kulesi Isonto lama-16 lokukhulelwa (amasonto angama-18), ingane ilinganisa u-17 cm bese inesisindo esingu-160 g.

Izitho zayo ezahlukahlukene ziyaqhubeka nokukhula.

Umhlane wakhe, kuze kube manje ugobile, uyaqonda.

Umzimba we umbungu emasontweni ayi-16, ngaphandle kwezintende zezandla kanye namathe ezinyawo, imbozwe ngokuphelele nge-fine down, i-lanugo. Lokhu kuzowa lapho kuzalwa kepha kungaqhubeka kwezinye izingxenye zomzimba, ikakhulukazi uma ingane ifika kusenesikhathi. Into e-waxy, emhlophe, i-vernix caseosa, ibuye imboze isikhumba sengane futhi siyivikele emthonjeni we-amniotic ogeza kuwo. Kuwo wonke umunwe kukhishwe iminwe yakhe.

Le Umbungu wesonto eli-16uya ngokuya ngokuya ngokwanda futhi lokhu kunyakaza kunikela ekwandeni kwesisindo sakhe semisipha nokusebenza kahle kwamalunga akhe. Kodwa-ke, ukulala kuhlala kungumsebenzi wakhe oyinhloko, kungabi namahora angama-20 okulala nsuku zonke.

Uma kuyintombazane, umgudu wemomozi uyakhula.

Lapho okhulelwe ekhona Amaviki angu-18 e-amenorrhea (16 SG), ukukhiqizwa kweprogesterone nge-placenta kukhulu. Le hormone, esiza ukugcina ukukhulelwa, ibuye ibe nomphumela wokuphumula emisipheni ebushelelezi, ikakhulukazi ukunciphisa ukucindezela kwesibeletho ngesikhathi sokukhulelwa. Olunye uhlangothi lwemali: lubangela ukukhululeka kweminye imisipha ebushelelezi njengaleyo yesisu noma yamathumbu, bese kunciphisa ukukhipha isisu nokuhamba kwamathumbu, nokhiye we-acid reflux nokuqunjelwa.

Au Inyanga yesi-4 yokukhulelwa, kungenzeka ukuthi usuvele uzizwa ezinye izingqinamba. Uma behlukanisiwe futhi bengebuhlungu, akukho okungajwayelekile. Uma kungenjalo, ukubonisana kuyadingeka ukuze kunqandwe noma yiluphi usongo lokulethwa ngaphambi kwesikhathi (i-PAD).

Uma owesifazane, ukhulelwe izinyanga ezintathu, ihlushwa i-acid reflux noma ukuqunjelwa, kungenzeka ukuthuthukisa lesi simo. Ukudla ukudla okune-fiber eningi nokuthola i-magnesium eyanele akuvikeli ukuqunjelwa kuphela, kepha kwehlisa nengozi yokukhulelwa ama-hemorrhoids. Njengoba kuhlala kushiwo, i-hydration enhle (1,5 L ngosuku) isiza ukuvimbela ukuqunjelwa. Amanzi ahlanganiswe ne-magnesium alungile, ngoba le nto yokulandela umkhondo ithuthukisa ezokuhamba. IFibre nayo ingumngani wamathumbu ngoba igcina amanzi futhi isheshisa ukuhamba kwamathumbu. I-fibre itholakala ikakhulu kwizithelo nemifino, okungcono ngenkathi. Ziphinde zitholakale kuzimbotyi (uphizi, udali, njll.), Ezimbewini zamafutha (amantongomane, ama-alimondi, njll.) Nakuzo zonke izinhlamvu (oats, bran, njll.). Ngakho-ke kulula kakhulu ukuthi omama abakhulelwe abahlushwa ukuqunjelwa, imvamisa kusuka Inyanga yesi-4 yokukhulelwa, ingaqala ukudambisa lokhu kuphazamiseka. 

Ngokuphathelene ne-acid reflux, amazambane, izithelo nemifino kungakhawulela. Kuhlala ukuthi uqaphele ukugwema ukudla okuthile, okune-asidi kakhulu esiswini sabesifazane abakhulelwe: ama-sodas, izipayisi noma izitsha ezinothe kakhulu, ikhofi noma ushukela ocwengekile.

Pregnant Amaviki angu-18 e-amenorrhea (16 SG), umama wesikhathi esizayo uqala ukubona ukukhulelwa futhi adinga ukuba semgodleni wakhe. Ukubhucungwa ngaphambi kokubeletha kungasiza. Imema ukuphumula. Futhi, umzimba wowesifazane okhulelwe ushintsha kakhulu ezinyangeni, ngesabelo saso senjabulo nokungakhululeki. I-massage yangaphambi kokubeletha ivumela umzimba ukuthi ududuzeke futhi wondleke kahle ngenxa kawoyela wemifino.

