Ubomi iimvavanyo Ubude phambi kokuba ukusebenza: nemigangatho, iimfuno kunye neziphakamiso

Yintoni kuvavanya Kwathi ngaphambi kokuba ukusebenza? Makhe sihlolisise kweli nqaku.

Ukuba umntu uza kuphathwa esibhedlele, oko kuya kwenziwa ukuba bapase inani elithile zovavanyo ezifunekayo ukwamkelwa kunye neenkqubo ezifanelekileyo zonyango kunye nesebe iprofayili, kwaye uza kumiliselwa. Ukuba umntu kufuneka ngokukhawuleza ngayo, uluhlu iimvavanyo phambi kotyando, kusenokuba ebanzi ngakumbi ukuze siqonde ukuba kukho ungenelelo ngotyando kwi imeko yangoku lomzimba, okanye ukuba ufuna ukuphucuka ngakumbi ngokusebenzisa iinkqubo kunye neziyobisi. iimvavanyo Impilo ngaphambi komsebenzi iza kuxutyushwa kamva kweli nqaku.

iimvavanyo zegazi phambi kutyando esibhedlele

Phantse phambi sokusiwa unyango esibhedlele phambi kokuba utyando amiswe iimvavanyo kwegazi. Kule kukho eziliqela yezizathu, ezifana ukufumanisa iqondo ukuphazamiseka ezisebenzayo ze ilungu elithile, ukufunda nesimo sempilo okanye ekufumanekeni phambi usulelo.

Iimvavanyo igazi alandelayo ngokuba ngokufuthi equkwe njengendawo yokuhlala kuluhlu ipreoperative okanye predgospitalizatsionnyh iimviwo: Uhlalutyo kwemichiza, uhlalutyo jikelele, ukumiselwa into kunye lwegazi uvavanyo RH kohlobo C no-B, ngegcushuwa kunye HIV.

Ukuba isigulana umntu isifo okanye imeko ethile lomzimba, okuhambelana imbali, iimvavanyo kunye ngokuhlahlela ukwazi ukumchazela ugqirha wakho malunga imfuneko hlengiso isicwangciso sonyango.

Yintoni uphando olwenziwa ezimbi ezahlukeneyo?

Xa iingxaki zempilo yomguli ezichaphazela igazi ekunqandeni, coagulation kunokufuneka. Oku kwenza uvavanyo igazi ukuba:

• isigulane kuthatha amayeza, ithinasi igazi,
• kulula kutyumza,
• kwakukho naziphi na iingxaki ngexesha utyando lwangaphambili kunye neenkqubo zokukhupha amazinyo ukopha isigulana okanye yenyama yakhe.

Ukuba kukho umntu ogulayo seswekile okanye ukuthambekela kuphuhliso sifo kuyimfuneko Kwathi iimvavanyo, ukufumanisa isifo seswekile.

Ukuba isigulana umfazi yokuzala, kusenokufuneka ukuba athathe uvavanyo lokukhulelwa. Oku kuquka uvavanyo lwegazi ebonisa amanqanaba hCG, hormone na chorionic kwabantu gonadotropin. iimvavanyo Impilo phambi utyando kufuneka kusoloko ahlonitshwe.

Ezinye iimvavanyo neemviwo

Amaninzi avela kwezinye izifundo olwenziwe elabhoratri, amisiweyo urinalysis. Xa kidney igqirha isifo usenokuncomela ukwenza buhlolwe ngokubanzi (analysis uchama nechyporenko okanye inzalo).

Ngaphambi kokuba bafike unyango esibhedlele, mfazi kufuneka adibane ugqirha kunye nokunikezelwa wohlalutyo kwi zosulelo ngokwesini, smears phezu flora ye urethra kunye phecana zokuzala. Ngelo xesha linye kumele kuthathelwe ingqalelo iimvavanyo lokugcinwa phambi nokusebenza.

Ngaphambi kokuba ahlinzwe phezu imiphunga, intliziyo, iziko esinye, njalo njalo. D. Ngamana kufuna iimvavanyo ezininzi ngqo kunye kakhulu.

Phonononga imeko phambi nasemva kotyando, kwakunye ezizakubanesiphumo emva specialist Equal Treatment, ngokusekelwe kwiimvavanyo elebhu. Ukuba akukho zonke iziphumo zezi mvavanyo zibe uluhlu esebenzayo kutyando, isiguli kufuna unyango olongeziweyo, transfer utyando okanye kuqhuba isaveyi eneenkcukacha. Iziphumo zezi mvavanyo, ugqirha okunyangayo unakho ukutshintsha indlela anyuliweyo zomzimba, umthamo unyango utyando okanye ixesha.

