Kulapha Isonto lama-30 lokukhulelwa, okungukuthi inyanga yesi-7 yokukhulelwa. Isisindo somntwana emavikini angu-32 isisindo 1,5 kg futhi ububanzi 37 cm. Phakathi nale nyanga yesi-7 yokukhulelwa, wathatha ama-500 g.

Phakathi nezikhathi zokuvuka, usanyakaza kakhulu, kodwa maduze uzophelelwa indawo yokwenza ukunyakaza okubanzi.

Umbungu emasontweni angama-30s ugwinya uketshezi lwe-amniotic futhi ujabulela ukuncela isithupha sakhe.

Uthuthuka endaweni enomsindo eyakhiwa imisindo yomzimba kamama wakhe - ukushaya kwenhliziyo, ukugedla kwesisu, ukugeleza kwegazi, ukuphimisela - nomsindo we-placenta - ukugeleza kwegazi. Le misindo engemuva inamandla omsindo angama-decibel angu-30 kuya kwangu-60 (1). KUYA 32 amasonto umntwana ubuye abone amazwi, ahlanekezelwe, futhi agxume lapho ezwa umsindo omkhulu.

Isikhumba sakhe siphaphatheka ngenxa yezicubu ezinamafutha angaphansi kwesikhumba esezikhulile. Lokhu kugcinwa kwamafutha kuzosetshenziswa ekuzalweni njengendawo yokugcina izakhamzimba kanye nokushisa okushisayo.

Ukube wazalelwa e SG30, umntwana uzoba nethuba elihle lokusinda: u-99% wokuzalwa ngaphambi kwesikhathi phakathi kwamaviki angu-32 no-34 ngokwemiphumela ye-Epipage 2 (2). Kodwa-ke, kuzodinga ukunakekelwa okubalulekile ngenxa yokungavuthwa kwayo, ikakhulukazi i-pulmonary.

Kulokhu ekupheleni Inyanga yesi-7 yokukhulelwa, ubuhlungu be-lumbopelvic, i-acid reflux, ukuqunjelwa, ama-hemorrhoids, i-varicose veins yizifo ezivamile. Konke kuwumphumela wezenzakalo zemishini - isibeletho esithatha indawo eyandayo, sicindezela izitho futhi siguqule ibhalansi yomzimba - namahomoni.

Ukukhula kwesisindo kuvame ukusheshisa I-trimester yesibili yokukhulelwa ngesilinganiso samakhilogremu ama-2 ngenyanga.

Ukukhathala nakho kuyanda, ikakhulukazi njengoba ubusuku bunzima kakhulu.

Ama-edema emaqakaleni, ngenxa yokugcinwa kwamanzi, avamile ikakhulukazi ehlobo. Qaphela, noma kunjalo, uma zivela ngokuzumayo futhi zihambisana nokuzuza kwesisindo kungazelelwe. Kungaba uphawu lwe-preeclampsia, inkinga yokukhulelwa edinga ukwelashwa ngokushesha.

Okungaziwa kakhulu ngokuthi inkinga yokukhulelwa i-carpal tunnel syndrome, kodwa ethinta ama-20% omama abakhulelwe, ngokuvamile Ikota yesibili. Lesi sifo sizibonakalisa ngobuhlungu, i-paraesthesia, ukushoshozela esithupheni kanye neminwe emibili yokuqala yesandla ekwazi ukuphumela engalweni, ubugagu ekubambeni into. Kungumphumela wokucindezelwa kwenzwa ephakathi, inzwa evalwe emhubheni we-carpal futhi enikeza ukuzwela kwayo esithupheni, kunkomba nomunwe ophakathi kanye nokuhamba kwayo esithupheni. Ngesikhathi sokukhulelwa, lokhu kucindezela kubangelwa i-tenosynovitis encike ku-hormone ye-flexor tendons. Uma ubuhlungu bunzima ukubekezelelwa futhi ukungakhululeki kuqeda amandla, ukufakwa kwe-splint noma ukungena kwe-corticosteroids kuzoletha impumuzo kumama ozoba khona.

