Sixelele malunga nokuba kufuneka ujongene njani nabafazi kwisibhedlele sokwamama. Kwaye ngoku masihambe kumazwi ukuya kwishishini. UMaria Moltartava, olungiselela ikhosi yoomama ngendlela yokukhusela amalungelo akhe esibhedlele (ngokusekwe kwindawo yeGrowa), ekwabelwana ngayo ekuphatheni iingcali kwezonyango.
QAPHELA! Zonke ezi zinto zilandelayo ziingcebiso zabo bafuna ukuzisebenzisa. Ukuba awuyifuni, nceda ungacingi ukuba siluphala ukuyeka iinkonzo zonyango.I-LCD kunye nobomi
Ingxaki. Andifuni ukwamkelwa kwi-LCD, kukho oogqirha abambi, kukho uhlalutyo olungeyomfuneko, ndifuna ububele kunye nononophelo!
Ngokwenyani. Ukhetha ngokupheleleyo ukhulelwe ukuze ume ngokwemigaqo ye-LCD, awunakubonakala apho, kodwa uqaphele phantsi kwemvumelwano okanye tyelelo oluqhubekayo kunye nokugculela kwiziko elihlawulelweyo lonyango. Eyona nto iphambili ekucaciseni ngoko nangoko ukuba iziko linemvume yokukhutshwa kwamashiti esibhedlele (kwikhefu lokuya kubeleka) kunye neKhadi lokuTshintshana. Ngaphandle kwesebe lokutshintshiselana, umntu obhinqileyo uya kubeka isebe elibukele (Esosulelo) lesibhedlele, apho imigaqo ihamba khona, yonke into ichithwayo, ukutyelelwa akuvumelekanga.
Ingxaki. Kwaye kwi-LCD abayithethile ukuba ndifuna ikhadi eliqhelekileyo lotshintshiselwano, kufuneka ndiye kubo rhoqo kwaye ndibhalise ukuya kwiiveki ezili-12, kungenjalo abayi kunika!
Eneneni . Ukuba uceba ukuzala esibhedlele esikhethiweyo kwaye ungabi nakho kwigumbi lokugcina, kuya kufuneka ube nexesha lokusebenzisa iinkonzo ze-LCD okanye kwikliniki ehlawulelwayo ukufumana ikhadi lokutshintshiselana. Kodwa! Akukho mthetho ulawulayo kufuna ukuqaphela kunye nobukho bazo zonke izinto zokuhlolwa, uhlalutyo olunikelwe ngoogqirha. Akukho nalunye uxwebhu oluthini ukuba lelona nani lingonwabileyo lokutyelelwa koogqirha (i-gynecologist, ugqirha wamazinyo, njalo njalo) kunokubangela ukuba kuqaliswe "ukutshintshana".
Ngaphambi kokungena esibhedlele, kubalulekile ukuba nexesha lokudlula kwaye lingene embangeni kuphela inani lokuhlalutya. Imephu kufuneka ibenobungqina bokuba awunabungozi kusulelo luyingozi ukuba usandul 'ukuzalwa nabamelwane kwisebe lasekhaya, ubuncinci. Kwaye ukuba awuguli ngento enzulu, efuna ukuhanjiswa kwiziko elikhethekileyo (umzekelo, isibhedlele sokwamama ngokubandezeleka kwi-ntliziyo yentliziyo).
Ngayiphi na imeko, akufuneki ungayikhathaleli utyelelo kwi-Ophthalmologist, kuba ogqirha bahlala besoyika ukutshintshwa kwe-retinal ngokubulawa komntwana kwaye banokunyanzelisa ubuchule bokungenelela okungeyomfuneko. Kungcono ukuba nesatifikethi esivela kwi-oculist, ukuba akukho mngcipheko wokuphinda usebenze.
Ke, ukuba ufuna ukwenza ngobuncinci bokuqwalaselwa kobuhlomelo kangangexesha lokukhulelwa (kodwa kwangaxeshanye, umsebenzi wasekhaya ayisiyo ukukhetha), emva koko ohlalutyo lukhona ukwazi ukufumanisa ukungabikho kwezifo ezosulelayo kunye nethuba lokuzala kwisibhedlele lokuthenga, olu vavanyo lwegazi, uvavanyo lwe-HIV, iimvavanyo ze-HIV, i-C kunye ne-C kunye ne-C kunye ne-C kunye C "Impilo ngokubanzi" ukusuka kwisithili kwindawo yokuhlala okanye i-orapist ihlala ikujonga rhoqo. Ngokusekwe kugqirha odwelisiweyo kwi-LCD okanye enye ikliniki, iya kuba nakho ukugqiba kwelokuba imeko yakho yezempilo ayiphathi i-super, emva koko iya kunyanzelwa ukuba inikezele kwisibhedlele yendawo yakho yokuhlala. Ewe! Nokuba ubhalise kwiiveki ezingama-28 zokukhulelwa okanye kwi-30.
