Shirye-shiryen iyali yana da muhimmanci ga mata tare da Crohn ko Ulcerative Colitis
Zabin da za a sami 'ya'ya ko a'a shi ne daya daga cikin muhimman yanke shawara mutane da yawa zasu yi a rayuwa. Akwai batutuwan da za su yi la'akari game da lokacin haihuwa da haihuwar haihuwa, kuma shugabancin wadannan shine yadda zaɓinku zai shafar cutar cututtukanku (IBD) . Ɗaya daga cikin abubuwan da ya fi muhimmanci a wajen ba da damar da za a samu na lafiya da kuma jaririn a cikin mata tare da IBD ita ce yanayin cutar yayin da ake zubar da hankali.
Masanan sunyi shawara cewa yana da kyau ga mata da IBD suyi tunani yayin da IBD ke cikin gafara , ma'ana cewa aikin cututtuka (yafi ƙonewa) ya tafi ko yana iyakancewa sosai.
Yin Zaɓuɓɓuka Game da Gano Haihuwa
Hada wani likitan gastroenterologist da likitan kariya da kuma likitoci (kamar likita da likitan likitancin wadanda suka yi tiyata a baya) yana da mahimmanci kafin samun ciki. Sabili da haka, yanke shawarar lokacin da za a sami yara mafi kyau a shirya su sosai ga mata tare da IBD. Wannan yana haifar da yin zaɓuɓɓuka game da yin amfani da kulawar haihuwa har lokacin ya dace da ciki.
Kowane mace na buƙatar yin yanke shawara game da maganin hana haihuwa wadda take la'akari da yanayin kiwon lafiya, salon rayuwa, da kuma abubuwan da za a so. Yayin da yake magana, sarrafawar haihuwa yana ƙunshe da shinge wanda ke hana kwaya da kwai daga haɗuwa, sunadarai da ke kashe sutura, ko hormones da suka hana yaduwa.
Har ila yau, ana iya samun iko na haihuwa a kowane lokaci, ga maza da mata, amma wannan yana da shawarar kawai don wasu yanayi ko kuma lokacin da mutum ya yanke shawarar dakatar da yara.
Hanyar haihuwa a yawancin mata da IBD yana kusa-al'ada
Mata da IBD sun gaya musu cewa kada suyi ciki, amma wannan ba haka ba ne.
A lokuta da yawa, matan da ke cikin IBD ba su da haɗari ga rikice-rikice ciki, amma kasancewa a gafara yana tabbatar da mafi kyawun damar samun ciki da jariri. Mata waɗanda ke da IBD waɗanda ba su da jaka-jakar jaka suna da al'ada na al'ada ko na kusa-al'ada.
Wannan na iya zama abin mamakin wasu mata, wanda shine dalilin da ya sa mahimmanci ne cewa mata da IBD suna amfani da maganin hana haihuwa ne kawai idan ba a buƙata ciki ba, saboda samun IBD ba zai rage chances na yin ciki ba. A nan a cikin wannan labarin an zabi wasu zaɓin hana waƙa na wucin gadi ga mata da sakamako akan IBD.
Hanyar Barware na Ginin Haihuwa
Barrier kulawar haifuwa, irin su diaphragm , cokal cap, kwakwalwa yaduwa, ko kuma kwaroron roba ( namiji ko mace ), sau da yawa zabi mai kyau ga mata da IBD wadanda ba sa so suyi amfani da hanyoyin sarrafa haihuwa. Duk da haka, diaphragm ko murfin mahaifa bazaiyi aiki ba wajen hana daukar ciki ga mata tare da IBD wadanda ke da fistulas wanda ya hada da farji (kamar fistula na gyare-gyare) ko kuma zai shafi sauran nau'in haifa. Matan da suka fi dacewa da cututtuka a cikin mafitsara ko kuma a cikin farji za a iya ba da shawara game da yin amfani da diaphragm ko kuma mahaifa don waɗannan na'urorin na iya ƙara haɗari ga bunkasa kamuwa da cuta.
Yin amfani da mai kashe-kashe (wani kumfa, jelly, gel, ko tsinkaye wanda ya kashe maniyyi) tare da waɗannan hanyoyin shamaki an ba da shawarar don ƙara yawan tasiri. Kwaroron roba zai taimaka wajen yaduwar cututtuka na cututtuka (STDs) , yayin da diaphragms, caps na kwakwalwa, da suturar ba za su iya ba.
