Ukulinda ingane kuyisikhathi esibaluleke kakhulu, ngakho-ke, ngisho nalapho uhlela ukukhulelwa, kukhona uhlu lwezivivinyo eziqondile okudingeka zinikezwe kusengaphambili. Uma umndeni wanquma ukuba nomntwana, kufanele uqale uthintane nodokotela futhi uhlolwe bobabili bomshado. Ngaloluhlolo lwezokwelapha, udokotela kumele anikeze uhlu olulandelayo lwezivivinyo ezidingekayo lapho ehlela ukukhulelwa :
- Ukuhlaziywa kwezifo zemvelaphi yegciwane ne-bacterium, ehlanganisa:
- i-rubella : uma izifo zokulwa nezifo zingatholakali, khona-ke kudingeka udonse futhi uhlele ukukhulelwa hhayi ngaphambi kwezinyanga ezintathu;
- i-herpes ne-cytomegalovirus : ukuhlolwa kudingekile ukuze kuvinjelwe ukubonakala kwezi zifo ngesikhathi sokukhulelwa futhi kunqume ukuba khona kwama-antibodies egazini okufanele livikele umntwana ozayo;
- i-toxoplasmosis : lokhu kuhlaziywa kwenziwa ukuze kutholakale ama-antibodies ku-agent ye-causative yesifo. Uma kungekho, khona-ke udinga ukunciphisa ukuxhumana nezilwane, ikakhulukazi namakati. Ngoba i- toxoplasmosis , eyabonakala ngesikhathi sokukhulelwa, ingalimaza kakhulu ingane (ngisho iholela ekumpumputhe). Kodwa ngamacala angu-90%, abanikazi bezilwane baye bagula ngesifo esinjalo, futhi banomkhuhlane, ngakho-ke akufanele ukwesabe;
- i-chlamydia, i-ureaplasmosis, i-mycoplasmosis ne-gardnerellez : ukuba khona kwalezi zifo kuyandisa kakhulu ingozi yokukhulelwa kwesisu. Ngakho-ke, uma zitholakala, kudingekile ukuba zithole inkambo yokwelapha.
Yiziphi izivivinyo okufanele ngizinike abesifazane abakhulelwe?
Ngemuva kokubhaliswa, umama ngamunye ozayo emtholampilo unikezwa ikhadi. Kulesi shadi kukhona uhlu lwezivivinyo ezidingekayo ezidingekayo ekukhulelwe. Futhi kuleli khadi kunemibhalo ebhaliwe, nini futhi yiziphi izivivinyo okudingeka uzithathe ngesikhathi ukhulelwe.
Ngakho, uhlu lwezivivinyo ezigunyazayo zokukhulelwa:
- Ukuhlola igazi nge-hepatitis, i-HIV, i-RW - kusiza ukugwema ukucindezeleka kokukhulelwa kanye ne-pathologies ye-fetal;
- ukuhlolwa kwegazi okuvamile, umchamo noshukela - kwenza kube lula ukuthola isifo sikashukela (uma kukhona isifo esinjalo), kanye nokuhlola umsebenzi wezinso;
- i-smear esuka ekhaleni - kusiza ukuthola ukuthi kukhona ukutheleleka kwe-staph okuyingozi esikhathini esizayo sezingane;
- I-smear evela ku-anus ne-vaginal - isandla phezu kokuthola ukutholakala kwezifo zocansi.
Lolu hlu lwezivivinyo luyompoqo, kodwa ukuhlolwa okwengeziwe kungenziwa kunqunywe owesifazane ngamunye ngesikhathi sokukhulelwa. Kuncike esimweni nasesimweni somzimba wesifazane okhulelwe.