Manje usufinyelele esigabeni sokugcina nesibaluleke kakhulu sokukhulelwa kwakho. Kusele cishe izinyanga ezintathu kuphela ngaphambi kokuba umntwana azalwe. Injabulo nethemba olizwayo ngalesi sikhathi alinakuvezwa ngamazwi. Ngesikhathi esifanayo, kuyinto evamile ukuzizwa ukhathele, ungakhululekile, futhi wesaba kancane ngayo yonke imicabango efika engqondweni. Namuhla, sizoxoxa ngokuningiliziwe ngesigaba sokugcina salolu hambo, okwenzekayo emzimbeni nasengqondweni yakho, kanye nokukhula komntwana esibelethweni.
Iyini ngempela i-trimester yesithathu?
Kalula nje, izinyanga ezintathu zokugcina zokukhulelwa yilokho esikubiza ngokuthi i-trimester yesithathu. Okusho ukuthi, isikhathi kusukela ngesonto lama-28 kuze kube yilapho umntwana ezalwa, cishe ngesonto lama-40. Lesi sikhathi sibaluleke kakhulu kuwe nakumntwana wakho.
Cabanga nje, isibeletho sakho sizoba sikhulu njengekhabe ekupheleni kwalesi sikhathi. Isisindo somntwana siyakhula ngokushesha, izitho zakhe sezikhule ngokugcwele futhi zilungele ukuza ezweni langaphandle. Kuzodingeka futhi ubhekane nokuhlangenwe nakho okuningi okusha. Izinto ezifana nobunzima bokuphefumula, ukufinyela okungamanga (ukufinyela kukaBraxton Hicks) kungalindelwa phakathi nalesi sikhathi. Lesi futhi yisikhathi esihle kakhulu sokuya emakilasini okubeletha, ukuncelisa, nokulungiselela izingubo zomntwana, amanabukeni, kanye nombhede womntwana.
Ukunakekelwa kwakho kokubeletha kuhamba kanjani phakathi nalesi sikhathi?
Phakathi nalesi sigaba sokugcina, udokotela wakho kuzodingeka akubone wena nomntwana wakho kaningi. Ngakho-ke inani lokuvakashela emtholampilo lizokhula kancane. Ngaphandle kokuthi ukukhulelwa kwakho kuyingozi enkulu, ngokuvamile uzocelwa ukuba uze emtholampilo njalo emavikini amabili kuze kube amasonto angu-36 kanye nesonto ngalinye phakathi nenyanga yokugcina .
Ngesikhathi ngasinye salezi zivivinyo, zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yiziphi izimpawu ezintsha noma ukungakhululeki okungenzeka ukuthi unakho. Buza noma yimiphi imibuzo ongase ube nayo. Udokotela wakho uzohlola ngokuqinisekile okulandelayo:
- Umfutho wegazi lakho.
- Isisindo sakho.
- Indawo kanye nosayizi wengane.
- Ukuphakama kwesisekelo.
- Isilinganiso senhliziyo yengane esanda kuzalwa .
- Isampula yomchamo wakho.
- Uzokwaziswa futhi ngemigomo okudingeka uyithole.
Njengoba usondela ekupheleni kokukhulelwa kwakho, abanye odokotela bazohlola ukuthi umlomo wakho wesibeletho uvuleke futhi waphela yini. Futhi cishe emavikini angu-36, bazokuhlola igciwane elibizwa nge-Group B strep (GBS).
Uma ukukhulelwa kwakho kusengozini noma usuku lwakho lokuzalwa seludlulile, udokotela wakho angase ancome ukuhlolwa okukhethekile, njengokuhlolwa okungenangcindezi noma iphrofayili ye-biophysical, ukuhlola impilo yengane.
Yiziphi izimpawu ezivame kakhulu ku-trimester yesithathu?
