Iviki eli-17 lokukhulelwa kusukela ekukhulelweni
Cishe ingxenye yethemu isiphelile, i-trimester yesibili isisebenza ngokugcwele ... Evikini le-17 lokukhulelwa kusukela ekukhulelwe, umama okhulelwe angase aqale ukubala amasonto kuze kube yilapho ehlangana nengane yakhe, njengoba sekusele cishe angu-19.

Kwenzekani enganeni emasontweni angama-17

Ingane esibelethweni sikanina iqala ukukhula ngenkuthalo, okwenza isisu sowesifazane sibonakale nsuku zonke. Ngomntwana onamaviki angu-17 ekhulelwe, izinguquko eziningi ezibalulekile zenzeka. Izingalo nemilenze yakhe yaba ngokulingana, futhi intamo yakhe yaqondana, ukuze manje ingane iphendule ikhanda layo yonke indawo.

Ngaphansi kwamazinyo omntwana, ama-rudiments e-molars akhiwa, ngakho-ke kubalulekile ukuthi umama okhulelwe engeze ekudleni okucebile nge-calcium.

I-lubricant ekhethekile ibonakala kancane kancane emzimbeni nasekhanda lomntwana, okuvikela isikhumba sakhe kumagciwane.

Izinguquko zenzeka futhi emzimbeni omncane. Izifunda zakhiwe ebuchosheni ezinesibopho sokubona umsindo, ukunambitheka, izithombe ezibukwayo kanye nokuthinta. Manje umntwana uyakuzwa lokho okushoyo kuye, futhi angakwazi ukusabela kukho.

Ingane ikhula amafutha adingekayo ekudluliseni ukushisa. Ungqimba olunamafutha ngaphansi kwesikhumba lufihla imithambo yegazi eminingi, eyayivame ukuguquguquka futhi yanikeza isikhumba umbala obomvu. Ngenxa yamafutha angaphansi kwesikhumba, imibimbi emzimbeni wengane iyashelela.

Ukwakheka kwegazi nakho kuyashintsha, manje, ngaphezu kwamangqamuzana egazi abomvu - ama-erythrocytes - aqukethe ama-leukocytes, ama-monocytes nama-lymphocytes.

I-Fetal ultrasound

Evikini le-17 lokukhulelwa, omama abaningi benza i-ultrasound ye-fetus njengengxenye yokuhlolwa kwesibili. Lokhu kuhlola kusiza odokotela babone ukuthi azikho yini izimpawu zokukhula okungavamile enganeni, njenge-hydrocephalus. Ubuchopho bomntwana, obukhula ngenkuthalo kulesi sikhathi, bugezwa yi-cerebrospinal fluid. Uma inqwabelana ebuchosheni, ibizwa ngokuthi i-hydrocephalus, noma i-dropsy yobuchopho. Ngenxa yokuqoqwa koketshezi, ikhanda lomntwana liyakhula, futhi izicubu zobuchopho zicindezelwa. Kwezinye izimo, ukwelashwa kwe-intrauterine kungasiza ekubhekaneni nenkinga enjalo.

Ngaphezu kokuphazamiseka kokukhula, i-ultrasound ye-fetus emasontweni angu-17 ekhulelwe izonikeza odokotela ulwazi olubalulekile mayelana nendawo ye-placenta, ukushuba kwayo kanye nezinga lokuvuthwa, izonquma i-polyhydramnios ephansi noma ilinganise ubude bomlomo wesibeletho.

Ngaphezu kwalokho, i-ultrasound ye-fetus ngesonto le-17 izonikeza umbono wokuthuthukiswa kwezitho zangaphakathi zengane kanye nomsebenzi wesistimu yakhe yenhliziyo. Ochwepheshe bazokwazi ukukala inani lokushaya kwenhliziyo kanye nokuchezuka kwezaziso kusuka kokujwayelekile (amabhithi angu-120-160).

Impilo yesithombe

Ingane esiswini ikhula ngokushesha okukhulu. Evikini le-17 lokukhulelwa, kakade ulinganisa amagremu angu-280-300, futhi ukuphakama kwakhe kungama-24 cm. Ubukhulu bomntwana buqhathaniswa nobukhulu bomango.

Ingabe kufanele ngithathe isithombe sesisu emavikini angu-17 ngikhulelwe? Amantombazane amancane - kunjalo, njengoba isisu sabo kufanele sesivele siyindilinga.

- Kwabesifazane abanesisindo esijwayelekile nesingaphansi, isisu ngalesi sikhathi sesivele sibonakale impela, ngoba ngaphansi kwesibeletho kucishe kufinyelele enkabeni (imvamisa cishe ku-2,5 cm ngaphansi kwenkaba). Kwabesifazane abakhuluphele nabakhuluphele ngokweqile, ukukhuliswa kwesisu kungase kungabonakali, kuchaza. udokotela wezifo zabesifazane uDaria Ivanova.

