Iveki 40 Yokukhulelwa Kwakho

Ukujonga umzimba wakho, umntwana wakho, kunye nokunye

Wamkelekile kwiveki 40 yokukhulelwa kwakho. Vuyiswa! Ndiyathemba, uza kwamkela umntwana wakho omtsha kulutsha. Enoba oko kwenzeka okanye ufumana ixesha elingaphezu kwexesha, indlela ehamba phambili imfutshane. Nangona abafazi abakhulelweyo bonke bayaqonda ukuba abasebenzi kunye nokuhanjiswa ekugqibeleni, iimvakalelo eziza kunye nenyaniso "yosuku olukhulu" zingathatha amaninzi ngamangalisa.

I-Trimester yakho: Iyesithathu ezintathu

Iveki ukuya ku: 0

Leveki

Kwiiveki ezingama-40 zikhulelwe, ngokuqinisekileyo unyaka opheleleyo. Nangona kunjalo, yazi ukuba ukuba unalo usana lwakho kule veki, awuyedwa. Enyanisweni, "kuphela i-19 ekhulwini yabasetyhini bahamba ngokubaluleka kwiveki yama-40, kunye neepesenti ezili-14 ziya kusebenza kwiiveki ezingama-41 okanye ngaphezulu," kusho u-Allison Hill, MD, umbhali woKhulelwa Kwakho, iNdlela Yakho kunye nombhali wencwadi kaMama. Isikhokelo esipheleleyo seMadokhumbuzo sokukhulelwa nokuzalwa.

Ukuba uya kusebenza kule veki, uya kuba namaqhinga e-telltale uterine . Nangona kunjalo, ekusebenzeni kwexesha lokuqala, abafazi abaninzi abaqinisekanga ukuba bafumana ukuphulaphula okwenyaniso okanye iBraxton Hicks . Ingqungquthela yasekuqaleni (latent) yomsebenzi ingabandakanya iziphambano ezingavumelekanga, ezingenakubuhlungu kakhulu ezidlula imizuzu engama-30 ukuya kwe-45, "kusho uDkt. Hill. "Kodwa kunokuquka iincwadana ezibuhlungu ukusuka."

Naluphi na indlela, ngokukhawulelana ngalunye, umlomo wakho wesibeleko uyaqhubeka ukuvula (ukuphucula) kunye nomzimba omncinci (umonakalo) .

Ngokungafani neBraxton Hicks, ukuchasana kwabasebenzi akuyeki emva kokuba utshintshe izikhundla. Baqala emva baze bahambe ngaphambili kwesisu sakho, kwaye bazive benamandla kunokuba baqhekeza.

Ekubeni eli nqanaba lokuqala lomsebenzi linokugqibela usuku okanye ezimbini , kukulungele ukuhamba malunga nosuku lwakho njengoko unako konke okusemandleni akho.

Umsebenzi osebenzayo

Emva kokungena kwisigaba esisebenzayo sokuqala kwabasebenzi , umlomo wakho wesibeleko uyancipha u-1 centimeter ngeyure. Ukuze ufeze oko, iinqhelelo zakho zihlala ziqhelekileyo; sisondele kunye (imizuzu emibini ukuya kwemizuzu emithathu); kuphele ixesha elide (imizuzwana engama-60 ukuya kwangu-90); kwaye ibe nzima kakhulu.

Uya kufuna ukwenza indlela yakho esibhedlele okanye kwisibhedlele se-birthing ngexesha elithile kweli nqanaba lomsebenzi. UDkt. Hill ucebisa ukuhamba xa ukuchaswa kuye kwaba yimitha emithathu ukuya kwemihlanu ngaphandle kweeyure ezimbalwa . (Unokucela umlingane wakho ukuba akuncedise ukugcina umkhondo kunye nekripthi kunye nexesha , okanye unokucinga ukuba usebenzisa insiza yeselula eyenzelwe ukwenza lo msebenzi ube lula.)