Ungase uzizwe sengathi ibhaluni selizoqhuma phakathi nalesi sikhathi. Akuwona wonke umuntu obhekana nalo ngendlela efanayo, kodwa abantu abaningi baqala ukuzwa izinhlungu nezinhlungu ezengeziwe phakathi nalesi sikhathi. Umzimba wakho usakhula nengane, futhi ulungiselela nokubeletha. Njengoba konke lokhu kwenzeka ngesikhathi esisodwa, kuyinto evamile ukuba nokungakhululeki okuthile.
Ungase ube nezinye noma zonke izimpawu ezingezansi.
| Isibonakaliso | Kuyini lokhu futhi uzizwa kanjani? |
|---|---|
| Ukuqunjelwa kwe-Braxton Hicks | Lokhu akufani nezinhlungu zangempela zokubeletha. Lezi zinhlungu azibi zimbi kakhulu, futhi azifiki ngesikhathi esisodwa. Zizwakala njengezinhlungu zokuya esikhathini. Ziyaphela uma ushintsha izikhundla, uhamba kancane, noma uphuza amanzi. Lokhu empeleni kuwukuqeqeshwa kwesibeletho kokubeletha. |
| Ubunzima bokuphefumula | Ungase ukuthole kunzima ukuphefumula ngokujulile phakathi nalesi sikhathi. Isizathu esiyinhloko salokhu ukuthi amaphaphu akho awakwazi ukukhula kahle ngenxa yesibeletho sakho esikhulayo. Lobu bunzima bungancipha njengoba umntwana ehla e-pelvis yakho (ebizwa ngokuthi 'ukukhanyisa') elungiselela ukuzalwa. |
| Ukuchama njalo | Njengoba ingane yehlela esinqeni sakho, ikhanda layo licindezela esinyeni sakho. Lokhu kungakwenza udinge ukuya endlini yokugezela kaningi. Ungase uvuza umchamo omncane uma uhleka, ukhwehlela, noma uthimula. Kodwa-ke, uma uzizwa sengathi lokhu kuyi-amniotic fluid, shayela udokotela wakho ngokushesha. |
| Isilungulela | Isibeletho esikhulayo sibeka ingcindezi esiswini bese kuvela ama-asidi esiswini, okungabangela isilungulela kanye nokungagayeki kahle kokudla. Lokhu kungalawulwa ngokudla ukudla okuncane izikhathi eziningana ngosuku esikhundleni sokudla ukudla okukhulu ngesikhathi esisodwa. |
| Ukuvuvukala komzimba (i-Edema) | Ukugcinwa koketshezi kanye nokwanda kwesisindo kungabangela ukuvuvukala emaqakaleni nasezinyaweni zakho. Ukuphakamisa imilenze yakho kungasiza ekunciphiseni lokhu kuvuvukala. Kodwa-ke, uma izandla noma ubuso bakho buvuvukala kakhulu ngokuzumayo, tshela udokotela wakho ngokushesha. |
| Imithambo ye-Varicose kanye nama-hemorrhoids | Ukwanda komthamo wegazi emzimbeni kungabangela ukuvuvukala kwemithambo yegazi. Lokhu kungabangela ukuthi kuvele imithambo eluhlaza okwesibhakabhaka emilenzeni (imithambo yegazi ephukile). Futhi, ukuvuvukala kwemithambo yegazi e-rectum kungabangela ama-hemorrhoids. |
| Ukungalali | Phakathi kokuhamba njalo endlini yokugezela kanye nesisu esikhula okwenza kube nzima ukuthola indawo ekhululekile, ukulala kahle ebusuku kungaba yinselele. Zama ukulala ngohlangothi lwakho lwesobunxele nomcamelo phakathi kwemilenze yakho. |
| "Ukwakha izidleke" | Lokhu kuyinto enhle kakhulu. Abanye abantu bazizwa benesifiso esinamandla amakhulu okuhlanza indlu, ukulungisa igumbi lomntwana, nokugcina konke kuhlelekile phakathi nalesi sikhathi. Lokhu kubizwa ngokuthi 'Ukwakha Indlu.' Kodwa akubona bonke abantu abazizwa ngale ndlela, futhi kulungile uma kungenzeki. |
Khumbula, uma unokungabaza noma ukukhathazeka ngesibonakaliso esithile, ungalokothi unqikaze ukubuza udokotela wakho ngaso.