• iya kokubonisana kwe- Inyanga ye-4th, okwesibili kokuvakashelwa okuyimpoqo kokubeletha kwabangu-7. Ukuhlolwa kwezokwelapha ngokuhlelekile kubandakanya ukukala, ukuthatha umfutho wegazi, ukukala ukuphakama kwesibeletho, ukulalela inhliziyo yengane nge-Doppler noma endlebeni, nokuhlolwa kwesitho sangasese sowesifazane ukuze kutholakale ukungajwayelekile komlomo wesibeletho. isizalo. Qaphela, noma kunjalo: abanye odokotela abenzi ukuhlolwa okuhleliwe kwesitho sangasese sowesifazane ekuvakasheni ngakunye, ngoba usizo lwayo aluzange luboniswe ngokungabikho kwezimpawu zomtholampilo (ubuhlungu besisu, ukuphambana, ukopha). Phakathi nalolu hambo lwenyanga yesi-4, kuzohlaziywa imiphumela yokuhlolwa okuhlanganisiwe kwe-Down's syndrome. Ngaphandle kwengozi ka-21/1, kuzophakanyiswa i-amniocenteis, kepha umama ozayo uhlala ekhululekile ukuyamukela noma cha;
• yenza i-aphoyintimenti ye-ultrasound yesibili yokukhulelwa ezokwenziwa nxazonke 22 amasonto ;
• thola mayelana nezinhlinzeko zabesifazane abakhulelwe esivumelwaneni sabo ngokuhlanganyela. Abanye bahlinzekela ukwehliswa komsebenzi kusukela enyangeni yesi-4;
• ukuphothula ukubhaliswa ewadini labakhulelwe.

Kusukela Amaviki angu-16 ekhulelwe (amasonto ayi-18), kuhle ukucabanga ngendlela oncelisa ngayo, wazi ukuthi kuyohlale kunokwenzeka ukushintsha umqondo wakho ngesikhathi sokuzalwa. Kuyisinqumo esisondelene lokho kukumama naye uqobo. Akukho ukulungiselela okudingekayo ekunceliseni ibele, ngaphandle kokuthola imininingwane ukuze uqonde ngokugcwele ukuthi ukuncelisa kusebenza kanjani futhi ikakhulukazi ukubaluleka kokuncelisa ngokufunwayo kanye nokuma okuhle ebeleni. . Izinhlangano zokuxhasa ukuncelisa ibele (iLeache League, i-COFAM), abaxhumanisi nababelethisi be-IBCLC bangabalingani abanelungelo lolu lwazi.

Futhi banayo I-trimester yesibili yokukhulelwaUkuqhubeka nokusebenza kunzima noma kuyingozi , ngaphandle kokuncishiswa komholo. Ukwenza lokhu, ukukhulelwa kufanele kuqinisekiswe ngokwezokwelapha kusetshenziswa ifomu lesimemezelo sokukhulelwa noma isitifiketi sikadokotela esivela kudokotela. Isitifiketi sezokwelapha sesibili kufanele sichaze amaphuzu ahlukahlukene wesimo esingahambisani nokukhulelwa. Ehambisana nencwadi ebeka la maphuzu ahlukahlukene nokuhlelwa kwendawo yokusebenza, lesi sitifiketi sezokwelapha kufanele sithunyelwe kumqashi, ngencwadi ebhalisiwe okungcono ngokuvuma ukuthi uyitholile. Ngokwethiyori, umqashi akakwazi ukwenqaba lokhu kulungiswa komsebenzi. Uma engakwazi ukumnikeza omunye umsebenzi, kufanele azise umama ozobhalwa ngokubhala phansi ngezizathu ezivimbela ukwenziwa kabusha kwezigaba. Isivumelwano sokuqashwa bese siyamiswa, bese umqashwa ahlomule ngesiqinisekiso somholo esakhiwa yizibonelelo zansuku zonke ezivela kwi-CPAM kanye nomholo owengeziwe okhokhelwa umqashi.

Ukuvimbela ukuqunjelwa, imithetho ejwayelekile yenhlanzeko-yokudla iyadingeka: yidla ukudla okunothe nge-fiber (izithelo nemifino, okusanhlamvu okuphelele noma okusanhlamvu), phuza amanzi anele, uhambe uhhafu wehora usuku ngalunye. Uma izilinganiso zinganele, kungenzeka ukuthatha ama-laxatives. Kukhethwa ama-laxatives amancane: i-mucilage-type ballast laxative (i-sterculia, ispaghul, i-psyllium, i-guar noma i-bran gum) noma i-osmotic laxative (i-polyethylene glycol noma i-PEG, i-lactulose, i-lactitol noma i-sorbitol) (1). Ngasohlangothini lwemithi ehlukile:

• ku-homeopathy: thatha ngokuhlelekile ISepia officinalis 7 CH et I-Nux vomica 5 CH, Ama-granules ama-5 kathathu ngosuku ngaphambi kokudla. Ngokuya ngokubonakala kwesitokisi nezinye izimpawu ezihambisanayo, kuzonconywa amanye amakhambi: ICollinsonia canadensis 5 CH 5 granules ekuseni nakusihlwa uma kwenzeka hemorrhoids; I-Hydrastis canadensis 5 CH uma kwenzeka izitulo ezinzima ngaphandle kwesifiso sokuya endlini yangasese (2).
• kumuthi wamakhambi, emallow kanye ne-marshmallow kuqukethe amafinyila azosebenza njenge-laxative ye-ballast.