Ukunakekelwa kokubeletha ku-trimester yakho yesibili

I-Trimester isho izinyanga ezi-3. Ukukhulelwa okujwayelekile kunezinyanga eziyishumi futhi kunezi-trimesters ezintathu.

Umhlinzeki wakho wezokunakekelwa kwempilo angakhuluma ngokukhulelwa kwakho emavikini, kunezinyanga noma ama-trimesters. I-trimester yesibili iqala ngesonto le-14 futhi idlule ngesonto lama-28.

Ku-trimester yakho yesibili, uzoba nokuvakashelwa kokubeletha njalo ngenyanga. Ukuvakasha kungashesha, kepha kusabalulekile. KULUNGILE ukuletha umlingani wakho noma umqeqeshi wezabasebenzi.

Ukuvakasha phakathi nale trimester kuzoba yisikhathi esihle sokukhuluma:

• Izimpawu ezijwayelekile ngesikhathi sokukhulelwa, njengokukhathala, isilungulela, imithambo ye-varicose, nezinye izinkinga ezivamile
• Ukubhekana nobuhlungu beqolo nezinye izinhlungu nezinhlungu ngesikhathi sokukhulelwa

Ngesikhathi sokuvakasha kwakho, umhlinzeki wakho uzokwenza lokhu:

• Kala wena.
• Linganisa isisu sakho ukuze ubone ukuthi ingane yakho ikhula njengoba kulindelekile.
• Hlola umfutho wegazi lakho.
• Kwesinye isikhathi thatha isampula lomchamo ukuhlola ushukela noma amaprotheni emchameni wakho. Uma okunye kwalokhu kutholakala, kungasho ukuthi unesifo sikashukela sokukhulelwa noma umfutho wegazi ophakeme obangelwa ukukhulelwa.
• Qinisekisa ukuthi imigomo ethile iyenziwa.

Ekupheleni kokuhambela ngakunye, umhlinzeki wakho uzokutshela ukuthi yiziphi izinguquko ongazilindela ngaphambi kokuvakasha kwakho okulandelayo. Tshela umhlinzeki wakho uma unezinkinga noma ukukhathazeka. KULUNGILE ukukhuluma nganoma yiziphi izinkinga noma ukukhathazeka, noma ngabe awunomuzwa wokuthi zibalulekile noma zihlobene nokukhulelwa kwakho.

Ukuhlolwa kwe-hemoglobin. Kukala inani lamaseli abomvu egazini lakho. Ambalwa kakhulu amaseli egazi abomvu angasho ukuthi une-anemia. Le yinkinga ejwayelekile ekukhulelweni, yize kulula ukuyilungisa.

Ukuhlolwa kokubekezelelana kwe-glucose. Ihlola izimpawu zesifo sikashukela ezingaqala ngesikhathi sokukhulelwa. Kulesi sivivinyo, udokotela wakho uzokunikeza uketshezi olumnandi. Ngemuva kwehora, kuzodonswa igazi lakho ukuhlola amazinga kashukela egazini lakho. Uma imiphumela yakho ingejwayelekile, uzoba nokuhlolwa kokubekezelelana kweglucose okude.

Ukuhlolwa kwama-antibody. Kwenziwa uma umama engenayo i-Rh. Uma ungenayo i-Rh, ungadinga umjovo obizwa nge-RhoGAM cishe amasonto angama-28 okukhulelwa.

Kufanele ube ne-ultrasound cishe amasonto angama-20 ekukhulelweni kwakho. I-ultrasound inqubo elula, engenabuhlungu. Induku esebenzisa amagagasi omsindo izobekwa esiswini sakho. Amagagasi omsindo azovumela udokotela wakho noma umbelethisi ukuthi abone ingane.

Le ultrasound ijwayele ukusetshenziselwa ukuhlola ukwakheka kwengane. Inhliziyo, izinso, izitho, nezinye izinhlaka zizobonwa.

