Kuronga kwemhuri kunokosha kune vakadzi vane Crohn's kana Ulcerative Colitis
Chisarudzo chokuva nevana kana kwete ndechimwe chezvisarudzo zvinokosha izvo vanhu vazhinji vachaita muupenyu. Pane zvakawanda zvekufunga pamusoro pezvinoitika pakubata pamuviri nekuberekwa, uye mukuru pakati peizvi ndechekuti zvisarudzo zvako zvichaita sei kuora kwechirwere chezvirwere (IBD) . Chimwe chezvinhu zvinonyanya kukosha mukupa mukana wakanakisisa wekubata pamuviri wakanaka uye mwana muvakadzi vane IBD ndiyo nyika yehosha apo mimba inoitika.
Gastroenterologists vanokurudzira kuti zviri nani kuvakadzi vane IBD kuti vave nepamuviri apo IBD iri mukuregererwa , zvinoreva kuti chirwere chekuita (kunyanya kuvhuvhuta) chaenda kana kuti hachina kukwana sezvinobvira.
Kuita Zvisarudzo Nezvekuberekwa Kwekuzvarwa
Kuita gastroenterologist uye chiremba-gynecologist pamwe chete nevamwe vashandi vehutano (zvakadai sechirembasi uye chiremba wechiremba kune avo vakambovhiyiwa munguva yakapfuura) zvinokosha vasati vatora pamuviri. Saka, chisarudzo chekuve nevana chinonyatsorongedzwa zvakanyatsonaka kune vakadzi vane IBD. Izvozvo zvinotungamirira pakuita sarudzo pamusoro pekushandisa kubata pamuviri kusvikira nguva yakakodzera yekudzivirira.
Mukadzi wese anozofanira kuzvisarudzira nezvekudzivirira kubata pamuviri kunofunga nezvehutano hwakanaka, mararamiro, uye zvaanoda. Kunyanya kutaura, kubata pamuviri kunowanzobatanidza zvipingamupinyi zvinodzivirira mukaka nehairi kubva pakubatana, makemikari anouraya mbeu, kana mahomoni anodzivirira ovulation.
Kudzora kwekusingaperi kunowanikwawo, kune varume nevakadzi, asi izvi zvinowanzogadziridzwa pane zvimwe zviitiko kana kana munhu akasarudza kurega kuva nevana.
Kubereka Muvakadzi Vakawanda Vane IBD Iva Pedyo-Yakasikwa
Vakadzi vane IBD vakamboudzwa kuti varege kuva nepamuviri, asi izvi hazvisati zviri izvo.
Muzviitiko zvakawanda, vakadzi vane IBD havakwanisi kuwedzera kubata pamuviri, asi kuva mukuregererwa kunovimbisa mukana wakanaka wekutora mimba yakanaka uye mwana. Vakadzi vane IBD vasina kuve nokuvhiyiwa kwe -j-pouch vane tsika dzakasvibirira kana kuti dzepedyo dzekuberekwa.
Izvi zvinogona kuuya sechishamiso kuvamwe vakadzi, ndicho chikonzero icho chinokosha kuti vakadzi vane IBD vashandise nzira yakavimbika yokudzivirira kubata pamuviri kana mimba isingadiwi, nokuti kuva neBD hakuzogadziri mikana yekuve nepamuviri. Pano munyaya ino zvimwe zvisarudzo zvepabonde zvenguva pfupi zvevakadzi uye zvavakaita paBD zvinokurukurwa.
Nzira Dzira Dzokuberekwa
Dambudziko rekuberekwa, rakadai sedhafragm , kondomuvha , chironga chekuberekera, kana kondomu ( mukomana kana mukadzi ), inowanzova sarudzo dzakanaka dzevakadzi vane IBD avo vasingadi kushandisa maitiro ekudzivirira kuberekwa kwehomoni. Zvisinei, chirwere chepachivha kana chivharo chechibereki chinogona kusashanda pakudzivirira kubata pamuviri kune vakadzi vane IBD vane fistulas inosanganisira vagina (zvakadai sekudzorera fistula) kana kuchinja dzimwe nhengo dzinobereka. Vakadzi avo vanowanzoita zvirwere mumukaka kana mumudzimai vanogonawo kurairwa kusashandisa diaphragm kana chivharo chechiberekero nokuti izvi zvigadziri zvinogona kuwedzera njodzi dzekudzivirira utachiona.
Kushandisa spermicide (a foam, jelly, gel, kana suppository inouraya mbeu) pamwe nemigwagwa iyi inowanzokurudzirwa kuitira kuti iwedzere kubudirira kwayo. Makondomu achabatsira kudzivirira kupararira kwezvirwere zvepabonde (STDs) , asi zvipembenene, makhondi emudzimai, uye spongesi hazviiti.
