Kuzo zonke izikhathi zokubeletha ingane ezayo ikhula futhi ikhule. Izinguquko eziningi ezenzeka emzimbeni wakhe, zivame ukuthinta isimo sempilo nokubukeka kwesifazane okhulelwe. Ngakho-ke, amasonto angu-19 okukhulelwa angaphathelene nokunyuka kokuqala kwezinxenye zomzimba ngamunye ngenxa yokwanda kwe-somatotropin.
Amaviki angu-19 okukhulelwa - yiziphi izinyanga eziningi?
Abesifazane abakhulelwe bayabheka zonke izinsuku zokubeletha ngokulindela ukuhlangana nomntanakho. Ezimweni eziningi, leli qembu lihlelwa udokotela ngesisekelo sokuya esikhathini. Isiqalo sosuku lokuqala lokukhishwa kwenyanga njalo. Kutholakala ngenxa yezibalo ezinjalo, leli gama livame ukubizwa ngokuthi yi-obstetric (lihluke ekutheni lifakwe amaviki amabili).
Ngokuvamile, omama abalindele bacabanga ngezinyanga zokukhulelwa. Ezimweni ezinjalo, kunenkinga ekuhumusheni amasonto abike udokotela ezinyangeni. Ngokwenza njalo, ukuhumusha kwamasonto zibe izinyanga ezilula, ukwazi izici eziyisisekelo zokubala okunjalo. Odokotela njalo bathatha inyanga elilingana namaviki amane, kanti inani lezinsuku kulo liyi-30, kungakhathaliseki ukuthi bangaki enyangeni yekhalenda. Ngenxa yalokho, kuvela ukuthi amasonto angu-19 okukhulelwa - izinyanga ezingu-4 namaviki amathathu. Ngemuva kwesonto, izinyanga ezingu-5 zizoqala futhi ukubeletha kuzofinyelela "ku-equator".
Iviki eli-19 lokukhulelwa - kwenzekani kumntwana?
Ingane evikini le-19 lokukhulelwa ikhula ngesivinini esisheshayo. Kukhona izinguquko ku-CNS - ukuhlanganiswa phakathi kwamaseli we-nerve kwenziwa, ivolumu yobuchopho iyanda. Ngenxa yalokho, ukusabela okuguquguqukayo kuba nzima kakhulu, umsebenzi we-fetus owenziwe ngezimoto ukwandisa: uvame ukuhamba ngezimbambo nemilenze, udla isithupha sesandla. Lokhu kuqinisekiswa yi-ultrasound.
Kukhona ukuthuthukiswa kwesistimu yokugaya ukudla. Emathunjini uqala ukuqoqa ikhal - meconium yasekuqaleni. Iqukethe i-amniotic fluid ehlanjululwe kancane, ehlaba umntwana, namaseli afile emathunjini. Ukuqoqa kwenzeka kuze kube sekupheleni kokukhulelwa, futhi ukukhishwa ngaphandle kubonakala ngemuva kokubonakala komntwana ekukhanyeni. Izinso ngalesi sikhathi zihlukanisa umchamo owenziwe emanzini e-amniotic fluid, lapho kukhishwa khona uhlelo lomchamo lomama.
Ukuphakama kwesibalo nesisindo emavikini angu-19
I-fetus ngesonto le-19 lokukhulelwa liyaqhubeka likhula futhi lithande isisindo. Isivinini salezi zinqubo kanye nezindinganiso zezikhombisi ze-anthropometric zithembele kwisici esikulo kanye nokudla komama ozayo. Kubonakala ukuthi ukungena kwamanoni amaningi kanye nama-carbohydrate emzimbeni kuholela esimweni esisheshayo sesisindo sesithelo. Abesifazane abaningi abakhulelwe abanodokotela abakhuluphele batusa ukunamathela ekudleni.
Kumele kuqashelwe ukuthi ukukhula nesisindo se-fetus sithinta izici zomuntu ngamunye zentuthuko. Kodwa-ke, lapho benza i-ultrasound, odokotela bayabanakekisa, beqhathanisa ubuncane bomntwana ngesikhatsi esilindelekile sokukhulelwa. Uma kunamaviki angu-19 okukhulelwa, ubude bomntwana obude buyi-22-25 cm. Isisindo somzimba wengane esizayo siyashintsha futhi ngalesi sikhathi cishe ngo-300 g.
Ukukhulelwa amasonto angu-19 - ukuthuthukiswa kwe-fetus
Lapho ukukhulelwa kungamaviki angu-19, ingane iqala ukuqala esiteshini esisha. Umcimbi oyinhloko kuleli sonto ukuphothula ukwakheka kwe-placenta. Lesi sitho sisebenze isikhathi eside, kodwa kuphela ngalesi sikhathi isiyingi sesithathu sokujikeleza kwegazi sakha. Kusukela ngalesi sikhathi, isivinini esisezingeni eliphansi sisebenza ngokugcwele, ukuvikela ingane yakho emiphumeleni yezilwanyana eziphilayo.
