Indlela yokulungiselela ukukhulelwa, ukuze konke kuhambe kahle?

Efuna ukukhuthazelela nokubeletha ingane enempilo, abesifazane bavame ukuzibuza ukuthi bangalungiselela kanjani ukukhulelwa. Ake sicabangele le nqubo ngokuningiliziwe, ukugqamisa amaphuzu amakhulu, imithi esetshenzisiwe, izigaba zesikhathi sokulungiselela.

Ukulungiswa kwe-Pregravid kokukhulelwa - kuyini?

Leli gama elithi "pre preparation for pregravidar" lisetshenziselwa ukuchaza isethi yezinyathelo ezihloswe ekusebenzeni okulungile kwezinto eziphilayo, okubangela ukuqala kwenqubo yokubeletha. Incazelo yasungulwa ngokuhlanganisa izimbangi ezimbili zokwenziwa: "pre" - eyandulelayo, kanye nesiLatin "gravida" - okhulelwe. Inqubo ngokwayo iqukethe izinyathelo eziningana, phakathi kwalapho ochwepheshe ekuhleleni komndeni bahlukanise:

• incazelo yemibandela evumelekile yokukhulelwa ;
• ukuhlola isimo sezempilo sabazali besikhathi esizayo;
• Ukulungiselela ukukhulelwa okuzayo;
• Ukunqunywa kwezinsuku ezifanele zokukhulelwa kweqanda .

Ekhuluma ngendlela yokulungiselela ukukhulelwa, odokotela batusa ukuqala inqubo kungakapheli izinyanga eziyisithupha ngaphambi kosuku oluhleliwe lokukhulelwa. Lesi sikhathi kudingekile ukuhlolwa okuphelele kwabesilisa nombili, ukwelashwa kwezinqubo eziqhamukayo ezithathelwanayo nezokuvuvukala emzimbeni. Ngokushesha bangaba yisithiyo ekuzalweni kwengane encane.

Ukulungiselela ukukhulelwa - ukuqala kuphi?

Ukulungiselela umzimba ukukhulelwa kufanele kuqale ngokuhlolwa okuphelele kwezitho. Ngesikhathi esifanayo, kunakekelwa kakhulu esimweni sokuzala, kokubili umama nobaba esizayo. Ngaphezu kwalokho, ukuhlolwa kokuvimbela kwalezi zengcweti njenge:

• i-endocrinologist;
• i-cardiologist;
• oculist;
• i-neuropathologist;
• udokotela wamazinyo.

Ngesikhathi esifanayo, abazali abazayo bathatha ukuhlolwa okubonisa isimo nokusebenza kwezinhlelo zangaphakathi:

• ukuhlolwa kwegazi (jikelele kanye ne-biochemistry);
• ukuguqulwa kwamanzi;
• ukuzimisela kwezinga lamahomoni;
• i-smear e-urethra kanye nesiswini (kwabesifazane);
• ukutadisha igazi nge-syphilis nezinye izifo zocansi.

Indlela yokulungiselela ukukhulelwa kwengqondo?

Amantombazane amancane ahlela ukuba omama ngokuvamile ayenesithakazelo ekuphenduleni umbuzo wendlela yokulungiselela ukukhulelwa kokuziphatha, ukuzivumelanisa nenqubo ende futhi enomthwalo wemfanelo. Izazi zengqondo ziphawula ukuthi ngokuqondile isimo sengqondo, izinkolelo zabesifazane ngokuvamile zixhomeke endleleni yokukhulelwa. Imibandela edingekile yilezi:

1. Ukunciphisa izimo ezicindezelayo. Ngaphansi kowesifazane obhekana nokuhlangenwe nakho nokucindezeleka, impilo yakhe engcono, engenakubonakala kodwa esimweni sesimiso sokuzala. Isizinda sangempela se-hormone yisisekelo sokukhulelwa ngokushesha.
2. Ukunciphisa ukukhathazeka ngekusasa. Owesifazane kufanele azizwe eduduzeka futhi ajabule lapho ebuka izinhlelo zakhe, ikusasa. Umzimba uhlelwa ngendlela yokuthi awubekezelele izinguquko ezinzulu ezidinga ukulungiswa kwemvelo, izinguquko endleleni kanye nokuhlelwa kosuku. Ngenxa yalokhu, kubalulekile ukunciphisa izinga lokushintsha kwesikhathi esizayo embonweni womuntu siqu, kuqala ukujwayela izinguquko zesikhathi esizayo esesiteji sokuhlela izingane.

