Oonobangela Bomsebenzi Wangaphambi Kokusebenza: Ukuvavanyelwa usulelo

Umxholo

• Usulelo xa ukhulelwe
• Iimpawu zosulelo
• Uzivavanya njani izifo
• Unyango kunye nothintelo
• Imbonakalo

Ushwankathelo

Umsebenzi uthathwa njengowokuqala xa owasetyhini esiya kubeleka kwiiveki ezingama-37 okanye ngaphambili. Ixesha eliqhelekileyo lokuya kubeleka ziiveki ezingama-40.

Ukuba nosana ngaphambi kwexesha kunokukhokelela kwiingxaki. Usulelo lunokubangela umsebenzi ngaphambi kwexesha. Olunye usana olusandul 'ukuzalwa lunokukhubazeka ngokwasemzimbeni nangokwasengqondweni ukuba usulelo aluqwalaselwa okanye usana luzelwe kwangoko.

Usulelo xa ukhulelwe

Naluphi na usulelo lunokukhokelela ekuqhekekeni kweembrane kunye nomsebenzi wokuqala. Ngaphezulu kweepesenti ezili-12 zeentsana ezizalwe eUnited States ngaphambi kwexesha. Amashumi amane eepesenti abo bazalwayo banxulunyaniswa nosulelo.

Ukuba owasetyhini okhulelweyo ubhencekile kwii-arhente ezosulelayo ngexesha lokukhulelwa, iziphumo kwimveku engekazalwa zinokuba mbi kwaye zisongela nobomi. Usulelo lwe-intrauterine luya emntwaneni ngegazi likanina nangaphesheya kweplasenta. Ukusuleleka kwi-intrauterine kungabangelwa yi-rubella (imasisi yaseJamani), i-toxoplasmosis (evela kwilindle lekati), okanye intsholongwane yeherpes. Zonke ezi zifo zizalwe ziyingozi kwimveku engekazalwa. I-Syphilis ngomnye umzekelo wosulelo lokuzalwa.

Usulelo olubi kakhulu lunokungena kwisibeleko kwilungu lobufazi ukuba kukho usuleleko lobufazi okanye usulelo lomchamo (UTI). Usulelo lobufazi (i-bacterial vaginosis okanye i-BV) kunye nee-UTIs zinokukhokelela kusulelo ngaphakathi kwesibeleko esikhulelweyo. Ezi ziqhelekile ukuba zi-E.coli, iqela B, okanye ezinye iintsholongwane. Ngelixa abantu abadala befumana kwakhona kusulelo lweqela B (umzekelo), iziphumo kusana zinzima. Ukunyuka kwebhakteria okanye intsholongwane kwilungu lobufazi kuya kuthi ekugqibeleni kuchaphazele i-amniotic sac kunye nolwelo. Ukuqhekeka kwengxowa kunye nokusebenza kwangaphambi kwexesha kunye nokuhanjiswa kuyalandela.

Phantse i-10 ukuya kwi-30 yeepesenti yabasetyhini abakhulelweyo banesivumelwano se-BV ngexesha lokukhulelwa. Sisiphumo sokungalingani kweentsholongwane eziqhelekileyo kwilungu lobufazi. Ayilulo usulelo olosulela ngokwabelana ngesondo, kodwa luyayanyaniswa nokwabelana ngesondo kwilungu lobufazi. Ungawunyusa umngcipheko wokufumana i-BV ngokuba neqabane elitsha lezesondo, amaqabane amaninzi ezesondo, okanye ngokwenza idouching.

Ngokwe-American Pregnancy Association, i-UTI, ekwabizwa ngokuba sisifo sesinyi, kukudumba kwinkqubo yokuchama. Ii-UTIs zinokwenzeka kwizintso zakho, isinyi, ureters, okanye urethra. Ngokuqhelekileyo zichaphazela i-bladder kunye ne-urethra.

Abafazi abakhulelweyo banomngcipheko okhulayo we-UTIs, ngokubanzi phakathi kweeveki 6-24 zokukhulelwa. Ubunzima obandayo besibeleko, njengoko bukhula ngexa lokukhulelwa, bunokuthintela umchamo wokuhambisa umchamo kwisinyi. Oku kunokubangela i-UTI.

Iimpawu zosulelo

Xa kuziwa kwi-BV, ukuba usulelo luyacaphukisa ibhalansi yebhaktiriya kwilungu lobufazi. Ingabangela iimpawu ezibandakanya:

• ukurhawuzelela kwilungu lobufazi
• ivumba elingaqhelekanga
• ukukhutshwa kwilungu lobufazi
• ukutshisa ngexesha lokuchama

Ii-UTIs zihlala zibuhlungu. Iimpawu eziqhelekileyo zingabandakanya:

• Umnqweno oqhubekayo wokuchama
• ukutshisa ngexesha lokuchama
• kunamafu okanye bomvu umchamo
• umchamo onukayo
• iintlungu zangasese

Kubalulekile ukuba uvavanyelwe usulelo ukuba uhlangabezana nenye yezi mpawu. Ukunyanga i-BV okanye i-UTIs kuya kunciphisa umngcipheko weengxaki ngexesha lokukhulelwa kwaye kuncede ukuthintela ukusebenza kwangaphambi kwexesha.

