Iviki eli-4 lokukhulelwa kusukela ekukhulelweni
Omama ngeviki le-4 lokukhulelwa kusukela ekukhulelweni ngezinye izikhathi bayazibuza ukuthi kwenzekani ngengane yabo ngalesi sikhathi, ukuthi ubukeka kanjani, kungakhathaliseki ukuthi unezingalo nemilenze. ”Ukudla Okunempilo Eduze Kwami” ukhulume ngakho nodokotela bezifo zabesifazane

Kwenzekani enganeni emasontweni angama-4

Ngakho-ke, umama ubelokhu ethwele impilo entsha ngaphansi kwenhliziyo yakhe inyanga, kwenzekani enganeni emavikini angu-4 okukhulelwa?

Kulesi sigaba, i-embryo isencane kakhulu, ilingana nembewu ye-poppy. Ngesonto lesi-4, ukubekwa kwezitho eziyinhloko nezinhlelo zomzimba womuntu kuqala: izinzwa, uhlelo lokujikeleza kwegazi. Ingane isivele inenhliziyo enegumbi elilodwa, ezobe isihlukaniswa ngamakamelo amane, njengakwabantu abadala. Kulesi sigaba, amathumbu kanye nesistimu yokuzala kuyabekwa, - kusho udokotela wezifo zabesifazane uDina Absalyamova. - Uma kulesi sigaba kunethonya lezici ezingezinhle, khona-ke umthelela uzoba mubi ngokwedlulele - kuze kube sekufeni kombungu noma ukukhubazeka okukhulu, okuzoholela nasekufeni kombungu, noma izici ezingezinhle ngeke kuthinte nhlobo.

I-Fetal ultrasound

Isizathu se-ultrasound ye-fetus ngeviki le-4 lokukhulelwa kungase kube ukwesaba kukadokotela. Uma umama eye waphuphunyelwa yizisu esikhathini esidlule, kungcono ukuhlola i-ultrasound.

Kuzokuvumela futhi ukuthi ubone ukukhulelwa kwe-ectopic, lapho iqanda elivundisiwe lingaxhunywanga esibelethweni, kodwa emlonyeni wesibeletho, i-fallopian tube, ovary, amathumbu. Njengoba umbungu ukhula, ingozi yokuqhekeka kweshubhu iyanda, futhi lokhu kusongela ngokopha okukhulu kwangaphakathi kwesisu. Yingakho odokotela bekhetha ukuyidlala ngokuphepha futhi bathumele owesifazane nge-ultrasound, ngoba ukukhulelwa kwe-ectopic ekuqaleni kulingisa ngempumelelo isibeletho.

I-ultrasound ingase ikhonjiswe uma kusolwa ukukhulelwa okuningana.

Esimweni esivamile, asikho isidingo sokwenza ukuhlolwa okunjalo ngeviki lesi-4, ngoba azikho i-pathologies yentuthuko noma okungavamile okungase kubonakale.

Evikini lesi-4 lokukhulelwa, i-ultrasound ye-fetus izokuvumela ukuthi ubone iqanda le-fetus - indawo lapho umbungu uqobo lwakheka khona, kanye ne-yolk sac - ukwakheka okuyindilinga okuncane okukhiqiza amahomoni asekela ukukhulelwa ngalesi sikhathi kuze kube manje. i-placenta yakheka, kuyilapho umbungu ngokwawo ungabonakali,” kuchaza udokotela wezifo zabesifazane uDina Absalyamova.

Impilo yesithombe

Ngeviki le-4 lokukhulelwa, umntwana ulingana ne-peppercorn enkulu - ukuphakama kwayo kumayelana ne-1 mm, futhi isisindo sayo singaphansi kwegramu. Akumangazi ukuthi ngaphandle akubonakali nhlobo kumama ukuthi ukhulelwe ingane. Isithombe sesisu emavikini angu-4 okukhulelwa singabonisa ukuvuvukala okuncane endaweni ekhalweni, kodwa odokotela bayangabaza ukuthi lokhu akuyona ingane ekhulayo, kodwa cishe amagesi aqoqa emathunjini ngenxa ye-hormone yokukhulelwa i-progesterone.

