I-Rheumatoid Arthritis Nokukhulelwa: Okudingeka Ukwazi

-Delile

• Ngingaba nezingane?
• Kungaba nzima ukukhulelwa
• I-RA yakho ingakhululeka
• Ukukhulelwa kwakho kungadala i-RA
• Ubungozi be-preeclampsia
• Ingozi yokulethwa ngaphambi kwesikhathi
• Ubungozi besisindo sokuzalwa esiphansi
• Imithi ingakhuphula ubungozi
• Ukuhlela kwakho umndeni

Ngikhulelwe - ingabe iRA yami izodala izinkinga?

Ngo-2009, abacwaningi baseTaiwan bashicilela ucwaningo oluphathelene ne-rheumatoid arthritis (RA) nokukhulelwa. Imininingwane evela kwi-Dataset yaseTaiwan National Health Insurance Dataset ikhombisile ukuthi abesifazane abane-RA baba nengozi eyengeziwe yokubeletha ingane enesisindo esiphansi sokuzalwa noma owayemncane ngeminyaka yokukhulelwa (ebizwa nge-SGA).

Abesifazane abane-RA nabo babesengozini enkulu ye-preeclampsia (umfutho wegazi ophakeme) futhi babe nethuba lokudilivwa ngokuhlinzwa.

Yiziphi ezinye izingozi ezikhona kwabesifazane abane-RA? Zikuthinta kanjani ukuhlela umndeni? Funda ukuze uthole.

Ngingaba nezingane?

Ngokusho kweRA, kuvame kakhulu kubantu besifazane kunabesilisa.

I-American College of Rheumatology iphawula ukuthi iminyaka, abesifazane abanezifo ezizimele njenge-RA belulekwa ukuthi bangakhulelwa. Lokho akusenjalo. Namuhla, ngokunakekelwa ngokucophelela kwezokwelapha, abesifazane abane-RA bangalindela ukukhulelwa okuphumelelayo futhi babelethe izingane ezinempilo.

Kungaba nzima ukukhulelwa

Kwabesifazane abangaphezu kuka-74,000 abakhulelwe, labo abane-RA babenenkinga enzima yokukhulelwa kunaleyo engenaso lesi sifo. Amaphesenti angama-25 abesifazane abane-RA babezame okungenani unyaka ngaphambi kokuba bakhulelwe. Cishe amaphesenti ayi-16 kuphela abesifazane abangenayo i-RA abazama isikhathi eside ngaphambi kokukhulelwa.

Abaphenyi abaqiniseki ukuthi yi-RA uqobo yini, imithi esetshenziswayo ukuyelapha, noma ukuvuvukala okujwayelekile okudala ubunzima. Kunoma ikuphi, ikota eyodwa kuphela yabesifazane ebinenkinga yokukhulelwa. Ngeke ukwazi. Uma wenza kanjalo, buza odokotela bakho, futhi ungayeki.

I-RA yakho ingakhululeka

Abesifazane abane-RA bavame ukungena ekuxolelweni ngesikhathi sokukhulelwa. Ocwaningweni lwango-1999 lwabesifazane abayi-140, amaphesenti angama-63 abika ukuthuthuka kwezimpawu ekota yesithathu. Ucwaningo lwango-2008 lwathola ukuthi abesifazane abane-RA bazizwa bengcono ngesikhathi sokukhulelwa, kodwa bangabhekana nokuqubuka ngemuva kokubeletha.

Lokhu kungenzeka noma kungenzeki kuwe. Uma kunjalo, cela udokotela wakho ukuthi angakulungiselela kanjani ukuqhuma okungahle kwenzeke ngemuva kokuzalwa kwengane yakho.

Ukukhulelwa kwakho kungadala i-RA

Ukukhulelwa kugcwalisa umzimba ngamahomoni amaningi namakhemikhali, okungadala ukukhula kweRA kwabanye besifazane. Abesifazane abahaqwe yilesi sifo bangasithola okokuqala ngqa ngemuva kokubeletha.

