Kulapha Isonto lama-33 lokukhulelwa, okungukuthi inyanga yesi-8. Isisindo somntwana emavikini angu-35 cishe u-2.1 kg kanti ubude bakhe buyi-42 cm. 

Akanayo indawo eningi yokunyakaza esibelethweni sikanina, ngakho ukunyakaza kwakhe kuncane kakhulu.

Umbungu emasontweni angama-33 ugwinya uketshezi oluningi lwe-amniotic futhi achame ngokufanele.

Emathunjini akhe, i-meconium iyanqwabelana. Lesi sakhi esiwugqinsi esiluhlaza noma esimnyama sakhiwe ngamanzi angama-72-80%, uketshezi lwamathumbu, ukukhishwa kwamaselula, i-bile pigment, amaprotheni avuthayo kanye negazi (1). Lokhu kuzoba indle yokuqala yengane, ephuma emahoreni angama-24 kuya kwangama-48 izelwe.

Izindlala ze-adrenal zengane enamasonto angu-33 ubudala - ezitholakala ngenhla kwezinso njengoba igama layo lisho - zinkulu kakhulu ngokulingana nomzimba wazo omncane. Futhi ngesizathu esihle: basebenza ngesivinini esigcwele ukuze bakhiphe i-hormone dehydroepiandrosterone (DHEA) ngobuningi. Lokhu kudlula esibindini bese kuthi ngokwengxenye kuguqulwe i-placenta ibe i-estrogen. Lawa ma-estrogen asetshenziswa ikakhulukazi ukukhiqizwa kwe-colostrum, ubisi lokuqala olunomsoco olukhiqizwa ngumama ngaphambi kokugeleza kobisi.

Izitho ezihlukene zomzimba Umntwana oneminyaka engu-35 ubudala ziyasebenza, kodwa izinhlelo zayo zokugaya ukudla nezamaphaphu zisadinga amasonto ambalwa ukuze zivuthwe. Ekupheleni kwenyanga yesi-8 yokukhulelwa, amaphaphu ayoba ne-surfactant eyanele ukuze ingane iphefumule emoyeni ngaphandle kosizo lokuphefumula. Inhliziyo inokubonakala kwayo kokugcina, kodwa kusekhona ukuxhumana phakathi kwengxenye yesokudla nesobunxele engeke ivaleke kuze kube yilapho ezalwa.

Izinyanga eziyisikhombisa ekhulelwe, isisu sigqame kakhulu. Ngenxa yalokho, ukunyakaza nokunyakaza kunzima kakhulu futhi ukukhathala kuzwakala ngokushesha.

A 35 amasonto futhi ngaphansi kwethonya lamahomoni alungiselela umzimba wokubeletha, imigqa iyanwetshwa futhi iguquguquke. Lokhu kuphumula kwe-ligament, kuhlangene nesisindo sesisu kanye noshintsho ekulinganiseni komzimba, kungabangela ubuhlungu ku-pubis, esibelethweni futhi ngezinye izikhathi ngisho nangaphansi kwezimbambo.

Ukunyakaza kwengane, ubuhlungu obuphansi beqolo, imilenze esindayo, i-acid reflux, kodwa futhi ithemba lokubeletha kwenza ubusuku bungabi nokuthula nokuphumula. Kodwa-ke, kunanini ngaphambili, umama wesikhathi esizayo kufanele aphumule futhi athole amandla.

Inyanga yesi-8 yokukhulelwa, umama wesikhathi esizayo uvame ukungena ohlotsheni lwe-cocoon, olugxile kumntwana kanye nokufika kwakhe okuseduze. Lokhu kuhoxa kuwena kuchazwa ikakhulukazi ukukhulelwa kwama-hormone: umzimba uqala ukukhiqiza inani le-oxytocin ne-prolactin, amahomoni alungiselela umama ngokomzimba nangokwengqondo ukuze abelethe nomama. Siphinde sikhulume "ngemvelo yokuzalela". Ngokocwaningo (2), lesi simo semvelo esifana nesesilwane siqala ngo Ikota yesibili futhi ibonakala ngesidingo “sokulungisa isidleke somuntu” - ngokulungiselela ikamelo lomntwana, ukumenzela izingubo, ukuhlanza indlu kusukela phezulu kuye phansi - nokukhetha abantu umuntu ahlangana nabo. Le nqubo yemvelo izosiza ukudala isibopho sokunamathela phakathi kukamama nengane.

Ukushintshashintsha kwemizwa kanye nokwehluka kwe-libido nakho kuwumphumela walesi simo sezulu se-hormonal at Amasonto angama-33 okukhulelwa.

Izinyanga eziyisikhombisa ekhulelwe, umama ozozala kufanele aqhubeke nokudla ukudla okunempilo. Ukuze kuhlangatshezwane nezidingo zomsoco wengane, ukudla kwayo kuhlanganisa i-omega 3 no-6 (inhlanzi, amafutha), insimbi (inyama, imidumba), amavithamini (izithelo), i-fiber (imifino) kanye ne-calcium (ushizi, imikhiqizo yobisi). ). Kunconywa ukuphuza okungenani 1,5 L amanzi ngosuku. Ukuhlanzeka kokudla kukuvumela ukuthi ulawule isisindo sakho futhi ugweme izinkinga ezingase zibe khona ngesikhathi sokubeletha (uma kwenzeka ukukhuluphala okuholela kushukela noma umfutho wegazi ophakeme). Ngaphezu kwalokho, kusiza ukunciphisa ukungakhululeki kwamathumbu kanye nesisu. Izitho zomgodi wesisu ziyacindezelwa Ikota yesibili.