Kwenzekani kumama emavikini angama-4

Nakuba isisu sikamama emasontweni angu-4 sisesicaba, amabele akhe akhula ngokushesha ukulungiselela ukuncelisa. I-bust ingakhula ngokoqobo amasayizi angu-1-2 emavikini ambalwa. Ngesikhathi esifanayo, ukungakhululeki kungase kwenzeke esifubeni, njengangaphambi kokuya esikhathini. I-areolas yezingono kwabesifazane abaningi iba mnyama ngalesi sikhathi. Amabala e-pigment angavela kwezinye izingxenye zomzimba.

Ngomama emavikini angu-4 okukhulelwa, izinguquko ze-hormonal zenzeka. Ukwanda kwezinga le-progesterone ye-hormone yokukhulelwa kubangela izinkinga nge-gastrointestinal tract - ukuqunjelwa, ukwakheka kwegesi, ukungahambi kahle kwesisu.

- Evikini le-4 lokukhulelwa, umama uqaphela ukwanda kobuthakathaka nokukhathala, kukhona izinhlungu ezincane esiswini ezihambisana nokufakwa - ukwethulwa kombungu emgodini wesibeletho. Uma ngalesi sikhathi owesifazane ebona ukukhishwa okubomvu noma okubomvu, ukuvakashela udokotela kuyadingeka. Lokhu kungase kube ngenxa yokusongelwa kokuphela kokukhulelwa, ngoba igazi lisho ukuthi ukufakwa akuphumeleli kakhulu, kuchaza. udokotela wezifo zabesifazane uDina Absalyamova.

Ngalesi sikhathi, umama okhulelwe udinga ukuphuza kakhulu futhi aqaphe ukudla okunomsoco. Kubalulekile ukulawula izinga likavithamini E kanye ne-folic acid emzimbeni.

Imiphi imizwa ongayithola evikini elingu-4

Ngeviki lesi-4, umama angase avele noma aqinise izimpawu ze-toxicosis: isicanucanu, ukuhlanza, ubuthakathaka. Odokotela banikeza izincomo eziningana ezizosiza "ukudlula" i-toxicosis:

  • udinga ukuhamba okungenani ihora ngosuku;
  • ukuvuka ekuseni, ngaphandle kokuvuka, udle amantongomane ambalwa noma amakhekhe;
  • ungakwazi ukuncela ucezu lwe-tangerine noma lemon (alufanele bonke omama); zama ukungabi nesidlo sasekuseni esiqinile, kungcono ukudla kancane, kodwa njalo ngamahora ambalwa;
  • dla ukudla okunothe ngamaprotheni;
  • abanye besifazane bayazuza ngokuthatha amavithamini ngaphambi kokubeletha ebusuku;
  • ungasebenzisa iminti, i-mint gum, noma itiye le-peppermint.

Ngaphezu kwe-toxicosis, abanye besifazane evikini lesi-4 lokukhulelwa bathola ezinye izimpawu:

  • ubuthakathaka nokukhathala;
  • ukushintsha kwemizwelo;
  • ukuncenga njalo endlini yangasese;
  • ukwanda komthamo wezimfihlo (lokhu kuvamile ngesikhathi sokukhulelwa);
  • izinhlungu zokudonsa ngaphansi kwesisu (isibeletho sikhula futhi lokhu akuhlali kumnandi);
  • ubuhlungu esifubeni;
  • ushintsho ekuthandeni okuthandwayo.

Monthly

Abanye besifazane abakhulelwe bayamangala lapho bethola ukuthi basesikhathini. Odokotela baxwayisa ngokuthi angeke kube khona ukuya esikhathini "esikhundleni esithakazelisayo" uma ukubonakala kubonakala - lokhu kuyisignali ye-alamu. Mhlawumbe, i-hematoma iyopha phakathi kolwelwesi lwe-embryo nodonga lwesibeletho.

