Ukubuka umzimba wakho, ingane yakho, nokunye
Siyakwamukela ngesonto le-15 lokukhulelwa kwakho. Lokhu, i- trimester yakho yesibili , kuvame ukuba yisikhathi esithakazelisayo kubazali-ukuba babe lapho izibilini zivama , izindaba zisakazeka, amazinga egeyukayo, futhi isicanucanu siyancipha.
I-Trimester yakho: I- trimester yesibili
Amaviki okuya: 25
Wena kuleliviki
Leli sonto lingase libe lapho uqala ukuzizwa ushintsho oluphawulekayo lwesisindo . Nakuba wonke umama kufanele abe ohlukile, abesifazane ngokuvamile bathola amakhilogremu amathathu kuya kwangu-5 phakathi no-trimester wokuqala nangama-pounds ngesonto ngalinye ngemuva kwalokho.
(Uma uzuze ngokwengeziwe noma kakhulu, kubalulekile ukukhuluma nomhlinzeki wakho wezempilo mayelana nalo.) Izinguquko esimweni sakho, noma kunjalo, kungenzeka noma zingabonakali kulabo abakuzungezile. Kodwa uma ucindezela ngobumnene cishe amasentimitha angu-4 kuya kwangu-5 ngaphansi kwenkinobho yakho yesisu, cishe uyakwazi ukuzwa ubuhlungu besisu sakho.
Okwamanje, izinguquko eziningi obhekene nazo zingakabonakali, njengekhanda, ukuhlushwa, nokushaya inhliziyo. Amakhomoni, njengokwejwayelekile, asolwa. Ngokwesibonelo, ama-hormone angabangela i-valve yemisipha phakathi kwesisu nesisu sokuphumula, okuyinto evumela isisu esiswini ukuba ibuyele emuva ku-esopha, okwenza kube ne-reflux. Ukwengeza kokushisa: Isibeletho sakho esikhulayo singasisusa isisu, esivela phezulu.
Amakhomoni angabangela nokuvuvukala emzimbeni cishe manje, okuholela ekuguleni kwegazi kanye nemithwalo yegazi ephukile ekhaleni. Lezi zikhathi ezithile zibamba amama-to-be-guard, kodwa zijwayelekile.
Izingane Zakho Kuleliviki
Ekupheleni kwesonto, ingane yakho iyoba yintshi intshi engu-4 ° ubude isilinganise ama-ounces amabili, kahle endleleni yakhe yokubuka ngaphezulu komuntu omncane ozohlangana naye emavikini angu-25 . Amehlo akhe asondela eduze ekhaleni. Ingane yakho kungenzeka ukuthi iqalile ukuthuthukisa uhla lwezinwele ezichazwe kanye namashiya.
Futhi ingxenye yangaphandle yezindlebe zezingane ishintsha ngokuqhubekayo ukuze ibonakale ngokwengeziwe. Amathambo amancane awenza uhlelo lokuhlola aqala ukwakha futhi. Ngakho, ngenkathi engakwazi ukuzwa okwamanje, kuzokwenzeka maduzane.
Ngesikhathi esifanayo, isikhumba somntwana namanje sincane kakhulu futhi sithinta umzimba, sivumela umbono ocacile wezingculazi nemisipha yakhe. Ngaphambi manje, amasosha omntwana yayenziwe nge-cartilage elula, eguquguqukayo, njengezinto ezitholakala ekhaleni lakho nasezindlebeni zakho. Kodwa phakathi namasonto alandelayo nalawa azayo, amathambo azoqala ukuphazamiseka, noma ukuqina, futhi avelele kwi-X-ray.
Ehhovisi likaDokotela wakho
Uma unqume ukuthola i- amniocentesis , lokhu cishe isonto lokuqala lokukhulelwa kwakho ukuthi lingafezwa ngempumelelo. (Kuvame ukwenziwa phakathi kweviki le-15 nesonto 18. ) Phakathi nenqubo, okuthatha cishe imizuzu engama-30, umhlinzeki wakho wezempilo uzosebenzisa i-ultrasound ukuqondisa inaliti encane, engenalutho ngaphakathi kwesisu nangesibeletho sakho nasesikhwameni se-amniotic. Lapha, isampula encane yama-amniotic fluid aqukethe amaseli we-fetal izosuswa. Isampula izothunyelwa ebhokisini kusikrini sezinto ezingavamile ze- chromosomal .
Kungathatha izinsuku ezimbalwa amasonto ambalwa ukuthola imiphumela. Kubalulekile ukwazi ukuthi ukungajwayelekile okungabonwa yi-amnio akukwazi ukuguqulwa.
Noma kunjalo, ukuhlolwa kuvumela abazali-ukuba babe ithuba lokuqala ikhanda ekufundiseni ngokwabo ngesimo sabo somntwana.
Ukuvakasha kukaDokotela
Ngesikhathi esizayo uma ubona umhlinzeki wakho wezempilo, kungenzeka ukuthi uhlomile ngetekisi yokulinganisa ukurekhoda i-fundus yakho, noma ukuphakama kwe-fundal. Lona ibanga eliphakathi kwethambo lakho le-pubic kanye nengaphezulu kwesibeletho sakho. Lokhu kumane nje kuyithuluzi lokusiza ukukhula komntwana wakho wokulingana. Okujabulisayo: Ngemva kwamasonto angu-20 , ukuphakama kwakho kwe-fundal kuvame ukulinganisa inani lamasonto okhulelwe.
