Izimbangela Zomsebenzi Wangaphambi Kokusebenza: Ukuhlolelwa Ukutheleleka

-Delile

• Izifo ekukhulelweni
• Izimpawu zezifo
• Uzihlola kanjani izifo
• Ukwelashwa nokuvimbela
• Umbono

Ukubuka konke

Umsebenzi ubhekwa njengowokuqala lapho owesifazane ebeletha emasontweni angama-37 noma ngaphambili. Isikhathi esijwayelekile sokuya ekubelethweni amasonto angama-40.

Ukuba nengane ngaphambi kwesikhathi kungaholela ezinkingeni. Ukutheleleka kungabangela umsebenzi ngaphambi kwesikhathi. Ezinye izingane ezisanda kuzalwa zingakhula zikhubazeke ngokomzimba noma ngokwengqondo uma izifo zingalungiswa noma ingane izalwa kusenesikhathi.

Izifo ekukhulelweni

Noma yikuphi ukutheleleka kungaholela ekuqhekekeni kwezingqamu kanye nomsebenzi wokuqala. Izinsana ezingaphezu kwezingu-12 ezizalelwa e-United States zingakafiki isikhathi. Amaphesenti angama-40 alokho kuzalwa ahlotshaniswa nokutheleleka.

Uma owesifazane okhulelwe echayeka ezintweni ezithathelwanayo ngesikhathi sokukhulelwa, imiphumela embungwini ingaba mibi futhi isongele nokuphila. Ukutheleleka kwe-intrauterine kufinyelela enganeni ngegazi likanina nangaphesheya kwe-placenta. Ukutheleleka kwe-intrauterine kungadalwa i-rubella (isimungumungwane saseJalimane), i-toxoplasmosis (evela endleni yekati), noma igciwane le-herpes. Zonke lezi zifo ezizalwe naso ziyingozi kumbungu okhulayo. Ugcunsula ngesinye isibonelo sokutheleleka kokuzalwa.

Ukutheleleka okunamandla nakho kungangena esibelethweni ngesitho sangasese sowesifazane uma kukhona ukutheleleka kwesitho sangasese sowesifazane noma ukutheleleka komgudu womchamo (UTI). Ukutheleleka kwamagciwane (i-bacterial vaginosis noma i-BV) kanye ne-UTIs kungaholela ekuthelelekeni ngaphakathi kwesibeletho esikhulelwe. Lokhu kuvame ukuba yi-E. coli, i-Group B strep, noma amanye amabhaktheriya. Ngenkathi abantu abadala bengalulama ekuthelelekeni kwe-Group B strep (ngokwesibonelo), imiphumela enganeni ibucayi. Ukukhuphuka kwegciwane noma igciwane ngokusebenzisa isitho sangasese sowesifazane ekugcineni kuzosulela isaka le-amniotic noketshezi. Ukudilizwa kwesaka nokusebenza kanzima ngaphambi kwesikhathi nokubeletha kuyalandela.

Cishe amaphesenti ayi-10 kuye kwangama-30 abesifazane abakhulelwe bathola i-BV ngesikhathi sokukhulelwa. Kungumphumela wokungalingani kwamagciwane ajwayelekile esithweni sangasese. Akusona isifo esithathelwana ngocansi, kodwa sihambisana nocansi lwesitho sangasese sowesifazane. Ungakhuphula ubungozi bakho bokuthola i-BV ngokuba nomlingani omusha ocansini, abalingani abaningi bezocansi, noma nge-douching.

Ngokusho kwe-American Pregnancy Association, i-UTI, ebizwa nangokuthi isifo sesinye, ukuvuvukala kohlelo lokuchama. Ama-UTIs angenzeka ezinso zakho, isinye, ama-ureters, noma i-urethra. Zivame ukuthinta isinye kanye nomchamo.

Abesifazane abakhulelwe banengozi eyengeziwe yama-UTIs, imvamisa phakathi kwamasonto 6-24 okukhulelwa. Isisindo esandayo sesibeletho, njengoba sikhula ngesikhathi sokukhulelwa, singavimba ukudonsa komchamo esinyeni. Lokhu kungadala i-UTI.

Izimpawu zezifo

Uma kukhulunywa nge-BV, ukutheleleka kuphazamisa ibhalansi yamagciwane esithweni sangasese. Kungadala izimpawu ezibandakanya:

• ukulunywa kwesitho sangasese sowesifazane
• iphunga elingavamile
• ukukhishwa kwesitho sangasese sowesifazane
• umuzwa ovuthayo ngesikhathi sokuchama

Ama-UTI ngokuvamile abuhlungu. Izimpawu ezivamile zingafaka:

• isifiso esiphikelelayo sokuchama
• umuzwa ovuthayo ngesikhathi sokuchama
• umchamo onamafu noma obomvu
• umchamo onuka kamnandi
• ubuhlungu be-pelvic

Kubalulekile ukuhlolelwa ukutheleleka uma uhlangabezana nalezi zimpawu. Ukwelapha i-BV noma i-UTIs kuzokwehlisa ingozi yakho yezinkinga ngesikhathi sokukhulelwa futhi kusize ukuvimbela ukusebenza kwangaphambi kokubeletha.

