Kubalulekile kukuba inani lokuzalwa ngaphambi kokuzalwa lixhomekeke ngqo kwilizwe, kumgaqo-nkqubo olandelwa nguRhulumente ngokubhekiselele ekuncediseni ukubeleka nokunciphisa iziganeko zokuzalwa kwangaphambi kokuzalwa, kunye nepropaganda ehlabathini kwi-OP, ezemidlalo kunye nokulahla kotywala kunye nocuba.
Kubalulekile ukuba iimeko zokusingqongileyo kunye nommandla apho umama ozayo ehlala khona, ukunyamezela kwakhe kunye nokutya okunempilo, kungekhona nje ngexesha lokukhulelwa, kodwa nangemva kokubeletha. Yintoni ekuzalweni kwangaphambi kokuzalwa? Oku kukuzalwa okwenzeka kwiiveki ezingama-28-37. Kwaye ukuzalwa okwenzeka kwangaphambili kwiiveki ezingama-28 zokukhulelwa, okubizwa ngokuba yimiphumo yokukhulelwa komzimba.
Ubungakanani obukhulu bokupheliswa kokukhulelwa ngumbutho wenkxaso yeeveki ezingama-34 ukuya kuma-37, kwaye kwithuba elidlulileyo, amathuba anokuba ngamaxesha angaphantsi kwe-10.
Indlela yokukhusela
Ukukhulelwa kubaluleke kakhulu kwaye kuthatha isinyathelo esinobulungisa kumfazi onika ubomi. Umama ozayo kunye nobawo kufuneka baxoxe ngendlela enyamekele ngayo le ntsapho ibalulekileyo, ngaba bazimisele ukunikela ixesha labo namandla kumntwana. Ukuba impendulo ifanelekile kwaye abazali bafuna ngenene ngenjongo yokufumana ukuzaliswa kwintsapho, ngoko kufuneka ulungelelanise ukukhulelwa.
Oko kufuneka uyenze ngaphambi kokuba ukhulelwe:
- Yiya kwi-gynecologist kwaye ufumane uviwo olupheleleyo lwezonyango, yenza i-ultravic acid encinci.
- Ukufunda iphrofayili yakho ye-hormonal, ukubonakalisa izinga le-androgens kunye ne-estrogens. Xa kwenzeka ukuphazamiseka kwe-hormone, kufuneka uqhagamshelane ne-endocrinologist.
- Gcwalisa uviwo olupheleleyo kubo bonke oogqirha kwaye, xa kwenzeka ukufumana iintsholongwane, zifumana unyango oluyimfuneko.
- Ukuba ekukhulelweni kwangaphambili umama wayenakho ukungaqiniseki komlomo (ICI), ngoko kuya kufuneka ukuba uqhube uphando, ukuchonga izizathu kunye nokuzicima.
- Kufuneka uqaphele i-Rh yakho. Xa kunokwenzeka ukungabi nalutho, kubalulekile ukugcina ukukhulelwa kokuqala. Ukuba oku akunakwenziwa ngenxa yesizathu esithile, emva kokukhipha isisu okanye ukuphazamiseka kokukhulelwa kwe-ectopic emva kweeyure ezingama-48 emva kwenkqubo, kubalulekile ukuzisa i-immunoglobulin engaphiliyo. Isenzo esifanayo sifanele senziwe ukuba unina onenkcenkceshela yeR Rh wazalela umntwana onomdla ophezulu.
- Khangela kwaye uqale unyango lwezilwanyana zamazinyo, isifo sikashukela, isifo se-thyroid, izintso, isibindi.
- Ukuba ukukhulelwa kwenziwa ngu-IVF (kwi-vitro fertilization), ukukhulelwa okuphezulu kuya kuba phezulu, okuya kuthi kubangele ukugqithiswa komzimba wesibeleko, oko kungakhokelela ekusileleni kwe-NI.
