Isigaba sokugcina sokukhulelwa: Konke mayelana nekota yesithathu!

Usuhambe ibanga elide ekukhulelweni kwakho, akunjalo? Lesi sikhathi sesithathu sokukhulelwa yisikhathi esikhethekile kakhulu, futhi esiyinselele kancane. Yisikhathi lapho uzizwa khona injabulo yokubamba ingane yakho, kodwa futhi nokwesaba nokukhathala okuncane. Kalula nje, lesi yisikhathi sokuba wena nomntwana wakho nikhule futhi nilungele usuku olukhulu. Ingabe singaxoxa ngalokhu ngokuningiliziwe?

Iyini ikota yesithathu yokukhulelwa? Iqala nini?

Sihlukanisa ukukhulelwa zibe izingxenye ezintathu eziyinhloko, ezibizwa ngokuthi ama-trimester. I-trimester eyodwa ihlala cishe amasonto ayi-12. I-trimester yesithathu yizinyanga ezintathu zokugcina zokukhulelwa. Uma sikhuluma iqiniso, isukela emavikini angama-28 kuya kwangama-40, noma kuze kube yilapho umntwana ezalwa .

Cabanga nje, ekupheleni kwalesi sikhathi, isibeletho sakho sizoba usayizi wekhabe! Ungase futhi ube nezimpawu ezintsha, njengokuphelelwa umoya, izinhlungu zokubeletha ezingamanga, noma ukufinyela kukaBraxton Hicks. Ingane ikhula isisindo ngokushesha kakhulu phakathi nalesi sikhathi, futhi izitho zayo zomzimba cishe zikhule ngokugcwele ngaphambi kokuba ziphume.

Izinhlangano eziningi ezinkulu zezempilo ziyavuma ukuthi ikota yesithathu yokukhulelwa iqala ngesonto lama-28. Nakuba kunezinhlobo ezincane, odokotela abaningi babheka isonto lama-28 njengokuqala kwekota yesithathu. Lokhu kuhlala kuze kube yilapho umntwana ezalwa, okuvame ukuba amasonto angama-39 noma angama-40.

Ukunakekelwa kwangaphambi kokubeletha ozokuthola ku-trimester yesithathu

Phakathi nalesi sikhathi, udokotela wakho uzohlela ukuvakashelwa njalo ngaphambi kokubeletha ukuze ahlole wena nomntwana wakho. Lokhu kungenxa yokuthi bafuna ukubheka impilo yengane yakho. Ngaphandle kokuthi ukukhulelwa kwakho kuyingozi enkulu , ngokuvamile uzoba nokuvakashelwa ngaphambi kokubeletha njalo emavikini amabili uze ube namaviki angu-36 ukhulelwe. Uzoba nokuvakashelwa ngaphambi kokubeletha kanye ngesonto emavikini amane okugcina, kusukela emavikini angu-36 kuya kwangu-40.

Ungakhohlwa ukutshela udokotela wakho nganoma yiziphi izimpawu ezintsha noma izinguquko ozizwayo kulezi zikliniki. Lesi futhi yisikhathi esihle sokubuza noma yimiphi imibuzo ongase ube nayo. Njengasemitholampilo yangaphambilini, izinto ezilandelayo zizohlolwa:

• Umfutho wegazi lakho.
• Isisindo sakho.
• Indawo kanye nosayizi womntwana esibelethweni.
• Ukuphakama kwesisekelo.
• Ukushaya kwenhliziyo kwengane .
• Umchamo wakho (lokhu kuhlola izinto ezifana neprotheni).
• Uzokwaziswa ngemigomo okudingeka uyithole . Udokotela uzokutshela ngemigomo enconywayo ngesikhathi sokukhulelwa.

Ngasekupheleni kokukhulelwa kwakho, abanye odokotela bazohlola umlomo wakho wesibeletho ukuze babone ukuthi usuqalile yini ukuvuleka noma ukucinywa. Bazokuhlola nebhaktheriya ebizwa ngokuthi i-Group B strep cishe emavikini angu-36.

Uma ukukhulelwa kwakho kuyingozi enkulu, noma uma usuku lwakho lokuzalwa seludlulile, udokotela wakho angase akuncome ukuhlolwa okungenangcindezi noma iphrofayili ye-biophysical ukuqinisekisa impilo yengane.

Yiziphi izimpawu ongazilindela ku-trimester yesithathu?

Ngesikhathi ufika ku-trimester yakho yesithathu, ungase uzizwe sengathi ibhaluni selizoqhuma! Akuwona wonke umuntu ozoba nezimpawu ezifanayo, kodwa abantu abaningi baqala ukuzwa izinhlungu nezinhlungu ezengeziwe phakathi nalesi sikhathi. Lokhu kungenxa yokuthi umzimba wakho usakhula futhi ulungiselela ukubeletha.

