Ukubuka umzimba wakho, ingane yakho, nokunye
Siyakwamukela ngesonto 18 lokukhulelwa kwakho. Kulukhuni ukukholelwa ukuthi usuqedile iphuzu elilodwa. Ngisho noma wena nowebo bewazi ngokuphathelene nezingane-okwesikhashana, ukukhulelwa kwakho manje kuyabonakala nakakhulu kulabo abaseduze nawe.
I-Trimester yakho: I- trimester yesibili
Amaviki okuya: 22
Wena kuleliviki
Uma ungumama wokuqala, lokhu kungase kube isonto ukuthi uqala ukuphuthuma , noma ukukhahlela ingane.
(Abaningi bokuqala baqaphela lezi zinyathelo zokuhamba phakathi kwesonto 18 nesonto 20. )
Okwamanje, isibeletho sakho siyaqhubeka sanda, okwenza ukukhulelwa kwakho kube lula futhi kubonakale kunokwenzeka. Ngesikhathi esifanayo, isisu sakho esikhulayo singase siqale ukushintsha isikhungo sakho sokuvuthwa futhi sikwenze ukuba uncike phambili, okungafaka ukucindezeleka emgodleni wakho . Futhi kuthinta umgogodla wakho: Phuma. Ngenkathi inhloso yayo ukukhulula ama-hip, ukuwafunda ukulethwa kwezidingo, kungukuthi i-hormone engakhethi engenza ukuthi umgogodla wakho uqhekeke kahle manje, futhi. (Qaphela imisipha nemisipha engaphezulu.)
Akuvamile ukuthi abesifazane bazwe ukucindezeleka kwegazi okuphansi (hypotension) ngesikhathi sokukhulelwa, kanti ukudilika okuphansi kakhulu kwenzeka esikhathini esithile phakathi no-mibili yesibili. Akukhona nje ukuthi igazi elilodwa lijikeleza kulo lonke uhlelo lwakho, kodwa izinguquko ze-hormone zidala imithwalo yegazi ukuba ihlise, okuyinto ngokwemvelo iyanciphisa ukucindezelwa kwegazi. Lokhu kungabangela ukuhlukunyezwa kwesiyezi .
Ngesikhathi esifanayo, ukubeka emuva kwakho kungabangela ukuthi isibeletho sakho sikhule ukucindezela i-vena cava, imithwalo yegazi emikhulu emzimbeni wakho. Njengoba kunjalo, uma uhlala, ukuphuza kwegazi okulandelayo kungakwenza uzizwe unesihloko esincane.
Okokugcina, uma uhlushwa yi- hyperemesis gravidarum , okuyinto yokucabangela okukhulu nokuhlanza okubangele okungenani amaphesenti angu-5 okwehla kwesisindo somzimba, kungenzeka ukuthi ekugcineni (futhi ngokubonga) sekuphelile manje.
Izingane Zakho Kuleliviki
I-baby-to-be yakho isebenzisa amakhono akhe okulala, ukulala nokuvuka usuku lonke. Futhi ngenxa yokuthi amathambo nezinzwa ezakha uhlelo lokuhlola ziqedile ukuqedela, imisindo ephakeme manje ingakwazi ukuvusa ingane yakho phezulu. Kodwa ngokuyinhloko, uvele elalele ukushaya kwenhliziyo yakho futhi igazi lakho lihamba ngentambo yomzimba.
Ngesikhathi esifanayo, i-retinas yomntwana ingase ithuthukiswe ngokwanele ukuze ibone ukukhanya. Eqinisweni, uma ubamba i-flashlight esiswini sakho, ingane yakho ingase isabele kuyo-kumnandi, futhi mhlawumbe kuqala, ukuxhumana phakathi kwakho nobabili.
Phakathi naleso sikhathi, into ebizwa ngokuthi i-myelin-i-mix of lipid fat and amaprotheni efaka ama-neuron-iqala ukwakha izinzwa zomntanakho. I-Myelin idlala indima ebalulekile empilweni nasemisebenzini hhayi kuphela nge-neurons kodwa ebuchosheni kanye naso sonke isimiso sezinzwa, futhi. U-Myelin uyaqhubeka nokudala kuze kube yilapho ingane yakho iphendukela eyodwa.
