Ziziphi iingxaki eziqhelekileyo zokugaya ukutya kwiinyanga ezili-9 zokukhulelwa kwaye zeziphi iingcebiso zokuthintela? Ukususela kwiintsuku zokuqala zokukhulelwa, amanye amahomoni asebenza kumzimba womama ukuze enze ezona meko zilungileyo zokuphuhliswa kwe-embryo. Ezi ziquka I-chorionic gonadotropin yomntu, estrogen kunye iprogesterone oko kukhuthaza i ukuphumla kwezihlunu ezingafunekiyo, ukukhusela isibeleko kumngcipheko wokunqanda okuyingozi.
Ngaba baphinde baphumle izihlunu ezingafunekiyo zenkqubo yokugaya ukutya, kwaye ukutya okutyiweyo kuhlala ixesha elide esiswini, kubangela ukuqunjelwa kunye nokuziva udiniwe. Isiqulatho sesisu sithande ukunyuka kwi-esophagus, into ethatha igama elithi I-reflux ye-Gastroesophageal, kwaye ngokuqhelekileyo ikwenza oko ngokutshisa kunye nesicaphucaphu.
Kwangokunjalo, imixholo yamathumbu icothisa ukuhamba kwayo, ibangela ukuba ihambe ukuqhina. Kwi-trimester yesithathu, ukwanda kwesibeleko kuthetha ukunyuka kwesisu kunye nokuthambekela kwe-esophagus. Lo mba uphinde ube negalelo kwi-reflux yezinto zesisu, i imvakalelo evuthayo kunye isicaphucaphu. Nanga amanye amacebiso okunceda ukuphelisa ezi ngxaki zokwetyisa.
Isicaphucaphu: Iifomu ezincinci zixhaphake kakhulu
Kuxhaphake kakhulu kwiiveki zokuqala zokukhulelwa ukuba kuthathwa njengenye yeempawu eziqhelekileyo zokukhulelwa kwangaphambili. Uhlobo oluthambileyo lwesifo ichaphazela i-70-80% yoomama abakhulelweyo. Kunoko, iifom ezinzima kakhulu zinqabile, ngokugabha rhoqo, ubunzima bokutya kunye nokukhupha amanzi: okubizwa ngokuba hyperemesis gravidarum.
Ukuba isicaphucaphu siphakathi kwaye azikhatshwa kukugabha, kwiimeko ezininzi kwanele ukuthatha amanyathelo okhuseleko ekutyeni ukunciphisa ukungonwabi: ukwahlula ukutya, kugweme ukutya okunzima, njengokutya okuqhotsiweyo kunye namafutha ezilwanyana afuna ukwetyisa ixesha elide, sebenzisa iicarbohydrates kusasa nje xa uvuka ukunciphisa i-asidi kwi-esophagus, Musa ukusela ngesisu esingenalutho..
Ngaba zinokusetyenziswa iimveliso zendalo?
I-Vitamin B6 kunye nezongezelelo zejinja banokunceda. Kumashumi eminyaka eyadlulayo, ezinye iiphononongo kwizilwanyana zaselabhoratri zacebisa ukuba ukusebenzisa ijinja ngexesha lokukhulelwa kwandisa umngcipheko wokuzalwa uneziphene, kodwa ezi ziye zakhatywa. Ijinja es khu selekile. Kunzima ukuvavanya ngokuchanekileyo ukusebenza kwayo, kuba ingadliwa ngeendlela ezahlukeneyo: ingcambu entsha, ingcambu eyomileyo eyomileyo, njengetiyi ye-herbal, kwaye ukulungiswa ngalunye kuqulethe iipesenti ezahlukeneyo zesithako esisebenzayo. Nangona kunjalo, kukho abafazi abaninzi abathi bayazuza kuyo.
Kwenzeka ntoni ukuba une-hyperemesis gravidarum?
Abasetyhini abachatshazelwa yi-hyperemesis gravidarum, ezona ndlela zinzima ze-nausea, banikwa i-drip ye-saline kunye neetyuwa zamaminerali. . Uncedo lokuhlawulela ukungalingani okubangelwa kukuhlanza okuphindaphindiweyo. Kukwanikezelwa namayeza okucinezela umnqweno wokugabha.
Kwindawo yokuqala antihistamines, eyona ikhuselekileyo ekukhulelweni. Ukuba oku akuphumeleli, ungazama i-metoclopramide, ekhuthaza ukuhamba kwenkqubo yokugaya kunye nokukhawulezisa ukukhupha isisu. Ngamanye amaxesha kusetyenziswa izidakamizwa ze-neuroleptic, ezisebenza nakwiziko lokuhlanza. Onke la mayeza abekelwe wona ezona meko zinzima kwaye ufuna ummiselo.
