Vakadzi vane arthritis nedzimwe zvirwere zverheumatic vanogona kunetseka nezvekuita pamuviri kana kuva nehanya kunyange mushure mokunge vaine pamuviri. Vamwe vakadzi vane zvirwere zverheumatic vangangorayirwa kuti vasava nepamuviri.
Vakadzi vane pamuviri vane Arthritis uye Rheumatic Diseases
Kunyanya kunetseka kunobva mukusava nechokwadi pamusoro pemabatiro ehutano hwemukadzi huchaita kuti abate pamuviri pamwe nekuita kuti kubata pamuviri kuchakanganisa sei rheumatic condition.
Kana iwe uine arthritis uye iwe uri nepamuviri kana kuti kana wava nepamuviri, pane zvimwe zvinhu zvinokosha zvaunofanira kuziva.
1. Nokucherechedza zvakanyanya uye kurapa kwakakodzera, vakadzi vane arthritis kana zvimwe zvirwere zverheumatic vanogona kubudirira pamuviri.
Zvakakosha kuvakadzi vane pamuviri vane arthritis kuti vave pasi pekuchengetedzwa kwechigadziro chechigamba kuti vagone kubata pamuviri wavo uye rheumatologist kuti vararame rheumatic condition. Kubudirira kutakura pamuviri kunogona kuitika neboka rinosvika, asi kwete mimba dzose dzichava pasina zvinetso.
2. Kubatwa kwepamuviri pahutachiona hwechirwere kunopesana maererano nemamiriro ezvinhu chaiwo.
Kuberekwa kwakaperekedzwa ne rheumatoid arthritis , lupus , antiphospholipid syndrome , uye mamwe mahedheni ane maitiro akasiyana-siyana uye zvinetso zvine chokuita.
- Vakadzi vane rheumatoid arthritis vane zviratidzo zvinowedzera pakuberekwa asi zvakare zvakare shure kwekuberekwa kwechecheche. Penguva yekuvandudza, zvingave zvichiita kuderedza kana kumira mamwe mishonga yeArthritis.
- Ne lupus, kazhinji kune mazoro anonyoreswa anowanikwa panguva yekudzivirira, uye shure kwekuberekwa.
- Antiphospholipid syndrome ndiyo chirwere chinogadzirisa muviri umo muviri unoita kuti zvirwere zvive phospholipid kana mapuroteni eplasma. Iyo syndrome inogona kuitika ne systemic lupus erythematosus kana imwe rheumatic disorder. Nechiitiko ichi, kune ngozi yakawedzerwa yekuvhara ropa, kuora pamuviri, kana kuwedzera kwehutano mukati mekusununguka. Nguva inenge yakapoteredza kubereka inonyanya kukosha.
- Pulmonary hypertension iyo dzimwe nguva inobatanidzwa ne scleroderma , Sjogren's syndrome , lupus, uye antiphospholipid syndrome inogona kuwedzera kukura nekuzvitakura; Ndicho chikonzero nei pamuviri usingatauri nemamiriro aya.
- Zvimwe zviitiko zvehutu, kusanganisira scleroderma isina pulmonary hypertension, polymyositis, dermatomyositis, uye vasculitis , kazhinji hazvivhiringidzi nehutano kana zvirwere zviri pasi pesimba.
3. Vakadzi vane zvirwere zvepfungwa zvakabatana nevasculitis, scleroderma, kana lupus zviri kuwedzera mungozi yehutachiona hwehutachiona uye preeclampsia.
Mikana yekubata pamuviri uye kubudirira kune yakanyanya kukura kana chirwere chepfungwa uye chirwere cheropa chiri chimiro uye chirwere chepachirwere chisingaiti kana kuti mukuregererwa kwemwedzi mitanhatu isati yasvika. Izvi zvinonyanya kukosha kune vakadzi vane lupus. Kusiyana naizvozvo, vakadzi vane chirwere chisina kujairika chepfungwa, kusadzivirirwa kwehutano weropa, uye zvirwere zvinoshandiswa nehutachiona zvinowanzorayirwa kuti vasapinda pamuviri.
4. Congenital mwoyo block inogona kuitika muzana shoma yevana vakaberekerwa vakadzi vane anti anti-Ro.
Anti-Ro zvirwere zvinowanzoonekwa nevarwere vane lupus uye Sjogren's syndrome. Izvo zvirwere zvinopinda mumusana we fetal uye zvinokuvadza mwoyo wekudzidzira mwana, zvichiita kuti uwedzere kutadza mwoyo.
