Ingxenye yesibili yokukhulelwa ibonakala ngokukhula komntwana, ukuthuthukisa ukusebenza kwezitho zangaphakathi nezinhlelo. Nsuku zonke umntwana uyanezela, kancane kancane akhula amakhono afanelekayo. Kuyaphawuleka isonto lama-27 lokukhulelwa, lapho uhlelo lokuphefumula luqala ukuvuthwa.
Amaviki angu-27 okukhulelwa - zingaki izinyanga?
Izitho zokuzivikela zihlale zibonisa isikhathi sokubeletha ngamasonto, ngakho-ke abanye besifazane abakhulelwe banenkinga yokuyihumusha ezinyangeni. Odokotela ngokunciphisa izibalo ngokomzimba kuthatha ubude benyanga amaviki amane. Kulesi simo, inani lezinsuku ngayinye liyi-30, kungakhathaliseki ukuthi isikhathi sekhalenda senyanga sini.
Njengoba unikeziwe lezi zici, ungabala: amasonto angu-27 - lena inyanga yesikhombisa yokukhulelwa, ngokuqondile - izinyanga ezingu-6 namaviki amathathu. Kumele kuqashelwe ukuthi izibalo ezinjalo zinemibandela, futhi isikhathi sokutholwa esisungulwa ngale ndlela sihluke kunokoqobo futhi sibhekwa njengegama le-obstetric yokukhulelwa. Kungaba izinsuku ezingama-24 ubude kune-embryonic (kubhekwa kusukela ngosuku lokukhulelwa).
Isonto lama-27 lokukhulelwa - kwenzekani kumntwana?
Ingane evikini lama-27 yokukhulelwa ikhula ngokushesha. Lokhu kungenxa yokuthuthukiswa okusebenzayo kobuchopho bakhe. I-pituitary gland iqala ukukhiqiza inani elikhulu le-somatotropin, i-hormone ephethe ukukhula. Ngokufanayo, kune-activation yezinye izigcawu ze-endocrine: ama-pancreas, i-thyroid. Lezi zindlela ezenza izinto ezibonakalayo zithinta izinqubo zamathambo emzimbeni wengane, izinga le-calcium emzimbeni wakhe, ukuthuthukiswa kwamakhono engqondo. I-fetus kancane kancane ilahlekelwe ukuthembela kwayo emlandweni we-hormonal womama.
Ngalesi sikhathi zonke izinhlelo zangaphakathi nezinhlaka zakhiwe. Ukuthuthukiswa okuqhubekayo kuqhubeka nokuzivikela komzimba, ukuphefumula nokwesaba. Amapayipi enza ama-alveoli ngezifundo ze-alveolar. Ukuthuthukiswa komuntu osebenza ngokushisa - into esiza ukuvula kalula emva kokuphefumula kokuqala eyenziwa yintsana, ivimbela i-alveoli ukuba ihlangane ndawonye.
Amaviki angu-27 ukugqoka - isisindo nokukhula kwe-fetus
I-fetus ngesonto lama-27 lokukhulelwa lifinyelela ngobukhulu obukhulu futhi liqhubeka likhula. Ubude bomzimba wakhe ngalesi sikhashana ngu-36-37 cm, nesisindo sakhe singama-850-900 g. Njengoba ubukhulu bomzimba buyanda, umama olindelekile uqala ukuzwa ukunyakaza kwakhe okukhulu, ukuzamazama kube namandla kakhulu, ngakho-ke ngeke ukwazi ukunakwa. Kufanele kukhunjulwe ukuthi ukukhula nesisindo sezinsana ezizayo ngqo kuxhomeke kulokhu:
- ukulinganisa owesifazane okhulelwe;
- isithandwa.
Iviki lama-27 lokukhulelwa - ukuthuthukiswa komntwana
Lapho ukukhulelwa kungamaviki angu-27, ukuthuthukiswa kwe-fetal kuhloswe ekuthuthukiseni amakhono akhe, ukuthuthukisa ukusabela okusha okuguquguqukayo. Ingane isilungele kancane kancane izimo ezintsha. I-Reflexes iyinkimbinkimbi elula kakhulu: ivula futhi ivala amehlo, ingathola kalula isandla sayo ngomlomo wayo futhi ivame ukuthatha umunwe. Ngalesi sikhathi wenza ukunyakaza ukuphefumula ukuphefumula, ngezikhathi ukugwinya amniotic fluid.
