Ukubuka umzimba wakho, ingane yakho, nokunye
Siyakwamukela ngesonto 31 lokukhulelwa kwakho. Wena umzimba nomqondo kokubili ukulungele ukufika kwezingane. Uma ungakaze uzibonele , ama- contraction we-Braxton Hicks angase aqale kuleli sonto.
I-Trimester yakho: I-trimester yesithathu
Amaviki okuya: 9
Wena kuleliviki
Kungakhathaliseki ukuthi uhlela ukuncelisa noma cha, kumasonto angu-31 ukhulelwe, amabele akho aqala ukulungele . Eqinisweni, kungenzeka ukuthi waphawula noma imithi enomzimba ophuzi, ophuzi noma omncane, ngezikhathi ezithile ogijima kusuka ezingeni lakho.
Lesi yisibonakaliso sokuqala se- colostrum , noma i-premilk umzimba wakho uveza ngaphambi kokubili ubisi lwebele lwesikhashana kanye nobisi lwebele oluvuthiwe . Uma unquma ukunakekela ingane yakho, i-colostrum izohlinzeka ingane yakho ngawo wonke amakholori kanye nezakhi ezidingekayo ezinsukwini ezimbalwa zokuqala zokuphila.
Cishe isigamu sabo bonke abesifazane abakhulelwe bayothola lolu hlobo lokuvuza ku-trimester yesithathu, amanothi i-Allison Hill, MD, i-OB-GYN emisebenzini eyimfihlo eLos Angeles. Kungakhathaliseki ukuthi amabele akho aphihlile noma ayikho indlela ebonisa ukuthi umzimba wakho unamandla okwenza ubisi lwebele .
Ngenkathi abanye besifazane sebevele behlangene noBraxton Hicks, abanye bazoqala ukuzwa lezi zindlela zokuziphatha manje. Ngokungafani nokuphambene nobuqotho, i-Braxton Hicks imfushane (ihlala kusukela kumasekhondi angu-30 kuya kumaminithi amabili); azihambeli ndawonye noma zanda ngamandla. Thatha lezi zigijimi ezomile njengamathuba okuqhuba ezinye izindlela zokuphefumula nokubhekana nazo ozifundile ekwenzeni isigaba .
Uma ngephutha amanzi akho aphumula kuleli sonto futhi uya emsebenzini wokuqala , cishe uzonikezwa i- magnesium sulfate ne- corticosteroids . Owakuqala kuncishisa kakhulu ingozi yengane yakho yokukhubazeka kwengqondo kanye nezinye izinkinga zokuthuthukiswa kwengqondo, kanye nentuthuko yokugcina yengane yamantombazane.
Izingane Zakho Kuleliviki
I-baby-to-be yakho isilungele ukulungela izwe langaphandle ngokuthuthukisa ngokushesha ukuthi ungqimba obaluleke kakhulu wamafutha ngaphansi kwesikhumba sakhe.
Akugcini nje ukuthi lezi zicubu ezinamafutha zifaka ingane, ilulaza imibimbi, ihlinzeka izingane ezibukeka zisanda kuzalwa. (Amanoni abuye aphule umbala obomvu wesikhumba somntwana, okwenzela i-pink ebusweni.)
Ngasekupheleni kwesonto, ingane yakho ingase ibe nesisindo esingamakhilogremu angu-4, okungama-3½ amakhilogremu angu-3½ kuphela enamahloni esisindo somntwana osanda kuzalwa. Ngesikhathi esifanayo, ingane yakho ingaphezu kuka-15½ amasentimitha ubude. (Izindlela zokuzalwa ezisanda kuzalwa ziphakathi kuka-19 no-21 amasentimitha lapho zizalwa.)