Amavithamini wokukhulelwa kokukhulelwa

Ukulungiselela ukukhulelwa ngaphambi kokukhulelwa kuhilela ukuthatha imithi kanye nezidakamizwa ukukhuthaza uhlelo lokuzala. Indawo ekhethekile phakathi kwemithi enjalo isetshenziswa yi-vitamin complexes. Ukwamukela odokotela babo kunconywa ukuba kuqale izinyanga ezingu-3-6 ngaphambi kokucubungula okuhleliwe. I-vitamin ephoqelekile yi-folic acid.

Lesi sakhi sithinta kahle izinqubo zokuzala, kusiza ukuthwala ingane enempilo. Odokotela batusa ukudla ama-400 μg we-folic acid njalo emahoreni angu-24. Ukwamukelwa kuqhutshwa futhi ngemuva kokuqala kokukhulelwa, kufika emavikini angu-12 kubandakanya. Ngaphezu kwe-folic acid, amavithamini alandelayo ayabalulekile kumama ozayo:

• E - imfuneko yansukuzonke ye-100-300 IU;
• i-vitamin D - 400 IU ngosuku;
• I-K - 1 mg;
• i-vitamin A - 3000 IU;
• C - 60 mg.

Ukulungiswa kwangaphambi kokuvuthwa - Izidakamizwa

I-folic acid ekulungiseleleni ukukhulelwa akuyona i-vitamin kuphela edingekayo ngomzimba. Ngokuqondene nabomama esizayo, kulungiselelwe amalungiselelo e-vitamin amaningi, okucabangela imfuneko yansuku zonke. Amavithamini alinganiselayo kanye nezakhi zokulandelela. Lokhu kuqeda isidingo semithi eminingi. Phakathi kwezindlela ezidumile:

• Ama-alfabeti wabesifazane abakhulelwe;
• I-Bio-max;
• I-Vitrum ngaphambi kokubeletha ;
• Gendevit dragees;
• Complivit Trimestrum 1;
• I-Materna;
• Selmevit;
• Femibion;
• I-Elevit Prenatal;

• Izinyanga ezingu-9.

Ukulungiselela ukukhulelwa - ukuhlolwa

Ukuze ulungiselele kahle ukukhulelwa futhi ungaphuthelwa izikhathi ezibalulekile, owesifazane kufanele axhumane nesikhungo sokuhlela ukukhulelwa. Lokho kusebenza emadolobheni amakhulu. Uma engekho, owesifazane ofuna ukuba ngumama angafaka isicelo sokubonisana kwabesifazane endaweni yabo yokuhlala. Ucwaningo luqala ngokuvakashela ochwepheshe bamazinyo nokuhlolwa esihlalweni. Ngesikhathi esifanayo, ama-smears aqoqwe kwi-microflora kusuka kwesiswini kanye nesifo somzimba ukuveza izifo ezingapheli ohlelweni lokuzala nokutheleleka. Owesifazane uhlolwe nge:

• ureaplasmas ;
• i-chlamydia;
• mycoplasma.

Ngokuqondile lezi zifo-mzimba ngokuvamile ziyisivimbelo ekukhuleleni okujwayelekile. Khona-ke intombazane inikezwa isiqondiso socwaningo:

• igazi elivamile;
• i-biochemistry;
• ukuhlaziywa komchamo.

Ngokufanayo, iqembu legazi ne-Rh factor lisetshenziselwa ukukhipha izinkinga ezifana ne-Rh-impikiswano. Ezinye izifundo ezigunyaziwe ngaphambi kokuhlela ukukhulelwa zihlanganisa:

• ukuhlaziywa kwesifo sofuba;
• ucwaninga nge-syphilis (RW);
• ukuhlaziywa kwe-toxoplasmosis;
• ukuhlaziywa kwe-cytomegalovirus;
• funda nge-rubella.

