Ukukhulelwa kwethu kuyaqhubeka igxathu negxathu futhi kusukela kulo mzuzu singena ikota yesithathu yokukhulelwaUsesigabeni esikhethekile kakhulu, lapho ingane isivele ibukeka njengosana olusanda kuzalwa futhi umzimba wakho uyaqhubeka nokuzivumelanisa nezimo ngezinguquko ezinkulu zomzimba nezemizwa.
Kule kota, ukungakhululeki ngenxa yokukhuluphala kwengane Ziya ngokuya zibalulekeka, futhi sizoqala ukuzwa isidingo esinamandla kakhulu sokuthi “Lungisa isidleke” Kumntwana wethu: ukuhlela ikamelo lakhe, ukuwasha izingubo zakhe, ukucabanga ngokuzalwa nokuthi ukufika kwakhe ekhaya kuzoba njani.
Umntwana wami ubukeka kanjani emavikini angu-28 ekhulelwe?
Kuleli qophelo lokukhulelwa ingane ingena isigaba sokukhula esiphezuluUzoqala ukuthola imali cishe cishe amagremu angu-200 ngesontoNgakho-ke uzobona isisu sakho sikhula ngokushesha emasontweni ambalwa azayo.
Usayizi womntwana ekupheleni kwesonto lama-28 uvame ukuba okufana nokweletisi elikhuluUbude bayo obuphelele kusukela ekhanda kuya ozwaneni bungaba cishe Amasentimitha angu-35- 38, futhi isisindo sayo esimaphakathi sicishe sibe 1.050-1.100 amagremuAmanani aphakathi kwamagremu angaba ngu-700 no-1.230 asacatshangelwa ngaphakathi kokujwayelekilengoba ingane ngayinye inezinga layo lokukhula.
Sekuqala ukubukeka kakhulu njengosana olusanda kuzalwa. Uqoqa amafutha ngaphansi kwesikhumba sakho Isimo somntwana siqala ukugoba, futhi isikhumba, esasinemibimbi kakhulu kuze kube muva nje, siba bushelelezi. Isikhumba somntwana siyaqina, futhi umntwana umbozwe yinto emhlophe ebizwa ngokuthi... i-vernix caseosa, okuyisivikela ekuthintaneni ngqo noketshezi lwe-amniotic futhi isebenza njengesivikelo ekuthelelekeni nasekukhumulweni.
Amaphaphu akhe asevele enokukhula okungavumela, ngokunakekelwa okuthile, ukuthi ingane ukuphefumula kanye nokushintshana kwegesi uma ukuzalwa ngaphambi kwesikhathi. Noma kunjalo, ngokuvamile badinga ukwesekwa kokuphefumula, i-incubator, kanye nokuqapha okuseduze kakhulungoba basaqeda ukukhiqiza into ebalulekile ebizwa ngokuthi i-surfactant yamaphaphu, okuvimbela i-alveoli ukuthi ingawi phakathi kokuphefumula.
Isistimu yezinzwa emaphakathi inesigaba sokuthuthuka okukhulu evikini lama-28 lokukhulelwa. Ingqondo ayisenayo indawo ebushelelezi, Kuvela imifantu yokuqala kanye ne-convolutions nesisindo sobuchopho siyakhuphuka. Ngaphezu kwalokho, uvuthwe ngokwanele ukuthi angahola i- ukunyakaza kokuphefumula kwengane esanda kuzalwa, ukuhambisana okungcono kokunyakaza kwezingalo nemilenze futhi ngisho ukulawula izinga lokushisa lomzimba okuyisisekelo wengane.
Kuleli qophelo umntwana usengakwazi kakade vula futhi uvale amehlo akho futhi uyakwazi ukuhlukanisa ukukhanya kobumnyamaUma ukhanyisa isisu sakho ngokukhanya okukhulu, ungase usibone sinyakaza noma siphenduka kancane, sisabela kulokho kukhuthaza. izinkophe ziqala ukukhula futhi izici zobuso ziya ngokuya zibonakala.
Ingane yakho inezinzwa ezithuthukile impela futhi kwehlukanisa izwi likaninaNgaphezu kwemisindo evamile yendawo, sebenzisa ithuba lokukhuluma naye, umculele, futhi udlale umculo othambile. Kubalulekile ukuthi usevele unqume igama lakhe bese umqamba ngalelo gama. Uma enabafowabo nodadewabo abadala, zenze babambe iqhaza futhi bacele umbono wabo Ukuxoxa ngamagama angaba khona kuzobasiza bazizwe behilelekile futhi kuqinise ubuhlobo nelungu lomndeni elisha.
