Ubhadane olubangelwe yi-coronavirus olubhekele i-Covid-19 manje selufinyelele esigabeni sesi-3 eFrance, okuholela ezinyathelweni ezehlukile, kufaka phakathi imikhawulo eqinisiwe kanye nesikhathi esinqunyelwe ukubekwa ekhaya, esenziwa kusukela ngo-19 ntambama omama besikhathi esizayo bayamenywa ukuba baqaphe. Ngakho-ke yiziphi izinyathelo okufanele uzithathe uma ukhulelwe? Ziyini izingozi uma ungena kuCovid-19 ngesikhathi sokukhulelwa kwakho? 

Ukuvuselelwa kukaMashi 25, 2021 - Okwamanje, abesifazane abakhulelwe abanakho ukufinyelela ekugomeleni iCovid-19. Kodwa-ke, abesifazane ngesikhathi sokukhulelwa nabaletha nge-comorbidities (isifo sikashukela, umfutho wegazi ophakeme, izifo, njll) bangaba sengozini yokuthola uhlobo olunzima lweCovid-19. Yingakho ukugonywa kwabesifazane abakhulelwe kwenziwa ngokwehlukana nodokotela, udokotela wezifo zabesifazane noma umbelethisi.

Ukuvuselelwa kukaDisemba 23, 2020 - Imininingwane esemqoka neyaziwayo, kulandela izifundo ezenziwa kwabesifazane abakhulelwe abane-Covid-19 yilena:

• iningi labesifazane abakhulelwe abathola i-Covid-19 abazange bahlakulele izinhlobo ezinzima zalesi sifo;
• ingozi yokudluliswa isuka kumama iye enganeni ngesikhathi sokukhulelwa ikhona, kodwa ihlala ingejwayelekile;
• ukuqapha ukukhulelwa, okulungiselelwe isimo sobhadane, kufanele kuqinisekiswe, ngokuthakazelisa umama nengane engakazalwa. Abesifazane abakhulelwe abanesifo kufanele babhekwe ngeso lokhozi ngesikhathi sokukhulelwa;
• ukuncelisa ibele kusengenzeka, ukugqoka imaski nokubulala amagciwane ezandleni zakho;
• Njengendlela yokuqapha, abesifazane abakwi-trimester yesithathu yokukhulelwa babhekwa njengengozi, ukuvikela bona nezingane zabo.   

Ekukhishwe kwabezindaba ngoNovemba 9, uMnyango Wezobumbano Nezempilo ukhombisa izimo ezintsha ukubeletha ngesikhathi seCovid-19. Inhloso yalezi zincomo ukuqinisekisa inhlalakahle nokuphepha kwabesifazane nokuvikelwa kwabanakekeli. Ngemuva kokubonisana noMkhandlu Ophakeme Wezempilo Yomphakathi, ikakhulukazi ngo ukugqoka imaski ngesikhathi sokubeletha, ongqongqoshe bayakhumbula ukuthi “ukugqoka isifihla-buso kowesifazane obelethayo kuyathandeka phambi kwabanakekeli kodwa ngeke kuphoqelelwe. ” Lesi seluleko sisebenza kwabesifazane abangenazo izimpawu, kodwa hhayi kwabanye. Ngaphezu kwalokho, i-visor inganikezwa kubo. Uma owesifazane obelethayo engagqokile ithuluzi lokuzivikela ebusweni bakhe, abanakekeli kufanele bagqoke imaski ye-FFP2. Ngempela, “ukuzalwa kufanele kuhlale kuyisikhathi esihle nakulesi simo sesifo esiwumshayabhuqe sazi ukuthi wonke umuntu kufanele anake inhlonipho yemiyalo yokuphepha enikezwa ngabasebenzi bezibhedlela zabakhulelwe“, Kukhumbula iNational College of French Gynecologists and Obstetricians. Futhi, ukuba khona kobaba kuyathandeka ngesikhathi sokubeletha, Futhi ngisho ukubanjwa okungahle kwenzeke. Futhi bangahlala egumbini, inqobo nje uma behlangabezana nemibandela ebekwe yiwadi labakhulelwe.

