Matenda a Nyamakazi ndi Mimba: Zomwe Muyenera Kudziwa

Zamkati

• Ndingapeze ana?
• Kungakhale kovuta kutenga pakati
• RA wanu akhoza kuchepa
• Mimba yanu ikhoza kuyambitsa RA
• Kuopsa kwa preeclampsia
• Kuopsa kofikitsa msanga
• Kuopsa kwa kulemera kochepa
• Mankhwala atha kuwonjezera zoopsa
• Kulera kwanu

Ndili ndi pakati - kodi RA wanga adzabweretsa mavuto?

Mu 2009, ofufuza ochokera ku Taiwan adafalitsa kafukufuku wokhudzana ndi nyamakazi (RA) komanso mimba. Zambiri kuchokera ku Taiwan National Health Insurance Dataset zidawonetsa kuti azimayi omwe ali ndi RA ali pachiwopsezo chowonjezeka chobereka mwana wochepa thupi kapena yemwe anali wocheperako msinkhu wobereka (wotchedwa SGA).

Amayi omwe ali ndi RA nawonso anali pachiwopsezo chachikulu cha preeclampsia (kuthamanga kwa magazi) ndipo anali otheka kupitilira njira yobereka.

Ndi zovuta zina ziti zomwe zimakhalapo kwa amayi omwe ali ndi RA? Zimakhudza bwanji zakulera? Werengani kuti mupeze.

Ndingapeze ana?

Malinga ndi RA, ndizofala pakati pa akazi kuposa amuna.

American College of Rheumatology inanena kuti kwa zaka zambiri, azimayi omwe ali ndi matenda omwe amadzitchinjiriza ngati RA adalangizidwa kuti asatenge mimba. Sizomwezo. Masiku ano, mosamalitsa, azimayi omwe ali ndi RA amatha kuyembekezera kukhala ndi pakati komanso kubereka ana athanzi.

Kungakhale kovuta kutenga pakati

Mwa amayi apakati oposa 74,000, omwe ali ndi RA anali ndi nthawi yovuta yobereka kuposa omwe alibe matendawa. Azimayi 25 pa 100 aliwonse omwe ali ndi RA adayesa kwa chaka chimodzi asanakhale ndi pakati. Pafupifupi 16 peresenti ya azimayi omwe alibe RA adayesa nthawi yayitali asanakhale ndi pakati.

Ochita kafukufuku sakudziwa kuti ndi RA palokha, mankhwala omwe amachiritsidwa, kapena kutupa kwathunthu komwe kumayambitsa zovuta. Mwanjira iliyonse, kotala limodzi la azimayi anali ndi vuto lakubereka. Mwina simungatero. Ngati mutero, funsani madokotala anu, ndipo musataye mtima.

RA wanu akhoza kuchepa

Amayi omwe ali ndi RA nthawi zambiri amapita kukakhululukidwa nthawi yapakati. Pakafukufuku mu 1999 azimayi 140, 63% adanenanso zakusintha kwa matendawa patatu trimester. Kafukufuku wa 2008 adapeza kuti amayi omwe ali ndi RA amamva bwino ali ndi pakati, koma amatha kukumana ndi zovuta pambuyo pobereka.

Izi zikhoza kapena sizingakuchitikireni. Ngati zitero, funsani dokotala wanu momwe angakonzekerere zomwe zingachitike mwana wanu akabadwa.

Mimba yanu ikhoza kuyambitsa RA

Mimba imadzaza thupi ndi mahomoni angapo ndi mankhwala, zomwe zimatha kuyambitsa kukula kwa RA mwa amayi ena. Amayi omwe amatenga matendawa amatha kudwala koyamba atangobereka kumene.

Kafukufuku wa 2011 adasanthula zolemba za azimayi opitilira 1 miliyoni obadwa pakati pa 1962 ndi 1992. Pafupifupi 25,500 adadwala matenda omwe amadziteteza ngati RA. Amayi anali ndi chiopsezo chachikulu cha 15 mpaka 30% chotenga matendawa mchaka choyamba atabereka.

Kuopsa kwa preeclampsia

Chipatala cha Mayo chanena kuti azimayi omwe ali ndi vuto la chitetezo cha mthupi ali pachiwopsezo chachikulu cha preeclampsia. Ndipo kafukufuku wochokera ku Taiwan adawonetsanso kuti azimayi omwe ali ndi RA ali pachiwopsezo chowonjezeka cha vutoli.

Preeclampsia imayambitsa kuthamanga kwa magazi nthawi yapakati. Zovuta zimaphatikizapo kugwidwa, mavuto a impso, ndipo nthawi zambiri, kumwalira kwa amayi ndi / kapena mwana. Amayamba pakatha milungu 20 ali ndi pakati ndipo amatha kupezeka popanda zizindikilo. Kawirikawiri amapezeka panthawi yoyezetsa magazi asanabadwe.

Akapezeka, madokotala amapereka zowunikira zowonjezereka ndikuwathandiza pakafunika amayi ndi mwana kukhalabe athanzi. Chithandizo chovomerezeka cha preeclampsia ndikubereka mwana ndi nsengwa kuti zisawonongeke. Dokotala wanu afotokoza za kuopsa ndi maubwino okhudza nthawi yobereka.

Kuopsa kofikitsa msanga

Amayi omwe ali ndi RA atha kukhala ndi chiopsezo chachikulu chobereka asanakwane. Mu, ofufuza ku Yunivesite ya Stanford adayang'ana mimba zonse zovuta ndi RA pakati pa Juni 2001 ndi Juni 2009. Amayi okwanira 28 peresenti ya amayi omwe adabereka asanakwane ma sabata 37, omwe asanakwane.

M'mbuyomu adanenanso kuti azimayi omwe ali ndi RA ali pachiwopsezo chachikulu chotenga SGA ndi ana asanakwane.

Kuopsa kwa kulemera kochepa

Amayi omwe amakhala ndi zizindikilo za RA panthawi yapakati amatha kukhala pachiwopsezo chachikulu chobereka ana onenepa.

Tinayang'ana azimayi omwe ali ndi RA omwe anatenga pakati, kenako ndikuyang'ana zotsatira zake. Zotsatira zinawonetsa kuti azimayi omwe ali ndi RA "woyang'aniridwa bwino" sanali pachiwopsezo chachikulu chobereka ana ang'onoang'ono.

Omwe adakumana ndi zisonyezo zambiri ali ndi pakati, komabe, anali ndi mwayi wokhala ndi ana ochepa obadwa nawo.

Mankhwala atha kuwonjezera zoopsa

Kafukufuku wina akuwonetsa kuti mankhwala a RA atha kuwonjezera chiopsezo chotenga mimba. Chidziwitso kuti mankhwala ena osintha matenda (DMARDs) makamaka amatha kukhala poizoni kwa mwana wosabadwa.

Ananenanso kuti kupezeka kwa zidziwitso zachitetezo chokhudza mankhwala ambiri a RA komanso ziwopsezo zobereka ndizochepa. Lankhulani ndi madokotala anu za mankhwala omwe mukumwa ndi zabwino zake poyerekeza ndi zoopsa zake.

Kulera kwanu

Pali zoopsa zina kwa amayi apakati omwe ali ndi RA, koma sayenera kukulepheretsani kukonzekera kukhala ndi ana. Chofunikira ndikuti mukapimidwe pafupipafupi.

Funsani dokotala wanu za zovuta zilizonse zomwe zingachitike chifukwa cha mankhwala omwe mukumwa. Ndi chisamaliro chobereka, muyenera kukhala ndi pakati komanso kubereka bwino.