Muizvi 16th vhiki rekuzvitakura (vhiki dze18), mwana anorema 17 cm uye anorema 160 g.

Mitezo yawo yakasiyana-siyana inoramba ichikura.

Musana wake, kusvika zvino wakakotama, unotwasanuka.

Muviri we fetus pamasvondo makumi maviri nematatu, kunze kwezvanza zvemaoko nemakumbo emakumbo, zvakafukidzwa zvachose nekanyoro pasi, lanugo. Izvi zvinodonha pakuzvarwa asi zvinogona kuramba zvichienderera kune dzimwe nhengo dzemuviri, kunyanya kana mwana akakurumidza kusvika. Chinhu chine namo, chichena, vernix caseosa, chinofukidzawo ganda remwana uye rinoridzivirira pamvura yaanogezera mairi. Pachigunwe chimwe nechimwe pane maburi emunwe wake.

Le 16 vhiki fetusanofamba achiwedzera uye kufamba uku kunobatsira pakuwedzera kwemasumbu ake uye kushanda zvakanaka kwemajoini ake. Zvisinei, kurara kunoramba kuri basa rake guru, pasina asingasviki maawa makumi maviri ekurara kwezuva nezuva.

Kana ari musikana, mhango yesikarudzi inokura.

Kana mukadzi ane mimba ari 18 mavhiki e amenorrhea (16 SG), kugadzirwa kweprogesterone ne placenta kwakanyanya. Iyi hormone, iyo inobatsira kuchengetedza pamuviri, inewo inozorodza mhasuru dzakatsetseka, kunyanya kuderedza kuputika kwechibereko panguva yekuzvitakura. Rimwe divi remari: rinokonzeresa kuzorora kwemamwe mamhasuru akatsetseka seaya emudumbu kana emudumbu, obva anonoka kubuda kwegastric uye kufambisa kwemukati, nekiyi ye acid reflux uye kuvimbiswa.

Au Mwedzi wechi4 wepamuviri, zvinokwanisika kutonzwa mamwe macontraction. Kana vakazviparadzanisa uye vasingarwadzi, hapana chinhu chisina kujairika. Kana zvisina kudaro, kubvunzurudza kunodiwa kuti udzivise chero kutyisidzira kwekutumira nguva isati yakwana (PAD).

Kana mukadzi, nhumbu ine mwedzi mitatu, inotambura ne acid reflux kana kuvimbiswa, zvinokwanisika kuvandudza mamiriro aya. Kudya chikafu chakapfuma mufiber uye kuwana magnesium yakakwana haingodzivisi kuvimbiswa, asi zvakare kuderedza njodzi yekuzvimba hemorrhoids. Sezvinowanzotaurwa, hydration yakanaka (1,5 L pazuva) inobatsira kudzivirira kuvimbiswa. Mvura yakafumiswa ne magnesium yakanaka, nekuti iyi trace element inosimudzira kufambisa. Fiber zvakare ishamwari yematumbu nekuti inochengeta mvura uye inomhanyisa kufamba kwematumbo. Fiber inowanikwa zvakanyanya mumichero nemiriwo, kunyanya mumwaka. Izvo zvinowanikwawo mumakumbo (peas, lentils, nezvimwewo), mumafuta emafuta (nzungu, maarumondi, nezvimwewo) uye muzviyo (oats, bran, etc.). Naizvozvo zviri nyore chaizvo kuti vanaamai vane pamuviri vanotambura nekuzvimba, kazhinji kubva kune Mwedzi wechi4 wepamuviri, inogona kutanga kuderedza izvi zvinokanganisa. 

Nezve acid reflux, mbatatisi, michero nemiriwo zvinogona kudzimisa. Inoramba ichichenjerera kudzivirira zvimwe zvekudya, zvakanyanya acidic kune dumbu revakadzi vane pamuviri: sodas, spicy kana yakapfuma ndiro, kofi kana kunyange yakacheneswa shuga.

Pregnant 18 mavhiki e amenorrhea (16 SG), amai vemangwana vanotanga kuziva pamuviri uye vanoda kuva mukoko wavo. Prenatal massage inogona kubatsira. Inokoka kuzorora. Uyewo, muviri wemukadzi ane pamuviri unoshanduka zvakanyanya mumwedzi, nemugove wemufaro uye kusagadzikana. Iyo prenatal massage inobvumira muviri kuti ugadzikane uye ugone kudya zvakanaka nekuda kwemafuta emuriwo.

