Ukuhlolwa okufanele kwenziwe ngaphambi kokuzama ukukhulelwa

-Delile

• Izivivinyo ezinkulu zokukhulelwa
• 1. Ukuhlolwa kwegazi
• 2. Ukutholakala kokuzivikela ezifweni ezithathelwanayo
• 3. Ukuhlolwa komchamo nendle
• 4. Umthamo wehomoni
• 5. Ezinye izivivinyo
• Izivivinyo zokukhulelwa ngemuva kweminyaka engama-40

Izivivinyo zokulungiselela ukukhulelwa zihlola umlando kanye nesimo sempilo sabesifazane nabesilisa, ngenhloso yokuhlela ukukhulelwa okunempilo, kusize ingane yesikhathi esizayo ukuba izalwe iphilile ngangokunokwenzeka.

Lezi zivivinyo kufanele zenziwe okungenani izinyanga ezi-3 ngaphambi kokuba kuqale imizamo, ukuze kuthi uma kukhona isifo esingaphazamisa ukukhulelwa, kube nesikhathi sokuthi sixazululwe ngaphambi kokuba owesifazane akhulelwe.

Izivivinyo ezinkulu zokukhulelwa

Bobabili abesilisa nabesifazane badinga ukwenza uchungechunge lwezivivinyo ngaphambi kokukhulelwa, ngoba ngaleyo ndlela kungenzeka ukuthi kutholakale ubukhona bezifo ezithathelwanayo ezingadluliselwa ngocansi, ngesikhathi sokukhulelwa noma ngesikhathi sokubeletha. Ngakho-ke, izivivinyo ezinkulu ezikhonjisiwe yilezi:

1. Ukuhlolwa kwegazi

Imvamisa, udokotela ucelwa ukuthi abale inani eliphelele legazi, kowesifazane nowesilisa, ukuhlola izingxenye zegazi nokukhomba noma yiziphi izinguquko ezingabonisa ubungozi bokukhulelwa esikhathini esizayo.

Endabeni yabesifazane, kunconywa ukuthi ulinganise i-glucose egazini ngokuzila ukudla ukuze kuhlolwe ushukela wegazi futhi ngaleyo ndlela ubone ukuthi ngabe kunengozi yokuhlaselwa yisifo sikashukela sokukhulelwa, okungaholela ekulethweni ngaphambi kwesikhathi nokuzalwa kwengane kukhulu kakhulu ukuba kungakhulelwa age, ngokwesibonelo. Bona ukuthi yiziphi izinkinga zesifo sikashukela sokukhulelwa.

Ngaphezu kwalokho, uhlobo lwegazi lukamama nobaba luvame ukubhekwa ukuze kubhekwe ubungozi enganeni ngesikhathi sokubeletha, njenge-fetal erythroblastosis, eyenzeka lapho umama enegazi le-Rh- ne-Rh + futhi esevele ekhulelwe ngaphambilini . Qonda ukuthi yini i-erythroblastosis ye-fetus nokuthi kwenzeka kanjani.

2. Ukutholakala kokuzivikela ezifweni ezithathelwanayo

Kubalulekile ukuthi kungagcini ngowesifazane kuphela kepha nendoda yenze ukuhlolwa kwe-serological kanye ne-immunological ukubheka ukuthi kukhona yini ukuzivikela ezifweni ezingaba kubi kakhulu kumama nasenganeni, njenge-rubella, i-toxoplasmosis, ne-hepatitis B, ngokwesibonelo.

Ngaphezu kwalokho, kwenziwa izivivinyo zokubheka ukuthi ngabe abazali abazoba khona banezifo ezithathelwanayo, njenge-syphilis, i-AIDS noma i-cytomegalovirus, ngokwesibonelo.

3. Ukuhlolwa komchamo nendle

Lezi zivivinyo ziyacelwa ukuze kuhlolwe ushintsho ezinhlelweni zokuchama nokugaya ukudla ukuze ukwelashwa kuqale ngaphambi kokukhulelwa.

4. Umthamo wehomoni

Ukukalwa kwamahomoni kwenziwa kwabesifazane ukubona ukuthi ngabe kukhona yini ushintsho olukhulu ekukhiqizeni ama-hormone abesifazane i-estrogen ne-progesterone engaphazamisa ukukhulelwa.

5. Ezinye izivivinyo

Endabeni yabesifazane, udokotela wezifo zabesifazane naye wenza ukuhlolwa kwePap ngocwaningo lwe-HPV, kuyilapho udokotela womchamo ehlola indawo yangasese yowesilisa ukuze ahlole izimpawu zezifo ezithathelwana ngocansi.

Ekubonisaneni kusengaphambili, udokotela kufanele futhi ahlole ikhadi lokugoma ukubona ukuthi ngabe owesifazane unayo yonke imishanguzo ebuyekeziwe futhi anikeze amaphilisi e-folic acid okumele athathwe ngaphambi kokukhulelwa ukugwema ukukhubazeka okungaba khona ohlelweni lwemizwa lomntwana. Thola ukuthi ukwesekwa kwe-folic acid kufanele kubukeke kanjani ekukhulelweni.

Izivivinyo zokukhulelwa ngemuva kweminyaka engama-40

Izivivinyo zokukhulelwa ngemuva kweminyaka engama-40 kufanele zifane njengoba kukhonjisiwe ngenhla. Kodwa-ke, ngalesi sikhathi amathuba okukhulelwa aphansi futhi abashadikazi banenkinga yokukhulelwa. Kulokhu, udokotela angakhombisa ukuthi owesifazane kufanele abe nezivivinyo eziningana zesibeletho, njenge:

• I-Hysterosonography ukuthi yi-ultrasound yesibeletho ekhonza ukuhlola umgodi wesibeletho;
• Ukucabanga kwemagnetic resonance uma ngabe kukhona isimila esisolwayo nokuhlola amacala e-endometriosis;
• Ividiyo-hysteroscopy lapho udokotela abona khona umgodi wesibeletho ngekhamera encane yevidiyo, sangasese ukuhlola isibeletho nokusiza ekutholeni i-fibroids, polyps noma ukuvuvukala kwesibeletho;
• I-Videolaparoscopy okuyindlela yokuhlinza lapho kuboniswa khona indawo yesisu, isibeletho namashubhu ngekhamera;
• I-Hysterosalpingography okuyi-x-ray enokuqhathanisa esebenza ukuhlola umgodi wesibeletho nokuthi ngabe kukhona yini ukuvimbeleka kumashubhu.

Ukuhlolwa kokukhulelwa kwenza kube lula ukuhlela ukukhulelwa ngaphambi kokuqala ukuzama, ukuqinisekisa impilo yengane engakazalwa. Bona ukuthi wenzeni ngaphambi kokukhulelwa.