Kodwa, ke, qha ga mshelana nomboneleli wakho wezempilo ukuze wenze isigqibo esiphezulu kuwe. Hlalani nilindele ixesha lokuhamba engqondweni xa nenza isigqibo sakho, njengoko isithuthi kwixesha elithile lasemini lingenza uhambo lwakho luhambe kancane kunokuba ungathanda.

Isigaba esisebenzayo sabantu abasebenzayo sithinjwe ngokubhekiselele ekutshintsheni . Nangona le nto iyona mfutshane kunazo zonke zabasebenzi, eziyiminyaka engama-30 ukuya kwimizuzu engama-90, yinto enzima kakhulu. Ngoku, ukuphambana okukhulu kunokwenzeka nganye emva kwemizuzu emibini. Bazama ukukufumana kwisigaba sesibini sezabasebenzi , okuphawulwe ngokuxiliswa komlomo wesibeleko (10 cm), ukunciphisa izithintelo kunye nokunyusa.

Isigaba sesibini sinokuhlala phi ukusuka kwiminithi embalwa ukuya kwiiyure ezimbalwa.

Uyakuva uxinzelelo lwentloko yakho yentsana phakathi kwemilenze yakho kunye nesibindi esinamandla sokutshiza; qi niseka ukuba ulinde isicwangceli sezempilo sakho ukuba uqale ukwenza njalo. Ukuba unesifo se- epidural , kunjalo, uvakalelo luya kuncipha. Ngoxa le nto ingakwandisa inkqubo yokubhinqa, mhlawumbi ayiyi kuba negalelo elikhulu ekukhupheleni kwakho ixesha .

Ukunyusa

Ngethuba lokusasaza intloko, intloko yakho yomntwana iya kuqala ukuphuma kwisini lakho kunye nesithintelo ngasinye. Xa intloko yesana ihlala ibonakala ngaphandle kokungena ngaphakathi ngaphakathi, isithsaba .

Esi sigaba, esipheleleyo somsebenzi onzima, siphela ngomvuzo omnandi: Kwiimeko ezininzi, uza kubona unyana okanye intombi yakho ngeyure.

Ukukhulula i-Placenta

Emva kokuba umntwana wakho azalwe, ungena kwisigaba sesithathu nesigxina sokusebenza: ukuhambisa i-placenta yakho. Ukuncedisa kwinkqubo, unokufuna ukunceda umntwana wakho . Oku kunceda inkontileka yesibindi sakho kwaye ukhupha i-placenta yakho.

Kubalulekile ukukhumbuza ukuba akukho zihlandlo ezimbini zokubakho ezifanayo. Nangona iinqwenela zakho zinganeliswa ngamazwi omnye, amava akho (indlela ohambisa ngayo, kuthatha ixesha elingakanani, kwaye ngaphezulu) uya kuba ngowakho.

Umntwana Wakho Ngeveki

Iintsana zakho ezinokuzalwa zisenokuba ngamanyathelo angama-intshi ama-19 ukuya kuma-21 ubude kwaye zilinganisa malunga ne-6½ ukuya kwimilogram eyi-10, kodwa engenakubukeka ngathi ulindele .

Okokuqala, i-gaze yengane ithambile kwaye ibuhlungu. Oku kuvumela ukuba utshintsho olushelelekileyo ngedalini yokuzalwa, kodwa luyakumshiya kunye nentloko enesibhondi xa uhambisa ubulili. Oku kuya kubuyela ngokujikeleza emva kweentsuku ezimbalwa, kodwa iindawo ezithambileyo ezibizwa ngokuba yi-fontanelles ziza kuhlala ziinyanga ezintathu ukuya kwezi-15.

Ingane yakho entsha inokudlala imidlalo ye-vernix kunye newegogo; amehlo akhe ayenokukhubekisa; Izandla kunye neenyawo zentsana zinokuthi zixubushe ngokuluhlaza; kunye / okanye kunokubakho ukukhwabanisa obomvu (okubizwa ngokuba yi-nevus simplex) ebunzini lomntwana, iinkophe, kunye / okanye emva kwentamo yomntwana. Zonke ziqhelekileyo ngokuqhelekileyo.

