Ngaba nawe unokurhawuzelelwa okunganyamezelekiyo ngexesha lokukhulelwa? Oku kungaba yi-cholestasis yokukhulelwa!

Oomama abaninzi bafumana ukungakhululeki okwahlukeneyo ngexesha lokukhulelwa. Nangona kuqhelekile ukuziva urhawuzelelwa ngamanye amaxesha, ngamanye amaxesha kunokuba yinto ekufuneka ixhalatyelwe. Ingakumbi ekupheleni kokukhulelwa kwakho, ukuba uzifumana urhawuzelelwa ngokungalawulekiyo, uqala ngeentende zakho kunye neenyawo zakho uze emva koko wonke umzimba wakho, kunokuba luphawu lwemeko ebizwa ngokuba yiCholestasis of Pregnancy. Ngaba singathetha ngale nto ngokweenkcukacha namhlanje? Ungakhathazeki, kubaluleke kakhulu ukuqaphela oku.

Yintoni kanye kanye iCholestasis yokukhulelwa?

Ngamafutshane, i-cholestasis yokukhulelwa yimeko echaphazela isibindi . Idla ngokuvela kwi-trimester yesithathu yokukhulelwa, malunga neeveki ezingama-28. Kwabanye abantu, inokwenzeka kwangethuba. Oogqirha bakwabiza ngokuba yi-"Intrahepatic Cholestasis of Pregnancy (ICP)`` okanye `Obstetric Cholestasis``. Usenokuba ukhe weva la magama xa ubona ugqirha.

Kule meko, abanye abafazi abakhulelweyo bafumana ukwehla okwethutyana kokusebenza kwesibindi. Emva koko, into ebizwa ngokuba yi-bile emzimbeni wethu ayihambi kakuhle kwaye iqala ukuqokelelana esibindini nasegazini.

Yintoni inyongo?

Inyongo lulwelo oluveliswa sisibindi sethu kwaye lugcinwe kwinyongo. Ngalo lonke ixesha xa sisitya, le nyongo isinceda ukuba sigaye amafutha ekutyeni esikutyayo. Ngoko ke, xa eli nqanaba lenyongo egazini lidlula inqanaba elifunekayo, uqala ukufumana loo ntlungu imbi.

Le meko ye-cholestasis inokubangela iingxaki kuwe nakumntwana wakho ongekazalwa. Yiyo loo nto ukuba ugqirha wakho ukrokrela ukuba unale meko, wena nomntwana wakho niza kuhlolwa ngokusondeleyo kulo lonke ixesha lokukhulelwa kwenu.

Kuza kwenzeka ntoni ukuba ndine-cholestasis ngexesha lokukhulelwa?

Oku kuyinto ekufuneka uyiqonde. Ngexesha lokukhulelwa, umntwana wakho uxhomekeke kwisibindi sakho ukuba sisuse inkunkuma emzimbeni wakhe. Ngoko ke, ukuba isibindi sakho asisebenzi kakuhle, elo nqanaba lenyongo endilikhankanyileyo ngaphambili linokuba phezulu kakhulu. Oku kunokubangela uxinzelelo kwisibindi somntwana wakho. Isibindi sesinye sezitho ezibalulekileyo emzimbeni wethu. Yindawo ephambili apho umzimba ulahla khona inkunkuma. Ngoko ke ukuba ayisebenzi kakuhle, kukho amathuba okuba kubekho iingxaki.

Kodwa ungakhathazeki . Ugqirha wakho uza kukujonga rhoqo wena nomntwana wakho ukuqinisekisa ukuba i-cholestasis ayilimazi nobabini kuni.

Ixhaphake kangakanani i-cholestasis ngexesha lokukhulelwa?

Le meko ichaphazela umfazi omnye ukuya kwabababini kwi-1,000 abakhulelweyo. Oko kuthetha ukuba ayiqhelekanga kangako. Nangona abaphandi bengayazi imbangela echanekileyo, idatha ibonisa ukuba ixhaphake kakhulu ebusika. Kuthiwa abantu baseHispanic naseSweden banokuba nayo.

Yintoni eyona nto ibangela i-cholestasis?

