Kuleli sonto lesi-3 lokukhulelwa (3 SG), okungukuthi isonto lesi-5 le-amenorrhea (5 WA), ukuthuthukiswa kweqanda kuyashesha. Phakathi nokuhlukana kwamaseli okulandelanayo, iqanda liyakhula futhi manje selingu-1,5 mm. Inomumo we-ovoid: ukuphela okubanzi kuhambisana nesifunda se-cephalic, encane kuya esifundeni se-caudal (ingxenye engezansi yomzimba).

Bese kuqala inqubo ebalulekile, phakathi nale nyanga ye-1 yokukhulelwa: ukuhlukaniswa kwamaseli. Kusuka kungqamuzana ngalinye lalesi sikhathi lapho wonke amanye amangqamuzana omntwana azokhishwa khona. Kusukela ngosuku lwe-17, i-embryonic disc iqala ukujiya emgqeni wayo ophakathi, eduze kwe-axis yomsila wekhanda. Lona uchungechunge lwama-primitive oluzonwebeka futhi luthathe cishe uhhafu wobude bombungu. Kusukela kulokhu kudlala kwakudala ungqimba olusha lwamaseli luzohluka. I-gastrulation: kusuka ku-didermic (izingqimba ezimbili zamaseli), i-embryonic disc iba yi-tridermal. Manje senziwe izingqimba ezintathu zamangqamuzana, umthombo wazo zonke izitho zomntwana:

Ungqimba lwangaphakathi luzonikeza izitho zesistimu yokugaya ukudla (amathumbu, isisu, isinye, isibindi, amanyikwe) kanye nesistimu yokuphefumula (amaphaphu);

· Kusukela kungqimba oluphakathi kwakhiwa uhlaka lwamathambo (ngaphandle kogebhezi), imisipha, izindlala zocansi (amasende noma ama-ovari), inhliziyo, imithambo kanye nohlelo lonke lokujikeleza kwegazi;

· Ungqimba lwangaphandle lusuka lapho isimiso sezinzwa, izitho zemizwa, isikhumba, izinzipho, izinwele nezinwele.

Ezinye izitho zivela ezingxenyeni ezimbili. Lokhu kunjalo ikakhulukazi ngobuchopho. Ngosuku lwe-19, enye yeziphetho ze-primitive streak iveza ingxenye evuvukele lapho amangqamuzana ahlukene athuthela khona: uhlaka lobuchopho, lapho lonke uhlelo lwezinzwa oluphakathi luzokwakhiwa phakathi nenqubo ebizwa ngokuthi i-neurulation. Ngemuva kombungu, uhlobo oluthile lukathayela luyagojwa bese kwakheka ishubhu lapho kuvela khona ama-protuberance, ama-somite. Lona uhlaka lomgogodla.

I-placenta iyaqhubeka nokukhula isuka ku-trophoblast, amangqamuzana ayo aphindaphindeka futhi amagatsha akhe i-villi. Phakathi kwalezi villi, izikhala ezigcwele igazi likamama ziyaqhubeka nokuhlangana.

Okokugcina, ushintsho olukhulu: ekupheleni kwesonto lesithathu lokukhulelwa umbungu unenhliziyo eshaya, okuvunywa kahle (cishe amabhithi angu-40 / ngomzuzu), kodwa eshayayo. Le nhliziyo, okusewuhlaka lwenhliziyo kuphela olwakhiwe ngamashubhu amabili, yakhiwa kusukela ku-primitive streak phakathi kwezinsuku ezingu-19 nezingama-21, lapho umbungu cishe usunamaviki amathathu ubudala.

Kuphakathi nesonto lesi-5 le-amenorrhea (3 SG), lapho ekugcineni kuvela uphawu lokuqala lokukhulelwa: ukubambezeleka kwemithetho.

Ngasikhathi sinye, ezinye izimpawu zingavela ngaphansi komphumela wesimo sezulu sokukhulelwa, futhi ikakhulukazi i-hCG ne-progesterone yehomoni:

• isifuba esivuvukele nesishubile;
• ukukhathala;
• ukunxenxa njalo ukuchama;
• ukugula kwasekuseni;
• ukucasuka okuthile.

Ukukhulelwa nokho akubonakali ku-1st trimester.

Noma izimpawu zingazwakala ngokucashile lapho owesifazane enamasonto ama-3 ekhulelwe, imikhuba emisha yokuphila idinga ukutholwa. Lokhu kuvumela ingane ukuba ikhule ngaphansi kwezimo ezinhle. Umama ozozala kufanele acabangele izidingo zakhe, ikakhulukazi ukuzinakekela nokugwema ukucindezeleka. Ukukhathala nokukhathazeka kungaba yingozi ngempela kumbungu onamasonto amathathu ubudala. Ukulungisa lokhu, owesifazane okhulelwe angathatha isihlwathi uma esozela emini. Futhi, izivivinyo zokuphumula, njengokuzindla noma umsebenzi opholile, kungakusiza uzizwe ulungile futhi uzolile. Kuyanconywa futhi ukwenza umsebenzi womzimba omnene, njengokuhamba noma ukubhukuda. Umbono wezokwelapha ungacelwa kudokotela wakhe. 

