Iviki eli-14 lokukhulelwa kusukela ekukhulelweni
Izinyanga ezine uthwele impilo entsha ngaphansi kwenhliziyo yakho. Kwenzekani enganeni ngeviki le-14 lokukhulelwa kusukela ekukhulelweni futhi umama okhulelwe uzizwa kanjani? Sisebenzelana nodokotela bezifo zabesifazane

Kwenzekani enganeni emasontweni angama-14

Evikini le-14 lokukhulelwa, umntwana usevele wakha imisipha yobuso, ingane iyazi ukwakha ubuso obuhlekisayo, ihlwitha iso, ishwabene, ivule futhi ivale umlomo wayo.

Izilinganiso zomzimba wakhe zisondelana nokujwayelekile: imilenze iyakhula uma iqhathaniswa nezibambo, futhi ikhanda alisabukeki likhulu ngokumelene nesizinda somzimba wonke. Useyazi ukwenza umnyakazo wokubamba futhi ulwela ukubamba ipeni, noma umlenze, noma inkaba.

Ingane yonke ngalesi sikhathi imbozwe nge-fluff emnene, engabonakali, ezonyamalala ngesikhathi sokuzalwa.

Isisu, amathumbu kanye ne-gallbladder ziqala ukwenza imisebenzi yazo evamile, ngaphezu kwalokho, okuqukethwe kokuqala kuvela emathunjini omntwana - okuthiwa i-meconium.

Evikini le-14 lokukhulelwa kusukela ekukhulelweni, zonke izinhlelo ze-fetus, ngaphandle kweyokuphefumula, sezivele zisebenza ngendlela evamile, futhi isifuba saso siyanyakaza, siprakthiza ukukhipha umoya nokuhogela. Izinso nazo zifakiwe emsebenzini, ziqala ukukhipha umchamo ku-amniotic fluid.

I-Fetal ultrasound

"Ngalesi sikhathi, i-ultrasound izokutshela ngokuqondile ubulili bengane engakazalwa, udokotela uzokwazi ukuhlola yonke i-anatomy (ukuze abone amaphutha amakhulu kanye nezimpawu ze-pathologies ethile), ukukala amathambo nama-circumferences ekhanda nesisu. , futhi ubike nangokuma kwe-placenta kanye nokwakheka kwenkaba,” kuchaza udokotela wezifo zabesifazane uDinara Berezina.

Nge-ultrasound ye-fetus ngeviki le-14 lokukhulelwa, ukunyakaza kwengane kungabonakala esikrinini sokuqapha: uyanyakaza, umfana uyancela, isimo sobuso bakhe siyashintsha. Nokho, uma kungekho ukunyakaza, akufanele ucasuke. Ungase uqaphele ukunyakaza kokuqala enyangeni elandelayo.

Sekuvele kungenzeka ukuqonda ngezitho zangasese ukuthi uzoba nendodana noma indodakazi, nakuba lokhu kungenakwenzeka njalo ngokuhlolwa kwe-ultrasound.

Impilo yesithombe

Emasontweni ayi-14 ekhulelwe, ingane yakho ilingana nokwatapheya. Ikhula ngenkuthalo. Ubude bengane sebuvele bube ngu-16 cm, futhi isisindo esingaba ngu-120 g. Emasontweni amathathu alandelayo, ukukhula kuzosheshisa nakakhulu - umntwana uzokhula kabili.

Kusukela esithombeni sesisu ngeviki le-14 lokukhulelwa, unganquma ukuthi intombazane ilindele umntwana. Lokhu kuyiqiniso ikakhulukazi kwabesifazane abancane, namantombazane amancane nje. Ngenxa yomthethosisekelo, isisu sabo sibonakala kusenesikhathi. Okufanayo kuya komama abanezinqulu eziwumngcingo. Izimo eziyindilinga zingabonakala ngisho noma ingane ithembisa ukuba inkulu.

Kodwa-ke, abanye besifazane bayakwazi ukubukeka ngendlela efanayo nangaphambi kokukhulelwa, noma kunjalo, ngemva kwamasonto angu-3-4, imvelo isazothatha umonakalo futhi isisu sizoba sobala.

Kwenzekani kumama emavikini angama-14

Evikini le-14 lokukhulelwa kusukela ekukhulelweni, umama uzizwa ekhulu, nakuba lokhu akunjalo kubo bonke abesifazane. Isicanucanu kanye nesifiso esivamile sokuya endlini yangasese ngokuvamile akukhathazi ngalesi sikhathi, kodwa ngezinye izikhathi kuhlukile.

