Ingozi Yokukhulelwa kwezifo zobulili
Ukuba nezifo ezithathelwana ngocansi (STD) ngesikhathi sokukhulelwa kungaletha ingozi yokukhulelwa kwesisu, ukubeletha , ukuhanjiswa kwangaphambi kwesikhathi kanye nezinye izinkinga eziningi. Ngaphandle kokwelashwa, ungadlulisela isifo kumntwana wakho esibelethweni noma ngesikhathi sokubeletha. Ingozi ngqo ihluka ngohlobo lwe-STD nokuthi lilawulwa kanjani ngesikhathi sokukhulelwa, kanye nezinye izici.
Uma une-STD, noma uma ukhathazekile ukuthi ungase ukhulume nomhlinzeki wezempilo. Ngokuphathwa ngendlela efanele, ama-STD angaphathwa ngesikhathi sokukhulelwa ukunciphisa noma ukuqeda izingozi.
Funda ukufunda ukuze ufunde ngemiphumela ye-STD efana ne-syphilis, i-gonorrhea, i-herpes, i-hepatitis, ne-bacterial vaginosis lapho izingozi zikhulelwa.
I-Syphilis kanye Nengozi Yokuthatha Isisu
Bonke abesifazane kufanele bahlolwe i-syphilis ngesikhathi sokukhulelwa (i-VDRL test) ngoba ingaba nemiphumela emibi kakhulu ekukhulelweni kanye nengane. I-Syphilis ikwandisa ingozi ye:
- Ukushada
- Ukubeletha
- Ukufa kwengane esanda kuzalwa ngemva nje kokuzalwa
Abesifazane abakhulelwe abane-syphilis baphathwa nge-penicillin ukuvimbela ukudluliselwa komama kuya kwengane yale STD.
Kubalulekile ukuqonda ukuthi kunezinyathelo eziningana zokwelashwa, futhi owesifazane kungenzeka ukuthi akayazi ukuthi unesifo.
I-HIV nokukhulelwa
I-HIV, igciwane elibangela i-AIDS, lingabangela ukukhulelwa kwesisu nokubeletha , kepha ngokukhathazeka kakhulu ukuthi ukutheleleka kungadluliselwa kwengane.
Esikhathini esidlule, umama olindayo one-HIV wayengozini enkulu yokudlulisela igciwane kumntanakhe ngesikhathi sokukhulelwa noma umsebenzi. Kodwa ngezidakamizwa zanamuhla eziphumelelayo kakhulu, abesifazane ababhekene ne-HIV abaphathwa ngendlela efanele banethuba elihle kakhulu lokuvimbela ukudluliselwa kwegciwane lesandulela ngculaza kumama ukuya kwengane. Ukusetshenziswa kwe-antiretroviral therapy (ART) manje kungavimbela ukudlulisa cishe amaphesenti angu-98 esikhathi.
Bonke abesifazane kufanele bahlolwe i-HIV ekukhulelweni kokuqala kungakhathaliseki ukuthi banezinto eziyingozi. Imiphumela yokukhulelwa ingcono kakhulu uma i-HIV yesifazane ilawulwa kahle ngemithi ye-antiviral ngenkathi ithwala ingane yakhe.
I-Viral Hepatitis
Ingozi ye-hepatitis ye-virus ngesikhathi sokukhulelwa ihluka ngohlobo lwe-hepatitis. Izinkinga ezibangelwa amagciwane ezivamile e-US azange zenze ingozi yokukhulelwa kwesisu , kodwa isifo sofuba esibangelwa yi-viral hepatitis kumama singafaka ingozi kumntwana uma isandulela esibelethweni noma ngesikhathi sokubeletha.
I-Hepatitis B futhi, cishe kancane kakhulu, i-hepatitis C ingadluliselwa kusuka kumama kuya kwengane ngesikhathi sokukhulelwa. Ngenxa yokukhathazeka ngokwezempilo, zonke izingane ezisanda kuzalwa kufanele zigonywe ukulwa nesifo sofuba , kungakhathaliseki ukuthi umama uyaziwa ukuthi unesifo noma cha. Amantombazane abelethwe omama abane-hepatitis B kumele athole umgomo esikhathini esingamahora angu-12 wokuzalwa, kanye nokwelapha okuthiwa i-immune globulin, ukuvimbela ukutheleleka kwesifo sofuba esingapheli.
Ukutheleleka okungapheli kwe-hepatitis B akuvame ukubangela izimpawu ezinganeni ezisanda kuzalwa, kepha izifo ezingapheli isikhathi eside ziyisizathu esibalulekile sokubili komdlavuza nesifo somdlavuza.