Kulesi sigaba Manje kuhamba kakhulu Futhi uyakubona kahle lokho kunyakaza: ukukhahlela okuncane, ukujika, ukusunduza ngezindololwane namadolo… Ungase uqaphele ngisho amaphethini omsebenzi, njengezikhathi zosuku lapho ematasa khona kakhulu (ngokuvamile lapho uphumule noma ngemva kokudla).
Cishe uzokubona ngezikhathi ezithile. ngubani onama-hiccupsKuzwakala sengathi kugxuma okuncane, okunesigqi esiswini sakho. Lezi ziqephu zivamile futhi zihlobene... ukuvuthwa kwe-diaphragm kanye nokuphefumula kwengane esanda kuzalwa futhi azibangeli ukungakhululeki enganeni.
Ngeviki lama-28, indawo yengane esibelethweni ingahluka kakhulu. Ingase ibheke ikhanda phansi, indawo efanelekile yokubeletha, noma nge izinqe noma izinyawo ezibheke phansi (isinqe sima). Kusenaso amasonto ambalwa okujikaNgakho-ke, akusona isizathu sokukhathazeka ukuthi ayikakaqali ukukhulelwa. Ngesikhathi sokuhlolwa kwezokwelapha noma i-ultrasound yokulandelela, bazokwazi ukukutshela ukuthi ibekwe kanjani.
Izinguquko kumama phakathi nesonto lama-28
Manje yisikhathi sokukhula okubalulekile kwengane kanye nesibeletho, ngakho-ke Isikhumba sesisu sidinga ukwelulwa ngokushesha okukhulu.Yigcine inamanzi amaningi nsuku zonke; ungasebenzisa ukhilimu omuhle wokulwa nokwelula uphawu olukhethekile lokukhulelwa noma amafutha omzimba afanele. Yilesi sikhathi oyosidinga kakhulu ngaso. Ungase uqaphele nokuthi, ukulunywa esiswini noma emabeleni, okubangelwa ukwelula okungazelelwe.
Uma ubona ukulunywa kuwo wonke umzimba noma uma uqaphela ezintendeni zezandla noma ezinyaweni Kufanele uhlale uthintana nodokotela wakho, njengoba lokhu kungabonisa inkinga edinga ukuhlolwa kwezokwelapha, njengezinkinga zesibindi ezivamile ngesikhathi sokukhulelwa.
Isibeletho siyaqhubeka nokukhula futhi ukuphakama kwaso kuvame ukuba phakathi Amasentimitha angu-23- 27 endaweni yomphakathi. Lokhu kubangela uhlelo lokugaya ukudla lucindezelwe kancaneNgenxa yalesi sizathu, kuvamile ukuzizwa usuthi kakhulu ngokudla okuncane, futhi kuyanconywa yidla kancane izikhathi eziningana ngosukuKhetha ukudla okulula ukukugaya futhi ugweme ukudla kwakusihlwa okunzima noma okunamafutha amaningi.
Ngalesi sikhathi kuvamile kakhulu ukuba ukuqunjelwa ngisho nama-hemorrhoidsUkuze uvimbele lokhu, zama khulisa ukudla kwe-fiber ngezithelo, imifino, ubhontshisi kanye nokolweni ophelele kanye nokusetshenziswa uwoyela womnqumo ongaphekiwe Ngesikhathi sokudla. Ukugcina amanzi enele kanye nokwenza ukuzivocavoca okuncane nakho kukhuthaza ukuhamba kwamathumbu.
Noma ngabe ulale kahle phakathi nokukhulelwa kwakho, kusukela kulo mzuzu kujwayelekile ukuthi uqale ukuba nakho ezinye izinkinga zokuphumulaAma-hormone, ubukhulu besisu, ubuhlungu bomhlane, noma ukuchama njalo kungaphazamisa ubuthongo.
Zama ukungapheki ukudla kwakusihlwa okukhulu noma okunzima, ukuzivocavoca kokuphumula noma ukuphefumula ngaphambi kokulala kanye hamba uyolala ngokushesha lapho uqala ukuzwa ukozela. Sebenzisa a umcamelo wokukhulelwa Ukubeka imicamelo phakathi kwemilenze yakho nangemuva komhlane wakho kungakusiza ukuthi uthole indawo ekhululekile, okungcono kakhulu elele ohlangothini lwakhe lwesobunxele ukukhuthaza ukubuya kwemithambo yegazi kanye nokuphakelwa kwegazi kwi-placenta.
