Hanyar da Hanyoyin Cizon Cikin Gida na IBD suna da juna biyu da haihuwa
Shin mata da IBD suna da yara?
Haka ne, matan da ke fama da cututtukan zuciya (IBD) zasu iya samun 'ya'ya. A baya, mata da IBD sunyi shawara game da ciki. Amma hanyoyin da ake gudanarwa ta kamfanin IBD na yanzu sun sanya jarirai mafi aminci ga iyaye da kuma jariri. Samun ciwo na kullum yayin da yake ciki yana buƙatar kulawa da hankali ga likitocin likitoci, amma lafiyar ciki da jaririn zai yiwu.
Shin maza da mata da IBD sun rage yawan farashi?
Hanyoyin haihuwa na mata da IBD sun kasance daidai da mata masu lafiya. Mata masu fama da cutar Crohn na iya samun karuwar haihuwa. Shirye-shiryen iyali yana da muhimmiyar mahimmanci ga kowane mace, musamman ga wadanda suke tare da IBD. Akwai lokuta da ba a iya ba da shawara a ciki ba, irin su a lokacin da yake da fitilar ko yayin shan wasu magunguna.
An san shekaru da dama cewa sulfasalazine (Azulfadine), maganin da ake amfani dasu don biyan waɗannan yanayi, zai iya haifar da rashin haihuwa a wucin gadi a kusan 60% na maza. Yankin sulfa na miyagun ƙwayoyi na iya canza sperm, amma wannan sakamako yana juyawa a cikin watanni biyu na dakatar da amfani. Yin aikin tiyata a cikin maza zai iya haifar da rashin ƙarfi, ko da yake wannan abu ne mai wuya.
A cewar wani nazari na wallafe-wallafe, rashin haihuwa ya faru a kashi 48 cikin 100 na matan da ke da tiyata don magance cututtuka. Wannan yana iya yiwuwa saboda ƙuƙwalwar a cikin tubunan fallopian wanda zai iya faruwa bayan irin wannan tiyata.
Haɗarin rashin haihuwa bayan da aka yi amfani da shi a cikin shekaru masu yawa saboda yawancin bincike sun nuna yawan rashin daidaituwa. Akwai rahotanni irin su rashin haihuwa a Crohn na cutar marasa lafiya.
Menene Yaya Magunguna ke da juna biyu?
Yawancin mata sunyi imanin cewa ya kamata su dakatar da magunguna yayin da suke ciki, duk da haka, ci gaba da yin amfani da magunguna na IBD yana ba da damar da za a iya guje wa rashin lafiya.
Yawancin magunguna don IBD sun nuna cewa sun kasance lafiya don ci gaba a yayin da suke ciki, kuma mutane da yawa suna da tarihin amfani da lafiya ga marasa lafiya. Gidajen Abincin da Drug (FDA) ya kirkira tsarin tsarawa don yin amfani da magunguna a yayin daukar ciki (duba Table 1 da ke ƙasa).
Binciken bincike ya nuna cewa mafi yawancin kwayoyi da aka saba amfani dashi don maganin farfadowa da magunguna na IBD suna da lafiya ga mata masu juna biyu don amfani. Wadannan su ne:
- Sulfasalazine (Azulfidine [Tsarin ciki B)
- Nau'ukan mesalamine (Asacol, Pentasa, Rowasa [Tsarin ciki B])
- Corticosteroids (prednisone [Tsarin haihuwa B])
- Biologics ( Remicade , Humira , Vedolizumab , Stelara , Cimzia )
Yayin da Kwayar Kiwon Lafiya ta Bukata Don Kasancewa Daya
Yawancin magunguna na IBD za su kasance lafiya don ci gaba a lokacin da suke ciki kuma ba za a dakatar da su ba tare da shawarwarin kai tsaye daga gastroenterologist ba kuma OB / GYN sun saba da batun mace ta musamman na IBD. Akwai wasu magunguna, duk da haka, ana iya buƙatar gyara a lokacin daukar ciki.
Immunosuppressants. Abun immunosuppressive azathioprine (Ijuran [Dakar Ciki D]) da kuma 6-mercaptopurine (Purinethol ko 6-MP [Nau'in Ciki] D] suna wucewa cikin ƙwayar cuta kuma ana iya gano su a cikin jini.
Duk da haka, ana iya ba da shawara tare da hankali yayin da wasu likitoci sukayi ciki don magance mummunar fushi. Wadannan magungunan bazai kara haɗarin cutar lalata ba.
Methotrexate da thalidomide. Methotrexate (Tsarin ciki na X) da kuma thalidomide (Tsarin ciki na X) sune kwayoyin immunosuppressive guda biyu waɗanda bazaiyi amfani dashi a lokacin daukar ciki kamar yadda suke da tasiri a kan ba a haifa ba. Methotrexate na iya haifar da zubar da ciki da ƙananan ƙwayoyin cuta, kuma ya kamata a katse watanni uku kafin ɗaukar ciki, idan ya yiwu. Thalidomide yana da kyau sananne saboda haddasa lahani da kuma sauran manyan matsalolin kwayar cutar a cikin tayin.
An yi amfani da amfani kawai tare da sarrafawar haifa mai mahimmanci da jarrabawar ciki.
Metronidazole. Metronidazole ( Flagyl [ Yarinya Bikin B]), kwayoyin da ake amfani da su a wasu lokuta don magance matsalolin da ke tare da IBD, bazai da lafiya ga tayin bayan farkon farkon watanni. Ɗaya daga cikin binciken ya nuna cewa metronidazole bai haifar da lalacewar haihuwa ba a farkon farkon watanni, amma ba a gudanar da nazarin lokaci ba. Ana yin amfani da taƙaitaccen magungunan wannan magani a yayin daukar ciki, kodayake tarurruka masu tsayi suna hargitsi.