Kufanele ngizinakekele kanjani phakathi nalesi sikhathi?
Kuvamile ukuzizwa ukhathele futhi ufuna ukuphumula ezinyangeni ezimbalwa zokugcina zokukhulelwa. Ungazizwa kabi ngokungabi namandla owawunawo ngaphambili. Zama ukuhlala usebenza ngangokunokwenzeka. Abantu abaningi bathola ukuthi ukuzivocavoca okulula, njengokuhamba, i-yoga, nokubhukuda, kuyazuzisa phakathi nalesi sikhathi.
Ngaphezu kwalokho, qaphela lezi zinto:
- Yidla ukudla okunempilo nokulinganiselayo .
- Phuza amanzi amaningi .
- Uma udinga usizo, ungesabi ukulucela . Umyeni wakho, umndeni wakho, nabangani bakho bazoba usizo olukhulu kuwe ngalesi sikhathi.
Futhi, lezi zinto kufanele zigwenywe nakanjani ngesikhathi se-trimester yesithathu:
- Utshwala, ugwayi, nanoma yimiphi imithi engabhalwanga udokotela.
- Inyama eluhlaza noma engaphekiwe kahle, inhlanzi eningi kakhulu nge-mercury.
- Ubisi noshizi okungaphekwanga.
- Amabhavu ashisayo, ama-sauna.
- Ezemidlalo nemisebenzi enobungozi obukhulu bokuwa.
Ingane ikhula kanjani ku-trimester yesithathu?
Lesi yisikhathi lapho umntwana enza amalungiselelo okugcina omhlaba wangaphandle. Ubude bakhe nesisindo sakhe kukhula ngokushesha. Eqinisweni, ngaphezu kwengxenye yesisindo sakhe sisonke sitholakala kulezi zinyanga ezintathu zokugcina. Izitho zakhe eziyinhloko, ikakhulukazi amaphaphu akhe nobuchopho, sezivuthwa ngokugcwele.
Into ebaluleke kakhulu ukuthi umntwana aphendukele esimweni sokuba nekhanda phansi, okuyisimo esilula kakhulu sokubeletha ngalesi sikhathi.
Yiziphi izinkinga ezingaba khona phakathi nalesi sikhathi?
Kungavela ezinye izinkinga phakathi nalesi sikhathi. Yingakho udokotela wakho ezokuhlola njalo. Uma lezi zinkinga zitholakala kusenesikhathi, ungazivikela wena kanye nomntwana wakho ngokwelashwa okufanele.
- I-Preeclampsia: Isimo esibangela izimpawu ezifana nomfutho wegazi ophezulu kanye neprotheni emchameni.
- Isifo sikashukela sokukhulelwa: Isimo lapho amazinga kashukela egazini enyuka khona ngesikhathi sokukhulelwa .
- Ukubeletha kwangaphambi kwesikhathi: Ukuqala kokubeletha ngaphambi kwamasonto angu-37.
- Ukuqhekeka kwama-membrane ngaphambi kwesikhathi (i-PROM): Amanzi ayaphuka ngaphambi kokuba kuqale ukubeletha.
- Ukuvinjelwa kokukhula ngaphakathi kwesibeletho: Ukukhula komntwana kuncane kunalokho obekulindelwe.
- Isisu: Izinqe noma izinyawo zomntwana zibheke phansi ukuze abelethe esikhundleni sekhanda lomntwana.
Kubaluleke kakhulu ukuya kuzo zonke izivivinyo zakho zezokwelapha ukuze uthole izimo ezinjengalezi kusenesikhathi.
Ngingazi kanjani ukuthi ukubeletha kuqala nini?
