Ukubuka umzimba wakho, ingane yakho, nokunye
Ngenkathi usanda nje ukuzwa ukuthi ukhulelwe, usuvele usuphelile ngenyanga eyodwa (isonto 5 lohambo lwakho lwamaviki angu-40, ukuba ube ngqo). Isizathu: Iningi labahlinzeki bezempilo libala ukukhulelwa kusukela ngosuku lokuqala lokugcina kwakho. I-embryo yakho kanzima ukuyibona kwi-ultrasound okwamanje, kodwa lokho akusho ukuthi awuzwa ukuthi kukhona khona ngezimpawu ezifana nokukhathala, isifuba sebele, nesisulu sokunambitheka.
I-Trimester yakho: I-trimester yokuqala
Amaviki okuya: 35
Wena kuleliviki
Nary ngenyanga, kungenzeka ukuthi awutholanga isisindo sokukhulelwa okwamanje. (Iningi labesifazane libeka kancane kancane ukubonakala ku-1 kuya ku-4.5 amapremu ngesiphetho se-trimester yokuqala.) Nokho, amathuba okubona ukuthi ukhathele ngokweqile kunokujwayelekile. Eqinisweni, ukukhathala kubhekwa njengesimangaliso esikuyo yonke le ndlela ekuqaleni kokukhulelwa . I-cala (inxenye) amahomoni i -gonadotropin ye-chorionic (hCG) neprogesterone.
Into ethakazelisayo kakhulu mayelana nokukhathala kwakho okwakusanda kukhulunywa ukuthi abesifazane abakhulelwe abadingi ukulala okwengeziwe. "Yinganekwane," kusho u-Allison Hill, MD, umkhuba wangasese we-OB-GYN eLos Angeles. "Esikhundleni salokho, kungenzeka ukuthi ubuthongo-obunqatshelwe ukuqala. Kuvele nje ukuthi manje umzimba wakho ubuswa yi-hCG, i-hormone engeke ikuvumele ukuthi ubaleke nayo. "
Ngesikhathi esifanayo, emavikini ama-5 ekhulelwe, abanye besifazane bangase babone ukuzwa kwe-cramping (echazwe njengomzwelo wokugcwala) esibelethweni sabo.
Lokhu kuvamile.
Izingane Zakho Kuleliviki
Emasontweni angaba ngu-5, isikhwama sokubeletha somntana, esizokhula sibe yi-placenta, singabonakala ku- ultrasound engaphumi . Lapha, i-wand ye-ultrasound izobekwa ngaphakathi kwe- vaginal yakho, hhayi phezulu kwesisu sakho. Isaka lingakuthola empeleni ngaphambi kombungu.
Kodwa ngenxa yokuthi umbungu unzima ukubona- ubude bomqhele-we-rump (CRL) buyi-0.118 amasentimitha-akusho ukuthi akukho okwenzekayo okuningi.
Ngalesi sikhathi, umbungu uqala ukwandisa futhi ubonakale ubonakala ngokubonga, ngokubambisana, ekuthuthukiseni ithubhu ebaluleke kakhulu ye-neural esukela phezulu kuze kube phansi kombungu. (Le tube izakukhula ibe yintambo yomgogodla nobuchopho.) Kukhona ngisho nebhayisikili encane emkhatsini wombungu ozoba maduze ube yinhliziyo yengane.
Okwamanje, izitho eziningi zezingane zakho-njengenhliziyo, isisu, nesibindi-ziqala ukuma. Futhi okufanayo kuya ohlelweni lokugaya ingane, lokujikeleza, nolwesabekayo.
Ehhovisi likaDokotela wakho
Uma ufunda ukuthi ukhulelwe nganoma isiphi isikhathi phakathi kuka-Agasti noFebhuwari, thintana nodokotela wakho wezempilo ngokuthola ukuguquka komkhuhlane. I-CDC iphawula ukuthi ayiphephile kuphela kepha inconywa ukuthi abesifazane abakhulelwe bathole ukugonywa kwegciwane ngesikhathi kunoma yiliphi i- trimester ukuzivikela ngokwabo kanye nezingane zabo emkhuhlane.
Kodwa-ke, akuzona zonke izigomo ezicatshangelwayo phakathi nenyanga yakho yokuqala . Okwamanje, umbungu wakho usengozini kakhulu kuma-virus, ngakho-ke akufanele uthole noma yikuphi ukugoma kwamagciwane okuphila, njengegciwane lesishukela, imifino, umgogodla we-rubella (MMR) noma umuthi wokugoma we-varicella (chickenpox).