Kwenzekani kumama emavikini angama-17

Umama uyashintsha evikini le-17 lokukhulelwa: isisindo sakhe siyakhula, izinqe zakhe ziba banzi, futhi isisu sakhe siyindilinga.

Ngalesi sikhathi, abesifazane abaningi sebevele bekwazi ukuzuza amakhilogremu angama-3,5-6. Ngesikhathi esifanayo, hhayi kuphela izintambo nesisu ezikhulayo, kodwa nesifuba.

Abanye besifazane abakhulelwe bangase babone ukukhishwa okumhlophe ezimpahleni zabo zangaphansi. Odokotela baxwayisa ngokuthi uma benokungaguquguquki okuvamile futhi bengenalo iphunga elimnandi, khona-ke kungenzeka ukuthi i-progesterone ibacasule futhi akufanele ukhathazeke.

Kungasolwa futhi yiqiniso lokuthi owesifazane uhlushwa ukuminyana emakhaleni noma ukopha ngamakhala nezinsini.

Kukhona nezinguquko ezinhle: ukukhathazeka komama okhulelwe ngalesi sikhathi kuncane, ukhululekile futhi mhlawumbe ngisho nokuphazamiseka okuncane. Ochwepheshe basikisela ukuthi lesi yisizathu sokusuka emsebenzini osebenzayo futhi uchithe isikhathi esiningi uwedwa.

Evikini le-17 lokukhulelwa, omama baqaphela izinguquko esikhumbeni: amabala amnyama, ama-freckles avela, indawo ezungeze izingono nangaphansi kwenkaba ingaba nsundu ngokumnyama, nezintende zingase zibe bomvu. Konke lokhu kuyi-melanin, ngenhlanhla, ubumnyama obuningi buzonyamalala ngemva kokubeletha.

bonisa okuningi

Imiphi imizwa ongayithola evikini elingu-17

Imizwa ngeviki le-17 lokukhulelwa kusukela ekukhulelweni ijabulisa kakhulu, ngakho-ke lesi sikhathi sibhekwa njengevundile kunazo zonke izinyanga ezingu-9.

- Ngokuvamile abesifazane ngalesi sikhathi bazizwa bejabule. Ngezinye izikhathi ubuhlungu obuphansi emuva bungase buhluphe (ikakhulukazi kulabo besifazane abanezinkinga zomgogodla), kodwa akufanele babe namandla, akufanele bahambisane nezinkinga zokuchama, umkhuhlane. Okufanayo kusebenza ebuhlungu esifundeni se-pelvic, - kuchaza i-obstetrician-gynecologist u-Daria Ivanova.

Ukuchama njalo kungenye “yezimpawu” zalesi sikhathi.

"Ngicela uqaphele ukuthi uma uya endlini yangasese akufanele kube nemizwa engathandeki (ubuhlungu, ukushisa), umbala, iphunga nokucaca komchamo akufanele kushintshe," kuchaza udokotela.

Ngezinguquko ezinjalo, udinga ukuya esibhedlela, kungenzeka ukuthi ubambe i-cystitis.

- Abanye besifazane abakhulelwe bangase babe nesicanucanu ekuseni futhi benqatshelwe iphunga elimnandi, kungase kube khona ukushisa kwenhliziyo, ukuqunjelwa kungase kuphazamiseke, ukuphuma kwesisu kungase kwande (kodwa umbala wabo akufanele ushintshe, akufanele kube nephunga elingathandeki) , amajaqamba angase avele emaphethelweni aphansi - kusho uDaria Ivanova.

Monthly

Uma ku-trimester yokuqala ukuphuma kwegazi, okuthathwe ukuya esikhathini, kuyinto evamile, ngakho-ke esikhathini esingamaviki angu-17 kufanele kakade kubangele ukukhathazeka. Odokotela baxwayisa ngokuthi igazi ezimpahleni zangaphansi lingasho inqwaba yezinkinga:

  • ingabonisa i-placenta previa eseceleni noma ephelele;
  • mayelana nokuqala kwe-placenta;
  • mayelana ne-polyp yomlomo wesibeletho;
  • ngisho nomdlavuza womlomo wesibeletho.

Njengoba ubona, uhlu lubucayi, ngakho-ke ukudlala ngokuphepha kuleli cala kuyinketho elungile kakhulu. Uma ubona igazi kuma-panties akho, shayela i-ambulensi, imbangela "yokuya esikhathini" ingasungulwa kuphela ngesikhathi sokuhlolwa.

