Ukukhulelwa kusoloko kungumthwalo kumzimba wesifazane, nokuba ngaba uhamba ngaphandle kweengxaki. Enye yeemeko zezifundo eziqhelekileyo zokukhulelwa ziyancipha. Oku akufanelekanga kuphela kwiimfuneko zokwandiswa komsebenzi wazo zonke iisistim, kodwa nakwiqiniso lokuba ukuncipha kwe-immunity kubangele ukuba into yokuba umntwana, onguhlobo oluthile, angaqothulwa. Kukho isangqa esichukumisayo ngakwesinye icala, ukuhla kwe-immunity kuyimfuneko, ngakwesinye isandla ukukhuselwa komzimba okungaphantsi kungabangela ukusuleleka kunye nezinye izifo, kunye nokubangela ukungonakaliswa kwimeko epheleleyo yowesifazane okhulelweyo, engabandakanyekanga ekuthwaleni umntwana.
Xa kukho iingxaki zokukhulelwa, i-immunoglobulin yesiqhelo yomntu inokulawulwa ngumfazi. Inkunkuma esebenzayo yale nkunkuma ikhululwa kwi-plasma yomntu, ihlambuluke kwaye igxininiswe. Ngaba i-immunomodulating and immunostimulating properties. Ukuqaliswa kwe-immunoglobulin ngexesha lokukhulelwa kunceda ukunqanda iintlobo ezahlukeneyo zee-agent ezithathelwanayo, ukuzalisa inani elingafumanekiyo lwe-JGG antibodies. Oku kubaluleke ngakumbi kubasetyhini abane-immunodeficiency yokuqala. Nangona kunjalo, nakuphi na umzekelo, i-immunoglobulin yabantu ngexesha lokukhulelwa lichazwe ngokwemiqondiso eqinileyo, kwiimeko xa kuyimfuneko ngempela.
Ukuba kukho imfazwe ye-rhesus phakathi komama kunye nomntwana (okwenzekayo xa ibhinqa lingenayo i-RH, kwaye umntwana okhulelwayo nguRh-positive), u-anti-D-immunoglobulin (i-immunoglobulin engaphiliyo) imiselwe.
Ukuba kuyimfuneko, i-immunoglobulin yomntu ilawulwa ukususela ekukhulelweni kokuqala, kwaye i-immunoglobulin echasayo ijoliswe ekukhuseleni ukungquzulana kokukhulelwa kwesibili kunye nokulandela. Eyokuqala - impikiswano ye-Rh ayilunganga kuba umama akayivelanga inani elikhulu leengqamzana kwi-antigen. Umama, amanqwelomoya akhiqizwa nguye, musa ukulimaza, kodwa impembelelo yabo kumntwana ingaba yingozi. Usongela ukuba azalwe ngokukhubazeka kwengqondo, ukulimala kwengqondo, kunye ne-hemolytic jaundice enzima. Ngoko ke, ulwaphulo-D-immunoglobulin kufuneka lulawulwe ngaphantsi kweeyure ezingama-72 emva kokuzalwa kokuqala. Ukuba ukukhulelwa kokuqala kwaphambi kokukhipha izisu, ukulahlekelwa ngamathambo naliphi na ixesha, i-amniocentesis okanye ukulimala esiswini, apho kwakunokwenzeka ukufumana igazi le-fetal egazini kumama, kunye nokuba igazi liye laxilongwa ngegazi eli-Rh, ngoko ke ukufakwa kwe-immunoglobulin echasayo kukwacetyiswa nokukhulelwa kokuqala. Kungcono ukuba phantsi kolawulo lwugqirha kwaye rhoqo uthathe ukuhlolwa kwegazi ngenxa yobunzima be-antibodies, kwaye xa usongela i-Rh-conflict, uthathe amanyathelo afanelekileyo. Ngamanye amaxesha umngcipheko wongquzulwano we-rhesus kwakhona uvela kwiveki yama-28 yokukhulelwa, eya kubonwa ngexesha lophando. Kule meko, i-immunoglobulin yongezwa.
I-immunoglobin ilawulwa ngendlela yejoyi ye-intramuscular okanye i-intravenously drip. Isisombululo sibalwa ngugqirha ngokuthe ngqo. Emva kokusungulwa (ngokukodwa okokuqala), iziphumo ezibi zingabonwa:
- ukuphefumula, ukukhwehlela owomileyo, i-bronchospasm;
- iziganeko zesifo: isicupunu, ukuhlanza, intlungu esiswini;
- ubuthathaka jikelele, ukulala;
- i-tachycardia kunye nentlungu esiswini;
- amaqatha kumalungu;
- ukugquma kwesikhumba, ukuvumba kunye nezinye.
Ukongezelela, isiphumo salesi sidakamizwa emzimbeni wesifazane okhulelwe kunye nomntwana asifundekanga kakuhle. Ngoko ke, ukuqaliswa kwe-immunoglobulin ngexesha lokukhulelwa kuyimfuneko kuphela xa umngcipheko wesifo luphezulu kunobungozi bokulawulwa kweziyobisi.
Herpes kunye nokukhulelwa
I-virus ye-herpes inomzimba wayo uninzi lwabantu. Xa ukhulelwe, izimo ezilungileyo zokunyusa ukusuleleka kosuleleko lwentsholongwane zenziwa. Kunobungozi ukuba umama ozayo uza kuhlaselwa yi-herpes ngexesha lokukhulelwa,