Kumele kuqashelwe ukuthi i-placenta yenza imisebenzi eminingi ebalulekile, phakathi kwayo:
- Ukuphefumula - ukuhlinzeka nge-fetus nge-oxygen.
- I-Trophic - izinto eziwusizo zithunyelwa embusini ngokusebenzisa i-placenta.
- Ukuvikela - hlanza igazi lomama nge-barrier hematoplacental.
- I-Hormonal - ibandakanyeka ekuqalisweni kwamahomoni adingekayo ekutshaleni kwe-fetus nokukhula kwayo.
I-fetus ibonakala kanjani emavikini angu-19?
Ingane evikini le-19 lokukhulelwa lishintsha kancane. Isikhumba sisazobe sine-tint ebomvu, kodwa asizona ezincane njengoba ngaphambili. Ngaphezulu kwawo, kuvela kancane kancane i-grease emanzini, engavikela isikhumba kuphela emthonjeni we-amniotic fluid, kodwa iphinde ikhuthaze ukunyakaza kwe-fetal ngokusebenzisa umsele wokuzalwa ngesikhathi sokubeletha. Nsuku zonke uhla lwe-fat subcutaneous landa. Ngalesi sikhathi, ukuqoqwa kwawo kwenzeka endaweni yezinso, amabele. Ubuningi be-fat subcutaneous banda futhi emathuneni, ngenxa yokuthi umntwana ubheka kanjani usana olusanda kuzalwa.
Iviki eli-19 lokukhulelwa - elivuthayo
Ukuzikhumbuza ngeviki le-19 lokukhulelwa kukhula kakhulu. Nokho, akubona bonke abesifazane abakhulelwe abangazizwa ngalesi sikhathi. Ezimweni eziningi, izenzakalo ezifanayo emavikini angu-19 okukhulelwa abhaliswa ngabesifazane, bephethe izingane zesibili kanye nezalandela. Amakhomishana aqaphela ukunyakaza kokuqala kwe-fetus ngasekupheleni kwesonto. Ngesikhathi esifanayo, bachaza ukuzwa ngezindlela ezehlukene: othile ufanisa nokukhanya kwehlanzi, umuntu-ekuqhumeni kwe-butterfly.
Isibonakaliso esibalulekile senhlalakahle jikelele nesimo se-fetus ingumonakalo wokuphazamiseka okwenzayo. Odokotela batusa ukulungisa izikhathi zomsebenzi phakathi nosuku nokubala. Isikhathi esihle sokubheka okunjalo yisikhathi esiphakathi kwamahora angu-9 kuya kwangu-19. Ingane evikini le-19 ngalesi sikhathi kufanele izenze zizwe okungenani izikhathi ezingu-10. Ukunciphisa noma ukwandisa kwalesi sibonakaliso kungumphumela ongaqondile wokuphulwa okungenzeka futhi kudinga ukuxilongwa okwengeziwe.
Iviki lokukhulelwa - Kwenzekani kuMama?
Ukukhuluma ngokuthi yiziphi izinguquko ezihambisana neviki le-19 lokukhulelwa, kwenzekani emzimbeni womama ozayo, odokotela bayabona ukwanda okukhulu kwesisindo. Lesi sibonakaliso sincike ezintweni eziningi, ngakho-ke kungahlukahluka. Ngokwesilinganiso, ngalesi sikhathi isisindo somzimba wesifazane okhulelwe sanda ngo-4-5 kg uma kuqhathaniswa nomunye wokuqala. Ngaphezu kwalokho, kungenzeka ukwandisa izingxenye zomzimba zomama wesikhathi esizayo.
Iviki eli-19 lokukhulelwa lihambisana nokukhula okusheshayo kwe-fetus, okubangelwa ukwanda kwe-hormone ye-somatotropin. Ibuye ingene emzimbeni womama, ijubane ukuhlanganiswa kwe-DNA ne-RNA emasethini. Ngenxa yezinqubo ezinjalo, abesifazane ngabanye bangaqaphela ukwanda okulingana emakhaleni, ezindlebeni, iminwe ezandleni zeviki le-19 lokukhulelwa. Kufanele kuqaphele ukuthi emva kokuzalwa kwengane yonke into ibuyele evamile futhi ithatha usayizi ofanayo.
Iviki eli-19 lokukhulelwa - inzwa yowesifazane
Ngesikhathi sokukhulelwa kwamasonto angu-19, ukuthuthukiswa kwe-fetus nokuzwa komama olindelekile kuhlobene nokuhamba kokuqala kwengane. Ekuqaleni aziqondi kahle, zinezinga eliphansi kanye nemvamisa, ngakho-ke akubona bonke abesifazane abakhulelwe abaqaphelayo. Emgodini wesibindi kukhona namanje isikhala esikhululekile, umntwana angashukumisela kalula futhi ngaso sonke isikhathi uthinta udonga lwesibindi ngesibambo noma umlenze. Abesifazane abakhulelwe bayaqaphela ukuthi ngalesi sikhathi umntwana usinezidakamizwa zakhe: ngesikhathi esithile sosuku asebenza ngayo, kwesinye - ulala ngaphezulu.
