Abaningi abanempilo enempilo baya ngokuzithandela ekukhipheni isisu, ngoba, nganoma yisiphi isizathu, basakakulungeli ukukhulisa ingane. Kodwa, ngeshwa, kukhona ukukhipha isisu okuphoqelelwe. Uma owesifazane okhulelwe ebhekene nezinkinga ezinkulu zezempilo, ukuze asindise impilo yakhe, kanye nokuvimbela ukuzalwa komntwana ogulayo, kunconywa ukuba akhiphe isisu ngenxa yezimo zezokwelapha.
Ukukhipha isisu for izinyosi izinkomba kuvunyelwe nganoma yisiphi isikhathi sokukhulelwa, uma kuye kukhona izinkomba ezihlinzekwe umthetho. Esikhathini sokuqala (amasonto angama-6), owesifazane unikezwa ukuphazanyiswa okubangelwa izidakamizwa noma ukukhipha isisu nge-vacuum; kuze kufike ezinyangeni ezingu-3, kufanele athole inqubo yokuhlinzekwa kokuhlinzwa, futhi ngokulandelayo, ukukhipha isisu cishe kufana nokuzalwa kokuzalwa.
Izinkomba zokukhipha isisu
Kunamaqembu amabili amakhulu okukhombisa ukuphazamisa ukukhulelwa ngokwezinkomba zezinyosi:
- Izifo zikamama, okubangelwa ukukhulelwa nokubeletha zibeka impilo engozini yowesifazane, zibhebhethekisa kakhulu impilo yakhe, zidinga ukwelashwa okuphuthumayo okungahambisani nesimo sokukhulelwa.
- Kutholakala ekucwaningweni kwe-preinatal, ukukhubazeka kokukhula kwentombazane, okungahambisani nokuphila noma okuholela ekukhubazekeni.
Sibala izifo ezilandelayo:
- i-oncology, ikakhulukazi ekuxhomeke kwe-hormone, edinga ukusetshenziswa kwe-chemotherapeutic ne-radiotherapy;
- i-rubella nesifo sofuba;
- ukwephulwa okukhulu kwesimiso se-endocrine (isifo sikashukela esivela kwifomu ekhokhelwayo, i-prolactinoma nabanye);
- izifo ezithile zesistimu ye-hematopoietic;
- ukuphazamiseka kwengqondo (ukuhlukunyezwa kwesisu nokunye);
- ukukhubazeka okukhulu kwenhliziyo, ukukhathazeka kwenhliziyo nokujikeleza;
- izifo ezinzima zezinye izitho nezinhlelo.
Engxenyeni ye-fetus, okulandelayo yizizathu zokuphazamisa ukukhulelwa:
- okungajwayelekile kwe-chromosomal;
- izifo ezinzima zofuzo;
- ukuhlukumeza okuthuthukisiwe.
Isinqumo mayelana nokuphazamiseka kokuphoqeleka
Kumele kuqashelwe ukuthi lona wesifazane uqobo unelungelo lokunquma isiphetho sokukhulelwa kwakhe. Akekho okufanele amphoqe ukuba akhiphe isisu. Ukuxilongwa kokukhulelwa, kanye nokugula kwe-fetus kufanele kuqinisekiswe ngokuhlaziywa okuningi nokubonisana okugunyazayo odokotela.
Isiphakamiso sokuqeda ukukhulelwa sinikezwa owesifazane ocabangela umbono we-gynecologist wezokwelapha, ochwepheshe endabeni yesifo (oncologist, endocrinologist, cardiologist, njll) kanye nodokotela oyinhloko esibhedlela gynecological. Uma isigwebo sodokotela singathandabuzi, kunengqondo kakhulu ukuba owesifazane avumelane nezimpikiswano zabo, ukuze bangabi engozini impilo yabo kuphela, kodwa, mhlawumbe, impilo ngokwayo.
Ukuphazanyiswa ngokuboniswa kwezokwelapha akuwona njalo isigwebo sokuphila. Kungenzeka ukuthi emva kokwelashwa, ukukhululeka kwezinqubo ezimbi emzimbeni, ukukhulelwa okusha kuzokwenzeka futhi kuphele ngokuphepha ngokubeletha.
Ukukhipha isisu ngezinkomba zomphakathi
Kumelwe kuthiwa amagama ambalwa ngokukhipha isisu kokukhulelwa okubizwa ngokuthi izinkomba zomphakathi. Kuze kube amasonto angu-12, noma yikuphi owesifazane ekuthandweni angakwazi ukuyeka ukukhulelwa ngokukhululekile. Kodwa uma izinyanga ezingu-3 zidlula kusukela ekuqaleni kokukhulelwe, akusakwazi ukukhipha isisu ngaphandle kwezinkomba zezokwelapha noma zenhlalo.
Uhlu lwezinkomba zomphakathi luboniswa ngokucacile emthethweni futhi lunqunyelwe amaphuzu amane kuphela:
- Uma ukukhulelwa kwenzeka ngenxa yokudlwengula.
- Ukushiya amalungelo omzali wesifazane enkantolo.
- Ukuthola owesifazane okhulelwe ezindaweni "engekho kude".
- Uma ngesikhathi sokukhulelwa owesifazane wahlala engumfelokazi.
Imvume yokuqhuba isisu esinjalo ikhishwa ngumkhandlu wezokwelapha ngesisekelo samadokhumenti eqinisekisa isimo senhlalo esinzima.