Ngesonto lama-20 okukhulelwa, akukho perturbations - kungani? Kwenzekani kulesi sigaba yokukhulelwa

Waqala engxenyeni yokukhulelwa wesibili, zonke umama yesimanje kufanele bazazi zonke izenzakalo ezenzeka ngaphakathi kuwo, kumelwe ukulawula yonke inqubo sokukhulelwa, ukwazi ukuthi wakhe futhi umntwana wakhe ongakazalwa senzeka esikhathini esithile ekuphileni kwabo. Le nkathi kuletha yinto entsha, isithelo Emasontweni onke okukhulelwa 20 usevele ukuqala ukuhambisa ukuhambisa, kungabonwa hhayi kuphela e-US, kodwa futhi umqondo kakhulu.

Govuza kule nkathi sokukhulelwa

amasonto 20 - okungukuthi nengxenye ekhulelwe, okuyiwona kakade isidlulile izinguquko eziningi njengoba umama okhulelwe kanye umntwana okhulayo. Sesiqalile uzizwe inyakaza imvuthuluka, Babukeka njengezihlahla uthuthumele encane, ezinye uqhathanise "flutter zezimvemvane" esiswini. Abesifazane uqale ukuzizwa ingane akufani: othile ngesonto 16-17 th, futhi umuntu phezu 21-22 th. Lo mehluko wenza is etholwe isisindo emzimbeni womuntu wesifazane, umsebenzi fetus. Okuningi usinamathelise sebeqala ukuzizwa inyakaza phambi kwakhahlela. Nakuba aphethe ingane inikeza unina umuzwa omangalisa kunayo yonke, isimo liyaphuma futhi sokukhulelwa ngokwayo senzeka emnandi. imizwelo eyakhayo ukukhiqiza ama-hormone zenjabulo, kuba kuphela ngenxa yabo eceleni ekuhluphekeni ezifana oligohydramnios, umzanyana previa noma toxemia e senyanga 3rd.

ngesonto lama-20 okukhulelwa, akukho perturbations? Asikho isidingo sokukhathazeka ngoba ngalesi sikhathi zenzeka njalo noma ingashabalala okwesikhashana, futhi lokhu kubhekwa evamile ukukhulelwa, ukuziphatha okunjalo ingane akufanele kube isizathu sokukhathazeka. Nokho, kumelwe baqaphe, nge ukungabi eside perturbation ngokushesha uxhumane Udokotela Wabesifazane yakho, uma kungenjalo it may nke sokuphela yisisu. Kuleli elithi angakhiqiza lokuzalwa yokufakelwa, uma ochwepheshe kutholwa ezinye angahlangani fetus. Lokhu kwenziwa ukuze avimbele ukuzalwa komntwana futhi uqede izingozi engasimeme ukuba kokuphila kukamama phakathi nenkathi yokukhulelwa nokubeletha elandelayo.

umama okhulelwe kufanele wazi ukuthi emizuzwini engu-30 ingane wakhe kufanele benze 20-60 perturbations. Amandla, isigqi, Tempo ukunyakaza incike isikhathi sosuku: ngaphezulu eshukumisayo asebenzayo lobusuku kusihlwa, futhi isikhathi ukuphumula cishe kube sentathakusa. Boys ezibhekwa asebenzayo ezingaphezu kuka amantombazane.

10 uchungechunge (okungukuthi, wena wazizwa wiggling encane, bese eqala push, phenduka - ke ubhekwa okuningi) ngelanga kubhekwa wiggling evamile encane. Ukungabikho perturbations 10 ngelanga kusikisela hypoxia (ukuntuleka komoya-mpilo) ukwelapha kubalulekile ukubhekana kongoti. perturbations esiqhubekayo ezinzima ayawuveza sezimiso isikhundla umama. Uma ukunyakaza fetus ube buhlungu, ukubuyisa, esebenzayo kunangaphambili, lokhu kungase kube eyabonisa ekuseni umoya-mpilo esiteji ukuntula; e hypoxia okuqhubekayo wiggling okuxekethile abangajeziswa noma kunqanyulwe isivumelwane ngokuphelele.