Ngokuvamile, lapho isonto lama-27 lokukhulelwa liqhubeka, ama-rhythms abalulekile ebantwaneni asevele asungulwe. Ingane ilele cishe ngesikhathi esifanayo, vuka. Nokho, umbuso wakhe awuhambisani ngaso sonke isikhathi nonina. Abanye besifazane abakhulelwe baphoqeleka ukuba bavumelane nesimiso sosuku lomntwana ozayo, bashintshe imikhuba yabo, bavuselele isigqi esisha sokuphila. Ngenhlanhla, umama ngokushesha usetshenziselwa izinguquko.
Iviki lama-27 lokukhulelwa - ukunyakaza kwesisu
Ukuzikhumbuza ngeviki lama-27 lokukhulelwa kuzuza kakhulu, kuyilapho inani labo lixhomeke ngokuphelele ekubuseni kosuku lomntwana. Isithelo sisasebenza ikakhulu emini nasemini. Masinyane nje odokotela bathiwa kufanelekile ukubala inani lezinkinga. Le pharamitha ithathwa ngokucabangela lapho kuhlolwa isimo sesana.
Kunezindlela eziningana zokubala inani lokuphazamiseka. Ezimweni eziningi, izigciwane zezinzwa zincoma ukuncoma inani lokumemeza nokunyakaza okusebenzayo phakathi nosuku, kusukela ngo-9: 10 ekuseni bese kuphele ngo-6: 7 ntambama. Phakathi nalesi sikhathi, owesifazane okhulelwe kufanele abhale okungenani iziqephu ezingu-10 zomsebenzi wengane. Ngokwesilinganiso, izithelo zenza uzizwe izikhathi ezingu-3-4 ngehora. Uma umama wesikhathi esizayo enezinguquko ezingaphansi kwezingu-10, lokhu kumele kubikwe kudokotela. Izinguquko emisebenzini yemoto ye-fetus zibonisa ukuphulwa okungenzeka ukuthi:
- i-hypoxia ;
- ukuphazamiseka kwamapayipi;
- ukukhula kwe-fetus.
Iviki lama-27 lokukhulelwa - umntanakho ubonakala kanjani?
Ingane evikini lama-27 yokukhulelwa ibukeka njengengane esanda kuzalwa. Ngalesi sikhathi, usungule ingxenye ebusweni bekhanda, yakha izitho zombono nokuzwa. Ekusebenzeni kwe-US ngaleli gama udokotela angaqaphela, ukuthi amehlo omntwana asevulekile kakade. Ekhanda kukhona izinwele, ukuguqulwa okwenzekayo ngalesi sikhathi. Ngosizo lwamadivayisi wanamuhla we-ultrasonic, zonke lezi zinguquko zingacatshangwa ngokuningiliziwe.
Lapho isonto lama-27 lokukhulelwa lifika, umbala wesikhumba kancane kancane uguquka kusuka obomvu kuya kumhlophe. Kukhona ukwanda kobuningi besendlalelo samafutha angaphansi kwesikhumba. Ngenxa yalesi sakhiwo ezinsukwini zokuqala zokuphila, umntwana osanda kuzalwa uzothola amafutha alahlekile, okuhlukanisa, ukunika amandla namandla kumntwana. Umzimba wengane ngalesi sikhathi uqala kancane kancane, ubizwa ngokuthi amahlumela esikhumba, isici sezingane.
Isonto lama-27 lokukhulelwa - kwenzekani kumama?