Ukunakekelwa
I-Institute of Medicine incoma ukuthi abesifazane abakhulelwe ngesisindo esinempilo bazuza inani elingamakhilogremu angu-25 kuya kwangu-35 ngesikhathi sokukhulelwa.
Kodwa-ke, abesifazane abangaphansi kwesisindo kufanele baphonse amapremu angu-28 kuya ku-40 enzuzo yesisindo; abesifazane abakhuluphele ngokweqile, amakhilogremu angu-15 kuya kwangu-25; futhi ukhuluphele abesifazane , ama-11 kuya kwangu-20 amakhilogremu. Uma wena noma umhlinzeki wakho wezezempilo ukhathazekile ngokuthi ulahlekile lawa mawindi-ngokungenani noma lesi yisikhathi sokwenza izinguquko ezithile ukuze usize lokho. Ucwaningo lubonisa ukuthi i-trimester yesibili yisikhathi esibucayi sokungenelela kwesisindo / ukulahlekelwa.
Kungani kubalulekile: Ngokwemibiko ka-2015, abesifazane abathola isisindo esinzima bangabeka engozini ephakeme yokucindezelwa kwegazi eliphezulu, preeclampsia , kanye nesifo sikashukela sika- diabete s. Lokho kusho ukuthi, "ekugcineni, uma ulandela ukudla okunempilo, umzimba wakho uzothola lokho okukudingayo," kusho u-Allison Hill, MD, i-OB-GYN emisebenzini eyimfihlo eLos Angeles, eCalifornia. "Izinombolo zeviki ngesonto azibalulekile njengoba inani eliphelele kanye nokukhula kwengane."
Kuzakwethu
Ukwesekwa kwakho kungase kusho okungaphezu kwakho (noma ngisho naye) uyaqaphela. Ucwaningo olwenziwa ngo-2016 lwabesifazane abakhulelwe abangu-2,641 bathola ukuthi labo abathole ukusekelwa okuncane kwabalingani babo babengaba ngamaphesenti angu-80 amathuba okuba nokukhathazeka okukhulelwe okukhulelwe. Babephinde babe nokuphindwe kathathu ukucindezeleka phakathi nesikhathi sokukhulelwa kunabo abazwa ukusekelwa okusezingeni eliphezulu kwabalingani babo.
Abacwaningi bayaqaphela ukuthi ukusekela kuza ngezindlela eziningi, njengokukwazi ukuthembela kumlingani ukuze uthole usizo lwezezimali; uzwela; futhi uzizwa sengathi ungumlingani uzosiza lapho umntwana efika. Thatha izinkomba kusuka kumlingani wakho ngokuqondene nezindlela ezingcono kakhulu zokubonisa ukuthi ukhona lapho, noma ucele nje. Futhi khumbula: Ukwenza okusemandleni akho konke ongakucela kuwe.
Uhla lokuhlola lwe-Wellwell
Qhubeka uthatha amavithamini okubeletha .
Qhubekani ukuphuza ama-glass angama-8 kuya kwangu-12 ngosuku.
Xoxa nomhlinzeki wakho wezempilo mayelana nanoma yikuphi ukudla okunomsoco noma wokudla okungadingeka le trimester.
Iveke eledlule: Iviki 14
Ukuza: Iviki 16
> Imithombo:
> Allison Hill, MD yokuxhumana nge-imeyli. Okthoba, Novemba 2017.
> Cheng ER, Rifas-Shiman SL, Perkins ME, Rich-Edwards JW, Gillman MW, Wright R, Taveras EM. Umthelela Wokusekela Abalingani Bokubeletha Ngaphambi kokubeletha. I-Journal ye-Health's Women's. July 2016, 25 (7): 672-679. http://online.liebertpub.com/doi/10.1089/jwh.2015.5462
> Iphini leNP, i-Sharma AJ, i-Kim SY. Ukutholakala kwesisindo somzimba we-Gestational-United States, 2012 no-2013. I-MMWR Morb Mortal Wkly Rep. 2015 Nov 6; 64 (43): 1215-20. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6443a3.htm
> Drehmer M, Duncan BB, Kac G, Schmidt MI. I-Association ye-second and third trimester ukuzuza kwesisindo ekukhulelwe ngemiphumela yomama kanye nesisu. I-PloS One, 8 (1) (2013), iphe. e54704. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3559868/
> Isikhungo seNational Health Resources Centre. Healthywomen.org. Ukukhulelwa nokubeletha. Amniocentesis: Ingabe Ngidinga? http://www.healthywomen.org/content/article/amniocentesis-do-i-need-it
> Rasmussen KM, Catalano PM, Yaktine AL. Imihlahlandlela emisha yokuthola isisindo ngesikhathi sokukhulelwa: yiziphi izidakamizwa / izifo zokubeletha okufanele zikwazi. I-Curr Opin Isivinini se-Gynecol 2009; 21: 521-6. https://www.ncbi.nlm.nih.gov/pubmed/19809317