Ungase ubhekane nazo zonke noma ezinye zalezi zimpawu:

• Ukufinyela kwemisipha `(Braxton Hicks)`: Lokhu akufani nezinhlungu zangempela zokubeletha. Izinhlungu zangempela ziyafika zidlule, futhi ziba zimbi kakhulu ngokuhamba kwesikhathi. Kodwa `(Braxton Hicks)` zilula kakhulu, azivamile, futhi azikhuphuki ngamandla. Zingazwakala njengezinhlungu zokuya esikhathini. Ziyancipha uma ushintsha izikhundla noma uhamba kancane. Kufanele futhi uphuze amanzi amaningi .
• Ubunzima bokuphefumula: Ukuphefumula okujulile kungaba nzima kancane ngalesi sikhathi. Isizathu esiyinhloko salokhu ukuthi amaphaphu akho anendawo encane yokukhula. Lobu bunzima ngezinye izikhathi buyancipha njengoba umntwana ehla e-pelvis elungiselela ukuzalwa (lokhu kubizwa ngokuthi 'ukukhanyisa').
• Ukuchama njalo: Njengoba ingane yakho yehlela esinqeni sakho, icindezela esinyeni sakho. Lokhu kungabangela ukuthi udinge ukuchama kaningi, futhi ungase uvuza umchamo uma uhleka, ukhwehlela, noma uthimula. Kodwa-ke, uma uzizwa sengathi uvuza uketshezi lwe-amniotic, qiniseka ukuthi utshela udokotela wakho.
• Isilungulela: Isibeletho sakho esikhulayo singabeka ingcindezi esiswini sakho, okubangela ukuthi kuvele i-asidi esiswini. Yilokho okubangela isilungulela kanye nokungagayeki kahle kokudla.
• Ukuvuvukala: Ukugcinwa kwamanzi kanye nokukhuluphala kungabangela ukuvuvukala emilenzeni nasemaqakaleni. Ukuphakamisa imilenze yakho kungasiza ekunciphiseni lokhu kuvuvukala.
• Imithambo ye-Varicose kanye nama-hemorrhoids: Njengoba inani legazi emzimbeni landa, imithambo ingavuvukala. Lokhu kungabangela ukuthi kuvele imithambo yesicabucabu ebusweni nasezingalweni, futhi kwakheke imithambo emikhulu emathangeni. Ama-hemorrhoids angavela nalapho imithambo ese-rectum ivuvukala.
• Ukungalali: Kungaba nzima ukulala kahle ebusuku ngalesi sikhathi ngenxa yokuya njalo endlini yokugezela kanye nokungakhululeki okubangelwa yisisu esikhulu.
• Ukuzalela: Lona umuzwa wokuba namandla amaningi okuhlanza indlu nokulungiselela yonke into yengane ngaphambi kokuba ingane ifike. Abanye abantu bazizwa benamandla amakhulu phakathi nalesi sikhathi, befuna ukuhlanza nokulungisa yonke into. Kodwa-ke, noma ungazizwa ngale ndlela, kuyinto evamile. Abanye abantu bazizwa kanjalo, abanye abazizwa kanjalo.

Khumbula, uma unenkinga nganoma yiluphi uphawu, ungalokothi unqikaze ukubuza udokotela wakho ngalo. Bazokweluleka ngokufanele, ikakhulukazi kuwe kanye nokukhulelwa kwakho.

Uzinakekela kanjani ku-trimester yesithathu?

Kuvamile ukuzizwa ukhathele futhi ufuna ukwehlisa ijubane ezinyangeni ezimbalwa zokugcina zokukhulelwa. Kulungile uma ulahlekelwe amandla akho. Zama ukuhambisa umzimba wakho futhi uvivinye ngendlela ekhululekile kuwe. Kwabaningi , ukuhamba, i-yoga, nokubhukuda kuyasiza phakathi nalesi sikhathi. Ngaphezu kwalokho, kunezinye izinto ongazenza ukuze uzinakekele:

• Ukudla ukudla okunempilo nokulinganiselayo .
• Ukuphuza amanzi amaningi.
• Cela usizo uma uludinga. Abangani bakho, umndeni, kanye nomlingani wakho bonke bangakusekela njengoba usondela ekuzalweni komntwana wakho.

