Ukunakekelwa kokubeletha ku-trimester yakho yesithathu

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 yesithathu isuka evikini lama-28 kuye kwali-40.

Lindela ukukhathala okwandayo ngalesi sikhathi. Amandla amaningi omzimba wakho aqondiswe ekusekeleni umbungu okhula ngokushesha. Kuvamile ukuzwa isidingo sokunciphisa imisebenzi yakho nomthwalo wakho womsebenzi, nokuthola ukuphumula emini.

Isilungulela nezinhlungu ezisezingeni eliphansi nakho kuyizikhalazo ezivamile ngalesi sikhathi sokukhulelwa. Lapho ukhulelwe, uhlelo lwakho lokugaya ukudla luyehla. Lokhu kungadala isilungulela nokuqunjelwa. Futhi, isisindo esengeziwe osithweleyo sibeka ingcindezi emisipheni nasemalungeni akho.

Kubalulekile ukuthi uqhubeke:

• Yidla kahle - kufaka phakathi ukudla okunothile kwamaprotheni nemifino njalo nangamanani amancane
• Phumula njengoba kudingeka
• Zivocavoce noma uthathe uhambo ngezinsuku eziningi

Ku-trimester yakho yesithathu, uzoba nokuvakasha kokubeletha njalo emavikini ama-2 kuze kube yisonto lama-36. Ngemuva kwalokho, uzobona umhlinzeki wakho njalo ngesonto.

Ukuvakasha kungashesha, kepha kusabalulekile. KULUNGILE ukuletha umlingani wakho noma umqeqeshi wezabasebenzi.

Ngesikhathi sokuvakasha kwakho, umhlinzeki uzo:

• Kala wena
• Linganisa isisu sakho ukuze ubone ukuthi ingane yakho ikhula njengoba kulindelekile
• Hlola umfutho wegazi lakho
• Thatha isampula yomchamo ukuhlola amaprotheni emchameni wakho, uma une-high blood pressure

Umhlinzeki wakho futhi angakunika ukuhlolwa kwe-pelvic ukubona ukuthi umlomo wakho wesibeletho uyahlulwa yini.

Ekupheleni kokuhambela ngakunye, udokotela wakho noma umbelethisi uzokutshela ukuthi yiziphi izinguquko ongazilindela ngaphambi kokuhambela okulandelayo. Tshela umhlinzeki wakho uma unezinkinga noma ukukhathazeka. KULUNGILE ukukhuluma ngazo noma ngabe awuzwa ukuthi zibalulekile noma zihlobene nokukhulelwa kwakho.

Emasontweni ambalwa ngaphambi kosuku lwakho olufanele, umhlinzeki wakho uzokwenza isivivinyo esihlola ukutheleleka kweqembu B ku-perineum. Azikho ezinye izivivinyo zelebhu ezijwayelekile noma ama-ultrasound kuwo wonke owesifazane okhulelwe ku-trimester yesithathu. Ukuhlolwa nokuhlolwa okuthile kwelebhu ukuqapha ingane kungenziwa kwabesifazane aba:

• Yiba nokukhulelwa okuyingozi kakhulu, njengalapho ingane ingakhuli
• Unenkinga yezempilo, njengesifo sikashukela noma umfutho wegazi ophakeme
• Uke waba nezinkinga ekukhulelweni kwangaphambili
• Sekwedlule isikhathi (ukhulelwe isikhathi esingaphezu kwamasonto angama-40)

Phakathi kwama-aphoyintimenti akho, kuzodingeka unake ukuthi ingane yakho ihamba kangakanani. Njengoba usondela osukwini lwakho olubekiwe, futhi ingane yakho ikhula ikhudlwana, kufanele uqaphele indlela ehlukile yokuhamba kunangaphambi kokukhulelwa kwakho.

• Uzobona izikhathi zomsebenzi nezikhathi zokungasebenzi.
• Izikhathi ezisebenzayo zizoba ukunyakaza okugoqayo nokukhukhumezayo, kanye nokukhahlela okumbalwa okunzima nokuqinile.
• Kusamele uzwe ukuthi ingane ihamba kaningi phakathi nosuku.

Buka amaphethini ekunyakazeni kwengane yakho. Uma ingane ngokuzumayo ibonakala ngathi ihamba kancane, yidla isidlo, bese ulala phansi imizuzu embalwa. Uma namanje ungezwa ukunyakaza okuningi, shayela udokotela wakho noma umbelethisi.

Shayela umhlinzeki wakho noma kunini lapho unezinkinga noma imibuzo. Noma ucabanga ukuthi awukhathazeki ngalutho, kungcono ukuba sohlangothini oluphephile futhi ushayele.

Shayela umhlinzeki wakho uma:

• Unezimpawu noma izimpawu ezingejwayelekile.
• Ucabanga ukuthatha noma yimiphi imithi emisha, amavithamini, noma amakhambi.
• Unokopha.
• Ukhuphule ukuphuma kwesitho sangasese sowesifazane ngephunga.
• Unomkhuhlane, ukubanda, noma ubuhlungu lapho udlulisa umchamo.
• Unekhanda.
• Unezinguquko noma izindawo ezingaboni emehlweni akho.
• Amanzi akho ayaphuka.
• Uqala ukuba nezinciphiso ezivamile, ezibuhlungu.
• Uyabona ukwehla kokunyakaza kombungu.
• Unokuvuvukala okuphawulekayo nokuzuza kwesisindo.
• Unobuhlungu besifuba noma ukuphefumula kanzima.

I-trimester yesithathu yokukhulelwa

UGregory KD, uRamos DE, uJauniaux ERM. Ukuqagela kanye nokunakekelwa kokubeletha. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 5.

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 yesithathu. Ku: Smith RP, ed. Netter’s Obstetrics and Gynaecology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 200.

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