Lungiselela ukukhulelwa emva kokukhulelwa kwesisu

Lungiselela ukukhulelwa emva kokukhulelwa kwesisu akumele kube ngowesifazane kuphela, kodwa umlingani wakhe. Yini okufanele ikhunjulwe nokuthi yini okufanele umlingani ngamunye akwenze uma lo mbhangqwana unquma ukuba ngabazali abajabulayo, ikakhulukazi uma ukulungiselela ukukhulelwa kuyenzeka ngemuva kokukhulelwa kwesisu?

Uma, kuze kube manje, akukho cwaningo olwenziwe ukuze kutholakale uhlobo lwegazi lomuntu nowesifazane, i-Rh factor, isinyathelo sokuqala ngokuqondile. Uma owesifazane enesici esihle se-Rh, futhi indoda ingalungile, ngakho konke kuhambisane, akukho isizathu sokukhathazeka. Uma, ngokuphambene nalokho, owesifazane ubonisa i-Rh factor negative, futhi indoda yakhe-positive, khona-ke kungenzeka kube khona ukuxabana kweRh. Yingakho kuyinto efiselekayo kwabesifazane ngaphambi kokukhulelwa ukwenza ukuhlolwa kwegazi ukuthola izakhi zokulwa ne-Rh factor. Lokhu kungenxa yokuthi uma ngaphambi kokukhulelwa owesifazane wayenomsebenzi wokuhlinza (isisu, ukubeletha, ukumpontshelwa igazi, njll), khona-ke kungenzeka ukuthi ama-antibodies akhiwa egazini labesifazane. Uma owesifazane one-rhesus engathandeki egqoka ingane ene-Rh factor, khona-ke kukhona ingozi yokuthuthukisa izifo zomzimba (isibonelo, isifo se-hemolytic). Ukuvimbela izinkinga, i-antiresus gammaglobulin ifakwe kugazini labesifazane abakhulelwe.

Isinyathelo esilandelayo ukuhlinzekwa kwezivivinyo ze-hepatitis B ne-C, i-HIV, izifo ezibangelwa igciwane lesandulela ngculazi nezifo ezithathelwanayo (i-toxoplasmosis, i-chlamydia, i-papillomavirus yabantu, ukutheleleka kwe-cytomegalovirus, i-herpes (uhlobo lokuqala nolwesibili), i-rubella nabanye), ukuhlolwa kwe-Wasserman (ukuxilongwa kwe-syphilis ).

Ngokuhamba kwesikhathi, ukutheleleka kwesandulela ngculazi okungapheli, okungapheli noma okungaphenduliwe kuyimbangela enkulu yokukhulelwa kwesisu. Njengomkhuba wokubonisa, izifo ezivamile ezifana ne-thrush, i-bacterial vaginosis, ngezinye izikhathi ebhekwa njengento engathí sina, ingaba nzima kakhulu ukukhulelwa. Ngisho noma kungekho ukuchayeka ngokuqondile emntwaneni ngesifo esithathelwanayo, ukuthuthukiswa kwe-endometritis engapheli kungenzeka; Ngaphezu kwalokho, ukuphazamiseka kwe-autoimmune kanye ne-endocrine kungenzeka, okubangela ukwehluka okuhlukahlukene ekuthuthukiseni ingane, kanti umbungu ungase ufe.

Esigabeni sesithathu, kufanele ube nokuhlolwa kofuzo lwezokwelapha. Kubalulekile ukuhlola isimo se-immune ne-interferon. Isungulwe isayensi ukuthi isimiso se-interestolone sinesibopho sokumelana nokuphila kwezifo ezibangelwa amagciwane. Ama-interferons akhiqizwa ngamangqamuzana omuntu ekuphenduleni ukutheleleka okungene emzimbeni. Bavimbela i-RNA egazini kuphela, ngaleyo ndlela bavimbele igciwane ukuba lisanda futhi lisakazeke. Ngakho-ke, ngesikhathi sokulungiselela ukukhulelwa le mali ye-interferons isetshenziswa ngempumelelo.

Esinye isizathu esivamile sokukhipha isisu yisimo somzimba omzimba. Ukuphendula ngokuzenzekelayo kuqondiswa kumathisini abo omzimba. Inani lamagciwane okukhipha emva kokukhipha isisu okuvame ukukhuphuka kaningi, njengoba ukukhiqiza ngokuzenzakalela kwenzeka kwiHCG yehomoni (i-chorionic gonadotropin), eyenziwa ngesikhathi sokukhulelwa yi-placenta. Futhi, inani lama-antibodies landa emva kwezifo ze-endocrine, ezine-infection engapheli, ngezifo ezizimele (isibonelo, lupus, rheumatism, myasthenia gravis, nabanye). Yingakho kubaluleke kakhulu ukuhlolwa ngesimo somzimba sokuzivikela ngesikhathi uhlela ukukhulelwa emva kokukhulelwa kwesisu.

Uma omunye wesibhangqwana unesifo esivamile esingahlobene nokubeletha, isibonelo, izifo ze-endocrine, izifo ze-oncological, isibindi, inhliziyo noma izinso, njll, kunconywa ukubonisana nochwepheshe kule nkathi lapho ulungiselela ukukhulelwa. Kudingeka ukuba kwenziwe izivivinyo ezidingekayo ukuze aqonde izinga lokulimala egazini eligulayo, ikhono lomzimba lokuzivumelanisa nesimo sokukhulelwa, ukuchazwa kokuthuthukiswa komntwana. Ngokusekelwe emiphumeleni, ochwepheshe ubeka izinga lempilo ejwayelekile futhi uqoka, uma kunesidingo, ukulungele ukukhulelwa. Ingozi yokukhipha isisu izonciphisa.