Ukuqaphela ukunyakaza kwengane yakho kuyaqinisekisa futhi kungaba umuzwa omnandi nowanelisayo, kodwa ngezinye izikhathi, ukunyakaza kushesha kakhulu okungase kukucasule. Futhi, umntwana usuvele uyakwazi okuthandayo nalokho ongakuthandiUma engawuthandi umsebenzi okhululekile kuwe, ngeke ayeke ukuhamba aze akufikise kuwo. shintshela enye lokho kumenza akhululeke kakhulu.
Phakathi nale trimester, ukungakhululeki okufana nalokhu okulandelayo kungase kubonakale noma kukhule: ubuhlungu emhlane, i-sciatica, ukuqaqamba kwemilenze, ukuvuvukala kwezinyawo namaqakala, imithambo evuvukele kanye nomuzwa wemilenze ekhatheleUkugcina umsebenzi womzimba omnene njengokuhamba nsuku zonke, ukubhukuda, noma ukuvivinya umzimba okuvumelana nokukhulelwa (isib. i-yoga noma i-Pilates kwabesifazane abakhulelwe) kunganciphisa eziningi zalezi zimpawu.
Manje yisikhathi esihle sokuthi qala amakilasi okubelethaUsashesha futhi ungakwazi ukuzivocavoca ngaphandle kwezinkinga ezinkulu. Ngaphezu kwalokho, uzoqeda inkambo amasonto ambalwa ngaphambi kokubeletha, ngakho-ke uma udinga ukuphinda noma yiziphi izifundo noma izikhathi zokuzijwayeza, uzoba nesikhathi. Lezi zifundo zivame ukufaka phakathi Ulwazi mayelana nokubeletha, izindlela zokusiza ubuhlungu, ukuncelisa, ukunakekelwa kwezingane ezisanda kuzalwa, kanye nokuzivocavoca phansi kwe-pelvic, phakathi kokunye okuqukethwe.
Uma wethula ukuvuza komchamo lapho ukhwehlela, uhleka, noma wenza imizamo emincaneSekuyisikhathi esihle sokuqala yenza izivivinyo zeKegelLokhu kuzivocavoca kuqinisa imisipha yephansi le-pelvic, kuthuthukisa ukungalawuleki komchamo, futhi kusize ukusheshisa ukululama ngemva kokubeletha.
Ubuhlungu obuphansi emhlane kanye nokungakhululeki ku-trimester yesithathu
Izinguquko zomzimba womgogodla ngesikhathi sokukhulelwa ziqala ukubonakala kusukela ezinyangeni zesibili nezesithathu. Kusukela manje kuqhubeke, abesifazane abakhulelwe baba ne- indlela eyingqayizivele yokuhambaokuzama ukulinganisela izinguquko umzimba odlula kuzo: izinyathelo zimfushane futhi abesifazane abaningi ncika kancane emuva ukuze kulungiswe isisindo sesisu.
Imisipha yesisu iyafinyela ukuze isekele isisindo esengeziwe sesibeletho kanye imisipha iyaphumula ngenxa yomphumela wama-hormone ezikhishwa ngesikhathi sokukhulelwa. Lokhu kubuyiselwa umgogodla ukuze kulondolozwe i-axis efanele yamandla adonsela phansi kungadala ukucindezelwa kwezimpande zemizwa futhi kubangele ukungakhululeki emhlane ongezansi.
Emaceleni we U-70% wabesifazane abakhulelwe Bahlushwa yilesi simo ngamazinga ahlukahlukene, futhi kungenye yezinkinga ezivame kakhulu. Izici eziningana zingakhulisa lokhu kungakhululeki, njenge:
- Isisindo esingaphezu kwesisindoIsinxephezelo esitholakala emgogodleni siphoqelelwa nakakhulu.
- Izicathulo ezingafaneleIzicathulo ezisicaba kakhulu noma izicathulo ezinezithende eziphakeme kakhulu azisizi ukugcina umgogodla uzinzile. Izicathulo ezinezithende eziphansi kanye nokusekelwa okuhle zilungele kakhulu.
- Isisindo somthwaloKungcono ukugwema ukuzithwalisa ngokweqile; sebenzisa inqola yokuthenga futhi, uma unezingane ezincane, zama ukungaziphathi ezandleni zakho isikhathi eside kakhulu.
- Ukuma okuhlala isikhathi eside: Ukuhlala phansi noma ukuma amahora amaningi ngaphandle kokushintsha isikhundla kugcwala kakhulu indawo ye-lumbar.