Isisu esibuhlungu

Akuwona nje amabala okufanele axwayise owesifazane, kodwa futhi nobuhlungu besisu. Kunjalo, kungaba isilungulela noma ukuqunjelwa, kodwa namanje akukafaneli ukuyiyeka ihambe ibambe amabhuleki.

– Uma uzwa ubuhlungu esiswini ngalesi sikhathi, kungcono uthintane nodokotela. Ubuhlungu bungaba kokubili uphawu lokukhipha isisu okusongelwa, futhi uphawu lwezinkinga ngamathumbu (kwabesifazane abakhulelwe, ingozi ye-appendicitis iyanda) noma ngezinso nesinye, kuchaza udokotela wezifo zabesifazane uDaria Ivanova.

Ukukhishwa okunsundu

Umbala onsundu wokukhishwa kusho ukuthi kunezinhlayiya zegazi elijiyile, futhi lokhu akukuhle. Uma ku-trimester yokuqala yonke into ingabhekwa njengezinkinga zemithambo yegazi, ekhula ibe mikhudlwana, futhi amandla ezindonga ehla ngenxa yamahomoni, noma i-hematoma odokotela abangakwazi ukuyiphatha, khona-ke ku-trimester yesibili lezi zimbangela zegazi . akusabalulekile.

Umama kufanele azibuze ukuthi kuphumani igazi bese wenza i-aphoyintimenti nodokotela. Lapho lokhu kwenziwa ngokushesha, maningi amathuba okuba kuncishiswe imiphumela emibi engaba khona.

Imibuzo nezimpendulo ezidumile

Anginakwaliwa, futhi ngesikhathi sokukhulelwa ukungezwani komzimba kwaba kubi kakhulu, yini okufanele ngiyenze?

- Ngempela, omama abakhulelwe bavame ukuba nokungezwani komzimba okubi kakhulu, ukuhlaselwa yisifuba somoya kuyavela. Asikho isidingo sokugijima uye ekhemisi ukuze uthole imithi, ngaphandle uma uye kudokotela kuqala. Kungcono ukuzama ukugwema ukuchayeka ku-allergen, uzinikeze umoya-mpilo owengeziwe. Qinisekisa ukuthi akukho uthuli efulethini, yenza ukuhlanza okumanzi. Phuza uketshezi oluthe xaxa. Kwesinye isikhathi umama okhulelwe akazi nokuthi i-allergies iqale nini. Okokuqala, buyekeza imithi nemikhiqizo, ezinye zazo zivusa ukungezwani komzimba. Uma ukubuyekezwa kungazange kusize, hamba ku-allergist uthathe izivivinyo ukuze ubale okucasulayo futhi ukuqede.

Udokotela weluleka ukufaka i-pessary, iyini futhi kungani ifakwa kwabesifazane abakhulelwe?

- Ngesikhathi sokukhulelwa, kungase kube nezinkinga ezihlukahlukene, okuholela ekukhulelweni ngaphambi kwesikhathi. Enye yezimbangela zokuzalwa ngaphambi kwesikhathi ukucindezela okunamandla kwesibeletho emlonyeni wesibeletho, okubangela ukuthi sivuleke ngaphambi kwesikhathi. Izizathu zingase zihluke - kukhona i-polyhydramnios, ne-fetus enkulu, kanye nezingane eziningana esibelethweni.

Ukuze unciphise ingcindezi entanyeni, i-obstetric pessary ifakwe - indandatho yepulasitiki. Igqokwa, njengomthetho, kuze kube amasonto angama-37-38, emva kwalokho isusiwe.

Ukufakwa nokususwa kwe-pessary akubuhlungu, kodwa kungase kube nokungahambi kahle. Kodwa leli yithuba lokubeletha ingane enempilo, enamandla.

Kungani ukuqubuka kwe-placenta kwenzeka, kungagwenywa?

Izimbangela zokuqubuka kwe-placenta zihluke kakhulu. Lezi zingaba izifo ezingahlobene ne-sexual sphere (i-endocrine, i-vascular, nabanye), kanye nalabo abahlobene ngokuqondile nokukhulelwa nokubeletha. Ngakho-ke, kubalulekile ukuvakashela njalo i-gynecologist.

Ngezinye izikhathi ukuxoshwa kucasulwa ukulimala esiswini, ngezinye izikhathi kungase kwenzeke ngemva kokujikeleza kwangaphandle kokubeletha kwengane. Nokho, ingxenye yazo zonke izimo zenzeka ngesikhathi sokubeletha. Kulokhu, izimbangela zokuhlukaniswa yilezi: ukukhulelwa kwangemva kwesikhathi eside, inkaba emfushane, imizamo ephoqelelwe, ukungasebenzi kahle kwe-placenta, umshikashika wesikhathi eside noma umsebenzi wamawele.