I-Ultrasound ikwazi ukubona ukungahleleki kwengane noma ukukhubazeka kokuzalwa cishe isigamu sesikhathi. Ibuye isetshenziselwe ukucacisa ubulili bengane. Ngaphambi kwale nqubo, cabanga ukuthi ufuna ukwazi lolu lwazi noma cha, bese utshela umhlinzeki we-ultrasound izifiso zakho ngaphambi kwesikhathi.

Bonke abesifazane banikezwa ukuhlolwa kofuzo ukuze kuhlolwe ukukhubazeka kokuzalwa kanye nezinkinga zofuzo, njenge-Down syndrome noma ubuchopho namaphutha ekholomu lomgogodla.

• Uma umhlinzeki wakho ecabanga ukuthi udinga olunye lwalezi zivivinyo, khuluma ngokuthi iziphi ezizolungela wena.
• Qiniseka ukuthi ubuza ukuthi imiphumela ingasho ukuthini kuwe nasenganeni yakho.
• Umeluleki wezofuzo angakusiza uqonde ubungozi bakho kanye nemiphumela yokuhlolwa.
• Kunezinketho eziningi zokuhlolwa kofuzo. Ezinye zalezi zivivinyo zinengozi ethile, kanti ezinye azinazo.

Abesifazane abangaba sengozini enkulu yalezi zinkinga bafaka:

• Abesifazane abake baba nombungu onokukhubazeka okungokofuzo ekukhulelweni kwangaphambilini
• Abesifazane abaneminyaka engama-35 noma ngaphezulu
• Abesifazane abanomlando oqinile womndeni wokukhubazeka okuzalwa njengefa

Ukuhlolwa okuningi kofuzo kuyanikezwa futhi kuxoxwe ngakho ku-trimester yokuqala. Kodwa-ke, ezinye izivivinyo zingenziwa ku-trimester yesibili noma zenziwa ngokwengxenye ku-trimester yokuqala neyesibili.

Ekuhlolweni kwesine, igazi likhishwa kunina bese lithunyelwa elebhu.

• Ukuhlolwa kwenziwa phakathi kweviki le-15 kanye nelama-22 lokukhulelwa. Inembile kakhulu uma yenziwe phakathi kwamasonto e-16 kanye nele-18.
• Imiphumela ayitholi inkinga noma isifo. Esikhundleni salokho, bazosiza udokotela noma umbelethisi ukuthi anqume ukuthi ngabe kudingeka ukuhlolwa okwengeziwe yini.

I-Amniocentesis isivivinyo esenziwa phakathi kwamasonto ayi-14 kuye kwangama-20.

• Umhlinzeki wakho noma umnakekeli uzofaka inaliti esiswini sakho nasesikhwameni se-amniotic (isikhwama soketshezi oluzungeze ingane).
• Kuzokhishwa inani elincane loketshezi bese lithunyelwa elebhu.

Shayela umhlinzeki wakho uma:

• Unezimpawu noma izimpawu ezingejwayelekile.
• Ucabanga ukuthatha noma yimiphi imithi emisha, amavithamini, noma amakhambi.
• Unokopha.
• Ukhuphule ukuphuma kwesitho sangasese sowesifazane noma ukhipha ngephunga.
• Unomkhuhlane, ukubanda, noma ubuhlungu lapho udlulisa umchamo.
• Unobunzima obulinganiselayo noma obunzima noma ubuhlungu obuphansi besisu.
• Unemibuzo noma ukukhathazeka ngempilo yakho noma ngokukhulelwa kwakho.

Ukunakekelwa kokukhulelwa - i-trimester yesibili

UGregory KD, uRamos DE, uJauniaux ERM. Ukuqagela kanye nokunakekelwa kokubeletha. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 6.

IHobel CJ, ukunakekelwa kukaWilliam J. Antepartum. Ku: IHacker NF, iGambone JC, iHobel CJ, ama-eds. I-Hacker & Moore's Essentials ye-Obstetrics ne-Gynecology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 7.

USmith RP. Ukunakekelwa kwangaphambi kokubeletha: i-trimester yesibili. Ku: Smith RP, ed. Netter’s Obstetrics and Gynaecology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 199.

UWilliams DE, uPridjian G. Obstetrics. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

• Ukunakekelwa Kwangaphambi Kokubeletha