Ukulinda umntwana ngumzuzu obaluleke gqitha, ngoko ke, nangona xa uhlela ukukhulelwa, kukho uluhlu lweemvavanyo ezithile ezifunekayo zinikwe kwangaphambili. Ukuba intsapho inqume ukuba nomntwana, ngoko kufuneka uqale udibane nodokotela kwaye uhlolwe ngababini bobabini. Ngolu vavanyo lwezokwelapha, ugqirha kufuneka anike uluhlu olulandelayo lweemvavanyo eziyimfuneko xa uhlela ukukhulelwa :
- Uhlalutyo lwezifo zentsholongwane ye-virus kunye ne-bacteria, equka:
- i-rubella : ukuba izifo ezinqabileyo zesifo asifumanekanga, ngoko kufuneka uphese kwaye uhlele ukukhulelwa kungekudala kweenyanga ezintathu;
- i-herpes kunye ne-cytomegalovirus : iimvavanyo zifunekayo ukwenzela ukukhusela ukubonakala kwezi zifo ngexesha lokukhulelwa nokucacisa ubukho be-antibodies egazini elimele likhusele umntwana ozayo;
- i-toxoplasmosis : olu hlalutyo lwenziwe ukufumanisa i-antibodies kwi-agent causative yesifo. Ukuba akukho nanye, kufuneka ukhawuleze uqhagamshelane nezilwanyana, ngakumbi kwiikati. Ngenxa yokuba i- toxoplasmosis , eyabonakala ngexesha lokukhulelwa, ingalimaza kakhulu umntwana (mhlawumbi iholele ekumpumputhe). Kodwa kwiimeko ezingama-90%, abanikazi bezilwanyana baye bagula ngesifo esinjalo, kwaye banokukhuseleka, ngoko akufanele ukwesaba;
- i-chlamydia, ureaplasmosis, i-mycoplasmosis kunye ne-gardnerellez : ubukho balezi zifo buyandisa kakhulu umngcipheko wokukhulelwa kwesisu. Ngoko ke, ukuba zifunyenwe, kuyimfuneko ukuba iqhube inkqubo yokonyango.
Ziziphi iimvavanyo okufanele ndizinikele kwabasetyhini abakhulelweyo?
Emva kokubhaliswa, ngamnye umama kwikamva uya kunikwa ikhadi. Kule tshathi kukho uluhlu lweemvavanyo eziyimfuneko ezifunekayo zokukhulelwa. Kwakhona kule khadi zibhalwe ngokwemigaqo, nini naziphi iimvavanyo okufuneka uzithathe ngexesha lokukhulelwa.
Ngoko, uludwe lweemvavanyo ezigunyazayo zokukhulelwa:
- Ukuhlolwa kwegazi ngenxa ye-hepatitis, i-HIV, i-RW - inceda ukuphepha ukhuseleko lokukhulelwa kunye neentsholongwane ze-fetal;
- uvavanyo lwegazi olufanayo, umchamo kunye noshukela - kwenza kube lula ukubona isifo sikashukela (ukuba kukho eso sifo), kunye nokuvavanya umsebenzi wezintso;
- i-smear esuka ekhaleni-inceda ekufumaneni ubukho besifo se-staph esibungozi kwikamva lomntwana;
- I-smear evela kwi-anus kunye ne-vaginal-hands over on the diagnosis of presence of infections.
Olu luhlu lweemvavanyo luyimfuneko, kodwa iimvavanyo ezongezelelweyo zinokumiselwa kumfazi ngamnye ngexesha lokukhulelwa. Kuya kuxhomekeka kwimeko kunye nesakhiwo somzimba wesifazane okhulelweyo.