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Hāpai wau - e hoʻokumu paha kaʻu RA i nā pilikia?

I ka makahiki 2009, ua paʻi nā mea noiʻi mai Taiwan i kahi noiʻi e pili ana i ka rheumatoid arthritis (RA) a me ka hāpai keiki. Ua hōʻike ʻia ka ʻikepili mai ka Taiwan National Health Insurance Dataset ua hōʻike ka wahine me RA i ka nui o ka makaʻu o ka hānau ʻana i kahi keiki me ke kaumaha o ka hānau a i ʻole ka mea liʻiliʻi no ka makahiki hānau (i kapa ʻia ʻo SGA).

ʻOi aku ka nui o ka makaʻu o nā wahine me RA no ka preeclampsia (ke koko kiʻekiʻe) a ʻoi aku paha ka hele ma waena o ka lawe ʻana i ka ʻāpana cesarean.

He aha nā pilikia ʻē aʻe e kū nei no nā wahine me RA? Pehea lākou e pili ai i ka hoʻolālā ʻohana? Heluhelu mai e ʻike.

Hiki iaʻu ke loaʻa keiki?

Wahi a ka, ʻoi aku ka maʻamau o RA ma waena o nā wahine ma mua o nā kāne.

Ua hoʻomaopopo ke Kulanui ʻAmelika o Rheumatology no nā makahiki, ua ʻōlelo ʻia nā wahine me nā maʻi autoimmune e like me RA e hāpai ʻole. ʻAʻole kēlā ka hihia. I kēia lā, me ka mālama pono olakino, hiki i nā wahine me RA ke manaʻo e kūleʻa i ka hāpai ʻana a hānau i nā pēpē olakino.


E paʻakikī paha ka hāpai ʻana

Ma kahi o 74,000 mau wahine hāpai, ʻoi aku ka paʻakikī o ka poʻe me RA ma mua o ka poʻe me ka maʻi ʻole. Iwakāluakūmālika pākēneka o nā wahine me RA i hoʻāʻo no hoʻokahi makahiki ma mua o ko lākou hāpai ʻana. Ma kahi o 16 pākēneka o nā wahine me ka ʻole o RA i hoʻāʻo i kēlā manawa ma mua o ka hāpai ʻana.

ʻAʻole maopopo i nā kānaka noiʻi inā ʻo RA ponoʻī nō ia, nā lāʻau i hoʻohana ʻia e mālama ai, a i ʻole nā ​​mumū laulaha e kumu ai ka paʻakikī. ʻO kēlā me kēia ala, hoʻokahi hapahā wale o nā wahine i pilikia i ka hāpai ʻana. ʻAʻole paha ʻoe. Inā ʻoe e hana, e nānā me kāu kauka, a mai hāʻawi pio.

E hoʻomāmā hoʻi kāu RA

Hele pinepine nā wahine me RA i ke kala ʻia i ka wā hāpai. Ma kahi noi 1999 o 140 mau wahine, 63 pākēneka i hōʻike e hoʻomaikaʻi i nā hōʻailona ma ka ʻekolu trimester. Ua ʻike ʻia kahi noiʻi ma 2008 ua ʻoi aku ka maikaʻi o nā wahine me RA i ka wā hāpai, akā hiki ke ʻike i nā lapalapa ahi ma hope o ka hānau ʻana.

Hiki mai paha kēia iā ʻoe. Inā pēlā, e nīnau i kāu kauka pehea e hoʻomākaukau ai no nā flare-ups hiki ke hānau ʻia kāu pēpē.


Hoʻokumu paha kāu hāpai i RA

Hāpai ka hāpai i ke kino me ka nui o nā hormones a me nā kemika, i hiki ke hoʻoulu i ka ulu ʻana o RA i kekahi mau wahine. ʻO nā wahine i maʻalahi i ka maʻi e ʻike ia no ka manawa mua ma hope koke o ka hānau ʻana.

Ua nānā ʻia kahi noiʻi ma 2011 i nā moʻolelo ma mua o 1 miliona mau wahine i hānau ʻia ma waena o 1962 a me 1992. Ma kahi o 25,500 i ulu i nā maʻi autoimmune e like me RA. Ua loaʻa i nā wahine he 15 a 30 pākēneka iʻoi aʻe ka makaʻu o ka ʻaelike ʻana i kēia ʻano maʻi i ka makahiki mua ma hope o ka hānau ʻana.

