngezizukulwana. Ukuba une-gene ebizwa ngokuba yi-HLA-B27, kukho amathuba angama-50% okuba abantwana bakho babe nayo. Nangona kunjalo, ayinguye wonke umntu onale gene oza kuphuhlisa i-AS. Izifundo zibonisa ukuba yi-20% kuphela yabantwana abane-gene ye-HLA-B27 abaya kuphuhlisa i-AS kwixesha elizayo.
I-AS kunye nokuzala umntwana
Abafazi abaninzi abane-AS bakhulelwa ngendlela eqhelekileyo nesempilweni. Nangona kunjalo, ukukhulelwa kubeka uxinzelelo olongezelelweyo emqolo wakho, ezinqeni, nakumqolo odibeneyo. Oku kunokwenza kube nzima ngakumbi ukuzala kwisini.
Kwakhona, ukudumba kwi-spinal cord kunokwenza kube nzima ukufumana i-epidural. I-epidural yinto enikwa yi-anesthesiologist ngexesha lokubeleka. Oku kubandakanya ukujova umqolo wakho ukuze uvale isisu esisezantsi. Oku kunokunceda ukulawula intlungu yokubeleka.
Eyona ndlela ilungileyo yokulungiselela oku kukuthetha nogqirha wakho wezifo zabesifazane (OB/GYN) kunye nogqirha wezifo zokubulala iintlungu kwangethuba. Bona ukuba banamava okusebenza nezigulane ezine-AS. Banokukuchazela ukhetho lwakho. Ukuba kuyimfuneko, banokucwangcisa utyando lwe-C-section kwangethuba ukunciphisa umngcipheko kumntwana wakho nakumqolo wakho.
Indlela yokunyamekela umntwana emva kokubeleka?
Ukunyamekela usana olusandul’ ukuzalwa kunokuba yinto edinisayo. Njengomntu one-AS, kukho izinto ezimbalwa ekufuneka uzilumkele ngakumbi.
- Ukuncancisa:I-AS ayichaphazeli amandla akho okuncancisa. Uninzi lwamayeza e-AS lunokusetyenziswa ngelixa uncancisa. Nangona kunjalo, amanye amayeza anokungena kubisi lwakho lwebele ngobuninzi obuncinci. Ukuba uceba ukuncancisa, thetha nogqirha wakho kuqala. Uza kukuxelela ukuba zeziphi amayeza angakhuselekanga kumntwana wakho.
- Iimpawu zasemva kokubeleka: Emva kokuba nomntwana, iimpawu zakho ze-AS zinokuba mandundu okanye ziphakame ngokukhawuleza. Oku kunokuhlala iinyanga ezininzi. Ukuba oku kuyenzeka, bonana nogqirha wakho wezifo zamalungu, ugqirha ogxile kwizifo zamalungu. Uza kulungisa umthamo wamayeza akho ukuba kuyimfuneko.
- Ukunyamekela umntwana wakho: Usana olusandul’ ukuzalwa lufuna ingqwalaselo imini nobusuku. Ukuba une-AS, iimpawu zakho zinokuba mandundu ziintlungu zamalungu nomqolo, ukungalali kakuhle, kunye nokudinwa. Unokufumana kunzima ukuqhubeka nokwenza izinto ezifana nokuphakamisa umntwana wakho, ukugoba ukuze uncancise, kunye nokutshintsha amanabukeni. Ngoko ke, cwangcisa ukufumana umntu oza kukunceda ngaphambi kokuba umntwana wakho azalwe. Cela uncedo kusapho nakubahlobo. Ukuba kunokwenzeka, fumana umntu onokukunceda ngemali.
Kwangaxeshanye, kubaluleke kakhulu ukuzinyamekela. Yitya ukutya okunesondlo, kwaye uzame ukulala kancinci xa umntwana wakho elele.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) ayichaphazeli amandla akho okukhulelwa, kodwa ukuba ucinga ngokuba nomntwana, kubalulekile ukuthetha nogqirha wakho kwaye ucwangcise kwangaphambili .
- NJENGOKUBA iimpawu zinokuba mandundu ngexesha lokukhulelwa, kwaye ukudumba kwesisu kunokubakho emva kokuzalwa. Musa ukukhathazeka, oku kuqhelekile.
- Buza ugqirha wakho malunga namayeza owasebenzisayo ngexesha lokukhulelwa, ingakumbi amayeza okudambisa iintlungu.
- Thetha nogqirha wakho wezifo zabesifazane kunye nogqirha wezifo ezibangela iintlungu ngaphambi kokuba ubeleke ukuze ukhethe indlela yokuzala efanelekileyo kuwe.
- Emva kokuba nomntwana, ukuba nomntu onokukunceda kuya kuba luncedo olukhulu kwimpilo yakho yomzimba. Ngoko ke ungathandabuzi ukucela uncedo.
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