Kwayar Gubar Haihuwa ("Pill")
Akwai wasu tsinkaya cewa daukar nau'in haɗin haɗin haɗin haɗe ("kwaya") tana ɗauke da hadari ga mata waɗanda ke da IBD ko wadanda suke da haɗarin bunkasa IBD. Kwayar haɗari tana dauke da siffofin roba na hormones mata biyu: estrogen da progestin (lokacin da aka samar cikin jiki wannan hormone ana kiransa progesterone).
Akwai ƙananan binciken da suka samo dangantaka tsakanin shan kwaya da kuma a duk lokacin da ke bunkasa IBD ko kuma wajen haifar dashi na IBD. Duk da haka, ba a fahimci dalilin da yasa hakan zai faru ko kuma akwai yarjejeniya game da yadda wannan haɗari yake da shi ko yadda masu ilimin gynecologists ya kamata su jagoranci mata tare da IBD da suke so su dauki kwayar.
Mata wadanda suka yanke shawarar daukar kwayar cutar ba za su taba shan taba ba, saboda shan taba yana da nauyin matan da suka samo asali a cikin wadannan binciken. Mata fiye da shekaru 35 da suke shan taba da kuma daukar kwayar cutar na iya kasancewa cikin haɗarin ƙwayar jini. Shan taba yana hade musamman da ci gaba da cutar Crohn , kuma an yi kira ga mutanen da ke Crohn da su shan taba.
Wani abin da za a yi la'akari da lokacin daukar kwayar cutar shi ne ikon da za a iya tunawa a cikin hanji. Mutanen da ke da IBD suna da matsala wajen shawo kan wasu magunguna a cikin hanjinsu, ko da yake wannan zai bambanta. Idan kwayar cutar ba ta kasancewa ba, ba aikinsa ba ne, kuma yana iya nufin karin damar yin ciki. Lokacin da matan da ke tare da IBD suna fuskantar fuska , ko ma zawo , za a yi la'akari da wani nau'i na hana daukar ciki. Mata waɗanda ke da IBD wadanda ke damuwa game da shan kwayar ya kamata su tattauna shi da wani likitan gastroenterologist da masanin ilmin likita. Kwayar ba zai kare kan STDs ba.
Tsarin Haihuwa Bugun
Hanyar sarrafawa ta haihuwa wani ƙananan filastik ne da aka sanya a cikin babba wanda ke dauke da hormone progestin kuma yayi aiki don dakatar da ovulation tsawon kimanin shekaru 3. Kwayar maganin rigakafi yana daya daga cikin hanyoyin da ake amfani da ita ga masu juna biyu tare da IBD waɗanda basu la'akari da daukar ciki a nan gaba, saboda yana da tasiri, baya buƙatar shan kwayar kowace rana, kuma yana da dogon lokaci. Ɗaya daga cikin abin da za mu tuna da wani abu mai ginawa shi ne cewa ba zai kare kome ba game da STDs.
Tsarin Magani na Haihuwa
Kullin haifar haihuwa shine karamin takalma-kamar sutura wanda aka sanya a jikin fata don saki hormones, estrogen, da progestin. Ana canza alamar mako-mako. Yana aiki da nau'in kwayar cutar haihuwa kuma yana iya haɗuwa da wasu damuwa guda daya game da haɓakar haɗari na bunkasa IBD. Ba a yi amfani da takalma ba, amma wasu mata na iya yanke shawarar ita ce mafi kyau ga salon rayuwarsu. Kullun baya karewa daga STDs.
Tsarin Magani na Haihuwa
Hanyar haifuwa ta haihuwa ita ce allurar da aka ba kowace watanni uku kuma tana aiki ta hana kwayar halitta. Hanyoyin hormone da ake amfani da shi a cikin harbe shi ne progestin, don haka wannan nau'i na kulawar haihuwa yana kama da kulawar haihuwa. Babban hasara tare da tasirin haihuwar haihuwa shine cewa zai iya haifar da kasusuwa. Wannan shi ne damuwa na musamman ga mata da IBD, waɗanda suka riga sun zama haɗari ga osteopenia da osteoporosis, saboda sakamakon rashin ciwon bitamin ko kuma sakamakon mummunar magani. Har ila yau, harbi ba ya karewa daga STDs. Zai iya kasancewa kyakkyawar zaɓaɓɓen maganin hana haifuwa ga mata tare da IBD, amma damuwarsu game da lafiyar jiki ya kamata a tattauna tare da likitan gastroenterologist da masanin ilimin likita.