Uma nje igciwane lisasebenza, abesifazane abakhulelwe kumele baqhubeke nokuzivikela ku-coronavirus. Ukugeza izandla, ukufaka isifihla-buso ngaphandle kwekhaya, ukuphuma kuphela uma kunesidingo (ukuyothenga, ukuqashwa kwabezempilo noma umsebenzi) kuyizimiso zokuqapha okufanele zigcinwe komama besikhathi esizayo. Umuntu, ubaba wesikhathi esizayo ngokwesibonelo, manje usengahamba nabesifazane abakhulelwe lapho beqokwa khona lapho bekhulelwe futhi abekhona ngesikhathi sokubeletha nangemva kokubeletha. Lokhu bekungenjalo ngesikhathi eboshiwe, lapho ubaba angahlala khona ngesikhathi sokubeletha futhi ngemuva kwamahora ama-2 kuphela. Ngenhlanhla, noma kunjalo, lezi zincomo ziguqukile. Umuntu ohamba naye angahlala nomama osemncane. Manje kungenzeka ukuthi ukuseshwa okuhlelekile kwezimpawu kwenziwa kubazali besikhathi esizayo. Ngaphezu kwalokho, kufanele bagqoke imaski isikhathi sokubeletha. Ukuhlala ngemuva kokubeletha kufushane kunakuqala. Ngalesi sikhathi esibhedlela, ubaba wesikhathi esizayo uyavuma ukuhlala evalelwe, noma ukubuya kusuka ngosuku olulandelayo kuphela. Ukuvakashelwa okuvela emndenini nakubangane akuvunyelwe. 

Ukuncelisa ibele kuyaqhubeka kunconywa ngabaphathi bezempilo. Akukho ukudluliswa kweCovid-19 ngobisi lwebele okusatholakele. Uma umama omusha ekhombisa izimpawu zomtholampilo, kufanele agqoke imaski futhi abulale amagciwane ezandleni zakhe ngaphambi kokuthinta usana olusanda kuzalwa. Kujwayelekile impela, kulo mqedazwe, ukuthi abesifazane abakhulelwe babuze imibuzo. I-Unicef ​​izama ukunikeza izimpendulo ezifanele, ngokuya ngemininingwane yesayensi, uma zikhona.

Ngo-Ephreli, ukuphuma ngale kwe-10 km, kufanele kugcwaliswe ukugunyazwa kohambo. Ohambweni olungaba ibanga elingamakhilomitha ayi-10, ubufakazi bekheli liyadingeka uma kwenzeka amasheke emaphoyiseni.

Vuselela ngoMashi 25, 2021 - Isikhathi sokubekwa ekhaya sibuyiselwe emuva ngo-19 ntambama kuwo wonke amazwe aseFrance kusukela ngoJanuwari 20. Iminyango eyishumi nesithupha ingaphansi kwemingcele eqinisiwe (ukuvalelwa): Aisne, Alpes-Maritimes, Essonne, Eure, Hauts-de-Seine , Nord, Oise, Paris, Pas-de-Calais, Seine-et-Marne, Seine-Saint- Denis, Seine-Maritime, Somme, Val-de-Marne, Val-d'Oise naseYvelines. Ukuphuma uzungeze, ngakho-ke kuyadingeka ukuthi ugcwalise isitifiketi sokuhamba esiyingqayizivele, ngaphandle kwalapho kungu-10 km, lapho kudingeka khona kuphela ubufakazi bekheli.

Izinyathelo eziqinile zokunqanda izinto zisusiwe kusukela ngoDisemba 15 futhi esikhundleni sazo kubekwe umthetho wewashi, kusukela ngo-20 ntambama kuya ku-6 ekuseni

Kusukela ngoLwesihlanu, ngo-Okthoba 30, uMongameli weRiphabhulikhi, u-Emmanuel Macron, uphoqa ngiphinde ngivalelwe ezakhamuzini zedolobha elikhulu laseFrance. Inhloso ukunqanda ukubhebhetheka kwesifo i-Covid-19 nokuvikela abantu, ikakhulukazi abasengozini enkulu. Kusukela ngoMashi, umuntu ngamunye kufanele alethe isitifiketi sokuvakasha esihlukile ekuphumeni ngakunye, ngaphandle kwemibhalo esekela unomphela ngezizathu zobungcweti noma zemfundo. Uhambo olugunyaziwe yilolu:

• ukuhamba phakathi kwekhaya nendawo yomsebenzi wobungcweti noma amanyuvesi;
• ukuhamba uyothenga izimpahla;
• ukubonisana nokunakekelwa okungenakunikezwa kude futhi okungenakuhlehliswa kanye nokuthengwa kwemithi;
• ukuhamba ngezizathu zomndeni eziphoqelelayo, ngosizo kubantu abasengozini nabangaphephile noma ukunakekelwa kwezingane;
• uhambo olufushane, ngaphakathi komkhawulo wehora elilodwa ngosuku nasebangeni eliphakeme lekhilomitha elilodwa ukuzungeza ikhaya.

NgoMsombuluko Mashi 16, uMengameli waseFrance u-Emmanuel Macron ukuqinisekisile ukuboshwa ngesikhathi ethula inkulumo yakhe. Ngakho-ke, konke ukuhamba okungadingekile kunqatshelwe. Ukuhamba, kuzodingeka uphathe isitifiketi sokuhamba, kuphela ngenxa yezizathu ezilandelayo:

• Ukuhamba usuka ekhaya uye endaweni yokuzivocavoca ngomsebenzi wobuchwepheshe lapho ukwenza i-teleworking kungenzeki;
• Ukuvakashela ukuthenga okubalulekile (okwelashwa, ukudla);
• Ukuhamba ngezizathu zezempilo;
• Ukuhamba ngezizathu zomndeni eziphoqelelayo, zosizo kubantu abasengozini noma ukunakekelwa kwezingane;
• Uhambo olufushane, olusondele ekhaya, oluxhunywe nomsebenzi womzimba wabantu ngamunye, ukukhishwa kwanoma imuphi umsebenzi wezemidlalo ohlangene, kanye nezidingo zezilwane ezifuywayo.

Lesi silinganiso siza ngemuva kwesinqumo esifanayo esenziwe yiChina, i-Italy noma iSpain neBelgium sokunqanda ukusabalala kweCoronavirus Covid-19. Ukuqapha ukukhulelwa kuyaqhubeka nokuhlinzekwa odokotela nababelethisi ngesikhathi bevalelwe, kepha ngaphansi kwezimo ezithile. 

Kusukela ngoMeyi 11, iFrance isebenzise isu layo lokunqunywa okuqhubekayo. Owesifazane okhulelwe kufanele aqaphe ikakhulukazi ukuze azivikele yena nengane yakhe kwi-coronavirus entsha. Angafaka isifihla-buso njalo lapho kufanele aphume, ngaphezu kwezinyathelo zenhlanzeko.

Icala elihlukile lokungcoliswa kukamama nengane i-coronavirus

Kuze kube manje, azikho izifundo zokuqinisekisa noma ukuphika ukudluliswa kwe-coronavirus isuka kumama iye enganeni ngesikhathi sokukhulelwa. Kodwa-ke, muva nje ithelevishini yomphakathi yaseChina i-CCTV idlulise udaba lokudluliswa komama nengane ngesikhathi sokukhulelwa kweCovid-19 coronavirus. Ngakho-ke, i-coronavirus ingawela umgoqo we-placenta futhi ithinte umbungu lapho umama ethintekile.

Ingane enegciwane kusukela ekuzalweni yahlushwa ukuphefumula okuncane: lezi zimpawu zobukhona beCovid-19 enganeni zaqinisekiswa ngesikhathi se-x-ray esifubeni. Kusenzima ukusho ukuthi ingane yatheleleka nini: ngesikhathi sokukhulelwa noma lapho izalwa.

NgoMeyi 17, 2020, kwazalwa ingane itheleleke nge-novel coronavirus, eRussia. Unina naye watheleleka. Babuyela ekhaya, "besesimeni esigculisayo". Leli icala lesithathu emhlabeni elibikiwe. Ingane enoCovid-19 nayo yazalwa ePeru. 