Izizathu zingahluka:

  • umbungu ekuqaleni wawungasebenzi futhi manje umzimba uyawenqaba;
  • kukhona ukuntuleka kwe-progesterone noma izinga elikhulayo lama-androgens;
  • kukhona izifo, igciwane noma ibhaktheriya, owesifazane abe nakho emasontweni okuqala okukhulelwa. Babangela ukufa kwe-fetus noma ukukhulelwa kwengane.

Isisu esibuhlungu

Emavikini angu-4 ekhulelwe, ubuhlungu besisu abuvamile. Izinzwa ezingathandeki ngokuvamile zibangelwa isibeletho esikhulayo, ngenxa yokuthi imigqa yeluliwe. Okubizwa ngezinhlungu zokudonsa kuxhumene nalokhu. Kwesinye isikhathi ukungaphatheki kahle kucasulwa wuhlelo lokugaya ukudla. Ngenxa yezinguquko ze-hormonal emzimbeni wesifazane, amathumbu aqala ukuhluleka, isilungulela nokunye ukungakhululeki kungase kwenzeke.

Ubuhlungu besisu bungase futhi busebenze njengezimpawu zezinkinga ngesikhathi sokukhulelwa. Ubuhlungu obukhulu, obunamandla ngokuvamile buhambisana nokuphuphuma kwesisu okusongelwa, i-ectopic noma ukukhulelwa okugejiwe.

Ukukhishwa okunsundu

Imvamisa, ngesikhathi sokukhulelwa, ukukhishwa kufanele kufane nangaphambili, okungukuthi, okumhlophe obala, ukuhambisana okufanayo, okungenaphunga noma ngephunga elincane le-asidi. Okuwukuphela kwento ukuthi inombolo yabo iyashintsha, umama okhulelwe unenani eliphindwe kabili kunabo. Uma uqaphela ukuthi isimo sokukhishwa sishintshile, ikakhulukazi umbala nephunga, kufanele nakanjani wazise udokotela ngalokhu, izazi zezifo zabesifazane zikhumbuza.

Ukukhishwa okunsundu kukhomba ukuthi kunomthombo wokopha emzimbeni wowesifazane. Kumele kutholakale futhi, uma kungenzeka, kuqedwe.

Izinkinga ezinegazi

Ukukhishwa kwegazi ngesikhathi sokukhulelwa kuhlale kuwuphawu olubi. Ukulahlekelwa isikhathi kulesi simo kungaba yingozi kubo bobabili umama nengane. Ukubonakala kwegazi ekusithekeni kubonisa izinkinga eziningana ezingenzeka:

  • mayelana nosongo lokukhulelwa kwesisu;
  • kuze kube amasonto angu-12 - mayelana nokuba khona kwe-hematoma ye-retrochorial - i-cushion yegazi phakathi kodonga lwesibeletho kanye nezicubu ezondla umntwana (i-hematoma enkulu, ithuba elincane lokusinda ingane);
  • mayelana ne-placenta previa;
  • mayelana nokuhlukaniswa kwe-placenta evame ukutholakala, okuphazamisa ukutholakala komoya-mpilo kumntwana, futhi lokhu kuyingozi empilweni yakhe.

Uma ubona igazi engutsheni yakho yangaphansi, ungachithi isikhathi futhi ushayele i-ambulensi.

Ngezinye izikhathi abesifazane abakhulelwe bangabona amabala ngemva kocansi. Ngokuvamile, imbangela ukulimala ku-mucosa, kodwa ukuguguleka okuvuthayo ngisho nesimila singopha. Konke lokhu futhi kuyisizathu sokubona udokotela ngokushesha ngangokunokwenzeka.

ukukhishwa kwe-pink

Uma ukukhishwa kunombala, kufaka phakathi i-pink, futhi kunuka kabi, lokhu kakade kuyisibonakaliso esibi. Umbala opinki usho ukuthi kukhona okungenzeka ukopha endaweni ethile, futhi lokhu kuyingozi kakhulu ngokumelene nesizinda sokukhulelwa.

