Ngingathola umkhuhlane ngenkathi ngikhulelwe?
Imfundo Yezempilo Izinkinga ZomamaIzincwadi zokukhulelwa kalula zingaba uhlu olude lokudla nemikhiqizo engaphephile komama abakhulelwe. ISushi? Cha. Ubisi olungafakwanga? Akunakwenzeka. Imikhiqizo yokunakekelwa kwesikhumba equkethe i-retinol? Uh-uh. Kunezinto eziningi okufanele sizigweme, kungaba nzima ukugcina ithrekhi yalokho okuvunyelwe. Njengoba isikhathi somkhuhlane sesiseduze, abesifazane abaningi abakhulelwe bangazibuza, Ngingathola umkhuhlane ngenkathi ngikhulelwe? Impendulo emfushane? Impela. Nayi imibuzo eyisikhombisa ejwayelekile.
1. Kuphephile yini ukuthola umkhuhlane ngenkathi ukhulelwe?
Izikhungo Zokulawula Nokuvimbela Izifo (I-CDC) incoma ukuthi abesifazane abakhulelwe bathole umuthi wokugomela umkhuhlane ukuze bazivikele bona nezingane zabo egciwaneni lomkhuhlane, noma ngabe bakude kangakanani lapho bekhulelwe. Kukhona ifayela le- inani lezifundo zesayensi ehlola ukuphepha komjovo ngesikhathi sokukhulelwa. Inani eliningi kakhulu lamaphoyinti emininingwane lithi ukugoma komkhuhlane kuphephile nganoma yisiphi isikhathi sokukhulelwa.
Futhi, ucwaningo lukhombisa ukuthi izingozi ze hhayi ukuthola ukugonyelwa umkhuhlane kuphezulu kwabesifazane abakhulelwe. Umkhuhlane kungenzeka uholele ukugula okunzima (kwesinye isikhathi kusongela impilo) —njenge-pneumonia — ngesikhathi sokukhulelwa. Ngokwengeziwe, ingakhuphuka amathuba okuphuphuma kwesisu , ukuzalwa ngaphambi kwesikhathi, ukukhubazeka kokuzalwa, nesisindo sokuzalwa esiphansi. Ukugonywa minyaka yonke kunciphisa ubungozi bokuthola igciwane lomkhuhlane lonyaka, futhi kunciphisa ubunzima uma uthelelekile.
OKUSHIWO: Yimaphi amavithamini abeletha owadingayo?
2. Ngabe kufanele ngithole umkhuhlane ngenkathi ngikhulelwe?
Hhayi kuphela can abesifazane abakhulelwe badutshulwa umkhuhlane, kodwa kufanele beka phambili ukuthola umkhuhlane. Ucwaningo luye lwabonisa ukuthi abesifazane abakhulelwe abathola umkhuhlane banezinkinga ezinzima kakhulu kanye nengozi eyengeziwe yokulaliswa esibhedlela uma kuqhathaniswa nabesifazane abangakhulelwe, kusho uDanielle Raiman Plummer, Pharm.D., Umdali we HG Usokhemisi , insiza yabesifazane abaphethwe yi-hyperemesis gravidarum ( isicanucanu esikhulu nokuhlanza ngesikhathi sokukhulelwa ). Izinzuzo zokugonyelwa umkhuhlane ngenkathi ukhulelwe zifaka ukwehla kwengozi yokukhubazeka kwe-neural tube okubangelwa umkhuhlane, uphawu oluvame kakhulu lomkhuhlane. A Ucwaningo lwango-2018 olwenziwa yiCDC kukhombisile ukuthi ukuthola umuthi wokugomela umkhuhlane kwehlise ingozi yowesifazane okhulelwe yokulaliswa esibhedlela ngama-40% ngokwesilinganiso.
3. Yikuphi ukudutshulwa komkhuhlane okungcono kakhulu komama abakhulelwe?
Esinye sezithako esibangela ukukhathazeka okuthile ezigulini yi-thimerosal, isilondolozi esenziwe ngemercury esisetshenziswe emithini yokugoma amashumi eminyaka.
Abukho ubufakazi bokuthi isibhamu somkhuhlane esiqukethe i-thimerosal siyingozi, kusho uTangela Anderson Tull, MD, i-OB-GYN UHoffman nama-Associates eBaltimore, eMaryland. Kepha kunezibhamu ezingenamkhuhlane ezingenayo i-thimerosal ezitholakalayo uma lokho kungakwenza ukhululeke.