Kumelwe sikhumbule ukuthi ingane Ungahambisa at nomsindo omkhulu lapho edla, ukungabi umoya ohlanzekile, futhi ngokuvamile ebusuku. Umntwana uzwe konke ngokucacile futhi ngaleyo ndlela kungenza abasabela ngayo abakucasulayo izici zakhe.

Ubukhulu umbungu, isisindo ingane kanye kumiswa

Ngezinye 20 amasonto sokukhulelwa Ubukhulu fetus kakade mayelana 25 cm, nesisindo kancane angaphezu kwangu-300 g, ibanga ukusuka umqhele iqolo ufinyelela cm 16. Umama uqala kakhulu ziyahlukahluka esiswini uqala ukwandisa ukubonakala, futhi lokhu akumangalisi, ngoba maphakathi lonke ukukhulelwa. Uma kukhona zokugula, ukukhula isisindo sengane kakhulu bachezuke kuyinsakavukela, sakubona fetus ukuthuthukiswa iziyaluyalu, futhi uma kukhona zokugula akwelapheki wezokwelapha wesimanje, kunconywa yokufakelwa lokuzalwa wesifazane.

Ngezinye Emasontweni onke okukhulelwa 20, ubukhulu fetus ayaqala nsuku ngokuphawulekayo yanda, ingane zakhekile kwezitho zangaphakathi futhi angase abe umsebenzi wabo siqu. Kwakukhona izinzipho, ungabona isithombe esisodwa ngesikhathi kalula. Seen okukhulu isisindo somzimba kanye ukuthuthukiswa ingane, womntwana usayizi kwanda zonke izinsuku zokuphila kwakhe, umama kufanele ukudla ngendlela efanele, ukuqinisekisa efanele ukuthuthukiswa ukukhulelwa. amasonto 20 - isikhathi lapho isikhumba womntwana mkhulu, kodwa nazo ukushwabana ngaphezulu. Lokhu kungabonakala lapho behlola ultrasound.

placentation okuphansi kule nkathi sokukhulelwa ingane

Lapho placenta (usiko phansi) itholakala 5 cm ngezansi os yangaphakathi ke ebhekene mkhuba placentation ongaphakeme. amasonto 20 okukhulelwa - liyinkathi lapho odokotela kungaba ukuxilonga isikhundla esiphansi placenta. Kodwa ungakhathazeki, placenta ngaphambi kwamasonto angu-34 kungaba uthuthe, wena umane kudingeka ukuqapha le nqubo ngosizo ultrasound ku ngokuya amasonto 16, amasonto 24-26 futhi amasonto 34-36. I-placenta umzimba ukuthi kukhiqizwa ngesikhathi sokukhulelwa. It has a function zokuzivikela, inikeza ingane nge-oksijini, kanye ngokusebenzisa ngomntanakhe uthola wonke umsoco ezidingekayo.

Ngokuvamile placenta ngesikhathi sokukhulelwa ku uhla evamile unamathele odongeni phambi noma ezingemuva kwesibeletho, eduze phansi yayo. Uma placenta unamathele ongaphakeme, kubhekwa zokugula - previa placenta, kodwa placentation ongaphakeme - lokhu akulona isethulo, njengoba siphansi, kodwa kukhona igebe phakathi kwakhe ophumayo ezingadingekile esibelethweni.

Ubangela placenta ongaphakeme lingaphathelaniswa ne myoma lesizalo, nokukhulelwa izingane eziningi ngasikhathi, lesizalo hypoplasia, isisu noma imiphumela nokudluliswa Izifo ukuvuvukala. Lokhu zokugula ingadala ukopha. Akunakwenzeka at esinomhlapho ongaphakeme ukwenza ukunyakaza abukhali kukhona umsebenzi contraindicated. esinomhlapho okuphansi kungathinta ezingenzeka embungwini, ngakho-ke uzothola umoya-mpilo omncane kanye nezakhi.

Iziphi ezinye izinkinga zingaba ulinde wesifazane kule nkathi sokukhulelwa?

