Uma ukhulelwe noma ucabanga ngokuba nomntwana, ungase ube nemibuzo eminingi engqondweni yakho. Kuvamile kakhulu. Ingabe kufanele uncelise noma uncelise ingane yakho ngebhodlela? Ingabe ukubeletha kuzoba nzima? Kufanele kube njani ukudla? Imibuzo efana nalena yonke ifika engqondweni.
Kodwa uma une-ankylosing spondylitis (AS), imibuzo yakho ingase ihluke kancane. "Ngingakhulelwa?", "Ingabe i-AS izokwenza kube nzima ukubeletha?", "Kuthiwani uma lesi sifo siba sibi kakhulu ngesikhathi sokukhulelwa?", "Ingabe lesi sifo sizothinta ingane yami?" Ungase uzibuze. Ngakho-ke, namuhla, ake sixoxe ngendlela yokubhekana ne-AS ngesikhathi sokukhulelwa nangale kwalokho.
Ungakhulelwa yini nge-Ankylosing Spondylitis (AS)?
Izindaba ezinhle ukuthi i-AS ayithinti ukuzala kwakho. Lokho kusho ukuthi ungakhulelwa. Kodwa-ke, kuzodingeka uhlele kusengaphambili okungaphezu kwalokho umuntu ongenalo i-AS angakwenza. Eminye yemithi oyiphuzayo ye-AS ingadinga ukuyekiswa amasonto noma izinyanga ezimbalwa ngaphambi kokuba ukhulelwe ukuze uvimbele ukukhubazeka kokuzalwa.
Enye yezindlela ezinhle kakhulu zokuhlela ukukhulelwa ukusebenzisa izithibelo zokubeletha. Ungasebenzisa noma yiluphi uhlobo lwezithibelo zokubeletha. Kodwa ngokuvamile, amadivayisi afakwa ngaphakathi kwesibeletho, abizwa ngokuthi amadivayisi angaphakathi kwesibeletho (ama-IUD), asebenza kangcono esikhathini eside. Lawa amadivayisi amancane anomumo we-T afakwa udokotela wakho esibelethweni sakho.
Uma usukulungele ukucabanga ngokuba nomntwana, qiniseka ukuthi utshela udokotela wakho. Angashintsha imithi yakho uma kudingeka, akhiphe i-IUD uma unayo, futhi akufundise ukuthi ungazilawula kanjani izimpawu ze-AS ngesikhathi sokukhulelwa.
Amadoda kufanele futhi aqaphele: Ezinye izifundo zibonise ukuthi imithi esetshenziswa ukwelapha i-AS, njenge-cyclophosphamide kanye ne-sulfasalazine, ingathinta ukukhiqizwa kwesidoda emadodeni. Lokhu kungenza kube nzima ngamadoda ukukhulelwa. Ngakho-ke, uma amadoda nawo ecabanga ngokuba nomntwana, kubaluleke kakhulu ukutshela udokotela wakho ngokushesha okukhulu.
Ingabe i-AS ingabangela izinkinga ngesikhathi sokukhulelwa?
Izifundo eziningi zibonisa ukuthi i-AS ihlotshaniswa nengozi ephansi yezinkinga ezinkulu ngesikhathi sokukhulelwa. Iningi labantu abane-AS banokukhulelwa okuvamile. Njenganoma yikuphi ukukhulelwa, ukuphuphuma kwesisu kungenzeka, kodwa i-AS ayikhulisi ingozi.
Kodwa-ke, uma izimpawu zakho ze-AS zinzima kakhuluUma unezinye izimo zezokwelapha, amathuba okuba nezinkinga aphezulu. Futhi, uma uba nomfutho wegazi ophakeme ngesikhathi sokukhulelwa, kungaba nezinkinga ezibizwa ngokuthi "i-preeclampsia." Lesi yisimo esiyingozi kumama kanye nengane.