Njengoko besikhe sathetha ngaphambili, inyongo yinto eyenziwa sisibindi kwaye igcinwe kwinyongo. Inceda ekuqhekezeni amafutha ngexesha lokugaya ukutya. Ngexesha lokukhulelwa, amanqanaba omzimba wakho eehomoni i-estrogen kunye ne -progesterone ayanda kakhulu. La manqanaba akhulayo ezi homoni achaphazela amandla esibindi okuthutha inyongo ngokufanelekileyo. Ngamafutshane, inyongo ayihambi emzimbeni wonke, kodwa iqokelelana esibindini ize ibuyele egazini. Xa inyongo iqokelelana egazini, ufumana loo ntlungu inganyamezelekiyo.

I-Cholestasis yokukhulelwa idla ngokuvela kwi-trimester yesithathu, malunga neeveki ezingama-28. Oku kungenxa yokuba amanqanaba e-hormone yokukhulelwa aphezulu ngeli xesha. Kwezinye iimeko, inokuba yimfuza . Oku kuthetha ukuba ukuba abazali bakho babenayo i-cholestasis, nawe usemngciphekweni wokuba nayo.

Ziziphi iimpawu ze-cholestasis ngexesha lokukhulelwa?

Uphawu oluphambili nolucacileyo lwale meko kukurhawuzelela okukhulu (i-pruritus) . Oku kurhawuzelela kuqala ezintendeni nasezinyaweni. Emva koko kunokusasazeka kancinci kwezinye iindawo zomzimba. Kubantu abaninzi, oku kurhawuzelela kuba kubi kakhulu ebusuku . Bakrwela kakhulu kangangokuba abakwazi ukulala. Ngokungafaniyo nezinye iimeko zokurhawuzelela, i-cholestasis ayisoloko ibangela ukurhawuzelela kwesikhumba . Oku kubaluleke kakhulu.

Ukongeza ekurhawuzeleni, kunokubakho nezinye iimpawu ezininzi. Nangona kunjalo, ayinguye wonke umntu ohlangabezana nezi:

• Isicaphucaphu
• Umchamo omnyama
• Indle engwevu okanye emdaka kancinci
• Ukudinwa kakhulu
• Ukunciphisa ukutya
• Intlungu kwicala eliphezulu lasekunene lesisu sakho
• I-Jaundice - Oku kuthetha ukuba ulusu lwakho kunye namehlo amhlophe ajika abe tyheli.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

I-cholestasis iqala nini iveki yokukhulelwa?

I-Cholestasis yokukhulelwa idla ngokuqala emva kweeveki ezingama-28 zokukhulelwa. Nangona kunjalo, njengoko benditshilo ngaphambili, abanye abantu banokuba nale meko kwangethuba. Ngoko ke kubalulekile ukuba uqaphele ukurhawuzelelwa.

I-cholestasis ifunyanwa njani ngexesha lokukhulelwa?

Ugqirha wakho uza kuyixilonga le meko ngokwenza uvavanyo lomzimba kunye novavanyo lwegazi. Olu vavanyo lunokubonisa indlela isibindi sakho esisebenza ngayo. Baza kwenza novavanyo lwe-serum bile acid ukulinganisa inqanaba le-bile acids egazini lakho.

Ezi mvavanyo zingaqinisekisa le meko ukuba inqanaba le-bile acid lilonke liyi-10 micromoles ngelitha (`10 micromoles ngelitha`) okanye ngaphezulu. Ii-Micromoles ziyunithi yokulinganisa esetyenziswa kwezinye iimvavanyo zonyango. Usenokuba novavanyo lwegazi rhoqo ukujonga amanqanaba e-bile acid yakho kulo lonke ixesha lokukhulelwa kwakho.

Ukongeza, ugqirha wakho unokucebisa uvavanyo lwexesha le-prothrombin ukuze abone ukuba igazi lakho liqhekeka kangakanani, kunye ne-ultrasound ukuze kujongwe imibhobho yenyongo nesibindi sakho.

Iphathwa njani i-cholestasis ngexesha lokukhulelwa?

Amayeza aphambili asetyenziswa ngoogqirha ukunyanga le meko yi -Ursodeoxycholic acid (UDCA) . Ikwaziwa ngokuba yi-`(ursodiol)` okanye `(Actigall®)`. Eli yeza linceda ukuphucula ukusebenza kwesibindi sakho kwaye linciphise amanqanaba enyongo egazini lakho.