Ngokuvamile, ukukhishwa kwe-pink kubangela izifo ezithathelwana ngocansi. Owesifazane okhulelwe kufanele abonane nodokotela ngokushesha futhi axazulule inkinga ngaphambi kokuholela emiphumeleni edabukisayo enganeni.

Imibuzo nezimpendulo ezidumile

Ungakwazi yini ukudaya izinwele zakho ngesikhathi ukhulelwe?
Kungcono-ke, ukugwema ukuthintana eduze namakhemikhali lapho ulindele umntwana. Ngokuvamile ukuvinjelwa kombala wezinwele kungenxa yezizathu eziningana:

owesifazane kanye ne-fetus bangonakaliswa amakhemikhali akha upende, isibonelo, i-ammonia, i-hydrogen peroxide, i-paraphenylenediamine, i-resorcinol;

iphunga elingathandeki ukuthi amapende amaningi analo asithinti isimo sowesifazane okhulelwe ngendlela engcono kakhulu, angabangela isicanucanu nokuhlanza, ikakhulukazi ku-trimester yokuqala;

umphumela wokudaya ungase ungabi yilokho ojwayele ukukwenza: ngesikhathi sokukhulelwa, ngenxa yokushintshashintsha kwe-hormonal, ukwakheka namafutha ezinwele kuyashintsha, futhi ungathola umbala ongalindelekile ngokuphelele.

Isilungulela ngesikhathi sokukhulelwa, yini okufanele uyenze?
Isilungulela kwenzeka ngenxa ye-reflux yokuqukethwe kwesisu ku-esophagus. Ngesikhathi sokukhulelwa, lokhu kwenzeka ngoba isibeletho esikhulayo sicindezela esiswini, sikhuphuka futhi ingcindezi ekuso ikhuphuka. Isikhathi eside, siba sibi kakhulu. Kulokhu, kungalulekwa ukuthi udle ngokwehlukana - izikhathi ezingama-5-6 ngosuku ngezingxenye ezincane; faka ekudleni ubisi, ukhilimu, i-cottage shizi, ukhilimu omuncu ngephesenti eliphansi lokuqukethwe kwamafutha; udle ama-cutlets omusi, inyama ebilisiwe nenhlanzi engenawo amafutha; isinkwa esimhlophe esithosiwe. Izithelo zilungile ukubhaka, nemifino okufanele ibiliswe.

Ngemuva kokudla ngakunye, yima noma uhlale imizuzu engama-30, okubaluleke kakhulu, ungalali.

Indlela yokubhekana nekhanda ngesikhathi sokukhulelwa?
Ekuqaleni kokukhulelwa, ubuhlungu bekhanda ngezinye izikhathi buvela ngenxa yomfutho wegazi ophansi: i-progesterone ivula imithambo yegazi ukuze kutholakale igazi elingcono ku-fetus. Ngolunye usuku, ubuhlungu bekhanda kufanele sebazise udokotela wakho. Ungayisusa ngezindlela ezahlukene:

- gwema okubangela i-migraine: ukuntuleka noma ukulala ngokweqile, ingcindezi, ukusebenza ngokweqile;

- bheka uhlobo lomuthi, yidla njalo;

- zinikeze izinga elanele lokuzivocavoca umzimba (ukubhukuda, ukwenza i-yoga);

- izidakamizwa zigwenywa kangcono, nakuba i-paracetamol ibhekwa njengephephile ngokwemibandela kwabesifazane abakhulelwe, kufanelekile ukuphendukela kuyo kuphela ezimweni ezimbi kakhulu.