Sekuyisikhathi sokuba umama abe, at the Inyanga yesi-8 yokukhulelwa, ukucabanga ngendlela afuna ukuncelisa ngayo ingane yakhe, ibele noma ibhodlela. Ukuncelisa ibele kunenqwaba yezinzuzo. Ukwakheka kwayo kulungele usana olusanda kuzalwa futhi ivumelana nokukhula kwayo. Ukunikeza ibele kuyinto engokwemvelo, kodwa akuyona inzalo kubo bonke abesifazane. Abanye abafuni ukuncelisa ibele ngenxa yezizathu ezahlukene. Kwabanye akunakwenzeka (ngenxa yezizathu zempilo noma ukuntuleka kobisi). Akumelwe sizizwe sinecala. Ngayinye ikhululekile ukuzikhethela futhi yenziwe ngokwamakhono ayo. Ubisi lwezingane lusezingeni eliphezulu futhi lunikeza ingane izinto ezibalulekile. Emasontweni angama-33 ukhulelwe, kuyadingeka ukufunda ngendaba yokuncelisa, uma kuyisifiso sikamama ozayo: kuhamba kanjani? Kufanele uncelise isikhathi esingakanani? Indlela yokuncelisa? Izimpendulo zale mibuzo eminingi zinikezwa ukufundwa, ochwepheshe bezokwelapha, abanye omama abaye bancelisa noma ngisho nangezifundo zokulungiselela ukubeletha. Uma efisa ukunikela ngobisi lwebele, abesifazane abakhulelwe bangathola mayelana nezinsiza eziwusizo zokuncelisa, njengamaphedi okuncelisa, izingono ze-silicone noma izimbiza zokugcina ubisi lwebele. 

• Yeqa ukuvakasha ku Inyanga ye-8th, ukubonisana okuphoqelekile kwesithupha kokubeletha. Udokotela noma umbelethisi uyokwenza ukuhlolwa okujwayelekile: ukukala umfutho wegazi, ukulinganisa ubude besibeletho ukuze kuhlolwe ukukhula okuhle kwengane, ukukhuluphala kwesisindo. Ukuhlolwa kwesitho sangasese sowesifazane akuhlelekile. Abanye odokotela bokubelethisa noma ababelethisi bakhetha ukukwenza kuleli gama kuphela uma kwenzeka ukufinyela kwesibeletho, ukuzwa ukulahlekelwa uketshezi lwe-amniotic, ukuze bangabangeli ubuhlungu noma ngisho nokufinyela. Phakathi nalokhu kuxoxisana, udokotela uzocabangela idatha ye-ultrasound ye-6 AS kanye nokuhlolwa komtholampilo ukuze enze i-prognosis ngezimo zokubeletha. Ezimweni eziningi, ukubeletha kungenzeka ngesitho sangasese sowesifazane. Ezimweni ezithile, nokho (i-pelvis incane kakhulu, i-fibroma noma i-placenta previa eyenza isithiyo esithweni sangasese, ukwethulwa okungavamile komntwana, umlando wokuhlinzwa), ukuhlinzwa kokuhlinzwa kufanele kuhlelwe, ngokuvamile cishe amasonto angama-32. Uma ungabaza ngenxa yokwethulwa komntwana noma i-pelvis kamama, udokotela uzonikeza i-radiopelvimetry. Lokhu kuhlolwa (i-radiography noma isithwebuli) kwenza kube lula ukukala ubukhulu be-pelvis kamama futhi ukuqhathanisa nezilinganiso zekhanda lomntwana ezithathwe ku-ultrasound ye-39 WA;
• phakathi nalokhu kuxoxiswana Inyanga ye-8th, bheka uhlelo lokuzalwa;
• thatha isampula lesitho sangasese sowesifazane ukuze uhlole i-streptococcus B, ibhaktheriya ekhona ku-30% wabesifazane futhi engamela ingozi ngesikhathi sokuzalwa kwesitho sangasese sowesifazane sombungu. Uma isampula ine-positive, ukwelashwa ngama-antibiotic (penicillin) kuzokwenziwa lapho isikhwama samanzi siphuka ukuze kukhishwe noma iyiphi ingozi yokutheleleka kwezinsana.

Ingane inamaviki angu-33 inendawo encane yokunyakaza, kodwa ukunyakaza kwayo, okuvunywa ukuthi kuncane kakhulu, kuhlala kuzwakala. Uma ungamuzwa enyakaza usuku lonke, ungangabazi ukuya ekamelweni lababelethayo ukuze uhlole ukuthi konke kuhamba kahle. Ngesikhathi se- Ikota yesibili, akukho ukuvakashelwa okungenamsebenzi, uma nje ukukuqinisekisa. Amaqembu ajwayele lolu hlobo lwesimo.

Siqhubeka nokuzivocavoca kokufinyeza nokuphumula kwe-perineum kanye nokutsheka kwe-pelvis.

Ukuvakashela osteopath ngesikhathi Inyanga yesi-8 yokukhulelwa wawulungiselela umzimba ukubeletha. Ngokusebenza ikakhulukazi ku-pelvis ukuze kubuyiselwe ukuhamba kwayo, umsebenzi we-osteopath ungasiza ingane ukuthi idlule emkhakheni we-genito-pelvic.