Ukongeza, kukho unyango lokulawula iimpawu ze-cholestasis, ingakumbi ukurhawuzelela okukhulu:

• Iyeza lokurhawuzelela: (Kodwa khumbula, ngokuqinisekileyo kufuneka ubuze ugqirha wakho ngaphambi kokuba uthathe naliphi na iyeza.)
• Nxiba impahla ethambileyo nekhululekileyo: Ukunxiba impahla eqinileyo kunokwenza ukurhawuzelela kube kubi ngakumbi. Ngoko ke, nxiba impahla ekhululekileyo eyenziwe ngelaphu elithambileyo njengekotoni.
• Ukuphumla: Ukuphumla ngokwaneleyo nako kubaluleke kakhulu.
• Ukuhlamba ngamanzi afudumeleyo: Ukucwilisa emanzini afudumeleyo okwethutyana kunokubonelela ngokukhululeka ekurhawuzeleni.

Ngamanye amaxesha, ukuba amayeza awanciphisi amanqanaba akho enyongo, ugqirha wakho unokucebisa ukuba umntwana wakho abelekwe kwangethuba, ngaphambi komhla wokuzalwa. Ukuqala ukuzala, ngokuqhelekileyo malunga neeveki ezingama-37 okanye ezingama-38, kunokunciphisa umngcipheko weengxaki ezivela kwi-cholestasis. Ugqirha wakho uya kwenza novavanyo, olufana neprofayili ye-biophysical okanye uvavanyo olungengoxinzelelo, ukuqinisekisa ukuba umntwana wakho uphilile.

Ukuba umntwana uzelwe kwangethuba, unokunikwa i-steroid ukunceda imiphunga yomntwana ikhule kakuhle kunye ne-vitamin K eyongezelelweyo ukuthintela ukopha ngaphakathi.

Ziziphi iingxaki ezinokubakho ze-cholestasis ngexesha lokukhulelwa?

I-Cholestasis yokukhulelwa inokubangela iingxaki. Usenokuba nengxaki yokufunxa i-vitamin K , nto leyo eyonyusa umngcipheko wokopha kakhulu ngaphakathi. Inganxulunyaniswa neemeko ezifana ne -preeclampsia (uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa) kunye nesifo seswekile sokukhulelwa .

Iingxaki ezinokwenzeka kumntwana zezi:

• Ukuzalwa ngaphambi kwexesha
• Ukuzalwa kwengane ifile - Le yinto abantu abaninzi abayoyikayo. Nangona kunjalo, ngokulawulwa ngokufanelekileyo ngugqirha, le ngozi ingancitshiswa kakhulu.
• Ubunzima bomntwana ongekazalwa - Oku kuthetha ukuba umntwana uziva engonwabanga esibelekweni.
• I-Meconium aspiration - Usana luyakhupha inkunkuma esibelekweni luze luyiphefumle.

Ukuze kuncitshiswe umngcipheko weengxaki ezinje, ugqirha wakho ngamanye amaxesha ugqiba ekubeni abelekise umntwana kwangethuba.

Ngaba kunokwenzeka ukuba nomntwana osempilweni ukuba une-cholestasis ngexesha lokukhulelwa?

Ewe, ngokuqinisekileyo unako! Ukuba nje ube ne-cholestasis ngexesha lokukhulelwa akuthethi ukuba umntwana wakho akayi kuba sempilweni. Ngonyango olufanelekileyo kunye nolwalathiso, uninzi loomama bazala abantwana abasempilweni. Ngoko ke ungakhathazeki ngokungeyomfuneko.

Ngaba kukho izinto endifanele ndiziphephe xa ndine-cholestasis?

Ugqirha wakho unokukucebisa ukuba unciphise ukutya okuthile ngokuxhomekeke kwimeko yakho. Nangona kunjalo, akukho sicwangciso esithile sokutya (ukutya okuqhelekileyo) ekufuneka usilandele ukuba une-cholestasis ngexesha lokukhulelwa. Eyona nto ibalulekileyo kukutya ukutya okunesondlo ngexesha lokukhulelwa. Oku kuthetha ukutya iziqhamo, imifuno, inyama engenamafutha okanye eminye imithombo yeproteni. Thetha nogqirha wakho ngale nto kwaye ufumane iingcebiso ezingakumbi.

Ngaba i-cholestasis ingathintelwa ngexesha lokukhulelwa?

Ngelishwa, akukho ndlela yokuthintela i-cholestasis ngexesha lokukhulelwa. Nangona kunjalo, uvavanyo lwemfuza lunokunceda ukuqonda umngcipheko wokudlulisela esi sifo kumntwana wakho.

