Ngaba iintende zakho neenyawo zakho ziyarhawuzelela ebusuku ngexesha lokukhulelwa? Kodwa xa ujonga, akukho monakalo ubonakalayo? Oku akusiyo nje irhawuzelelo. Kwiimeko ezininzi, oku kunokuba yimeko ekhethekileyo enxulumene nesibindi esenzeka ngexesha lokukhulelwa. Oku sikubiza ngokuba yiCholestasis yokukhulelwa. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.
Yintoni iCholestasis yokukhulelwa?
Ngamafutshane, le yimeko yesibindi eyenzeka ekupheleni kokukhulelwa. Ibangela ukurhawuzelela okukhulu emzimbeni wonke, ingakumbi ezintendeni nasezinyaweni. Abanye abantu babiza ngokuba yi-'Intrahepatic Cholestasis of Pregnancy (ICP)'.
Kule meko, ukusebenza kwesibindi sakho kuncipha okwethutyana. Ngenxa yoko, into ebizwa ngokuba yi-bile eveliswa sisibindi iqala ukuqokelelana esibindini nasegazini endaweni yokuba ikhutshwe ngokufanelekileyo emzimbeni.
Cinga ngento ebangela le nyongo. Inyongo yinto eyenziwa sisibindi ize igcinwe kwinyongo. Xa sitya ukutya, ingakumbi ukutya okunamafutha, yile nyongo enceda ekuqhekezeni loo mafutha ize iwagaye. Kufana nesepha yokusela izitya. Ngoko ke xa le nyongo iqokelelana egazini, xa inqanaba layo lidlula kwinqanaba elithile, uqala ukufumana ukurhawuzelelwa okunganyamezelekiyo.
Le meko inokubangela iingxaki kuwe nakumntwana wakho. Ngoko ke, ukuba unale mpawu, ugqirha wakho uza kukujonga ngokusondeleyo kude kube sekupheleni kokukhulelwa kwakho.
Kuza kwenzeka ntoni xa le meko isenzeka?
Ngexesha lokukhulelwa, umntwana wakho uxhomekeke kwisibindi sakho ukuba sisuse inkunkuma egazini lakhe. Ngoko ke xa isibindi sakho singasebenzi kakuhle, inqanaba lenyongo egazini lakho linokunyuka, nto leyo enokubeka uxinzelelo kwisibindi somntwana wakho. Ekubeni isibindi sisitho esiphambili esisusa inkunkuma emzimbeni wethu, akulunganga ukuba sonakale.
Kodwa akukho mfuneko yokukhathazeka. Ugqirha wakho uza kukuhlola rhoqo wena nomntwana wakho aze enze yonke into efunekayo ukuqinisekisa ukuba le meko ayibangeli monakalo.
Ingaba le meko ixhaphakile?
Esi sisifo esingaqhelekanga ngokwenene. Sichaphazela malunga nomnye okanye ababini kubafazi abayi-1,000 abakhulelweyo. Nangona abaphandi bengaqinisekanga ukuba sibangelwa yintoni, sixhaphake kakhulu kwiinyanga zasebusika. Sixhaphake kakhulu nakwamanye amaqela eentlanga.
Kutheni oku kusenzeka? Yintoni esona sizathu siphambili?
Isizathu esiphambili kukwanda kweehomoni emzimbeni ngexesha lokukhulelwa, ingakumbi i-estrogen kunye ne-progesterone.Amanqanaba eehomoni ayanda kakhulu. Ngenxa yeziphumo zezi homoni, isibindi asikwazi ukuhambisa inyongo ngokufanelekileyo emzimbeni wonke. Oku kuthetha ukuba ukuhamba kwenyongo kuyathinteleka.
Kwenzeka ntoni emva koko? Inyongo iqokelelana esibindini ize iqalise ukuvuza ingene egazini. Ezi tyuwa zenyongo eziqokelelana egazini zezona zizathu ziphambili zokuba ulusu lwakho lurhawuzelele kangaka.
Le meko idla ngokuvela kwikota yesithathu yokukhulelwa, malunga neeveki ezingama-28. Oku kungenxa yokuba amanqanaba eehomoni aphezulu ngeli xesha. Ngamanye amaxesha isenokubangelwa ziimpembelelo zemfuza. Oku kuthetha ukuba ukuba umama wakho okanye umntu kusapho lwakho ukhe waba nale meko, nawe usemngciphekweni omkhulu wokuba nayo.
Zithini iimpawu zale meko?