Kule nkathi lezi zifo ezilandelayo kungehlela umama esizayo:

1. Preeclampsia (ie, toxicosis ngasekupheleni) - singenzeka esikhathini emasontweni 20-21 yokukhulelwa, nakuba ngokuvamile iningi livela ngesonto 36-39. Toxicosis kudingeka sinake olukhethekile, kungabangela lamabutho umzanyana, ngoba lesi simo singenzeka intrauterine ukukhula retardation. Toxicosis kubalulekile ukuqapha futhi njalo uthintane Udokotela Wabesifazane wakho ngezinguquko ezingabe zenziwe impilo.
2. Placenta previa. Placenta previa engenzeka yisisu. Isikhathi sokuba Emasontweni onke okukhulelwa 20 kungenzeka ukuthi umataniswe ne ukopha futhi ubuhlungu ngenxa yalesi sifo. Kulesi sigaba yokukhulelwa ultrasound ongabonisa isethulo, kodwa angaya ngokwa ultrasound kungaba liphindwe uma sebehlanganisa amasonto angu-24.
3. Oligohydramnios kungenzeka imbangela retardation engqondo nokuthuthukiswa ngokomzimba. Lokujabulela nokuntuleka kwamanzi singenzeka ukunyakaza lapho fetus.

Belly futhi uzizwe umama okhulelwe

20 Emaviki abakhulelwe: Kwenzekani umzimba owesifazane? Iphinde iqala ukushintsha ngokushesha ngaphandle nibonakala kubantu nilungile, manje ekupheleni kwesonto lama-20 kuze kube isisindo umama engezwa 3 kg, bese 4.5 kg. Esiswini sekwande nabadumile, kodwa namanje elise ngezansi nje inkaba, izingubo babe namanje kufanelana, iqala ukuba inkwantshu kwesisu. Phakathi nale nkathi yokuba sokukhulelwa kukhona ushintsho ukuma we displacement maphakathi gravity, futhi kukhona umthwalo omkhulu phezu emgogodleni kanye sacrum nomnyango hip. Baby Emasontweni onke okukhulelwa 20 likhula ngokushesha, owesifazane iqala ukuqaphela elula izimpawu emzimbeni wakhe. Namuhla, ungathola eziningi imikhiqizo yezimonyo ngokumelene le nkinga, ngeke kuphela ekunciphiseni nezibazi, kodwa ukuvimbela nesenzakalo yabo.

Kwaphela amasonto 20 okukhulelwa - akukho perturbations? Udinga ukwenza i-ultrasound, ngakho-ke kuyoba ethulile, ngoba isivele kungenzeka ukuzwa ukushaya kwenhliziyo womntwana, futhi ingasethwa, elinde umuntu - ungumfana noma intombazane.

Izimbangela Nezingozi izixazululo kwezindlela ingane lokuzalwa

lokuzalwa Artificial - ukushaya kanzima 20, ngezinye izikhathi baligcina nalapho amasonto 21, futhi izigaba kamuva yokukhulelwa. ngesonto lama-20 okukhulelwa, akukho perturbations? Lokhu kungaba isizathu lokuzalwa yokufakelwa. Isizathu ngokuziphatha kwabo nakho kungase osenyameni kwesikhathi amanzi, ukuthuthukiswa umbungu nge kwezinso, okuyisimo esisongela ukuphila unina. Abakwazi ukubizwa puncturing nolwelwesi, nokuphathwa prostaglandin.

Ultrasound ngesikhathi sokukhulelwa

Emasontweni onke okukhulelwa 20, kwenzekani ku-US? Namuhla, lolu cwaningo Isho okuningi mayelana oligohydramnios, izizathu okubangela toxemia, umzanyana previa, indawo yayo kanye isimo, kanye ukuphambuka enjalo esuka kuyinsakavukela, njengoba placentation ongaphakeme. amasonto 20 okukhulelwa - kuyinto isikhathi iphemithi isivele kungenzeka ukusungula ubulili wengane, kanye isisindo sayo, usayizi kanye nendawo.