Lezi yizinto okungafanele neze uzenze ngesikhathi se-trimester yesithathu:

• Utshwala, ugwayi, izidakamizwa, kanye nemithi engabhalwanga ngudokotela.
• Inyama eluhlaza noma engaphekiwe kahle nenhlanzi equkethe i-mercury eningi.
• Ushizi othambile kanye nemikhiqizo yobisi engaphekiwe.
• Amabhavu ashisayo, ama-sauna, namakamelo omusi.
• Ezemidlalo ezibeka ingcindezi enkulu emzimbeni noma imisebenzi enengozi enkulu yokuwa.

Imizwa engokomzwelo ngesikhathi se-trimester yesithathu

Ngaphezu kwemizwa engokomzimba, ungase uzwe nemizwa ehlukahlukene engokomzwelo njengoba usondela ekufikeni komntwana wakho. Kuvamile ukuzizwa unenjabulo nethemba elikhulu ngakolunye uhlangothi, kanye nokukhathazeka okuncane nokwesaba ngakolunye uhlangothi. Ngaphezu kwenjabulo yokubona umntwana wakho, ungase uzizwe unexhala kancane ngokuzalwa nokuba ngumama. Khumbula, wonke umuntu ubhekana nokukhulelwa ngendlela ehlukile. Ayikho indlela efanele noma engalungile yokuzizwa. Uma udinga usizo lokubhekana nemizwa yakho, khuluma nothile ngayo.

Ingane yakho ikhula kanjani ku-trimester yesithathu?

Ingane esibelethweni ikhula ngobude nangesisindo phakathi nalesi sikhathi, ilungiselela ukuphuma. Izitho zayo ezinkulu ziyaqhubeka nokukhula futhi zisebenza ngokugcwele ngesikhathi izalwa. Kungcono ukuthi ingane ibe sesibelethweni isikhathi esigcwele (amasonto angu-39) ngaphambi kokuba izalwe. Ingane ithola ngaphezu kwengxenye yesisindo sayo sonke kule trimester yokugcina. Ngokuvamile ingane isesimweni sekhanda elibheke phansi , okusho ukuthi ikhanda layo libheke phansi. Lesi yisikhundla esihle kakhulu sokubeletha.

Ingabe ingane yami ikhule ngokugcwele emavikini angu-27?

Cha, ingane ayikhuli ngokugcwele emavikini angama-27. Ngenxa yentuthuko kwezesayensi yezokwelapha, ingane ezalwa emavikini angama-27 ingasinda, kodwa ingane izodinga ukungenelela okukhulu kwezokwelapha . Izingane ezizalwa ngaphambi kwesikhathi emavikini angama-27 zisengozini enkulu kakhulu yezinkinga ngoba eziningi zezitho zazo ezinkulu azikhuli ngokugcwele.

Yiziphi izinkinga ezingaba khona ku-trimester yesithathu?

Ezinye izinkinga zingavela ngesikhathi se-trimester yesithathu. Ezinye zezinkinga ezivame kakhulu yilezi:

• I-Preeclampsia: Lesi yisimo esibangela ezinye izimpawu, njengomfutho wegazi ophezulu kanye neprotheni emchameni.
• Isifo sikashukela sokukhulelwa: Lesi yisimo esibangela amazinga aphezulu kashukela egazini.
• Ukubeletha ngaphambi kwesikhathi: Ukuqala kokubeletha ngaphambi kwamasonto angu-37 okukhulelwa.
• Ukuqhekeka kwama-membrane ngaphambi kwesikhathi (ngaphambi kokubeletha): Ukuqhekeka kwesikhwama samanzi ngaphambi kokuqala kokubeletha.
• Umkhawulo wokukhula ngaphakathi kwesibeletho: Ingane ingaphansi kwephesenti le-10 leminyaka yokukhulelwa, njengoba kuhlolwe udokotela.
• I-Breech: Indawo lapho imilenze noma izinqe zomntwana zibekwe khona ukuze ziphume esithweni sangasese sowesifazane esikhundleni sekhanda lomntwana.

Udokotela wakho wenza ukuhlolwa okuvamile ukuze athole lezi zinkinga ezingaba khona kusenesikhathi. Ngakho-ke, kubalulekile ukuya kuzo zonke izivivinyo futhi wenze izivivinyo ezidingekayo ukuze kuncishiswe ingozi yezinkinga ezinkulu.

Wazi kanjani ukuthi ukubeletha sekuqalile?