Ingxaki. Kwi-LCD bathe ndafika nge-31 veki, kwaye ngoku andizukundinika "ukuqina" okugulayo. Kuya kufuneka ndiye kwisibhedlele seMagazini kwintlanganiso ?!
Eneneni . Ngokuchanekileyo iiveki ezingama-30 zokukhulelwa kufuneka zikhuphe iphepha lesibhedlele lokukhulelwa kunye nokuzalwa komntwana. Kwakhona, banyanzelekile, nokuba uza kubhalisa kwiiveki ezingama-29. Ukuba kweza kwangama-31, kufuneka banike ngokukhawuleza, umhla wokundwendwela: Ukukhutshwa kwezindlu zesibhedlele akuvumelekanga ngumthetho. Akukho ntlawulo yokukhutshwa kwesibhedlele ukuze ikhutshwe ngumthetho wokukhulelwa kunye nokuzalwa komntwana ayivumelekanga. Iphepha lesibhedlele likhutshwe ixesha elingangeentsuku ezili-140, lingandiswa kwimeko yabakhulelwa okanye abaninzi.
Umbuzo ongxamisekileyo. "Ndiza kufumana malini" kubelo "?"
Impendulo. Ngokungqinelana neCandelo 1 le-ART. 11 KuMthetho No. 255-FZ "kwi-Inshurensi yeNtlalontle enyanzelekileyo ukuba kukhubazeka okwethutyana kwaye ngenxa yobudoda" wezibonelelo zokukhulelwa kunye nokuzalwa komntwana ophakathi, kodwa ngaphakathi imida esekwe ngulo mthetho mnye. Ngo-2016, ngo-2015, "phalaring" yencwadana yemigaqo zii-ruble ezingama-140 iintsuku ezili-140 (isixa-mali sibalwa ngokungqinelana nomthetho we-Federal ").
Oko kukuthi, isilingi senyanga "yomiselo" (musa ukudidana ngekhefu lokugcina abantwana iminyaka eyi-1.5!) - Okwangoku ingaphezulu kwamawaka angama-53 ngenyanga. Ixabiso lesibhedlele lingaphantsi ukuba umvuzo womfazi ungaphantsi kwamawaka angama-53 ngenyanga; Ngaphezulu-imeko ayisabhatali. Awu, nokuba kukho umvuzo omhlophe ngokupheleleyo wamakhulu amawaka, sinophanzi olungenantlonelo ngokupheleleyo. Ngamanye amaxesha abaqeshi abalungileyo bongeza "ukuhla" kwingeniso yenene ngeendleko zabo, kodwa ngokomthetho abanyanzelekanga, ngelishwa.
Ingxaki. Kodwa kwi-LCD abasathetha, benokunika isatifikethi kuphela, uyafuneka kwisibhedlele sokwamama!
Eneneni . Isatifikethi esiqhelekileyo sifuneka kwisibhedlele sokamama ukuze sinikele ingqalelo kwisiseko sohlahlo-lwabiwo mali (hayi phantsi kwesivumelwano). Kwaye ukuba uza kuzala ngaphandle kwakhe, uya kuyibhala ngokukhawuleza phambi komgaqo-nkqubo we-OMS, iipasipoti kunye neminatha. Kwaye ukuba wawuzale ngemvumelwano, emva koko ... enye indlela inokubhala phantsi esibhedlele okanye kwikliniki yabantwana
UMdali ndiyangcangcazela okanye Ukuhlangula Ubomi?
Ukuza kuthi ga ngoku, i-LCD, ifudukela kwisibhedlele sokwamaso. Kucacile ukuba kunokwenzeka ukuba senze isigqibo ngokuzalwa komntwana wasekhaya, kodwa isihloko ngamalungelo akho kumaziko onyango, ke siya kuthetha ngabo.
Ingxaki . Kwaye ntoni ukuba ndizalwe simahla, andinakuthatha mntu ngokuzalwa komntwana ukuze inkxaso?
Ngokwenyani. Umfazi unelungelo lokuzala umyeni wakhe okanye umama wakhe kwaye kubandakanya ukuba uza kuzala simahla. Eyona nto iphambili kukuba kwisibhedlele esikhethwe sisibhedlele sokwamama yayiziiholo zabasebenzi.
