Mata da cututtuka da cututtuka da sauran cututtuka na rheumatic na iya damuwa game da yin ciki ko kuma damuwa ko da bayan sun yi ciki. Wasu mata masu fama da cututtuka na rheumatic zasu iya yin shawarwari kan kasancewa cikin ciki.
Mace masu ciki da cututtukan Arthritis da Rheumatic
Damuwar ta fito ne daga rashin tabbas game da yadda yanayin mace zai shafe ciki da kuma yadda yarinya zai shafar yanayinta na rheumatic.
Idan kana da ciwon maganin ƙwararriya kuma kana da ciki ko kuma idan za a yi ciki yana da la'akari, ga wasu muhimman abubuwa da ya kamata ka sani.
1. Tare da lura da kyakkyawan kula da lafiya, mata da cututtukan zuciya ko wasu yanayi na rheumatic zasu iya samun ci gaba na ciki.
Yana da mahimmanci ga mata masu juna biyu da ciwon maganin ƙwararren ƙwayoyi don su kasance a ƙarƙashin kulawa da duk wani mai tsauri don gudanar da ciki da magungunan wariyar launin fata don gudanar da yanayin maganganu. Matakan da suka yi nasara zai yiwu tare da haɗin gwiwar, amma ba kowane ciki zai kasance ba tare da rikitarwa ba.
2. Sakamakon tashin ciki a kan cututtukan rheumatic ya bambanta bisa ga yanayin musamman.
Tashin ciki tare da cututtuka na rheumatoid , lupus , antiphospholipid ciwon daji , da sauran yanayi masu rheumatic suna da halaye daban-daban da kuma damuwa dasu.
- Mata masu fama da cututtuka suna da alamun bayyanar cututtuka waɗanda suke inganta a lokacin haifa kuma suna sake busawa bayan haihuwar jaririn. Yayin da ake ingantawa, zai yiwu ya rage ko dakatar da wasu magungunan arthritis.
- Tare da lupus, yawanci akwai mummunar lalacewa wanda ke faruwa a lokacin daukar ciki, da kuma bayan haihuwa.
- Antiphospholipid ciwo shi ne cuta ne wanda ke dauke da kwayoyin cuta zuwa phospholipids ko sunadaran plasma. Ciwo zai iya faruwa tare da lupus erythematosus ko wani rheumatic cuta. Tare da wannan yanayin, akwai ƙari ga jini na ƙuƙwalwa, rashin zubar da jini, ko hauhawar jini a lokacin daukar ciki. Lokaci a lokacin bayarwa yana da mahimmanci.
- Rashin hawan jini na yau da kullum wanda wani lokaci yana hade da scleroderma , ciwo na Sjogren , lupus, da ciwon antiphospholipid zai iya ciwo da ciki; Shi ya sa ba a shawarci ciki ba da wannan yanayin.
- Sauran yanayi na rheumatic, ciki har da scleroderma ba tare da hawan jini na jini ba, polymyositis, dermatomyositis, da vascularitis , yawanci ba su da alamun ciki idan cututtuka suna karkashin iko.
3. Mata da ke da cututtukan cututtuka da suka shafi cututtuka, scleroderma, ko lupus suna ci gaba da haɗari da hawan jini mai tsanani da preeclampsia.
Zai yiwu yiwuwar samun ci gaba mai kyau da lafiya yana da mafi girma idan aikin koda da cutar karfin jini na al'ada ne kuma rashin lafiya na rheumatic mai haƙuri yana aiki ko kuma gafara don akalla watanni 6 kafin a gane shi. Wannan yana da mahimmanci ga mata da lupus. Hakanan, matan da ke da nauyin aikin koda, magungunan jini ba tare da rikici ba, da kuma cututtuka na rheumatic mai karfi suna ba da shawara kan kasancewar ciki.
4. Rashin zuciya na ciki zai iya faruwa a cikin ƙananan yawan jarirai da aka haife su ga mata da anti-Ro.
Magungunan Anti-Ro sun fi kowa a cikin marasa lafiya tare da Lupus da ciwon Sjogren. Ƙungiyar ta shiga cikin motar ta motsa jiki kuma ta lalata zuciyar zuciyar jaririn, yana haifar da mummunan zuciya.
