Yiziphi izifo ezivame kakhulu zokugaya ukudla phakathi nezinyanga ezingu-9 zokukhulelwa futhi yiziphi amathiphu okuvimbela? Kusukela ezinsukwini zokuqala zokukhulelwa, amanye amahomoni asebenza emzimbeni womama ukuze enze izimo ezingcono kakhulu zokuthuthukiswa kombungu. Lezi zihlanganisa I-chorionic gonadotropin yomuntu, estrogen kanye iprogesterone lokho kukhuthaza ukuxegiswa kwemisipha engazithandi, ukuvikela isibeletho engozini yokufinyela okuyingozi.
Ingabe baphinde baphumuze imisipha yohlelo lokugaya ukudla, futhi ukudla okudliwayo kuhlala isikhathi eside esiswini, okubangela ukuqunjelwa kanye nomuzwa wokusutha. Okuqukethwe kwesisu kuvame ukukhuphukela kumphimbo, into ethatha igama elithi I-Reflujo gastroesophagico, futhi ngokuvamile ukwenza kanjalo ngokushisa kanye nesicanucanu.
Ngendlela efanayo, okuqukethwe emathunjini kubambezela ukuhamba kwawo, kubangele ukubola ukuqunjelwa. Ku-trimester yesithathu, ukukhuliswa kwesibeletho kusho ukufuduka phezulu kwesisu nokuthambekela kwe-esophagus. Lesi sici siphinde sibe nomthelela ekuguqukeni kwe-gastric material, i- ukuzwa ukuvutha futhi i isicanucanu. Nawa amanye amathiphu angasiza ekwehliseni lezi zinkinga zokugaya ukudla.
Isicanucanu: Amafomu athambile ajwayelekile kakhulu
Kuvame kakhulu emasontweni okuqala okukhulelwa kangangokuthi kubhekwa njengenye yezimpawu ezijwayelekile zokukhulelwa kokuqala. Indlela emnene yesifo kuthinta 70-80% komama abakhulelwe. Esikhundleni salokho, amafomu anzima kakhulu awavamile, ngokuhlanza njalo, ubunzima bokudla kanye ne-hydrating: okuthiwa i-hyperemesis gravidarum.
Uma isicanucanu sincane futhi azihambisani nokuhlanza, ezimweni eziningi kwanele ukuthatha izinyathelo zokuphepha lapho uncelisa ukuze unciphise ukungakhululeki: hlukanisa ukudla, gwema ukudla okunzima, njengokudla okuthosiwe namafutha ezilwane adinga ukugaya isikhathi eside, dla ama-carbohydrate ekuseni ngokushesha nje lapho uvuka ukwehlisa i-acidity ye-esophagus, Ungaphuzi esiswini esingenalutho..
Ingabe imikhiqizo yemvelo ingasetshenziswa?
I-Vitamin B6 kanye ne-ginger supplements bangasiza futhi. Emashumini eminyaka adlule, ezinye izifundo ngezilwane zaselabhorethri zaphakamisa ukuthi ukudla ijinja ngesikhathi sokukhulelwa kwandisa ingozi yokukhubazeka kokuzalwa, kodwa lokhu kuye kwaphikiswa. Ujinja es ephephile. Kunzima ukuhlola ngokunembile ukusebenza kwayo, ngoba ingadliwa ngezindlela ezahlukene: impande entsha, impande eyomisiwe eyimpuphu, njengetiye le-herbal, futhi ukulungiswa ngakunye kuqukethe amaphesenti ahlukene esithako esisebenzayo. Nokho baningi abesifazane abathi bayahlomula ngakho.
Kwenzekani uma une-hyperemesis gravidarum?
Abesifazane abathintekayo yi-hyperemesis gravidarum, izinhlobo ezinzima kakhulu zesicanucanu, banikezwa idriphu ye-saline kanye nosawoti wamaminerali. . Usizo lokunxephezela ukungalingani okubangelwa ukuhlanza okuphindaphindiwe. Imithi iphinde inikezwe ukucindezela isifiso sokuhlanza.
Okokuqala ama-antihistamines, ephephe kunazo zonke ekukhulelweni. Uma lokhu kwehluleka, ungazama i-metoclopramide, ekhuthaza ukuhamba kwesistimu yokugaya ukudla futhi isheshise ukuphuma kwesisu. Ngezinye izikhathi kusetshenziswa izidakamizwa ze-neuroleptic, ezisebenza nasesikhungweni sokuhlanza. Yonke le mithi ibekelwe izimo ezimbi kakhulu futhi zidinga incwadi kadokotela.
