Isigaba sokugqibela sokukhulelwa: Yonke into malunga nekota yesithathu!

Uhambe umgama omde ekukhulelweni kwakho, akunjalo? Eli xesha lesithathu lokukhulelwa lixesha elikhethekileyo kakhulu, nelinzima kancinci. Lixesha apho uziva uchulumancile ngokubamba umntwana wakho, kodwa ukwanexhala nokudinwa okuncinci. Ngamafutshane, eli lixesha lokuba wena nomntwana wakho nikhule nize nilungiselele usuku olukhulu. Ngaba singathetha ngale nto ngokweenkcukacha?

Ithini ikota yesithathu yokukhulelwa? Iqala nini?

Sahlula ukukhulelwa sibe ziinxalenye ezintathu eziphambili, ezibizwa ngokuba zii-trimesters. I-trimester enye ihlala malunga neeveki ezili-12. I-trimester yesithathu ziinyanga ezintathu zokugqibela zokukhulelwa. Ukuchaneka, isusela kwiiveki ezingama-28 ukuya kwiiveki ezingama-40, okanye de umntwana azalwe .

Khawucinge nje, ekupheleni kwale xesha, isibeleko sakho siya kuba silingana nevatala! Usenokubona iimpawu ezintsha, ezinje ngokuphefumla kancinci, iintlungu zokubeleka ezingezizo, okanye ukubhitya kweBraxton Hicks. Usana lukhula ngokukhawuleza ngeli xesha, kwaye amalungu alo aphantse akhule ngokupheleleyo ngaphambi kokuba aphume.

Uninzi lweemibutho ezinkulu zempilo ziyavuma ukuba ikota yesithathu yokukhulelwa iqala kwiveki yama-28. Nangona kukho umahluko omncinci, uninzi loogqirha lubona iveki yama-28 njengesiqalo sekota yesithathu. Oku kuhlala de umntwana azalwe, okuhlala iiveki ezingama-39 okanye ezingama-40.

Unyango lwangaphambi kokubeleka oza kulufumana kwikota yesithathu

Ngeli xesha, ugqirha wakho uza kucwangcisa utyelelo oluqhubekayo ngaphambi kokukhulelwa ukuze ahlole impilo yakho nosana lwakho. Oku kungenxa yokuba bafuna ukujonga impilo yosana lwakho. Ngaphandle kokuba ukukhulelwa kwakho kuyingozi enkulu , uya kuhlala undwendwela ngaphambi kokukhulelwa rhoqo kwiiveki ezimbini ude ube neeveki ezingama-36 ukhulelwe. Uya kuba notyelelo ngaphambi kokukhulelwa kube kanye ngeveki kwiiveki ezine zokugqibela, ukusuka kwiiveki ezingama-36 ukuya kwezingama-40.

Ungalibali ukuxelela ugqirha wakho ngazo naziphi na iimpawu ezintsha okanye utshintsho olufumanayo kwezi kliniki. Eli likwalixesha elifanelekileyo lokubuza nayiphi na imibuzo onokuba nayo. Njengakwiikliniki zangaphambili, ezi zinto zilandelayo ziya kuhlolwa:

• Uxinzelelo lwakho lwegazi .
• Ubunzima bakho.
• Indawo kunye nobukhulu bomntwana esibelekweni.
• Ukuphakama kwesiseko.
• Isantya sentliziyo yomntwana .
• Umchamo wakho (oku kujonga izinto ezifana neproteni).
• Uza kwaziswa ngemigonyo ekufuneka uyifumane . Ugqirha uza kukuxelela ngemigonyo ecetyiswayo ngexesha lokukhulelwa.

Ngasekupheleni kokukhulelwa kwakho, abanye oogqirha baza kujonga umlomo wesibeleko sakho ukuze babone ukuba siqalile na ukuvuleka okanye ukucinywa. Baza kukuvavanya nebhaktheriya ebizwa ngokuba yiGroup B strep malunga neeveki ezingama-36.

Ukuba ukukhulelwa kwakho kusemngciphekweni omkhulu, okanye ukuba umhla wakho wokuzalwa udlulile, ugqirha wakho unokucebisa uvavanyo olungenaxinzelelo okanye iprofayili ye-biophysical ukuqinisekisa ngakumbi impilo yomntwana.

Ziziphi iimpawu onokuzilindela kwi-trimester yesithathu?

Xa ufikelela kwikota yakho yesithathu, usenokuziva ngathi ibhaluni sele iza kuqhuma! Asinguye wonke umntu oza kuba neempawu ezifanayo, kodwa abantu abaninzi baqala ukuziva iintlungu ezingakumbi ngeli xesha. Oku kungenxa yokuba umzimba wakho usakhula kwaye ulungiselela ukuzala.

