Ngaphezu kwalokho, lapho uhlela ukukhulelwa, kuzodingeka udlulise konke ukuhlolwa okuyinkimbinkimbi, kokubili okumele kwenziwe yibo bobabili bomshado. Yiqiniso, uhlu lwacwaningo oludingekile kowesifazane ozayo lufinyelele kunomama ozayo, kodwa indoda akufanele ibe yinto engathandeki ngalolu daba, ngoba bobabili abazali banomthwalo wempilo yengane. Kulesi sihloko, sizokutshela ukuthi yiziphi izivivinyo okufanele zithathwe uma uhlela ukukhulelwa ukuze ube nesithombe esiphelele futhi uma uthola ukuphutha kuthatha izinyathelo.
Uhlu lokuhlola okufanele lithathwe uma uhlela ukukhulelwa kwabesifazane namadoda
Inkathi yokulungiselela ukukhulelwa nokuzala ingane ngokuvamile ithatha izinsuku ezingu-90 kuya kwezingu-180. Okwamanje, uma umuntu oyedwa noma ababili beba nezifo ezingelapheki, lesi sikhathi singase senyuke kancane. Esimweni esijwayelekile, uhlu lokuhlolwa koomama lapho uhlela ukukhulelwa kanje:
- Smear on the microflora wesifazane;
- I-swab evela emgodini womlomo wesibeletho ongasibona isimo esinembile;
- ukuhlolwa kwegazi ukuhlonza iqembu kanye ne-Rh factor;
- ucwaningo olunzima ngokutheleleka okufihlekile - chlamydia, ureaplasmosis nokunye;
- ngokuqokwa kukadokotela - i-ultrasound;
- i-coagulogram yokuhlola amanani okugcoba;
- ukuhlaziywa okujwayelekile komchamo;
- ukuhlolwa kwegazi jikelele kanye negazi;
- colposcopy. Uma owesifazane ngaphambilini ekhonjiswe ukuthi une-erosion, noma uma kunezinye izizathu zokuhlola isimo se-vagin kanye nomlomo wesibeletho, lolu cwaningo luyisibopho;
- izifundo ezihlukahlukene zofuzo ukuze zibone ukuthi kungenzeka yini umntwana onesifo se-Down kanye nezinye izifo ezinzima. Lezi zivivinyo aziklanyelwe wonke umuntu, kodwa kumele zenziwe uma umbhangqwana oshadile unezingane eyodwa ezigulayo uma owesifazane ebekade elele umntwana, futhi uma umama, ubaba noma bobabili abazali bekhulile kunama-40;
- ukuhlolwa kwe- HPV, i- syphilis, i-gonorrhea, ukutheleleka nge-HIV nesifo sofuba esibhedlela, kanye nokutheleleka kwe-TORCH - i-toxoplasmosis, i-herpes, i-rubella ne-cytomegalovirus. Kuzo zonke izimo, kuyadingeka ukuba kuhlolwe kokubili ukutholakala kwegciwane ngokwayo egazini, kanye namagciwane okulwa nalezi zifo;
- izivivinyo zamahomoni - testosterone, progesterone, prolactin, thyroxine, i-hormone ye-thyroid-stimulating, i-triiodothyronine nezinye. Namuhla, izifundo ezinjalo zenzelwe ngokuphelele abesifazane bonke abafuna ukulungiselela isikhathi sokukhulelwa. Kubaluleke kakhulu ukwazi okuqukethwe kwamahomoni egazini lomama ozayo esikhathini esingaphezu kuka-35 uma unezikhathi ezingavamile futhi ezibuhlungu, futhi uma engakwazi ukuzikhulela isikhathi eside.
Yiziphi izivivinyo okudingeka uzinike indoda uma uhlela ukukhulelwa?
Ubaba ozayo kufanele futhi ahlolwe, okungukuthi:
- uhla olugcwele lwezifundo nge-STI ne-TARC;
ucwaningo lwezinto eziphilayo; - ukuhlaziywa okujwayelekile komchamo;
- ucwaningo lwezofuzo;
- i-spermogram;
- ukuhlolwa kwegazi jikelele ngokuzimisela kweqembu ne-Rh factor.
Ngaphezu kwalokho, uma ukukhulelwa kungenzeki ngokwemvelo kungakapheli unyaka, ungase uceliwe ukuba uthumele isethi yokuhlolwa kokuhambisana. Ucwaningo olunjalo lubiza kakhulu, ngakho-ke lwenziwa nje njengesenzo sokugcina.