Ukwazi isidingo salo, akubona bonke omama abazayo abanomqondo wokuthi yiziphi izinhlobo zokuhlola okudingeka udlule ngenkathi uhlela ukukhulelwa esikhathini esizayo. Ake sicabangele le nqubo ngokuningiliziwe, sitshele ngalunye lwezifundo ngokwahlukana.
Yiziphi izivivinyo okufanele ngizithathe ngokushesha ngaphambi kokuhlela ukukhulelwa?
Njengoba wazi, ngokuthuthukiswa kokukhulelwa umzimba wesifazane uhlangabezana nemithwalo enkulu. Ngenxa yalokhu, ukuxilongwa kwesimo sezingxenye ezisemqoka zesilwane sowesifazane akubaluleke kakhulu. Lokhu kusiza ukugwema izinkinga kakade phakathi nokukhulelwa.
Inqubo yokuhlela ukukhulelwa ngokuvamile ithatha izinyanga ezingu-2-3. Lesi sikhathi sichazwa, okokuqala, ngokuthi izinhlobo ezithile zocwaningo kumele zenziwe ngesikhathi esithile sokujikeleza esikhathini.
Okufanelekile, ngaphambi kokuba uhlolwe ukuhlela ukukhulelwa, ukuhlonza isimo somfazi, kubalulekile ukuvakashela odokotela abanjengomuthi, i-ENT, udokotela wamazinyo, umjozi wezinkinga zokubeletha, futhi uma kunesidingo, ochwepheshe abancanyana kakhulu.
Kwezinye izimo, ngaphambi kokuba inkampani izame ukukhulelwa, odokotela bancoma ukwenza izinhlobo ezithile zokugoma, phakathi kwazo - ngokumelene ne-rubella, isibindi se-hepatitis B. Futhi kunesidingo sokuqhuba ukukhulelwa ukuhambisana nokuhlolwa kokuhambisana. Banikezwa abashadile abangakwazi ukukhulelwa umntwana isikhathi eside. Into esemqoka kulolu cwaningo ucwaningo ngencazelo ye-Rh factor.
Kungemva kokudlula ochwepheshe bangase baqale ukuhlola. Ngakho-ke, okokuqala, lapho uhlela ukukhulelwa, abesifazane bahlolisisa ukutheleleka okuqhubekayo (okuqhubekayo okuqhubekayo): i-chlamydia, i-mycoplasmosis, i-ureaplasmosis, i-gonorrhea.
Uma ukhuluma ngokujwayelekile, uhla lwezinhlolovo ze-laboratory oluqhutshwa ngesikhathi sokuhlela ukukhulelwa, ngokuvamile lubonakala kanje:
- ukuhlaziywa kwegazi kanye negazi jikelele;
- ukuhlaziywa kwi-rhesus neqembu legazi (abalingani baphinde bahlangane ndawonye);
- ukuhlaziywa kwencazelo yesifo socansi (bobabili abashadile bayeka);
- ukuhlolwa kwegazi ngenxa yokutholakala kwe- TORCH-infections;
- ukuhlaziywa okujwayelekile komchamo;
- igazi ukucacisa izinga likashukela.
Futhi kubalulekile ukusho ukuthi lolu hlu lungasulwa uma umama ongenakwenzeka enezifo ezingapheliyo, futhi uma bebheka ukuthi lezi zifo zitholakale. Ngakho-ke, i-hormone ihlaziya ngesikhathi senqubo yokukhulelwa ikhulelwe ezimweni lapho abesifazane banenkinga yokukhulelwa noma banomlando wezifo ezingavamile.
Yiziphi ezinye izifundo ezingenziwa esiteji sokuhlelwa kokukhulelwa nokuthi yiziphi izimo?
Izivivinyo zofuzo zokuhlela ukukhulelwa ziboniswa kuphela ezimweni ezithile. Phakathi kwabo kukhona:
- ukutholakala emndenini womzali oyedwa wezizukulwane ngezihlobo ezinesifo esiyingqayizivele (Down Syndrome, isibonelo);
- ukutholakala kokuhlukumezeka
ku-anamnesis, kanye nalawo amacala lapho abantwana bezalwa befile; - iminyaka yabazali besikhathi esizayo ingaphansi kweminyaka engama-18;
- ukutholakala kokuxhumana okuhlobene (igazi) phakathi kwalabo abashadile.
Ngakho-ke, kungashiwo ukuthi uhlu lwezivivinyo eziphoqelekile ekulungiseleleni ukukhulelwa akuyona into enhle kakhulu. Noma kunjalo, konke kuncike ukuthi ngabe abashadile banezifo ezingelapheki. Kumele futhi kuqaphele ukuthi ukulethwa kwezivivinyo kumadoda ngesikhathi sokukhulelwa akuyona igunya futhi kuvame ukwenziwa kuphela ngezinkinga zokukhulelwe. Ezimweni ezinjalo, ucwaningo oluyinhloko oluqhutshwa emadodeni luhlolo lwegazi lwe-hormone ne-spermogram.