Ehhovisi likaDokotela wakho
Kungenzeka ukuthi kuleli viki uvale ukuvakashela i-OB-GYN noma umbelethisi wakho. Kodwa-ke, uma uphatha izinyathelo eziningi noma uhlangabezana nezinkinga, umhlinzeki wakho wezempilo angangena kuwe ukuze uthole i- ultrasound .
Ukucabangela okukhethekile
Uma i-bump yakho noma ingane yakho-ibonakala incane kunalindelekile kulesi sigaba sokukhulelwa kwakho, umhlinzeki wakho wezempilo angase asho ukuthi u- oligohydramnios , okwethulwa nge- amniotic fluid engaphansi kwesilinganiso. (Amaphesenti angama-4 abesifazane besifazane abakhulelwe bakuthola lokhu.)
Ukuze uhlolisise kahle i-oligohydramnios, umhlinzeki wakho wezokunakekela impilo uzokala inani le-amniotic fluid nge-ultrasound. Ngenkathi uketshezi oluphansi kungaba uphawu lokucindezeleka kwesisu, akuthinti imiphumela yezingane ezithombeni eziningi.
Lokho kusho, ngoba ungakabonwa njengesikhathi esigcwele kuze kube amasonto angama-39 , umhlinzeki wakho wezempilo uzoba nokuqapha amazinga akho amachidi amniotic eduze. Ungabuye unikezwe ukuhlolwa okungewona ukucindezeleka ukuqapha izinga lenhliziyo yengane kanye / noma ukuhlolwa kokucindezeleka kokucindezela, okuhlola izinga lezinhliziyo nezindlela zokuvimbela uterine.
Ngaphesheya okuphambene nendawo ye-amniotic fluid spectrum yi- polyhydramnios , okuyi-exotic amniotic fluid eyenzeka ngaphansi kwama-1 amaphesenti okukhulelwa konke. Njengama-oligohydramnios, lesi simo ngokuvamile senzeke ku-trimester yokugcina futhi ngokuvamile imiphumela ayilimazi umama noma ingane yakhe.
Uma kukukhathalela, umhlinzeki wakho wezempilo uzobe engena kuwe kaningi ukuze uqaphele.
Ukuvakasha kukaDokotela
Uzobuyela ehhovisi lakho le-OB-GYN noma umbelethisi futhi ngesonto elizayo ngolunye ukuhlolwa kokubeletha . Ngokuyinhloko, kuyoba isimiso esifanayo esidala. Kodwa-ke, uma une-asthma enesizotha, i-asthma elawulwa kabi, noma uma usanda kuhlaselwa isifo se-asthma, i-American College of Obstetricians kanye neGynecologists iphakamisa ukuthi umhlinzeki wakho wezempilo uzokuqala ukuhamba nge-ultrasound ukuqapha umsebenzi wesisu nokukhula. Yenza noma iyiphi yalezi zinkinga ngesikhathi uvakashele.
Ukunakekelwa
Kuyinto yokubheja okuhle ukuthi ubulokhu uguqula izinketho zakho zokunakekela izingane isikhathi eside manje. Ngaphandle kokufunda phezulu ekuncelweni kwebele nesibhodlela, cela umhlinzeki wakho wezempilo, umxhumanisi we- lactation , nabangani nomndeni onomama abanolwazi abaningi imibuzo:
Uphatha kanjani abahlengikazi emphakathini?
Yiziphi amabhodlela amahle kakhulu okukhetha ukondla ama-combo ?
Ingabe ukudideka kwezinyosi kuyinkinga kuwe?
Ukuzwa imibono ehlukahlukene nokuhlangenwe nakho kungakusiza ukuthi ubone ukuthi ungathanda ukwenzani. Futhi:
Thola ukuthi yiziphi izinsizakalo zokukhishwa kwe-lactation umhlinzeki wakho womshuwalense uhlanganisa , uma kukhona.
Buyekeza uhlelo lwakho lokubheka ukuqinisekisa ukuthi lusekela ukuncelisa, uma yilokho ohlela ukukwenza.