Ezinguqukweni ezinhle: owesifazane ubukeka esha kunokuvamile, njengoba umthamo wegazi ukhula, ugijimela esikhumbeni futhi uqala "ukukhanya" ngokoqobo. Ngenxa yalokhu, izinwele zikhula ngokushesha, futhi isakhiwo singcono kakhulu. Uma lokhu kungeyona ingane yokuqala kumama, khona-ke angakwazi ukuzwa ukunyakaza kokuqala kwengane, okungenakukwazi kodwa ukujabula.

Ukuphazamiseka ngezinye izikhathi kutholwa yilabo omama abaqala ukusheshisa ukukhuluphala. Abanye sebevele bathola ama-5-7 kg ngalesi sikhathi, kodwa kungcono ukungajahi kanjalo, ama-2-3 kg anele amasonto ayi-14. Kowesifazane okhulelwe, ama-moles nama-freckles angase abe mnyama, ukugqama kwesikhumba kungase kwande, isibonelo, ezungeze izingono nasesiswini.

Ngalesi sikhathi, ukuphuma kwegazi emakhaleni nasezinsini kungase kwenzeke, kanye nokutheleleka kwefungal, njenge-thrush, kungase kusebenze kakhulu. Ngezinkinga ezinjalo, kungcono ukuphuthuma kudokotela, ngoba kunengozi enkulu yokuthelela ingane nge-fungus. Inkinga ivame ukuletha i-progesterone, ngenxa yokuthi amathumbu aphumula futhi aqunjelwe, isilungulela, ukuqunjelwa kanye nama-hemorrhoids.

Imiphi imizwa ongayithola evikini elingu-14

Evikini le-14 lokukhulelwa, owesifazane uthola imizwa emisha ejabulisayo (hhayi futhi):

  • inhlalakahle yakhe iyathuthuka njengoba amahomoni akhe egcina edambile;
  • injabulo ejabulisayo iphakama, ikakhulukazi uma ukunyakaza komntwana esibelethweni sekuzwakala kakade;
  • isifiso sokudla siyanda, futhi sizokhula esikhathini esizayo esiseduze, njengoba umntwana ngokwakhe ekhula ngenkuthalo;
  • uma ngaphambi kwalokho isifuba asizange sikhule, khona-ke sizoqala manje noma emasontweni ambalwa alandelayo;
  • ukhalo alusanciki kangako, isisu siba yindilinga kancane kancane futhi ibhulukwe elivamile lingase lingalingani kumama;
  • kungase kube nokuphazamiseka ngenxa yokuguquguquka phakathi nendawo yamandla adonsela phansi kanye nokuzuza kwesisindo;
  • abanye abantu bakuthola kungakhululeki ukulala ngomhlane, kufanele balale ngohlangothi.

Monthly

Okuwukuphela kwesimiso salesi sikhathi ukukhishwa kokukhanya okuvamile ngaphandle kwephunga elinamandla, uma ubona igazi elineni, lokhu akulungile.

Odokotela batusa ukubika ngokushesha inkinga ku-gynecologist yakho, kodwa kungcono ukuyidlala iphephile futhi ushayele i-ambulensi. Kudingekile ukuya esibhedlela uma amabala eningi impela, uma kukhona amahlule egazi kuwo, futhi uma umama ezizwa ebuthakathaka kakhulu ngesikhathi esifanayo.

Ukwabiwa ngohlobo lokuya esikhathini kungaba uphawu lwalokhu:

  • i-placenta previa noma ukuphazamiseka;
  • ukukhulelwa kwesisu;
  • ukuhlukumezeka;
  • ukuvuvukala;
  • izimila.

Izingozi zingabonakala uma kunezimpawu eziningana ezishaqisayo ngesikhathi esisodwa, isibonelo, ubuhlungu obukhulu besisu, ithoni yesibeletho engenzi buthaka, futhi, empeleni, ukopha.

Uma izinyathelo ezifika ngesikhathi zithathwa, khona-ke kukhona wonke amathuba okugcina ngokuphepha ukukhulelwa nokubeletha umntwana onempilo.

Isisu esibuhlungu

- Ngalesi sikhathi, izinhlungu zokudonsa isikhathi esifushane ezifundeni ze-iliac zingenzeka (le ndlela imigqa yeluliwe), - kuchaza i-gynecologist u-Dinara Berezina. - Kodwa-ke, akuzona zonke izinhlungu ezijwayelekile, owesifazane kufanele axwayiswe yizinhlungu zokugaya, "i-petrification" nomuzwa wokuqina ngaphansi kwesisu.