Ukuvakasha kukaDokotela
Ngenkathi usuke ucindezelekile kakhulu ekuhleleni-nokuya ekuqashweni kwakho kokuqala kokubeletha, kukhona ukuvakasha kwesinye udokotela okufanele ucabangele manje futhi: Udokotela wamazinyo . Eqinisweni, i-American Dental Association, i-American Congress of Obstetricians kanye neGynecologists, kanye ne -American Academy of Pediatrics bonke bakhuthaza abesifazane ukuba babone udokotela wamazinyo ngenkathi bekhulelwe.
Isizathu: Izinguquko ezifanayo ze-hormonal eziletha isicanucanu kanye nesifuba sebele kungabangela ukuvuvukala kwegum ( ukukhulelwa gingivitis ). Uma inganakwa, ukukhulelwa kwe-gingivitis kungaholela ekutheni i-gum infection infectionontitis, eyandisa amathuba okuzalwa ngaphambi kokuzalwa.
Ukunakekelwa
Ngenkathi kufanele ugxile ekudleni ukudla okuphelele, ngokuphambene nokucubungulwa, okuhlanganiswe, kukhona namanje okunye okukhethwa okumele kugwenywe ngenkathi ukhulelwe . Ama-big-hitters afaka lokhu okulandelayo, ngoba angaqukatha amabhaktheriya angaba yingozi kumntwana okhulayo.
Izinkukhu ezingasetshenziswanga, njenge-Brie ne-feta
Ukudla okunomsoco; pâté; ukudla okunomsoco (ngaphandle uma kushisa)
Izinhlanzi zasolwandle ezibhemayo (ngaphandle uma ziphekwe ku-casserole noma emathinini); inhlanzi equkethe amazinga aphezulu e-mercury, njenge-swordfish, i-tilefish, i-shark, ne-mackerel
Kodwa ukuhleka usulu kuzo zonke izinhlanzi akuyona ukuhamba okuhlakaniphile, ngoba i-salmon, i-sardine, i-anchovies ne-herring yonke icebile kuma- omega-3 ama-acids amafutha , okwenza ukuba impilo yengqondo yengane ibe nentuthuko. I-tuna ibuye igxile ne-omegas yokwakhiwa kobuchopho, kodwa kungenzeka kube nokukhathazeka kwe-mercury , ngoba ezinye i-tunas zilayishwa yi-toxin nezinye azikho. Isibonelo, i-tuna yokukhanya ekhonini (kufaka phakathi ukungena kwe-skipjack) ibhekwa njengekhethelo le-tuna enhle kakhulu yi-FDA. I-albacore (noma i-white) tuna kanye ne-yellowfin tuna namanje kulungile, kepha i-tuna enkulukazi kufanele igwenywe. Ekugcineni, kuphephile ukunamathela kuma-2 kuya ku-3 ama-tuna we-tuna okukhanyisiwe noma 1 ukukhonza i-Albacore tuna ngesonto.
Ngaphandle kwe-tuna, kunezinye zokudla neziphuzo ezivame ukubhekwa njengeziyingozi, kepha empeleni zihle uma zidla kahle. Lokhu kufaka:
I-Shellfish, njenge-shrimp ne-lobster
Amaqanda (ngaphandle uma eluhlaza)
Izinhlanzi ze-Sushi-grade (ngaphandle uma zenziwe ezigwini zasolwandle eziphezulu)
Inani elilinganiselwe le-caffeine-200 mg kuya ku-300 mg, noma eyodwa noma amabili izinkomishi ze-ounce zekhofi-iphephile ngokuphelele, njengamanye ama-herbal teas.
Asikho isidingo sokugwema ukudla okuhambisana nezifo, njengamantongomane, ubisi, nokolo, ngaphandle uma uqobo lwezilonda. Ukungadli lezi zikhathi ngesikhathi ukhulelwe akuvikela ingane yakho ekutheni ihlakulele-empeleni yenza okuphambene nalokho. Ngaphezu kwalokho, umbiko we-2014 ku- JAMA Pediatrics uthe ukudla okudliwayo ngesikhathi sokukhulelwa empeleni kukwandisa ukubekezelelana kwe-allergen futhi kunciphise ingozi yokudla kokunganeka kokungane.
Ukucabangela okukhethekile
Kubalulekile ukuthi abesifazane abakhulelwe bagweme ukuhamba ezindaweni ezise-United States nasemhlabeni wonke lapho kunengozi yokuthola igciwane leZika. Igciwane kanye nemfiva eholelekile ixhunywe ezintweni eziningana zokuzalwa, kuhlanganise ne-microcephaly, lapho izinsana zakha amakhanda amancane kunamajwayelekile kanye nokulimala komqondo.
