9 Mibvunzo Inowanzobvunzwa Kana Kuronga Mhuri
Kune vakadzi vakawanda vanorarama ne multiple sclerosis (MS) , chirwere chinouya panguva iyo vari kufunga nezvekutanga mhuri. Munguva yakapfuura, vakadzi vane MS vakadzvinyirirwa zvakasimba kuita kudaro sezvo zvaifungidzirwa kuti vaizorwara uye vasava vashoma vasingagoni kutarisira vana vaduku. Nenzira yedu isu tose, mufananidzo wacho unojeka nhasi.
Ichokwadi, zvidzidzo zvakaratidza kuti kubata pamuviri kunoderedza mungozi yomukadzi wekudzokazve , kunyanya munguva yechitatu chemitatu. Uyezve, ikozvino chirwere-chinoshandiswa kurapwa kunopa vakadzi mukana wakanaka kwazvo wekugara huine hutano muhutano kwete kungova nepamuviri chete asi makore akawanda echikoro kutevera.
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Ndiri Nenzira Yakanyanya Kuve Nokugadzikana Kwepamuviri Here?Kwete. Hapana humwe uchapupu hwokuti MS inobatanidzwa kune zvinetso zvekudzivirira, zvakadai sekuparara, ectopic mimba, preterm births kana kuberekwa.
Izvowo hazvina kubatana kune zvinetso zvekubereka kana kuberekwa kwepabonde. Mune mamwe mazwi, iwe unowanzova nechirwere chepachiviri chepabonde, chakaita sehumwe humwe mukadzi muzera rako.
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Ko Zviratidzo Zvangu zveM MS Zvichava Zvakaipa Mukurara?Aiwa. Vakadzi vazhinji vanoona zororo kubva kune dzakawanda kana kunyange zviratidzo zvavo zvose zveMM panguva yekuzvitakura. Izvi zvinokonzerwa nokuti kuberekwa pachako kunoderedza kushanda kwezvirwere zvemuviri kuburikidza nekuwedzera maitiro ezvisikwa zve steroid.
Nezvo izvo zvichitaurirwa, pamuviri unouya nemararamiro ayo uye kusagadzikana izvo zvinogona kuwedzera mamiriro ezvinhu eE -pre asipo sematambudziko emukaka kana kuti kuneta .
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Ndinokwanisa Kutora Mishonga Yangu MS panguva Yepamuviri Here?Kana iwe uri pa MS kurapwa , iwe unogona kunge uchirairwa kuti usiye mushonga apo uchiedza kubata pamuviri uye munguva yose yekutora kwako. Pakati pemishonga yekurapa panguva yekudzivirira:
- Copaxone (glatiramer acetate) ndeyekuita pamuviri B chirevo chinoreva kuti hachina kukonzera kukuvadza mune zvidzidzo zvemhuka asi kuti hapana zvidzidzo zvevanhu zvakakwana zvisati zvaitwa.
- The interferons ( Avonex , Betaseron, Rebif , Plegridy, uye Extavia) vose vanoita pamuviri C madhiragi zvinoreva kuti vakonzera kukuvadza kuzvikoro zvemhuka asi kuti zvinoitika kuvanhu hazvisati zvazivikanwa.
- Tysabri (natalizumab) uye Lemtrada (alemtuzumab) ndeye MS marapirwo akaendeswa mukati-kati uye ayo ose ari muC C madhiragi.
- Gilyena (fingolimod) uye Tecfidera (dimethyl fumarate) ndezvenyu MS mishonga inenge ichibata pamuviri C.
- Zinbryta (daclizumab) muSM zvinodhaka zvinowanikwa nejasi rinoshandiswa sechikamu C.
- Novantrone (mitoxantrone) inobatsirawo mishonga inobata pamuviri D. Izvi zvinoreva kuti zvidzidzo zvakaratidza kukuvadza kwekuberekwa asi kuti zvibereko zvekurapa zvinogona kupfuura zvakanyanya kune ngozi kune vamwe vanhu.
- Aubagio (teriflunomide) inorwara pamuviri muchikamu X zvinodhaka. Izvi zvinoreva kuti zvinopesana panguva yekuzvitakura kana pakuedza kubata pamuviri.
- Ocrevus (ocrelizumab) haana kupiwa chirwere chekuzvitakura sezvo ichiri chichiri chitsva.
Iwe uchazofanirawo kukurukura chero mishonga iwe uri kutora maMS zviratidzo sezvinonzi vamwe vanofunga sevakachengeteka uye vamwe vasiri.
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Zvakadini Kana Zvichitora Nguva Yakareba Yokuwana Mucheche?Kazhinji, vakadzi vachabvisa mwedzi miviri yekurapa vasati vamboedza kubata pamuviri kuitira kuti mishonga ive nenguva yokubvisa kubva muhurongwa. Chiremba wako anogona kukupa mazano pane nguva yakawanda yakachengeteka kwauri. Kana imwe nguva yapera, iwe unofanira kuedza kuva nepamuviri nekukurumidza sezvinobvira
Inowanzova pfungwa yakanaka yekuonana neAIB / GYN nyanzvi uye kurukura zvaunogona kuita kuti uwedzere mikana yako yekukwanisa kukurumidza kukurumidza, kusanganisira kutevera ovulation.