Ucwaningo lwango-2011 luhlolisise amarekhodi abesifazane abangaphezu kwesigidi esisodwa abazalwa phakathi kuka-1962 no-1992. Cishe abangama-25 500 baba nezifo ezizimele njenge-RA. Abesifazane babenengozi enkulu engamaphesenti ayi-15 kuye kwangama-30 yokuthola lezi zinhlobo zezifo ngonyaka wokuqala ngemuva kokubeletha.

Ubungozi be-preeclampsia

IMayo Clinic iphawula ukuthi abesifazane abanezinkinga kumasosha abo omzimba basengozini enkulu yokuhlaselwa yisifo preeclampsia. Futhi ucwaningo lwaseTaiwan luye lwaveza nokuthi abesifazane abane-RA basengozini eyengeziwe yalesi simo.

I-Preeclampsia ibanga umfutho wegazi ophezulu ngesikhathi ukhulelwe. Izinkinga zifaka ukuquleka, izinkinga zezinso, futhi ezimweni ezingavamile, ukufa kukamama kanye / noma kwengane. Imvamisa iqala ngemuva kwamasonto angama-20 ekhulelwe futhi ingaba khona ngaphandle kwezimpawu ezibonakalayo. Kuvame ukutholakala ngesikhathi sokuhlolwa kokubeletha.

Lapho kutholakala, odokotela banikela ngokuqapha okwengeziwe nokwelashwa lapho kudingeka ukuze kuqinisekiswe ukuthi umama nengane bahlala bephilile. Ukwelashwa okunconywayo kwe-preeclampsia ukulethwa kwengane ne-placenta ukuvimbela lesi sifo ukuthi siqhubekele phambili. Udokotela wakho uzoxoxa ngobungozi nezinzuzo maqondana nesikhathi sokudiliva.

Ingozi yokulethwa ngaphambi kwesikhathi

Abesifazane abane-RA bangaba nengozi ephezulu yokulethwa ngaphambi kwesikhathi. Ku-a, abacwaningi baseStanford University babheka konke ukukhulelwa okuyinkimbinkimbi yi-RA phakathi kukaJuni 2001 noJuni 2009. Inani lamaphesenti angama-28 abesifazane ababelethwe ngaphambi kokukhulelwa kwamasonto angama-37, okungaphambi kwesikhathi.

Phambilini kuphawulwe nokuthi abesifazane abane-RA basengozini enkulu yokulethwa kwe-SGA kanye nezingane ezizalwe ngaphambi kwesikhathi.

Ubungozi besisindo sokuzalwa esiphansi

Abesifazane abahlangabezana nezimpawu ze-RA ngesikhathi sokukhulelwa bangaba sengozini enkulu yokuletha izingane ezingaphansi kwesisindo.

Kubhekwe abesifazane abane-RA abakhulelwa, bese babheka imiphumela. Imiphumela ikhombise ukuthi abesifazane abane-RA "elawulwa kahle" babengekho engcupheni enkulu yokubeletha izingane ezincane.

Labo abahlangabezana nezimpawu eziningi ngesikhathi sokukhulelwa, noma kunjalo, babenamathuba amaningi okuba nezingane ezinesisindo esiphansi sokuzalwa.

Imithi ingakhuphula ubungozi

Ezinye izifundo zibonisa ukuthi imishanguzo ye-RA ingakhuphula ubungozi bokukhulelwa. A kuphawulwe ukuthi izidakamizwa ezithile zokuguqula izifo (i-DMARD) ikakhulukazi zingaba nobuthi enganeni engakazalwa.

Umbiko ubike ukuthi ukutholakala kwemininingwane yezokuphepha maqondana nemithi eminingi ye-RA kanye nezingozi zokuzala kunqunyelwe. Khuluma nodokotela bakho ngemithi oyiphuzayo nangezinzuzo ngokuqhathaniswa nobungozi.

Ukuhlela kwakho umndeni

Kunezingozi ezithile kwabesifazane abakhulelwe abane-RA, kepha akufanele bakunqande ekuhleleni ukuba nezingane. Into ebalulekile ukuthola ukuhlolwa njalo.

Buza udokotela wakho nganoma yimiphi imiphumela emibi engaba khona yemithi oyiphuzayo. Ngokunakekelwa kokubeletha ngokucophelela, kufanele ukwazi ukukhulelwa okuphumelelayo futhi okunempilo nokubeletha.