Kungaba nzima kancane ukubona izimpawu zokubeletha, ikakhulukazi uma lokhu kungukukhulelwa kwakho kokuqala. Hlala uqaphile lezi zimpawu ezibalulekile ukuze ubone ukuthi ukubeletha kuyaqala yini:

• Ukufinyela: Uma empeleni ubeletha, ukufinyela kwakho kuzoqala ukusondelana futhi kunciphe. Isibonelo, ukufinyela okuqale njalo ngemizuzu eyi-10 kuzofika njalo ngemizuzu emi-5. Futhi, ubude bokufinyela buzokhula. Lokhu kusho ukuthi ukufinyela okuqale njalo ngemizuzwana engama-30 kuzohlala imizuzwana engama-60. Ekugcineni, ukuqina kokufinyela kuzokwanda, okusho ukuthi kuzovama kakhulu.
• Ukuvuza kwamanzi: Lokhu kungazwakala njengokuqhuma kwamanzi okungazelelwe okugeleza ngesitho sangasese sowesifazane, noma njengokuvuza kwamanzi.
• Ukubonakala kwegazi: "Ukubonakala kwegazi" ukuphuma kwegazi okwenzeka ngasekupheleni kokukhulelwa nalapho umlomo wesibeletho uqala ukuvuleka. Lokhu akwenzeki kuwo wonke umuntu.
• Ukuphuma kwe-mucus plug: Le "mucus plug" isebenza njengesivikelo phakathi kwesitho sakho sangasese sowesifazane nesibeletho sakho. Lapho kuqala ukubeletha, kungaphuma esitho sakho sowesifazane kungene ezingutsheni zakho zangaphansi. Ngezinye izikhathi kuphuma njengeqhubu, kodwa ngezinye izikhathi awukuboni nokukubona. Ukuba nalesi sibonakaliso akusho ukuthi uzoqala ukubeletha ngalolo suku. Ngokuvamile kwenzeka lapho umzimba wakho ulungiselela ukubeletha, kodwa akufani kuwo wonke umuntu.

Uma ungazi ukuthi yini engase yenzeke kuwe, kungcono ukwenze ngendlela ephephile futhi ukhulume nodokotela wakho.

Kufanele ushayele nini udokotela ku-trimester yesithathu?

Ukuxhumana nodokotela wakho phakathi nekota yesithathu kubaluleke kakhulu kunanini ngaphambili. Ungesabi ukubabuza ukuthi yini ongayilindela phakathi nekota yesithathu, izimpawu zokubeletha, kanye nokuthi yiziphi izimpawu ezingaba yizimpawu zenkinga.

Kufanele ukhulume nodokotela wakho uma unezinye zalezi zimpawu ezinyangeni ezimbalwa zokugcina zokukhulelwa:

• Izimpawu zokubeletha ngaphambi kwesikhathi (njengokufinyela okubuhlungu noma ukuphuka kwamanzi).
• Ukopha kwangasese.
• Ukunyakaza kwengane engaphansi komntwana okunciphile. (Imvamisa yokunyakaza kwengane engaphansi komntwana ingahluka, kodwa uma ungazizwa ukunyakaza isikhathi eside kunokujwayelekile, shayela udokotela wakho.)
• Ubuhlungu obukhulu besisu.
• Isicanucanu nokuhlanza.
• Isiyezi kanye nekhanda elibuhlungu kakhulu.

Khumbula, uma unenkinga, kungcono ngaso sonke isikhathi ukuba sohlangothini oluphephile futhi ukhulume nodokotela wakho.

Umyalezo wokugcina okufanele uwuthathe uye ekhaya

Manje usesigabeni sesithathu sokukhulelwa kwakho, isigaba sokugcina sohambo lwakho. Njengoba usondela ekupheleni kwalolu hambo, kuvamile ukuzizwa unemizwa exubile—ungakhululekile, wesaba, ujabule—konke. Umzimba wakho kanye nomntwana wakho kuzoqhubeka nokushintsha nokukhula kulezi zinyanga zokugcina. Ungase uqale ukuzwa ukufinyela okuthile futhi ukuphuma kwakho koketshezi lwesitho sangasese sowesifazane kungase kwande. Ungakhathazeki; isikhathi esiningi, kuyindlela yomzimba wakho yokulungiselela ukubeletha. Kodwa uma uzwa ukufinyela okubuhlungu noma ukuphuma kwegazi lesitho sangasese sowesifazane, shayela udokotela wakho ngokushesha.

Kungumqondo omuhle futhi ukubuza udokotela wakho ukuthi yini ongayilindela emasontweni ambalwa okugcina okukhulelwa. Ngokubuza imibuzo nokuxoxa ngezinto ezikukhathazayo nodokotela wakho, ungafinyelela ngokuqiniseka umgomo wokugcina walolu hambo lokukhulelwa.

Ukukhulelwa , ikota yesithathu, ukubeletha, umntwana, izimpawu zokukhulelwa, ukubeletha, impilo