Uzoqala ukuqaphela ukuthi akusakhululekile ukulala ezindaweni ezithile. Sebenzisa imicamelo namakhushini Ukuze umzimba wakho uphumule futhi ugweme ukukhandleka emhlane, ukulala ngohlangothi lwakho nomcamelo phakathi kwemilenze yakho kungasiza. ukukhulula ukugcwala kwe-lumbar kanye ne-pelvic.
Ngokuphathelene nokuzivocavoca umzimba, noma ngabe uya ukhuluphala, kubalulekile. qinisa futhi uqinise imisipha okusiza ukugcina ibhalansi. Ungazijwayeza i-yoga noma i-pilates yabesifazane abakhulelweUngaxhumana nodokotela we-physiotherapist ochwepheshe ongakuqondisa ngezivivinyo ezithile zomhlane wakho, noma enze ukubhukudaKuyindlela ephelele nemnene yokuzivocavoca. Kukhona nezifundo ezisekela lokhu. i-acupuncture njengendlela yokwelapha ephumelelayo kwezinye izimo zobuhlungu bomhlane ongezansi wokukhulelwa.
La inhlanzeko ngemuva Kubalulekile: uma uhleli esihlalweni, gwema ukuwela imilenze yakho futhi uhlale uqonde. Imilenze yakho akufanele ilenga; zama ukugcina amathe ezinyawo zakho ephansi noma endaweni encane yokubeka izinyawo. Uma uke waba nobuhlungu emhlane ongezansi ekukhulelweni kwangaphambilini, kuyisici esiyingozi sokubhekana nakho futhi ekukhulelweni okulandelayo.
Uma ubhekene nalesi simo, ngaphandle uma kunqatshelwe ngokwezokwelapha, ukuphumula isikhathi eside akukhuthazwa, kodwa sebenzisa uhlelo lokuvuselela umzimba okuqinisa imisipha yangemuva neyesisu futhi kuthuthukisa ukuma komzimba.
Imilenze ekhathele, evuvukile kanye nokugeleza kwamanzi emzimbeni
Ingcindezi ekhishwa yi-uterus emithanjeni yegazi, ikakhulukazi vena cavaKuvimbela ukubuya kwegazi emithanjeni evela emaphethelweni, okukhiqiza ukugcinwa kwamanzi okubangela ukuthi imilenze ivuvuke. Ngokuvamile, ngenxa yomphumela wamandla adonsela phansi, imilenze ayivuvukeki kangako ekuseni kunasebusuku.
Lokhu kugcinwa koketshezi kwaziwa nangokuthi edema Ngaphezu kwemilenze, ingavela emaqakaleni, ezandleni, noma ngisho nasebusweni. Ukuze uyiqede, ungalandela uchungechunge lwezincomo:
- Phakamisa imilenze yakho Uma uhleli noma ulala phansi, zibeke esicamelweni noma esihlalweni.
- Gwema izingubo eziqinile kakhulu okuphawula isikhumba, ikakhulukazi amasokisi, ibhulukwe noma izingubo ezine-elastic emathangeni nasesinqeni.
- Usar izicathulo ezikahle futhi hhayi okuqinile, okuvumela unyawo ukuthi luhambe futhi kukhuthaze ukujikeleza kwegazi.
- I-Resort to ukwelashwa kokukhipha amanzi emzimbeni noma ukubhucungwa kwenziwa ochwepheshe abaqeqeshwe ngesikhathi sokukhulelwa, ngaphandle uma udokotela wakho ekweluleka ngenye indlela.
- Faka isicelo ishawa lamanzi afudumele nabandayo ngokushintshana emilenzeni ukuze kusebenze ukujikeleza kwegazi.
- Qaphela Ukuzivocavoca okuthambile njengokuhamba noma ukubhukuda, okuthuthukisa ukubuya kwemithambo yegazi kanye ne-lymphatic.
- Uma kushisa, Gwema ukukhanya kwelanga okuqondile kanye namazinga okushisa aphezulu kakhulu emilenzeni.
Uma ubona ukuthi ubuso bakho, imilenze, nezandla zakho zilungile ukuvuvukala ngokweqile uma uvuka Uma uzwa ukuvuvukala ekuseni, noma uma kuvela ngokuzumayo, kungcono ukuvakashela ikhemisi ukuze uhlolwe. ukushaya kwegazi futhi uxhumane nodokotela wakho uma kudingeka, njengoba kungase kuhlotshaniswe nezinkinga ezidinga ukubhekwa.
