Iviki eli-16 lokukhulelwa kusukela ekukhulelweni

Kwenzekani enganeni emasontweni angama-16

Evikini le-16 lokukhulelwa, izinguquko eziningi zenzeka nengane, amathambo akhe aqina, futhi inhliziyo isebenza ngokuqhubekayo. Iminwe yakhe nezinzwane zakhe zakhiwe, manje zinephethini eyingqayizivele yesici.

Ubuso bemvuthuluka bubonakala buvelele, izici zayo zibonakala zibonakala kakhulu kunangaphambili. Uma umama ezacile, ungezwa ingane inyakaza esiswini emasontweni ayi-16, nakuba ukunyakaza kuvame ukubonakala emasontweni ayi-18-20.

Ngisho noma owesifazane engakuzwa lokhu, ingane esesibelethweni inyakazisa izingalo nemilenze yayo, ithinte inkaba ngeminwe, ithinte ubuso nemilenze ngayo.

Ngezikhathi ezithile, umntwana ugwinya uketshezi oluthile lwe-amniotic abhukuda kulo. Lapho sesingene emgudwini wokugaya ukudla, lolu ketshezi lusiza isimiso somntwana sokugaya ukudla sithuthuke. Ngenxa yokuzivocavoca okunjalo, umntwana ngemva kokuzalwa angakwazi ukumunca i-colostrum nobisi. Ngaphezu kwalokho, uketshezi luhlungwa yizinso, bese lubuyela emgodini ngendlela yomchamo.

Ngalesi sikhathi, i-cortex ye-cerebral yengane ikhula ngokujulile, imisele kanye nama-convolutions avela kuyo. Ngokuhambisanayo, izitho zesistimu ye-endocrine ziqala ukusebenza: izindlala ze-adrenal kanye ne-thymus gland.

I-Fetal ultrasound

Evikini le-16 lokukhulelwa kusukela ekukhulelwe, ungahlola i-ultrasound ye-trimester yesibili. Nakuba, njengomthetho, odokotela bathumela omama ekuhlolweni okunjalo eduze kwesonto le-18.

Nge-ultrasound ye-fetus ngesonto le-16, ochwepheshe abahloli nje kuphela izifo ezingenzeka, kodwa futhi bazama ukuthola ulwazi mayelana nobukhulu be-placenta nendawo yayo, izinga lokuvuthwa (okujwayelekile 0-1), inani le-amniotic fluid ukuze uthole i-oligohydramnios noma i-polyhydramnios.

Udokotela ubheka umlomo wesibeletho nge-probe yangasese, akufanele ibe ngaphansi kuka-30 mm, futhi i-os yangaphakathi kufanele ivalwe.

Ngaphezu kwalokho, i-ultrasound ye-fetus ngesonto le-16 izovumela odokotela ukuthi banqume isisindo somntwana, umjikelezo wekhanda lakhe nesisu, ubude bethanga kanye ne-humerus, kanye nenani lokushaya kwenhliziyo (okujwayelekile kungu-120). -160 nganoma yisiphi isikhathi).

Impilo yesithombe

Ngeviki le-16 lokukhulelwa kusukela ekukhulelweni, isisindo somntwana sesivele sifinyelele amagremu angu-150, futhi ukukhula kuzoba ngu-12,5-14 cm. Ingane iseduze nehalananda ngobukhulu.

Isithombe sesisu sakho esingamaviki angu-16 siyindlela enhle yokuthwebula umlando wokuthi impilo yengane yakho yaqala kanjani. Emantombazaneni amancane ngalesi sikhathi, isisu sesivele siphuma kancane phambili, ngakho-ke kuba nzima ukufihla isikhundla. Omama abanesimo esiyindilinga kakhudlwana bangase bangakhathazeki ngamabhande amabhulukwe abo okwamanje, kodwa emasontweni ambalwa alandelayo bazozwa ukwanda kokhalo.

Kwenzekani kumama emavikini angama-16

Kusukela ekuqaleni kokukhulelwa, cishe umama usekhuluphele kusukela ku-4,5 kuya ku-5,8 kg. Izinguquko ezinjalo azinakwa, ukuze owesifazane abhekane nokuphazamiseka. Ukulala, futhi nje ulele emhlane wakho, kuba nzima nakakhulu, njengoba isibeletho esikhulayo siqala ukufaka ingcindezi ku-vena cava engaphansi, ephazamisa ukugeleza kwegazi.

Isimiso senhliziyo sowesifazane okhulelwe sibhekene nomthwalo onzima ngesikhathi esinjalo, ngakho ukucindezeleka kwegazi kungase kube ngaphansi kunokujwayelekile, ukuphefumula kungase kwenzeke. Kufanele kukhunjulwe ukuthi noma yikuphi ukunyakaza okungazelelwe, njengokuphuma embhedeni, kungabangela isiyezi nobuthakathaka emilenzeni.

Evikini le-16 lokukhulelwa, abanye omama bayaqaphela ukuthi ukukhishwa kwabelungu esithweni sangasese kwanda. Akukho okumele ukhathazeke ngakho, zama nje ukugeza kaningi futhi ugqoke izingubo zangaphansi zikakotini.

Ku-trimester yesibili, odokotela batusa ukunamathela ekudleni ngenani elincane likashukela olula. Iheha amagciwane, futhi ngenxa yalokho, owesifazane kufanele elashwe izifo.