Ufuna ukwazi ukuthi isonto lama-27 lokukhulelwa liqhubeka kanjani, kwenzekani ngalesi sikhathi emzimbeni kamama, abesifazane abakhulelwe bavame ukuphendula umbuzo ofanayo nodokotela. Phakathi kwezinguquko ezisobala, kubalulekile ukuphawula ushintsho lwangaphandle lwendalo. Ngakho-ke, isisindo seviki lama-27 sokukhulelwa siyaqhubeka nokukhuphuka futhi, ngokwesilinganiso, ukwanda kwalesi sikhathi ku-5-7 kg. Leli nani liguquguqukile, ngoba lithonywe yizici ezifana nalezi:
- uhlobo lomsoco;
- izici zokudla;
- isilinganiso semethamo;
- indlela yokuphila.
Ngokwezimiso ezisungulwe, ngalesi sikhathi owesifazane ungeza u-300-500 g weviki elilodwa lekhalenda. Ngaphezu kwalokho, isonto lama-27 lokukhulelwa libhekene noshintsho ekuthunjweni nasekuthandweni kowesifazane okhulelwe. Njengoba isikhathi sanda, umzimba we-fetal wanda, okwenza isikhungo sokuvuthwa kwemvelo sishintshe. Isisu sidonsa phansi, ngakho-ke lona wesifazane usakaze amahlombe akhe ukuze anciphise umuzwa futhi akhulule umthwalo emgodleni, awabuyisele emuva.
Ukukhulelwa amasonto angu-27 - ukuthuthukiswa kwe-fetus nokuzwa
Iviki leshumi nambili lesikhombisa lokukhulelwa kwabesifazane abaningi abakhulelwe lihambisana nokukhathala okuqhubekayo. Owesifazane uphethwe izinzwa ezibuhlungu, ukuphefumula, ukukhululeka, isitobhu, ukubhubhisa, ukushaya inhliziyo. Lezi zenzakalo zihlotshaniswa nokukhula okusheshayo kwe-fetus nokunyuka ngobukhulu besisu. Isitho sobulili sinengcindezi ekhulayo ezingxenyeni ezingomakhelwane, ngenxa yalokho izimpawu zivela khona.
Ingane isivele isakwazi ukusabela kulokho okwenzekayo. Uzwa isimo sengqondo sikanina, kanye naye uyakwazi ukuzwa imizwelo. Uma ingane ikhathazekile ngento ethile, ayiyithandi, izobe isitshengisa lokhu ngokukhulisa umsebenzi wayo wemoto. Njengoba kunikezwe lokhu, umama olindelekile kufanele akhiphe ngokuphelele isipiliyoni, ukucindezeleka, ukunakekelwa kwengane, ukukhuluma naye.
UBelly emavikini angu-27 ukubeletha
Isisu sibonisa ngenyanga yesikhombisa yokukhulelwa. Ngalesi sikhathi phansi kwesibeletho sisethelwe u-5-7 cm ngaphezu kwenkaba noma u-27-28 cm, uma ubala kusukela ekukhulumeni okulodwa. Kulesi simo, owesifazane okhulelwe uqala ukuzwa ukungathandeki okuhambisana nokwanda kwendumbu yesisu:
- ukuphefumula;
- ukuqotshwa ;
- i-heartburn ;
- ukuphazamiseka kokulala.
Kwezinye izimo, umsebenzi okhulayo ubangela ukuzwa okubuhlungu. Kudingeka bakwazi ukuhlukanisa kulabo abonisa ukuphulwa. Ukuchoboza, ubuhlungu obukhulu isikhathi eside, ukungabi yedwa kudinga ukungenelela kwezokwelapha, ngakho ukuvakashela kudokotela kufanele kube okuphuthumayo.
Ukunikezwa kwamasonto angu-27 ukubeletha
Ngokwejwayelekile, ngenyanga yesikhombisa yokukhulelwa, ukukhishwa kwamagciwane akuhambisani nhlobo, akusho umbala, iphunga, ukungeniswa kwemvelo. Kulokhu, owesifazane okhulelwe akakhathazi. Ukukhathazeka kufanele kubangele ukuguqulwa, ukungaguquguquki noma ivolumu yokukhulelwa kwamagciwane. Okumhlophe, okuphuzi, okuluhlaza, nokuxubana kwe-pus kanye nephunga elimnandi lokuphuma ngaphandle kubonisa ukunamathiselwa kokutheleleka okungasongela ukukhulelwa kanye ne-fetus. Ekubukeni kwabo, kuyadingeka ukuthi bazise ngokushesha udokotela obona ukukhulelwa. Ukuze usungulwe imbangela yezidakamizwa zokugula, yenza:
- smear kwi-microflora;
- isiko lesibhaktheriya sesampula.
