Iviki eli-19 lokukhulelwa kusukela ekukhulelweni
Nansi - inkabazwe osekunesikhathi ilindelwe. Iviki le-19 lokukhulelwa kusukela ekukhulelweni kusho ukuthi siphakathi nendawo futhi okuthakazelisayo kakhulu kuseza. Kwenzekani kumama nengane ngalesi sikhathi - sibhekana nodokotela

Kwenzekani enganeni emasontweni angama-19

Ingxenye yesibili yokukhulelwa isiqalile, futhi ingane izothatha ingxenye esebenzayo kuyo. Useyazi ukunyakaza nokulala, umama angakwazi ngisho nokulandelela ukulala nokuvuka kwakhe.

Ubuchopho bomntwana bukhula futhi bukhule ngokushesha. Ama-Neurons akhiwa kuwo - amangqamuzana ezinzwa ahambisa amasignali phakathi kobuchopho nemisipha. Ngosizo lwabo, ukunyakaza komntwana kuyacaca futhi kugxile kakhulu.

Amangqamuzana amhlophe egazi avela egazini lomntwana, okuyinto esikhathini esizayo ezomsiza ukuba acindezele noma yikuphi ukutheleleka.

I-fetus ihlale inyakaza ngaphakathi kwesibeletho, inganamathisela ikhanda layo phansi kwesibeletho, noma ilele iqondane phansi. Ngokushesha noma kamuva, uzoba nesikhundla esiyintandokazi - isethulo. Ngokuvamile kunqunywa ekupheleni kwe-trimester yesibili.

Emavikini angu-19-20, isidingo somntwana se-calcium siyanda, njengoba uhlaka lwamathambo luqala ukukhula kakhulu. Uma umama engadli ngokwanele lesi sici sokulandelela, khona-ke umntwana "uzoyikhipha" emazinyweni nasemathanjeni omzali wayo.

I-Fetal ultrasound

Ngalesi sikhathi, ukuhlolwa kwe-trimester yesibili kuvame ukwenziwa.

- Njengengxenye yokuhlolwa kwesibili, ukuhlolwa kwe-ultrasound kuyenziwa. I-Ultrasound ye-fetus ngeviki le-19 lokukhulelwa iyadingeka ukuze kukhishwe ukukhubazeka kokuzalwa. Uma ku-trimester yokuqala kuphela i-5-8% ye-anomalies yentuthuko, ikakhulukazi ukukhubazeka okukhulu, khona-ke ku-trimester yesibili kungenzeka ukuhlonza izinkinga eziningi zokuthuthuka - ukwephulwa kwesakhiwo se-anatomical sezitho zomuntu ngamunye nezinhlelo ze-fetus, kuchaza udokotela wezifo zabesifazane uNatalya Aboneeva.

Uma kutholakala ukungahambi kahle okunjalo, umama uzonikezwa ukulungiswa kokuhlinzwa.

"Cishe u-40-50% wezinkinga zokuzalwa ezitholakala ngesikhathi ziyatholakala ukuze zilungiswe ngempumelelo," kuqinisekisa u-Natalia.

Ngaphezu kwalokho, i-ultrasound ye-fetus ngeviki le-19 lokukhulelwa isiza ukunquma iminyaka eqondile yokukhulelwa, isisindo somntwana, ukukhula kanye nemingcele.

- I-Sonography ku-trimester yesibili nayo idlala indima ebalulekile ekunqumeni umthamo we-amniotic fluid, okubangelwa ukuphuma komchamo wengane. Ukwehla kwenani loketshezi lwe-amniotic kuvame ukubonwa nge-fetus hypotrophy, ukungahambi kahle kwezinso zayo nohlelo lomchamo, futhi ukungabikho ngokuphelele kwe-amniotic fluid kubonwa nge-genesis yezinso zengane. I-Polyhydramnios ingaba nokuphazamiseka okuthile kwepheshana lesisu kanye nokutheleleka kombungu, kuchaza udokotela.

Ngaphezu kwalokho, i-ultrasound ngeviki le-19 iveza ukuntuleka kwe-isthmic-cervical, lapho umlomo wesibeletho awukwazi ukumelana nokucindezela nokubamba umbungu kuze kube yilapho ubelethwa ngesikhathi.

Futhi, yiqiniso, nge-echography, ungathola ngokunembile ubulili bengane.

Impilo yesithombe

Evikini le-19 lokukhulelwa kusukela ekukhulelweni, ubude be-fetus bufinyelela cishe ku-28 cm, isisindo sayo sikhuphuka sibe ngu-390 amagremu. Ngosayizi, kufana ne-cantaloupe - ikhabe elincane.