Lokhu akunakugwenywa ngo-100%, kodwa unganciphisa ubungozi uma ungeqi ukubonisana nodokotela futhi uqaphe inhlalakahle yakho. ⠀

Kungenzeka yini ukwenza ucansi?

Odokotela banamuhla banombono wokuthi ubulili ngesikhathi sokukhulelwa kudingekile ngisho uma kungekho ingozi yokuzalwa ngaphambi kwesikhathi noma ezinye izinkinga.

Ngokusho kochwepheshe abaningi bezifo zabesifazane, ubulili ngesikhathi sokukhulelwa buba yinto emangalisa kakhulu kowesifazane: ukugeleza kwegazi kuya ku-pelvis kuyanda, isitho sangasese sowesifazane siyancipha, futhi i-clitoris iyakhula. Kuyisono ukungasebenzisi izimo ezinjalo.

Kodwa kungcono ukuxoxa ngalokhu nodokotela wakho kusengaphambili. Phela, uma kukhona usongo lokukhulelwa kwesisu nokuzalwa ngaphambi kwesikhathi, uma kukhona i-placenta previa, i-sutures emlonyeni wesibeletho noma i-pessary efakwe, kungcono ukwenqaba ukuzijabulisa.

Yini okufanele uyenze uma izinga lokushisa likhuphuka?

Umkhuhlane ovamile ngisho nakwabesifazane abakhulelwe udlula isonto nesigamu. Uma izinga lokushisa libangelwa i-ARVI, khona-ke ngosuku lwe-3-4 lizokwehla ngokwalo. Kodwa i-SARS ingaholela ezinkingeni, futhi abesifazane abakhulelwe basengozini. Ukuze ungalingi ukuzivikela komzimba wakho, kungcono ukuxhumana ngokushesha nomelaphi, umvumele akunikeze ukwelashwa okufanele isimo sakho.

Ukushisa kungabuye kubangelwa igciwane lomkhuhlane, khona-ke lesi sifo senzeka ngesivinini sombani, izinga lokushisa ligxuma ngokushesha libe ngu-38-40 ° degrees, futhi izinkinga lapha zimbi kakhulu - kuze kufike ku-pneumonia kanye ne-pulmonary edema. Ukuze ugweme lokhu, kungcono ukugoma kusenesikhathi.

Yini okufanele uyenze uma idonsa isisu esingezansi?

Ngezinye izikhathi abesifazane abakhulelwe bezwa amajaqamba noma izinhlungu kancane ngaphansi kwesisu, futhi ngezinye izikhathi ngisho nezinhlungu ezibukhali kungazelelwe, ikakhulukazi lapho ushintsha izikhundla. Ngokuvamile, bacasulwa ama-sprains asekela isisu sikamama okhulelwe.

Kulesi simo, asikho isizathu sokujabula, udinga ukuphumula futhi, njengoba besho, ulinde. Kodwa-ke, uma ubuhlungu buhlala buhlala futhi buqhubeka ngisho nangesikhathi sokuphumula, noma bukhulu, bunzima, kufanele ubize udokotela wakho.

Ungadla kanjani ngendlela efanele?

Ikhwalithi yokudla ngesikhathi sokukhulelwa ibaluleke kakhulu kunomthamo. Kukhona ukudla okufanele ukukhiphe ngokushesha ekudleni:

• ama-carbohydrate agayeka kalula (i-soda / ama-dessert), angavusa isifo sikashukela sokukhulelwa;

• ukudla okusheshayo, ama-crackers, ama-chips - aqukethe usawoti omningi kanye namafutha e-trans;

• ukudla okuluhlaza, okungacutshungulwa (i-sushi, imayonnaise yeqanda eluhlaza, imikhiqizo yobisi engaxutshiwe) - lezi zingase zibe namagciwane;

• ezinye izinhlobo zezinhlanzi (tuna, marlin), zingaqongelela i-mercury;

• imikhiqizo ye-sweetener;

• imikhiqizo eseqediwe - amasoseji, amasoseji; ushizi okhuntile.

Kodwa nakanjani udinga ukudla amaprotheni: inyama, inhlanzi, amaqanda, ubisi nemikhiqizo ye-soy, okusanhlamvu, amantongomane. Ukudla kufanele kube nama-carbohydrate: okusanhlamvu, isinkwa, i-pasta, imifino, izithelo. Kubalulekile ukudla amafutha anempilo: amafutha angahlanzekile, amantongomane, inhlanzi.

Futhi ungakhohlwa mayelana nezithako ezibekwe udokotela: i-folic acid, i-vitamin D, i-omega-3, i-iodine, i-calcium, insimbi, nokuningi.

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