Ingabe izintende zakho nezithende zakho ziyaluma kakhulu ebusuku ngesikhathi sokukhulelwa? Kodwa uma ubheka, akukho monakalo obonakalayo? Lokhu akuyona nje ukulunywa. Ezimweni eziningi, lokhu kungaba yisimo esikhethekile esihlobene nesibindi esenzeka ngesikhathi sokukhulelwa. Lokhu sikubiza ngokuthi i-Cholestasis of Pregnancy. Ungakhathazeki, sizoxoxa ngakho konke ngamagama alula.
Kuyini i-Cholestasis Yokukhulelwa?
Kalula nje, lesi yisimo sesibindi esenzeka ngasekupheleni kokukhulelwa. Sibangela ukulunywa okukhulu emzimbeni wonke, ikakhulukazi ezintendeni zezandla nasematheni ezinyawo. Abanye abantu bakubiza nangokuthi `Intrahepatic Cholestasis of Pregnancy (ICP)`.
Kulesi simo, ukusebenza kwesibindi sakho kwehla okwesikhashana. Ngenxa yalokho, into ebizwa ngokuthi i-bile ekhiqizwa yisibindi iqala ukuqongelela esibindini nasegazini esikhundleni sokukhishwa kahle emzimbeni.
Cabanga ngokuthi iyini le nyongo. Inyongo yinto eyenziwa yisibindi futhi igcinwe enyongweni. Uma sidla ukudla, ikakhulukazi ukudla okunamafutha, yiyo le nyongo esiza ekuhlukaniseni lawo mafutha futhi iwagaye. Kufana nensipho yokuwasha. Ngakho-ke uma le nyongo iqoqana egazini, lapho izinga layo lidlula izinga elithile, uqala ukuthola lokhu kuluma okungabekezeleleki.
Lesi simo singadala izinkinga kuwe nakumntwana wakho. Ngakho-ke, uma unalezi zimpawu, udokotela wakho uzokuqapha kakhulu kuze kube sekupheleni kokukhulelwa kwakho.
Kwenzekani uma lesi simo sivela?
Ngesikhathi sokukhulelwa, ingane yakho ithembele esibindini sakho ukuze sisuse udoti egazini layo. Ngakho-ke uma isibindi sakho singasebenzi kahle, izinga lenyongo egazini lakho linganda, okungabeka ingcindezi ethile esibindini somntwana wakho. Njengoba isibindi siyisitho esiyinhloko esisusa udoti emzimbeni wethu, akukuhle ukuthi sonakaliswe.
Kodwa asikho isidingo sokukhathazeka. Udokotela wakho uzokuxilonga wena nomntwana wakho njalo futhi enze konke okusemandleni ukuqinisekisa ukuthi lesi simo asibangeli monakalo.
Ingabe lesi simo sivamile?
Empeleni lesi yisimo esingavamile. Sithinta cishe owesifazane oyedwa noma ababili kwabayi-1,000 abakhulelwe. Nakuba abacwaningi bengaqiniseki ukuthi sibangelwa yini, sivame kakhulu phakathi nezinyanga zasebusika. Sivame kakhulu nakwamanye amaqembu ezinhlanga.
Kungani lokhu kwenzeka? Iyini imbangela eyinhloko?
Isizathu esiyinhloko ukwanda kwama-hormone emzimbeni ngesikhathi sokukhulelwa, ikakhulukazi i-estrogen ne-progesterone.Amazinga ama-hormone akhula kakhulu. Ngenxa yemiphumela yala ma-hormone, isibindi asikwazi ukuthutha i-bile kahle emzimbeni wonke. Lokhu kusho ukuthi ukuhamba kwe-bile kuyavinjelwa.
Kwenzekani-ke? Inyongo iqoqana esibindini bese iqala ukuvuza ingene egazini. Lawa ma-bile salts aqoqana egazini yisona sizathu esiyinhloko esenza isikhumba sakho silume kabi kangaka.
Lesi simo sivame ukwenzeka ku-trimester yesithathu yokukhulelwa, cishe amasonto angama-28. Lokhu kungenxa yokuthi amazinga ama-hormone aphezulu kakhulu ngalesi sikhathi. Ngezinye izikhathi kungabangelwa nethonya lezakhi zofuzo. Lokhu kusho ukuthi uma umama wakho noma othile emndenini wakho eke waba nalesi simo, nawe usengozini enkulu yokuba naso.
