Ucwaningo luthi "Cha," Kodwa Funda ukuthi kungani odokotela bencoma ukuthi balinde ukulinda kancane
Odokotela bavame ukweluleka abesifazane ukuba balinde izinyanga ezimbalwa ngaphambi kokukhulelwa futhi emva kokukhulelwa kwesisu, kodwa ukukhulelwa ngokushesha kuzongandisa ingozi yokukhulelwa kwesisu?
Ayikho ubufakazi obunokwethenjelwa obonisa ingozi eyengeziwe yokukhulelwa kwesisu lapho ekhulelwa futhi ngemva kokukhulelwa kwesisu, nakuba odokotela bavame ukulinda izinyanga ezintathu ngaphambi kokuzama ukukhulelwa okusha.
Ngezansi, hlola imiphumela yamuva yokufundwa ngesihloko.
Okwenza Ungase Ufune Ukulinda
Ukufunda okuncane ngoJuni 2002 e-US kubheka ukukhulelwa okungama-64 okwenzeka emva kokukhulelwa komzimba futhi akutholakalanga ubufakazi bokukhulelwa kwababelethwe kulabo ababeletha ngokushesha nalabo abalinde imijikelezo emibili. Ngaphezu kwalokho, isifundo se-March 2003 sathola ubufakazi bokuthi abesifazane bangase bathuthukise ukuzala emjikelezweni ngokushesha ngemva kokukhulelwa kwesisu.
Okwenza Ufune Ukulinda
Ngakolunye uhlangothi, ucwaningo olwenziwa ngo-2005 lwama-Israyeli lwathola ukuthi abesifazane abaye baphutheka kabi babhekene nengozi enkulu yokuba nokukhulelwa okulandelayo okuthintekile yiziphambeko ze-neural noma izinkinga zenhliziyo ezingenayo. Ababhali bokutadisha batusa ukubambezeleka kokukhulelwa emva kokukhulelwa kwesisu nokuphatha nge folic acid ngesikhathi sokulinda. Kodwa-ke, kungenzeka ukuthi lokho okutholakele akumele kusebenze kwabesifazane abanesidlo sabo esivele bafaka i- folic acid ekhona (ngokuvamile inikezwa nge-vitamin engakazalwa ngaphambi kokubeletha kwesisu).
Uma owesifazane ehlukumezekile ngenxa yesimo sezokwelapha (njenge-polycystic ovary syndrome, inkinga yekhambi, isifo sikashukela esingalawuleki, isifo sofuba esingenalutho, isifo sofuba esingenalutho) noma lapho kukhona ingozi eguquguqukayo (njengokubhema ugwayi , ukusebenzisa izidakamizwa, ukuphuza utshwala, noma ukudlala i-caffeine enkulu), bese ukhulelwa ngokushesha ngaphandle kokubhekana naleso simo esibucayi noma umlutha kungase kwande ingozi yenye isisu.
Kunezinye izici ezimbalwa okufanele uzicabangele. Okokuqala, uzofuna ukulinda umjikelezo wakho wokuya esikhathini ukuze ujwayelekile futhi ugcwalise futhi, okungase kuthathe inyanga noma ezimbili. Uzophinde ufune ukuvumela uhlaka lwakho lwe-uterine luphulule kahle ngakho lungele ukuthola enye imbungu ekhulelwe.
Kungumqondo omuhle ukuvumela izinga lakho le-gonadotropin ye-chorionic (hCG) lomuntu liwehlele ku-zero noma okungenani kwizinga elingatholakali ngaphambi kokuthi uqale uzame futhi. Lena i-hormone eyenziwa ngumzimba wakho ngesikhathi ukhulelwe futhi ingalinganiswa ngomchamo noma ukuhlolwa kwegazi. Uma ungakuvumeli ukuba uphonsa, ukuhlolwa kokukhulelwa kungakunikeza lokho okuyaziwa ngokuthi "ukufunda okungamanga" futhi wembule ukuthi ukhulelwe uma, empeleni, awukho. Futhi: Uma izinga lakho le-hCG kusukela ekukhulelweni kwangempela lisabonakala futhi lilahla, udokotela angase ahumushe lezo zinombolo njengesibili sokukhulelwa kwesisu, uma empeleni kungenjalo.
Kuvame ukuzizwa bexakekile futhi bebuhlungu ngemva kokuzwa into ephazamisayo njengokungahambi kahle komzimba. Ngakho-ke awugxilile ngesikhathi ukhulelwe okwesibili, ungase ufune ukuzinikela isikhathi sokucubungula ngokwengqondo okwenzekile. (Khona-ke, abesifazane abaningi bathola inqubo yokubhekana nokukhulelwa kwesisu kube nzima uma kudingeka balinde ngaphambi kokuzama ukukhulelwa futhi.)
Kufanele Uqhubeke Nini?
Buza udokotela wakho ukuthi yini engcono, ngoba wonke owesifazane kanye nokukhulelwa konke kuhlukile. Uma ukhululekile ukulinda eyodwa kuya kwezinyanga ezintathu, ngokuvamile kuvunyelwe. Uma usheshe ukukhulelwa ngaphambi kwalokho, khuluma nodokotela wakho mayelana nesimo sakho ukuze ukwazi ukufika ngesikhathi esiphephile kakhulu.
Imithombo:
UCarmi, R., J. Gohar, I. Meizner, noMnu. Katz, "Ukukhipha isisu okungafani-okuyinhloko engozini yokukhubazeka kwe-neural tube ekukhulelweni okulandelayo." I-American Journal of Medical Genetics Jun 2005.
I-Goldstein, uRachel R. Pruyn, uMary S. Croughan, noPatricia S. Robertson, "Imiphumela ye-Neonatal emikhondweni esheshayo ngokumelene nokuphumula emva kokukhipha isisu okuzenzakalelayo: I-case retrospective series." I- American Journal of Obstetrics and Gynecology 2002.
U-Wang, Xiaobin, Changzhong Chen, Lihua Wang, uDafang Chen, Wenwei Guang, noJonathan French, "Ukukhulelwa, ukulahlekelwa kokukhulelwa kokuqala, nesikhathi sokukhulelwa komtholampilo: isifundo esithathwe ngabantu esekelwe." Ukuzala nokuthobeka 2003.