Kwamanye amazwe angaphandle, ngaphambi kokuba inkqubo ye-IVF, isigulane, emva kokubamba, isetyenziswe ekunciphiseni umngcipheko wokuzalwa ngaphambi kokuzalwa. E-Russia, i-sutures iyasetyenziswa kuphela kwiinjongo zokwelapha, ukuba i-ultrasound ibonisa iimpawu ze-ICI.
Kulo lonke ixesha lokukhulelwa:
- Umama ozayo kufuneka ahlolwe rhoqo kwi-obstetrician.
- Ukuba unina unentsholongwane ye-somatic, ke kufuneka uhlolwe ngoluphi uphando kwaye ulandele ngqo iziphakamiso zakhe.
- Iingazi ezinegazi "ezingenanto" okanye ukusola ngxabano kaRhesus mazibekwe iliso nyanga zonke kwixesha elipheleleyo lokukhulelwa, i-title ye-antibodies ye-Rh kwaye, ngaphezu koko, ukwenza i-ultrasound ukuba ifumane isifo se-hemolytic embryo, ukususela kwiveki ye-20 yokukhulelwa.
- Ukuba kukho ukuphakama okuphezulu kokungena kwiqela lemingcipheko yokuvela kwe-NIH, ke kufuneka kubekho i-ultrasound ezimbini ukufumanisa ukunciphisa umlomo wesibeleko. Iyokuqala ibanjwe kwixesha leveki ezi-14 ukuya kwe-18, iiveki zesibini-19-24.
Ukuba unina une ICI, le nkqubo ilandelayo iyenziwa:
- Izitambo zifakwa kwi-cervix, ukususwa okwenzeka ngokukhawuleza ngaphambi kokubeleka. I-Sutures isetyenziswe ngeendlela ezimbini: ukufikelela kwe-laparotom - kwisisu, ngokusesikweni-ngokusebenzisa ubulili.
- Ukumiselwa kwe-obstetric discharge pessary, ukubuyisela kwakhona uxinzelelo lweqanda lomntwana, okwenza kube lula ukukhupha umlomo wesibeleko. I-Pessary yenziwe nge-polyethylene, kunye nokuvulwa kwendawo evala umlomo wesibeleko somlomo wesibeleko.
Ukongeza kuzo zonke ezi ngasentla, ukusekwa kwethemba, ukufudumala nokuphefumula kwintsapho kuyadingeka. Umama akanakuphazamiseka, phantsi kweemeko ezinzima. Ungavumeli ukuba iimvakalelo eziphazamisayo zokuphazamiseka ziphazamise ngokupheleleyo umdla wokulindela umntwana.
Ungakhange uzalise ibhinqa akufanele ukothuswe "ngamabali amahle" malunga naluphi uhlobo lokuzalwa olunzima abanye babo. Umzimba ngamnye uhlukile, uhlukile. Ukuzalwa komntu kubakho ngokuphindwe kabini, kwaye umntu unenkathalo enzima. Nangona abafazi ababelethayo bangasongela "omtsha" kulo mbandela, ngoko musa ukuyeka nabantu abanjalo, bayeke le ngxoxo. Musa nje ukuphazamisa imibono yakho yengqondo yee-intanethi ngokuxilongwa kunye nevidiyo. Kwimeko yokugula akudingeki ukuba uhlolisise wena kwaye ngaloo ndlela uyisongela kunye noyise womntwana, kufuneka nje uhambe ugqirha. Kubaluleke kakhulu ukutya ngexesha lokukhulelwa. Kubalulekile ukushiya i-obkolbas, i-sausages, iimveliso ezahlukahlukeneyo ezigqityiweyo, zikhona iimveliso zobisi ezininzi, ubuqili ixesha lokukhulelwa emgodini lubeka umthwalo onzima.
Kwaye enye into. Abasetyhini ngexesha lokukhulelwa njengoko bengaludingi inkxaso kunye nokunakekelwa, ingqwalasela kunye nokunceda kubantu abasondeleyo. Indoda kufuneka ihlale ihamba nomfazi wayo okhulelwe, uthethe naye, inkxaso, uthethe ukuncoma, uthethe kwaye uphulaphule isisu. Oku kuya kunika imvakalelo emnandi kubazali besikhathi esizayo.