Ukuhlolwa kwezokwelapha kanye nokuhlolwa ngesonto lama-28
Sisesikhathini esithule kakhulu mayelana nokuhlolwa. Uma ukukhulelwa kuyinto evamile futhi kungeyona ingozi enkulu, Cishe ngeke ube nokuhlolwa okukhethekile. Ngalesi sikhathi, ngale kokuhlolwa kwesisindo okuvamile, umfutho wegazi, ukuhlolwa okuyisisekelo kanye nokubuyekezwa kwezimpawu.
Kodwa-ke, izinqubo eziningi zibuyekeza ukuvela ngokusebenzisa urinalysis ukuthola ukugcwala kukashukela namaprotheni njenge-albumin, okusiza ekuvimbeleni izinkinga ezifana nokutheleleka komgudu womchamo noma ukushintsha komfutho wegazi.
La ukuhlolwa kweglucose (Ukuhlolwa kwesifo sikashukela sokukhulelwa) kuvame ukwenziwa phakathi kwamasonto angama-24 nama-28. Lokhu kuhlolwa kunquma ukuthi kukhona yini ingozi yokuthuthukisa isifo sikashukela. isifo sikashukela sokukhulelwaUma lokhu kuhlaziywa kuthola amazinga aphezulu e-glucose egazini, kwenziwa ukuhlolwa okunembe kakhulu okubizwa ngokuthi ijika le-glucose ukuqinisekisa noma ukuqeda ukuxilongwa nokuhlela ukwelashwa okufanele.
Kuye ngomlando wakho wezokwelapha noma lokho okubonwe ku-ultrasound yamasonto angama-20, uchwepheshe wakho wezempilo angase ahlele ezinye i-ultrasound yokulandelela okwengeziwe. Kwenziwa ngendlela ehlelekile kuphela uma kukhona ukusola kokunye ukushintshaUma i-ultrasound yangaphambilini ibonise noma yiziphi izilinganiso ezingavamile noma uma unezinkinga ezifana nokuthi isifo sikashukela sokukhulelwa, ukuvinjelwa kokukhula kwengane, i-placenta previa, noma ezinye izinkinga.
Okuwukuphela kwento ejwayelekile engavamile mayelana nokuhlolwa okuthile kuse- uma igazi likamama i-Rh lingelonaUma kunjalo, ngeviki lama-28 kufanele nika umama i-anti-D gamma globulinUkuvimbela ukusabela egazini likamama, uma ingane ine-Rh positive, kanye nokukhiqizwa kwama-antibodies ngokumelene ne-Rh factor, okungaba okuyingozi kakhulu ebusweni bokunye ukukhulelwa.
Lo mjovo kufanele futhi unikezwe ngemva kokubeletha noma nini lapho Usana olusanda kuzalwa lune-Rh positive kanti umama une-Rh negative.Ngaphezu kwalokho, omama abangenayo i-Rh kufanele bathole lo muthi wokugomela ngemva kokuthola umuthi. ukuhlolwa okungafuneki njengokwenza isampula ye-chorionic villus, i-amniocentesis, i-funiculocentesis noma i-fetoscopy, kanye nangemva kokuhlinzwa kokukhipha isisu, ukunciphisa ingozi yokugonywa yi-isoimmunization.
Kulesi sigaba, kunconywa futhi ukuthi umuthi wokugomela i-pertussisKungumjovo wokugomela ukufakelwa kwamuva nje kokukhulelwaKuye ngokuthi umphakathi noma izwe elizimele, linikezwa isonto elilodwa noma elinye lokukhulelwa, kodwa akukaze kwenzeke ngaphambi kwesonto lama-28Xhumana nombelethisi wakho noma udokotela wezifo zabesifazane mayelana nokuthi ungakucela kuphi futhi nini. lesi sixhumanisi Ungathola ulwazi olwengeziwe ngakho.
Ngesikhathi sakho esilandelayo sokubonana nodokotela noma umbelethisi, udokotela wakho noma umbelethisi uzokwazi ukuxoxa nawe ngalokhu. isikhundla samanje sengane (kungakhathaliseki ukuthi kubheke phansi noma kubheke phansi), xazulula ukungabaza mayelana Umsebenzi womzimba, umsebenzi, ukuhamba, izimpawu zokuxwayisa futhi kukusize uhlele amasonto alandelayo okukhulelwa.
Iviki lama-28 liphawula ukuqala kwesigaba sokugcina sokukhulelwa. Ukulalela umzimba wakho, ukunakekela ukudla kwakho, ukuhlala usebenza kancane, kanye nokuya emihlanganweni yakho yezokwelapha enconyiwe kuzokusiza ukuthi ufike ekubelethweni usesimweni esihle kakhulu, ujabulele ukunyakaza kwengane yakho futhi ulungiselele ukufika kwayo.