Ubuhlungu ngeviki lama-27 lokukhulelwa
Isisu siyagula ngenyanga yesikhombisa yokukhulelwa kwabaningi omama abalindele. Lokhu kubangelwa ukwandiswa kwezixhobo zomgudu kanye nemisipha yomzimba ngenxa yokukhula kwesibeletho. Ukuzwa okunjalo okubuhlungu kuvame ukuphakama lapho isimo somzimba sishintsha: imigodi, izingxenyana zomzimba. Ukudweba izinhlungu emathunjini aphansi kungahlanganiswa nokulwa ukuqeqeshwa. Lesi simo sivame ukubizwa nge-periodic, hhayi izingqinamba eziqinile ze-myometrium ye-uterine. Ukulwa okunjalo kuvele futhi ngokuzumayo, njengoba beyanyamalala, banesikhathi esifushane.
Ubuhlungu esifundeni sesisu esisuka ekuqaleni kwe- trimester yesithathu kungase kuhlotshaniswe nokukhubazeka komgudu wamathumbu. Ngokuvamile, ihambisana nezimpawu zokuphazamiseka kokugaya ukudla: isitembu, isicanucanu, ukushaya kwenhliziyo, ukugubha. Ukwamukelwa kwe-enzymes yokugaya ukudla kuvumela ukuxazulula inkinga nokuvimbela okwenzekayo okuphindaphindiwe. Ukusetshenziswa kwezidakamizwa ezinjalo kufanele kuvunyelwane nodokotela.
Amaviki angu-27 okukhulelwa - i-ultrasound
Iviki lokukhulelwa elikhukhumezayo yisikhathi esifanele se-ultrasound. Kodwa-ke, ayinqunyelwe kubo bonke abesifazane abakhulelwe, kodwa kuphela uma kukhona izinkomba ezithile. Ngenkambiso enjalo udokotela uhlola umsebenzi wenhliziyo, uhlelo lokuphefumula, uhlola ingane yakho ngokungajwayelekile kwezokuthuthukiswa. Ukuqaphela ikakhulukazi kubhalwa indawo kanye nesimo se-placenta, ubukhulu bayo, inani le-amniotic fluid evikini lama-27 lokukhulelwa. Ukwakhiwa kwangaphakathi nangaphandle kwesibeletho kuvaliwe ngalesi sikhathi.
Ukuya ocansini ngenyanga yesikhombisa yokukhulelwa
Isikhathi sokubeletha samasonto angu-27 akusona ukuphikisana komuntu osondelene naye, uma ukubeletha kwenzeka ngaphandle kwezinkinga. Kwezinye izimo, umsebenzi wobulili awunqatshelwe futhi isizathu salokhu ithoni ngeviki lama-27 lokukhulelwa. Odokotela bavimbela ngokuqinile ukulala ocansini omama futhi lapho:
- usongo lokuzalwa ngaphambi kwesikhathi ;
- i-placenta previa ;
- ukuphazamiseka okuyingxenye ye-placental.
Uma wenza uthando, kufanele ukhethe izikhundla lapho ukucindezeleka esiswini kuphelelwe khona ngokuphelele:
- elele eceleni kwakhe;
- owesifazane on.
Ukubeletha emavikini angu-27 ukubeletha
Izingane ezizalwa ngesonto lama-27 lokukhulelwa zinethuba eliphezulu lokusinda. Kodwa-ke, ezimweni eziningi, usana luzodinga ukudala izimo ezikhethekile, lapho kufakwa khona ekuphepheni. Odokotela baqhubeka beqapha imingcele esemqoka - i-palpitation, izinga lokuphefumula, izinga lokuphefumula kwegazi oksijini. Umbono womphumela uhle futhi uxhomeke ku:
- ukuqaliswa kokwelapha okwesikhashana;
- inani lokuphulwa.