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko nolusobala kakhulu ukulunywa okungabekezeleleki. Lokhu sikubiza nangokuthi 'i-Pruritus' ngokwezokwelapha. Kunemininingwane eminingana ekhethekile ngalokhu kulunywa:
- Ukuluma kuqala ezintendeni nasematheni ezinyawo.
- Kungabe sekusabalala kancane kancane kwezinye izingxenye zomzimba.
- Ukuluma kuya ngokuya kuba kubi ebusuku. Abanye abantu bayaklwebha kakhulu kangangokuthi abakwazi ngisho nokulala.
- Into ebaluleke kakhulu ukuthi ngeke ubone noma yikuphi ukuqubuka esikhumbeni.
Ngaphezu kwalesi sici esiyinhloko, kunezinye izici ezingavamile ukubonwa. Ake sizihlolisise.
| Isibonakaliso | Incazelo |
|---|---|
| Uphawu oluyinhloko: ukulunywa okukhulu | Ukuqhuma okungenangozi nokulumayo okuqala ezintendeni nasematheni bese kuba kubi ebusuku. |
| Isicanucanu | Ukuzizwa unesicanucanu. |
| Umchamo onombala omnyama | Umbala womchamo uba mnyama ophuzi/onsundu kunojwayelekile. |
| Izitulo ezinombala okhanyayo | Indle iba nsundu noma ibe nsundu ngokukhanyayo. |
| Ukukhathala okukhulu | Ukukhathala ngokweqile nokukhathala emzimbeni. |
| Isifiso sokudla | Ukuncipha kwesifiso sokudla. |
| Ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu | Ukuzwa ubuhlungu noma ukungakhululeki endaweni yesibindi. |
| I-Jaundice | Ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo. |
Ukubona kanjani lokhu ngqo?
Udokotela wakho uzokwenza ukuhlolwa kwegazi ngokuyinhloko ukuze axilonge lesi simo.
Kuzothathwa isampula yegazi kuwe futhi kuzohlolwa ukuhlolwa kokusebenza kwesibindi kanye namazinga e-serum bile acid.
Uma izinga le-bile acid lilonke egazini liyi-10 micromoles ngelitha noma ngaphezulu, lokhu kuqinisekisa ukuba khona kwe-cholestasis.
Uma ukuxilongwa sekuqinisekisiwe, udokotela wakho uzoqapha amazinga akho e-bile ngalezi zivivinyo zegazi njalo phakathi nokukhulelwa kwakho. Ngezinye izikhathi, kungadingeka ukuthi uhlolwe nge-ultrasound ukuhlola ikhono lakho lokujiya kwegazi (ukuhlolwa kwesikhathi se-prothrombin) noma ukubheka isibindi sakho kanye nemigudu ye-bile.
Iyini indlela yokwelapha nokuphatha lokhu?
Umuthi oyinhloko osetshenziswa odokotela ukwelapha lesi simo yi- Ursodeoxycholic acid (UDCA) . Lo muthi usiza ekubuyiseleni ukusebenza kwesibindi sakho futhi wehlise izinga le-bile egazini lakho.
Kodwa-ke, kunezinto ongazenza ukuze uphathe izimpawu ezifana nokulunywa:
- Imithi yokwelapha ukulunywa: Buza udokotela wakho bese usebenzisa amafutha noma umuthi awunikezayo. Ungalokothi usebenzise noma yimuphi umuthi ozizwa sengathi uwuthatha.
- Gqoka izingubo ezithambile nezikhululekile: Gqoka izingubo ezimunca umjuluko, ezingabambi njengokotini.
- Phumula kahle: Kubalulekile ukunikeza umzimba ukuphumula.
- Ukugeza ngamanzi afudumele: Lokhu kungasiza ekunciphiseni ukulunywa kancane njengoba kupholisa umzimba.
Kwezinye izimo, uma imithi ingakwazi ukulawula amazinga enyongo, udokotela angase anqume ukubeletha umntwana kusenesikhathi, cishe emavikini angu-37 noma angu-38 . Isizathu salokhu ukuthi ukwenza kanjalo kunganciphisa ingozi yezinkinga enganeni.
Uma umntwana ebelethwe kusenesikhathi, kunganikezwa umjovo we-steroid ukusiza amaphaphu omntwana akhule kahle kanye nesengezo se-vitamin K ukuvimbela ukopha ngokweqile.
Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?
Uma lesi simo singalawulwa, umama nomntwana bangase babe nezinkinga ezithile.
| Ubani othintekayo? | Izinkinga ezingaba khona |
|---|---|
| Kumama (kuwe) |
|
| Kumntwana osesiswini |
|
Ungesabi lezi zinto. Lezi yizingozi ezingase zenzeke. Udokotela wakho uyazazi lezi zingozi futhi uzothatha izinyathelo ezidingekayo ukuze azivimbele. Isinqumo sokubeletha umntwana kusenesikhathi siphinde sinciphise lezi zingozi.
Kungenzeka yini ukuba nomntwana ophilile onalesi simo?
Yebo, ungakwenza nakanjani! Ukuthi une-cholestasis akusho ukuthi ingane yakho ayiphilile. Ngokuphathwa kahle kwezokwelapha kanye nokwelashwa, omama abaningi bazala izingane ezinempilo.
Ingabe umuntu onalesi simo kufanele aqaphele ukuthi udlani?
Akukho ukudla okuqondile kwalesi simo. Kodwa-ke, kuye ngesimo sakho, udokotela wakho angase akucebise ukuthi unciphise ukudla okuthile. Njenganoma yikuphi ukukhulelwa, kubalulekile ukudla ukudla okunempilo. Hlosa ukudla okucebile ngezithelo, imifino, inyama engenamafutha kanye namaprotheni.
Ingabe lesi simo sizophela ngemva kokubeletha?
Yebo. Lezi yizindaba ezinhle kakhulu. Lesi simo sizonyamalala ngokuphelele zingakapheli izinsuku ezimbalwa umntwana ezelwe. Amazinga enyongo egazini lakho azobuyela esimweni esijwayelekile. Ngemva kwalokho, ngeke kudingeke uphuze noma yimiphi imithi.
Kodwa kukhona okufanele ukukhumbule. Unethuba elingama-60% lokuba nalesi simo futhi ekukhulelweni kwakho okulandelayo. Uma ube nesifo esibi kakhulu kulokhu, ithuba lokuba naso futhi ngesikhathi esizayo lingakhuphuka lifinyelele ku-90%.
Ingabe lokhu kungavinjelwa? Yiziphi izinto ezibangela ingozi?
Ngeshwa, ayikho indlela yokuvimbela lesi simo ukuthi singenzeki. Kodwa kunezinye izinto eziyingozi. Uma unalezi zingozi, kufanele uqaphele kakhudlwana.
- Uma kukhona emndenini oke waba nalesi simo.
- Uma lesi simo sike senzeka ngesikhathi sokukhulelwa kwangaphambilini.
- Uma uthwele amawele noma amawele amathathu.
- Uma uke waba nesifo sesibindi noma isimo esifana ne-Hepatitis C.
- Uma isibindi sonakele.
- Uma unesifo sofuzo esithinta ukukhiqizwa noma ukusetshenziswa kwe-bile.
Kufanele ngimbone nini udokotela?
Uma ukhulelwe,
- Uma unesifo sokulunywa okukhulu okungapheli, ikakhulukazi ezintendeni zezandla zakho nasematheni ezinyawo zakho,
- Uma isikhumba noma amehlo akho ebukeka ephuzi,
Bona udokotela wakho ngokushesha. Ungazinaki lezi zimpawu. Ukufuna iseluleko sezokwelapha ngokushesha ngangokunokwenzeka kubalulekile kokubili ekuphepheni kwakho kanye nokwengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukulunywa okukhulu ngesikhathi sokukhulelwa, ikakhulukazi ezintendeni nasematheni, akufanele kubhekwe njengento evamile. Kungaba uphawu lwe-Cholestasis yokukhulelwa.
- Isizathu salesi simo ukuthi ama-hormone okukhulelwa aphazamisa ukunyakaza kwenyongo esibindini.
- Ngokunakekelwa kwezokwelapha okufanele kanye nokuqapha, izingozi eziningi kumama nengane zingalawulwa.
- Lesi simo sizophola ngokuphelele zingakapheli izinsuku ezimbalwa umntwana ezelwe.
- Uma unokungabaza ngalokhu, ungalibali bese uthintana nodokotela wakho ukuze akunike iseluleko.
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