Uzivavanya njani izifo

Ukuvavanya i-BV, ugqirha wakho uya kwenza uvavanyo lwe-pelvic kwaye angathabatha isampuli yeemfihlo zakho zangasese kunye neeseli ezigcobele ubufazi bakho. Ugqirha wakho unokuvavanya inqanaba le-pH kwilungu lakho lobufazi.

Ukuvavanya i-UTI, ugqirha wakho uya kuthatha isampuli yomchamo wakho ukukhangela iiseli ezimhlophe ezibomvu zegazi okanye ibhaktiriya. Ukuba uhlala usulelekile, ugqirha wakho unokwenza i-CT scan okanye i-MRI ukujonga i-urinary tract yakho ukuze ubone ukuba kukho naziphi na izinto ezingaqhelekanga. Ugqirha wakho unokwenza i-cystoscopy ngokusebenzisa ityhubhu encinci ngekhamera ukuvavanya i-urethra kunye ne-bladder.

Unyango kunye nothintelo

Gonyelwa irubella ngaphambi kokuba ukhulelwe okanye kwangoko emva kokuba uhambisile.

Abafazi abakhulelweyo akufuneki baphathe ilindle lekati kunye neebhokisi zenkunkuma.

Kutyelelo lwakho lokuqala lokukhulelwa nogqirha okanye umbelekisi, uya kuvavanywa ngeemeko ezikhoyo. Buza imibuzo malunga novavanyo olwenziwe. Umsebenzi wegazi kunye ne-swabs yelungu lobufazi lwenziwa ukulawula iimeko ezininzi.

Uya kuvavanywa ukusasazwa kweQela B nge-swab yelungu lobufazi emva kwexesha lokukhulelwa, ke ungaphuthelwa ukuqeshwa kwakho rhoqo.

Abafazi abakhulelweyo banomngcipheko ophezulu wokufumana i-BV kunye ne-UTIs kunabantu ngokubanzi. I-BV kunye nee-UTIs ngokulula kulula ukuzisusa ngoncedo lweyeza lokubulala iintsholongwane. Iikhrimu kunye namayeza okubulala iintsholongwane ayafumaneka kunyango lwe-BV. Nangona kunjalo, nasemva konyango inokuphinda ibuye, ngesiqhelo kwiinyanga ezintathu ukuya kwezi-3.

Ukuba unikwe i-antibiotics, kubalulekile ukugqiba isicwangciso sakho sonyango, nangona iimpawu zakho zihamba. Ii-UTIs ziyanyangwa ngamayeza okubulala iintsholongwane. Ukuba unetyala elincinci, liya kucaca ngeentsuku ezimbalwa. Qhubeka uthatha ii-antibiotics de ugqibe ngommiselo. Ugqirha uya kukhetha i-antibiotiki ekhuselekileyo xa ukhulelwe. Ugqirha wakho unokumisela i-painkiller ukuba ufumana intlungu ebunzima kwi-bladder yakho ngokubanzi okanye xa uchama.

Usulelo lwe-intrauterine lunokukhokelela kukungaqhelekanga okanye ukugula kusana olusandul 'ukuzalwa, ukuzalwa ngaphambi kwexesha, okanye ubunzima bokuzalwa obuphantsi. Ke ngoko, kuyacetyiswa ukuba unyangwe usulelo ngokukhawuleza ukunqanda iingxaki.

Imbonakalo

Qiniseka ukuba ujongelwe usulelo kutyelelo lwakho lokuqala lokukhulelwa okanye nje ukuba ube neempawu. Ukuchongwa kwangoko kunye nokuxilongwa kuya kukunceda ukunyanga usulelo ngokukhawuleza kwaye kuncede ukunciphisa umngcipheko weengxaki ngexesha lokukhulelwa kwakho.

Ezinye izifo zivele. Usenokuthetha nogqirha wakho malunga nokuvavanyelwa usulelo nokuba awunazo iimpawu.

Qinisekisa ukuba ugqirha ukunyanga usulelo uyazi ukuba ukhulelwe. Amayeza okubulala iintsholongwane asetyenziselwa ukunyanga i-BV kunye nee-UTIs zihlala zikhuselekile kubafazi abaninzi abakhulelweyo. Nangona kunjalo, uya kufuna ukuxoxa ngalo naluphi na unyango losulelo kunye nogqirha wakho. Kubalulekile ukuqonda ubungozi obubandakanyekayo ekuthatheni i-antibiotics kunye neziphumo ebezingalindelekanga onokuzifumana ngelixa ukhulelwe. Kwakhona, soloko uxelela ugqirha wakho malunga naziphi na izinto ezibangela ukwaliwa.