Ezimweni ezinjalo, ithebula elingezansi libala ezinye zezinkinga ezingase zivele nge-AS.
| Inkinga | Incazelo |
|---|---|
| Ukuzalwa ngaphambi kwesikhathi | Ingozi enkulu yokuthola umntwana ngaphambi kwamasonto angu-37. |
| Ukwehlisa isisindo somntwana | Isisindo somntwana ekuzalweni singaphansi kwesijwayelekile. |
| Ukuhlinzwa kwesisu | Amathuba aphezulu okuthi kudingeke kwenziwe ukuhlinzwa (C-section). |
| Ukwamukelwa e-NICU | Ngemva kokuzalwa kwengane, kungenzeka ukuthi ingane kuzodingeka ingeniswe eYunithi Yokunakekelwa Okujulile Kwezingane Ezisanda Kuzalwa (i-NICU). |
Ingabe izimpawu zami ze-AS ziya ziba zimbi kakhulu ngesikhathi sokukhulelwa?
Njengoba ingane yakho ikhula ngesikhathi sokukhulelwa, isisindo somzimba wakho siyakhula phakathi nezinyanga ezingu-9. Lokhu kubeka ingcindezi enkulu emzimbeni wakho, ikakhulukazi amalunga akho, imisipha, kanye nomhlane. Ngenxa yalokho, izimpawu zakho ze-AS, njengokuqina komhlane, ukuvuvukala, kanye nobuhlungu, zingase zande kancane njengoba ungena ezinyangeni zakho zesibili nezesithathu zokukhulelwa.
Ukuvuvukala kwesisu kungenzeka nganoma yisiphi isikhathi ngesikhathi sokukhulelwa. Ucwaningo olulodwa luthole ukuthi cishe abantu abangu-80% abane-AS bahlushwa ukuvuvukala kwesisu ngesikhathi sokukhulelwa. Futhi, cishe wonke umuntu ubhekana nokwanda kwezimpawu zakhe ezinyangeni ngemva kokubeletha. Kodwa izindaba ezinhle ukuthi lezi zimpawu zivame ukuthuthuka ngokuhamba kwesikhathi.
Kodwa nansi into: Abanye besifazane abakhulelwe ababi noshintsho ezimpawini zabo ze-AS. Eqinisweni, kwabesifazane abambalwa kakhulu, izimpawu zabo zingase zithuthuke ngisho nangesikhathi sokukhulelwa.
Izinto okufanele uzilindele ngesikhathi sokukhulelwa
Kunezinto eziningana okudingeka uzikhumbule ngemva kokukhulelwa, njengoba ingane yakho ikhula, futhi njengoba usondela ekubelethweni.
Ukwelapha kanye nokukhula kwengane
Ngaphandle kokuthi kukhona ingozi empilweni nasekukhuleni kwengane yakho, udokotela wakho angase akuncome ukuthi uqhubeke nokusebenzisa eminye imithi ye-AS ukulawula izimpawu zakho.
Lokhu kufaka phakathi iqembu lemithi yokwelapha izinhlungu ebizwa ngokuthi imithi engeyona i-steroidal anti-inflammatory (NSAIDs), njenge-aspirin, i-celecoxib, i-ibuprofen, ne-naproxen. Ngokuvamile lokhu kuphephile ukuthatha amasonto angama-20 okukhulelwa. Kodwa-ke, ukuyithatha ngemva kwalokho kungabangela izinkinga zezinso nezenhliziyo enganeni. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngalokho okufanele wena.
Ingabe i-AS izodluliselwa enganeni?
Izimo zokuzivikela komzimba ezifana ne-AS zingaba yizakhi zofuzo. Lokho kusho ukuthi zingadluliselwa ezizukulwaneni ngezizukulwane. Uma unezakhi zofuzo ezibizwa ngokuthi i-HLA-B27, kunethuba elingu-50% lokuthi izingane zakho zizoba nazo. Kodwa-ke, akuwona wonke umuntu onalesi sakhi sofuzo ozokhula abe yi-AS. Izifundo zibonisa ukuthi izingane ezingama-20% kuphela ezinezakhi zofuzo ze-HLA-B27 ezizokhula zibe yi-AS esikhathini esizayo.
I-AS kanye nokubeletha
Abesifazane abaningi abane-AS banokukhulelwa okuvamile nokunempilo. Kodwa-ke, ukukhulelwa kubeka ingcindezi eyengeziwe emhlane wakho, ezinqeni, nasemgogodleni ohlanganisiwe. Lokhu kungenza ukubeletha kwesitho sangasese sowesifazane kube nzima kancane.