Umuthi owodwa wokugomela umkhuhlane okufanele uwugweme ngenkathi ukhulelwe, kusho uDkt. Anderson Tull I-FluMist , umuthi wokugomela umkhuhlane wesifutho wamakhala.
4. Iyini imiphumela emibi yomkhuhlane odutshulwe ngenkathi ukhulelwe?
I- imiphumela emibi yomkhuhlane ziyefana nakwabesifazane abakhulelwe njenganoma ngubani othola umuthi wokugomela umkhuhlane. Imvamisa ayinzima, futhi ingafaka:
- Ubuhlungu noma ubomvu endaweni yokujova
- Ukuquleka
- Ubuhlungu bekhanda
- Imfiva
- Ubuhlungu bemisipha
- Isicanucanu
- Ukukhathala
Iningi labantu abathola umkhuhlane awutholi eminye yale miphumela emibi. Uma kwenzeka imiphumela emibi, iqala ngemuva kokugoma bese ihlala usuku olulodwa noma ezimbili. Ezimweni ezingavamile kakhulu, abantu bangaba nokungezwani komzimba nomkhuhlane. Uma une-allergies enamandla (njenge-allergies yeqanda), khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuthola umkhuhlane.
Umkhuhlane wadutshulwa ngeke ikugulise, ngenkathi ukhulelwe, noma nganoma yisiphi esinye isikhathi. Okunye okungaqondakali ukuthi imigomo ingadala i-autism ezinganeni. Kodwa-ke, i- I-American College of Obstetricians kanye neGynecologists ibika ukuthi abukho ubufakazi besayensi ngalokhu.
5. Ingabe umkhuhlane uzolimaza ingane yakho engakazalwa?
Bobabili uDkt. Raiman Plummer noDkt. Anderson Tull baqinisekisa ukuthi umkhuhlane uphephile futhi empeleni uvikela ingane ekhulayo, esiza ingane yakho lapho izalwa.
Ama-antibody adlula asuka kumama aye enganeni esibelethweni, kuchaza uDkt Raiman Plummer. Njengoba usana lungakwazi ukuthola umuthi wokugomela umkhuhlane kuze kube yizinyanga eziyisithupha ubudala, kubaluleke kakhulu ukuthi ingane izalwe nama-antibody. Izinsana ezithola umkhuhlane zisengozini enkulu yokuthola izinkinga, kanti umuthi wokugoma uzosiza ukuvikela umkhuhlane ezinyangeni ezimbalwa zokuqala zokuphila.
OKUSHIWO: Thola ikhemisi elihle kakhulu lokonga umkhuhlane
6. Izingane zidinga nini ukushaywa imikhuhlane?
Ngenkathi ama-antibody ehlinzeka ngokuvikelwa kusenesikhathi, kubalulekile ukuthi izingane ezineminyaka engaphezu kwezingu-6 ubudala zidutshulwe imikhuhlane yazo. Ama-antibodies adlula kwi-placenta nobisi lwebele awahlinzeki ngokuvikela okuningi njengokuhlaselwa umkhuhlane, futhi akufanele aphathwe njengendawo yomkhuhlane lapho ingane isikhule ngokwanele ukuba eyayo, kuxwayisa uDkt. U-Anderson Tull.
Okusemqoka ukuthi kunemininingwane eminingi etholakalayo esekela ukuphepha nokubaluleka komuthi wokugomela umkhuhlane ngesikhathi sokukhulelwa — futhi ungafaka isandla kulolo cwaningo oluqhubekayo.
Umkhiqizi ngamunye… ubhalisa irejista yokukhulelwa, uDkt Raiman Plummer uyachaza. Le registry iqoqa futhi ihlaziye imiphumela ngesikhathi sokukhulelwa kanye nabaqaphi bemicimbi yokuphepha engahle ibe khona. Noma yimuphi umuntu wesifazane okhulelwe wamukelekile ukuthi abambe iqhaza.
Thola ulwazi oluthe xaxa ngokujoyina ukubhaliswa ku- Iwebhusayithi ye-FDA .
7. Ngabe umkhuhlane udutshulwe uphephile ngenkathi uncelisa?
Umkhuhlane uphephile, futhi kunconyelwe abesifazane abancelisayo, ngokusho kwe- i-CDC . Ayigcini ngokuvikela umama, yabelana ngokuzivikela okuwusizo nengane ngobisi lwebele. Lapho usana seludlulile ezinyangeni eziyisithupha, izingane zingathola imikhuhlane yazo.