Abaninzi abasetyhini abasempilweni baya ngokuzithandela ekukhiphe isisu, kuba, nangona sizathu sini, abasakulungele ukukhulisa umntwana. Kodwa, ngelanga, kukho ukukhupha isisu. Xa owesifazane okhulelweyo ebhekene neengxaki zempilo ezinzulu, ukugcina ubomi bakhe, kunye nokuthintela ukuzalwa komntwana ogulayo, uyanconywa ukuba akhuphe isisu ngenxa yeemeko zonyango.
Ukukhupha isisu kubonakaliso busika kuvunyelwe naliphi na ixesha lokukhulelwa, ukuba kuye kukho izibonakaliso ezinikezelwe ngumthetho. Kwimigangatho yokuqala (ukuya kwiiveki ezi-6), umfazi unikwe ukuphazamiseka kwezidakamizwa okanye ukukhupha isisu ngokuchithwa; ukuya kwiinyanga ezi-3, kufuneka aqhubeke nenkqubo yokugonywa, kwaye emva koko, ukukhupha isisu kufana nokuzalwa kokuzalwa.
Izibonakaliso zokukhupha isisu
Kukho amaqela amakhulu amabonakaliso okuphazamisa ukukhulelwa ngokwemiqondiso yobusi:
- Izifo zomama, ezibangelwa ukukhulelwa nokuzala zibeka ingozi ebomini bhinqa, zibuhlungu kakhulu impilo, zifuna unyango oluphuthumayo olungqinelaniyo nokukhulelwa.
- Ukuchongwa ngexesha lophando lwephambi kokubeletha, ukuphulwa komntwana okukhulayo, ukungahambelani nobomi okanye ukukhokelela ekukhubazekeni.
Siza kuluhlu kwezi zifo zilandelayo:
- i-oncology, ingakumbi kuxhomekeke kwi-hormone, efuna ukusetyenziswa kwe-chemotherapeutic kunye ne-radiotherapy;
- rubella kunye nesifo sofuba;
- ukuphulwa kakubi kwenkqubo ye-endocrine (isifo sikashukela esikwifom ehlisiwe, i-prolactinoma nabanye);
- izifo ezithile ze-hematopoietic system;
- ukuphazamiseka kwengqondo (ukuxhatshazwa komzimba kunye nabanye);
- iziphoso ezintle zentliziyo, i-heart and circulatory disorders;
- izifo ezinzima kwezinye izitho kunye neenkqubo.
Kwinqanaba le-fetus, ezi zilandelayo zizathu zokuphazamisa ukukhulelwa:
- chromosomal ezingaqhelekanga;
- izifo ezinzima zofuzo;
- iziphulo zokuphuhlisa.
Isigqibo malunga nokuphazamiseka kokunyanzeliswa
Kufuneka kuqatshelwe ukuba lona wesifazane unelungelo lokugqiba isigqibo sokukhulelwa kwakhe. Akukho mntu umele amphoqe ukuba akhuphe isisu. Ukuxilongwa kokukhulelwa, kwakunye nokukhubazeka kwe-fetus kufuneka kuqinisekiswe ngokuhlalutya ezininzi kunye nokubonisana ngokusemthethweni koogqirha.
Isiphakamiso sokupheliswa kokukhulelwa sinikezelwa kwintombi ethathelwa ingqalelo yonyango lomdlavuza, oyingcali kwisifo sesifo (oncologist, endocrinologist, cardiologist, njl.) Kunye nodokotela oyintloko kwisibhedlele somoya. Ukuba isigqibo sokuba oogqirha asithandabuzeki, kuyacaca ngakumbi ukuba ibhinqa ivumelane kunye neengxabano zabo, ukuze bangazifaka engozini impilo yabo kuphela, kodwa, mhlawumbi, ubomi ngokwabo.
Ukuphazanyiswa ngumbonakaliso wezobugqirha akusoloko isigwebo sempilo. Kusenokwenzeka ukuba emva kokunyanga, ukukhululeka kweenkqubo ezinzima emzimbeni, ukukhulelwa okutsha kuya kwenzeka kwaye ukhuphe ngokuphepha ngokubeletha.
Ukukhipha isisu ngeentetho zentlalo
Amagama ambalwa kufuneka athathwe ngokukhipha isisu kokukhulelwa kwizinto ezibizwa ngokuba zizentlalo. Kwada kweeveki ezili-12, nawuphi na umfazi ekuthandweni unokuyeka ukukhulelwa ngokukhululeka. Kodwa emva kweenyanga ezi-3 zisuka ekuqaleni kokukhulelwe, akusakwazi ukukhupha isisu ngaphandle kwezonyango okanye zentlalo.
Uluhlu lwezibonakaliso zentlalo luboniswe ngokucacileyo kumthetho kwaye lukhawulelwe kumaphuzu amane kuphela:
- Ukuba ukukhulelwa kwenzeka ngenxa yokudlwengulwa.
- Ukungabikho kwamalungelo omzali wesibini kwinkundla.
- Ukufumana umfazi okhulelweyo kwindawo "engekho kude".
- Ukuba ngexesha lokukhulelwa lo wesifazane wahlala ngumhlolokazi.
Imvume yokuqhuba isisu eso sikhutshwe libhunga lezonyango ngokwemiqulu eqinisekisa imeko enzima yentlalo.