Inqaku lama-51 loMthetho weMicimbi yezeMbumo 323 "Kwiziseko zempilo zabemi kwiRussia Federation" ibonakalisiwe: "Utata womntwana okanye elinye ilungu losapho linikwe imvume yomfazi, ethathela ingqalelo imeko Impilo yayo, ukuya ekuzalweni komntwana, ngaphandle kwamatyala okusebenza, ngokuxhomekeke ekusekweni kweemeko ezifanelekileyo (iiholo ezifanayo) kunye nokungabikho kosapho lwezifo ezosulelayo kuYise okanye olunye usapho. Ukuphunyezwa kweli lungelo kwenziwa ngaphandle kokuqhawula umrhumo kuBawo womntwana okanye elinye ilungu losapho. "
Ngoobani amalungu osapho? Ngokobugcisa. Ikhowudi yosapho iqabane, abazali kunye nabantwana. Oko kukuthi, aba bantu banokuza ngokukhululekileyo-ukuba bangaphezulu kweminyaka eli-14 - ukuba nesatifikethi esivela kugqirha malunga nokungabikho kwezifo ezosulelayo, iziphumo zohlalutyo lwe-HIV-hepatitis (engalunganga) kunye nesiphumo se I-fluography. Nangona kunjalo, njengoko sibona, kufutshane nenokuthatha inxaxheba ngokuzalwa komntwana kuphela phambi kweeholo eziqhelekileyo, kwaye iimeko ezinjalo zikude kuzo zonke izibhedlele. Ukuba indawo yokuhlala ivumela, zama ukukhetha isibhedlele kwangaphambili.
Ingxaki . Kulungile, wothuka emva kwako konke. Ndiza kwenza kwiSibhedlele iMagazini kwaye andiyi kwazi ukuba basebenza njani apho kwaye kutheni. Ukuzikhusela ngokupheleleyo kubuso boogqirha abanomdla!
Eneneni . Yazi kwaye uthanda amalungelo akho. Ngaphambi kokuzalwa komntwana, kuyanyanzeleka ukuba basayine imvume ebizwa ngokuba "yimvume yokuzithandela kwizakhiwo zonyango" (ubugcisa. 32: I-323-FZ), uyifundile ngononophelo. Ukuba into ayihambelani - ungayicima (ngokuqinisekileyo, ndiqinisekile ukuba awufuni ukuba lo qhina ungaphantsi kweengcali zengcali ngoogqirha abathembekileyo!)
Asifumani xinzelelo lwengqondo: "Ukuba awusayityi-asiyi kukubonelela ngeenkonzo zonyango." Oogqirha abanalo ilungelo lokwala "ukohlwaywa" ngenxa yenyani yakho, umzekelo, ukuthandabuza ukukhuthaza umntwana ngaphandle kwesivumelwano esongezelelweyo. Ngokungqinelana nobugcisa. I-124 yeKhowudi yoLwaphulo-mthetho, ukuba ugqirha akavumi ukukunceda, kwaye kukhokelela kwiingxaki zempilo - eyakho okanye i-Kid - ugqirha lixabiso lolwaphulo-mthetho.
Emva kokuzalwa komntwana
Okokuqala: Umama nguwe (kwaye uBawo nguwe), kwaye kuphela kwezigqibo zokugqibela eziza kwenziwa esibhedlele (kwaye naliphi na iziko lezonyango) nomntwana wakho. Akukho ntsholongwane, ugonyo, ukuhlolwa, izakhiwo phantsi kwesibane-ngaphandle kwemvume yakho ebhaliweyo.
Siya kuyenza boyikisa, kodwa siluncedo kwaye sicaphule umyalelo weCandelo lezeMpilo leRussia le-Russian 1, 2012 n 572n "xa ivunyele i-"72n" xa ivunyelwa nge-genecology (ngaphandle kokusetyenziswa kwe Itekhnoloji yokuzala ye-Auxiliction) "(njengoko ilungisiwe ukusuka ngoJuni ka-2015):" 32. Kumasebe e-PostPartum, ukuhlala ibhulukhwe yebhulukhwe kunye nokuzalwa okutsha, ukufikelela simahla kwamalungu osapho kumfazi kwaye umntwana uyacetyiswa. Ixesha elicetyiswayo lihlala lingumzali kwintlangano yezonyango emva kweentsuku ezintathu ukuya kwezi-3. 33. Ekusasazeni njengomzali, ugqirha usuka kugqirha ucacisiwe ngezibonelelo kunye nexesha elicetyiswayo lokuncancisa (ukusuka kwiinyanga ezi-6 ukuya kwele minyaka i-2 ukusuka kumhla wokukhulelwa komntwana) kunye nokuthintela ukukhulelwa okungafunekiyo. "
Phawula! Ukuncancisa ukuya kwiminyaka emi-2-ilungiselelo elisemthethweni lobulungiseleli bethu, akukho mazwe angasemva ", njengoko sihlala sisiva kwisibhedlele saseMakhaya kunye neekliniki. Sikwakhankanya iodolo yama-30 ngokulandelelana: ukuncancisa. "
Ingxaki. Kwisibhedlele sokamama, yonke into iyoyikeka, abanakubonelela ngokuhlala, bazama ukundinyanzela ukuba abayingqinelani imbonakalo yam yelizwe kunye noluvo loqheliniso lwam. Kuya kufuneka ndihlale apho iintsuku ezi-3, kube kanye nge-odolo ithethwa njalo?