Ziziphi izinto ezibangela i-cholestasis ngexesha lokukhulelwa?

Usemngciphekweni omkhulu wokufumana i-cholestasis ngexesha lokukhulelwa ukuba:

• Ukuba kukho umntu kusapho lwakho okhe waba nale meko ngaphambili (Ukuba kukho ilungu losapho elinayo le meko).
• Ukuba ukhe waba ne-cholestasis (ICP) ngexesha lokukhulelwa kwangaphambili.
• Ukuba ulindele amawele, amawele amathathu okanye nangaphezulu.
• Ukuba unembali yesifo sesibindi okanye i-hepatitis C.
• Ukuba unembali yokulimala kwesibindi.
• Ukuba unesifo semfuza esichaphazela indlela umzimba wakho ovelisa kwaye usebenzisa ngayo inyongo.

Ukuba unezi zinto zinobungozi, lumka ngakumbi malunga nokurhawuzelelwa ngexesha lokukhulelwa.

Ithini ingqikelelo yabo bane-cholestasis yokukhulelwa?

Ezi zezona ndaba zimnandi! I-Cholestasis yokukhulelwa idla ngokuphela kwiintsuku ezimbalwa emva kokuba umntwana ezelwe . Amanqanaba enyongo egazini lakho aya kubuyela esiqhelweni. Nje ukuba amanqanaba enyongo abuyele esiqhelweni, ungayeka ukuthatha amayeza akho.

Uninzi lwabantu alubi nangxaki yesibindi kamva emva kwesi sifo, ngaphandle kokuba baphinde bakhulelwe. Ukuba une-cholestasis kanye,Kukho amathuba angama-60% okuba oku kwenzeke kwakhona xa ukhulelwe emva kokukhulelwa. Nangona kunjalo, ukuba unesifo esibi kakhulu se-cholestasis, amathuba okuba kwenzeke kwakhona xa ukhulelwe emva kokukhulelwa anokunyuka aye kuma-90%.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ufumana ukurhawuzelela okunganyamezelekiyo ngexesha lokukhulelwa okungapheliyo, okanye ukuba ulusu lwakho okanye amhlophe emehlweni akho abonakala emthubi (iimpawu ze-jaundice), bona ugqirha wakho ngoko nangoko. Ezi mpawu zisenokungabi ngenxa ye-cholestasis, kodwa kungcono ukuya kuhlolwa.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ufunyaniswa ukuba une-cholestasis yokukhulelwa, ungabuza ugqirha wakho imibuzo efana nale:

• Ingakanani i-cholestasis yokukhulelwa?
• Ziziphi iindlela zonyango endinazo?
• Ndingenza ntoni ukuze ndizikhusele mna nomntwana wam?
• Ukuba ndikhe ndaba ne-cholestasis (ICP) ngaphambili, yintoni endifanele ndiyazi malunga nokukhulelwa kwixesha elizayo?

Musa ukoyika ukubuza imibuzo efana nale. Ugqirha wakho ukhona ukukunceda nokususa nawaphi na amathandabuzo onokuba nawo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Cholestasis yokukhulelwa yimeko ebangela ukurhawuzelelwa okukhulu ngexesha lokukhulelwa. Musa ukoyika oku. Ugqirha wakho uza kukujonga ngokusondeleyo wena nomntwana wakho aze anike unyango olufunekayo. Le meko iphela ngokupheleleyo emva kokubeleka kwaye ayisoloko isongela ubomi. Kwezinye iimeko, ugqirha wakho unokugqiba ekubeni abelethe umntwana wakho kwangethuba ukuze nobabini nikhuseleke.

Eyona nto ibalulekileyo kukuba ukuba unemibuzo, amathandabuzo, okanye uloyiko malunga noku, thetha nogqirha wakho ngayo. Bakhona ukukumamela nokwenza oko kuyimfuneko ukugcina wena nomntwana wakho nikhuselekile. Awuwedwa, kwaye kukho oogqirha abanokukunceda kolu hambo.

Ngoko ke, ndiyathemba ukuba olu lwazi luza kukunceda. Ndikunqwenelela ukukhulelwa okunempilo kunye nokuzala okunempilo!

I- Cholestasis yokukhulelwa, ukurhawuzelela ngexesha lokukhulelwa, isifo sesibindi, i-ICP, impilo yokukhulelwa, ukuqokelelwa kwenyongo, impilo yomntwana