Zviri pano 33 vhiki yemimba, kureva mwedzi wechisere. Huremu hwemwana pamavhiki makumi matatu nemaviri anenge 2.1 kg uye kureba kwake 42 cm. 

Haana nzvimbo yakawanda yekufamba mudumbu raamai vake, saka mafambiro ake ari mashoma.

Fetus pamavhiki makumi matatu inomedza amniotic fluid yakawanda uye woita weti saizvozvo.

Mumatumbo ake, meconium inounganidza. Iyi gobvu yakasvibira kana dema inoumbwa ne72-80% yemvura, mudumbu, cellular desquamation, bile pigments, mapuroteni anokonzera uye ropa (1). Ichi chichava chituru chekutanga chemwana, chinobuda maawa makumi maviri nemana kusvika makumi mana nemasere azvarwa.

Maadrenal glands emucheche ane mavhiki makumi matatu nematatu - ari pamusoro peitsvo sekutaura kwaanoita - akakura zvakanyanya zvichienderana nemuviri wake mudiki. Uye nechikonzero chakanaka: vanoshanda nekumhanya kwakazara kuti vabudise hormone dehydroepiandrosterone (DHEA) muhuwandu hukuru. Izvi zvinopfuura nemuchiropa uye zvobva zvashandurwa muchikamu kuita estrogen ne placenta. Aya maestrogen anoshandiswa kunyanya kugadzira colostrum, mukaka wekutanga unovaka muviri unogadzirwa naamai usati wabuda mukaka.

Nhengo dzakasiyana dze 35 ane makore ekuberekwa mwana anoshanda, asi maitiro ayo ekugaya uye emapapu achiri kuda mavhiki mashoma kuti akure. Panozopera mwedzi wechisere wepamuviri, mapapu anenge atova nesurfactant yakakwana yekuti mwana afemere pamhepo pasina rubatsiro rwekufema. Mwoyo une chitarisiko chawo chekupedzisira, asi pachine mamwe matauriro pakati pekurudyi nekuruboshwe zvikamu zvisingavhare kusvika pakuzvarwa.

Pamuviri pemwedzi minomwe, dumbu rakanyanya kuoneka. Somugumisiro, kufamba uye kufamba kunowedzera kuoma uye kuneta kunokurumidza kunzwika.

A 35 mavhiki uye pasi pesimba remahomoni anogadzirira muviri kubereka, ligaments inotambanudzwa uye inoshanduka. Iyi ligament relaxation, yakabatanidzwa nehuremu hwedumbu uye kuchinja kwehutano hwemuviri, inogona kukonzera marwadzo mu pubis, chibereko uye dzimwe nguva kunyange pasi pembabvu.

Kufamba kwemwana, kurwadza kwemusana, makumbo anorema, acid reflux, asiwo tarisiro yekusununguka inoita kuti usiku huve husina runyararo uye runyararo. Zvisinei, kupfuura kare, amai venguva yemberi vanofanira kuzorora uye kuwana simba.

Mwedzi wechisere wemimba, amai venguva yemberi vanowanzopinda mumhando yekoko, inotarisana nemucheche uye kusvika kwake kwave pedyo. Uku kubuda mukati mako kunotsanangurwa kunyanya nehomoni impregnation: muviri unotanga kuburitsa huwandu hweoxytocin uye prolactin, mahomoni ayo anogadzirira amai mumuviri uye mupfungwa kuzvara uye kuva amai. Isu tinotaurawo nezve "nesting instinct". Maererano neongororo (2), iyi quasi-mhuka yekuzvarwa inotanga mukati 3nd kota uye rinoonekwa nokuda “kugadzirira dendere rako” – nekugadzirira kamuri remwana, kumugadzirira mbatya, kuchenesa imba kubva kumusoro kusvika pasi – uye kusarudza vanhu vaanosangana navo. Iyi nzira yechisikigo yaizobatsira kugadzira chisungo chekubatana pakati paamai nemwana.

Mood swings uye kusiyanisa mu libido zvakare mhedzisiro yeiyi hormonal mamiriro ekunze mavhiki makumi maviri nematanhatu emimba.

Pamuviri pemwedzi minomwe, amai vanozova vanofanira kuramba vachidya kudya kunovaka muviri. Kuti asangane nezvinodiwa zvinovaka muviri zvemucheche, kudya kwake kunosanganisira omega 3 uye 6 (hove, mafuta), iron (nyama, nyemba), mavhitaminzi (michero), fiber (miriwo) uye calcium (chizi, zvigadzirwa zvemukaka). ) Zvinokurudzirwa kunwa kanenge 1,5 L emvura pazuva. Hutsanana hwechikafu hunokubvumira kuti udzore uremu hwako uye udzivise matambudziko anogona kuitika panguva yekusununguka (kana kuwanda kwehuremu kunotungamira kuchirwere cheshuga kana hypertension). Mukuwedzera, inobatsira kuderedza intestinal uye gastric kusagadzikana. Nhengo dzedumbu remudumbu dzinenge dzichinetsa 3nd kota.

