Mukati
Mwedzi wechipfumbamwe wakamirira kwenguva refu wepamuviri: nokukurumidza mukadzi wacho achasangana nemwana waakatakura pasi pemwoyo wake nguva yose iyi. Amai vari kutarisira vari kuwedzera kufunga nezvekuzvarwa kunouya, vachinetseka nezvehutano hwavo uye hupenyu hwemwana.
Mwedzi wekupedzisira wepamuviri une maitiro ayo anokosha uye unopa mukadzi manzwiro asinganzwisisiki asingagoni kumushamisa chete, asi kunyange kumutyisa (1). KP pamwe chete obstetrician-gynecologist Maria Filatova ichataura zvakamirira mukadzi panguva iyi, kuti muviri unoshanduka sei uye chii chinofanira kudzivirirwa kuitira kuti usaunza dambudziko.
Key chokwadi nezve 9 mwedzi pamuviri
| Nhema | chokwadi |
| Iwe haugoni kutora mavitamini | Mukadzi ane pamuviri anofanira kuchenjerera nemishonga yose, unogona kunwa chero mapiritsi chete pasi pekutarisirwa kwechiremba. Asi izvi hazvirevi kuti mavitamini anorambidzwa. Kusiyana neizvi, vakadzi vane pamuviri vanowanzokurudzirwa kutora yakaoma ine folic acid uye iron (2). Chero zvazvingava, unofanirwa kubvunza chiremba: achasarudza zvikamu zvinodiwa, achifunga nezvehutano hweamai vane pamuviri uye nguva yekuzvitakura. |
| Mukadzi ane hutano anogona kuberekera kumba | Kubata pamuviri uye kuzvara zvinhu zvakasikwa. Asi hazvibviri kufanotaura kukura kwezviitiko zvechokwadi. Mukadzi ane pamuviri akanga ari nyore uye asina matambudziko anogona kutarisana nemamiriro ezvinhu asingatarisirwi panguva yekusununguka, apo chete nyanzvi ine zvigadzirwa zvinodiwa uye mishonga iripo inogona kukurumidza kupindura. Nokudaro, zviri nani kuvimba nenyanzvi dzechipatara chekuberekwa. Uyezve, nhasi unogona kusarudza sangano uye kunyange chiremba mberi. |
| kuora mwoyo mushure mekusununguka | Izvi zvinoitika, uye kazhinji. Zvinhu zvakawanda zvinopesvedzera - kubva pakuchinja kwemazinga ehomoni kusvika pakuziva kuti hupenyu nemwana hauchazove hwakafanana. Zvisinei, havasi vanaamai vose vanonzwa kuora mwoyo kwepashure pokusununguka, sezvo muviri pachawo uchibatsira kukurira manzwiro asina kunaka. ZVINOKOSHA! Panguva yekuzvitakura, haufanirwe kuterera kune chokwadi chekuti iwe unogona kusangana nechirwere ichi chepfungwa. Asi hama dzokunyama dzinofanira kufanoziva mamwe mashoko pamusoro pechirwere ichi. Kutsigira kwemhuri kunogona kubatsira amai vatsva vane postpartum depression. |
Zviratidzo, zviratidzo uye manzwiro
Mwedzi wekupedzisira wechitatu trimester inogara iri nguva inofadza yemukadzi. Iyi nguva inonzi yakaoma kune vose amai vane pamuviri uye fetus. Mukadzi ari kushingaira kugadzirira kubereka - izvi zvinoratidzwa nekuchinja kwemuviri uye mamiriro ake emanzwiro.
Ngatitaurei nezve kunonoka toxicosis, abdominal prolapse, kuonda, kurovedza mabhoti uye mamwe mapoinzi anosangana nevakadzi vane pamuviri pamwedzi ye9.
Toxicosis
Kazhinji kusvotwa mumavhiki ekupedzisira ekuzvitakura hakunetseki. Zvisinei, pane zvisizvo: apo mukadzi anotarisana ne preeclampsia yakaoma mumwedzi wechipfumbamwe wepamuviri. Kunyanya amai vane pamuviri vanotanga kuvhunduka kana toxicosis ichiperekedzwa nekuzvimba kwakanyanya, dzungu uye BP (3).
Muchiitiko ichi, unofanira kubvunza chiremba pakarepo. Zvichida nzira chete yekubuda mumamiriro ezvinhu aya ichava kusununguka kwekukurumidzira.