I-Reflux: izinyathelo eziphephile nezidakamizwa ezinyangeni eziyi-9
Isicanucanu sihlobene kakhulu nesilungulela senhliziyo, ngenxa yokuvuvukala kolwelwesi lomminzo njengoba okuqukethwe kwesisu kudlula esiswini. Futhi kulokhu, abathintekayo amahomoni anciphisa ukugaya kanye nesibeletho esinamandla esicindezela isisu kusuka ngezansi.
Ukuvimbela ukuphazamiseka, kuyatuswa hlukanisa ukudla kube ukudla okulula okuncane, ukuze ungagcwalisi isisu ngokuphelele.Kungcono futhi ukukhetha ukudla okusheshayo kokugaya, ukugwema amafutha ezilwane, amasoso, okhilimu nezinongo ezinzima.
Sihlala sikuphinda, kodwa kufanele uhambe...
Ngemuva kwesidlo sakusihlwa, kuyasiza ukuthatha uhambo ngaphambi kokulala, ngoba indawo yokuqamba amanga ithanda i-reflux. Akukona nje ukuqondana ukuthi lesi yisimo lapho isilungulela ngokuvamile kwenzeka. Umbhede ungafakwa umcamelo owengeziwe ukufaka ngaphansi komatilasi ohlangothini lwekhanda: lokhu kuthambekela kusiza ukwenza lula ukwehla kokudla esiswini futhi kuvimbele ukukhuphuka kwakho.
Yini imithi kungasiza ukulwa nalezi zinkinga zokugaya ukudla ngaphandle kwengozi enganeni?
Labo esekelwe ku-bicarbonate ye-soda, enza isenzo samakhemikhali: anciphisa i-asidi ye-gastric material, avikele i-mucosa ye-esophagus, ngaphandle kokumuncwa uhlelo lokugaya ukudla futhi ngenxa yalokho akukho miphumela empilweni yombungu. Eminye imithi eshintsha ukukhiqizwa kwama-acids emgodleni, ama-blockers of Ama-H2 receptors nama-proton pump inhibitors angasetshenziswa kuphela ngaphansi kwencwadi kadokotela wezifo zabesifazane, ehlola ubudlelwano phakathi kwezingozi nezinzuzo ngokwesisekelo secala ngalinye. Olunye ucwaningo olungaphelele luphakamise ukuthi ama-proton pump inhibitors angase andise ingozi yengane yesifuba somoya, ngakho-ke kudingeka ukuqapha.
Uma ithumbu lihamba kancane
Ukunyakaza komzimba nokunaka ekudleni, nge ukwanda kwe-fiber kanye nokudla okuketshezi, yizinyathelo zokuqala okufanele uzilandele ukuze uphile ngendlela ehloniphekile nethumbu, evimbela ukuphazamiseka kokugaya ukudla njenge ukuqunjelwa, ubuhlungu besisu kanye nokuqunjelwa. I-laxative ingasetshenziswa uma kunesidingo, kodwa ngezikhathi ezithile kuphela, lapho kukhona ukuphazamiseka okuthile. Ukusetshenziswa isikhathi eside kwama-laxatives ngokuhamba kwesikhathi kungaholela ezimweni zokuncika, lapho amathumbu engasakwazi ukwenza imisebenzi yawo evamile, uma kungenjalo ngosizo lwezidakamizwa.
Yiziphi laxatives Yini engathathwa ngokuphepha ngesikhathi sokukhulelwa? I "uhlobo lwe-osmotic" ”, okungukuthi, labo abasebenza ngokukhipha amanzi emathunjini futhi bathambisa indle, njenge-PEG noma i-polyethylene glycol, engamuncwa izindonga zamathumbu futhi ngenxa yalokho ayinawo umthelela ku-fetus futhi futhi ayibangeli ukuvuvukala kwe-mucosa yamathumbu. Noma kukhona futhi i-lactulose, ngokusebenza okufanayo.
Ukuphazamiseka kokugaya ukudla ekukhulelweni: qaphela amakhilogremu engeziwe
Ukuzuza kwesisindo ngokweqile ngesikhathi sokukhulelwa kukhuthaza zonke iziyaluyalu emathunjini. Yingakho ukugcina ukulawula okuhle kokudla kanye nendlela yokuphila esebenzayo kusiza ukuvimbela futhi kunciphise isicanucanu, isilungulela, ukuvuvukala kwamathumbu kanye nokuqunjelwa., ngaphezu kokuba nenzuzo ngokuphelele empilweni kamama wesikhathi esizayo nengane yakhe.