I-invitro baby izokwazi ukondla nge-placenta. Ngakho-ke ukudla kubaluleke kakhulu ngesikhathi sokukhulelwa, ukudla kufanele kukhethwe ngokwezigaba ezahlukene. Emavikini angu-5 e-amenorrhea (3 SG), i-folic acid ibalulekile ekukhuleni okuhle kwengane. Iwuvithamini B9, obalulekile ekwandeni kwamaseli. I-folic acid nayo ibandakanyeka kakhulu ekukhuleni kobuchopho obunempilo. Ngempela, emavikini angu-3 okukhulelwa (amaviki angu-5), ukwakheka kobuchopho bombungu sekuqalile. 

I-Vitamin B9 ayenziwa umzimba. Ngakho-ke kudingekile ukuletha kuye, ngisho nangaphambi kokukhulelwa bese kuthi kuyo yonke inyanga yokuqala yokukhulelwa, futhi ngisho nangale kwenyanga yesibili yokukhulelwa. Umgomo uwukugwema ukuntula okungase kunciphise ukukhula kombungu. Lokhu kungenziwa ngesithasiselo noma ngokudla. Okunye ukudla kugcwele i-folic acid. Lokhu kunjalo ngemifino eluhlaza (isipinashi, iklabishi, ubhontshisi, njll.). Imifino (udali, uphizi, ubhontshisi, njll.) nayo iqukethe. Okokugcina, izithelo ezithile, njengekhabe noma i-orange, zingavimbela ukuntuleka kwe-folic acid okungenzeka. 

Uma ukhulelwe, kubalulekile ukudla ukudla okulinganiselayo futhi ungazitika ngoswidi noma ukudla okugayiwe. Lezi azinazo izithakazelo zokudla okunomsoco futhi zenza kube lula ukukhuluphala kumama okhulelwe. Kunconywa ukuthi uphuze phakathi kwamalitha angu-1,5 no-2 wamanzi nsuku zonke ngoba umthamo wegazi lowesifazane okhulelwe uyakhula. Ngaphezu kwalokho, ukufaka amanzi kahle kusiza ukunikeza amaminerali futhi kuvimbele izifo ze-urinary tract noma ukuqunjelwa.

Kusukela ngosuku lokuqala lwesikhathi sekwephuzile, kungenzeka ukuthatha ukuhlolwa kokukhulelwa, okungcono ngomchamo wasekuseni ogxile kakhulu. Ukuhlolwa kunokwethenjelwa emavikini angu-3 okukhulelwa (amaviki angu-5). 

Khona-ke kuyodingeka ukuhlolwa kwegazi ukuze kuqinisekiswe ukukhulelwa. Kutuswa ukuthi wenze i-aphoyintimenti ngokushesha nodokotela wakho wezifo zabesifazane noma umbelethisi ukuze uhlele ukuvakasha kokuqala okuyimpoqo. Lokhu kuvakasha kokuqala okusemthethweni kungenziwa kuze kube sekupheleni kwenyanga yesi-3 yokukhulelwa (amasonto ayi-15), kodwa kungcono ukukwenza kusenesikhathi ngokwanele. Ukuhlolwa kokuqala kokubeletha ngempela kuhlanganisa ama-serologies ahlukene (ikakhulukazi i-toxoplasmosis) okubalulekile ukwazi imiphumela ukuze, uma kunesidingo, kuthathwe izinyathelo zokuphepha ezidingekayo nsuku zonke.

Emasontweni okuqala okukhulelwa kwenzeka i-organogenesis, isigaba lapho zonke izitho zomntwana zibekwe khona. Ngakho-ke isikhathi esiyingozi kakhulu, njengoba ukuchayeka ezintweni ezithile kungaphazamisa le nqubo. Ngokushesha lapho ukukhulelwa kuqinisekiswa, ngakho-ke kuyadingeka ukuyeka yonke imikhuba eyingozi: ukubhema, ukuphuza utshwala, izidakamizwa, ukuthatha imithi ngaphandle kweseluleko sezokwelapha, ukuchayeka kuma-X-ray. Izinsiza ezahlukene zikhona, ikakhulukazi zokuyeka ukubhema. Ungangabazi ukukhuluma nodokotela wakho wezifo zabesifazane, umbelethisi noma udokotela wakho.

Ukopha kuvame kakhulu ekuqaleni, phakathi nenyanga yokuqala yokukhulelwa, kodwa ngenhlanhla akusho ngaso sonke isikhathi ukukhulelwa kwesisu. Kodwa-ke, kuhle ukubonisana ukuze uhlole ukuqhubeka kahle kokukhulelwa. Ngokufanayo, noma yikuphi ubuhlungu be-pelvic, ikakhulukazi obubukhali, kufanele kuboniswane nabo ukuze kukhishwe ukukhulelwa kwe-ectopic okungenzeka.