Okuqukethwe
Ukuhlolwa kokuqala kokubeletha
Ukulandelela ukukhulelwa kuhlanganisa ukubonisana okuyisibopho okuyisikhombisa. Ukuvakasha kokuqala kubaluleke kakhulu. Kumele kwenzeke ngaphambi kokuphela kwenyanga yesi-3 yokukhulelwa, futhi ingenziwa ngudokotela noma umbelethisi. Inhloso yalokhu kuhlola kokuqala iwukuqinisekisa ukukhulelwa ngosuku lokukhulelwa ngakho-ke ukubala usuku lokubeletha. Leli khalenda libalulekile ukuze bese kulandela ukuvela nokukhula kombungu.
Ukubonisana ngaphambi kokubeletha kuthola izici eziyingozi
Ukuhlolwa ngaphambi kokubeletha kuqala ngengxoxo lapho udokotela esibuza ukuthi siphethwe isicanucanu, izinhlungu zakamuva, uma sinesifo esingamahlalakhona, umlando womndeni noma wezokwelapha : isibazi sesibeletho, ukukhulelwa kwamawele, ukukhipha isisu, ukubeletha ngaphambi kwesikhathi, ukungalingani kwegazi (i-rh noma ama-platelet), njll. Futhi usibuza ngezimo zethu zokuhlala nezokusebenza, isikhathi sethu sokuthutha nsuku zonke, ezinye izingane zethu… Kafushane, konke okungenzeka vumela ukuzalwa ngaphambi kwesikhathi.
Uma kungabikho izingozi ezithile, umuntu angalandelwa ngudokotela ozikhethela yena: udokotela wakhe jikelele, udokotela wakhe wezifo zabesifazane noma umbelethisi okhululekile. Uma kwenzeka ingozi ekhonjiwe, kungcono ukunakekelwa yi-obstetrician-gynecologist esibhedlela sokubeletha.
Ukuhlolwa ngesikhathi sokubonisana kokuqala
Bese, izivivinyo eziningana zizolandelana : ukuthatha umfutho wegazi, i-auscultation, isisindo, ukuhlolwa kwenethiwekhi ye-venous, kodwa futhi nokushaya amabele kanye (mhlawumbe) nokuhlolwa kwesitho sangasese sowesifazane (njalo ngemvume yethu) ukuhlola isimo somlomo wesibeletho kanye nobukhulu bawo. Okunye ukuhlolwa okuningana kungacelwa kithi okunjengomthamo we-albumin ukuze kutholwe umfutho wegazi ophakeme we-arterial, ukuhlolwa kwegazi ukuze kubonakale iqembu lethu le-rhesus. Ungakhetha futhi ukuhlolelwa igciwane lengculazi (HIV). Kukhona nokuhlolwa okuyimpoqo: i-syphilis, i-toxoplasmosis ne-rubella. Futhi uma singagonyiwe ku-toxoplasmosis, (ngeshwa) sizokwenza lokhu kuhlolwa kwegazi INYANGA NJALO kuze kube ukubeletha. Okokugcina, kwezinye izimo, sibheka amagciwane emchamweni (ECBU), iBlood Formula Count (BFS) bese senza i-Pap smear uma okokugcina kungaphezu kweminyaka emibili. Kwabesifazane abavela e-Mediterranean basin noma e-Afrika, udokotela uzophinde acele ukuhlolwa okuqondile ukuze athole izifo ze-hemoglobin, ezivame kakhulu emaqenjini athile ezinhlanga.
Ukubonisana ngaphambi kokubeletha kulungiselela ukulandelwa kokukhulelwa
Phakathi nalokhu kuvakasha, udokotela noma umbelethisi wethu uzosazisa ngokubaluleka kokuqapha ukukhulelwa kithina nasenganeni yethu. Uzosinika iseluleko ngokudla nenhlanzeko okufanele sikuthathe lapho sikhulelwe. Lokhu kubonisana ngaphambi kokubeletha kuphinde kube yipasipoti yokwenza isikhathi sokubonana kwe-ultrasound yakho yokuqala. Futhi ngokushesha kuba ngcono. Ngokufanelekile, kufanele kwenziwe ngeviki le-12 le-amenorrhea ukukala umbungu, usuku olunembile kakhulu ekuqaleni kokukhulelwa kwethu futhi ulinganise ubukhulu bentamo ye-fetus. Udokotela wethu ekugcineni uzosazisa ukuthi kungenzeka yini ukuhlolwa kwe-serum marker, ngaphezu kwe-ultrasound yokuqala, ehlola ubungozi be-Down's syndrome.
Okubalulekile
Ekupheleni kokuhlolwa, udokotela noma umbelethisi wethu uzosinika incwadi enesihloko esithi “Ukuhlolwa kokuqala kodokotela ngaphambi kokubeletha”. Lokhu kubizwa ngokuthi iSimemezelo Sokukhulelwa. Kufanele uthumele ingxenye ebomvana ku-Caisse d'Assurance Maladie yakho; amashutha amabili aluhlaza okwesibhakabhaka ku-(CAF).