Futhi, ukuvuvukala emgogodleni kungenza kube nzima ukuthola i-epidural. I-epidural yinto udokotela wezinzwa akunikeza yona ngesikhathi sokubeletha. Lokhu kuhilela ukujova emgogodleni wakho ukuze kuqede isisu esingezansi. Lokhu kungasiza ekulawuleni ubuhlungu bokubeletha.
Indlela engcono kakhulu yokulungiselela lokhu ukukhuluma nodokotela wakho wezifo zabesifazane kanye nodokotela wezinzwa kusenesikhathi. Bona ukuthi banolwazi yini lokusebenza neziguli ezine-AS. Bangakuchazela izinketho zakho. Uma kudingeka, bangahlela ukuhlinzwa kwe-C-section kusenesikhathi ukuze banciphise ingozi enganeni yakho nasemhlane wakho.
Ungamnakekela kanjani umntwana ngemva kokumzala?
Ukunakekela umntwana osanda kuzalwa kungaba yinto ekhathazayo kakhulu. Njengomuntu one-AS, kunezinto ezimbalwa okudingeka uziqaphele kakhulu.
- Ukuncelisa:I-AS ayithinti ikhono lakho lokuncelisa. Imithi eminingi ye-AS ingathathwa ngenkathi uncelisa. Kodwa-ke, eminye imithi ingadlulela ebisini lakho lebele ngamanani amancane. Uma uhlela ukuncelisa, khuluma nodokotela wakho kuqala. Uzokutshela ukuthi yimiphi imithi engaphephile enganeni yakho.
- Izimpawu Zangemva Kokubeletha: Ngemva kokubeletha, izimpawu zakho ze-AS zingaba zimbi kakhulu noma zigqamuke. Lokhu kungahlala izinyanga eziningana. Uma lokhu kwenzeka, bonana nodokotela wakho wamathambo, udokotela ochwepheshe bezifo zamalunga. Uzolungisa umthamo wemithi yakho uma kudingeka.
- Ukunakekela ingane yakho: Ingane esanda kuzalwa idinga ukunakwa amahora angu-24 ngosuku, izinsuku eziyi-7 ngesonto. Uma une-AS, izimpawu zakho zingaba zimbi kakhulu ubuhlungu bamalunga nomhlane, ukuqwasha, kanye nokukhathala. Ungase ukuthole kunzima ukuqhubeka nokwenza izinto ezifana nokuphakamisa ingane yakho, ukugoba ukuze uncelise, nokushintsha amanabukeni. Ngakho-ke, hlela ukuthola umuntu ozokusiza ngaphambi kokuba ingane yakho izalwe. Cela usizo emndenini nakubangani. Uma kungenzeka, thola umuntu ongakusiza ngokwezimali.
Ngesikhathi esifanayo, kubaluleke kakhulu nokuzinakekela. Yidla ukudla okunomsoco, futhi uzame ukulala kancane lapho ingane yakho ilele.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing Spondylitis (AS) ayithinti ikhono lakho lokukhulelwa, kodwa uma ucabanga ngokuba nomntwana, kubalulekile ukukhuluma nodokotela wakho bese uhlela kusenesikhathi .
- NJENGOBA izimpawu zingase zibe zimbi kakhulu ngesikhathi sokukhulelwa, futhi kungase kube nokuqhuma okukhulu ngemva kokubeletha. Ungakhathazeki, lokhu kuvamile.
- Buza udokotela wakho nganoma yimiphi imithi oyiphuzayo ngesikhathi sokukhulelwa, ikakhulukazi imithi yokubulala izinhlungu.
- Khuluma nodokotela wakho wezifo zabesifazane kanye nodokotela wezinzwa ngaphambi kokubeletha ukuze unqume indlela yokubeletha engcono kakhulu kuwe.
- Ngemva kokubeletha umntwana, ukuba nomuntu ozokusiza kuzoba usizo olukhulu empilweni yakho engokomzimba. Ngakho-ke ungangabazi ukucela usizo.
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