Namuhla, sibonga inhlolovo, bheka ubukhulu ezifanele kwesikhathi sokukhulelwa ingane, sinake ukuthuthukiswa kwezitho zangaphakathi ezifana esiswini, izinso, amathumbu, isibindi, amaphaphu urinary kanye gallbladder. Ngokukhethekile ikhokhelwa survey inhliziyo, njengoba kungenzeka kule eside ukubona lokhu zokugula, ezinjengesifo senhliziyo, lesi ukuphambuka ubhekwa ezivamile.

ubulili

Uma ekhulelwe ngaphandle yezinkinga, wobulili akuyona contraindicated. Kuyadingeka ukuba ugweme zibhekise ukuthi acindezele esiswini, ngakho akufanele kube khona noma yimuphi ukungakhululeki, okufanele kwenzeke ngayo ngaphandle ubuhlungu, ngaphandle uketshezi, kungenjalo kubalulekile ukumisa nobuhlobo bobulili futhi uxhumane Udokotela Wabesifazane yakho.

isisu aphuthelwe

Kakade iphutha Emasontweni onke okukhulelwa 20, akukho perturbations isikhathi eside, ngalisa esiswini ezikhulayo - konke lokhu kungase kubonise wokudamba fetus. It is ngokuvamile baphawula amasonto 20, kodwa ungakwazi futhi lapho ethola ukuthi unesifo emva. Ultrasound ziqinisekisa ukungabi khona lantambama ukushaya kwenhliziyo, uma empeleni enjalo kuqinisekisiwe, kubalulekile ukuba afeze ukususwa ezingenzeka embungwini, ukuvimbela ukutheleleka. Ngokulandelayo, odokotela olwenziwa lapho ngihlolwa ukuze kutholakale imbangela ebunayo sokukhulelwa. Ngemva konyaka nengxenye, ungakwazi kabusha ukuhlela ukukhulelwa.

Uhlolo ezidingekayo ku ngesonto yokukhulelwa 20

Ngemva kwamasonto amaningi kudokotela 20 kuyadingeka ukuba ngezikhathi 2 ngenyanga. Ukuze ukukhulelwa ku uhla evamile kumele kube umchamo, igazi kanye ultrasound ehleliwe. Umchamo ukuhlaziywa kuyadingeka ukuze abone Izifo ukuvuvukala kwegazi - ukuqapha elithwala umoya-mpilo futhi izinga likashukela ultrasound ukukhombisa kahle ukuhlukumeza umbungu esikhathini esithile ukuthuthukiswa. Uma kudingeka afeze kwegazi kwamakhemikhali ihlola amazinga alpha-fetoprotein, hCG hormone, ngoba ukuhlonza esifike ingane iziyaluyalu zentuthuko.

ngesonto lama-20 okukhulelwa, ukuzehlukanisa

ngesonto lama-20 okukhulelwa ... Sensations wiggling encane imbangela imizwa elihle kunawo, kodwa futhi kukhona izikhathi kancane ezimnandi, ngoba kule nkathi sokukhulelwa ocucuzayo eba kakhulu kunangaphambili, lokhu kungenxa ukwanda estrogen hormone. Banezinhliziyo Milky noma lemicu empunga elinamathela othini, ayinaphunga ukungaguquguquki eyohlobo. Uma kunjalo, khona-ke ungakhathazeki. Ukwahlukana zingancishiswa ngokusebenzisa chamomile umhluzi nge amanzi abilisiwe for ekuhlanzeni.

Nokho, uma kukhona abangu egqanyisiwe ngombala oluhlaza noma ophuzi, kanye nephunga ezingemnandi, igwebu, izaqheqhe, kufanele ngokushesha xhumana nodokotela wakho. Ukubukeka olunegazi, izindawo ensundu, kanye nanoma yikuphi ukwabiwa, okuyinto ahambisana ubuhlungu esiswini, ayimbangela yazo ucingo "ambulensi". izimpawu ezinjalo kungenziwa kwabangela previa noma abruption esinomhlapho. Kulezo zimo, uma ukudedelwa olunegazi, kodwa hhayi ephelezelwa ubuhlungu, futhi kungenzeka emva kocansi, ungakwazi ukukhuluma khona ukuguguleka wesibeletho. Futhi, kungenziwa izifo eziningi esolwa uma uba ukulunywa endaweni yesitho sowesifazane sangasese. Kuzo zonke izimo, akudingeki ukuba self-medicate kanye nodokotela ngokushesha abayoba linqume ukwelashwa okufanele, nokukhulelwa luyoqhubeka ngaphandle izinkinga.