UBelly ngeviki eli-19 lokukhulelwa
Isibeletho ngeviki le-19 lokukhulelwa, ngokuqondile, phansi kwalo kutholakala 18-19 cm ngaphezu kokukhulumisana okulodwa. Njengoba ingane ikhula, ivolumu yomzimba iyanda, ikakhulukazi phezulu. Ngesonto ngalinye, ukuphakama kokuma kwe-uterine fundus kuzokwanda ngo-1 cm. Ukuma kwesisu kuhlala ku-ovoid, inkaba iyaqala ukunamathela kancane kancane ngenxa yokwanda kwesayizi.
Ngenxa yokwanda kwesisu, isikhungo sokuguqulwa kwamandla adonsela phansi. Owesifazane uqala ukuhamba, egxile emuva. Ngesikhathi esifanayo, umthwalo wesifazane okhulelwe uyashintsha: uma uhamba, wonke umzimba womzimba usakazwa emlenzeni osekelayo. Ngaphandle, lolo hlobo lufana nedada, futhi, lapho sibona owesifazane ngisho nangemuva, singasho ngokuqiniseka ukuthi uthwele umntwana.
Ukunikezwa emavikini angu-19 wokubeletha
Iviki leshumi nesishiyagalolunye lokukhulelwa lingaphathelene nokukhuphuka komthamo wokukhulelwa kwesisu. Ngokuvamile ziba ziningi futhi ziluhlaza ngokwengeziwe. Noma kunjalo, umbala wabo awushintshi. Ngokujwayelekile, lokhu kuyisihenqo esicacile noma esimhlophe sokungaxhunyiwe, okungenakho iphunga elimnandi (ngezinye izikhathi kunomqondo omncane ozwakalayo obunzima). Noma yiziphi izinguquko eziphathelene nombala, ukungahambisani, iphunga lemfihlo, kudinga ukuvakashela udokotela. Ngokumelene nesimo sokuzivikela komzimba wancipha, kungase kube khona ukukhushulwa kwezifo ezingapheli ezingathinteki ukukhulelwa.
Ubuhlungu ngeviki le-19 lokukhulelwa
Lapho inyanga yesihlanu yokukhulelwa sekuphelile, owesifazane angase abuke ukubukeka kwesikhashana kwemizwa ebuhlungu esiswini esingaphansi. Kodwa-ke, ayibalulekile kakhulu futhi afushane ukuthi abesifazane abaningi abakhulelwe abathinteli ukubaluleka kubo. Yilokho ukuqeqeshwa ukulwa kubonakala ngokwabo. Bamele ukunciphisa okuzenzakalelayo kwi-myometrium yezibeletho, okungaholela ekuqalisweni komsebenzi. Ezimweni eziningi, lesi senzakalo sinyamalalala lapho isimo sokukhulelwa komzimba sishintsha.
Ngokuqondene nokwanda kwesisindo nobukhulu be-fetus, umthwalo emilenzeni uyanda. Uma sekukhona amasonto angu-19 okukhulelwa, abesifazane abaningi bayaqaphela ubuhlungu obuhlungu emisipha yamathole, izinyawo eziqinisa ebusuku, emva kokuhamba okude noma umthwalo. Ngokumelene nesimo sezinguquko ezinjalo, ubuhlungu ngemuva nangokwehla emuva kungenzeka. Ukuze kunciphise imvamisa yokubukeka kwabo, odokotela bayeluleka:
- Phumla ngokubeka umcamelo noma u-roller ngaphansi kwezinyawo zakho, ubapha isikhundla esiphakeme.
- Gqoka izicathulo ngesivinini esincane, shiya izithende.
Ukuhlolwa kwamaviki angu-19 okukhulelwa
I-Ultrasound yamaviki angu-19 wokukhulelwa yisifundo sesibili esisimthethweni (ngokuphelele, i-ultrasound yenziwa okungenani kathathu ngesikhathi sokubeletha). Kuyasiza ukunquma isimo se-fetus, izici zokuthuthukiswa kwayo, indawo emgodini we-uterine, uhlobo nendawo ye-placenta. Ngenxa yalendlela, odokotela bangakwazi ukuthola ukuthi kungenzeka yini ukuphazamiseka okungenzeka, ukukhubazeka okuthuthukisiwe, ukungaboni kahle kokuzalwa. Ngaphezu kwalokho, banaka ubulili bomntwana. Izindlela zezinkomba ezinkulu zihlinzeka etafuleni.
Izingozi ngeviki le-19 lokukhulelwa
I-trimester yesibili ivame ukuvela kahle. Ukuphazanyiswa kanye nezinkinga ngalesi sikhathi akuvamile. Kodwa-ke, kwezinye izimo, isikhathi sokukhulelwa samasonto angu-19 singase sihambisane ne-pathology njengokukhulelwa. Ngalokhu kuphulwa, kunyuke noma, ngokuphambene nalokho, kunciphisa emisebenzini yemoto yengane ezayo, okufanele kube isizathu sokuxhumana nodokotela. Phakathi kwezinye izingozi zalesi sikhathi:
- ukuphuma kwegazi;
- ukuphazamiseka kwamapayipi ;
- i-placenta previa.