Isithombe sesisu esontweni le-19 lokukhulelwa kwentombazane encane izodalulwa. Isisu sabo kufanele sesivele sibonakale ngokucacile. Kodwa komama be-chubby, intuthuko ayibonakali kangako, bangakwazi ukufihla isikhundla sabo ngokuphepha, ngoba ukhalo lwabo lwengeze amasentimitha ambalwa kuphela.

Kwenzekani kumama emavikini angama-19

Evikini le-19 lokukhulelwa kusukela ekukhulelweni, umzimba wesifazane usuvele ujwayele isimo esisha, ngakho manje kulula kakhulu kumama okhulelwe.

Kusukela kuleli sonto, owesifazane uzokhula ngokuphawulekayo, futhi phansi kwesibeletho kuzokhuphuka. Yena ngokwakhe ushintsha isimo - uba ovoid. Manje umama kuzodingeka alale ngomhlane futhi ahlale kancane kancane, ngoba kulezi zikhundla isibeletho sicindezela i-vena cava engaphansi futhi ingane ihlushwa ukuntuleka komoya-mpilo. Isifiso sakho sokudla siyakhula, futhi manje kubaluleke kakhulu ukuqapha ukudla kwakho futhi ungadli kakhulu. Zigcine uzihlole, amakhilogremu amaningi engeziwe azokwenza ingxenye yesibili yokukhulelwa nokubeletha kube nzima nakakhulu.

Abesifazane abaningi bayaqaphela ukuthi ngalesi sikhathi baqala ukuthulula induna. Kulokhu, udinga ukugeza ubuso bakho kabili ngosuku futhi ungajahi imithi. Noma yimuphi ukhilimu noma i-lotion isetshenziswa kangcono kuphela ngemuva kokubonisana nodokotela.

Zama ukuthatha njalo ukuhlolwa kwegazi okujwayelekile kanye nokuhlolwa ushukela ukuze uma kunezinkinga, uqale ukwelashwa noma uhambe ngokudla ngesikhathi esifanele.

bonisa okuningi

Imiphi imizwa ongayithola evikini elingu-19

Evikini le-19 lokukhulelwa kusukela ekukhulelweni, abesifazane abaningi baba nobuhlungu beqolo - ngemva kwakho konke, umntwana okhulayo uthinta isikhungo samandla adonsela phansi futhi umama kufanele agobe umgogodla wakhe ongezansi. Ukuze unciphise ukucindezeleka, gqoka izicathulo ezinezithende eziphansi, ezinzile, noma kangcono ngaphandle kwazo. Zama ukugcina umzimba wakho uqondile, ngaphandle kokuncika emuva noma phambili. Uma ubuhlungu buqhubeka, xoxa nodokotela wakho ngokuthi kungenzeka yini ukugqoka i-corset ekhethekile. Abanye besifazane abakhulelwe ku-trimester yesibili baba namajaqamba emilenzeni, ngezinye izikhathi ukuvuvukala. Ukuze ungahlupheki kubo, zama ukubeka imilenze yakho phezulu lapho uhlezi.

Kuyenzeka abantu besifazane bazizwe benesiyezi manje. Mhlawumbe isizathu salo wukwabiwa kabusha kwegazi emzimbeni, isibonelo, lapho ulele emhlane wakho, bese uvuka kungazelelwe. Kodwa-ke, i-anemia ingabangela nesiyezi, lapho-ke udinga ukuxoxa ngenkinga nodokotela wakho.

Monthly

Ukuya esikhathini, ngomqondo ofanele wegama, ngeviki le-19 lokukhulelwa kusukela ekukhulelweni akukwazi, kodwa ukubonwa kungabonwa.

Izimbangela zokubonakala isikhathi esingamasonto angu-19 noma ngaphezulu kungase kube i-placenta previa noma i-ingrowth, ukuphuma ngaphambi kwesikhathi kwe-placenta evame ukutholakala, ukuphuka kwemithambo ekhona yenkaba, izicubu ezithambile zomgudu wokuzalwa noma wesibeletho,” kuchaza udokotela wokubelethisa. - udokotela wabesifazane Natalya Aboneeva.

Kungenzeka ukuthi wopha ngenxa ye-ectopia noma ukuguguleka komlomo wesibeletho, kanye nangenxa yemithambo ye-varicose yezitho zangasese noma ukulimala kwayo.

– Noma yikuphi ukuphuma kwegazi okuphuma esithweni sangasese akuyona into evamile. Lesi yisibonakaliso esesabekayo esidinga ukubonisana ngokushesha ne-obstetrician-gynecologist, udokotela ukhumbuza.