Abacwaningi bokucwaninga ukukhishwa kwe-lactation nokuncelisa ukubeletha endaweni yakho manje. (Umhlinzeki wakho wezempilo kanye nodokotela wakho wezingane angakukhomba endleleni efanele, njengamanye amama.)
Khuluma nomngane wakho mayelana nezinhlelo zakho zokudla nemigomo, ngakho-ke usekhasini elifanayo futhi ungasekelwa ngokufanele.
Kuzakwethu
Ukuhlola okukhethwa kukho kokudla nomlingani wakho kungaba esinye sezici ezicindezelayo zokuguqula ebukhosini. "Uma ucabangela ukukhetha kokudla, kubalulekile ukuthi nonke nihlole, ngendlela eqhubekayo, lokho okulindeleke ukukwenza, futhi, ekugcineni, yini engokoqobo kuwe nomntwana wakho omusha," kusho uShara Marrero Brofman, PsyD, ukuzala kanye ne-psychologist e-perinatal eSeleni Institute, inhlangano engenzi inzuzo ekhethekile ikakhulukazi empilweni yengqondo yomama nokuzala. "Ngokuvamile, ukucindezeleka kwabazali kwenzeka uma kukhona igebe phakathi kokulindela nokuqiniswa."
Uma ukhuluma konke ngomama-ukuba, sebenzisa amagama akho ngokuhlakanipha. "Ngisho nombuzo olula, ohloswe kahle, njengawe, Ingabe uhlela ukuncelisa? kungaba umthwalo futhi uthumele umlingani wakho izinyembezi, "kusho uDkt. Brofman. Kunalokho, buza imibuzo enjengokuthi, Ucabanga ukuthi kufanele sikondle kanjani umntwana?
Uhla lokuhlola lwe-Wellwell
Qhubeka uthatha amavithamini okubeletha .
Qhubekani ukuphuza ama-glass angama-8 kuya kwangu-12 ngosuku.
Qhubeka nokwenza umzimba wakho we-Kegel nsuku zonke.
Finyelela ochwepheshe be-lactation namamama ukuze ufunde kabanzi mayelana nezinketho zokudla nokusekela.
Iveke eledlule: Iviki 30
Ukufika: Iviki 32
> Imithombo:
> Allison Hill, MD yokuxhumana nge-imeyli. Okthoba, Novemba 2017.
> I-American College yezidakamizwa namaGynecologists. Imizamo Ekhethekile Yokuqapha Impilo Yomntwana. https://www.acog.org/Patients/FAQs/Special-Tests-for-Monitoring-Fetal-Health#contraction
> I-American Pregnancy Association. Amazinga aphansi e-Amniotic Fluid: Oligohydramnios. http://americanpregnancy.org/pregnancy-complications/oligohydramnios
> I-American Pregnancy Association. I-Polyhydramnios: I-Amniotic High Fluid Phakathi Nokukhulelwa. http://americanpregnancy.org/pregnancy-complications/polyhydramnios-high-amniotic-fluid/
> I-MP yeDombrowski, i-Schatz M. ACOG imininingwane yokuziphatha: imihlahlandlela yokulawulwa kwemitholampilo yezidakamizwa-izazi zezinkinga zomzimba ezinombhalo wezinombolo 90, Febhuwari 2008: i-asthma ekukhulelweni. I-Obstet Gynecol. 2008 Feb; 111 (2 Pt 1): 457-64. https://www.ncbi.nlm.nih.gov/pubmed/18238988
> I-Merck Manual Consumer Version. Ukukhuphuka Kwesikhashana Ngaphambi Kwemfucuza (PROM). http://www.merckmanuals.com/home/women-s-health-issues/complications-of-labor-and-delivery/premature-rupture-of-themmbranes-prom
> Shara Marrero Brofman, PsyD. I-imeyili ne-Hambayo Communications. Okthoba, Disemba 2017.