I-Zika isakazwa yizinyosi ze-Aedes futhi ngokuxhumana kocansi neqembu elithelelekile. Ngenxa yokuthi ayikho imithi yokugoma futhi ayikho ikhambi, kubaluleke kakhulu ukuhlola izaziso zezempilo ze-CDC ukuze ubone izindawo ezikhona kakhulu lapho igciwane lesandulela ngculaza lisakazeka khona. Uma kufanele uhambe endaweni lapho iZika ingozi khona, khuluma nodokotela wakho kuqala. Funda indlela yokuvimbela ngokufanele ukuhlamba umiyane futhi uzivikele lapho uhlanganyela emsebenzini wocansi.
Kuzakwethu
Ukuzivocavoca kubalulekile ngesikhathi sokuqala kwakho kanye nokukhulelwa. Eqinisweni, umbiko we- American College of Obstetrics kanye neGynecology uthi abesifazane abaningi abakhulelwe kufanele bahlanganyele ekuzivocavoca ngokulinganisela imizuzu engu-20 kuya kwangu-30, izinsuku eziningi.
UDkt. Hill uthi: "Noma ngabe ukuvivinya umzimba kukhonjiswe ukusiza ngesicanucanu ngokukhulula i-endorphin yemvelo, abanye besifazane bazizwa benelisekile ukukwenza," kusho uDkt. Isixazululo: Qala isimiso sokuhamba emva kokudla noma kusasa ekuseni nomlingani wakho. Ucwaningo lubonisa ukuthi imibhangqwana izwa inelisekile kakhulu ebuhlotsheni babo lapho iqhaza emsebenzini ojabulisayo womzimba ndawonye. Ngaphezu kwalokho, kuzokunika kokubili ithuba lokucindezeleka. Okokugcina, uma uqala umkhuba onempilo nokuqinisa ubudlelwane manje, cishe unamathela uma umntwana ezalwa.
Uhla lokuhlola lwe-Wellwell
- Yenza ukuqokwa kwamazinyo.
- Hlela ukudubula komkhuhlane, uma kudingeka.
- Qhubeka uthatha amavithamini okubeletha .
- Thenga fresh fresh, ukudla okuphelele lapho ezitolo zokuthenga.
- Thenga izicathulo zokuhamba kahle. (Ukuzuza kwesisindo, ukuvuvukala, nokunye ukuguquka kokukhulelwa kungabangela ubuhlungu bonyawo, izinsimbi zokusekela ezibalulekile zibalulekile.)
Iveke eledlule: Iviki 4
Ukufika: Iveke 6
> Imithombo:
> Allison Hill, MD yokuxhumana nge-imeyli. Okthoba, Novemba 2017.
> Aron A, uNorman CC. Ukubamba iqhaza kwabashadile emisebenzini yamanoveli nokuvusa kanye nobuhlobo bomshado obunolwazi. J Pers Soc Psychol. 2000 Feb; 78 (2): 273-84. http://psycnet.apa.org/doiLanding?doi=10.1037/0022-3514.78.2.273
> Amasevisi Okulawula Nokuvimbela Izifo. Umkhuhlane we-Flu Ukuphepha nokukhulelwa. https://www.cdc.gov/flu/protect/vaccine/qa_vacpregnant.htm
> Amasevisi Okulawula Nokuvimbela Izifo. Ulwazi lokuhamba ngeZika. https://wwwnc.cdc.gov/travel/page/zika-information
> Downs DS, Chasan-Taber L. Umsebenzi womzimba nokukhulelwa: > Ubufakazi besikhathi esidlule nobufakazi kanye nezincomo zesikhathi esizayo. Res Q Exerc Sport. 2012 Dec; 83 (4): 485-502. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563105/
> Frazier AL, Camargo CA Jr. Ukutadisha okusetshenziselwa ukusetshenziselwa ukusetshenziswa kwamanothi > amantongomane noma amantongomane emithi ngabomama kanye nengozi yokudla i-peanut noma umuthi nut nutrients inzalo yabo. I-JAMA Pediatr. 2014; 168 (2): 156-62. https://jamanetwork.com/journals/jamapediatrics/fullarticle/1793699
> Ukuphathwa Kwezokudla Nezidakamizwa zase-US. Ukudla inhlanzi: Yimaphi abesifazane nabesifazane abakhulelwe okufanele bazi. https://www.fda.gov/downloads/Food/FoodborneIllnessContaminants/Metals/UCM537120.pdf