Usenokuba nazo zonke okanye ezinye zezi mpawu:

• Ukuqunjelwa kwe-`(Braxton Hicks)`: Oku akufani neentlungu zokwenyani zokubeleka. Iintlungu zokwenyani ziyafika zihambe, kwaye ziba nzima ngakumbi ngokuhamba kwexesha. Kodwa i-`(Braxton Hicks)` zilula kakhulu, aziqhelekanga, kwaye azinyuki ngamandla. Zinokuvakala ngathi ziintlungu zokuya exesheni. Ziyancipha xa utshintsha indawo okanye uhamba kancinci. Kufuneka usele namanzi amaninzi .
• Ubunzima bokuphefumla: Ukuphefumla nzulu kunokuba nzima kancinci ngeli xesha. Isizathu esiphambili soku kukuba imiphunga yakho ayinandawo ingako yokukhula. Olu bunzima ngamanye amaxesha luyehla njengoko umntwana esiya ezantsi kwi-pelvis elungiselela ukuzalwa (oku kubizwa ngokuba yi-'lightening').
• Ukuchama rhoqo: Njengoko umntwana wakho ehla esinqeni sakho, ucinezela isinyi sakho. Oku kunokubangela ukuba ufune ukuchama rhoqo, kwaye unokuvuza umchamo xa uhleka, ukhohlela, okanye uthimla. Nangona kunjalo, ukuba uziva ngathi uvuza ulwelo lwe-amniotic, qiniseka ukuba uxelele ugqirha wakho.
• Isitshiso sentliziyo: Isibeleko sakho esikhulayo sinokubangela uxinzelelo esiswini sakho, okubangela ukuba kuvele i-asidi esiswini. Yiyo loo nto ibangela isitshiso sentliziyo kunye nokungagaywa kakuhle kokutya.
• Ukudumba: Ukugcinwa kwamanzi kunye nokwanda kobunzima kunokubangela ukudumba emilenzeni nasemaqatheni. Ukuphakamisa imilenze yakho kunokunceda ekunciphiseni oku kudumba.
• Imithambo yeVaricose kunye neHemorrhoids: Njengoko inani legazi emzimbeni lisanda, imithambo inokudumba. Oku kunokubangela ukuba kuvele imithambo yesigcawu ebusweni nasezingalweni, kwaye kuvele imithambo emikhulu emathangeni. IiHemorrhoids zinokwenzeka xa imithambo ekwi-rectum idumba.
• Ukungalali: Kunokuba nzima ukulala kakuhle ebusuku ngeli xesha ngenxa yokuya rhoqo kwigumbi lokuhlambela kunye nokungonwabi okubangelwa sisisu esikhulu.
• Ukuzalela: Le yimvakalelo yokuba namandla amaninzi okucoca indlu nokulungiselela yonke into yomntwana ngaphambi kokuba umntwana afike. Abanye abantu baziva benamandla kakhulu ngeli xesha, befuna ukucoca nokulungisa yonke into. Nangona kunjalo, nokuba awuziva ngolu hlobo, kuyinto eqhelekileyo. Abanye abantu baziva, abanye abaziva.

Khumbula, ukuba unenkxalabo ngayo nayiphi na impawu, ungaze ungathandabuzi ukubuza ugqirha wakho ngayo. Baza kukunika iingcebiso ezifanelekileyo, ingakumbi kuwe nakukukhulelwa kwakho.

Uzinyamekela njani kwi-trimester yesithathu?

Kuqhelekile ukuziva udiniwe kwaye ufuna ukunciphisa isantya kwiinyanga ezimbalwa zokugqibela zokukhulelwa. Kulungile ukuba ulahlekelwe ngamandla akho. Zama ukuhambisa umzimba wakho kwaye uzilolonge ngendlela ekhululekileyo kuwe. Kwabaninzi abantu , ukuhamba, i-yoga, kunye nokudada kuyanceda ngeli xesha. Ukongeza, kukho ezinye izinto onokuzenza ukuze uzinyamekele:

• Ukutya ukutya okunesondlo nokunokulinganisela .
• Ukusela amanzi amaninzi.
• Cela uncedo xa ulufuna. Abahlobo bakho, usapho, kunye neqabane lakho bonke banokukuxhasa njengoko usondela ekuzalweni komntwana wakho.

