Ukwazi isidingo salo, kungekhona bonke oomama abazayo abanengcamango yokuba luhlobo luni lweemvavanyo olufunekayo ukudlula xa uhlela ukukhulelwa kwangaphambili. Makhe siqwalasele le nkqubo ngokubanzi, sixelele ngokuphathelele nganye yezifundo ngokwahlukileyo.
Ziziphi iimvavanyo okufanele ndizithabathe kwangangoko ngaphambi kokucwangcisa ukukhulelwa?
Njengoko uyazi, ngokuphuhliswa kokukhulelwa umzimba womfazi ufumana imithwalo enkulu. Ngenxa yoko, ukuxilongwa kwemeko yezona zinto ezisemgangathweni yezilwanyana zesibini akubalulekanga. Oku kunceda ukuphepha iingxaki sele sele zikhulelwe.
Inkqubo yokucwangcisa ukukhulelwa idla iinyanga ezintathu. Eli xesha lichazwe, okokuqala, kukuba ezinye iintlobo zophando kufuneka zenziwe ngethuba elithile lomjikelezo wesini.
Ngokufanelekileyo, ngaphambi kokuvavanya ukucwangciswa kokukhulelwa, ukufumanisa imeko yowesifazane, kubaluleke kakhulu ukutyelela oogqirha abanjengophilisi, i-ENT, ugqirha wamazinyo, isifo somzimba, kwaye xa kuyimfuneko, iingcali ezincinci ngakumbi.
Kwezinye iimeko, ngaphambi kokuba inkampani izame ukukhulelwa, oogqirha bancoma ukwenza iintlobo ezithile zokugonywa, phakathi kwazo - ngokumelene ne-rubella, i-hepatitis B. Nesiqinisekiso sokuqhuba ucwangciso lokukhulelwa sivivinywa. Ngokuqinisekileyo banikwe abatshatileyo abangakwazi ukukhulelwa umntwana ixesha elide. Into ephambili kulo mzekelo uphando malunga nencazelo ye-Rh factor.
Kuphela emva kokudlula iingcali ziza kuqala ukuvavanya. Ngoko ke, okokuqala, xa ucwangcisa ukukhulelwa, abafazi bavavanya ukuvalelwa (eziqhubekayo ezingenangqondo) izifo: chlamydia, mycoplasmosis, ureaplasmosis, gonorrhea.
Ukuba uthetha ngokubanzi, ngoko uluhlu lwee-laboratory izifundo ezenziwa ngexesha lokukhulelwa, ngokuqhelekileyo zibukeka ngathi:
- uhlalutyo lwegazi;
- uhlalutyo kwi-rhesus kunye neqela legazi (amaqabane ahambisa ndawonye);
- Uhlalutyo lwencazelo yezocalulo zesondo (bobabini bomtshato bayayeka);
- ukuhlolwa kwegazi ngenxa yobukho be- TORCH-infections;
- Uhlalutyo jikelele lomchamo;
- igazi ukuchonga izinga leswekile.
Kwakhona kuyimfuneko ukuthetha ukuba olu luhlu lunokwandiswa ukuba ngaba unina unakho unobungozi obungapheliyo, kwaye ukuba bayakrokrelwa kwi-pathologies. Ngaloo ndlela, i-hormone ihlalutya ngexesha leenkqubo zokucwangcisa ukukhulelwa zichazwe kwiimeko apho abafazi banenkinga yokukhulelwa okanye banembali yokungaqhelekanga kwemvelo.
Ziziphi ezinye iingxoxo ezinokuqhutywa kwinqanaba lokucwangcisa ukukhulelwa kwaye ziphi na iimeko?
Iimvavanyo ze-Genetic zokucwangcisa ukukhulelwa ziboniswa kuphela kwiimeko ezithile. Phakathi kwazo:
- ubukho kwintsapho yenye yexesha elizayo abazali beentsapho ezinezifo ezifa (i-Down Syndrome, umzekelo);
- ubukho bezinto ezilahlekileyo
kwi-anamnesis, kunye nakwiimeko xa iintsana zizalwe zifile; - ubudala bexesha labazali abangaphantsi kwe-18;
- ubukho boqhagamshelwano (egazini) oluhlobene (phakathi kwegazi).
Ngaloo ndlela, kunokuthiwa uluhlu lweemviwo ezinyanzelisayo ekulungiseleleni ukukhulelwa akulona lukhulu. Nangona kunjalo, konke kuxhomekeke ekubeni ngaba abafazi banezifo ezingapheliyo. Kuyafaneleka ukuba uqaphele ukuba ukunikezelwa kweemvavanyo kumadoda ngexesha lokucwangcisa ukukhulelwa akuvumelekanga kwaye kudla ngokuqhutywa kuphela ngeengxaki zokukhulelwa. Kwiimeko ezinjalo, uphando oluphambili olwenziwa ngamadoda luvavanyo lwegazi lweemodemoni kunye ne-spermogram.