Ngokungafanele, owesifazane okhulelwe ukhuluphala kulezi zinyanga eziyi-9. Isisindo sikhuphuka ngenxa ikota yesi-3. Lokhu kuyinto evamile ngoba isisindo kanye nosayizi we-fetus emavikini angama-32 kwavela. Isisindo somzimba ngesikhathi sokukhulelwa siyahlukahluka kuye ngowesifazane futhi kuncike ku-BMI yakhe yokuqala (inkomba yesisindo somzimba) kanye nezifo zokukhulelwa anazo. Kodwa-ke, kubalulekile ukudla ukudla okulinganiselayo futhi ugweme ukukuhlukumeza. Isonto lama-32 le-amenorrhea, 30 SG. Ukukhuluphala ngokweqile ngesikhathi sokukhulelwa akulungile enganeni nakumama ozayo, ngoba kungaholela ezifweni ezinjengomfutho wegazi ophakeme noma isifo sikashukela. Futhi, lawa ma-pathologies aveza ingozi yokubeletha ngaphambi kwesikhathi noma ngokuhlinzwa. Noma ngabe owesifazane okhulelwe ekhuluphele, okubalulekile ukuthi anakekele ukudla kwakhe futhi alethe imisoco efanele emzimbeni wakhe nasenganeni yakhe, njengamavithamini, i-iron, i-folic acid noma i-omega 3. Uma kwenzeka hhayi ukuntuleka kwamanje, lokhu kuhle ekukhuleni kombungu. Ngaphezu kwalokho, kunciphisa ingozi yezinkinga ngesikhathi sokubeletha. 

Akunconywa, ngisho okungase kube yingozi, ukulandela ukudla okuqinile ngesikhathi sokukhulelwa, ngokuqondile ukugwema lokhu kusilela. Nokho, ukudla okunempilo kungasungulwa, ngokweseluleko sikadokotela wakho. Kuwukudla okulinganiselayo kunokudla okufanele. Lokhu kuzosiza umama okhulelwe ukuthi akwazi ukulawula isisindo sakhe futhi anikeze ukudla okufanele okuhlangabezana nezidingo zengane.  

• ube ne-ultrasound yesithathu neyokugcina yokukhulelwa. Inhloso yalokhu kuhlolwa kokugcina kwe-ultrasound ukuqapha ukukhula kwe-bingane emasontweni angama-30 ikhulelwe, ubungqabavu bayo, indawo yayo, inani le-amniotic fluid kanye nendawo efanele ye-placenta. Uma kwenzeka ukukhubazeka kwe-intrauterine ukukhula (IUGR), umfutho wegazi ophakeme, isifo semithambo kamama noma enye inkinga yokukhulelwa engase ithinte ukukhula kwengane, i-Doppler yemithambo ye-uterine, imikhumbi yenkaba kanye nemithambo yobuchopho nayo. kwenziwe;
• bhalisela umhlangano wokucobelelana ngolwazi mayelana nokuncelisa omama abafisa ukuncelisa. Iseluleko esinikezwa ngesikhathi sokulungiselela ukubeletha kwakudala kwesinye isikhathi asanele, futhi ulwazi oluhle lubalulekile ekunceliseni ngempumelelo.

kulesi Ikota yesibili, qaphelani ukudla. Ngokuvamile nguye ongumthombo wamakhilogremu engeziwe okukhulelwa.

Uma ungakayifaki imali, tshala umcamelo wokubeletha. Le duffel emise okwesigamu senyanga iwusizo kakhulu esikhathini eside ngaphambi kokuba umntwana azalwe. Ibekwe ngemuva nangaphansi kwezingalo, yenza kube nokwenzeka ukugwema ukulala phansi ngemva kokudla, isikhundla esivumela i-acid reflux. Ukulala ngohlangothi lwakho, umkhawulo owodwa we-cushion ngaphansi kwekhanda kanti omunye uphakamisa umlenze, ukhulula isisindo sesibeletho. Kuyoba usizo kakhulu ngosuku lokubeletha.

Ukubhukuda, ukuhamba, i-yoga kanye nokuzilolonga okuthambile kusengenzeka - futhi kuyanconywa ngaphandle uma kunokungqubuzana kwezokwelapha - ngo 30sg. Zisiza ekuvimbeleni ukugula okuhlukahlukene kokukhulelwa (ubuhlungu beqolo, imilenze esindayo, ukuqunjelwa), ukugcina umzimba kamama unempilo enhle lapho ebeletha futhi avumele ingqondo ukuba ivuleke.

Si umntwana ngo 32 WA ayikaphenduki, odokotela bezifo zabesifazane (3) batusa ukuthatha lesi sikhundla ukuze banikeze imvelo amandla: gibela kuzo zozine, izingalo emaphethelweni ombhede, phumula futhi uphefumule. Kule ndawo, ingane ayisaqinile emgogodleni futhi isinendawo eyengeziwe yokunyakaza - futhi ingase iphenduke. Hlola futhi ukuma kwesifuba sedolo: guqa embhedeni wakho, amahlombe kumatilasi nezinqe emoyeni. Noma okubizwa ngokuthi yi-Indian position: ulale ngomhlane, beka imicamelo emibili noma emithathu ngaphansi kwezinqe ukuze izinqe ziphakame ngo-15 kuya ku-20 cm kunamahlombe (4).