Isisindo somntwana kuleli sonto lokukhulelwa lingaba amagremu angama 300-370. Amashiya namajwabu ejwayele ukuhlobisa. Emasontweni angu-21, kungenzeka ukuthi owesifazane usuvele ezwa ukunyakaza kwengane. Ngesikhathi sokuphumula futhi ngaphambi kokulala ebusuku, owesifazane angakwazi ukulalela ngokwengeziwe, ngakho-ke kungase kubonakale ukuthi ingane isasebenza kakhulu. Ngesikhathi sokubeletha kwamaviki angama-21, umntwanakho usabhukuda ngaphakathi kwesibeletho njengoba kuthanda.
Ikhalenda lokukhulelwa: ukushintsha kwezingane
Ngokujwayelekile ingane iba endaweni ethile (isilungiselelo) ekupheleni kwalesi trimester yokukhulelwa. Yiqiniso, ezinye izingane zingahamba ngokukhululekile kuze kube yilapho. Endaweni ethile ngalolu suku, thumela ku-ultrasound yesibili, ongayithola ngocansi lomntwana ozayo, kodwa manje ungakwazi ukuzibandakanya nekhalenda lamaShayina, izimpawu zomuntu, izigaba zenyanga kanye nezinye izindlela zokunquma ubulili bomntwana.
Ngokuhamba kwesikhathi, ukusebenza cishe cishe zonke izitho zesistimu ye-endocrine kuqala: i-pituitary gland, i-epiphysis, izigulane eziyingozi, ama-pancreas, i-thyroid kanye ne-gland parathyroid. Ama-hormone, awakwaziyo, asithinte kakhulu ukukhula nentuthuko yengane. Ngalesi sikhathi ukuthi ukwakhiwa kwengculazi yakhe eqala ukuqala ngendleko yokuthola ingane ngokusebenzisa i-placenta yezidumbu zokuzivikela komama. Emasontweni angama-21 okubeletha, ubuchopho buyaqhubeka, ama-vestibular apparatus akhiwa.
Futhi futhi mayelana ne-meconium
I-Meconium - indwangu yasekuqaleni yizinsalela ze-amniotic fluid, engagciniwe uhlelo lokugaya ingane. Lesi sici sihluke kumbala: kusuka emnyama-aluhlaza kuya emhlophe, siphumela emgqeni wengane isikhashana ngaphambi kokuqala kwenqubo yokuzalwa, ngesikhathi nangemva kokuzalwa kwengane. Uma une-contraction yamathumbu kanye ne-meconium engena emanzini wamanzi, umntwana osanda kuzalwa angayigwinya ngaphambi kokubeletha noma phakathi kwabo. Uma i-meconium ingena emaphashini, ingaholela esibhedlela. Ngakho-ke, uma umbelethisi ebona ukuthi i-meconium ingene emlonyeni wengane, uyayisusa ngokushesha ngokuyiphuza, usebenzisa ithubhu encane.
Ikhalenda lokukhulelwa amaviki angu-21: izinguquko kumama ozayo
Ngokuyinhloko, kuleli sonto owesifazane uzizwa ekhululekile. Inzuzo yakhe yesisindo iphakathi kuka-4.5 no 6.3 kg. Ungaphumula futhi ujabulele, ngoba ngaphambi kwe-trimester yesithathu, ngalesi sikhathi ingane izoba nzima kakhulu futhi ngeke ihambe nje.
Kodwa amasonto angama-21 okukhulelwa angeke akwenze ngaphandle kwezinkinga ezincane: izigulane ezisabekayo ziqinisa umsebenzi wazo, okungaholela ekubukeni kwe-acne. Ungakhohlwa ukugeza ngemikhiqizo yezithokozi ezithambile kabili ngosuku, kodwa akufanele uthathe imithi, ikakhulukazi ama-hormone. Manje kukhona ukuthambekela kwe-varicose veins. Ukukhulelwa kunesisindo emilenzeni futhi, impela, imithanjeni nokwandisa ivolumu yegazi kanye nezinga elikhulu le-progesterone, elivuselela izindonga zemikhumbi. Uma imivimbo ye-varicose ivela kanye, iyoba nzima ngokukhulelwa okulandelayo, ingenzeka emilenzeni, ku-vulva.
Uma umama wesikhathi esizayo enezinyosi zomlenze, kunoma yikuphi okudingayo ukuthi ugqoke amabhandeki aqinile, ungathuthukisa ukujikelezwa kwegazi ngokuhamba ngezinyawo futhi ulala nemilenze ephakanyiswa emilenzeni.
Ukuzalwa kwangaphambi kwesikhathi
Kunezizathu eziningi ezibangela ukuzalwa ngaphambi kwesikhathi: ukutheleleka ngokocansi, izinkinga nge-placenta, umlomo wesibeletho. Nokho, hhayi kuzo zonke izimo, odokotela bangasho ukuthi yini eyenza umntwana avele ngaphambi kwegama. Okukhethwa kukho konke ukwazi ulwazi ngezibonakaliso zokuzalwa ngaphambi kokuzalwa nokuziphatha uma kwenzeka.
