mu izi Sabata la 16 la pakati (milungu 18), khanda limayeza masentimita 17 ndipo limalemera 160 g.

Ziwalo zake zosiyanasiyana zimapitilizabe kukula.

Msana wake, mpaka pano wopindika, wowongoka.

Thupi la fetus pamasabata 16, kupatula zikhatho za manja ndi mapazi, ndizophimbidwa ndi chabwino pansi, lanugo. Izi zimatha kubadwa koma zimatha kupitilirabe m'malo ena amthupi, makamaka ngati mwanayo afika msanga. Vuto loyera, loyera, vernix caseosa, limaphimbanso khungu la mwana ndikumuteteza ku madzi amniotic omwe amasamba. Dzanja lililonse limatulutsa zala zake.

Le Mwana wosabadwa wamasabata 16amasuntha kwambiri ndipo mayendedwewa amathandizira kukulitsa minofu yake ndikugwira bwino ntchito kwa mafupa ake. Komabe, kugona kumakhalabe ntchito yake yayikulu, osagona maola 20 tsiku lililonse.

Ngati ndi mtsikana, zibowo la nyini limakula.

Pamene mayi woyembekezera ali Masabata 18 a amenorrhea (16 SG), kupanga progesterone mwa nsengwa kumakula kwambiri. Hormone iyi, yomwe imathandizira kukhalabe ndi pakati, imakhalanso ndi kupumula kwa minofu yosalala, makamaka kuti muchepetse chiberekero cha chiberekero nthawi yapakati. Mbali inayi ya ndalama: imayambitsa kupumula kwa minofu ina yosalala monga yam'mimba kapena m'matumbo, kenako kumachepetsa kutaya kwa m'mimba ndi kuyenda m'matumbo, ndichinsinsi cha asidi Reflux ndi kudzimbidwa.

Au Mwezi wa 4 wa mimba, ndizotheka kuti mumve kale zovuta zina. Ngati ali okha ndipo osapweteka, palibe chachilendo. Ngati sichoncho, kufunsa ndikofunikira kuti athane ndi vuto lililonse lakubereka asanakwane (PAD).

Ngati mkazi, oyembekezera miyezi itatu, amadwala asidi Reflux kapena kudzimbidwa, ndizotheka kukonza vutoli. Kudya zakudya zokhala ndi michere yambiri ndikupeza magnesium yokwanira sikungangolepheretsa kudzimbidwa, komanso kumachepetsa chiopsezo cha zotupa m'mimba. Monga momwe zimanenedwera, kusungunuka bwino (1,5 L patsiku) kumathandiza kupewa kudzimbidwa. Madzi ophatikizidwa ndi magnesium ndi abwino, chifukwa chazomwe zimalimbikitsa kuyenda. CHIKWANGWANI chimakhalanso bwenzi la matumbo chifukwa chimasunga madzi ndikufulumizitsa mayendedwe amkati. CHIKWANGWANI chimapezeka makamaka mu zipatso ndi ndiwo zamasamba, makamaka munthawi yake. Amapezekanso mu nyemba (nandolo, mphodza, ndi zina zambiri), mumitengo yamafuta (mtedza, maamondi, ndi zina zambiri) ndi mbewu zonse (oats, chinangwa, etc.). Ndizosavuta kuti amayi oyembekezera omwe ali ndi vuto lakudzimbidwa, makamaka ochokera ku Mwezi wa 4 wa mimba, atha kuyamba kuchepetsa zovuta izi. 

Ponena za asidi reflux, mbatata, zipatso ndi ndiwo zamasamba zitha kuchepetsa. Tiyenera kusamala kuti tipewe zakudya zina, zopangika kwambiri m'mimba mwa amayi apakati: sodas, zokometsera kapena zakudya zolemera kwambiri, khofi kapena shuga woyengedwa.

pakati Masabata 18 a amenorrhea (16 SG), mayi wamtsogolo amayamba kuzindikira kuti ali ndi pakati ndipo amafunika kukhala munthawi yake. Kutikita minofu yobereka kungathandize. Zimapempha kusangalala. Komanso, thupi la mayi wapakati limasintha modabwitsa m'miyezi, limodzi ndi chisangalalo komanso kusasangalala. Kutikita thupi asanabadwe kumalola kuti thupi lizitonthozedwa komanso kuthiridwa bwino chifukwa cha mafuta a masamba.