Uzihlola kanjani izifo

Ukuhlolela i-BV, udokotela wakho kungenzeka enze ukuhlolwa kwe-pelvic futhi angathatha nesampula yezimfihlo zakho zangasese namaseli agxile esithweni sakho sangasese. Udokotela wakho futhi angahlola izinga le-pH esithweni sakho sangasese.

Ukuhlola i-UTI, udokotela wakho uzothatha isampula yomchamo wakho ukuze afune amaseli egazi abomvu namhlophe noma amabhaktheriya. Uma unezifo ezivamile, udokotela wakho angenza i-CT scan noma i-MRI ukuze abheke ipheshana lakho lomchamo ukubona ukuthi kukhona yini okungajwayelekile. Udokotela wakho angenza futhi i-cystoscopy ngokusebenzisa ishubhu elincane elinekhamera ukuhlola umchamo nesinye sakho.

Ukwelashwa nokuvimbela

Gonyelwa i-rubella ngaphambi kokukhulelwa noma ngokushesha ngemuva kokubeletha.

Abesifazane abakhulelwe akufanele baphathe indle yekati namabhokisi kadoti.

Ekuvakasheni kwakho kokuqala kokubeletha nodokotela wakho noma umbelethisi, uzohlolwa ngezimo eziningi ezikhona. Buza imibuzo mayelana nokuhlolwa okwenziwe. Umsebenzi wegazi nezingubo zangasese zenziwa ukukhipha imibandela eminingi.

Uzohlolelwa ukusakazwa kweqembu B nge-swab yangasese ngemuva kwesikhathi sokukhulelwa, ngakho-ke ungaphuthelwa isikhathi sakho sokunakekelwa ngaphambi kokubeletha.

Abesifazane abakhulelwe banengozi enkulu yokuthola i-BV ne-UTIs kunabantu abaningi. Ama-BV nama-UTIs ngokuvamile kulula ukuwasusa ngosizo lwama-antibiotic. Amakhrim nama-antibiotic asefomini lephilisi ayatholakala ukwelapha i-BV. Kodwa-ke, nangemuva kokwelashwa kungabuya, imvamisa kungakapheli izinyanga eziyi-3-12.

Uma unikezwe ama-antibiotics, kubalulekile ukuqedela uhlelo lwakho lokwelashwa, noma ngabe izimpawu zakho ziyaphela. Ama-UTI nawo aphathwa ngama-antibiotic. Uma unecala elincane, livame ukusula ezinsukwini ezimbalwa. Qhubeka uphuze ama-antibiotic uze uqede ngomuthi. Udokotela uzobe ekhethe i-antibiotic ephephile ekukhulelweni. Udokotela wakho angaphinde anikeze i-painkiller uma uhlangabezana nobuhlungu obukhulu esinyeni sakho ngokujwayelekile noma lapho uchama.

Ukutheleleka kwe-intrauterine kungaholela ekuphazamisekeni noma ekuguleni enganeni esanda kuzalwa, ukuzalwa ngaphambi kwesikhathi, noma isisindo esiphansi sokuzalwa. Ngakho-ke, kunconywa ukuthi welashwe izifo ngokushesha ngangokunokwenzeka ukugwema izinkinga.

Umbono

Qiniseka ukuthi uhlolwe izifo ekuvakasheni kwakho kokuqala kokubeletha noma ngokushesha nje lapho uhlangabezana nezimpawu. Ukutholwa kusenesikhathi kanye nokuxilongwa kuzokusiza ukwelapha ukutheleleka ngokushesha futhi kusize ekunciphiseni ubungozi bezinkinga ngesikhathi ukhulelwe.

Ezinye izifo ziyizimpawu. Ungase futhi ukhulume nodokotela wakho mayelana nokuhlolelwa izifo noma ngabe awunazo izimpawu.

Qiniseka ukuthi udokotela okwelapha ukutheleleka uyazi ukuthi ukhulelwe. Ama-antibiotic asetshenziselwa ukwelapha i-BV kanye ne-UTIs imvamisa ephephile kwabesifazane abaningi abakhulelwe. Kodwa-ke, uzofuna ukuxoxa nganoma yikuphi ukwelashwa kokutheleleka nodokotela wakho. Kubalulekile ukuqonda izingozi ezibandakanyeka ekuphuzeni ama-antibiotics kanye nemiphumela emibi ongayithola ngenkathi ukhulelwe. Futhi, hlala utshela udokotela wakho nganoma yikuphi ukungezwani komzimba onakho.