Ring Ring na Waje
Sigin murji shine zoben filastik wanda ya ƙunshi estrogen da progestin kuma an saka shi a cikin farji. Ana sawa cikin makonni uku bayan mako guda ba tare da shi ba, kuma yana amfani da ƙananan kwayoyin hormones fiye da sauran hanyoyin sarrafa haihuwa. Ba a ba da shawarar ga matan da suke shan taba ko wadanda suke da tarihin jini. Bugu da ƙari, saboda ɓacin murji yana amfani da haɗuwa da haɗari, ana iya haɗuwa da wasu ƙananan hadarin game da IBD a matsayin kwayoyin maganin maganin maganin maganin rigakafi, ko da yake shaidun suna cikin wannan. Wannan nau'i na kulawar haihuwa ba zai kare kariya daga STDs ba.
Na'urar Intrauterine (IUD)
Wata IUD ita ce na'urar da ake hana maganin rigakafin da aka saka ta cikin cervix kuma a cikin mahaifa daga likitan kiwon lafiya (yawanci likita ne). Yana aiki don hana hana daukar ciki ko ta hanyar hana sperm daga haɗi tare da kwai ko kuma ta hanyar sakin kwayar cutar hormone progestin, wanda ya hana jari-mace. IUDs shekaru na ƙarshe, dangane da irin da ake amfani dashi, ko'ina daga shekaru 3 zuwa 12. Ana cire IUD na mayar da haihuwa ta mace. IUDs suna da matukar tasiri a hana daukar ciki kuma za'a iya amfani dashi a cikin mata da basu da yara. Nazarin binciken bai nuna tasiri a kan IBD ba, yana sanya su shawarar da za a ba da shawarar haihuwa ta musamman ga mata masu fama da cutar Crohn ko cututtuka. Amma IUD, ba zai kare shi ba daga STDs.
Amfani da Ƙari fiye da Kira ɗaya na Ginin Haihuwa
A wasu lokuta, yana iya zama mafi kyau don amfani da wasu nau'i biyu na kulawar haihuwar haihuwa, kamar a lokacin fuska, ko bayan tiyata. Wadannan lokuta ba zasu bada mafi kyawun damar yin ciki da jariri ba, don haka yana da muhimmanci a tabbatar da cewa an dauki kariya.
Kalma Daga
Kowace shirinka na game da ciki a nan gaba, yana da muhimmanci a san duk abin da za ka yi na hana haɗin gwiwa . Kuna so ku tabbatar cewa hanyarku na zabi yayi aiki a gare ku, abokinku, da iyalan ku, amma kuma cewa zai zama tasiri sosai a lokacin waɗannan lokuta lokacin da aka yi watsi da ciki.
> Sources:
> Cornish JA, Tan E, Simillis C, et al. "Rashin ƙwayoyin maganganun maganganu a cikin ilimin ilimin likitancin ƙwayoyin cutar inflammatory: Meta-Analysis." Amer J na Gastro 2008; 103: 2394-2400.
> Gawron LM, Gawron AJ, Kasper A, Hammond C, Keefer L. "Hanyoyin Hanyar Hanyar Tsarin Kasuwanci ta Mata tare da Rigakafi na Flammatory Cututtuka: Wani binciken bincike na Cross-sectional." Cibiyar kwance . 2014 Mayu; 89: 419-425.
> Khalili H, Higuchi LM, Ananthakrishnan AN, et al. "Kwayoyin maganin jijiyoyi, abubuwan haifuwa da kuma hadarin cututtukan ƙwayar cututtuka." Gut . 2013 Aug; 62: 1153-1159.
> Martin J, Kane SV, Feagins LA. "Ciwon haihuwa da ƙwayar cuta a cikin mata tare da cututtukan ƙwayar cuta na jini." Gastroenterol Hepatol (NY). 2016 Feb, 12: 101-109.
> Zapata LB, Paulen ME, Cansino C, et al. "Yin amfani da ƙwayar cuta tsakanin mata da cututtukan cututtukan jini: Rahoton da ke tattare da shi." Contraception . 2010 Jul; 82: 72-85.