Mune zvimwe zviitiko, mwana wacho angaguma achida pacemaker. Vakadzi vane pamuviri vane anti anti-Ro zvirwere zvinofanira kunyatsoongororwa uye kuongororwa. Anti-La ma antibodies inogona kuva yakaoma panguva yekuzvitakura.
5. Kuvhiringidza, kunove kwakakurumbira munguva yehutachiona hwehutachiona, uye mamwe mishonga inoshandiswa kurapa kupisa inogona kuva yakaoma munguva yekuzvitakura.
Zvinenge zvakanaka kuti vakadzi vasatora chero mishonga kusvikira vapedza pamuviri uye vacheche. Haisi mamiriro ezvinhu akanaka kunyange kuti ave nepamuviri uye ane chirwere chepfungwa, saka inofanira kuonekwa. Kana mishonga inofanirwa kuchengetedza chirwere chemukadzi chinotarisirwa ichibviswa, dambudziko rekusazvidzora chirwere rinofanira kuyerwa nezvingangova nengozi kumwana asati aberekwa.
6. Kune chibvumirano pamusoro pemishonga inorwisa-rheumatic yakachengeteka kana yakachengeteka kushandisa panguva yekudzivirira uye lactation (mukugadzirwa kwemukaka).
Rimwe boka rezvipembenene, rheumatologists, uye vanodzidza nezvechiitiko vanobata vakadzi vane pamuviri vane zvirwere zverheumatic vakabvumirana pane zvinodhaka zvinodhaka zvinogamuchirwa kushandisa panguva yekudzivirira uye lactation.
Zvinodhaka zvinogamuchirwa kushandisa panguva yekuzvitakura uye lactation zvinosanganisira:
- NSAIDs (nonsteroidal anti-inflammatory drugs) kusvikira vhiki 32
- Azulfidine (sulfasalazine)
- Plaquenil (hydroxychloroquine)
- Corticosteroids (pasi pe10 mg kana zvichibvira)
Zvinodhaka zvinogamuchirwa kushandiswa panguva yekuzvitakura asi zvichiri kukakavadzana panguva yekubata zvinosanganisira:
- Cyclosporine A
- Imuran (azathioprine)
Zvinodhaka izvo zvinogamuchirwa panguva yekuzvitakura uye lactation zvinosanganisira:
- Methotrexate
- Arava (rakasara)
- CellCept (mycophenolate)
- Cytoxan (cyclophosphamide)
- Anti-TNF zvinodhaka
- Rituxan (rituximab)
(Cherechedza; Anti-TNF zvinodhaka zviri kuwedzerwa kunzi seve dzakachengeteka panguva yekuzvimba uye zvichida lactation.)
7. Vakadzi vari kufunga nezvekuita pamuviri vanofanira kuve nemamiriro avo ehurumende ari pasi pekutora kwemwedzi 3 kusvika ku6 vasati vatanga kubata pamuviri.
Zvinokurudzirwa kuti vakadzi vose vane chirwere cherheumatic vanorayirwa ne rheumatologist uye chiremba wezvipembenene vasati vaedza kutora pamuviri. Nenzira iyo mungozi yavo yezvinetso zvinogona kuongororwa uye chirongwa chekugadzirisa zvose chirwere chepachirwere uye kubata kunogona kusimbiswa zvakanaka.
8. Vakadzi vari pangozi yakakomba yezvinetso vanofanira kuramba vachiona rheumatologist yavo nguva dzose kwemwedzi mitatu yekuchengetedza kusagadzikana nekuongorora zvirwere nekugadzirisa.
Vakadzi vanoonekwa sekukuvara kwekutambudzika kunofanirawo kuva neboka revasiteteti rinowanikwa nehutachiona hwakanyanya. Kushanya kakawanda uye kutarisa kuchadiwa sezvinoitwa nekuzvitakura. Mamiriro ezvinhu anoita kuti pamuviri uwedzere njodzi dzinosanganisira:
- Kuora kwepyiyo
- Mwoyo mamiriro
- Pulmonary hypertension
- Zvipembenene pamapapu chirwere
- chirwere chinokanganisa rheumatic
- In vitro fertilization
- Kuberekwa kakawanda
- Dambudziko rakapedzisira riripo
Sources:
Kubata uye Rheumatic Disease. American College of Rheumatology. March 2014.
http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Living-Well-with-Rheumatic-Disease/Pregnancy-Rheumatic-Disease
Kelley's Textbook yeRheumatology. Ninth edition. Elsevier. Kuberekwa muRheumatic Diseases. Chitsauko 39.
Autoimmunity Reviews. Mamiriro ehudhi: Kuberekwa nekuzvitakura muzvirwere zve rheumatic. May 2015.
http://www.ncbi.nlm.nih.gov/pubmed/25555818