Ukulungiselela ukukhulelwa - ukudla

Ukudla okungakapheli ngaphambi kokukhulelwa kwengane kungenye yezimiso zokukhulelwa okuphumelelayo. Ngakho odokotela belulebisa izinyanga ezintathu ngaphambi kokuqala kwenqubo yokukhipha ngokuphelele imikhiqizo equkethe izidakamizwa, izithako zokwenziwa. Ukudla okusheshayo, nezitsha zokugcoba, u-salting, ukubhema kufanele kususwe etafuleni. Kunzima ukugaya, cishe akuzona izinto eziwusizo. Kulezi zindlela zokukhiqiza izidakamizwa zeluleka ukuba zifake:

• imifino emisha;
• isithelo;
• imikhiqizo yobisi;
• inhlanzi;
• inyama enamafutha aphansi.

Indlela yokulungiselela ukukhulelwa emva kweminyaka engama-40?

Ephendula umbuzo wesifazane mayelana nendlela yokulungiselela kahle ukukhulelwa ngalesi sikhathi, odokotela bathi ukukhulelwa ngokwawo akusifisi. Ukwesaba odokotela kuhlotshaniswa nezinguquko ezihlobene nobudala ohlelweni lokuzala. Abesifazane abaye banquma ukuba nomntwana, odokotela batusa ukuhlolwa okuphelele kwe-laboratory.

Ngaphandle kwezifundo ezijwayelekile, ama-smears, ngaphambi kokuthi ulungiselele ukukhulelwa, kunconywa ukuba uthintane nesikhungo sofuzo. Emva kweminyaka engama-40, amathuba okuthuthukisa ukukhubazeka kwezakhi zofuzo kanye nezifo ezibelethwe ebusweni kukhula ngokuphawulekayo. Ngemva kokuthola isiphetho sesazi, ukwamukelwa kwakhe, umama wesikhathi esizayo angahlela ukukhulelwa. Uma udokotela ekhuluma ngengozi enkulu yokukhubazeka, kubalulekile ukuba ubaleke ekukhulelwe.

Indlela yokulungiselela ukukhulelwa emva kokukhulelwa okuqinile?

Ebhekene nentuthuko yokukhulelwa kwentombazane, efuna ukugwema ukuphindaphindiwe kwezinkinga, lo wesifazane unesithakazelo sokulungiselela ukukhulelwa esikhathini esizayo. Amaphuzu aphambili ale nqubo yilezi:

• ukuhlonza imbangela eyabangela ukwephulwa;

• ukuhlolwa kwamahomoni;
• smear kusuka kwesifazane ukuze uthole ukutheleleka;
• I-ultrasound yezitho zomzimba;
• ucwaningo lwezofuzo;
• ukuqedwa kwesici esashukumisa.

Indlela yokulungiselela ukukhulelwa emva kokukhulelwa kwesisu?

Ukuba nesithakazelo kudokotela mayelana nendlela yokulungiselela ukukhulelwa emva kokukhipha isisu, owesifazane uthola njalo izincomo mayelana nesidingo sokuvikelwa. Kungakapheli izinyanga ezingu-6, izifo zezinkinga zokubeletha azikhuthazi ukuhlela ukukhulelwa okusha. Kudingeka isikhathi esiningi sokubuyisela ngokuphelele uhlelo lokuzala esimweni sawo esivamile. Ngalesi sikhathi, kwenziwa ucwaningo ukuze kutholakale imbangela yokukhulelwa kwesisu nokuqeda izici ezicasulayo. Ekhuluma ngendlela yokulungiselela ukukhulelwa okuphindaphindiwe, odokotela bakhombisa isidingo semisebenzi elandelayo:

• ukuhlolwa kwezinto eziphilayo;
• ukuhlolwa kwegazi ukuvala i-clotting;
• ukunquma izinga leHCG egazini;
• ukuhlaziywa kwama-antibodies;
• isifundo se-karyotype;
• I-ultrasound ye-pelvis encane;
• ukuhlolwa kwegazi ngamahomoni: T3 no-T4.