Kurera huremu
Mukadzi pamavhiki 33-36 anogona kuona kuti zviyero zvinoratidza nhamba diki kupfuura kare. Usavhunduka, ichi chiratidzo chekuzvarwa kwekutanga. Muviri unogadzirira maitiro, mvura yakawandisa inobuda, saka kuderera kushoma - 1-2 kg. Nokuda kwechikonzero chimwe chete, zvigaro zvakasununguka uye kuderera kwe edema zvinogona kuonekwa.
Kubviswa kwemucous plug
Zuva rega rega, kubuda kwechikadzi kunowedzera, uye mushure mekuita bonde kana kuongororwa gynecological, unogona kuona mitsetse yeropa.
Mumavhiki apfuura, unogona kuona kubuda kwejelly-kweruvara rwakareruka kana netsvina yebrown. Ichi chakavanzika chinobuda pasi pesimba rehomoni uye chinoratidza nzira yekusununguka, kugadzirira amai vane pamuviri kuti vasangane nemwana.
Makwikwi ekudzidzira
Chiitiko chinowanzoitika pamwedzi we9 wekuzvitakura: dumbu rinoshanduka kuita dombo, asi kunzwa uku kunokurumidza kupfuura. Periodicity haina kucherechedzwa.
Abdominal prolapse
Mwana anotendeutsa musoro pasi odzika munzvimbo ye pelvic. Nokudaro, mukadzi anogona kutarisa dumbu rake richidzika pasi. Munguva iyi, mukadzi ane pamuviri anonyangarika kupisa kwemoyo uye kupfupika kwekufema.
Shanduko dzese idzi dzinoratidza kuzvarwa kwekutanga.
Upenyu hwemifananidzo
Pamwedzi wechi9 wekuzvitakura, dumbu rinova rakakura uye rakapoteredza, unogona kuona kutambanudza mavara pairi, mutsara wakasviba unoratidzika kuparadzanisa chikamu ichi chemuviri muzvikamu zviviri, uye guvhu rakatendeuka kunze. Gare gare, zvinhu zvose zvichadzokera kune chimiro chayo chekare. Asi kuti udzivise zvinetso zvisingakoshi, zvinokurudzirwa kunyorovesa ganda nemafuta nemafuta, pamwe chete nekunwa mvura yakawanda.
Mwana paanodzika muchiuno, unoona kuti dumbu radonha uye raita serakatatamuka zvishoma.
Kukura kwemwana pamwedzi 9 yekuzvitakura
Mwedzi wechipfumbamwe wekuzvitakura unofungidzirwa kubva pamavhiki makumi matatu nemana kusvika makumi matatu nemasere (nguva kubva pakubata pamuviri). Asi munguva iyi, vhiki dze34 dzinowanzobatanidzwa.
Zvinokosha!
Masvondo ekuzvara anoverengwa kubva pazuva rekutanga kuenda kumwedzi kwekupedzisira. Uye mavhiki chaiwo anoverengwa kubva panguva yekubata pamuviri. Kazhinji kacho, kuverenga kweobstetric yetemu iri pamberi peiyo chaiyo nemavhiki maviri.
33 Svondo
Chiso checheche chakakomberedzwa, vhudzi revellus pamuviri rinova shoma. Iyo fetus yatove yakakura zvakakwana, inova yakazara muchibereko, saka inogona kufamba zvishoma kazhinji. Asi mukadzi dzimwe nguva anoona kuti dumbu rake rinodedera sei nguva nenguva: uyu mucheche ari hiccuping. Izvi zvinoitika kana, panguva yekufema mafambiro, anomedza amniotic fluid. Izvi hazvina ngozi.
| kukura | 44 masendimita |
| Kurema kwacho | 1900 d |
34 Svondo
Munguva iyi, kusunungurwa kwechiso kunoumbwa mumwana, uye anewo kunzwa kwakanyanya.
Pavhiki yemakumi matatu nemana yenhumbu, hazvina kugadzikana kuti fetus irare muchibereko, nekuda kwekushaya nzvimbo, inomonereka kuita bhora, ichidzvanyirira maoko nemakumbo kwayo.
| kukura | 48 masendimita |
| Kurema kwacho | 2500 d |
35 Svondo
Munguva iyi, "fetus" inokura kudzidzisa hunyanzvi hwakakosha: kuyamwa, kumedza, kufema, kubwaira, kutendeuka kubva kune rumwe rutivi.