Nazi izinto ekungafanele uzenze ngexesha le-trimester yesithathu:

• Utywala, icuba, iziyobisi, kunye namayeza angabhalwanga ngugqirha.
• Inyama nentlanzi eluhlaza okanye engaphekwanga kakuhle ene-mercury eninzi.
• Iitshizi ezithambileyo kunye neemveliso zobisi ezingagayiwanga.
• Iibhafu ezishushu, ii-sauna, kunye namagumbi okusela umphunga.
• Imidlalo ebeka uxinzelelo olukhulu emzimbeni okanye imisebenzi enobungozi obukhulu bokuwa.

Iimvakalelo zeemvakalelo ngexesha le-trimester yesithathu

Ukongeza kwiimvakalelo zomzimba, unokufumana iimvakalelo ezahlukeneyo njengoko usondela ekuzalweni komntwana wakho. Kuqhelekile ukuba uzive uvuyo olukhulu nethemba kwelinye icala, kunye nexhala elincinci kunye noloyiko kwelinye icala. Ngaphandle kovuyo lokubona umntwana wakho, usenokuba nexhala malunga nokuzalwa nokuba ngumama. Khumbula, wonke umntu ufumana ukukhulelwa ngokwahlukileyo. Akukho ndlela ilungileyo okanye engalunganga yokuziva ngayo. Ukuba ufuna uncedo lokujongana neemvakalelo zakho, thetha nomntu ngazo.

Umntwana wakho ukhula njani kwikota yesithathu yokukhulelwa?

Usana olusesiswini lukhula ngobude nangobunzima ngeli xesha, lulungiselela ukuphuma. Amalungu alo aphambili ayaqhubeka nokukhula kwaye asebenza ngokupheleleyo ngexesha lokuzalwa kwalo. Kungcono ukuba umntwana abe sesibelekweni ixesha elipheleleyo (iiveki ezingama-39) ngaphambi kokuba azalwe. Usana lufumana ngaphezu kwesiqingatha sobunzima balo bonke kule trimester yokugqibela. Ngokwesiqhelo umntwana umi kwindawo entloko -ezantsi , oko kuthetha ukuba intloko yakhe ijonge ezantsi. Le yeyona ndawo ifanelekileyo yokuzala.

Ingaba umntwana wam ukhule ngokupheleleyo kwiiveki ezingama-27?

Hayi, umntwana ozelwe ngaphambi kwexesha akakhuli ngokupheleleyo kwiiveki ezingama-27. Ngenxa yenkqubela phambili kwisayensi yezonyango, umntwana ozelwe kwiiveki ezingama-27 unokusinda, kodwa umntwana uya kufuna ukungenelela okukhulu kwezonyango . Iintsana ezizelwe ngaphambi kwexesha kwiiveki ezingama-27 zisengozini enkulu yeengxaki kuba uninzi lwamalungu azo aphambili alukakhuli ngokupheleleyo.

Ziziphi iingxaki ezinokwenzeka kwi-trimester yesithathu?

Ezinye iingxaki zinokwenzeka ngexesha le-trimester yesithathu. Ezinye zezona zixhaphakileyo zezi:

• I-Preeclampsia: Le yimeko ebangela ezinye iimpawu, ezinje ngoxinzelelo lwegazi oluphezulu kunye neproteni kumchamo.
• Isifo seswekile sokukhulelwa: Esi sisifo esibangela amanqanaba aphezulu eswekile egazini.
• Ukubeletha ngaphambi kwexesha: Ukuqala kokubeletha ngaphambi kweeveki ezingama-37 zokukhulelwa.
• Ukuqhekeka kwe-membranes ngaphambi kwexesha (ngaphambi kokubeletha): Ukuqhekeka kwengxowa yamanzi ngaphambi kokuba kuqale ukubeletha.
• Uthintelo lokukhula ngaphakathi kwesibeleko: Umntwana ongekazalwa ungaphantsi kwe-10th percentile kubudala bokukhulelwa, njengoko kuhlolwe ngugqirha.
• Umqamelo: Indawo apho imilenze okanye iimpundu zomntwana zibekwe khona ukuze ziphume kwilungu lobufazi endaweni yokuba ziphume entlokweni yomntwana.

Ugqirha wakho uqhuba uhlolo rhoqo ukuze abone ezi ngxaki zinokwenzeka kwangethuba. Ngoko ke, kubalulekile ukuya kuzo zonke ii-tests kwaye wenze uvavanyo olufunekayo ukuze kuncitshiswe umngcipheko weengxaki ezinzulu.

Uyazi njani ukuba ukuzala sele kuqalile?