Uma ingane yakho ingaba intombazane, isisu sakhe nesibindi sesibindi manje sesakhiwe futhi esimweni esifanele. Uma unomfana endleleni, izitho zakhe zofuzo zingabonakala . Noma yikuphi, uzoba ngamasentimitha angaba ngu-6.29 ubude bese efaka isikali emazingeni angu-5½ ngesonto.
Ehhovisi likaDokotela wakho
Uma umhlinzeki wakho wezempilo ehlinzeka nge- ultrasound yesakhiwo , ebizwa nangokuthi i-anatomy screen noma i-level II (level 2) ultrasound, ngokuvamile iyenzeka phakathi kwaleli sonto kanye neviki 20.
Ngalokhu, cishe ungafunda ubulili bomntwana wakho noma izinsana , uma ufuna. Ngesikhathi esifanayo, umhlinzeki wakho wezempilo uzokuhlola ukuthi ingane yakho ne-placenta ziyathuthuka kanjani.
Uma ungakamukeli ukuhlolwa kokuhlolwa kwesifo se-serum (noma ukuhlolwa kwamakaki amaningi, isikrini esine-triple, noma isikrini se-quad), yazi ukuthi lokhu kuhlolwa kwegazi okuvame ukuqhutshwa phakathi kweviki 15 nesonto 18. Lezi zikrini zokuhlolwa zeziphambeko ze- neural tube , i-trisomy 21 ye-Down syndrome, kanye ne-trisomy 18, ebonisa ukuphuza kwengqondo.
Ukucabangela okukhethekile
Uma usuvele usenomntwana owazalwa enesifo senhliziyo eseleyo; uma wena noma umlingani wakho unomlando womndeni wesifo senhliziyo esiswini; noma uma i-ultrasound yangaphambili ibona ukuthi kungenzeka ukukhubazeka kwenhliziyo, umhlinzeki wakho wezempilo uzosikisela ukuthi uthole i-echocardiogram yesisu.
(Lokhu kuhlolwa kungenziwa masonto onke kuya kwesishiyagalombili kuya kwesishiyagalolunye nesishiyagalolunye kokukhulelwa.) Le-ultrasound yamaminithi angama-45 kuya kwangu-120 ngokuvamile eyenziwa nguchwepheshe oqeqeshiwe ngokukhethekile noma i-perinatologist, futhi izithombe zihunyushwa ngumuntu we-cardiologist wezingane.
Ukuvakasha kukaDokotela
Ukuvakashelwa kwakho okwesithathu kokubeletha sekukhuphuka . Phakathi nalokhu, uzothola ukuhlolwa komchamo okubikezelwe, kanye nesisindo esivamile, ukucindezelwa kwegazi, kanye nezinyathelo zokuphakama kwe-fundal. Njengoba kukhonjisiwe ngenhla, ungase unikezwe i-ultrasound ejwayelekile noma yezinga II (level 2).
Ukunakekelwa
Nakuba unesifo esiphansi segazi ngesikhathi ukhulelwe kuvamile, kunezinto ongayenza ukuze unciphise ubukhulu obunzima obuvame ukuhambisana nalo:
Vuka kancane kusuka endaweni ehlezi noma elele.
Gwema ukuma isikhathi eside.
Qinisekisa ukuthi izikhumba nezibhuku azifudumala kakhulu.
Phuza amanzi amaningi.
Uma umhlane wakho usanda kukunika inkathazo, gxila ekufezeni ukuhamba kwakho lapho umile, uhlezi, futhi ulale.
Uma Ulungile: Gxilisa i-pelvis yakho phambili, ngakho-ke emuva kwakho okuphansi akushintshi ngaleyo ndlela. Ngesikhathi esifanayo, uvumelanise izibeletho zakho kanye nokuphela kokugcina ukuze lezo zinhlanzi zisebenze njenge-corset yemvelo, zisekela emuva kwakho okuphansi. (Kungumqondo ohlakaniphile wokutshela izithende eziphakeme manje; zijwayele ukushintsha isisindo sakho somzimba ngisho nokuqhubeka phambili.)