• enda kubvunzana 4th mwedzi, kechipiri pakushanya kwe7 dzekumanikidzirwa. Kuongororwa kwechiremba zvine huremu kunosanganisira kuyera huremu, kutora BP, kuyera kureba kwechibereko, kuteerera mwoyo wemwana kuburikidza neDoppler kana nzeve, uye ongororo yenhengo yesikarudzi yemukadzi kuti paonekwe kuti muromo wechibereko haugoneki. uterine. Cherechedza, zvisinei: vamwe varapi havaiti kuongorora kwakarongeka kwechikadzi pakushanya kwega kwega, nokuti kubatsira kwaro hakuna kuratidzwa mukushayikwa kwezviratidzo zvechipatara (marwadzo emimba, kuputika, kubuda ropa). Munguva iyi yekushanya kwemwedzi wechina, mhedzisiro yekuongororwa kwakasanganiswa kweDown's syndrome ichaongororwa. Kupfuura njodzi ye4/21, amniocentesis ichagadziriswa, asi amai-vachave vanoramba vakasununguka kuzvigamuchira kana kwete;
• ita nguva yekusangana kwechipiri pamuviri ultrasound inoitwa kumativi ose 22 mavhiki ;
• tsvaga nezvezvisungo zvevakadzi vane pamuviri muchibvumirano chavo chakabatana. Vamwe vanopa kuderedzwa kwebasa kubva pamwedzi wechina;
• kupedzisa kunyoresa muwadhi yekuzvara.

From Mavhiki 16 ane pamuviri (vhiki 18), zvakanaka kufunga nezvekuyamwisa kwaunoita, uchiziva kuti zvichagara zvichibvira kuchinja pfungwa dzako panguva yokuberekwa. Icho chisarudzo chepedyo chiri kuna amai uye ivo pachavo. Hapana kugadzirira kunodiwa pakuyamwisa, kunze kwekuwana ruzivo kuitira kuti unzwisise zvizere kuti kuyamwisa kunoshanda sei uye kunyanya kukosha kwekuyamwisa pane zvinodiwa uye nzvimbo yakanaka pazamu. . Masangano anotsigira kuyamwisa (Leache League, COFAM), IBCLC lactation consultants uye vananyamukuta ndivo vakakomborerwa vadyidzani veruzivo urwu.

Uye vanazvo 2 trimester yepamuviri, kuramba uchishanda kwakaoma kana kune ngozi (kemikari inhalation, basa reusiku, kutakura mutoro unorema, kumira kwenguva refu, nezvimwewo), chinyorwa L.122-25-1 yeLabour Code inopa mukana wekubatsirwa nekugadzirisa basa. , pasina kuderedza muhoro. Kuti uite izvi, nhumbu yacho inofanirwa kusimbiswa nemishonga uchishandisa fomu rekuzivisa nezve nhumbu kana gwaro rekurapa kubva kuna chiremba. Chitupa chechipiri chekurapa chinofanira kutsanangura akasiyana mapoinzi echinzvimbo asingaenderane nepamuviri. Ichiperekedzwa netsamba inoburitsa aya akasiyana mapoinzi uye inodiwa nzvimbo yekushandira, iyi gwaro rekurapa rinofanira kutumirwa kumushandi, netsamba yakanyoreswa zviri nani pamwe nemvumo yekuritambira. Mukutaura, mushandirwi haakwanise kuramba ichi chigadziriso chebasa. Kana asingakwanisi kumupa rimwe basa, anofanira kuzivisa amai vanenge vachida kuva netsamba zvikonzero zvinoita kuti vasazorongwazve. Kondirakiti yebasa inobva yamiswa, uye mushandi anobatsirwa nevimbiso yemuhoro inoumbwa nemari yemazuva ese kubva kuCPAM uye imwe muhoro inobhadharwa nemushandirwi.

Kuti udzivise kuvimbiswa, mitemo yakajairika yehutsanana-dietetic inodiwa: idya chikafu chakapfuma mufiber (michero nemiriwo, semi-yakakwana kana zviyo zvakakwana), inwa mvura yakakwana, famba kwehafu yeawa zuva rega rega. Kana zviyero zvisina kukwana, zvinokwanisika kutora laxatives. Mild laxatives inosarudzwa: mucilage-type ballast laxative (sterculia, ispaghul, psyllium, guar kana bran gum) kana osmotic laxative (polyethylene glycol kana PEG, lactulose, lactitol kana sorbitol) (1). Pamusoro peimwe nzira yekurapa:

• mu homeopathy: tora zvakarongeka Sepia officinalis 7 CH et Nux vomica 5 CH, 5 granules imwe neimwe katatu pazuva musati madya. Zvichienderana nechitarisiko chechituru uye zvimwe zviratidzo zvakabatana, mamwe mishonga inokurudzirwa: Collinsonia canadensis 5 CH 5 granules mangwanani uye manheru kana hemorrhoids; Hydrastis canadensis 5 CH pakaita tsvina yakaoma pasina shungu dzekuenda kuchimbuzi (2).
• mumishonga yemakwenzi, mallow nemarshmallow zvine mucilages anozoshanda semushonga we ballast.