Ucwaningo oluqinisekisayo lokudluliswa kwegciwane lesandulela ngculazi lisuka kumama liya embungwini

Ngaphandle kwalawa macala ama-3 weCovid-19 coronavirus ezinganeni emhlabeni wonke, akekho omunye okubikwe ukuthi kuze kube yimanje. Futhi, odokotela abazi ukuthi ukudluliswa kwakwenzeka nge-placenta noma ngesikhathi sokubeletha. 

Noma isifundo, esivela ngoMashi 16, 2020, esishicilelwe ephephabhukwini i "Frontiers in Pediatrics", sikhombisa ukuthi akuveli ukuthi ukutheleleka ngegciwane ngeCovid-19 coronavirus kungadluliselwa kusuka kumama kuye embungwini, lezi 3 izinsana zifakazela okuphambene nalokho. Kodwa-ke, lokhu kuhlala kungavamile kakhulu. 

Izinyathelo zokuphepha zokunciphisa ubungozi bokudluliswa kwabesifazane abakhulelwe

Ukuzivikela ku-coronavirus, abesifazane abakhulelwe bayelulekwa ukuthi bahloniphe ukuthinta kokuvikela ukuvikela noma yikuphi ukungcola. Ekugcineni, njengazo zonke izingozi zokudluliswa kwezifo (umkhuhlane wonyaka, i-gastroenteritis), abesifazane ngesikhathi sokukhulelwa kufanele bahlale kude nabantu abagulayo.

Isikhumbuzi sezimpawu zokuvimbela

Ukunakekelwa kwabesifazane abakhulelwe kugcinwa ngochwepheshe bezempilo njengoba kukhonjisiwe nguSYNGOF, iSyndicate of Obstetrician Gynecologists of France, esitatimendeni sakamuva sabezindaba. Kodwa-ke, i-teleconsultation ihlala inconywa ngokuqinile isikhathi eside ngangokunokwenzeka.

Qaphela ukuthi ama-ultrasound amathathu ayimpoqo agcinwa ngomusa wokuhlonipha izinyathelo zokuqapha zenhlanzeko:

• Ukuhlukaniswa kweziguli egumbini lokulinda, okungenani kuhlaliswe isihlalo esisodwa;
• Ukubulala amagciwane njalo egumbini;
• Ukuhlonipha ukuthinta kwesithiyo.

Ngaphezu kwalokho, iziguli kufanele ziye ehhovisi zodwa: ngaphandle kukababa wakusasa nangaphandle kwezingane. Ekugcineni, iNational College of Midwives iphethe ngokuhlehlisa izikhathi zokulungiselela ukubeletha ezihlangene kanye nezikhathi zokuvuselelwa kwezitho zangasese. Ukubonisana komuntu ngamunye kugcinwa kuphela.

Akukho cwaningo olukhombisile ukuthi i-coronavirus idlulela ebisini lwebele lwabesifazane abane-coronavirus nabancelisayo.

Uma kuqhathaniswa nomqedazwe ka-2002-2003 weSARS-Cov, okwakutholwe amasosha omzimba kuleligciwane obisini lwebele lomama abanegciwane, kepha hhayi igciwane. Ngakho-ke kunconywa ukuncelisa ibele njengoba kukhonjisiwe yi-Unicef ​​” Ngokunikezwa izinzuzo zokuncelisa ibele kanye nendima engabalulekile yobisi lwebele ekudluliseni amanye amagciwane okuphefumula, umama angaqhubeka nokuncelisa, ngenkathi ebheka izindlela zokuqapha ezidingekayo ".

Kodwa-ke, umama oncelisayo welulekwa ngokuqinile ukuthi abonane nodokotela wakhe ngokushesha uma ezwakalisa izimpawu (ukukhwehlela, umkhuhlane, ubunzima bokuphefumula) nokulandela ngokuqinile imithetho yenhlanzeko eyaziswa ngokugqoka imaski nokuwashwa kwezingubo. izandla ngaphambi nangemva kokuthintana nengane yabo. Kubalulekile futhi ukubulala amagciwane njalo ezindaweni ezingcolisiwe usebenzisa isisombululo esifanelekile sokubulala amagciwane.