Yaya da juna biyu da juna biyu ke ciki?
Hanya na IBD a duk tsawon lokacin da ake ciki yana da tsayin daka kasancewa kamar yanayin mutum a lokacin ɗaukar ciki. Saboda haka, yana da mahimmanci ga matan da suke tunanin daukar ciki don kula da tsarin kulawarsu da kuma aiki don kawowa, ko kuma kiyaye, cutar su a cikin gafara.
Daga cikin matan da suka yi ciki yayin da IBD ke aiki, kashi daya bisa uku na cigaba, kashi ɗaya na uku kuma ya zama damuwa, kuma kashi daya cikin uku ba canzawa ba. Daga cikin matan da suka yi ciki yayin da ciwon halayen su ke cike, kashi biyu cikin uku zai ci gaba da samun ciwo mai tsanani.
Likitoci na iya bi da wani babban abu mai ban sha'awa na IBD da ke faruwa a lokacin daukar ciki mara kyau ba sosai. Samun remission yana da mahimmanci don taimakawa wajen tabbatar da daukar ciki lafiya.
Table 1 - FDA Drug Categories
| Category | Bayani |
| A | Daidai, nazarin kulawa da kyau a cikin mata masu ciki ba a nuna yawan haɗarin rashin ciwo na tayi ba. |
| B | Binciken dabba bai nuna alamun cutar ga tayin ba, duk da haka babu isasshen ilimin karatu a cikin mata masu ciki. KO Binciken dabba na dabba yana nuna mummunar tasiri, amma isasshen, nazarin kulawa da kyau a cikin mata masu ciki sun kasa nuna haɗari ga tayin. |
| C | Nazarin dabba ya nuna mummunar tasiri kuma babu isasshen ilimin karatu a cikin mata masu ciki. KO Ba a gudanar da nazarin dabba ba, babu cikakken isasshen kulawa a cikin mata masu ciki. |
| D | Nazarin, isasshen, sarrafawa ko kulawa, a cikin masu ciki suna nuna damuwa ga tayin. Duk da haka, farfadowa na farfadowa na iya ƙetare hadarin gaske. |
| X | Nazarin, isasshen kulawa da kulawa, a cikin dabbobi ko mata masu ciki sun nuna shaida mai kyau game da rashin tausayi na tayi. An karyata samfurin a cikin mata da suke da ciki ko kuma suna iya zama ciki. |
Shin akwai ciwon ciki da rashin ciki da kuma IBD?
Ga mata masu fama da cututtuka da kuma cutar Crohn a gafara, haɗarin rashin karuwanci, haihuwa da kuma rashin ciwo na ciki kamar su ne ga mata masu lafiya. Hannar cutar Crohn a lokacin da aka haifa ko kuma yayin da ake ciki yana haɗuwa da babban haɗari da rashin haihuwa da haihuwa.
Hanyoyin maganin matsalar matsala ce ga mata masu juna biyu, har zuwa kashi 50 na matan da ke fama da su. Kwayoyin cututtuka na IBD, irin su zawo ko ƙuntatawa, zasu iya haifar da haɗarin basur. Akwai maganin da dama da za su shawo kan basussuka irin su Kegel, da tsaftace tsabta mai tsabta, kauce wa zama da kuma tsayawa na tsawon lokaci da matsayi ko matsakaicin matsakaici, ta yin amfani da jelly na man fetur don kwantar da dubban ɗakuma da kuma sauƙi da motsa jiki, zaune a kan wani ice shirya don taimako daga konewa, zaune a cikin ruwan zafi mai kyau don rufe basur, da kuma amfani da zato ko creams.
Shin IBD Ya Shige Ga Yara?
Wasu mutane tare da IBD na iya kasancewa marasa 'ya'ya saboda damuwa da cewa yara zasu iya gadonsu. A cikin 'yan shekarun nan, an mayar da hankali kan manufar cewa IBD ke gudanarwa a cikin iyalai kuma za'a iya danganta shi da wasu kwayoyin. Masu bincike ba su da cikakken amsoshi game da yadda aka tsara IBD tsakanin al'ummomi, amma akwai wasu bincike game da yiwuwar yara gadon cutar iyayensu.
Akwai alama mafi tsanani ga haddasa cutar Crohn fiye da cututtuka, musamman a cikin iyalan Yahudawa. Duk da haka, yara da ke da iyayensu daya tare da cutar Crohn suna da haɗari na 7 zuwa 9% na bunkasa yanayin, kuma kimanin kashi 10 cikin dari na hadarin bunkasa wani nau'i na IBD. Idan iyaye biyu suna da IBD, wannan haɗari yana ƙara zuwa kusan 35%.
Mene ne zai taimaka kafin a yi ciki ko a lokacin da take ciki?
Ana ƙarfafa mata a yanzu don a shirya jikinsu don yin ciki ta hanyar kara yawan amfani da folic acid, daina shan taba, samun karin motsa jiki, da cin abinci mafi kyau. Ga matan da ke tare da IBD, mafi girman abin da ke haifar da hankalin ciki da kuma lafiyar jariri shine yanayin cutar rashin lafiya. Kashe duk magungunan da zai iya cutar da tayin tayi yana da mahimmanci. Tsarin ciki lokacin da IBD ke cikin gafara yana da damar mafi girma don sakamako mai kyau.
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