Kanye emva kokuthunyelwa, umniki-nkonzo wakho unokuncelisa i-mucus kunye ne- amniotic fluid emlonyeni womntwana kunye neempumlo uze umbeke kwisisu okanye esifubeni sakho sokuthintela isikhumba-kunye nesikhumba sakho sokuqala. Ukuba loo nto yokugqibela ayenzekanga kanye, mhlawumbi ngenxa yokuba umntwana ubonisa iimpawu zokubandezeleka okanye unecandelo le-C; Iintsana ezizalwe ngale ndlela kufuneka zihlolwe ngunyango wezilwanyana kuqala.

Umlingani wakho okanye umboneleli wakho wezempilo uya kunqumla intambo. Ekugqibeleni, ezinye iimvavanyo kunye neenkqubo ziya kwenziwa. Ezinye zivela kwimini embalwa elandelayo okanye iiyure, abanye ngeentsuku zokuqala zentsana, njengale:

Kwiofisi yakho yoGqirha

Ukuba ufumanisa ukhulelwe kwaye kwiofisi yakho yonyango okanye umbeleki kule veki, hlala khona. Yazi ukuba awuqatshelwa ngokusemthethweni emva kwexesha ukuya kwiiveki ezingama-42 ezikhulelweyo. Imihla efunekayo ayiyiyo inzululwazi ngqo ; Izinto ezifana nezikhathi ezingaqhelekanga kunye nomlando ongenakulungileyo wokuya esikhathini angakunqanda ukubala kwezi-day.

Kungakhathaliseki, umnonophelo wakho wezempilo unokunikezela ukuhluba iimbumba zakho kumgudu wokukhawulela abasebenzi ngexesha lokutyelela. Uthi uDkt Hill uthi, "Esinye sezizathu eziqhelekileyo ukuba umntwana wakho akaphumekanga kodwa ukuba akayi kuba kwindawo efanelekileyo ." "Khuthaza umntwana wakho ukuba angene kwi-pelvis ngokuhlala ekhuthele, ehambahamba, kwaye elula ngokunyanisekileyo umlenze wakho kunye ne-groin."

Ukuba awuyi kusebenza ngaphakathi kweveki, uya kuba novavanyo olungagxininisekanga kunye / okanye iphrofayili ye-biophysical (BPP) ukujonga intliziyo yesantya, ukunyakaza, kunye nokuphila kakuhle. Umboneleli wakho wezempilo uya kuhlaziya iziphumo ukugqiba ukuba utyuntsho lukwaziswa.

Iingqalelo ezikhethekileyo

Phantse amaphesenti angama-32 eintsana ezelwe eMelika ziza ngeCaarea section ( Icandelo leC) . Kwabafazi abathile, inkqubo ihlelwe ngenxa yeemeko ezinjenge:

Kodwa kuninzi lwabasetyhini, iingxaki ezingalindelekanga ngexesha lokubambisana nesigqibo sokuhambisa ngendlela yecandelo le-C.

Icandelo le-C: inyathelo-nyathelo

Nantsi into enokulindela ngexesha kunye nangemva kokuhlinzwa:

Uhambo lweDkt

I-American College of Obstetricians kunye ne-Gynecologists icebisa ukuba ucebise uhambo lwakho lokunyamekela emva kokubeleka kwiiveki ezintandathu zokuhambisa. (Kwabesetyhini abasengozini enkulu yokudakumba, emva kokuqokwa kwamasonto amabili ukuya kweveki kukhuthazwa.)

Ngethuba lokuqeshwa kwakho, ungalindela:

Udokotela wakho uya kukucebisa ngokukhulelwa komzimba kwaye uphinde uhlawule; Ewe, kunokwenzeka ukuba umzimba ukhulelwe kungekudala emva kokuzalwa .

Thatha leli thuba ukuba uthethe ngokubhekiselele emsebenzini wakho kunye nokunikezelwa, kwaye ucacise nayiphi na imibuzo onokuyenza. Yabelana ngendlela ovakalelwa ngayo ngokomzimba nangokomzwelo njengomzali omtsha. Unganqikazi ukuhlaziya nayiphi na imiba enempilo enxulumene nokukhulelwa ezinjengeemvumba, izilonda ze-varicose, kunye neenguqu zengubo . Uze uphakamise nayiphi na imiba enokuthi ikhuphe, nje ngoxinzelelo lwe-urinary okanye u-anal incontinence.