Pamasvondo makumi matatu nemashanu, amniotic fluid inoderera muhuwandu, iyo inopa nzvimbo yakawanda kumwana. Iko pakupera kwenguva iyi iyo inofungidzirwa kuti fetus inoumbwa uye yakazara yakazara-nguva.
| kukura | 49 masendimita |
| Kurema kwacho | 2700 d |
36 Svondo
Mwana ari mudumbu anoramba achikura nekusimba mukugadzirira kuzvara. Nhengo dzese uye pfungwa dzakatoumbwa uye dzinoshanda zvizere, kunze kwezviviri: mapapu neuropi. Vanoramba vachivandudza uye vachishingaira kukura mushure mekusununguka.
| kukura | 50 masendimita |
| Kurema kwacho | 2900 d |
37 Svondo
Mwana anoramba achigadzira subcutaneous adipose tissue. Uyewo pavhiki ye37 yekuzvitakura, kushingaira kwekukura kweuropi kunopfuurira.
| kukura | 51 masendimita |
| Kurema kwacho | 3100 d |
38 Svondo
Munguva iyi, basa re fetus rinoderera nekuda kwekushaya nzvimbo muchibereko. Mukuwedzera, hurongwa hwemagetsi hunogadzirwa zvakakwana kuitira kuti mwana agone kurongedza kufamba. Naizvozvo, panguva ino hapana mafambiro anowanzoitika sezvazvaive kare.
Pavhiki ye38 yekuzvitakura, mwana haanyanyi kushanda uye anorara zvakanyanya - anochengetedza simba rekuberekwa kwepakutanga.
| kukura | 52 masendimita |
| Kurema kwacho | 3300 d |
Zvinokosha!
Kana muvhiki yekupedzisira yekuzvitakura mukadzi anonzwa kushingaira kwe fetal kufamba, zvino izvi zvinofanira kukurumidza kuziviswa kuna chiremba. Chiitiko chakafanana chinogona kuonekwa panguva ye hypoxia.
Kuongororwa pamwedzi 9 yekuzvitakura
Mumavhiki ekupedzisira ekuzvitakura, mukadzi anofanira kushanyira chiremba vhiki imwe neimwe. Pazasi isu tichakuudza kuti chii chimwe chinodiwa kuti uongorore yakazara panguva ino.
Assays
Pamwedzi wechi9 wemimba, mukadzi anoda kutora weti yakawanda vhiki nevhiki. Izvi zvinodikanwa kuitira kuti chiremba aone zviratidzo zvehuga uye mapuroteni.
Uyewo, pakutanga kwemwedzi we9, amai vane pamuviri vanotora smear yekuchena kwemaruva emudzimai. Kana chiremba asina kugutsikana nemigumisiro, anotumira mukadzi wacho kuongororwa zvakare, kana kuti anorayira kurapwa maererano nemamiriro acho ezvinhu.
kuonorora
Pakugadzwa negynecologist, ropa, chiuno chechiuno uye uremu zvinofanirwa kuyerwa. Chiremba anoongororawo mamiriro akaita muromo wechibereko kuti vaone kuti wagadzirira here kuzvara.
Zvinokosha!
Kana mukadzi ane pamuviri asina chido chekushanda, uye nguva yacho yava kutosvika, chiremba anoongorora zvakare muromo wechibereko. Kana pasina kuchinja, mukadzi anogona kukurumidza kuiswa muchipatara muchipatara nokuda kwekukurudzira kwekugadzira.
KTG
Cardiotocography (CTG) inofanirwa: nekutarisa kurova kwemoyo we "fetus", chiremba anogona kuongorora zvirwere zvakasiyana-siyana munguva iyo ine ngozi kumwana.
Zvaunofanira Kuita Nezveusingaite kune Vanaamai Vanotarisira
Mwedzi wechipfumbamwe wekuzvitakura ndiyo nhanho yekupedzisira yekuzvitakura. Nguva iyi ndiyo yakanyanya kuomera mukadzi, zvese panyama nepapfungwa (4). Mumavhiki ekupedzisira ekuzvitakura, amai vane pamuviri havafaniri kufungidzira kuberekwa kunouya mumavara asina kunaka uye kunetseka pamusoro pechinhu, uye zvinokurudzirwawo kuderedza kushanda kwemuviri uye mafuta ezvokudya.