Birth Control Pill ("Pill")
Pane imwe pfungwa yokuti kutora mapiritsi (pamwe chete "piritsi") inotyisa kune vakadzi vane IBD kana kuti vari pangozi yekuvandudza IBD. Piritsi inobatanidza inoshandiswa maitiro ehomoni mbiri dzevakadzi: estrogen uye progestin (kana ichibudiswa mumuviri iyi hormone inonzi progesterone).
Kune zvidzidzo zvishomanana izvo zvakawana ukama pakati pekutora mapiritsi uye mune kana kuve nekuvandudza IBD kana mukukonzera kupera-up kweBDD. Zvisinei, hazvisanzwisisi kuti nei izvi zvingaitika kana kuti kune chibvumirano chekuti simba iri rakaoma sei kana kuti gynecologists inofanira kutarisira sei vakadzi neBD vanoda kushandisa mapiritsi.
Vakadzi vanosarudza kutora mapiritsi havafanire kusvuta, nokuti kusvuta kwakabatanidzwa sechikonzero chevakadzi vakadzidza IBD mune zvidzidzo izvi. Vakadzi vanopfuura makore makumi matatu vanochera uye vanotora mapiritsi vangave vari pangozi yekuwedzera ropa. Kusvuta kunobatanidza kunyanya nekukura kwechirwere cheCrohn , uye vanhu vane Crohn's vanokurudzirwa kusasvuta.
Chimwe chinhu chinofanira kufunga nezvekutora piritsi ndiko kukwanisa kwaro kubatwa mumukumbo. Vanhu vane IBD vangave vane dambudziko rekudya mamwe mishonga mumatumbo avo, kunyange izvi zvichatsauka zvakanyanya. Kana mapiritsi asina kunyanya kukoshesa, haisi kuita basa rayo, uye inogona kureva mukana wakawedzerwa wekutora pamuviri. Apo vakadzi vane IBD vari kunetseka, kana kunyange kuhara , imwe nzira yekubata pamuviri inofanira kufungwa. Vakadzi vane IBD vane zvinetso zvekutora mapiritsi vanofanira kuzvikurukura ne gastroenterologist uye gynecologist. Mapiritsi haazodziviriri pazvirwere zveSDD.
Birth Control Implants
Kushandiswa kwekuberekwa kwechizvaro chikamu chiduku chepurasitiki chinowanikwa muruoko rune simba rune hormone progestin uye rinoshanda kumisa ovulation kwemakore anenge matatu. Chirongwa chekudzivirira pamuviri ndechimwe chezvinhu zvinowanzotaurirwa nzira dzekudzivirira kubata vakadzi kune IBD dzisingatarisiri kubata pamuviri munguva pfupi iri mberi, nokuti inoshanda, haifaniri kutora mapiritsi zuva nezuva, uye inogara kwenguva refu. Chinhu chimwe chete chokuyeuka nechinangwa ndechekuti hachizodziviriri zvachose pamusoro pezvirwere zveSDD.
Birth Control Patch
Chirongwa chekuberekwa chikafu chiduku chiduku-sechikwata chinowanikwa paganda kusunungura mahomoni, estrogen, uye progestin. Iyo chikwata chinoshandurwa vhiki nevhiki. Inoshanda zvakafanana nehutachiona hwekuberekwa uye inogona kusanganiswa nezvimwe zvezvinetso zvakafanana pamusoro pehuwandu hwehuwandu hwekuvandudza IBD. Chigamba hachiwanzoshandiswa, asi vamwe vakadzi vanogona kusarudza kuti ndiyo yakanakisisa yakakwana yehupenyu hwavo. Iyo chikwata hachidziviriri kurwisana neDDD.
Birth Control Shot
Kuzvarwa kwekuberekwa kunoputika chirwere chinopiwa mwedzi mitatu uye chinoshanda nekudzivirira kuvhara. Iyo hormone inoshandiswa mumupfupa ndeye progesin, saka iyo maitiro ekudzivirira kuberekwa akafanana nekumera kwekuberekwa kwekuita. Iko kusakosha kukuru nehutano hwekuberekwa kupfurwa ndeyokuti inogona kukonzera kudonha kwemapfupa. Izvi zvinonyanya kukoshesa vakadzi vane IBD, avo vangave vari kutanganisa osteopenia uye osteoporosis, zvichiguma nekuda kwekushaya simba kwevhitamini kana sekukanganisa kwakanyanya kwemishonga. Mutsotsi wacho haukudziviriri pazvirwere zveSDD. Inogona kuva yakasarudzwa chisarudzo chekudzivirira pamuviri kune vakadzi vane IBD, asi kunetseka pamusoro pehutano hwepafu kunofanira kukurukurirana ne gastroenterologist uye gynecologist.