Isisu esibuhlungu

Ngeviki le-19 lokukhulelwa, abesifazane bangase babhekane nalokho okubizwa ngokuthi ama-contractions amanga - ama-spasms angavamile futhi angavamile. Lokhu kuthathwa njengokujwayelekile uma ungezwa ubuhlungu obunzima futhi ukufinyela akuhambisana nokopha.

Uma ubuhlungu bukhulu futhi bungahlali ngesikhathi sokuphumula, kungcono ukuvakashela udokotela wakho futhi uthole imbangela yawo.

Ngezinye izikhathi ubuhlungu besisu abuhlotshaniswa nesibeletho, kodwa nesimiso sokugaya noma somchamo. Abesifazane abakhulelwe bavame ukuba nezinkinga ze-appendicitis nezinso, ngakho-ke kubalulekile ukubonana nodokotela.

Imibuzo nezimpendulo ezidumile

Kungenzeka yini ukwenza i-massage ngesikhathi sokukhulelwa, ikakhulukazi lapho iqolo libuhlungu?

- Umthwalo emgodleni, amalunga kanye nemisipha yangemuva, imilenze ngesikhathi sokukhulelwa inkulu kakhulu, ngakho abaningi baye banda i-lumbar lordosis - ukugoba komgogodla esifundeni se-lumbar phambili. Ukuze unciphise ukungaphatheki kahle ngalesi sikhathi, ungabhucunga izingalo, imilenze, intamo, ibhande lehlombe nomhlane. Ngaphezu kwalokho, kuwukuvimbela okuhle kakhulu kwemithambo ye-varicose kanye nendlela yokuthuthukisa ukujikeleza kwegazi. Kodwa-ke, i-massage ngesikhathi sokukhulelwa inezici eziningi:

• ukunyakaza kwezandla kufanele kube okuthambile futhi kuzolile, kungabi nemiphumela ebukhali, ecindezelayo;

• kungcono ukuthi ungathinti indawo yesisu nhlobo;

• ukubhucunga umhlane, udinga ukusebenzisa isikhundla esiseceleni kwakho ngokusetshenziswa kwezingubo zokulala ezigoqiwe noma imicamelo.

Ngaphezu kwalokho, kukhona contraindications ukuze massage ngesikhathi sokukhulelwa:

• i-toxicosis enzima;

• izifo ezinzima zokuphefumula;

• ukutheleleka;

• izifo zesikhumba;

• izifo ezingapheli zesistimu yenhliziyo;

• imithambo ye-varicose ene-thrombosis;

• ukwanda komfutho wegazi.

Yini enquma umbala wezinwele namehlo wengane futhi ingabe ingashintsha?

“Izici ezifana nombala wezinwele noma umbala wamehlo zinqunywa ufuzo. Kodwa-ke, ungalindeli ukuthi njengoba wena nomngane wakho womshado ninezinwele ezimnyama, ezinqunywa isakhi sofuzo esivelele, khona-ke umntwana uzoba nezinwele ezimnyama. Isakhi sofuzo esivelele siphakamisa kuphela ukuthi amathuba okuba nengane e-brunette makhulu kune-blond. Abazali abanamehlo ansundu bavame ukuba nezingane ezinamehlo aluhlaza. Ngendlela, ngemva kokuzalwa, ngokuvamile kusesekuseni kakhulu ukukhuluma ngombala wamehlo nezinwele zomntwana, umbala wamehlo wokugcina usethelwe eduze nonyaka, nombala wezinwele isikhathi eside nakakhulu.

Iyiphi indlela engcono kakhulu yokulala ngesikhathi sokukhulelwa?

- Ngokuvamile umbuzo oyinhloko uwukuthi: kungenzeka yini ukulala ngomhlane wakho. Futhi yebo, ku-trimester yesibili lena akuyona indawo engcono kakhulu yokulala, ngoba isibeletho sizofaka ingcindezi emgogodleni nasezitsheni ezinkulu. Ukulala ngesisu akukhululekile neze.

Ngenxa yalokho, indawo ephephile yokulala ilele ngakwesokunxele. Ukuze uthole induduzo enkulu, ungakwazi ukuwela imilenze yakho noma ubeke umcamelo noma ingubo phakathi kwabo. Ungakwazi futhi ukubeka imicamelo ngaphansi komhlane wakho.

Kungenzeka yini ukwenza ucansi?

