Ukukhulelwa kuhlale kuwumthwalo emzimbeni wesifazane, ngisho noma kugijima ngaphandle kokucindezeleka. Omunye wemibandela yendlela ejwayelekile yokukhulelwa iyancipha ekuzivikelweni. Lokhu kungenxa nje kuphela ekudingeni ukwandiswa komsebenzi wazo zonke izinhlelo, kodwa futhi ukuthi ukwehla kokuzivikela kumthelela ekwenzeni ukuthi i-fetus, okuyiyona into engumfokazi, ngeke isuswe. Kukhona umbuthano ononya ngakwesinye isandla, ukwehla kokuzivikela komzimba kuyadingeka, ngakolunye uhlangothi ukuzivikela okuphansi kungabangela izifo ezithathelwanayo nezinye izifo, futhi kubangele ukuwohloka kwesimo somuntu okhulelwe owesifazane okhulelwe, esingenzi lutho ekuthwaleni kwengane.
Uma kwenzeka izinkinga zokukhulelwa, i-immunoglobulin yomuntu evamile inganikezwa owesifazane. Into esebenzayo yalesi sidakamizwa ikhishwa emzimbeni we-plasma, ihlanzekile futhi igxilwe. Unamakhemikhali we-immunomodulating and immunostimulating. Ukwethulwa kwe-immunoglobulin ngesikhathi sokukhulelwa kusiza ukulwa nezinhlobo ezahlukene zezifo ezithathelwanayo, kuvuselela inani elingafaneleli lama-antibodies e-JgG. Lokhu kubalulekile ikakhulukazi kwabesifazane abane-immunodeficiency yokuqala. Kodwa-ke, kunoma yikuphi, i-immunoglobulin yomuntu ngesikhathi sokukhulelwa inqunywe ngokuvumelana nezinkomba eziqinile, uma kwenzeka kuyadingeka ngempela.
Uma kukhona impikiswano ye-rhesus phakathi komama nomntwana (okwenzeka lapho owesifazane engama-Rh, futhi ingane ekhulelwe iR Rh-positive), i-anti-D-immunoglobulin (i-immunoglobulin ephikisayo) iyalulwe.
Uma kunesidingo, i-immunoglobulin yomuntu iphathwa kusukela ekukhulelwe kokuqala, futhi i-immunoglobulin ephikisayo ihlose ukuvimbela ukungqubuzana kokukhulelwa kwesibili nokulandela. Eyokuqala - impikiswano ye-Rh ayiqhubeki ngoba umama akakaze athuthukise ama-antibodies amaningi ku-antigen. Umama, ama-antibodies akhiqizwa nguye, angenzi lutho olulimazayo, kodwa umthelela wabo kumntwana ungaba yingozi. Usongela ukuba azalwe ngokukhubazeka okukhulu kwengqondo, ukulimala kwengqondo, ne-hemolytic jaundice enzima. Ngakho-ke, i-anti-D-immunoglobulin kufanele iphathwe zingakapheli amahora angu-72 emva kokuzalwa kokuqala. Uma ukukhulelwa kokuqala kwakunqunywe ukukhipha isisu, ukukhubazeka nganoma yisiphi isikhathi, amniocentesis noma ukulimala kwesisu, lapho kwakungenzeka khona ukuthola igazi lesifubha egazini likaMama, futhi uma igazi ligaxwa ngegazi elihle le-Rh, ukufakwa kwesifo se-immunoglobulin kubuye kuphakanyiswe ekukhulelweni kokuqala. Kungcono ukuba ngaphansi kokuqondwa kukadokotela futhi njalo uthathe ukuhlolwa kwegazi ngenxa yokuthi kukhona ama-antibodies, kanti uma usongela i-Rh-mpikiswano, thatha izinyathelo ezidingekayo. Ngezinye izikhathi ingozi ye-rhesus ingxabano nayo ikhona ngeviki lama-28 lokukhulelwa, okuzobonakala ngenkathi kuhlolwa. Kulesi simo, i-immunoglobulin ingeziwe.
I-immunoglobin ilawulwa ngendlela ye-injection ye-intramuscular noma i-drift intravenously. Isilinganiso sibalwa udokotela ngokuqondile. Ngemuva kokusungulwa (ikakhulukazi owokuqala), imiphumela emibi ingabonwa:
- ukuphefumula, ukukhwehlela owomile, bronchospasm;
- izimo ezibuhlungu: isicashu, ukuhlanza, ubuhlungu esiswini;
- ubuthakathaka jikelele, ukulala;
- i-tachycardia nobuhlungu esifubeni;
- ama-aches emajoyini;
- ukukhwabanisa kwesikhumba, ukuhlakulela nokunye.
Ngaphezu kwalokho, umphumela walesi sidakamizwa emzimbeni wesifazane okhulelwe kanye ne-fetus akufundiwe kahle. Ngakho-ke, ukufakwa kwe-immunoglobulin ngesikhathi sokukhulelwa kuyadingeka kuphela lapho ingozi yesifo iphakeme kunengozi yokuphathwa kwezidakamizwa.
I-Herpes nokukhulelwa
I-herpes virus inomzimba wayo iningi labantu. Ekukhulelwe, izimo ezihle zokukhushulwa kwezifo ezithathelwanayo ziyadalwa. Kuyingozi kakhulu uma umama ozayo ehlaselwa ne-herpes ngesikhathi sokukhulelwa,