Sex
Kana mimba ichienderera mberi pasina matambudziko, saka kunyange pamwedzi 9 unogona kuita zvepabonde. Asi zvinhu zvose zvinofanira kuitika zvakanyatsonaka uye zvakanaka, kuitira kuti mushure mekuita basa usakurumidza kuenda kuchipatara.
Kana pamuviri paive nedambudziko, saka zviri nani kumisa hukama hwepedyo. Izvo zvakanyanya kukoshesa njodzi kana gynecologist akarambidza zvakananga kuve nehukama hwepedyo nekuda kwechero matambudziko. Kana zvisina kudaro, zvepabonde zvinogona kutungamirira kukuberekwa kusati kwasvika uye mamwe migumisiro isingafadzi.
Kudzidzira muviri
Mumwedzi wechipfumbamwe wepamuviri, basa remukadzi rinodonha kusvika zero uye anowedzera kuda kurara. Izvi zvakajairika, sezvo muviri uchigadzirira kuzvara uye kuunganidza simba.
Uyewo, mumavhiki ekupedzisira ekuzvitakura, unofanira kurega kuita basa remuviri: haufaniri kusimudza zviremera kana kufambisa fenicha, kutakura mabhegi anorema, nezvimwewo. Kana zvisina kudaro, zvinogona kutungamirira kumigumisiro yakaipa: somuenzaniso, kubuda ropa kwechibereko uye kukurumidza kusununguka.
chikafu
Mumavhiki ekupedzisira ekuzvitakura, mukadzi anonzwa kusununguka mumuviri, sezvo chirungurira, kuvimbiswa uye mamwe matambudziko ekudya zvishoma nezvishoma. Zvisinei, haufaniri kutsamira pane zvokudya zvisina kuchena, sezvo izvi zvisingangowedzere mutoro pachiropa, asiwo zvinopa kuwedzera uremu, izvo zvisingabatsiri mumwedzi wechipfumbamwe.
Mibvunzo nemhinduro dzakakurumbira
Obstetrician-gynecologist Maria Filatova anopindura mibvunzo pamusoro pezvinhu zvemwedzi wechipfumbamwe wekuzvitakura.
Nzira yekugadzirisa sei toxicosis?
Kuti uderedze kusvotwa, kurudziro yekudya zvidiki zvidiki zvakare inoramba yakakosha, pamwe netii uye lollipops neremoni, ginger uye mint zvinogona kubatsira.
Ndingaite bonde ndine nhumbu ine 9 months here?
Huremu hwakadii hwaunogona kuwana pamwedzi ye9 nepamuviri?
Nzira yekunzwisisa sei kuti kubereka kwatotanga uye inguva yekugadzirira kuchipatara?
Mucus plug inosiya mazuva mashoma, uye dzimwe nguva maawa mashoma asati azvarwa. Kana mukadzi akawana chivharo chemukasi pachipfeko chake chemukati, zvinowanzoitika kuti cork yabva. Munguva pfupi iri kutevera, basa rebasa rinofanira kutanga.
Kusiyana nenhema, zvipingamupinyi pakutanga kwebasa zvinowanzoitika muzvisikwa - zvinenge 1 chibvumirano mumaminitsi gumi, zvishoma nezvishoma zvinowedzera simba uye nguva, uye nguva pakati pavo inoderedzwa.
Nekuonekwa kwezvibvumirano zvenguva dzose kana kubuda kweamniotic fluid, unofanira kuenda kuchipatara chekuberekwa.
Zvitubu zve
- Obstetrics: Textbook // GM Savelyeva, VI Kulakov, AN Strizhakov nevamwe; Ed. GM Savelyeva - M .: Mushonga, 2000
- Zuva nezuva iron uye folic acid supplementation panguva yekuzvitakura. e-Library yeEvidence yeNutrition Actions (eLENA). Sangano Rinoona nezve Utano Pasi pose. URL: https://www.who.int/elena/titles/guidance_summaries/daily_iron_pregnancy/en/
- Yakasanganiswa mafomu ekupedzisira preeclampsia muvakadzi vane pamuviri / Marusov, AP 2005
- Kosi uye manejimendi ekuzvitakura mumatrimesters ekukura kwayo: gwara revanachiremba // Sidorova IS, Nikitina NA 2021