Kunokuba nzima kancinci ukubona iimpawu zokubeleka, ingakumbi ukuba lo ngumhla wakho wokuqala wokukhulelwa. Hlala ujonge ezi mpawu zibalulekileyo ukuze ubone ukuba ukubeleka kuyaqala na:

• Ukuncitshiswa: Ukuba ubeleka ngokwenene, ukuncitshiswa kwakho kuza kuqala ukusondelana kwaye kuye kunciphe rhoqo. Umzekelo, ukuncitshiswa okuqale rhoqo emva kwemizuzu eli-10 kuza kuza rhoqo emva kwemizuzu emi-5. Kwakhona, ubude bokuncitshiswa buza kwanda. Oku kuthetha ukuba ukuncitshiswa okuqale rhoqo emva kwemizuzwana engama-30 kuza kuhlala imizuzwana engama-60. Ekugqibeleni, ubunzulu bokuncitshiswa buza kwanda, oko kuthetha ukuba kuza kwanda rhoqo.
• Ukuqhekeka kwamanzi: Oku kunokuvakala ngathi kukuqhuma kwamanzi ngequbuliso kwilungu lobufazi, okanye njengokuphuma kwamanzi avuzayo.
• Ukubonakala kwegazi: "Ukubonakala kwegazi" kukuphuma kwegazi okwenzeka ngasekupheleni kokukhulelwa naxa umlomo wesibeleko uqala ukwanda. Oku akwenzeki kuwo wonke umntu.
• Ukuphuma kwe-mucus plug: Le "mucus plug" isebenza njengomqobo phakathi kwelungu lakho langasese kunye nesibeleko. Xa kuqala ukuzala, ingaphuma kwilungu lakho langasese iye kwimpahla yangaphantsi. Ngamanye amaxesha iphuma njengeqhubu, kodwa ngamanye amaxesha awuqapheli nokulibona. Ukuba nalo mqondiso akuthethi ukuba uza kuqalisa ukuzala ngaloo mini. Ngokwesiqhelo kwenzeka xa umzimba wakho ulungiselela ukuzala, kodwa akufani kuwo wonke umntu.

Ukuba awuyazi into enokwenzeka kuwe, kungcono ukuzikhusela uze uthethe nogqirha wakho.

Ufanele ubize ugqirha nini kwikota yesithathu?

Ukuthetha nogqirha wakho ngexesha lekota yesithathu kubaluleke kakhulu kunangaphambili. Musa ukoyika ukubabuza malunga nokuba ulindele ntoni ngexesha lekota yesithathu, iimpawu zokubeleka, kunye neempawu ezinokuba ziimpawu zengxaki.

Ufanele uthethe nogqirha wakho ukuba unezinye zezi mpawu kwiinyanga ezimbalwa zokugqibela zokukhulelwa:

• Iimpawu zokubeletha ngaphambi kwexesha (ezifana nokudumba okubuhlungu okanye ukuqhekeka kwamanzi).
• Ukopha kwamalungu esini.
• Ukuncipha kwentshukumo yosana olusandul’ ukuzalwa. (Ixesha lokuhamba kosana olusandul’ ukuzalwa linokwahluka, kodwa ukuba awuziva ntshukumo ixesha elide kunesiqhelo, tsalela umnxeba ugqirha wakho.)
• Intlungu ebuhlungu esiswini.
• Isicaphucaphu nokuhlanza.
• Ukudinwa kunye nentloko ebuhlungu kakhulu.

Khumbula, ukuba uneengxaki, kungcono ukuba kwicala elikhuselekileyo kwaye uthethe nogqirha wakho.

Umyalezo wokugqibela oya ekhaya

Ngoku ukwikota yesithathu yokukhulelwa kwakho, inqanaba lokugqibela lohambo lwakho. Njengoko usondela esiphelweni solu hambo, kuyinto eqhelekileyo ukuziva uxubene neemvakalelo—ungakhululekanga, uloyiko, wonwabile—zonke ezo mvakalelo. Umzimba wakho nomntwana wakho ziya kuqhubeka zitshintsha kwaye zikhula kwezi nyanga zokugqibela. Usenokuqala ukuziva ukuncipha kwaye ukuphuma kwamanzi emzimbeni wakho kunganda. Ungakhathazeki; uninzi lwexesha, yindlela yomzimba wakho yokulungiselela ukuzala. Kodwa ukuba ufumana ukuncipha okubuhlungu okanye ukopha kwegazi emzimbeni, tsalela umnxeba ugqirha wakho ngoko nangoko.

Kukwangumbono olungileyo ukubuza ugqirha wakho ukuba ulindele ntoni kwiiveki ezimbalwa zokugqibela zokukhulelwa. Ngokubuza imibuzo nokuxoxa ngezinto ezikuxhalabisayo nogqirha wakho, unokufikelela ngokuzithemba usukelo lokugqibela lohambo lokukhulelwa.

Ukukhulelwa , ikota yesithathu, ukuzala, umntwana, iimpawu zokukhulelwa, ukuzala, impilo