A wasu lokuta, jaririn zai iya buƙatar buƙataccen bugun zuciya. Mace masu ciki da anti-Ro dole ne a kula da su a hankali da kuma kulawa. Anti-La magunguna na iya zama matsala yayin daukar ciki.
5. Kumburi, wanda yake shahararren lokacin cutar rheumatic mai karfi, da kuma wasu magunguna da aka yi amfani da su wajen ƙonewa iya zama matsala a lokacin daukar ciki.
Zai zama mafi kyau ga mata ba su dauki magunguna ba har sai sun gama ciki da kuma kulawa. Ba wani lamari ne mafi kyau ba tun da za a yi ciki kuma ta sami cututtukan rheumatic, don haka dole ne a yi la'akari. Idan an cire magungunan da ake bukata don kare lafiyar mace a karkashin kulawa, to lallai lamarin ya kamata a yi la'akari da mummunan cututtuka na rashin lafiyar ɗan jariri.
6. Akwai yarjejeniya game da abin da magungunan anti-rheumatic suke da lafiya ko rashin amfani da su a lokacin ciki da lactation (samar da madara).
Ƙungiyar masu kare lafiyar zuciya, masu ilimin rheumatologists, da masu kwararru tare da kwarewa da maganin masu juna biyu da cututtuka na rheumatic sun amince akan abin da ake amfani da kwayoyi anti-rheumatic don amfani da lokacin ciki da lactation.
Drugs dace a yi amfani a lokacin ciki da lactation sun hada da:
- NSAIDs (kwayoyin anti-inflammatory masu tsai da hankali) har zuwa mako 32
- Azulfidine (sulfasalazine)
- Plaquenil (hydroxychloroquine)
- Corticosteroids (a karkashin 10 MG a lokacin da zai yiwu)
Drugs dace a yi amfani a lokacin ciki amma har yanzu muhawara a lokacin lactation sun hada da:
- Cyclosporine A
- Iranran (azathioprine)
Magungunan ƙwayoyin da ba su yarda ba a lokacin daukar ciki da lactation sun hada da:
- Methotrexate
- Arava (leflunomide)
- CellCept (mycophenolate)
- Cytoxan (cyclophosphamide)
- Magunguna na TNF
- Rituxan (rituximab)
(A lura, ana amfani da magungunan anti-TNF da kasancewa mai lafiya a lokacin daukar ciki kuma watakila lactation.)
7. Mata masu la'akari da ciki ya kamata su kasance da yanayin damuwa a ƙarƙashin iko don akalla 3 zuwa 6 watanni kafin yin ƙoƙarin yin ciki.
An bada shawarar cewa dukkanin matan da ke fama da cututtukan cutar za su ba da shawara ga likitan ilimin lissafi da kuma mai tsauri kafin suyi ciki. Wannan hanyar haɗarin rikitarwa za a iya kimantawa kuma shirin da zai iya gudanar da cutar ta rheumatic da ciki zai iya zama da kyau.
8. Mata masu fama da rikice-rikicen matsalolin ya kamata su ga likitocin su a kowane lokaci na tsawon watanni 3 don kula da daidaito da kwarewar cutar.
Mata waɗanda ake zaton babban haɗari ga rikitarwa ya kamata a sami wani ɓangare na ciki wanda ke fama da haɗarin haɗari. Za a buƙaci sauye-sauye da kuma saka idanu da yawa a yayin da ake ci gaba da ciki. Yanayi da ke haifar da haɗari mai ciki shine:
- Koda rashin lafiya
- Yanayin zuciya
- Rawan jini na jini
- Kwayar cutar huhu
- aikin rheumatic cuta
- In vitro hadi
- Yawan haihuwa
- Matsalar obstetric ta baya
Sources:
Tashin ciki da Rheumatic Disease. Kwalejin Amirka na Rheumatology. Maris 2014.
http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Living-Well-with-Rheumatic-Disease/Pregnancy-Rheumatic-Disease
Kelley's Textbook na Rheumatology. Tsarin na tara. Elsevier. Tashin ciki a cikin cututtukan Rheumatic. Babi na 39.
Bayanin Abubuwan Kulawa. Yanayi na fasaha: Saukewa da ciki cikin cututtukan rheumatic. Mayu 2015.
http://www.ncbi.nlm.nih.gov/pubmed/25555818