Ikhadi lokushintshanisa lesigceme sokubeletha lenzelwe ukuqinisekisa ukuqhubeka kokuqapha owesifazane nengane yakhe esibhedlela esibhedlela, emtholampilo wabesifazane kanye ne-polyclinic yezingane. Ukwaziswa okuqukethwe ekhadini lokushintshaniswa kubaluleke kakhulu kunoma yimuphi udokotela, kungakhathaliseki ukuthi uyidokotela wezingane ezincane ze-polyclinic yengane noma ikhaya lokubeletha, ochwepheshe ohlola owesifazane ngesikhathi ekhulelwe futhi ngemuva kokubeletha esibhedlela lapho owesifazane ebeletha, noma i-polyclinics, njll.
Le dokhumenti inezingxenye ezintathu, noma amakhuphoni:
- Ukwaziswa okuvela kokubonisana kwesifazane ngomama okhulelwe. Iqukethe ulwazi mayelana nenkathi yokukhulelwa, izici zenkambo yokukhulelwa kwangaphambilini, ukuzalwa kwangaphambili kanye nezinkathi zokuvuselela ezalandela, okungukuthi okubaluleke kakhulu kongcweti obuka ukulethwa kowesifazane kanye nodokotela wezingane esibhedlela esibhedlela. Ulwazi olubalulekile ukuhlolwa okugunyazayo kwikhadi lokushintshanisa.
- Ukwaziswa kwesigceme sokubeletha esibhedlela noma ekhaya lokubeletha mayelana nowesifazane. Le ngxenye ibhaliwe ngaphambi kokukhishwa esibhedlela esibhedlela futhi ihloselwe ukudluliselwa kokubonisana kwabesifazane.
- Ulwazi oluvela kumgcini wokubeletha mayelana nosana olusanda kuzalwa. Kubhaliwe emnyangweni wezingane esibhedlela esibhedlela ukuze kuqhutshekwe phambili ekuthunjweni kwezingane eziphambene nezingane.
Ukuhlolwa kokukhulelwa okugunyaziwe
Ukuhlolwa kwe-Rh factor neqembu legazi. Le nqubo yenziwa kabili, ekuqaleni kwenkathi yokubeletha kanye nje ngaphambi kokuqala komsebenzi. Kusobala ukuthi lezi zici ngeke zishintshe ngesikhathi sokukhulelwa, kodwa ngenxa yezinkinga zokumpontshelwa ngegazi kweqembu elingalungile kakhulu kakhulu futhi ngokuvamile odokotela bezo zimo bakhetha ukuvuselelwa kabusha. Lokhu kusebenza ikakhulukazi esimweni lapho ubaba wengane enesici se Rh, futhi owesifazane omubi.
Ukuhlolwa kwegazi ngokuba khona kwe-syphilis, i-HIV, i-hepatitis B no- C. Isetshenziselwa ukucacisa izinga lokungcupheni komzimba wesifazane kulezi zifo. Akusho ukuthi ngesikhathi sokukhulelwa akekho ozokwenza ukwelashwa kwesifo sofuba esibangwa yi-virus, kodwa nge-HIV kanye ne-syphilis kunezinyathelo eziningana zokwelapha ezinciphisa amathuba okuba le-pathology izoba khona emntwaneni.
Ukuhlolwa kwegazi jikelele . Iphethwe ngezinga elilinganiselwa njalo ezinyangeni ezimbili. Lona luhlolo olulula, kodwa luhlinzeka ngolwazi oluningi ngudokotela, olwamvumela ukuba ahlulele isimo somzimba wesifazane. Ngokuvamile, ochwepheshe banesithakazelo ezinkomba ezifana ne-hemoglobin level kanye ne-indicator yamangqamuzana egazi abomvu, njengoba i-anemia ivame ukubonwa kwabesifazane abakhulelwe, futhi lokhu kuvumela ukuba aqaphele futhi aqale ukwelashwa ngosizo lwama-gland nokulungiselela ukudla ngesikhathi. Futhi, ukuhlaziywa kukuvumela ukuba wazi mayelana nokuba khona kwe-foci yezifo ezingapheli.
Ukuhlola igazi kwegazi. Le nqubo inikeza ulwazi ngokuthi isibindi, izinso, kanye nomgudu womathumbu usebenza kanjani. Ikuvumela ukuba wazi ngezinga le-glucose, ngabe i-pancreas isebenza ngokujwayelekile, okungukuthi, indawo yayo enesibopho sokukhiqizwa kwe-insulini, okudingeka umzimba ukuthi udinga ukutholakala kwe-glucose evamile.
Ukuhlaziywa okujwayelekile komchamo. Loluhlolo luqhutshwa ukuze kunqume ukuthi izitho zomsebenzi we-urinary zisebenza kanjani. Ngokusho kwemiphumela yayo, umuntu angasho ukuthi izinso ziyasebenza ngendlela evamile, kungakhathaliseki ukuthi i-gestosis iqalile noma ukuthi isifo sifinyelele kangakanani.
Ukuthatha isisindo sokutadisha imifino ye-urethra, i-vaginal kanye nomsele wamlomo wesibeletho. Le nqubo ivumela umjozi wezifo ukuba ahlole isimo somsele wokuzalwa wesifazane okhulelwe. Uma ukwehlukana kwezinkomba ezijwayelekile kutholakala, lokhu kungabonisa ukuthi kukhona ukutheleleka. Kulokhu, ukuhlolwa okwengeziwe kwenziwa ngezinqubo ze-PCR. Kodwa-ke, noma ngabe ukuhlolwa kunikeza imiphumela emihle, okungukuthi, ukutheleleka kusekhona, ke ungakhathazeki - ochwepheshe uzothatha izinyathelo zokwelapha.
Ngaphezu kwalokho, ngokuvamile owesifazane okhulelwe uqala ukuxubha (i-candidiasis yama-vaginal). Kuxhomeke ekushintsheni kokulinganisela kwe-hormonal, isimo somzimba sokuzivikela komzimba, isimo se-flora wesifazane, njll. Ukuhlolwa kwe-smear kungasiza ekutholeni ngokushesha ukugula nokubeka ukwelashwa okufanele.