Lapho Uhlezi: Tuck ithawula eligoqwe ngemuva kwelekelo yakho, bese usebenzisa i-footrest noma isitulo ngaphansi kwezinyawo zakho ukuze usize uhlale uqondile (inqwaba yezincwadi iphinde isebenze ku-pinch).
Lapho Ulala: Uma ulala eceleni kwakho, faka umcamelo phakathi kwamadolo akho. Lokhu kuzosakaza kangcono ukucindezeleka kude nomgogodla wakho.
Kuzakwethu
Kuningi okufanele ulungiselele ngaphambi kokuba ingane ifike, kufaka phakathi ukuxoxisana nokunquma ngesidokotela sesazi somntanakho. Ungasiza ukuqala usesho ngokuthola ezinye izincomo ezivela kwabanye abazali noma ngisho nodokotela wakho.
Abazali abaningi banjengobuhlobo obuseduze nobuchwepheshe bemikhuba yangasese yabantwana, kanti abanye bayakwazisa izinzuzo eziza ngokukhetha udokotela wezingane ezihambisana nesikhungo sabo sokunakekelwa kwezokwelapha, njengokwamarekhodi e-medical electronic ecacile (umlando womndeni) kanye nokuhleleka kokuhlela ukuvakashelwa amaningana amalungu omndeni wonke ngosuku olufanayo, endaweni efanayo.
Uma usuwehlisile uhlu lwakho lwabaqokelwe, qamba iqhaza nomlingani wakho futhi uhlele ezinye izidakamizwa zokuqala zokuhlangabezana nazo. Kulezi zikhathi, ungaxoxa ngezinkinga eziyisisekelo ezifana nokutholakala kokuqashwa, ukutholakala kwezimpelasonto, izibhedlela lo mkhuba uhambisana nazo, futhi yiziphi umshwalense abamukelayo. Kodwa uzophinde ufune ukuza nezikhali zomuntu siqu ngezihloko ezifana nokusoka, izinhlelo zokugoma, ukusekela ukubeletha, nokuningi. Imihlangano enjalo iyindlela evamile (futhi ikhululekile), ngakho ungakhathazeki ngokuthi izingane zakudala zibafaka noma zijalele.
Uhla lokuhlola lwe-Wellwell
Qhubeka uthatha amavithamini okubeletha .
Qhubekani ukuphuza ama-glass angama-8 kuya kwangu-12 ngosuku.
Shintsha izithende zansuku zonke ngamaflethi angcono kakhulu.
Qala ukucwaninga ingane yezingane.
Iveke eledlule: Iviki 17
Ukufika: Iviki 19
> Imithombo:
> American Heart Association. Ukuhlolwa kwe-Fetal Echocardiogram. I-http: //www.heart.org/HEARTORG/Conditions/I-CinenitalHeartDefects /IzibaloI-DiagnosisofCongenitalHeartDefects/Fetal-Echocardiogram-Test_UCM_315654_Article.jsp#.WgskThNSy9Y
> I-American Pregnancy Association. Iviki lokukhulelwa 18. http://americanpregnancy.org/week-by-week/18-weeks-pregnant/
> NgoMashi we-Dimes. Ukukhulelwa Ngesonto. Iviki 18. https://www.marchofdimes.org/pregnancy/week-by-week.aspx#18
> I-Merck Manual Consumer Version. I-Hyperemesis Gravidarum. http://www.merckmanuals.com/home/women-s-health-issues/complications-of-pregnancy/hyperemesis-gravidarum
> Isikhungo seNational Health Resources Centre. Healthywomen.org. Ukukhulelwa Nokubeletha Isivivinyo Sesibili Sokukhulelwa: Amaviki angu-18 Akhulelwe. http://www.healthywomen.org/content/article/18-weeks-pregnant-symptoms-and-signs