Ukunakekelwa ngaphambi kokubeletha: Uqala nini, Ukubonisana Nezivivinyo

-Delile

• Uqala nini ukunakekelwa ngaphambi kokubeletha
• Kwenzekani ngokubonisana ngaphambi kokubeletha
• Ukuhlolwa ngaphambi kokubeletha
• Ungakwenza kuphi ukunakekelwa kokubeletha
• Izici zokukhulelwa okuyingozi kakhulu

Ukunakekelwa kokubeletha ukuqapha kwezokwelapha abesifazane ngesikhathi sokukhulelwa, nakho okunikezwa yi-SUS. Ngesikhathi sokubeletha, udokotela kufanele acacise konke ukungabaza kowesifazane mayelana nokukhulelwa nokubeletha, kanye noku-oda izivivinyo zokubheka ukuthi ngabe konke kuhamba kahle ngomama nengane.

Kungaphakathi kokubonisana ngaphambi kokubeletha lapho udokotela kufanele akhombe iminyaka yokukhulelwa, ukuhlukaniswa kwengozi yokukhulelwa, noma ngabe kuyingozi encane noma kuyingozi enkulu, futhi azise nosuku lokulethwa, ngokusho kobude besibeletho nosuku lokuya esikhathini kokugcina.

Uqala nini ukunakekelwa ngaphambi kokubeletha

Ukunakekelwa ngaphambi kokubeletha kufanele kuqale ngokushesha lapho owesifazane ethola ukuthi ukhulelwe. Lokhu kubonisana kufanele kwenziwe kanye ngenyanga kuze kube yisonto lama-28 lokukhulelwa, njalo ezinsukwini eziyi-15 kusukela ngomhla wama-28 kuya kwele-36 futhi masonto onke kusukela esontweni lama-37 lokukhulelwa.

Kwenzekani ngokubonisana ngaphambi kokubeletha

Ngesikhathi sokubonisana ngaphambi kokubeletha, umhlengikazi noma udokotela uvame ukuhlola:

• Isisindo;
• Ukushaya kwegazi;
• Izimpawu zokuvuvukala emilenzeni nasezinyaweni;
• Ukuphakama kwesibeletho, ukukala isisu ngokuma;
• Ukushaya kwenhliziyo kwengane;
• Bheka amabele bese ufundisa okungenziwa ukuwalungiselela ukuncelisa;
• Umbiko wokugoma owesifazane wokunikeza imigomo ku-fata.

Ngaphezu kwalokho, kubalulekile ukubuza ngokungaphatheki kahle okuvamile kokukhulelwa, njengokushiswa yinhliziyo, ukushisa, amathe amaningi, ubuthakathaka, ubuhlungu besisu, i-colic, ukuphuma kwesitho sangasese sowesifazane, ama-hemorrhoids, ukuphefumula kanzima, izinsini ezophayo, ubuhlungu beqolo, imithambo ye-varicose, amajaqamba nokusebenza ngesikhathi ukukhulelwa, kucacisa konke ukungabaza kowesifazane okhulelwe nokunikeza izixazululo ezidingekayo.

Ukuhlolwa ngaphambi kokubeletha

Ukuhlolwa okufanele kwenziwe ngesikhathi sokubeletha, futhi okucelwa ngudokotela womndeni noma udokotela wababelethisi, yilezi:

• Ultrasonography;
• Qedela ukubalwa kwegazi;
• IProtheniinuria;
• Isilinganiso se-hemoglobin ne-hematocrit;
• Ukuhlolwa kwe-Coomb;
• Ukuhlolwa kwesitokisi;
• I-bacterioscopy yokuqukethwe kwesitho sangasese sowesifazane;
• Ukuzila ukudla kweglucose;
• Ukuhlolwa ukwazi uhlobo lwegazi, uhlelo lwe-ABO neRh factor;
• I-HIV: igciwane lokuzivikela komzimba;
• I-rubella serology;
• I-serology ye-toxoplasmosis;
• I-VDRL ye-syphilis;
• I-Serology ye-hepatitis B no-C;
• I-serytic ye-cytomegalovirus;
• Umchamo, ukuthola ukuthi unesifo se-urinary tract.

Ukubonisana ngaphambi kokubeletha kufanele kuqale ngokushesha lapho kutholakala ukukhulelwa. Owesifazane kufanele athole imininingwane ebalulekile mayelana nodaba lokudla okunempilo, ukukhuluphala kwesisindo nokunakekelwa kokuqala kwengane. Thola imininingwane eyengeziwe yokuhlolwa ngakunye, ukuthi kufanele yenziwe kanjani nemiphumela yayo.

Ungakwenza kuphi ukunakekelwa kokubeletha

Ukunakekelwa ngaphambi kokubeletha kuyilungelo lawo wonke umuntu wesifazane okhulelwe futhi kungenziwa ezikhungweni zezempilo, ezibhedlela noma emitholampilo yangasese noma kahulumeni. Ngalesi sikhathi sokubonisana owesifazane kufanele futhi afune imininingwane mayelana nezinqubo kanye namalungiselelo okubeletha.

Izici zokukhulelwa okuyingozi kakhulu

Ngesikhathi sokunakekelwa kokubeletha, udokotela kufanele akutshele ukuthi ngabe ukukhulelwa kunengozi enkulu noma ephansi. Ezinye izimo ezibonisa ukukhulelwa okuyingozi kakhulu yilezi:

• Isifo senhliziyo;
• I-asthma noma ezinye izifo zokuphefumula;
• Ukungasebenzi kahle kwezinso;
• I-Sickle cell anemia noma i-thalassemia;
• Umfutho wegazi ophakeme ngaphambi kwesonto lama-20 lokukhulelwa;
• Izifo zemizwa, njengesifo sokuwa;
• Uchoko;
• Izifo ezizimele, njenge-systemic lupus erythematosus;
• I-vein thrombosis ejulile noma i-embolism ye-pulmonary;
• Ukonakala kwesibeletho, i-myoma;
• Izifo ezithathelwanayo, njenge-hepatitis, i-toxoplasmosis, ukutheleleka nge-HIV noma ugcunsula;
• Ukusetshenziswa kwelayisense noma izidakamizwa ezingekho emthethweni;
• Ukukhipha isisu kwangaphambilini;
• Ukungabi nenzalo;
• Ukuvinjelwa kokukhula kwe-intrauterine;
• Ukukhulelwa amawele;
• Ukukhubazeka kwengane;
• Ukungondleki kwabesifazane abakhulelwe;
• Isifo sikashukela sokukhulelwa;
• Umdlavuza webele osolwayo;
• Ukukhulelwa kwentsha.

Kulokhu, ukunakekelwa ngaphambi kokubeletha kufanele kuqukethe izivivinyo ezidingekayo zokubheka lesi sifo kanye nokuholwa enhlalakahleni kamama nengane okufanele inikezwe. Thola konke mayelana nokukhulelwa okuyingozi kakhulu nokunakekelwa kwabo.