Imiphi imizwa ongayithola evikini elingu-16

1. Ngalesi sikhathi, abesifazane abaningi bazwa ukunyakaza kombungu okokuqala. Isikhathi siyabonisa, futhi uma ingane yakho inganyakazi esiswini okwamanje, linda amasonto ambalwa. Ngezinye izikhathi ukukhuluphala ngokweqile kukuvimbela ukuba uzwe ukunyakaza kwengane yakho, ngakho lawula inani lokudla futhi ulandele imizwa yakho. Ngaphezu kwakho konke, ukunyakaza komntwana kufana nokuphaphaza kwamaphiko, ngezinye izikhathi ukushaywa okuncane. Abanye omama bayavuma ukuthi lokhu kufana kakhulu nenqubo yokwakheka kwegesi emathunjini noma ukuduma kwesisu.
2. Isifiso esinonya sivame ukuthatha indawo ye-toxicosis, ngakho-ke ku-trimester yesibili yokukhulelwa udinga ukuqapha ukudla kwakho. Zama ukuncika ekudleni okunempilo, yidla kathathu ngosuku nokudla okulula okubili.
3. Ukuchama njalo, okuzoba nawe kuze kube sekupheleni kwethemu. Kungakhathaliseki ukuthi kufanele ubekezelele, udinga ukuthulula isinye sakho ngaso sonke isikhathi, ngoba ngaphandle kwalokho kunengozi yokuthuthukisa i-cystitis, okuzodingeka ilashwe.
4. Ubuhlungu be-back, umuntu onjenge-ache, othile unokuhlaselwa okubuhlungu kwangempela. Le mizwa ivela esibelethweni esikhulayo, esishintsha isikhungo samandla adonsela phansi, futhi owesifazane kufanele agobe. Umthwalo emisipha ye-sacrum uyanda, ngakho-ke ubuhlungu. Uma kunzima ukubhekana nakho, ungaxhumana nodokotela ukuze uthole ama-analgesics. Ngaphezu kwalokho, ukufudumala nokuthula kusiza, kanye nezicathulo ezikhethekile namabhandeshi kwabesifazane abakhulelwe.

Kunezinzwa eziningi ngeviki le-16 lokukhulelwa, okufanele nakanjani wazise udokotela wakho, njengoba zingabonisa izinkinga:

• ikhanda elibuhlungu elingapheli noma elinzima;
• ukungaboni kahle noma ukucwayiza “kundiza” phambi kwamehlo;
• i-edema ekhula ngokushesha;
• ukuphuma kwegazi emgudwini wesitho sangasese;
• ubuhlungu obukhulu besisu obungapheli;
• ukuhlanza njalo;
• ukuphuma kwamanzi amaningi esithweni sangasese sowesifazane - ukuphuma kwe-amniotic fluid.

Monthly

Ukuya esikhathini ngesikhathi sokukhulelwa kuyinto engaphandle kwesimiso. Eqinisweni, lokhu akuyona into engaphezu kokuphuma kwegazi, okungase kubonise usongo.

Izimbangela zokopha ku-trimester yesibili zingaba:

• i-pathology yomlomo wesibeletho - i-ectopia, i-polyp, i-dysplasia;
• ukuphazamiseka kwegazi (thrombophilia) noma ukuthatha izidakamizwa zegazi;
• ukuqubuka noma i-placenta previa.

“Ukulahlekelwa isikhathi esimweni esinjalo kungabulala,” kuxwayisa odokotela. – Uma igazi liphuma ngamavolumu ahlukene ukusuka kumabala ansundu, apinki kuya kokubomvu ngokugqamile, kufanele ubonane nodokotela ngokushesha futhi wenze i-ultrasound.

Isisu esibuhlungu

Ngezikhathi ezahlukene, abesifazane abakhulelwe baba nezinhlungu zokudonsa esiswini emaceleni. Abanye omama bakhathazekile: kuthiwani uma lokhu kuwuphawu lwengozi. Nokho, ngokuvamile ubuhlungu obunjalo buvamile, ngoba umntwana uyakhula futhi isibeletho sikhula nalo. Ixhunywe ezindongeni ze-pelvis yamathambo ngama-ligaments, anwetshiwe - futhi kukhona ubuhlungu obudonsayo.

Indlela yokuhlukanisa ubuhlungu "obuvamile" obusongela?

• uma ubuhlungu buhlangothini olulodwa kuphela, lokhu kuwuphawu oluhle;
• faka isandla sakho esiswini, uma isibeletho sizolile - konke kuhamba kahle, kodwa uma kufana netshe, sibiza isibhedlela;
• uma ubuhlungu bungekho ngezikhathi ezithile, akukho lutho okufanele lwesabe, kungenye indaba uma kwenzeka njalo ngemizuzu engu-10-15 - izinzwa ezinjalo zingaba uphawu olushaqisayo.

Ukukhishwa okunsundu

- Ngalesi sikhathi, hhayi kaningi njengasezikhathini zangaphambili (kuze kufike emavikini angu-12), kukhona ukuphuma kwegazi, okunsundu okuvela emgudwini wobulili. Lokhu kuyinkimbinkimbi engathi sína futhi kulesi sikhathi kudinga ukulaliswa esibhedlela esiphuthumayo emnyangweni wezifo zabesifazane ukuze kuhlolwe futhi kukhethwe amaqhinga okwelapha! Inkinga enjalo, njengomthetho, yenzeka nge-placenta previa eseceleni noma ephelele, kanye nasesimweni sokuhlukaniswa kwayo ngokwengxenye, iyaxwayisa. udokotela wezifo zabesifazane uTatyana Mikhailova.

Imibuzo nezimpendulo ezidumile