Lena yinkinga enkulu kubantu abaningi, ikakhulukazi ngengane yabo yokuqala. Kungaba nzima ukubona ukuthi ukubeletha kwangempela kuyaqala noma ukuthi lokhu kuyimihelo engamanga. Nazi ezinye zezimpawu eziyinhloko zokuqala kokubeletha.
- Ukufinyela: Ekufinyeleni kwangempela, ukufinyela kuyasondelana (isib., okwakuvame ukufika njalo ngemizuzu eyi-10 kuqala ukufika njalo ngemizuzu emi-5), kanti ubude besikhathi ukufinyela ngakunye kuyakhula.(Isibonelo, okwakuyimizuzwana engama-30 manje kuthatha imizuzwana engama-60) futhi ubukhali bobuhlungu buyanda .
- Ukuvuza kwamanzi: Kungase kuzwakale sengathi amanzi amaningi aphuma ngokuzumayo esithweni sangasese sowesifazane noma sengathi amanzi aphuma ngamanani amancane.
- "Ukubonakala kwegazi": Njengoba umlomo wesibeletho uqala ukuvuleka, kungase kuphume uketshezi olufana ne-mucus oluxubene negazi. Akubona bonke abantu abakubonayo lokhu.
- Ukuphuma kwe-mucus plug: I-mucus plug, evikela isibeletho ekuthelelekeni, ingaqhuma iphume esithweni sangasese sowesifazane njengoba kusondela ukubeletha. Lokhu kungenzeka ngokuzumayo, noma ungase ungakuboni. Lokhu akusho ukuthi uzoba nomntwana ngalolo suku, kodwa kuyisibonakaliso sokuthi umzimba wakho uyalungiselela.
Uma ungaqiniseki ngokwenzekayo noma unemibuzo, kungcono ukuphepha. Shayela udokotela wakho noma isibhedlela ngokushesha.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Kubaluleke kakhulu ukuhlala uthintana nodokotela wakho phakathi nekota yesithathu. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).
- Izimpawu zokubeletha ngaphambi kwesikhathi (ubuhlungu, ukufinyela okuvamile , ukuqhekeka kwesikhwama samanzi).
- Ukopha kwangasese.
- Ukunyakaza kombungu kuncane kakhulu kunokujwayelekile. (Inani lezikhathi umntwana anyakaza ngazo lingahluka usuku nosuku, kodwa uma umntwana enganyakazi isikhathi eside kunokujwayelekile, tshela udokotela wakho ngokushesha.)
- Ubuhlungu obukhulu besisu.
- Isicanucanu nokuhlanza.
- Ikhanda elibuhlungu kakhulu kanye nesiyezi.
Khumbula, kuwukuhlakanipha ukuphepha ngaphambi kokuba kwenzeke. Uma unokungabaza, khuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Manje ususesigabeni sokugcina sohambo lwakho lokukhulelwa. Kuvamile ukuzwa imizwa exubile, okuhlanganisa injabulo, ukwesaba, kanye nokungabekezeli.
- Umzimba wakho kanye nomntwana wakho kuzoqhubeka nokushintsha ezinyangeni ezimbalwa ezizayo. Izinto ezifana nokubeletha okungamanga kanye nokwanda kokuphuma koketshezi esithweni sangasese kungaba izimpawu zokuthi umzimba wakho ulungiselela ukubeletha.
- Qiniseka ukuthi uya kuzo zonke izivivinyo zakho zasemtholampilo. Lokhu kuzokusiza ekuvikeleni wena nomntwana wakho.
- Qaphela izimpawu zokuqala kokubeletha (ukubeletha kwangempela, ukuphuka kwamanzi).
- Uma uzwa ukopha kwesitho sangasese sowesifazane, ukuncipha kokunyakaza komntwana, noma ezinye izimpawu ezinkulu, funa iseluleko sezokwelapha ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile ngezinto ezikukhathazayo nokwesaba kwakho. Lokhu kuzokunika amandla amakhulu okubhekana nokuphela kwalolu hambo ngokuzethemba.
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