Kubata pamuviri Vaginal Ring
Mhete yepini ndeyendarama yepurasitiki inosanganisira estrogen uye progestin uye inowanikwa mumudzimai. Yakapfeka kwemavhiki matatu kuteverwa nevhiki imwe isina iyo, uye inoshandisa doro rezasi rehomoni kune dzimwe nzira dzekuberekwa kwemhomoni. Hazvibvumirwi kune vakadzi vanosvuta kana vane nhoroondo yevhavha yeropa. Zvakare, nokuti bhinhire remadzimai rinoshandisa kusanganiswa kwehomoni, inogona kuenzaniswa nedzimwe njodzi dzakadaro maererano neBD semipiritsi yemuromo inobata pamuviri, kunyange zvazvo jeri rinenge risiri kunze. Ichi chimiro chekudzivirira kuberekwa hachizodziviriri kurwisana neDDD.
Intrauterine Device (IUD)
IUD chirongwa chekudzivirira chinoshandiswa kuburikidza nemukati mutezo uye muchibereki nemupivhisi wehutano (kazhinji gynecologist). Inoshanda kudzivirira kubata pamuviri kana nekudzivirira humi kuti usabatana neii kana kusunungura hormone progestin, iyo inodzivirira kuvhara. IUDs makore ekupedzisira, zvichienderana nemhando iyo yakashandiswa, chero ipi zvayo kubva pamakore matatu kusvika ku12. Kubvisa IUD kunodzorera kubereka kwomukadzi. IUDs inoshanda zvakanyanya mukudzivirira kutora mimba uye inogona kushandiswa kunyange kune vakadzi vasina kumbova nevana. Zvidzidzo hazvina kuratidza kushanda paBD, zvichiita kuti ive yakakurudzirwa kuzvidzora kuzvidzora kwevakadzi kune Crohn's disease kana ulcerative colitis. IUD, kunyange zvakadaro, haizodziviriri kurwisana neDDD.
Kushandisa Zvakawanda Kupfuura Maitiro Api Okuzvarwa
Pane dzimwe nguva, zvingava zvakanaka kushandisa 2 kana kupfuura maitiro ekudzivirira kuberekwa, zvakadai panguva yekutadza-up, kana mushure mekuvhiyiwa. Mazuva ano haaizopa mukana wakanakisisa wekutakura pamuviri uye mwana, saka zvakakosha kuchengetedza kuti matanho anotorwa.
Shoko Rinobva
Pasinei nokuti zvirongwa zvako ndezvei pamuviri mune ramangwana, zvakakosha kuti uzive zvose zvaunowana pakusarudza kwekudzivirira . Iwe unoda kuve nechokwadi kuti nzira yako yekuzvisarudzira inoshanda iwe, wako wega, uye mhuri yako, asiwo kuti ichave yakakwanisa sezvaunokwanisa panguva iyo nguva apo pamuviri unofanirwa kudzivirirwa.
> Sources:
> Cornish JA, Tan E, Simillis C, et al. "Dambudziko rekudzivirira mishonga mumuromo muEtiology yezvirwere zvinokonzera chirwere: Meta-Kuongorora." Amer J weGastro 2008; 103: 2394-2400.
> Gawron LM, Gawron AJ, Kasper A, Hammond C, Keefer L. "Kusarudzwa Kwemagadzirirwo Emadzimai ane Inflammatory Bowel Diseases: A Cross-sectional Survey." Kubata pamuviri . 2014 May; 89: 419-425.
> Khalili H, Higuchi LM, Ananthakrishnan AN, et al. "Mishonga yekudzivirira mishonga yemumuromo, zvibereko zvekuberekwa uye mungozi yezvirwere zvechirwere chirwere." Gut . 2013 Aug; 62: 1153-1159.
> Martin J, Kane SV, Feagins LA. "Kubereka uye Kubata Madzimai Madzimai Ane Chirwere Chechirwere Chechiremera." Gastroenterol Hepatol (NY). 2016 Feb; 12: 101-109.
> Zapata LB, Paulen ME, Cansino C, et al. "Kushandiswa kwepabonde pakati pevakadzi vane chirwere chinoputira chirwere: Kuongorora kwakarongeka." Kubata pamuviri . 2010 Jul; 82: 72-85.