Ukongeza kwezi mvavanyo ayimfuneko kuba sicatshulwa lezifundo okanye neemviwo zezinye iingcali instrumental. Avamise kakhulu ultrasound, ECG, isifuba X-reyi, uthethwano otolaryngologist, zamehlo, ingcali jikelele, wamazinyo okanye oogqirha, neqaliswayo esweni naziphi na izigulane isifo ezihamba (luvo, endocrinologist, cardiologist, njalo njalo).

Ngoko ke yintoni na iimvavanyo lokugcinwa phambi ukusebenza? Lo mbuzo umdla abaninzi.

Ziziphi iimvavanyo zegazi zenziwa ngokukhawuleza phambi uqhaqho?

Nje kokuba utyando ngokuqhelekileyo kufuna uvavanyo igazi ngenxa yezizathu eziliqela.

Ukubekwa RH factor kunye lwegazi. Nawuphi na umsebenzi inikeza legazi. Ukuba ku msebenzi kuvela iingxaki, ukulahleka gazi phezulu kakhulu, ebangela imfuneko ukutofelwa iiseli ezibomvu okanye iplasma. Kulo mzekelo, kubalulekile ukwazi ukuba iqela igazi yomguli kunye RH, ukuze wenze impazamo ngexesha ukutofelwa. Iqela ogqitywe ugqirha ngokusebenzisa Umthamo omncinane wegazi kunye specials. sera.

Uhlalutyo eswekile yegazi lwenziwa ukuze levels iswekile, ingakumbi xa seswekile kumguli okanye ukuthambekela esi sifo.

Kwezinye iimeko, awufuni ukuba ivavanywe phambi ukusebenza?

Ukuba umsebenzi ubuncinane lomngcipheko, uluhlu zeemvavanyo kunokuba ibe mfutshane kakhulu okanye abasayi kufuneka kuzo zonke - ngokuxhomekeke iingcebiso gqirha khona. Uluhlu zifundo ibe mfutshane xa imisebenzi encinane, ezifana biopsy ibele okanye uqhaqho lwe ezincinane yesikhumba (xa kususwa lipoma, papilloma njalo njalo.) Yaye abanye. Kwezi zazo ingozi ephantsi kakhulu ezinobuzaza xa isigulane nempilo entle (akukho iingxaki ekunqandeni igazi, njalo njalo. d.).

Kwaye ngenxa imfuneko anikezele ezinye okanye ezinye iimvavanyo phambi esibhedlele okanye uqhaqho kufuneka udibane nge yincutshe.

Ithuba kolu xesha?

Iimvavanyo ezikhabhathini olulawulwayo phambi ukusebenza? Order of the Ministry of Health azikho naliphi na ixesha ngqo iimvavanyo elebhu. Kodwa kukho iimfuno eziqhelekileyo ekufuneka ilandelwe.

utshintsho Dynamic kwimeko emzimbeni kufuna ukuba zonke iziphumo zophando olwenziwa nje ngaphambi utyando okanye esibhedlela. Emva kwexesha elithile, iziphumo zeemvavanyo abaninzi ukugqibezela ixabiso diagnostic yaye ilungele kuphela uvandlakanyo yempilo yomguli ngokuhamba kwexesha kwaye uthelekise isiphumo efunyenwe emva unyango kunye idatha yoqobo. ixesha ubuncinane amanyathelo zohlalutyo ukulungiselela phambi utyando okanye esibhedlele ziiveki 1-2, ngokuxhomekeke kuhlobo lovavanyo ezifunekayo ngexesha layo ukuphunyezwa. Ugqirha uya isigulane zonke iinkcazo eziyimfuneko malunga imiqathango ozinikiweyo ngenxa ukugqitywa zonke iimviwo neemvavanyo.

analysis ixesha Standard

Nali ithuba lokugcinwa yegazi phambi uqhaqho. Ukungxamiseka uhlalutyo bezonyango belo igazi iintsuku ezili-10. Uhlalutyo ezinto igazi: glucose, urea, creatinine, iyonke yibilirubin, yibilirubin unconjugated, iiproteins iyonke, ALT, AST - iintsuku ezili-10. Coagulation: INR, aPTT, lwefibrinogen, ixesha fibrin - iintsuku ezili-10. lwegazi, RH factor - ngokungenammiselo. RW (negcushuwa), abanesifo (hepatitis C), HBs (hepatitis B) - ixesha semthethweni seenyanga ezi-3. lokugcinwa for uhlalutyo HIV phambi kokuba usebenzo kwakhona kwiinyanga ezi-3.

Apha nezinye izigqibo. Urinalysis - ngenyanga. ECG (electrocardiogram) - ngenyanga. Fluoroscopy okanye X-ray light - nyaka. zokuphawula Blood Ithumba: CA 125, CA 19.9. - iinyanga ezi-3.

Impilo phambi kokuba kuhlolwe utyando standard yamanina. Ukungxamiseka smear phezu nezihluma, oncocytology wesibeleko iinyanga ezi-3.