I-Herpes
I-herpes ye-genital ibeka ingozi ye:
- Ukuqothula - Akucaci kahle ukuthi i-herpes yegciwane lengculazi idlala kanjani ekukhulelweni komzimba , kepha abesifazane abanobuchopho obuphindaphindiwe banamathuba amaningi okuba nobufakazi bokutheleleka kunabesifazane abangenalo ukukhubazeka okuphindaphindiwe.
- Ukuzalwa kwangaphambi kwesikhathi
- Ukwedlulisela ukutheleleka komama ukuya kumntwana
Amantombazane angathola i-herpes kumama uma enesifo sokutheleleka ngesikhathi sokukhulelwa noma uma izilonda ezisebenzayo zikhona lapho zizalwa futhi ingane ihanjiswa ngesifazane.
Uma une-herpes yesisu, ungase ubekwe imishanguzo ye-antiviral ebizwa nge-Zovirax® Injection (i-acycloguanosine) phakathi nenyanga yakho yokugcina yokukhulelwa ukuvimbela ukuqubuka kokuzungeze isikhathi ingane yakho izozalwa ngayo.
Abomama abanezilonda ezisebenzayo ngokuvamile badinga ukuletha nge-C-isigaba ukugwema ingozi yokudluliselwa komama.
Funda kabanzi mayelana nendlela yokuphatha i-herpes ngesikhathi sokukhulelwa .
I-bacterial Vaginosis
I-bacterial vaginosis (BV) isifo sobulili esibangelwa ukugqama kwezinhlobo ezithile zamabhaktheriya. Akuyona inkinga ye-STD, kodwa ihlotshaniswa nokuba nezakwethu eziningi zobulili noma nomlingani omusha. (Kubuye kube namathuba okuthola izifo ezithile ze-STD.) I-bacterial vaginosis yandisa ingozi yokukhulelwa kwezinkinga kubandakanya:
- Ukuzalwa kwangaphambi kwesikhathi
- Izinsana ezincane zokuzalwa kwesisindo
Ngenhlanhla, i-BV iphathwa kalula ekukhulelwe ngama-antibiotics. I-BV ayiyona ingxenye yokuhlolwa okujwayelekile ngaphambi kokubeletha, ngakho-ke tshela udokotela uma ungase ube nezimpawu. Izimpawu ezivamile zifaka iphunga elimnandi elithi "i-fishy" elimnandi nokushaywa noma ukushisa kwamalabi.
I-gonorrhea
I-gonorrhea engakhulumi yandisa ingozi yezinkinga eziningana ekukhulelwe:
- Ukushada
- Izifo ezivuvukala ngama-pelvic (PID) - I-PID, ingabe ingabangela ukulimala kwamatayipi okulala, ukukhulelwa kwe-ectopic nezinkinga zokuzala
- Ukuqhekeka kwangaphambi kwezibungu
- Ukuzalwa kwangaphambi kwesikhathi
- Ukwelashwa esibelethweni ngemuva kokuzalwa kwengane
Uma i-gonorrhea idluliselwa kumntwana ngesikhathi sokuzalwa, ingabangela ukutheleleka okuyingozi.
Udokotela wakho uzokuhlola i-gonorrhea ngesikhathi sokuvakasha kokuqala kokubeletha. Ama-antibiotics angaxazulula ukutheleleka uma ekhona.
Amanye ama-STD nokukhulelwa
Izifo ze-STD ezibalwe lapha azizona ezodwa ezingabangela izinkinga ekukhulelwe. Izifo ezifaka phakathi i-Chlamydia nokuningi zingabangela izinkinga. Uma ngabe une-STD noma uzizwa usengozini, khuluma nodokotela wakho, bese ubuza ukuthi udinga ukuhlolwa okwengeziwe.
Imithombo:
U-Ambia, J., noJ. Mandala. Ukubuyekezwa Okuhlelekile Kwezingenelelo Zokuthuthukisa Ukuvimbela Ukunikezwa Kwezinsizakalo Zokudluliswa Kwegciwane lesandulela Ngculaza Kwabesifazane Nomntwana kanye Nokukhuthaza Ukugcinwa. I-Journal ye-International AIDS Society . 2016. 19 (1): 20309.
Amasevisi Okulawula Nokuvimbela Izifo. Ama-STD ngesikhathi sokukhulelwa - I-CDC Fact Sheet (Okuningiliziwe). Kubuyekezwe 02/11/16. https://www.cdc.gov/std/pregnancy/stdfact-pregnancy-detailed.htm
Rac, M., Revell, P., noC. Eppes. I-Syphilis Ngesikhathi Yokukhulelwa: Ingozi Evikelayo Empilo Yomama Yomama. Journal American of Obstetrics and Gynecology . 2016 Dec 9. (Epub ngaphambi kokuphrinta).