Yasvika nguva yekuti amai-vave, pamutambo Mwedzi wechi8 wepamuviri, kuti afunge kuti anoda kudyisa sei mwana wake, zamu kana bhodhoro. Kuyamwisa kune zvakawanda zvinobatsira. Kuumbwa kwayo kwakanyatsonaka kune achangoberekwa uye kunogadzirisa maererano nekukura kwayo. Kupa zamu kwakajairika, asi hazvisi zvekuzvarwa muvakadzi vese. Vamwe havadi kuyamwisa nekuda kwezvikonzero zvakasiyana. Kune vamwe hazvigoneki (nekuda kwezvikonzero zvehutano kana kushaya mukaka). Hatifaniri kunzwa tine mhosva. Imwe neimwe yakasununguka kusarudza uye yakagadzirwa zvinoenderana nezvainogona. Mikaka yevacheche ndeyemhando yepamusoro uye inopa mwana zvakakosha. Pamasvondo makumi maviri nemana nepamuviri, zvakakosha kuti udzidze nezvenyaya yekuyamwisa, kana chiri chido cheamai-ku-be: zviri kufamba sei? Unofanira kuyamwisa kusvika rinhi? Nzira yekuyamwisa sei? Mhinduro kumibvunzo iyi yakawanda inopiwa nekuverenga, vashandi vezvokurapa, vamwe vanaamai vakayamwisa kana kunyange kuburikidza nekugadzirira kugadzirira. Kana achida kupa mukaka waamai, vakadzi vane pamuviri vanogona kuziva nezvezvishandiso zvinobatsira zvekuyamwisa, senge mapedhi ekuyamwisa, mazamu esilicone kana zvirongo zvekuchengetera mukaka wezamu. 

• Svetuka kushanya ku 8th mwedzi, 6th inomanikidzwa prenatal kubvunza. Chiremba kana nyamukuta achaita ongororo dzenguva dzose: kuyerwa kweBP, chiyero cheurefu hwechibereko kuti aone kukura kwakanaka kwe "fetus", kuwedzera uremu. Kuongororwa kwevaginal hakuna kurongeka. Vamwe vanachiremba kana vananyamukuta vanosarudza kuzviita panguva iyi chete kana uterine contractions, kunzwa kurasikirwa kweamniotic fluid, kuitira kuti irege kukonzera marwadzo kana kunyange kuputika. Munguva yekubvunzurudza uku, murapi achafunga nezve data ye ultrasound ye32 AS uye kuongororwa kwekiriniki kuitira kuti aite fungidziro pamamiriro ekutumira. Muzviitiko zvakawanda, kubereka kunogona kuitika mumukadzi. Mune mamwe mamiriro ezvinhu, zvisinei (pelvis yakanyanya kudiki, fibroma kana placenta previa inoumba chipingamupinyi kusikarudzi, kuratidzwa kwemwana kusiri kujairika, nhoroondo yekubara), chikamu chekubara chinofanira kurongwa, kazhinji mavhiki makumi matatu nemapfumbamwe. Kana pasina mubvunzo nekuda kwekuratidzwa kwemwana kana chiuno chaamai, chiremba acharayira radiopelvimetry. Iyi kuongorora (radiography kana scanner) inoita kuti zvikwanise kuyera zviyero zvechiuno cheamai uye kuzvienzanisa nezviyero zvemusoro wemwana zvakatorwa pa ultrasound ye 39 WA;
• panguva yekubvunzana uku 8th mwedzi, ongorora hurongwa hwekuzvarwa;
• tora sampuli yemukadzi kuti uongorore streptococcus B, utachiona hunowanikwa muzvikamu makumi matatu kubva muzana zvevakadzi uye hunogona kumiririra njodzi panguva yekusununguka kwechibereko kumwana. Kana sampuli iri yakanaka, mishonga inorwisa mabhakitiriya (penicillin) inozoitwa kana bhegi remvura ratsemuka kuitira kuti pasave nenjodzi yekubatwa nechirwere chemwana mucheche.

Mwana pa 33 weeks ine nzvimbo shoma yokufamba, asi mafambiro ayo, sezvinobvumwa kuti haana kukwana, anoramba achionekwa. Kana usingamunzwi achifamba kwezuva rose, usazeza kuenda kunzvimbo yevanosunungukira vanosununguka kuti uone kuti zvinhu zvose zvakanaka here. Munguva ye 3nd kota, hapana kushanya hakumbobatsiri, kana kungokusimbisa. Zvikwata zvinoshandiswa kune rudzi urwu rwemamiriro.

Tinoenderera mberi nemitambo yekudzivirira uye kuzorora kweperineum pamwe nekurereka kwechiuno.

Kushanya kune osteopath panguva ye Mwedzi wechi8 wepamuviri aizogadzirira muviri kuti usununguke. Nekushanda kunyanya pachiuno kuitira kuti idzorere kufamba kwayo, basa reosteopath rinogona kubatsira kufamba kwemwana kuburikidza nechikamu chegenito-pelvic.