- iziphazamiso ze-uterine ezingaphezu kwezikhathi ezingu-5
- igazi elibomvu elivela emthonjeni wesisu liyimfihlo
- ubuso obuvuvukile noma obuvuvukile noma izandla, izimpawu ze-pre-eclampsia
- ubuhlungu buba khona ngesikhathi sokuchama
- okwenzeka ubuhlungu obukhulu noma obude esiswini (isibonakaliso se-pre-eclampsia)
- ukutholakala kokuhlanza okunomsoco noma okuqhubekayo, isifo sohudo (uphawu lwe-pre-eclampsia)
- ngokungazelelwe umthombo wamanzi obala ushiya igciwane lesisu
- ukubonakala kobuhlungu obunzima bokuzilahla ngemuva noma emuva
- ukuvela kwengcindezi eqinile ekhanda
Uma unayo lezi zimpawu, kufanele ushayele ngokushesha i-ambulensi.
I-baby nondescript eyengeziwe, esondela emavikini angu 37 angu-37 okukhulelwa, iphakamisa amathuba okuba nomphumela omuhle womsebenzi. Izingane ezazalwa ngamaviki angu-34 kuya kwangu-37, ngokuyisisekelo azihlangabezi nobunzima obukhethekile. Uma ukubeletha kuqala ngaphambi kwamasonto angama-34 okukhulelwa, abasebenzi basebhedlela abalingani bangazama ukuyeka ukuqala kwenqubo yokuzalwa, okungenani ngezinsuku ezimbalwa. Lesi sikhathi sidingeka ukulungiselela umntwana okhanyayo. Amantombazane azalwa ngesonto lama-24 lokukhulelwa azodinga ukunakekelwa okukhulu kanye nemishini yakamuva.
I-thrombosis ekukhulelweni
Enye yezinkinga zokukhulelwa, okuyinto engaba yinkinga enkulu, ukubonakala kwezindwangu ezitsheni zemilenze. Izimpawu zabo ukuvuvukala kwemilenze, okuhambisana nosizi, ukushisa, ukubomvu kwendawo ethintekile. Le nkinga iyabizwa ngokuhlukile: i-thromboembolism ye-venous, i-thrombosis ene-venous, i-thrombophlebitis nabanye. Lezi zifo - lokhu akuwona umphumela oqondile wokukhulelwa, kodwa kule nkathi kukhona indalo yazo zonke izinto ezidingekayo zokuthuthukiswa kwazo. Zibangelwa ukuthi ukuguqulwa kwegazi kuyashintsha, ukugeleza kwegazi kunciphisa ngokusebenzisa izitsha zemilenze ngenxa yomsindo wesibeletho, ukwakheka kwegazi kanye nomphumela wezinqubo zokwenza ama-thrombus.
Amakilasi emavikini angu-21 okukhulelwa
Ungenza uhlu lwezipho umntwana. Ngisho noma umama wesikhathi esizayo engakuthandi uku "oda" izipho ezithile, kulokhu, mhlawumbe lena yindlela kuphela yokwamukela izipho eziwusizo esikhundleni sezinto eziningana ezingadingekile eziningi. Amaphutha amabili avamile: akudingeki ukuthi uhlele izingubo zezingane, ngoba wonke umuntu unalo lokuthanda okuhlukile. Ngesikhathi esifanayo izinto zithanda ukuthenga yonke into yabantwana, ngakho-ke cishe ngaphandle kohlu ungathola inqwaba yama-sliders, amasokisi, ama-blouses, akudingeki ukuthi ulindele ukuthi bonke bayayithanda.
Owesibini - ungesabi ukungena ohlwini olubizayo nelikhulu. Cishe, kuzoba nalabo abafuna ukuhlanganisa nokuthenga isipho esinjalo emkhombeni.
Izinguquko ezivame kakhulu ohlelweni lokuphefumula kwabesifazane abakhulelwe
Abesifazane abakhulelwe banokungqubuzana kwamanzi ngenxa yokuxoshwa kwe-mucus, okubangelwa i-estrogen. Isixazululo esiphephile kakhulu siphunga impumulo.
Uhlu lwezinguquko ohlelweni lokuphefumula kwabesifazane abakhulelwe:
- Ukuvame ukuphefumula kuhlala okufanayo;
- Ivolumu yokuphefumula ikhuphuka ngamaminitha angu-0.1 - 0.2;
- Ivolumu ye-Reserve exhaled iyancipha ngo-15%;
- Kunciphisa ivolumu yokusala;
- Umthamo obalulekile wamaphaphu uhlala ufana;
- Umthamo wokukhipha ukwanda ngo-5%;
- Umthamo wokugcina umsebenzi uyancipha ngo-18%;
- Ivolumu ngomzuzu yanda ngo-40%.