Eneneni . Hayi, ayinyanzelekanga. Iintsuku ezintathu-zicetyiswa ngokuchanekileyo, ngokuzithandela. Ungathatha umntwana wakho kwi-Armpit kunye nekhefu ukuze ufumane irisithi ("uxanduva lwakho kuyo yonke into ngokwakho" kwaye nayiphi na into enjalo) ubuncinci iiyure ezili-12 emva kokuzalwa komntwana emva kokuzalwa komntwana. Oogqirha banyanzelekile ukuba bakunike i-ultrasound ngaphambi kokukhutshwa. Kwakhona: Vuma-ayisiyonto yakho, kodwa ilungelo. Mhlawumbi akufanele ungahoyi ukukhangela: kodwa ayishiywanga kuwe emva kokuzalwa kwento eyongezelelweyo.
Ingxaki . Kwisibhedlele sokwamama, kubonakala ngathi akukho nto, kodwa andithandi ukuba ndingathandi i-Neonatologist, kwaye ndiyazi ukuba kukho ogqirha abangcono kwiSebe.
Eneneni . Ukukunceda. I-5 tbsp. 19 Kumthetho 323-FZ. Isigulana sinelungelo kungekuphela nje ukuba sikhethe ugqirha kwiziko lezonyango, kodwa nakwimfuno yokumema iingcali kwezinye iikliniki zokubonisana. Ewe, kanye esibhedlele.
Kubalulekile ukukhumbula ! Yenzelwe yena kunye nomntwana, sinoxanduva lokuqala, thina ngokwethu sibameli bezomthetho salo mntwana. Oku kubhaliwe kwiNqaku lama-20 loMthetho 233-FZ: Umama notata banabameli abasemthethweni, kwaye zonke izinto eziguqukayo zenziwa kuphela ngemvume yabo ebhaliweyo. Kwanabo basindisa ubomi nezempilo.
Icandelo 5 ART. I-20 yoMthetho i-323-FZ ifundela: "Ukuba omnye wabazali okanye omnye umntu omele umntu omiselweyo kwiCandelo 2 ngeli nqaku, okanye ummeli womthetho owamkelweyo, kwizonyango ungenelelo lufanele ukusindisa ubomi bakhe, uMbutho woNyango unelungelo lokufaka isicelo kwinkundla ukukhusela iimfuno zomntu onjalo. Ummeli osemthethweni womntu owamkelweyo kwinkqubo esekwe ngumthetho akacoci, wazisa umzimba wongenelelo kwiwadi malunga nokugcina ubomi bewadi, hayi kamva Ngaphezulu kosuku olulandelayo lolo lwaliwe. "
Ngokuhambelana, izisombululo zakho aziwathandi amagqirha, zibonakala ngathi ziyingozi ebomini bomntwana - ezayo, umbutho wezonyango unokungala. Ukuziqhelanisa, oku kwenzeka phantse kwiimeko zokufa komntwana ngenxa yokwala ungenelelo oluthile: Inkundla yamagqirha iyazigcina.
Ingxaki . Kuthekani ngogonyo? Baxelelwa ukuba kufuneka wenze yonke into ngokuchanekileyo.
Ngokwenyani. Unelungelo lokwala naluphi na ugonyo. Icandelo 1 ART. I-5 yomthetho we-Federal Nomb 157 "kwi-Irhunprophylaxis yezifo ezosulelayo". Akukho gonyo olunyanzelekileyo. Ikhalenda yokugonyathiswa i-Colerting icebiso.
I-P.S. . Yonke into yokuqhelanisa enye nomntwana kufuneka irekhodwe kunyango lonyango, apho unelungelo lokuhlangana nangaliphi na ixesha, fumana iikopi kwaye ukhuphele! Kwaye ikliniki yabantwana ikwakhathazekile (umthetho omnye 323-фф).