Ukunyamekela

Xa usana lwakho lukhona, lunokuba lula kakhulu ukuzinyamekela iimfuno zakho. Kodwa khumbula, nokuba unayo iCesarean okanye uzalwe ngesisu, uya kubuyiselwa kwinto enokuba yimeko enzima kunayo yonke into eyenziwa ngumzimba wakho. Hlonipha loo nto kwaye ncedise ukunciphisa inkqubo yokubuyisela ngokusemandleni akho.

Ukunciphisa ubuhlungu besisu kunye ne-perineum:

Ukusebenzisa i-yokuhlambela kulula:

Ukunciphisa amabele amakhulu:

Ukongezelela, ukuba unayo nayiphi na impawu ebangela ukukhathazeka emzimbeni , loo mkhuhlane, ukuphuma kwegazi ngokugqithiseleyo, isicatshulwa seC-c, okanye ngaphezulu, ungalindelanga ukuvavanywa kwakho emva kokutshatyalaliswa ukufuna unyango kunye nesikhokelo kumgqirha okanye umbeleki wakho.

Impilo Yengqondo

Ngexesha elifanayo, musa ukuyihoxisa impilo yakho yengqondo. Nangona uvakalelwa uluntu oluhlaza okwesibhakabhaka kulindeleke (kwaye okwethutyana), ukuxinezeleka kwangemva kokuphuma okanye ukukhathazeka kudinga ingqalelo ekhethekileyo.

Nangona oko ungakubona kwiimveliso zentengiso, uya kuba nzima ukufumana umama omtsha ongakhaliyo. I-postpartum blues iqhelekile kwiiveki zokuqala emva kokuziswa. Nangona kunjalo, iimpawu eziqhubeka ngaphaya kwelo okanye eziba nzima kakhulu zingabonakalisa uphawu lokudakumba kwe-postpartum. "Akuyiyo into oyiva ngayo, ngokuchanekileyo. Ngona kaninzi uvakalelwa ngayo, ubude uvakalelwa njani, kwaye ungakanani ukuphazamisa ukusebenza kwakho kwansuku zonke, "kusho uShara Marrero Brofman, i-PsyD, isazi sengqondo senzala kunye nesifo sengqondo kwi-Seleni Institute, inhlangano engenzi nzuzo ekhethekileyo kwimpilo yabasetyhini kunye nokuzala kwengqondo.

Ukuba ufumana enye okanye ngaphezulu kweempawu ezilandelayo, khangela uncedo lomboneleli wakho wezempilo ngokukhawuleza:

Kubalingani

Nangona iqabane lakho lenza ukuphakanyiswa okukhulu kwezabasebenzi kunye nokunikezelwa, usenxalenye ebalulekileyo yenkqubo yonke, ngakumbi xa kuvela ekunikeni isikhuthazo nenkxaso; izikhalazo; kwaye uncedise ukulinganisa xa kufike ixesha lokuya esibhedlele okanye kwiziko le-birthing.

Khumbula ukukhawulwa kwexesha lesibini, usebenzisa istwatchwatch kwifowuni okanye insiza. Uza kuthatha ixesha ngalinye leenkcaso zomlingani wakho ukususela ekuqaleni ukuya ekugqibeleni ukuze ubone ukuba ziphi ixesha elide . Emva koko, uya kuhamba umgama phakathi kokuphela kokuqhawulwa komnye kunye nokuqala kwelandelayo. Le ndlela ihluke ngayo imivalo yeqabane lakho. Ukurekhoda yonke le ngcaciso kwaye uphinde ulandelele iinkqubo ezimbalwa ukujonga ukuhamba rhoqo.