Uphawu oluphambili nolucacileyo kukurhawuzelela okunganyamezelekiyo. Oku sikubiza ngokuba yi-'Pruritus' ngokwezonyango. Kukho izinto ezininzi ezikhethekileyo malunga nokurhawuzelela:
- Ukurhawuzelela kuqala ezintendeni nasezinyaweni.
- Emva koko inokusasazeka kancinci kancinci iye kwezinye iindawo zomzimba.
- Ukurhawuzelela kuba kubi ngakumbi ebusuku. Abanye abantu bayakrwela kangangokuba abakwazi nokulala.
- Eyona nto ibalulekileyo kukuba awuyi kubona naluphi na urhawuzelelo eluswini.
Ukongeza kolu phawu luphambili, kukho nezinye iimpawu ezingabonakaliyo. Makhe sizijonge ngokusondeleyo.
| Uphawu | Inkcazo |
|---|---|
| Uphawu oluphambili: ukurhawuzelela okukhulu | Irhashalala engenabungozi nerhawuzelela eqala ezintendeni nasezinyaweni ize ibe mandundu ebusuku. |
| Isicaphucaphu | Ukuziva unesicaphucaphu. |
| Umchamo onombala omnyama | Umbala womchamo uba mdaka tyheli/mdaka kunesiqhelo. |
| Izitulo ezinombala okhanyayo | Indle iba ngwevu okanye ibe mdaka ngombala. |
| Ukudinwa kakhulu | Ukudinwa kakhulu nokudinwa emzimbeni. |
| Umnqweno wokutya | Ukuncipha komnqweno wokutya. |
| Intlungu kwicala eliphezulu lasekunene lesisu | Ukuva iintlungu okanye ukungakhululeki kwindawo yesibindi. |
| I-Jaundice | Ukutyheli kwesikhumba kunye namehlo amhlophe. |
Uyibona njani le nto kanye kanye?
Ugqirha wakho uza kwenza uvavanyo lwegazi ukuze afumanise esi sifo.
Kuya kuthathwa isampuli yegazi kuwe kwaye kuya kuhlolwa uvavanyo lokusebenza kwesibindi kunye namanqanaba e-serum bile acid.
Ukuba inqanaba le-bile acid iyonke egazini liyi-10 micromoles ngelitha okanye ngaphezulu, oko kuqinisekisa ukuba kukho i-cholestasis.
Nje ukuba uxilongo luqinisekisiwe, ugqirha wakho uya kujonga amanqanaba akho enyongo rhoqo ngolu vavanyo lwegazi rhoqo ngexesha lokukhulelwa kwakho. Ngamanye amaxesha, unokufuna ukuba ne-ultrasound scan ukujonga amandla akho okujiya kwegazi (uvavanyo lwexesha le-prothrombin) okanye ukujonga isibindi sakho kunye nemibhobho yenyongo.
Luluphi unyango kunye nolawulo lwale nto?
Amayeza aphambili asetyenziswa ngoogqirha ukunyanga le meko yi -Ursodeoxycholic acid (UDCA) . Eli yeza linceda ukubuyisela ukusebenza kwesibindi sakho kunye nokunciphisa amanqanaba enyongo egazini lakho.
Nangona kunjalo, kukho izinto onokuzenza ukulawula iimpawu ezinje ngokurhawuzelela:
- Amayeza okunyanga ukurhawuzelela: Buza ugqirha wakho uze usebenzise amafutha okanye iyeza alinikiweyo. Ungaze usebenzise naliphi na iyeza ofuna ukulisebenzisa.
- Nxiba impahla ethambileyo nekhululekileyo: Nxiba impahla efunxa umbilo nengaqiniyo efana nekotoni.
- Phumla kakuhle: Kubalulekile ukunika umzimba ukuphumla.
- Ukuhlamba ngamanzi afudumeleyo: Oku kunokunceda ekunciphiseni ukurhawuzelela kancinci njengoko kupholisa umzimba.
Kwezinye iimeko, ukuba amayeza awakwazi ukulawula amanqanaba enyongo, ugqirha unokugqiba ekubeni azale umntwana kwangethuba, malunga neeveki ezingama-37 okanye ezingama-38 . Isizathu soku kukuba ukwenza njalo kunokunciphisa umngcipheko weengxaki kumntwana.
Ukuba umntwana uzelwe kwangethuba, unokunikwa inaliti ye-steroid ukunceda imiphunga yomntwana ikhule kakuhle kunye ne-vitamin K eyongezelelweyo ukuthintela ukopha kakhulu.
Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?
Ukuba le meko ayilawuleki, umama nomntwana banokufumana iingxaki ezithile.
| Ngubani ochaphazelekayo? | Iingxaki ezinokwenzeka |
|---|---|
| Kumama (kuwe) |
|
| Kumntwana osesibelekweni |
|
Musa ukoyika ezi zinto. Ezi zizingozi ezinokubakho. Ugqirha wakho uyazazi ezi ngozi kwaye uza kuthatha amanyathelo afunekayo ukuzithintela. Isigqibo sokubeleka umntwana kwangethuba sikwakukunciphisa ezi ngozi.
Ngaba kunokwenzeka ukuba nomntwana ophilileyo onesi sifo?
Ewe, ngokuqinisekileyo unako! Ukuba une-cholestasis akuthethi ukuba umntwana wakho akaphilanga. Ngolwalathiso olufanelekileyo lwezonyango kunye nonyango, uninzi loomama bazala abantwana abasempilweni.
Ngaba umntu onesi sifo ufanele alumke ngento ayityayo?
Akukho kutya kuthile kwesi sifo. Nangona kunjalo, ngokuxhomekeke kwimeko yakho, ugqirha wakho unokukucebisa ukuba unciphise ukutya okuthile. Njengakwezinye iimeko zokukhulelwa, kubalulekile ukutya ukutya okunesondlo. Zama ukutya okutyebileyo kwiziqhamo, imifuno, inyama engenamafutha, kunye neeproteni.
Ingaba le meko iya kuphela emva kokubeleka?
Ewe. Ezi zezona ndaba zilungileyo. Le meko iya kuphela ngokupheleleyo kwiintsuku ezimbalwa emva kokuba umntwana ezelwe. Amanqanaba enyongo egazini lakho aya kubuyela esiqhelweni. Emva koko, akuyi kufuneka uthabathe naluphi na unyango.
Kodwa kukho into ekufuneka uyikhumbule. Unethuba elimalunga nama-60% lokuba nale meko kwakhona ekukhulelweni kwakho okulandelayo. Ukuba ubunemeko enzima ngakumbi ngeli xesha, ithuba lokuba nayo kwakhona kwixesha elizayo linokunyuka liye kuma-90%.
Ngaba oku kungathintelwa? Zithini izinto ezibangela umngcipheko?
Ngelishwa, akukho ndlela yokuthintela le meko ukuba ingenzeki. Kodwa kukho izinto ezinobungozi. Ukuba unale mingcipheko, kufuneka ulumke ngakumbi.
- Ukuba kukho umntu kusapho lwakhe oye waba nale meko.
- Ukuba le meko ikhe yenzeka ngexesha lokukhulelwa kwangaphambili.
- Ukuba uthwele amawele okanye amawele amathathu.
- Ukuba ukhe wakha waba nesifo sesibindi okanye imeko efana neHepatitis C.
- Ukuba isibindi sonakele.
- Ukuba unesifo semfuza esichaphazela ukuveliswa okanye ukusetyenziswa kwenyongo.
Ndifanele ndimbone nini ugqirha?
Xa ukhulelwe,
- Ukuba urhawuzelelwa kakhulu kodwa okungapheliyo, ingakumbi ezintendeni zezandla zakho nasezinyaweni zakho,
- Ukuba ulusu okanye amehlo akho abonakala emthubi,
Bona ugqirha wakho ngoko nangoko. Musa ukuyityeshela le mpawu. Ukufuna ingcebiso kagqirha ngokukhawuleza kubalulekile kukhuseleko lwakho nolomntwana wakho.
Umyalezo Wokuya Ekhaya
- Ukurhawuzelela okuqatha ngexesha lokukhulelwa, ingakumbi ezintendeni nasezinyaweni, akufanele kuthathwe njengento eqhelekileyo. Kusenokuba luphawu lweCholestasis yokukhulelwa.
- Isizathu sale meko kukuba iihomoni zokukhulelwa ziphazamisana nokuhamba kwenyongo esibindini.
- Ngonyango olufanelekileyo kunye nolawulo, uninzi lweengozi kumama nosana zinokulawulwa.
- Le meko iya kuphiliswa ngokupheleleyo kwiintsuku ezimbalwa emva kokuba umntwana ezelwe.
- Ukuba unamathandabuzo malunga noku, ungalibazisi kwaye udibane nogqirha wakho ukuze akunike icebiso.
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