Ukuthi kukhona usongo noma cha, ungaqonda ngezimpawu ezilandelayo:

  • akwethusi uma ubuhlungu buhlangothini olulodwa kuphela;
  • uma isibeletho sizolile (uma siqina, sibiza isibhedlela);
  • uma ubuhlungu bungenayo i-periodicity (uma kwenzeka ngemvamisa yemizuzu engu-10-15, sibiza isibhedlela).

Kwezinye izimo, imbangela yobuhlungu besisu yizinkinga ngepheshana lesisu. Ukuqunjelwa, isilungulela, ukuqunjelwa kuhlale kuhlupha omama abakhulelwe futhi kungonakalisa ukuphila.

bonisa okuningi

Ukukhishwa okunsundu

Ukukhishwa kuphenduka kube nsundu ngenxa yokuba khona kwegazi kuwo. Ngokuvamile, akufanele kube khona, ngakho into yokuqala esiyenzayo ukwenza i-aphoyintimenti nodokotela.

Akufanele ukwethuka ngenxa yokukhishwa okuncane okunsundu ngaleso sikhathi, namuhla umuthi ubhekana ngokuphumelelayo nezinkinga eziningi ngesikhathi sokukhulelwa, kungakhathaliseki ukuthi i-placenta previa noma usongo lokukhulelwa kwesisu. Uma ungavumeli izinto zithathe inkambo yazo, kukhona wonke amathuba okugwema izinkinga futhi ulethe ngempumelelo ingane ngosuku olunqunyiwe.

Imibuzo nezimpendulo ezidumile

Kungenzeka yini ukuvakashela i-sauna noma ukugeza ngesikhathi sokukhulelwa?

Kunezikhathi ezibalulekile ekukhuleni kwengane, futhi uma ngaleso sikhathi izinga lokushisa lomzimba kamama lihlala liphakeme isikhathi esithile, lokhu kungalimaza umntwana. Ingozi kuleli cala ayinangqondo, ngakho odokotela bayeluleka ukuba bagweme ukuvakashela okugeza kanye nama-saunas. Okufanayo kuya ku-solarium. Akwaziwa ngokuqinisekile ukuthi imisebe ye-ultraviolet ithinta kanjani ingane engakazalwa, kodwa kungcono ukuyidlala iphephile futhi ulinde kancane ngezinqubo ezinjalo.

Iyini i-glucose ejwayelekile kumuntu wesifazane okhulelwe?

Izinga le-glucose kwabesifazane abakhulelwe liphansi kunabesifazane abangakhulelwe - lifinyelela ku-5,1 mmol / l. Lokhu kuchazwa yiqiniso lokuthi kuyadingeka ukuvikela ama-pancreas akhulayo wengane kusuka emazingeni aphezulu kashukela egazini likamama.

Uma izinga likashukela wegazi lokuzila ukudla lowesifazane lingama-5,1 noma ngaphezulu, udokotela wezifo zabesifazane kufanele amdlulisele kudokotela we-endocrinologist ozonikeza ukudla ngaphandle kwama-carbohydrates agayeka kalula, noma anikeze ngisho ne-insulin.

Kuyini oligohydramnios futhi kungani kwenzeka?

I-amniotic fluid ikhiqizwa cishe ezinsukwini eziyi-12 ngemuva kokukhulelwa. Ekuqaleni, iqukethe amanzi anikezwa umama okhulelwe, futhi ngemva kwamasonto angu-20 athathelwa indawo umchamo wengane ngokwakhe. Umthamo we-amniotic fluid ukhula cishe kuso sonke isikhathi sokukhulelwa, futhi endaweni ethile emavikini angu-34-36 ufinyelela ubuningi - ilitha.

Ukuze uqonde ukuthi kukhona uketshezi oluncane lwe-amniotic, odokotela bangasebenzisa imingcele elandelayo: inkomba ye-amniotic fluid - IAF (evamile 5-25 cm), ukujula kwephaketheni eliqondile - HVK (evamile 2-8 cm). Ngakho-ke, uma i-AFI ingaphansi kuka-5 cm, futhi i-HVK ingaphansi kwezimbili, khona-ke umama une-oligohydramnios.

Kungani lokhu kwenzeka? Kungase kube nezizathu ezimbalwa:

• ukukhubazeka kokuzalwa kwezinso, amaphaphu;

• i-chromosomal pathology;

• ukusetshenziswa kwezidakamizwa komama;

• ukukhubazeka kwe-fetus;

• ukungqubuzana kwe-fetus ekukhulelweni okuningi;

• ohlangothini lukamama (i-arterial hypertension, isifo sikashukela, i-preeclampsia);

• izinkinga nge-placenta (thrombosis, isifo senhliziyo).