Ku-trimester yesibili, isisu singase sibe sikhulu impela, ngakho-ke ezinye izikhundla zocansi zingase zingatholakali. Lesi yisikhathi sokukhombisa umcabango, zama izikhundla ezintsha, okuhle kanye ne-libido ivumela. Odokotela bayeluleka ukuphrakthiza ukuma okuseceleni noma ukuma kwe-washerwoman.

Abesifazane abaningi bayaqaphela ukuthi ku-trimester yesibili babe nobulili obukhanyayo kanye nama-orgasms anobudlova kakhulu. Akumangazi, ama-hormone kanye nokugeleza kwegazi okwandisiwe e-pelvis kunomthelela enjabulweni.

Kodwa-ke, akuwona wonke umuntu okufanele ahambe ngamabomu ezenzweni eziseduze. Kwezinye izimo, ubulili bowesifazane okhulelwe buphikisana: uma kukhona usongo lokukhulelwa kwesisu noma ukuzalwa ngaphambi kwesikhathi, nge-placentation ephansi noma isethulo, nge-pessary kanye ne-sutures emlonyeni wesibeletho. Ngakho-ke kungcono ukubonana nodokotela wakho kusengaphambili.

Yini okufanele uyenze uma izinga lokushisa likhuphuka?

- Ukwanda kwezinga lokushisa isikhathi esingamaviki angu-19 kusukela ekukhulelweni kuhlangene nezinye izimpawu noma umkhuhlane ongaphezu kwama-degrees angu-38 kungase kube ukubonakaliswa kwezifo eziyingozi zepheshana lokuphefumula kuphela, kodwa futhi nezifo ezisongela ukuphila komama nomntwana, njenge-pneumonia, i-pyelonephritis yokukhulelwa, i-appendicitis eyingozi kanye ne-cholecystitis, - kuchaza udokotela wezifo zabesifazane uNataliya Aboneeva.

Ukubonisana nodokotela nge-hyperthermia kuyimpoqo, njengoba kungeke kusize nje ukucacisa izimbangela zokwanda kwezinga lokushisa, kodwa futhi kunqume ukuthi kuyadingeka yini ukulaliswa esibhedlela noma ukwelashwa okulondoloziwe komuntu ngamunye kwanele.

- Izidakamizwa ze-antipyretic kufanele zithathwe kuphela njengoba kunqunywe udokotela. Awukwazi ukuzinqumela ukwelashwa bese ukhetha imithi ngokweseluleko sabangane noma ukukhangisa okuthembayo, udokotela uyakhumbuza. - Ngesikhathi sokwelashwa ngaphandle, umama okhulelwe uyatuswa ukuba abheke ukuphumula kombhede ngeziphuzo eziningi ezifudumele, esule ngamanzi ekamelweni lokushisa futhi asebenzise ukucindezela okumanzi endololwaneni namadolo aguqe.

Yini okufanele uyenze uma idonsa isisu esingezansi?

Uma kukhona ubuhlungu obudonsayo endaweni engaphansi kwesisu kanye ne-lumbar, uma kuhambisana nethoni ekhulayo yesibeletho noma ama-cramping spasms avamile, ukukhishwa kwegazi okuvela emgudwini wobulili noma umuzwa wokugcwala esithweni sangasese, kufanele ushayele ucingo ngokushesha. i-ambulensi. Ukubonakaliswa okunjalo ngeviki le-19 lokukhulelwa kungase kusho usongo lokukhulelwa kwesisu.

Ungadla kanjani ngendlela efanele?

Evikini le-19 lokukhulelwa kusukela ekukhulelweni, kubalulekile ukuqinisekisa ukuthi ukudla okucebile nge-calcium kwakukhona ekudleni. Kudingeka ekukhuleni kwamathambo omntwana, futhi uma enganele, umama angase athole ukuthi amazinyo aseqalile ukubola. Le ngane “ikhipha” i-calcium emzimbeni wayo. Ngokunokwenzeka, udokotela uzonikeza izithasiselo ze-calcium kowesifazane okhulelwe, kodwa akufanele uthathwe nazo ngokwakho.

Udinga ukudla kancane, kaningi futhi kancane ngangokunokwenzeka, ukuhlafuna ngokucophelela ukudla. Phuza - mhlawumbe isigamu sehora ngaphambi kokudla, noma ihora ngemva kwalokho. Ebusuku kungcono ukungadli nhlobo, ezimweni ezimbi kakhulu, ungaphuza ingilazi ye-kefir.

Khohlwa ukudla okunamafutha, okugayiwe, amasoda, amasemishi, nokudla okusemathinini. Uma ukudla kunosawoti omncane, kuba lula ukuthi izinso zakho ziphile futhi kuzoncipha ukuvuvukala.

shiya impendulo