• pitani kukafunsira kwa Mwezi wa 4th, yachiwiri mwa maulendo 7 oyenera kubadwa. Kufufuza kwamankhwala mwadongosolo kumaphatikizapo kuyeza, kutenga kuthamanga kwa magazi, kuyeza kutalika kwa chiberekero, kumvetsera mtima wa mwana kudzera pa Doppler kapena khutu, ndikuwunika kumaliseche kuti muwone vuto lomwe khomo lachiberekero lingakhalepo. chiberekero. Zindikirani, komabe: akatswiri ena samayesa ukazi nthawi iliyonse akabwera, chifukwa kufunika kwake sikunatsimikizidwe pakalibe zizindikiritso zam'matenda (kupweteka m'mimba, kupweteka, kutuluka magazi). Pakuchezera mwezi uno wa 4, zotsatira za kusakanikirana kwa Down's syndrome ziwunikiridwa. Kupatula pachiwopsezo cha 21/1, amniocentesis apemphedwa, koma mayi wamtsogolo amakhalabe womasuka kuvomereza kapena ayi;
• pangani nthawi yoti mimba yachiwiri ya ultrasound ichitike mozungulira 22 masabata ;
• fufuzani za chakudya cha amayi apakati pamgwirizano wawo. Ena amapereka kuchepetsedwa kwa ntchito kuyambira mwezi wa 4;
• amalize kulembetsa m'chipinda cha oyembekezera.

kuchokera Oyembekezera masabata 16 (milungu 18), ndibwino kuganizira momwe mumayamwitsa, podziwa kuti nthawi zonse zidzakhala zotheka kusintha malingaliro anu panthawi yobadwa. Ndi chisankho chokhazikika chomwe chili kwa mayi ndi iyemwini. Palibe kukonzekera kofunikira kuyamwitsa, kupatula kupeza chidziwitso kuti mumvetsetse momwe kuyamwitsa kumagwirira ntchito komanso makamaka kufunikira koyamwitsa pakufunika komanso malo abwino pachifuwa. . Mabungwe othandizira mawere (Leache League, COFAM), alangizi othandizira azamwali a IBCLC ndi azamba ndi omwe ali ndi mwayi wodziwa izi.

Ndipo atero 2 trimester ya mimba, kupitiriza kugwira ntchito ndi kovuta kapena kowopsa (kupuma mankhwala, kugwira ntchito usiku, kunyamula katundu wolemera, kuyimirira kwakanthawi, ndi zina zambiri), nkhani L.122-25-1 ya Labor Code imapereka mwayi wopeza phindu pantchito yosintha ntchito , popanda kuchepetsa malipiro. Kuti muchite izi, mimba iyenera kutsimikiziridwa ndi zamankhwala pogwiritsa ntchito fomu yolengeza zakulera kapena chiphaso chakuchipatala. Kalata yachiwiri ya zamankhwala iyenera kufotokozera mbali zosiyanasiyana zamalo osagwirizana ndi pakati. Potsatira kalata yomwe ikufotokoza mfundo zosiyanasiyana izi ndi kapangidwe kantchito, satifiketi iyi iyenera kutumizidwa kwa olemba anzawo ntchito, mwa kulembetsa kalata makamaka ndikuvomereza kuti mwalandira. Mwachidziwitso, olemba anzawo sangakane izi. Ngati sangakwanitse kumupatsanso ntchito ina, ayenera kulembera mayiyo kuti amulembere zifukwa zomwe zikulepheretsa kulembedwanso. Pangano la ntchito limayimitsidwa, ndipo wogwira ntchitoyo amapindula ndi chitsimikizo chamalipiro opangidwa ndi ndalama za tsiku ndi tsiku kuchokera ku CPAM ndi malipiro ena olipidwa ndi olemba anzawo ntchito.

Pofuna kupewa kudzimbidwa, malamulo amakhalidwe oyenera aukhondo amafunikira: idyani zakudya zokhala ndi fiber (zipatso ndi ndiwo zamasamba, theka lathunthu kapena mbewu zonse), imwani madzi okwanira, kuyenda kwa theka la ola tsiku lililonse. Ngati miyezo siyokwanira, ndizotheka kumwa mankhwala ofewetsa tuvi tolimba. Amakonda kumwa mankhwala ofewetsa tuvi tosiyanasiyana: Kumbali ya mankhwala osagwiritsidwa ntchito masiku onse:

• pochiritsa pakhomo: tengani mwadongosolo Sepia officinalis 7 CH et Nux vomica 5 CH, 5 granules aliyense 3 pa tsiku musanadye. Kutengera mawonekedwe a chopondapo ndi zina zomwe zikugwirizana, mankhwala ena amalimbikitsidwa: Collinsonia canadensis 5 CH 5 granules m'mawa ndi madzulo vuto la zotupa m'mimba; Hydrastis canadensis 5 CH pakavuta chimbudzi popanda chidwi chopita kuchimbudzi (2).
• mu mankhwala azitsamba, mallow ndi marshmallow mumakhala ma mucilages omwe amakhala ngati mankhwala ofewetsa tuvi tolimba.