Yenza wena kunye nomlingani wakho okhulelwe ukuba ubenomdla kwaye ungayeki ixesha lokuqhawula yonke into . Yenza kuphela xa kubonakala ngathi utshintsho (kunye / okanye nganye iyure). Ingcinga efanelekileyo yokufumana iqabane lakho esibhedlele okanye kwisikolo se-birthing xa ukugqithwa kukugqibela kwimigangatho engama-45 kuya kweyimi-60 kwaye imizuzu emithathu ukuya kwemihlanu ngaphandle kweeyure ezimbalwa. Ukuba lo akuyena umntwana wokuqala weqabane lakho, intloko ukuya kwindawo oya kuyo xa ukuchasana kwenzeka njalo imizuzu emihlanu ukuya kweyesixhenxe.

Thatha isikhokelo esibhedlele okanye kubasebenzi besikhungo se-birthing, kunye nomlingane wakho, xa esebenza-kwaye uyazi ukuba nje ukhona kwaye ubambe isandla sakhe, ukuba oko kuzisa intuthuzelo yakhe, yinto engcono kakhulu ongayenza ngaloo mzuzu. Ukuba ukhetha ukungaboni ukuzalwa kwangempela, ilizwi eliya kubasebenzi ukuze ubekwe kwindawo yentloko yebhedi (okanye kwenye indawo).

Xa umntwana usufikile kwaye ubuyela ekhaya, unokuziva ungaqinisekanga ngezona ndlela ezintle zokuncedisa, ingakumbi ukuba iqabane lakho lincinci-into ekhethekileyo yoxanduva lomama, ngaba kufuneka akhethe ukuyithatha. Yenza okusemandleni akho ukukunceda ugxininisa wakho kumlingani, kunye nokunyamekela kwintsana yakho. Mlethe amanzi xa elusela. Shintsha i-diaper yomntwana . Ukunikezela ukunika unyana wakho okanye intombi ibhotile. Buza ukuba yiziphi izinto onokuzifumana kwivenkile.

Uninzi lwazo zonke, khumbula ukuba kwiintsuku, iiveki, kunye neenyanga ezizayo, uya kusebenza ukuze ufunde i-ins kunye nokuphuma kwintsana yakho, umzali, mhlawumbi nokuba ubomi njengentsapho emine , emihlanu okanye ngaphezulu, ukuba umntwana ungumntakwabo. Zama ukunyamezela kunye nokuqonda omnye nomnye-kunye nawe.

Uluhlu loHlolo lwe-Wellwell

Iveki yokugqibela: Iveki 39

> Imithombo:

> Allison Hill, MD Iinkcukacha zonxibelelwano. Oktobha, ngoNovemba 2017.

> I-American Academy yePediatrics. I-AAP Inconywa ukuba iintsana zifumana i-First Hepatitis B Isifo kwiiyure ezingama-24 zokuzalwa. https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Recommends-That-Infants-Receive-First-Hepatitis-B-Dose-Within-24- Iiyure-ze-Birth.aspx

> Ikholeji yase-American College of Obstetricians and Gynecologists. Ob-Gyns Ugxininise ukubaluleka koKhathalelo lwePotpartum: I-Trimester yesine. https://www.acog.org/About-ACOG/News-Room/News-Releases/2016/Ob-Gyns-Stress-the-Imfuneko-Postpartum-Care-The-Fourth-Trimester

> I-American Pregnancy Association. Iveki yokukhulelwa 40. http://americanpregnancy.org/week-by-week/40-weeks-pregnant/

> Amacandelo okuLawula nokuLawulwa kwezifo. AmaZiko kaZwelonke weeNkcukacha zezeMpilo. Ukuzalwa - Indlela yokuThumela. https://www.cdc.gov/nchs/fastats/delivery.htm

> Ukubambisana kaZwelonke kuBafazi nakweMindeni. Ukuzalana kokubeletha. Umzimba Wakho Kulo lonke ixesha lokukhulelwa. http://www.childbirthconnection.org/healthy-pregnancy/your-body-pregnancy.html

> Shara Marrero Brofman, PsyD. Imeyili kunye neNxibelelwano yefoni. Oktobha, Disemba 2017.