Ka makaʻu o preeclampsia

Hoʻomaopopo ka Mayo Clinic i nā wahine i loaʻa ka pilikia me kā lākou ʻōnaehana pale maʻi i loaʻa i kahi kiʻekiʻe kiʻekiʻe o ka preeclampsia. A ua hōʻike ʻia kahi noiʻi ʻana mai Taiwan mai he nui ka hoʻonui ʻana o nā wahine me RA i kēia ʻano.

Hoʻokumu ʻo Preeclampsia i ke koko kiʻekiʻe i ka wā hāpai. Hoʻopili pū nā pilikia me ka hopu ʻana, nā pilikia o ka hakuʻala, a i nā hihia maʻamau, ka make ʻana o ka makuahine a me / a i ʻole keiki paha. Hoʻomaka ia ma hope o 20 mau pule o ka hāpai ʻana a hiki ke noho me ka ʻole o nā ʻōuli i ʻike ʻia. ʻIke pinepine ia i ka wā o ka nānā prenatal.


Ke ʻike ʻia, hoʻolako nā kauka i ka hoʻonui ʻana o ka nānā ʻana a mālama ʻana ke pono ke ʻike pono ke olakino a me ka pēpē. ʻO ka lāʻau i koi ʻia no preeclampsia ka hānau ʻana o ka pēpē a me ka placenta e pale ai i ka maʻi mai ka neʻe ʻana. E kūkākūkā kāu kauka i nā pilikia a me nā pono e pili ana i ka manawa o ka lawe ʻana.

Ka pilikia o ka lawe manawa

Hiki i nā wahine me RA ke kiʻekiʻe o ka makaʻu o ka lawe manawa. I loko o kahi, ua nānā nā kānaka noiʻi ma ke Kulanui ʻo Stanford i nā hāpai hāpai āpau i paʻakikī ʻia e RA ma waena o Iune 2001 a me Iune 2009. Huina nui he 28 pākēneka o nā wahine i hānau ʻia ma mua o ka hānau ʻana o 37 mau pule, ʻo ia ka wā ma mua.

Ua ʻōlelo ʻia kekahi ma mua he nui ka makaʻu o nā wahine me RA no ka hānau ʻana i nā pēpē SGA a me nā preterm.

Ka makaʻu o ke kaumaha hānau haʻahaʻa

Hiki i nā wahine i ʻike i nā ʻōuli o RA i ka wā hāpai ke ʻoi aku ka makaʻu no ka lawe ʻana i nā pēpē underweight.

Nānā ʻo A i nā wahine me RA i hāpai, a laila nānā i nā hopena. Ua hōʻike ʻia nā hopena ʻaʻole nā ​​wahine me ka "kāohi maikaʻi" RA ʻaʻole i ʻoi aku ka nui o ka makaʻu no ka hānau ʻana i nā pēpē liʻiliʻi.

ʻO ka poʻe i loaʻa ka nui o nā ʻōuli i ka wā hāpai, eia nō naʻe ka nui o nā keiki me ke kaumaha o ka hānau hānau.

Hiki i nā lāʻau ke hoʻonui i nā makaʻi

Hōʻike kekahi mau noiʻi e hoʻomāhuahua paha nā lāʻau RA i ka pilikia o nā pilikia hāpai. Hoʻomaopopo ʻia kekahi mau lāʻau e hoʻololi ai i nā maʻi antirheumatic (DMARDs) hiki ke lilo i mea ʻawahia i kahi keiki hānau ʻole.

Ua hōʻike ʻia ka loaʻa ʻana o ka ʻike palekana e pili ana i nā lāʻau RA he nui a me nā pilikia hānau. E kamaʻilio me kāu kauka e pili ana i nā lāʻau āu e lawe nei a me nā pōmaikaʻi ke hoʻohālikelike ʻia i nā pilikia.

ʻO kāu hoʻolālā ʻohana

Aia kekahi mau pilikia no nā wahine hāpai me RA, akā ʻaʻole pono lākou e kāohi iā ʻoe mai ka hoʻolālā ʻana e loaʻa nā keiki. ʻO ka mea nui e kiʻi i nā loiloi maʻamau.

E nīnau i kāu kauka e pili ana i nā hopena hopena o nā lāʻau lapaʻau āu e lawe nei. Me ka mālama pono prenatal, hiki iā ʻoe ke loaʻa i kahi hāpai maikaʻi a olakino maikaʻi a me ka hānau ʻana.

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