Kungenzeka yini ukwenza ucansi?
Uma kungekho contraindications, ungakwazi futhi kufanele wenze ucansi. Ngesikhathi sokusondelana, abesifazane bakhiqiza amahomoni enjabulo, futhi ngesikhathi sokukhulelwa ayadingeka. Kodwa akufanele sikhohlwe ngokuphepha, ngoba izifo ezithathelwana ngocansi azikapheli. Futhi ungawathatha ngisho nangesikhathi socansi lomlomo. Uma uqiniseka kumlingani wakho, khona-ke azikho izithiyo zenjabulo.

Yiqiniso, kufanelekile ukukhumbula ukuthi ukuvivinya umzimba ngokweqile kungaba yingozi kumama okhulelwe, ngakho-ke akufanele usebenze kakhulu embhedeni. Kungcono futhi ukukhetha izimo lapho kuzoba khona ukucindezela okuncane esiswini sowesifazane, isibonelo, ohlangothini, kumuntu ovela phezulu noma kuzo zonke ezine.

Yini okufanele uyenze uma udonsa isisu esingaphansi?
Ukudweba izinhlungu esiswini esingaphansi ngeviki le-4 lokukhulelwa akubhekwa njenge-pathology. Kudingeka uqonde ukuthi isibeletho sikhula nomntwana, izintambo ezibambayo zinwetshiwe, futhi lokhu kuhlotshaniswa nokungakhululeki okuthile. Into esemqoka ukuqonda isilinganiso. Uma ubuhlungu bungabukhali, bungaqinile futhi buhlala isikhathi esifushane, asikho isidingo sokukhathazeka. Umama okhulelwe kufanele alale futhi aphumule, izinhlungu ezinjalo zizodlula ngokwazo.

Ubuhlungu obungapheli kakade buyisizathu sokuqapha. Kanye nokubona, zingase zibonise izinkinga, ezifana nokuphuphuma kwesisu okuzayo, i-ectopic noma ukukhulelwa okungabanjwanga. Zonke lezi zimo zidinga ukugadwa kwezokwelapha.

Yini okufanele uyenze uma izinga lokushisa likhuphuka?
Ku-trimester yokuqala, izinga lokushisa lowesifazane okhulelwe livame ukuphakama ngaphezu kokujwayelekile: esikhundleni se-36,6, i-thermometer ingabonisa i-37,5. Asikho isidingo sokwethuka kuleli cala, lokhu ukusabela okujwayelekile komzimba ekushintsheni. Kuyafaneleka ukucabanga ukuthi nini ukushisa kufika ku-38 nangaphezulu. Kungasho ukuthi owesifazane ubanjwe umkhuhlane - lokhu kungcono kakhulu.

Akufiseleki ukugula ezigabeni zokuqala, kodwa i-ARVI ayikhethi ukuthi ubani ozoyithelela.

Kungcono ukuqinisekisa umkhuhlane nodokotela, emva kwalokho ungakwazi ukulala ngokuphepha ekhaya. I-ARVI isahamba yodwa ngemva kwesonto. Kungcono ukwehlisa ukushisa ngokusula ngamanzi apholile. Imithi ingasetshenziswa kuphela ngemvume kadokotela, ungakwazi kuphela ukugoqa umphimbo wakho nekhala ngezixazululo ezinosawoti wedwa.

Ungadla kanjani ngendlela efanele?
Ekuqaleni kokukhulelwa, kubaluleke kakhulu ukunamathela ezimisweni zokudla okunempilo nokulinganisela. Kuyadingeka ukwenqaba ukudla okuyingozi ngokusobala (okuthosiwe, okunamafutha, okubabayo), neziphuzo ze-carbonated. Lokhu kuzoqinisekisa impilo enhle futhi kunciphise izinkinga zokugaya ukudla. Ukuqunjelwa kuzosiza ukugwema ukusetshenziswa kwe-fiber. Nge-toxicosis, kunconywa ukuphuza amanzi amaningi futhi udle izingxenye ezincane, odokotela bezifo zabesifazane bayachaza.

shiya impendulo