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Chii Chinonzi Basa Rangu Neurologist?Nyanzvi yako yezveuropiyo ichave nemafungiro pamusoro pehutano huripo, zvose paunenge uchiedza kubata pamuviri uye panguva yekuzvitakura. Ikoko kunogonawo kuva nezvirevo zvokutora kuti udzivise kudzokera shure mushure mekunge uchitaura.
Zvidzidzo zvakaratidza kuti chirwere chemajoini chinonzi intravenous immunoglobulin (IVIG) chakapiwa kuvadzimai mushure mekuberekwa kunobatsira zvikuru kuderedza ngozi yekudzoka shure kwekupedzisira. Dzimwe nyanzvi dzezveuropi dzinogona kupa imwe kana mimwe miviri yeSolu-Medrol (intravenous corticosteroids) nokuda kwechinangwa chimwe chete, asi vamwe vanoda imwe nzira yokurinda-uye-kumirira.
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Ndinokwanisa Kushandisa Iine Epidural Panguva Yokutengeswa Here?Munguva yakapfuura, dzimwe nyanzvi dzezveuropi dzakakurudzira kusashandisa maginini aneshehesia (inozivikanwawo semuspinal block) sezvaaifunga kuti pane dambudziko guru rematambudziko. Zvisinei, kutsvakurudza kwemazuva ano kwakaratidza kuti vakadzi avo vaiva nechirwere chepachirwere (chimwe chimiro chepanzvimbo anesthesia) vakanga vasina huwandu hwekudzokazve kupfuura avo vasina.
Nhasi, maererano neNational Multiple Sclerosis Society, mhando dzose dzeaneshesia dzinonzi dzakachengeteka kuvakadzi vane MS munguva yekubata uye kubereka.
Kunyange zvakadaro, kusarudzwa kweaneshesia kunofanira kukurukurirana neurouroist yako, chirwere chezvipembenene, uye anesthesiologist pakutanga kwechitatu chetatu. Nenzira iyi, kune chirongwa munzvimbo iyo munhu wose achange akazonaka neapo nguva yekubvisa inosvika.
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Ikoko Pane Ngozi Yokudzokerazve Mushure Mokunge Mwana Wangu Akazvarwa?Ngozi yako yekudzokazve mumwedzi mitanhatu yekutanga pashure pokutakura iri pakati pe20 ne40 muzana.
Nokuda kweizvi, zvakakosha kuti uve nepurogiramu panzvimbo yako kana iwe uchionazve kudzoka (kusanganisira kuva nemumwe munhu anokuendesa kuchiremba nekubatsira nemucheche). Sezvo nezvose zviri muSMS, hapana munhu anogona kufanotaura kana iwe uchingodzokazve uye, kana ukadaro, zviratidzo zvipi zvaungave nazvo.
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Ndinogona Kuberekera Mvere?MS pachayo hairei chipingamupinyi pakuyamwisa. Zvisinei, sezvo zvisingazivikanwe kana zvirwere-kuchinja zvinodhaka zvinogona kuderedzwa mumukaka wezamu, vanachiremba vazhinji vanorayira kurwisazve chirwere kusvikira wapedza kunwisa.
Vamwe vakadzi vane MS vachasarudza kudzokerazve kurapwa nokukurumidza-kudya-kufudza vana vavo (nokudaro kuderedza dambudziko rekudzokazve). Vamwe, zvakadaro, vachayamwisa kwechinguva kwemwedzi mina kuti vape vana vavo zvibereko zvemukaka wemucheche.
Handizvo zvisarudzo zvakarurama kana zvisakarurama. Pakupedzisira, iwe chete unogona kusarudza zvakakunakira iwe nemwana wako.
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Ko Mwana Wangu Achawana MS here?Kunyange zvazvo MS isiri yakaberekwa zvakananga, mamwe majini anoita basa. Kutsvakurudza kunoratidza kuti pane pakati pemakumi mashanu nemishanu mukana wekamwe mwana akaberekwa nemubereki ane MS kukura MS pamwe chete.
Zvisinei, zvakakosha kuziva kuti parizvino hapana chimiro kana chimiro chekuberekwa-kana kunyange kuongororwa kwechecheche yako-iyo inogona kufanotaura kuitika kweizvi zvichiitika.
Shoko Rinobva
Pasinei nokuti uri kutaura nemumwe wako pamusoro pemubereki kana kuti atova nepamuviri, ramba uchizvidzidzisa iwe uye uchitevera pedyo neurouroistist yako.
Kunyange zvazvo dzimwe nguva zvingava zvakaoma kurarama nekubatanidza kusangana kweSMS uye nekuzvitakura, ramba uchigadzikana uye ramba uchiita basa rinoshanda muupenyu hwako. Iko kupiwa kwacho kuchaita kunge kwakakodzera.
> Sources:
> Brandt-Wouters, E .; Gerlach, O .; uye Hupperts, R. "Kubatwa kwemashure ekuberekwa kwemajeri emunoglobulin pamusana wehutachiona hwevatachiona vane multiple sclerosis." Int J Gynaecol Chibvumirano. 2016; 134 (2): 194-6.
> Pastò, L., et al. "Epidural analgesia uye inarean delivery in multiple sclerosis post-partum relapses: chidzidzo cheItaly cohort." BMC Neurology , 2012; 12: 165.
> Tsui, A., uye Lee, MA "Multiple sclerosis uye pamuviri." Ikozvino maonero muOststrics and Gynecology 2011; 23 (6): 435-9.