I-Reflux: amanyathelo akhuselekileyo kunye neziyobisi kwiinyanga ezili-9
Isicaphucaphu sisalamane esisondeleyo se-reflux heartburn, ngenxa yokudumba kwenwebu yommizo njengoko iziqulatho zesisu zidlula esiswini. Kwakhona kule meko, amahomoni anciphisa ukugaya kunye nesibeleko esikhulu esicinezela isisu esisuka ngaphantsi sinoxanduva.
Ukuthintela ukuphazamiseka, kuyacetyiswa yahlula izidlo zibe ngamashwamshwam amancinci amaninzi, ukuze ungagcwalisi ngokupheleleyo isisu.Kungcono ukhethe ukutya okukhawulezayo kokugaya, ukuphepha amafutha ezilwanyana, iisosi, iikhrimu kunye nezinongo ezinzima.
Sihlala siyiphinda, kodwa kufuneka uhambe...
Emva kwesidlo sakusihlwa, kuyanceda ukuthatha uhambo ngaphambi kokulala, kuba indawo yokulala ikhuthaza i-reflux. Akuyonto yanto yanto ukuba le yimeko apho isitshisa rhoqo. Ibhedi inokuxhotyiswa ngayo umqamelo owongezelelweyo ukufaka phantsi komandlalo kwicala lentloko: oku kuthambekela kunceda ukuhla kokutya kwisisu kunye nokuthintela ukunyuka kwayo.
Yintoni mayeza inokunceda ukulwa ezi ngxaki zokwetyisa ngaphandle komngcipheko kusana olungekazalwa?
Abo ngokusekelwe kwi-sodium bicarbonate, ezenza isenzo sekhemikhali: zinciphisa i-asidi yezinto zesisu, zikhusela i-mucosa ye-esophagus, ngaphandle kokufunxwa yinkqubo yokugaya kwaye ngenxa yoko. akukho ziphumo zempilo kwi-fetus. Amanye amayeza alungelelanisa ukuveliswa kweasidi kwi-esophagus, blockers of I-H2 i-receptors kunye ne-proton pump inhibitors ingasetyenziswa kuphela phantsi komyalelo wezokwelapha ovela kwi-gynecologist, evavanya ubudlelwane phakathi kweengozi kunye neenzuzo kwimeko nganye. Olunye uphononongo olungagqibekanga lucebise ukuba iproton pump inhibitors inokunyusa umngcipheko womntwana wokuba nesifuba, ngoko ke kufuneka kulumke.
Ukuba amathumbu ayacotha
intshukumo Physical kunye ingqalelo ukutya, nge ukwanda kokutya kwefiber kunye nolwelo, ngamanyathelo okuqala ekufuneka uwalandele ukwamkela indlela yokuphila enentlonipho kunye nethumbu, ethintela ukuphazamiseka kokutya okufana ukuqunjelwa, isisu esibuhlungu kunye nokuqhinwa. I-laxative ingasetyenziselwa ukuba kuyimfuneko, kodwa ngamaxesha athile, xa kukho ingxaki ethile. Ukusetyenziswa kwexesha elide le-laxatives ekuhambeni kwexesha kunokukhokelela kwiimeko zokuxhomekeka, apho amathumbu engasakwazi ukwenza imisebenzi yawo eqhelekileyo, ngaphandle koncedo lwamachiza.
Ziziphi laxatives Yintoni enokuthathwa ngokukhuselekileyo ngexesha lokukhulelwa? I "uhlobo lwe-osmotic" ”, oko kukuthi, abo basebenza ngokubuyisela amanzi emathunjini kunye nokuthambisa isitulo, njenge-PEG okanye i-polyethylene glycol, engaxutywanga kwiindonga zamathumbu kwaye ngoko ke ayinayo impembelelo kwi-fetus kwaye ayibangeli ukuvuvukala kwe-intestinal mucosa. Okanye kukho kwakhona lactulose, ngokusebenza okufanayo.
Ukuphazamiseka kokutya ekukhulelweni: qaphela i-kilos eyongezelelweyo
Ukutyeba kwakho ukugqithisa ngexesha lokukhulelwa kukhuthaza zonke izifo zesisu. Kungako kunjalo ukugcina ulawulo olululo lokutya kunye nendlela yokuphila esebenzayo inceda ukuthintela kunye nokunciphisa isicaphucaphu, isitshisa, ukudumba kwamathumbu, kunye nokuqhina., ngaphezu kokuba luncedo ngokupheleleyo kwimpilo yomama ozayo kunye nosana lwakhe.