I-Oligohydramnios iyinkinga enkulu phakathi nezinyanga zokuqala ezingu-6 zokukhulelwa. Kungalesi sikhathi lapho ubungozi bokukhubazeka kokuzalwa, ukukhipha isisu, ukuzalwa ngaphambi kwesikhathi nokulahlekelwa ingane kuphezulu.

Kungenzeka yini ukwenza ucansi?

Uma ukukhulelwa kuhamba kahle, kungani kungenjalo? Ucansi luyinto engokwemvelo futhi akufanele uziphike ngoba wesaba ukulimaza ingane yakho. Noma yimuphi udokotela uzokuqinisekisa ukuthi impilo yocansi esebenzayo izozuza kuphela.

Yiqiniso, ubulili abukhonjiswa kubo bonke abesifazane abakhulelwe. Labo abaye baphuphunyelwa yizisu noma abasengozini yokuhushula isisu, i-placenta previa, ukubona amapheshana esithweni sangasese kuzofanele bagweme.

Akunconywa ukuzijabulisa nomlingani ongahloliwe, ngoba izifo ezithathelwana ngocansi ngezinye izikhathi zinzima futhi zidla isikhathi ukwelapha, futhi kunemikhawulo eminingi kwabesifazane abakhulelwe mayelana nokukhetha imithi.

Yini okufanele uyenze uma izinga lokushisa likhuphuka?

– Uma unomkhuhlane, udinga ukubonana nomelaphi. Akufanele ukhathazeke, izidakamizwa eziningi zivunyelwe ku-trimester yesibili (ngeke zilimaze umama nomntwana). Kodwa akufanele nanini ukuthi le nkinga ishiywe inganakiwe, izinga lokushisa eliphakeme lingaba yingozi, kusho udokotela wezifo zabesifazane uDinara Berezina.

Ngemva kokuvakashela udokotela, isinyathelo esilandelayo esibalulekile kumama okhulelwe siwukulala embhedeni futhi aqinisekise ukuthi uyaphumula futhi aphuze amanzi amaningi. Azikho izidakamizwa ezisebenzayo zamagciwane eqembu le-ARVI elivunyelwe kwabesifazane abakhulelwe, kodwa baphathwa ngokuzivikela kwethu, udinga nje ukuphumula futhi ungaphazamisi.

Indlela yokwehlisa izinga lokushisa? I-Paracetamol ivunyelwe, kodwa okungcono kanye. Futhi izinga lokushisa lingaphansi kuka-38 kungcono ukungawisi phansi nhlobo.

Yini okufanele uyenze uma idonsa isisu esingezansi?

Izinhlungu zokudweba esiswini ngesikhathi sokukhulelwa zijwayelekile ngokuphelele. Into eyinhloko ukuqinisekisa ukuthi isibeletho sizolile futhi asiqini, futhi ubuhlungu ngokwawo abufiki ekuhlaselweni. Uma kuwukungakhululeki nje, odokotela bayeluleka ngokuthi ulale phansi futhi uphefumule esiswini sakho. Lokhu kuthuthukisa ukuphumula nokuzola.

Ungadla kanjani ngendlela efanele?

Ku-trimester yesibili, izindleko zomzimba zokukhula nokuthuthukiswa kombungu zikhuphuka kakhulu, yingakho isidingo sokudla okunekhalori ephezulu. Kukholelwa ukuthi owesifazane okhulelwe kufanele adle cishe ama-kilocalories angu-2500 ngosuku.

Owesifazane kufanele adle okungenani amagremu angu-95 amaprotheni ngosuku, futhi ingxenye yawo kufanele itholakale emikhiqizweni yezilwane: inyama, amaqanda, inhlanzi. Amafutha ekudleni kwansuku zonke kufanele abe okungenani amagremu angu-80, okungenani amagremu angu-40 ayimifino. Amagremu angu-350 we-carbohydrates ajwayelekile kowesifazane emavikini angu-14 okukhulelwa. Kungcono ukunikeza inzuzo okusanhlamvu, i-pasta, equkethe ama-carbohydrate ayinkimbinkimbi.

Kodwa kungcono ukukhohlwa ngosawoti okwesikhashana. Ukweqisa kwayo ekudleni kuzokwenza uphuze kakhulu, futhi lokhu kuzoholela ekuvuvukeni. Usawoti omningi utholakala emikhiqizweni eseqedile, ukudla okusemathinini namasoseji efektri, uwashiye emashalofini esitolo.

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